2018-12-31-Hai-OCPF - Laserfiche WebLink

Browse Search

Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth of Massachusetts t rs^a File with: City or Town Clerk or Election Commission Fill in Reporting Period dC't $einning Date: 03/26/2018 Ending Date: 12/31/2018 l'L.? r i Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ® year-end report ❑ dissolution 13111 1. Mai Jill Hai for Selectman Candidate Full Name(if applicable) Committee Name Selectman Jodi R. Galin Office Sought and District Name of Committee Treasurer 6 Highland Avenue, Lexington, MA 02421 5 Fletcher Avenue, Lexington, MA 02420 Residential Address Committee Mailing Address Telephone Number(optional):1 (781) 862-3776 Telephone Number(optional): (781) 910-4681 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report s65.e4 Line 2: Total receipts this period(page 3, line 11) o Line 3: Subtotal(line 1 plus line 2) 865.84 Line 4: Total expenditures this period(page 5,line 14) Line 5: Ending Balance(line 3 minus line 4) 865.84 Line 6: Total in-kind contributions this period(page 6) o Line 7: Total(all)outstanding liabilities(page 7) Line 8: Name of bank(s)used: Citizens sank Affidavit of Committee Treasuren 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 beh f of is mrntttee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: V l (Treasurer's signature) Date: �j 1 � FOR CANDIDATE FILINGS ONLY: A tdavlt of Candidate:(check t bog only) Candidate with Committee and no activity independent of the committee ® l 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. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report ❑ l 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 ail campaign finance activity,including contributions,I s,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons ng under the authorif}Tt7reft-behalf of this committee in accordance with the requirements of M.G.L.c.55. Date: r� Signed under the penalties of perjury: (Candidate's signature) �