HomeMy WebLinkAbout2019-02-15-Jay-OCPF Form CPF M 102: Campaign Finance Report
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: Ending Date- FO2/715:/:19:�
Type of Report: (Check one)
8th day preceding preliminary RX 8th day preceding election 0 30 day after election R year-end report R dissolution
Eileen Jay 1 iee7nJay for School Committee Campaign 7 F
Candidate Full Name(ifapplicable) Committee Name
School Committee jBecky Barrentine
Office Sought and District Name ofCominittee'rreasurer
191 Waltham Street, Lexington, MA 02421 100 Bedford Street, Lexington, MA 02420
Residential Address Committee Mailing Address
Telephone Number(optional):L Telephone Number(optional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report 1255.1;
Line 2: Total receipts this period(page 3, line 11)
Line 3: Subtotal(line I plus line 2) 1255
Line 4: Total expenditures this period(page 5, line 14) 5
Line 5: Ending Balance(line 3 minus line 4) 1250
Line 6: Total in-kind contributions this period(page 6) 01
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Line 7: Total (all)outstanding liabilities(page 7) 0
Line 8: Name of bank(s)used: citizens
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,in-kind 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- (treasurer's signature) Da
VOKC Affidavit of Candidate:(check Lbox only)
Candidate with Committee and no activity independent of the 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,of all persons acting under the authority or on behalf ofthis committee in accordance with the requirements ofM.GL c.55. 1 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 riling separate report
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,Imns,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and reprcsLids the
campaign finance activity of all persons acting oil t�:Tpflu ri 0 o' behalf of this committee in accordance with the requirements o(W.G.L.c.55.
Signed under the penalties of perjury: (Candidate's signature) Date: of
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