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Form CPF M 102® Campaign Finance Deport Municipal Form Office of Campaign and Political Finance Commonwealth of Massachusetts File with: it fir% ier cfi onrmission Fill iri Reporting Period dates: Beginning Date: January 1, 2022 Ending Date: F l 18, 2022 VtV M4 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑X 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution Suzie Barry Committee to Elect Suzie Barry Candidate Full Name(if applicable) Committee Name Select Board Member Kim Coburn Office Sought and District Name of Committee Treasurer 159 Burlington St, Lexington, MA 02420 66 Liberty Ave, Lexington, MA 02420 Residential Address Committee Mailing Address E-mail: suziebarrylex@gmail.com E-mail: thecoburns@aol.com Phone (optional): (781) 862-5853 Phone#(optional); (781) 863-6285 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 3317.23 Line 2: Total receipts this period(page 3, line 11) 950 Line 3: Subtotal(line 1 plus line 2) 4267.23 Line 4: Total expenditures this period(page 5, line 14) 1049.34 i Line 5: Ending Balance(line 3 minus line 4) 3217.89 Line 6: Total in-kind contributions this period(page 6) 0 i Line 7: Total(all)outstanding liabilities(page 7) 98 Line 8: Name of bank(s)used: To 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 author or on behalf o£this committee in accordance with the requirements of M.G.L,c.55. Signed under the penalties of perjury; " \�/! (Treasurer's signature) Date: 2/25/2022 FOR CANDIDATE 1F'ILINGS ONLY: Affidavit of Candidate:(check 1 box only) Candidate with Committee ❑ I certify that f 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. 1 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 Wwority or on beital is can ' ate in accordance with the requirements of M.G.L.c.55. Date: � � �- Signed under the penalties of perjury: andidate's signature)