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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> l <br /> I V Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts 701 a i <br /> File witl3: Citv or Town Clerk or Election Commission E <br /> Fell in Reporting Period dajq§4._2 tq H ginning Date: Feb 16, 2019 Ending Date: Mar 22, 2019 <br /> Type of Report: (Check one) <br /> ® 8th day preceding preliminary ® 8th day preceding election ® 30 day after election ❑ year-end report ❑ dissolution <br /> Suzie Barry <br /> Candidate Full Name(if applicable) Committee Name <br /> Selectman <br /> Office Sought and District Name of Committee Treasurer <br /> 159 Burlington St, Lexington, MA 02420 <br /> Residential Address Committee Mailing Address <br /> Telephone Num ber(optional): (781.) 862-5853 Telephone Number(optional): <br /> I. <br /> I <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous repot <br /> i <br /> Line 2: Total receipts this period(page 3, line 11) 300 <br /> Line 3: Subtotal (line 1 plus line 2) 3,772.19 <br /> Line 4: Total expenditures this period (page 5, line 14) 1,115.55 <br /> Line 5: Ending Balance(line 3 minus line 4) ---W� 2,656.64 <br /> Line 6: Total in-kind contributions this period (page 6) �— <br /> Line 7: Total (all) outstanding liabilities(page 7) 49 <br /> Line 8: Name of bank(s)used: TD Bank <br /> i <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 o beh• f of this committee in accordance with the requirements of M.G.L.c.55.&W <br /> 5. <br /> Signed under the penalties of perjury.- ('Treasurer's signature) Date: ��3 <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 box only) <br /> Candidate with Committee and no activity independent or the committee <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 finance <br /> activity,of all persons acting under the authority or on bchail'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 OR Candidate with independent activity filing separate report <br /> 1 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,re s,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting r the authority or on i II this coniltaee inn accordance with the requirements of M_(i.L,c.55. <br /> Signed under the penalties of erJurY � (Candidate's signature) Date: - f` <br />