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Form CP F M109: <br /> Statement of Municipal Candidate <br /> Not Liaising or Expending Campaign Funds RECEIVED <br /> Commonwealth <br /> of Massachusdis Office of Campaign and Political Finance <br /> He with: Local EIC6011 O€t1C[al(City Or TOU11 CICTk} , • pm <br /> Candidate's Name: Robert D. Peters TOWN CLERK <br /> JK <br /> Planning Board <br /> Residential Address: 43 Fifer Ln <br /> City State Zip: Lexington MA 02420 <br /> E-Mail Address: rdpeterS@ren.com Phone Number. 781-266-6698 <br /> I hereby certify that I have not opened a cainpaign bank account for campaign funds because I do not intend to accept <br /> contributions or in-kind conlributions,njake expenditures,including expenditures of my own funds,or incur liabilities <br /> for any campaign-related purpose,nor do 1 currently have any outstanding liabilities for prior camltail;n-related actirity. <br /> I submit the following as my campaign report for all bank reporting periods in this calendar year as provided for in Chapter 5.i <br /> of the Massachusetts General Laws: <br /> 1. Ending balance from previous report ZERO <br /> 2. Total receipts for reporting period ZERO <br /> 3. Subtotal ZERO <br /> i 4. Total Expenditures for reporting period. ZERO <br /> 5. Ending balance ZERO <br /> After filing this sta[enicnl,il'I decide to raise,accept,or expend funds,or ince r liabilities,for a canipaign-related <br /> purpose,I will immediately notify my local election official in writing, and will file periodic campaign fitiance reports <br /> according to the statutory filing schedule. <br /> Until such notice is on file with the tocal election official,I certify that the above Zero report twill be in cffcct for each <br /> reporting period,in the calendar year in which it is filed,required by Chapter 55 of the Massachusetts General Latus. <br /> This fornt is valid through December 31 of the year in-which it was signet]. <br /> SIGNED UNDER THE PENALTIES OF PERJURY. <br /> i <br /> Candidate's signature: Date:02/01/2022 <br /> hdfoJ r1 7; <br /> 02/01/2022 <br />