2021-03-05-Hai-30Day-OCPF - Laserfiche WebLink

Browse Search

Form CPF M 102: Campaign Finance Wpm if PI ED Municipal Form 5 A32ll Office of Campaign and Political Finance Commonwealth �..� lt��'x�.� ilr�� i'1A� of Massachusetts File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 02/09/2021 Ending Date: 03/04/2021 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑X 30 day after election ❑ year-end report ❑ dissolution Jill I. Hai Jill Hai for Lexington Candidate Full Name(if applicable) Committee Name Select Board Jodi R. Galin Office Sought and District Name of Committee Treasurer 6 Highland Avenue,Lexington, MA 02421 5 Raymond Street, Lexington, MA 02421 Residential Address Committee Mailing Address Telephone Number(optional): 7818623766 Telephone Number(optional): 7819104681 ------------ SUMMARY BALANCE INFORMATION: 660.7z Line t: Ending Balance from previous report 0 Line 2: Total receipts this period(page 3, line 11) Line 3: Subtotal(line I plus line 2) 660.72_ Line 4: Total expenditures this period(page 5, line 14) Line 5: Ending Balance(line 3 minus line 4) 660.72 3so:ao Line 6- Total in-kind contributions this period(page 6) Line 7: Total(all)outstanding liabilities(page 7) 0 Line 8: Name of bank(s)used: Citizens Bank Affidavit of Committee Treasurer: 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 activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign Finance activity of all persons acting under the authoritV pr on jh41f f thi committee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: (Treasurer's signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(Check 1 box only) Candidate with Committee and no activity independent of the committee 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 0 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, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report EiI 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 activity,including contributions,loan , eceipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acti under the authority fof this committee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: (Candidate's signature) Date: N