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1J <br />ary,. Form CPF M 102: Campaign Finance Report <br />Commonwealth Municipal Form <br />of Massachusetts <br />Office of Campaign and Political Finance <br />File with: <br />City or Town Clerk or Election Commission <br />3/19/2011 <br />Reporting Period - Beginning: 2/12/2011 Ending: 3/19/2011 <br />Type of report: 30 day after election ~, <br />+ z <br />Norman Cohen Norm Cohen for Se'Te - tm� <br />r_r <br />Full. Name of Candidate Committee Namei( <br />a — . ;A <br />Selectman /Lexington Alice M Pierce, - r,, <br />Office Sought/ District Name of Committee Tr- rer C.3 <br />3 Captain Parker Arms #24 17 Volunteer Wky -V <br />Lexington, MA 02421 Lexington, MA 02420 <br />Residential Address Committee Address <br />SUMMARY BALANCE INFORMATION <br />Ending Balance from previous report: $569.48 <br />Total receipts this period: $0.00 <br />Subtotal: $569.48 <br />Total expenditures this period: $0.00 <br />Ending Balance: $569.48 <br />Total inkind contributions this period: $0.00 <br />Total outstanding liabilities: $0.00 <br />Name of bank(s) used: TD Bsnk <br />Affidavit of Committee Treasurer: <br />I certify that I have examined this report, including attached schedules and it is, to the best of my knowledge and <br />belief, a true and complete statement of all campaign finance activity including all contributions, loans, receipts, <br />expenditures, disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />Treasurer's signature (in ink) Date <br />Affidavit of Candidate (check 1 box only) . <br />❑ Candidate with Committee and no activity independent of the committee <br />I certify that I have examined this report, and attached schedules and it is, to the best of my knowledge and belief, a <br />true and complete statement of all campaign finance activity, of all persons acting under the authority or on behalf of <br />this committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, incurred <br />any liabilities nor made any expenditures on my behalf during this reporting period. <br />1:1 Candidate without Committee OR candidate with independent activity filing separate report. <br />I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, <br />a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br />disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />�j <br />