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l 9l Form CPF M 102- Campaign Finance Report Municipal Form Office Of 091APaign and Political Fiasjrjce of MussAohtasctfs Fill in Reporting Period dates: -Besinning Date: 01/01/2021 Ending Date: 12/31/2021 Type of Report: (Check one) 8th day preceding;preliminary 8th day preceding election 30 day after election [XJ year-end report dissolution Mark Dotiglas Sandeen Committee to Elect Mark Sandeen calididate Full Name(if applicablQ) -Lexington Select Board Mernber, MunICIPEil, Local Filer Jeanne Krieger CoTnmiltct�Name Offiec Sought and District Name of Cominjacc Treasurer 10 Brent Road, Lexington, MA 02421 44 Webster Rd Lexington MA 02421 United States Residential Addwss Cotniniftoe Mail i rig Address marksandeeriftmaii,com krJeijerjk44@qffiaJl.coz Phone#{optional): (781)424-7538 Phone 8(optional); SUMMARY BALANCE INFORMATION- Line.1 Ending Balance,fiom previous report 3: 5.7 En > Line 2. Total receipts this peiiod(page 3, line, 11) Line 3. Subtotal(line I plus line 2) .55.74 Line 4: TOW expenditures this period(page 5,line 14) 60 Lin e 5: Ending Balance(line 3 minus line 4) 6s5.74 Line 6: Total in-kind coniTibutions this period(page 6) Line 7: Total(all)outstanding liabilities(page 7) 3 Line 8' Nallne of bank(s)used: Affidn-jit of Committee Trcasuver� 1,,,crW}'that I have examined this report including attached schedules and it is,to the best of ray knowledge and belicf,a"e aridoairiplcte f;tate,ncnI Of ail.callip"Jign finance uctiviLy,including all cortiributi(iris,loans,receipts,(!-,,pcmdiWrcs,disIRIrsemcnIs,in-kind Contribudons and liabilities,for this WpOrtiugperiod and rtprumscrits.the efuriphli'mr flflallcc activity Of all 11-5-3,acting under the autbor'at� A 1-hillf Of alis aonlinittcc,in accordance Ivith the requirements of 4,0.L.c.55, Signed under the penaffles ofiserjuvy: ck (Treasurer's sigivatura) Date: FLOE-CLA—NDIM-11—FILING 5-0—N_LY: A f R d a vi t of CA n did a tt.(cheek I b0_% Pndiditte with Committee MIFI certify that I have examined this report including attached schedules and it is,to the beat of any knowledge and bolief,a Wx-and complete swteinemt of all emnImign fInaIIW activity,of all persons acting under t1w Authority or on behalf of this conlirlittee in acourdartao with the rctpiremcrm of Mfl.j_c-.55. I have not re ci , y I b incurred ally liabilities nor made aw;expenditures on rw;balialf durivig this reporting puriod that am not otherwise disclosed in this report V d an con ri LItj On"; Candidate.without Committee El "'WifY that I IMT CMDIfiled this report including attached schedules and it is,to the best of my knipwiedge and belief.a Irac and complete staiternerit of all campaign finance activi1j"incltzdb4"coniribUdOltIr 103ul,wCeipts,0Xperlditums,disbtimmcncs,ju_k41d cptr itie�f poor this reporting period arid rapresenLs(ho carnpaigin finance activity of all IVI-Solis acting unduAic'guffiiifify--6� (��Tltioas and liabil !��haif Of t in acc? Nviffi the requirernents of M.('L Signed under the pfflalfle,4 of perjury., Date,