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5 i 1 Form Cpl M 102: Campaign Finance Report Municipal ,Form Office of Carnpaiglt and Political Finance Cotrrntonweal lh of lvta,sachusetts _ t=ile with: O& " r Lle ih ( tier on 1 Ill In lieporting Period dates: Beginning Datc. ]an i, 2018 Ending Date: Dec 31,2018 Type of Report: (Check one) 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election Q year-end report E] dissolntian CAA L Political A ct ion Committee Candidate Full Name(if applicable) Committee game Lily Yan office sought and District Name of Committee Treasurer 5 Militia Drive, Lexington, MA 02420 Residential Address Committee Mailing Address Telephone Nurl(optional): 7'clephoneNumber(optional): (617) 678-6208 SUMMARY BALANCE INFORMATION: Line is Ending Balance f-0111 previous report 3,007.29 Line 2: Total receipts this period(page 3,line 1 1) 0 Line 3: Subtotal (line I plus line 2) 3,007.29 Line 4: Total expenditures this period (page 5, line 14) 0 Line 5: lending Balance(line 3 miiitis line 4) 3,007.29 Line b: Total in-kind contributions this period (page 6) Line 7: Total (all)outstanding liabilities(page 7) Line 8: Name of bank(S)used: Santander Affirtuvit of Committee Treasorer: I cenit'y that I have examined this report including attached schedule;and it is,to the best of my knowledge�gad belief,a true and complete statement of all campaign finance ae€ivity,including all contributions,loans,reeeipt5,expenditures,disbursements,ip-kind coil apd",tiabilities for this reporting period and represents the campaign finance activity nrall persons noting under the authority or on behal f of this ttirttitice in accorUatte illi the requirements of M G,L.c.55. Signed under the penalties of perjury: ��- (Treasurer's signature) Date:W,FOR CANDIDATE FILINGS ONLY: Affidavit ofCaudidate:(thevd I box it Candidate with C'oarlttec Hod no Hctivity independent of the conttuittce I certify that I have ecamined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance activity,orall persons acting under the authority or on behalf of this committee in accordance with the requirements orM.G.L.c.55. 1 have not received any contributions, Wafted Hay liabilities nor mode any oxpenditums un my behalf during this reporting period. Candidate without Committee OR C:andidnie with independent attivity tiling separate report I certify thut 1 have examined this report including attached selledules and it is.to the hest ol'my knowledge and belief,a true and complete statement orall campaign t€nonce a¢tivitp,including contributions,loans,receipts,expenditures,disbursements,io-kind contributions and liabilities for this reporting period and represents the campaign finance activity c all persons aotinp under the authority or on oeball of this committee in accordance with the requirements of M.G.L.e.55. Signed under the penalties of perjury: _ {Candidate's signature} Date: