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Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Otnee of Campaign and Political Finance <br />d <br />Filo with: <br />City or Town cleric or Election Commission <br />Please print or type all information, except signatures. <br />Fill In dates: Januar 1, 2011 vex End ing December sn" 2011 rea <br />Reporting Period Begin Y g <br />Type of report: (Check one) <br />08th day preceding preliminary 08th day preceding election 030 day after election ®year -end report ®dissolution <br />Dawn McKenna <br />Full Name of Candidate (if applicable) <br />S electman <br />Office Sought and District <br />9 Hancock Street, Lexington, MA <br />Committee to Elect Dawn McKenna <br />Committee Name <br />Kerry Brandin <br />Name of Committee Treasurer <br />16 Franklin Road, Lexinaton, MA <br />Residential Address <br />Tel. No. (optional) <br />Committee Mailing Address <br />Teo No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report <br />$ $304.30 <br />Line 2: Total receipts this period (page 2, line 11) <br />$ 0 <br />Line 3: Subtotal (line 1 plus line 2) <br />$ $304.30 <br />Line 4: Total expenditures this period (page 3, line 14) <br />$ 0 <br />Line 5: Ending balance (line 3 minus line 4) <br />$ $304.30 <br />---------------------------------- <br />Line 6: Total in -kind contributions this period (page a) <br />S o <br />Line 7: Total (all) outstanding liabilities (page 4) <br />$ 0 <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Affidavit of Committee Treasurer: <br />I certify that I have examined this report including attached schedules and it is, to the beat of my knowledge and belief, a true and complete statement of all campaign <br />finance activity, including all contributions, loans, receipts, expenditures, disbu cements, irr-kind contributions and liabilities for this reporting period and represents the <br />campaign finance sovity *fall person admg under the authority or on behalf of this committee in accords= with the requirements of M.G.L c. 55. <br />Signed under the penalties of perjury: <br />' May 2, 2011 <br />F—. <br />FQR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) <br />Afadavk of Candidate: (cheek I box only) <br />0 Candidate with Connmttlee and no activity independent of the conunlNee <br />I certify that I have examined this report including attached schedules and it is, to the bed of my knowledge and belief a true and complete statement of all campaign <br />finance activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L a 55. 1 have not received any <br />oortributiom, iuctund any liabilities nor made any expatdium on my behalf during dus reporting period. <br />O Candidate without Committee OR Candidate with independent activity filing separate report <br />I certify that 1 have examined this report including attached schedules and it is, to the beat of my knowledge and belief; awe and conVIde statement of all campaign <br />finance activity, including contributions, loon, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />cam finan <br />paign ce activity of all person acting under the authority or on behalf of this committee in accordance with the requiremen of M.G.L. c. 35. <br />Signed under the penalties of perjury: <br />