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2020-12-30-Colburn-OCPF
e COMMITTEE TO ELECT KATHRYN R. COLBURN SCHOOL COMMITTEE c/o Cerise Jalelian, Treasurer 7 Lois Lane Lexington, MA 02420 July 30, 2020 BY HAND DELIVERY 781-862-0500 x84533 Nathalie L. Rice, Town Clerk Office of the Town Clerk Town Offices 1625 Massachusetts Avenue Lexington, MA 02420 Re: CAMPAIGN FINANCE REPORT DISSOLUTION Dear Ms. Rice: Enclosed is the original, signed Form CPF M 102: Campaign Finance Report/Municipal Form for the fiscal period ending June 30, 2020 and DISSOLUTION of the above committee. If you have any questions, comments or concerns, then please let me know. Thank you for the opportunity to serve in this capacity. Best r gards, r Ce ise Jalellan, reas rer cc: Kathryn R, Colburn 1625 MASSACHUSETTS AVENUE• LEXINGTON,MASSACHUSETTS 02420 i 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: January 1, 2020 Ending Date: Done 30, 2b2b Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution KATHRYN R. COLBURN I School Committee Candidate Full Name(if applicable) Committee Name School Committee Cerise Jalellan Office Sought and District Name of Committee Treasurer 49 Forest Street, Lexington, MA 02421 7 Lois Lane, Lexington, MA 02420 Residential Address Committee Mailing Address Telephone Number(optional): (617) 782-9428 Telephone Number(optional): (617) 733-6278 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 2,562.54 Line 2: Total receipts this period(page 3,line 11) 0 Line 3: Subtotal(line 1 plus line 2) 2,562.5411 Line 4: Total expenditures this period(page 5,line 14) 2,562.54 Line 5: Ending Balance(line 3 minus Eine 4) 0 Line 6: Total in-kind contributions this period(page 6) 0 Line 7: Total(all)outstanding liabilities(page 7) 0 Line 8: Name of bank(s)used: Brookline Bank Affidavit of Committee Treasurer: I certify that I have examined this report including attached schedules and it is,L of my knowledge and belief,a true and complete statement of all campaign finance activity,including all contributions,loans,receipts,expen itures,disbursementcontributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authoeit 6r on behalf of this coaccordance with th equirements of M.G.L.c.55. Signed under,the penalties of perjury: ('Treasurer s signature) Date: June 30, 2020 FOR CANDIDATE FILINGS ONLY: Affidavit of Can idate check 1 box only) andfdate with Committee and no activity independent of tlr mmittee 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 of this committee in accordance with the requirements of M.G.L.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 Q.R.Candidate with independent activity filing separate report ❑ I certify that 1 have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement ofall 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 under thauthority or b €f of this committee in accordance with the requirements of M.G.L.c.55. Signed under the penalties ofperjury: (Candidate's signature) Date: June 30, 2020 i SCHEDULE A: RECEIPTS M..G.L. c. 55 requires that the name and residential address be reported, in alphabetical oder,for all receipts over$50 in a calendar year. Committees must keep detailed accounts and records of all receipts, bort need only itemize those receipts over$50. In addition, the occupation and employer must be reported for all persons who contribute$200 or more in a calendar year. (A "Schedule A:Receipts" attachment is available to complete,print and attach to this report,if additional pages are required to report all receipts. Please include your committee name and a page number on each page.) Name and Residential Address Occupation&Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or[Wore) . Line 9: Total Receipts over$50(or listed above) a Line 10: Total Receipts $50 and under* (not listed above) a Line 11: TOTAL RECEIPTS IN THE PERIOD OdF- Enter on page 1,line 2 * if you have itemized receipts of$50 and under, include them in line 9. Line 10 should include only those receipts not itemized above. Page 2 SCHEDULE A: RECEIPTS continued Name and Residential Address Occupation & Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) Line 9: Total Receipts over$50 (or listed above) o Line 10: Total Receipts$50 and under* (not listed above) o L.Line 11: TOTAL RECEIPTS IN THE PERIOD -- Enter on page 