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Form CPF M 142: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> File with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates: Beginning Date: 3anuary 1, 2019 Ending Date: February 24, 2019 <br /> Type of Report: (Check one) <br /> ❑ 8th day preceding preliminary X❑ 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution <br /> Toe Pato Committee to Elect]oe Pato Selectman <br /> Candidate Full Name(if applicable) Committee Name <br /> Selectman Mollie Garberg <br /> Office Sought and District Name of Committee Treasurer <br /> 900 Massachusetts Avenue, Lexington,MA 02420 16 Cary Avenue, Lexington, MA 02421 <br /> Residential Address Committee Mailing Address <br /> Telephone Number(optional): Telephone Number(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Idpe 1: Ending Balance from previous report F 385.01 <br /> fs') <br /> Line 2rTotal receipts this period(page 3, line 11) 553 <br /> Line 3 =06btotal(line 1 plus line 2) 938.01 <br /> cNi <br /> e 4J_ ptal expenditures this period(page 5,line 14) 7,06 <br /> e S: Ending Balance(line 3 minus line 4) 930.95 <br /> Line 6: Total in-kind contributions this period(page 6) <br /> Line 7: Total(ail)outstanding liabilities(page 7) F <br /> 432.44 <br /> Line 8: Name of bank(s)used: Cambridge Savings 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 behalf of this <br /> �committee in accordance with the requirements of M.G.L.c.55. <br /> Signed under the penalties of perjury: / d�d IC l3' �+- C r] (Treasurer's signature) Date: z_�1,20/ <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check t 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 ormy knowledge and belief,a true and complete statement ofall campaign finance <br /> activity,of all persons acting tinder the authority or on behalf of this committee in accordance with the requirements of M,G.L,c.55, I have not received any contributions, <br /> incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br /> Candidate without Committee OR Candidate with independent activity filing separate report <br /> I certify that 1 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,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.e.55. <br /> Signed under the penalties of perjury: (Candidate's signature) Date: 2 Z,, 12�� <br />