HomeMy WebLinkAbout2019-12-04-Cuthbertson-OCPF 2L\ Form CPF M101: STATEMENT OF ORGANIZATION
CANDIDATE'S COMMITTEE
MUNICIPAL FORM
Commonwealth Office of Campaign and Political Finance R E C
of Massachusetts
Pile with: City 1 Town Clerk or Election Commission 0EC —4 PH 2: 32
NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws,Chapter 55,as amende+A0W( , ��ion of a
candidate's committee as follows: [ E X I N G-1 ow �iA
CANDIDATE: Full Name: Sara Cuthbertson
Residential Address: 541 Bedford St.
City/State 1 Zip: Lexington, MA 02420
E-Mail Address: saracuthbertsonl4@gmail.com Phone#: 843-513-7467
Party Affiliation: NSA (If applicable)
OFFICE SOUGHTIPURPOSE:
Title: Lexington Public Schools- School Committee
District:
COMMITTEE: Name of committee: Committee to Elect Sara Cuthbertson
(The name of the committee must include the candidate's last name)
Cominittee Mailing Address: 1 Q' cr[!
/ �q
City/State/Zip; Lexington
YV MA `-L r W Phone#: 99-3 S 1 3-7L��7
OFFICERS: t
Chairman: Taylor Singh Treasurer*: Larry Freeman
Residential Address: 80 Burlington St Residential Address: 218 Lowell St
City/State/Zip: Lexington MA 02420 City/State/Zip: Lexington MA 02420
Phone#: 781-632-2208 Phone#: 404-783-7563 Email: LDFREE@yahoo.com
*A public employee may not serve as treasurer of any voliticaI committee see reverse),
Other Officer/Title: Other Officer/Title:
Residential Address: Residential Address:
City/State/Zip: City/State/Zip:
Phone#: Phone#:
(Complete and attach a Form CPF M A 101,if necessary,with other officers and finance committee,if airy.)
I hereby consent to the filing of this committee. I understand that a candidate shall not give consent to the organization of more than one committee on his/her
behalf. I am aware that candidates are required to keep detailed accounts and records of all campaign(mance activity for a period of six years from the date of
the relevant election.
SIGNED UNDER TBE PENALTIES OF PERJURY:
p
Date;
Candidate s signature
I hereby accept the office of Treasurer of the above-named committee.I affirm that I am not a public employee as defined by M.G.L.c. 55,s. 13.I understand
that: 1)I am subject to certain duties and liabilities under M.G.L.c.55,including 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;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,and 3)a candidate may not serve as treasurer of the political
committee organized on his/her behalf.
SIGNED UNDER THE PENALTIES OF PERK-IRY: r
f} `% Date.
Treasurer's signbture ti f
I hereby accept the office of Chairman of the above-named committee.
SIGNED UNDER THE PENALTIES OF PERJURY: I 1__�i/�,�,,
V"" Yv Date:
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