1,line 2 *If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above. Page 3 SCHEDULE B: EXPENDITURES M.G.L, c. 55 requires committees to list, in alphabetical order, all expenditures over$50 in a reporting period, Committees must keep detailed accounts and records of all expenditures, but need only itemize those,over$50. Expenditures$50 and under may be added together, fr-ono committee records, and reported on line 13. (A "Schedule B: Expenditures" attachment is available to complete,print and attach to this report,if additional pages are required to report all expenditures. Please include your committee name and a page number on each page.) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount C/o 3'11 SMll0W, President 3.30.2020 METCO COLLEGE SCHOLARSHIP 10 Fletcher Ave, Lexington DISSOLUTION 2,562.54 02420 Line 12: Total Expenditures over$50(or listed above) L 2,562.54 Line 13: Total Expenditures $50 and under* (not listed above) Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD L 2,562.54 *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 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount Line 12: Expenditures over$50 (or listed above) o Line 13: Expenditures $50 and under* (not listed above) 0 Enter on page 1, line 4 ELjne14: TOTAL EXPENDITURES IN THE PERIOD 2,562.54 *1f 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 SCHEDULE C: "IN-KIND" CONTRIBUTI®NS Please itemize contributors who have made in-kind contributions of more than$50. In-kind contributions $50 and under may be added together from the committee's records and included in line 16 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value Line 15: In-Kind Contributions over$50 (or listed above) o Line 16: In-Kind Contributions$50&under(not listed above) Enter on page 1, line 6 -4 Line 17: TOTAL IN-KIND CONTRIBUTIONS a * If an in-kind contribution is received from a person who contributes more than$50 in a calendar year,you must report the name and address of the contributor; in addition,if the contribution is$200 or more,you must also report the contributor's occupation and employer. page 6 SCHEDULED: LIABILITIES M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities incurred during this reporting period. Date Incurred To Whom Due Address Purpose Amount Enter on page 1,Eine 7 -4 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) Page 7 COMMITTEE TO ELECT KATHRYN R. COLBURN SCHOOL COMMITTEE c/o Cerise Jalelian, Treasurer 7 Lois Lane Lexington, MA 02420 July 30, 2020 Director Office of Campaign and Political Finance One Ashburton Place, Room 411 Boston, MA 02108 Re: CAMPAIGN FINANCE DISSOLUTION COMMITTEE TO ELECT KATE COLBURN Dear Sir or Madam: Enclosed is the original, signed Form CPF 18E: NOTICE OF DISSOLUTION of the above committee. Kindly acknowledge receipt to my attention in the enclosed return envelope. If you have any questions, comments or c6ncerns ,nase let me know. Thank you for the opportunity to serve in this capacity. BCeasurer cc: Kathryn R. Colburn I I Form CPF 18E: Notice of Dissolution Segregated Fund Account Office of Campaign and Political Finance Commonwealth of Massachusetts (617)979-8300 Pile with:©hector (800)462-OCPF Office of Campaign and Political Finance One Ashburton Place,boom 411 www.mass.gnv/ocpf Boston,MA 02108 ocpf@MassMail.statc,ma,us Name of Fund: COMMITTEE TO ELECT KATE COLBURN CPF ID#: Candidate or Committee on whose behalf the fund was created: Name: KATHRYN R. COLBURN CPF ID#: Fund Contact Person: Name: CERISE JALELIAN Phone#: 617-733-6278 1/We hereby notify OCPF that the above segregated fund account has been closed. I/We certify that: • The purpose(s)for which the fund was organized has/have been accomplished; • All of the donations received by the fund were reported in accordance with M.G.L. c. 55,S. 18E(b); • The fund has no money and no debts; and • Any remaining money in the fund's account was disposed of in a manner consistent with the residual funds clause of M.G.L. c. 55, s. 18. SIGNED UNDER THE PENALTIES OF PERJURY: } Date: 06/30/2020 LCandiasurer Si nater (OCPF use only) OCPF hereby acknowledges receipt of this notice of dissolution. As of this date, the candidate or committee has no further reporting obligations on this account. Date: Director, Office of Campaign and Political Finance CPF 18E 6116