2011-02-25-Hornig-OCPF - Laserfiche WebLink

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4 t�h n ro� Bo! tly j1t,I1 Form CPF M 102: Campaign Finance 1t'epd�r' Commonwealth Municipal Form 20' F 22 PPS 4: 00 of Massachusetts Office of Campaign and Political Finance TOWN CLERK LEXIt-4GTON HA File with: 2/22/2011 City or Town Clerk or Election Commission Reporting Period - Beginning: 2/5/2011 Ending: 2/11/2011 Type of report: Pre - election - Charles Hornig Charles Hornig for Planning Board Full Name of Candidate Committee Name Planning Board /Lexington Thomas Griffiths Office Sought/ District Name of Committee Treasurer 75 Reed St 7 Volunteer Way Lexington, MA 02421 Lexington, MA 02420 Residential Address Committee Address SUMMARY BALANCE INFORMATION Ending Balance from previous report: $0.00 Total receipts this period: $1,000.00 Subtotal: $1,000.00 Total expenditures this period: $0.00 Ending Balance: $1,000.00 Total inkind contributions this period: $10.95 Total outstanding liabilities: $0.00 Name of bank(s) used: TD Bank - - Affidavit of Committee Treasurer: 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, inkind contributions and liabilities for this reporting period and represents the 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. _ Signed under the penalties f perjury: zol Treasurer's signature (in ink) Date Affidavit of Candidate (check 1 box only) . Candidate with Committee and no activity independent of the committee I certify that I have examined this report, and 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. I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, disbursements, inkind contributions and liabilities for this reporting period and represents the 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. Signed under the penalties of perjury: