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2017-04-06-CAAL-Political Action-OCPF
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2017-04-06-CAAL-Political Action-OCPF
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Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />(Fill in Reporting Period dates: <br />Beginning Date: <br />Feb 18, 2017 <br />File with: City or Town Clerk or Election Commission <br />Ending Date: <br />IMar 27, 2017 <br />Type of Report: (Check one) <br />0 8th day preceding preliminary ❑ 8th day preceding election 0 30 day after election ❑ year-end report 0 dissolution <br />Candidate Full Name (if applicable) <br />Office Sought and District <br />Telephone Number (optional): <br />Residential Address <br />CAAL Political Action Committee <br />Committee Name <br />Lily Yan <br />Name of Committee Treasurer <br />5 Militia Dr., Lexington, MA 02420 <br />Committee Mailing Address <br />Telephone Number (optional): <br />(617) 678-6208 <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line I plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />Line 5: Ending Balance (line 3 minus line 4) <br />600 <br />3,440 <br />4,040 <br />1,215.1 <br />Line 6: Total in-kind contributions this period (page 6) <br />Line 7: Total (all) outstanding liabilities (page 7) <br />Line 8: Name of bank(s) used: <br />2,824.9 <br />Santander <br />Affidavit of Committee Treasurer: <br />1 certify that 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 camps gn finance <br />activity, including all contributions, loans, receipts, expenditures, disb ements, in -k d contributions and liabilities for this reporting period and represents the c' mpaign <br />finance activity of all persons acting under the authority or on at ,f this c mm' ee in accordance with the requirements of M.G.L. e. 55. <br />Signed under the penalties of perjury: / _ /a _/ ..• � (Treasurer's signature) Date: <br />FOR CANDIDATE FILINGS ONLY: Affidavit of rdida : (check 1 box only) <br />Candidate with Committee and no activity independent of the committee <br />1 certify that 1 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 <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 have not received any contributions, <br />incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee2 Candidate with independent activity fling separate report <br />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 <br />" finance activity, including contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the <br />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. <br />Signed under the penalties of perjury: <br />(Candidate's signature) Date: <br />
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