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Form CPF M 102: Campaign Finance Report <br /> Municipal Fair <br /> Office of Campaigns 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: Mar 23, 2019 Ending Date: Dec 31,2019 <br /> Type of Rup+att- (Check one) <br /> [� 8th day preceding preliminary ® 8th day preceding election ❑ 30 day after election year-end report. El dissolution: <br /> Matthew Cohen Committee to Elect Matthew Cohen <br /> Condidatc Full Namc(if applicable) Committee Nance - <br /> Selectman Juliana Cohen <br /> Office Sought and District Name of Committee Treasurer <br /> 29 Tomer Road, Lexington MA-02421 29 Tower Road,Lexington MA 02421 <br /> Residential Address Committee Mailing Address <br /> lrniail; cohen4lexington@gmaii.com E-mail: cahen4lexington@gmali.com <br /> Phone#(optional); Phone#(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1; Ending Balance from previous report <br /> :E1 <br /> Line 2: Total receipts this period(page 3,line 11) <br /> Line3: Subtotal(line I plus line 2) ' <br /> Line 4: Total expenditures this period(page 5;line 14) <br /> Line 5; Ending-Balance(line 3 minus line 4) 0 i <br /> Linc 5: Total in-kind contributions.tbis period(page G) 0 <br /> F <br /> Line 1: Total(all)outstanding liabilities(page 7) <br /> i <br /> Line 8:. Name of bank(s)Used: None=Committee was dissolved <br /> _i <br /> Atlidavit of C:ommitti:e 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 lrue and compleW statement ofall campaign finance <br /> tictiyiry;including all eontrihuttons,loans,receipts;expenditures,disbursements;in-kind contributions and liabilities for reporting period and represents the campaign t <br /> finance activity©f all persons acting under the authority or p behalf of this committee in accordance with the requirements of M.G.L.c.55. <br /> Signed uoder#tee penalties o1'perjury: (Treasuret's signature) Date:.lan 17, 2020 <br /> t <br /> FI R CA1 DIDATE MINDS ONLY: ffi avit of Candidate:(clitek 1 box only) <br /> `i <br /> Caudidateivith.(`.oniniittee ' <br /> l.cer[ify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete,swtement of sll campaign finance <br /> ® tictivity,of all persons acting,under the authority or on behalf of this eommittec 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 helialfduring this reporting period:that are not otherwise disclosed in this report, <br /> Can diditte iyithout.Committee <br /> o 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 i <br /> finance nalvity,including contributions, ns <br /> loam, "- us <br /> ,receipts,expenditu ,.disbiemcnts,'in-kind contributions and liabilities for this mpmting period and represents the <br /> campaign finance activity of all persons.aeting under the authority or on behalf of this candidate in aeeiirdance with the requirmients 61710.0iL.c.55; _ <br /> ' d Date:Jan 17 2{l20 <br /> Sigiie i under the penalties of perjury: f!'�`°' (t andida ds signature) <br />