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Form CPF M 102: Campaign Finance Report, <br /> Commonwealth <br /> of Massachusetts Office of Campaign and Political Finance <br /> Filewith; Director CCF 1D# 17114 <br /> Office of Campaign and Political Finance <br /> One Ashburton Place Rm. 411 <br /> s-stop, MA 62108 <br /> (617) 979-6300 <br /> Reporting Period: Beginning: 2/25/2019 Ending: 3/7/2019 <br /> Type of Report: 2019 Dissolution Report <br /> Weiss, Betsey Weiss Committee <br /> Full Name of Candidate Committee Name <br /> Municipal, Local Filer Harriet J. Cohen <br /> Office Sought/ District Name of Committee Treasurer <br /> 8 Dover Lane 29 Farland Street <br /> Lexington, MA 02421 Lexington, MA 02421 <br /> Residential Address Committee Address <br /> SUMMARY BALANCE INFORMATION <br /> Ending balance from previous report: $204.80 <br /> Total receipts this period: $0.00 <br /> Subtotal: $204.80 <br /> Total expenditures this period: $204.80 <br /> Ending Balance: $0.00 <br /> Total inkind contributions this period: $0.00 <br /> Total outstanding liabilities: ;0.00 <br /> Name of Bank Used: <br /> f <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 <br /> belief, a true and complete statement of all campaign finance activity including all contributions, loans, recaipts, <br /> expenditures, disbursements, inkind 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 committee in accordance with the <br /> requirements of M.G.G. c. 55. <br /> Signed under the penalties of perjury; <br /> ti <br /> Ie ed <br /> ... <br /> Treasurer's signature (in ink) Date <br /> � 13 <br /> Affidavit of Candidate (check 1 box Daly) <br /> -Candidate with Coamtittee and no activity independent of the committee —A <br /> SP'I certify that I have examined this report, and attached scbedules and it is, to the best of my knowledge and tlef., a <br /> true and complete statement of all campaign finance activity, of all persons acting under the authority or on 1i�a1"f of <br /> this committee in accordance with the requirements of M.G.L. c. 55. 1 have not received any contributions, incuxte1`cT. <br /> any liabilities nor made any expenditures on my behalf during this reporting period. .. _ <br /> ❑Candidate without Committee OR candidate with independent activity Piling separate report. y� <br /> I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, --J _ <br /> a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br /> disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br /> finance activity of all persons acting under the authority or an behalf of this committee in accordance with the <br /> requirements of M.G.L. C. 55. <br /> Signed ands a penalt' a of perjury: <br /> 3/7� r <br /> Candidate'6 signatur ( ink) nate <br />