2021-12-10-QuietCleanLexington-OCPF

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Form CPF M101 BQ: STATEMENT OF ORGANIZATION BALLOT QUESTION COMMITTEE MUNICIPAL FORM Commonwealth Office of Campaign and Political Finance of Massachusetts File with: City/Town Clerk or Election Commission NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws,Chapter 55,of the organization of a ballot question committee as follows: 1. Name(See note 1): Quiet Clean Lexington 2. Committee mailing address: 66 Harding Road City/State/Zip: Lexington MA 02420 E-mail Address:quietcleanlex@gmail.com Phone#: 781-861-1929 3. Purpose/spccif ic issues To endorse via referendum the adoption of Article 10 at the Lexington 2021 Special Town Meeting. and interests(See note 2): The interests of the officers and anticipated donors include reducing pollution, noise, and emissions from landscape maintenance equipment. The officers have no financial interest in the referendum. 4. Topic of question& Whether to approve the adoption of Article 10 regarding landscape maintenance equipment, question no.,if known: lincluding leaf blowers. Question number not known at this time. 5. This committee is fornied.to(check one): M support or E] oppose the question, 6. 0 MiCERS: Chairman: Archana Dayalu Treasurer*: Charles Wyman Residential Address:26 Cottage Street Residential Address: 66 Harding Road City I State/Zip: Lexington MA 02420 City/State/Zip: Lexington MA 02420 Phone#: 734-755-5442 Phone,4: 781-861-1929 E-tnail:cdwyman66@gmaii.com *A public employee may not serve as treasurer of any political committee(see reverse). Other Officer/Title: Daniel Koretz/Vice-Chair Othvi-Officer/Title: Residential Address: 10 Hayes Lane Residential Address: city/State/zip: Lexington MA 02420 City I State/Zip: Phone M 781-861-9548 Phone#7 (Complete and attach a Form CPF M A 101,if necessary,with other officers and finance committee,if any,) The chairman and treasurer of a political committee should be aware that provisions of M.G.L. c. 55 specify that each treasurer of a political committee shall keep and preserve detailed accounts,vouchers and receipts for a period of six years from the date of the relevant election. Chapter 55 also specifies that no expenditures shall be made for,or on behalf of,a political committee without the authorization of the chairman or treasurer,or their designated agents;and,that all funds of a political committee shall be kept separate from any personal funds of any officers,members or associates of such committee. I hereby accept the office of Chairman of the above-named committee. SIGNED UNDER THE PENALTIES OF PERJURY Date: Chairman's sign I hereby accept the office of Treasurer of the above-named committee.ra�ffnrm.that I am not a public employee as defined by M.G.L.c,55,s, 13.1 understand that: 1)1 am subject to certain.duties and liabilities under M.G.L,c.55, ctuding the timely filing of campaign finance reports and keeping detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election;and 2)if after my acceptance of this office I become an appointed public employee,I must resign this position and notify OCPF of my resignation. SIGNED UNDER THE PENALTIES OF PERJURY: Cq /� Date: f4J0/-;Z1 Treasurer's signature U