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`®r : Campaign ce Report <br /> Municipal Or <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> File with'. Citv or•fonvn Clcrk or Election Commission <br /> Fill in Reporting Period dates: Beginning Date: 01/01/2020 Ending Date: 12/31/2020 <br /> Type of Report: (Check one) <br /> © Sth day preceding preliminary 8th day preceding election 30 day after electiot3 ® year-end report dissolution <br /> Til! I. Hai Jill lJai for Lexington <br /> Candidate Full Name(if applicable) Committee Name <br /> Select Board Jodi R. Galin <br /> Office Sought and District Name of Committee Treasurer <br /> 6 Highland Avenue, Lexington, MA 02421 5 Raymond Street, Lexington, MA 02421 <br /> Residential Address Committee Mailing Address <br /> Telephone Nu.mber(optional): (781) 862-3766 Telephone Number(optional): (7 81) 910-4681 <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous Deport 760.51 <br /> Line 2: Total receipts this period(page 3, line 1 1) 0 <br /> Line 3: Subtotal (line 1 plus line 2) 760 5 <br /> Line 4: Total expenditures this period(page 5, line 14) <br /> 9A9.76 <br /> Line 5: Ending Balance(life 3 minus line 4) � 660 72 <br /> Line 6: Total in-kind contributions this period (page 6) 0 <br /> cs�t <br /> Linc 7: Total (all)outstanding liabilities(page 7) 0 <br /> Line 8: Name of bank(s)used: citizens Bank <br /> Affidavit of Committee Treasurer: <br /> 1 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,io-kind contributions and liabilities for this reporting period and represents the campaign <br /> finance activity of all persons acting under the authority or n eh of nis coomittee in accordance with the requirements of M.G.L.c.55. <br /> Signed under the penalties of perjruy: (Treasurer's signature) Date: <br /> kv <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 OR Candidate with independent activity filing separate report <br /> [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,loa ,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of al I persons a i under the auth on behalf of this committee in accordantce with the requirements of A I.Ci.L.c.55. <br /> Signed ruder the.penalties of perjury: (Candidate's signature) Date: C7I b�f <br />