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Form CPF M 102- Campaign Finance Report <br /> Municipal Form <br /> !V E t Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts !:1 + f t a g k i 14 <br /> File with: City or Town Clerk or Election Commission <br /> Fill in Reporting PeriL ER pkBeginning Date: 12/14/2021 Eading Date: 12/31/2021 <br /> d'ylUPT0t4 <br /> Type of Report: (Check one) <br /> ❑ 8th day preceding preliminary  8th clay preceding election ❑ 30 day after election 0 year-end report ❑ dissolution <br /> Quiet Clean Lexington <br /> Candidate Full Name(if applicable) Committee Name <br /> Charles Wyman <br /> Office Sought and District Name of Committee Treasurer <br /> 66 Harding Road, Lexington, MA 02420 <br /> Residential Address Committee Mailing Address <br /> T•,-mail: E-mail: cdwyman66@gmail,com <br /> Phone#(optional): Phone 4(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report <br /> 7- 0—.001 <br /> Line 2: Total receipts this period (page 3, line 11) 4,249.031 <br /> Line 3: Subtotal(line 1 plus line 2) 4,249,03 <br /> Line 4: Total expenditures this period(page 5,line 14) 130.45 <br /> Line 5: Ending Balance(line 3 minus line 4) 4 118.58 <br /> Line G: Total in-kind contributions this period(page 6) 36.001 <br /> Line 7: Total (all)outstanding liabilities(page 7 <br /> ) <br /> ;100 <br /> i <br /> Line 8: Name of bank(s)used: Citizens, PayPal <br /> Affidavit of Camutittee Treasurer: <br /> I certify that 1 have examined this report including attached schedules and it is,to the hest 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 author' or on bel! of this committee in accordaace with the requirements of M.G.L.c,55. <br /> Signed under the penalties of perjury: _ (Treasurer's signature) Date: 111712-O.-All— <br /> FOR <br /> 1712-O.-All.FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: ech 1 bas only) <br /> Candidate with Committee <br /> ❑ I certify that I have examined this report including attached schedules and it is,to tate 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. 1 hove not received any contributions, <br /> incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report. <br /> Candidate Without Committee <br /> ❑ I cerfify 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,foams,receipts,expenditures,disbursements,in-hind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all parsons acting under the authority or on behalf of this candidate in accordance with the requirements of M.G.L,c,55, <br /> Date: <br /> Signed under the penalties of per jury: (Candidate`s signahve) <br />
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