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Comm wealth <br />of Massachusetts <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />Please print or type all information, except signatures. <br />City or Town of: Lexington <br />Reporting Period: Beginning: 02/18/2017 <br />(MM/DD/YYYY) <br />Ending: 03/7 7017 <br />(MM/DD/YYYY) <br />Type of Report: (Check One) <br />0 8th day preceding preliminary/primary ❑ 8th day preceding election ❑X 30th day following election (town or special) ❑ 20th day of January (Year -End report) <br />Pursuant to M.G.L. Chapter 55: <br />1. I certify that I am a candidate for or currently hold Municipal Office. <br />2. I certify that I have not received any contributions, made any expenditures, or incurred any obligations during this reporting period, and do not have a campaign fund in existence. <br />3. I certify that I do not have a political committee. <br />DATE <br />51,46-012 <br />PRINT NAME <br />SIGNATURE <br />Signed undthe penalties of perjury <br />RESIDENTIAL ADDRESS <br />(Street and Number) <br />C�V'+?� (4drn( <br />OFFICE SOUGHT <br />/49n17#7.5 /go <br />