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Form CPF M 102: Campaign Finance Report Municipal For FYI t Office of Campaign and Political Finance Commonwealth of Massachusetts � R a -2 J,4 J 0 PM 3: 5 1 File with: CL or Town Clerk or Election Commission Fill in Reporting Period+% U, ginning Date: 1/1/2021 Ending Date: 12/31/2021 LEXINGTON HA Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑X year-end report ❑ dissolution Joe Pato Committee to Elect Joe Pato Candidate Full Name(if applicable) Committee Name Select Board Member Mollie Garberg Office Sought and District Mame of Committee Treasurer 900 Massachusetts Avenue, Lexington, MA 02420 16 Cary Ave. Lexington, MA, 02421 Residential Address Committee Mailing Address E-mail: 0-mail: molliegarberg@gmail.com Phone#(optional): Phone#(optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 594.56 Line 2: Total receipts this period(page 3, line 11) 0 Line 3: Subtotal(line 1 plus line 2) 594.56 Line 4: Total expenditures this period(page 5, line 14) a Line 5: Ending Balance(line 3 minus line 4) 594.56 Line 6: Total in-kind contributions this period(page 6) 35.34 Line 7: Total(all)outstanding liabilities(page 7) o Line 8: Name of bank(s)used: Cambridge savings 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 authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: �� _, ""� t - -'l -` Treasurer's signature) Date. FOR CANDIDATE FILINGS ONLY: AffidavitofCandidate:(check 1 box only) Candidate with 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 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_ T have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report_ Candidate without 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 activity,including 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 authority or orkboalf of this candidate in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: `' '� - '' (Candidate's signature) Date: