HomeMy WebLinkAbout2022-12-23-LexingtonCitizensForChoice-YearEnd-OCPF-1 Form CPF M 102: Campaign Finance Report
lug Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or-town Clerk or Election Commission
Fill in Reporting Period dates: Beginning Date: y j Ending Date:
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ Rth day preceding election ❑ 30 day after election ❑ year-end report ❑X dissolution
Candidate Full Name(if applicable) Committee Name
Office Suught and District �7 ! Name of Committee Treasurer y�
Residential Address 1 Committee Mailing/Address
E-mail: E-mail: e l Tt a e s 'C-rr tQCW(_`1e
Phone ft(optional): phone#(optionail:
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report d
Line 2: Total receipts this period(page 3, line 11)
P
Line 3: Subtotal(line 1 plus line 2)
Line 4: Total expenditures this period(page 5, line 14)
s
Line 5: Ending Balance(line 3 minus line 4)
Line 6: Total in-kind contributions this period(page G) d '�
Line 7: Total(all)outstanding liabilities(page 7) d
Line S: Name of bank(s) used:
Affidavit of Committee Treasurer:
certify that t have examined this report including attached schedules and it is,to the best of my knu%vledge and bulief,;:true and cumplCte statement of all campaign finantc
activity,including all contributions,loans,receipts,expenditures,disbursements.in-kind cuntributions and liabilities for this reporting period and rcprosenls the campaign
finance activity of all persons acting under the authority o h if of t mmiltee in accordance with the requirements of M.G.L.c.55,
Date: /r1z o1� �Z
Signed under the penalties of perjury: LA G-`� (Treasurer's signature)
FOR CANDIDATE FILING ONLY: Affidavit of Candidate:(check I box only)
Candidate with Committee
❑ l certify that i have examined this report including attached schedules and it is,to the best of my knowledge and belief,a tate 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 rcquircmcnts of M.CI.L.c.55. 1 have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this repotting period that are not othcrnvise disclosed in this report.
Candidate without Committee
❑ 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 contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons acting tinder the authority or on behalf of this candidate in accordance with the requirements of M.G-L.c-55.
Date:
Signed under the penalties of perjury: (Candidate's signature) - --
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SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
Cl�h
12- 1b61, IS
A.
I L
Line 12: Expenditures over$50(or listed above) ca 3�
Line 13: Expenditures $50 and under* (not listed above)
Enter ou page 1, line 4 -* Line 14. TOTAL EXPENDITURES IN THE PERIOD );O,2 , U
* if you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized
above.
Page 5
L SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
r=.a
Et
Line 9: Total Receipts over$50(or listed above)
Line 10: Total Receipts $50 and under` (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD Enteron page 1,line 2
*If you have itemized receipts of$50 and under, include them in line 9. bine 10 should include only those receipts not itemized above.
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