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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> �Iqiq JAN � .R`1 14.- File with: Citv or Town Clerk or Election Commission <br /> Fill lI1 Repotting Period dates Beginning Date: January 1, 2018 Ending Date: December 31, 2018 <br /> t o f rb <br /> Type of Report: (Check one) <br /> ® 8th day preceding preliminaryj 8th day preceding election ® 30 day after election ® year-end report ❑ dissolution <br /> Suzie Barry Committee to Elect Suzie Barry <br /> Candidate Full Name(if applicable) Committee Name <br /> Selectman Kim Coburn <br /> Office Sought and District Name of Committee Treasurer <br /> 159 Burlington St, Lexington, MA 0242066 Liberty Ave, Lexington, MA 02420 <br /> Residential Address Committee Mailing Address <br /> Telephone Number(optional): (781) 862-5853 Telephone Number(optional): (781) 863-6285 <br /> i <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report 707.07 <br /> Line 2: Total receipts this period (page 3, line 11) =1,930 <br /> Line 3: Subtotal (line 1 plus line 2) 2,637.07 <br /> Line 4: Total expenditures this period (page 5, line 14) 129.69 <br /> Line 5: Ending Balance(line 3 minus line 4) 2,507.38 <br /> Line 6: Total in-kind contributions this period(page 6) 0 <br /> Line 7: Total (all)outstanding liabilities (page 7) 134.86 <br /> Line 8: Nance of bank(s)used: TD Bank <br /> Affidavit of Committee Treasurer: <br /> I certify that I have examined this report including attached schedules and it is,to the best of nay knowledge and belief,a true and complete statement of all campaign finance <br /> activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign <br /> finance activity of all persons acting under the authority on bel Ibis om iIt in accordance with the requirements of M.G.I,.c.55. <br /> Signed under the penalties of perjury; ('Treasurer's signature) Date: ]an 22, 2019 <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check t box only) <br /> Candidate with Committee and no activity independent of the committee <br /> I certify[lint]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 willr the requirements of M.G.L.c.55. I have not received any contributions, <br /> incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br /> Candidate without Committee OR Candidate with independent activity filing 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 ofall campaign <br /> ❑ finance activity,including contributions,loans,nee ' xpenditures, ishursemerroLs,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting un rhe authority or ri half ris committee in accordance with the requirements of M.G.L.c.55. <br /> Signed under Elie penalties of perjury: (Candidate's signature) Date: ]an 22, 2019 <br />