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Form CPF M 102: Campaign Finance Report <br />Municipal Forcer <br />oince of Campaign and Political Fitnance <br />c <br />File with: <br />City or Town Clerk or Election Commission <br />Please print or type all information, except signatures. <br />Fill in dates: Mentor Dow Year M roue YM <br />Reporting Period Beginning January 1, - 2 010 Ending February 12, 2010 <br />Type of report: (Check one) <br />03 8th day preceding preliminary 138th day preceding election 0130 day after election Qyear -.end report Cldissolution <br />�7 tan Jeon Committee to Elect Iang Jeon <br />ame of Candidate �f sltplicable) Committee Namt <br />ctman - Lexington Alan V. Seferian <br />Office Sought and District <br />.7 Litchfield Rd. Lexington,M <br />Residential Address <br />Name of Committee Treasurer <br />10 Augustus Rd. Lexington, MA <br />Committee Mailing Address <br />Tel. No. (optional) <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report <br />$ 100.16 <br />Line 2: 'Total receipts this period (page 2, line 11) <br />S 3,235.00 <br />Line 3: Subtotal (line I plus line 2) <br />S 3,335.16 <br />Line 4: Total expenditures this period (page 3, line 14) <br />S 912.60 <br />Line 5: Ending balance (line3 minus line 4) <br />2.422.56 <br />-------------------- ----- - - - - -- -- - <br />Line b; To #al in-kind GoIl tri b u tions this period (page 4) <br />0 <br />$ <br />Line 7: Total (all) outstanding liabilities (page 4) <br />Line 8: Name ofbank(s) used Citizens Bank <br />Affidavit of Committee Treasurer: <br />I certify that I have examined this report including attached schedules and it is, to the bat of my knowledge and belief, a true and complete statement.of all campaign <br />finance activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign fuunce ofaii persons a der the authority or on behalfof this committee in accordance with the requirements of hLG.L. o. SS. <br />Sligned under the penalties of perjury: <br />m 2 -12 -2010 <br />Treasurer's stgna m ink) Date <br />FOR CANDIDATE FILINGS ONLY: (CANDIDATE NIUSI' SIGN BELOW) <br />Affidavit ofCandldate: (check I box only) <br />0 Candidate with Committee and no activity independent of the committee <br />I certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belic& a tree and complete statement of ail campaign <br />finance activity, of app persons acting under the authority or on behalf of this committee in accordance with the requirements of M.GS.. c. SS. I have not received any <br />contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period <br />C Candidate without Committee OR Candidate with independent activity Ming separate report <br />I certify that I have examined this repast including attached schedules and it is, to the best of my knowledge and beH4 a true and complete statement of an campaign <br />finance activity, including contributions, trans, 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 orM.G_L. e SS. <br />signed under the penalties of perjury: <br />Candidate signature (in ink) Date <br />