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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> C¢yyv-�I Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts f FEB EB 2 File Nvith: City or"Town Clerk or Election Commission <br /> Fill in Reporting Period da Beiinning Date: January 1, 2019 Ending Date: February 15, 2019 <br /> Type of Report: (Check one) <br /> 0 Sth day preceding preliminary 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution <br /> Suzie Barry Committee to Elect Suzie Barry <br /> Candidate Full Name(if applicable) Committee Name <br /> Selectman Kim Coburn <br /> Office Sought and I)istrict Name of Committee Treasurer <br /> I <br /> 159 Burlington St, Lexington, MA 02420 66 Liberty Ave, Lexington, MA 02420 <br /> Residential Address Committee Mailing Address <br /> Telephone (optional): 781 862-5853 Telephone (optional): (781 863-6285 <br /> p ( } p ) <br /> I <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report 2,507.38 <br /> Line 2: Total receipts this period (page 3, line 11) 1,475 <br /> i <br /> Line 3: Subtotal (line 1 plus line 2) 3,982.38 <br /> Line 4: Total expenditures this period(page 5, line 14) 51fl•1� <br /> Line 5: Ending Balance (line 3 minus line 4) 3,472.19 <br /> Line 6: Total in-kind contributions this period(page 6) 0 <br /> Line 7: Total(all)outstanding liabilities (page 7) 11033 <br /> Line 8: Name of bank(s)used: TID Bank <br /> Affidavit of Committee Treasurer: <br /> I certify that I have examined 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 <br /> activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign <br /> finance activity of all persons acting under the authority or on behhallffofftthis committee in accordance with the requirements of M.G.T.c.55. <br /> Signed under the penalties of perjury: ('Treasurer's signature) Date: -a i <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check I box only) <br /> Candidate with Committee and no activity independent of the committee <br /> I certify that I have examined 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 <br /> ❑ activity,of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. 1 have not received any contributions, <br /> incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br /> Candidate without Committee OU Candidate with independent activity filing sepal-ate report <br /> I certify that i have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign <br /> finance activity,including contributions,loans,receipts,expenditures,disbrsements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting un r4he authority ar on hal of this �nillec in accordance with the requirements of M.G.L.c.55. <br /> Signed under the penalties of per jury: : (Candidate`s signature) <br /> Dake: <br />