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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth t. <br /> of Massachusetts <br /> File with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates: Beginning Date: 1/1/2020 Ending Date; iz/31/zoza <br /> Type of Report: (Check one) <br /> © 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ® year-end report ❑ dissolution <br /> Poe Pato Committee to Elect Joe Pato Selectman <br /> Candidate Full Name(if applicable) Committee Name <br /> Select Board Member Mollie Garberg <br /> Office Sought and District Name of Committee Treasurer <br /> 900 Massachusetts Avenue, Lexington, MA 02420 16 Cary Avenue, Lexington, MA 02421 <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 594.56 <br /> Line 2: Total receipts this period(page 3,line 11) <br /> Line 3: Subtotal(line 1 plus line 2) <br /> Line 4: Total expenditures this period(page 5,line 14) a <br /> Line 5: Ending Balance(line 3 minus line 4) :59:4:.5:6]_ <br /> Line 6: Total in-kind contributions this period(page 6) 35.34 <br /> Line 7: Total(all)outstanding liabilities (page 7) 0 <br /> Line$: Name of bank(s)used: Cambridge Savings Bank <br /> Affidavit of Committee Treasurer: <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,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: '!► X� 0!5"—,t4 h-e-1- (Treasurer's signature) Date: I ,/11.`,.•m_Z,.� / <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 box only) <br /> Candidate with Committee and no activity independent of the committee <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,of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. I 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 /> 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 <br /> ❑ finance activity,including contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting under the authori��for on behalf of this committee in accordance with the requirements of M.G.L.C.55. <br /> Signed under the penalties of perjury: '° .b.. 'd,q (Candidate's signature) Date: > Zr 1 <br />