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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts�nn EE �} p ! �y <br /> L U i� APR I t t ' 2 0 File with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates: Beginning Date: Feb 15, 2019 Ending Date: Apr 1, 2019 <br /> (k (#ki_,7A Y <br /> Type of Report: (Check one) <br /> ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑X 30 day after election ❑ year-end report ❑ dissolution <br /> Robert D. Peters n/a <br /> Candidate Full Name(if applicable) Committee Name <br /> Planning Board,Town of Lexington <br /> Office sought and District Name of Committee Treasurer <br /> 43 Fifer Lane, Lexington MA 02420 <br /> Residential Address Committee Mailing Address <br /> Telephone Number(optional): Telephone Number(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report o <br /> Line 2: Total receipts this period(page 3,line 11) 0 <br /> Line 3: Subtotal(line I plus line 2) o <br /> Line 4: Total expenditures this period(page 5, line 14) o <br /> Line 5: Ending Balance(line 3 minus line 4) o <br /> Line 6: Total in-kind contributions this period(page 6) o <br /> Line 7: Total(all)outstanding liabilities(page 7) o <br /> Line 8: Name of bank(s)used: n/a <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 committee in accordance with the requirements of M,G.L.c,55. <br /> Signed under the penalties of perjury: (Treasurer's signa€ore) Date: <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 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 QR Candidate with independent activity filing separate report <br /> T 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,expenditure disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting under t e authority, rron �Eiscomnrittee accordance with the requirements of M,G.L,c,55. <br /> Signed under the penalties of perjury: (Candidate's signature) Date: Apr 1,2019 <br />