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Form CPF M 102: Campaign Finance Deport <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> rite with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates: Beginning gate 01-01-2020 Ending nate: 12-31-2020 <br /> Type of Report: (Check one) <br /> ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day atter election ❑X year-end report ❑ dissolution. <br /> Eileen Jay Eileen Jay for School COtvmittee <br /> Candidate rut]Name(if applicable) Committee:Name <br /> School Committee Becky Barrentine <br /> Office Sought and District Name of Committeo'freasu€or <br /> 191 Waltham St, Lexington, MA 02421 100 Bedford STreet,Lexington, MA 02420 <br /> Residential Addroxs Committee Mailing Address <br /> Teleplione Number(optional); Telephone Number(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Line l: Ending Balance from previous report 1.170 <br /> Line 2: Total receipts this period(page 3,lige l 1) --_- -� <br /> Line 3: Subtotal (like l plus line 2) 1170 <br /> Line 4: Total expenditures this period(page 5,line 14) - 55 <br /> Line 5: Ending Balance(line 3 minus line 4) 1.115 <br /> Line G: Total in-kind contributions this period(page ti) <br /> Line 7: Total(all)outstanding liabilities(page 7) <br /> Line 8: Name of bank(s)used: Citizen's Bank, Paypal <br /> Affidavit of Committee Treasurer: <br /> I certify that t have examined this report including attached schedules and it is,to the best or 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 tl4c u err on behalf of this committee in accordance with the requirements of M_G.L,e.55. <br /> Signed under the penalties of perju ry: (freasu€er's signature) Bate- U <br /> W11 CANUIDXFE,�+ILINC 4)LY: A11idavit ofCandidate:(check t box only) <br /> Candidate of ith Committee and no activity independent of the eommittee <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 ofM.G,1,.c.,55, 1 have not received any contributions, <br /> marred any liabilities nor made any expenditures on nay behalf during this reporting period. <br /> Candidate trithout(committee(3R 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 alt campaign <br /> finance aeiivity,including contributions,loans,receipts,expenditures,disburs vents,in-kind contributions and liabilities for this reporting period and represents the <br /> catnpaigu finance activity ofall persons acting under the authority or on a 'of this eommiltee in accordance with the requirements of iV c;i,e.55. j <br /> Signed under the penalties of petjury. u/` (Candidate's signature) (fate' / I <br /> 1 <br />