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2L\ Form CPF M101: STATEMENT OF ORGANIZATION CANDIDATE'S COMMITTEE MUNICIPAL FORM Commonwealth Office of Campaign and Political Finance R E C of Massachusetts Pile with: City 1 Town Clerk or Election Commission 0EC —4 PH 2: 32 NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws,Chapter 55,as amende+A0W( , ��ion of a candidate's committee as follows: [ E X I N G-1 ow �iA CANDIDATE: Full Name: Sara Cuthbertson Residential Address: 541 Bedford St. City/State 1 Zip: Lexington, MA 02420 E-Mail Address: saracuthbertsonl4@gmail.com Phone#: 843-513-7467 Party Affiliation: NSA (If applicable) OFFICE SOUGHTIPURPOSE: Title: Lexington Public Schools- School Committee District: COMMITTEE: Name of committee: Committee to Elect Sara Cuthbertson (The name of the committee must include the candidate's last name) Cominittee Mailing Address: 1 Q' cr[! / �q City/State/Zip; Lexington YV MA `-L r W Phone#: 99-3 S 1 3-7L��7 OFFICERS: t Chairman: Taylor Singh Treasurer*: Larry Freeman Residential Address: 80 Burlington St Residential Address: 218 Lowell St City/State/Zip: Lexington MA 02420 City/State/Zip: Lexington MA 02420 Phone#: 781-632-2208 Phone#: 404-783-7563 Email: LDFREE@yahoo.com *A public employee may not serve as treasurer of any voliticaI committee see reverse), Other Officer/Title: Other Officer/Title: Residential Address: Residential Address: City/State/Zip: City/State/Zip: Phone#: Phone#: (Complete and attach a Form CPF M A 101,if necessary,with other officers and finance committee,if airy.) I hereby consent to the filing of this committee. I understand that a candidate shall not give consent to the organization of more than one committee on his/her behalf. I am aware that candidates are required to keep detailed accounts and records of all campaign(mance activity for a period of six years from the date of the relevant election. SIGNED UNDER TBE PENALTIES OF PERJURY: p Date; Candidate s signature I hereby accept the office of Treasurer of the above-named committee.I affirm that I am not a public employee as defined by M.G.L.c. 55,s. 13.I understand that: 1)I am subject to certain duties and liabilities under M.G.L.c.55,including the timely filing of campaign finance reports and keeping detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election;2)if after my acceptance of this office I become an appointed public employee,I must resign this position and notify OCPF of my resignation,and 3)a candidate may not serve as treasurer of the political committee organized on his/her behalf. SIGNED UNDER THE PENALTIES OF PERK-IRY: r f} `% Date. Treasurer's signbture ti f I hereby accept the office of Chairman of the above-named committee. SIGNED UNDER THE PENALTIES OF PERJURY: I 1__�i/�,�,, V"" Yv Date: hainu 's&nature i