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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> .. Office of Campaign and Political Finance <br /> Commonweahh <br /> of 4lassuelmsvus <br /> File_±v_ith_City or Town E7cr4;or lilecti+m['otnanissaon <br /> f=ill in Reporting I'eriad elates: fieginning[late: 01/o1/zo21�-� Ending f)atc: oz/2z/zo2t <br /> Tyle ol`Report: (Check one) u�-- <br /> ❑ 8th day preceding preliminary 8th day preceding election ❑ 30 clay after election El year-end report ❑ dissaliliion <br /> Deef,il<a S+nwhney -^ Committee to elect Deepika Sawhney „ <br /> Candldmc hill Nano(ifapplicablc) Crnnmiltee NaniC <br /> School C_'ommittce member, Town meeting member Janet Desaulniers <br /> Oflicv,Sought anti fiistrict Nanm of Committee Trcnmucr <br /> 5 Porter Lane, Lexington, MA 02420 6 Porter Lane, Lexington, MA 02420 , <br /> �^ itesidential Address Conunime Mailing Address <br /> Telephone Number(optional): — Telephone Number(optioriol): <br /> SUMMARY BALANCE INFORMATION: u V <br /> Line 1: F:tiding Balance frons previous report 1,454.34 <br /> Line 2: Total receipts this period (page 3, line 1 1) � 100 r <br /> i..ine 3: Subtotal (line I plass line 2) _ 1,5 r t <br /> Line 4- "Total expendittires this period (page 5, Zine 14) 60 Cr � <br /> Line 5: Ending Balance(line .3 IllintiS lisle 4) 1, 4 <br /> C3 M <br /> Line b: Tbtttl in-kind contribut ioils this period (page 6) B Co <br /> Line 7: Total (all)outstanding liabilities (page 7) 0 <br /> Line 8: Nanic of bank(s) used: TD Bank <br /> Affidavit of Colnmiltee'rreaBUrer: <br /> i certify Ilial I bare examined this report including attached sche(lules and it is.to the hest of illy knowledge and belief,a true and complek:statement of all campaign IinancC <br /> activity,'ineinding all t ontribi"iuns,loans,receipt`.expenditures,disbov ciltents,in-kind contribution.~and liabilities liar Iltis reportinw Period and rcprescnts the campaign <br /> iivanre acl'rvit),ol'all persons acting under th,aulhorilp or on WhalfofThis conunilwc in accordance with the rcquirements iii'\i.G.L.C.>5. <br /> �l [[ J._t�—, reasiurrs nat <br /> sigurec,2 [� <br /> Sighed udder the pentiltics of peijury: Y I{ ) Date: r <br /> FOR CANDIDATE, Fil ANCS ON] VI Alfidavil orC;tndida(c:leheck i box only') <br /> Candidate with Coninlitlee mut no activity independent of the committer <br /> I ccrtify that i have examined this report including alrached schedule:and it is.to the hest of my knowledge and belict;a Inuc and coutpleli',rucrnrnt of all campaign fin;lwe <br /> activily,of all persons acting,under the authority or oil behalf of this coni niitee in accordance Willi the rCquirenicnis of Nl.(U.e.55. 1 have not rccerved any cnnlrihnlion , <br /> incurred any linbililics nor made any expendtttn'cs tin illy hchali during this reporting period. <br /> Candidate without C'unnnillce OR Candidate wlih independent activity riling separate report <br /> I certify that i have examined this report including uttadted SCIlCilules and it is,to the best of my knowledge and belief,a ince and complete statement of all campaign <br /> C <br /> aetivity,including contributions.loans,rcceipls,expenditures,disbursements•in-kind contributions and liabilities fur this reporting perind and represents the <br /> campaign finance activity of all penins acting under the authority or on hchall'ol'this committee in accordance with the requiumcnts or-M.G.L.C.55. <br /> Date: ` <br /> Signed under the penalties of perjury'; (CandidnlC's signature) "� <br />