Laserfiche WebLink
<br />.. <br /> <br />.. <br /> <br />o(~~ <br />~ <br /> <br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed <br />to promote or defeat a ballot question shall certify to the filing officer that all reports <br />required by Minnesota Statutes 211A.02 have been submitted to the filing officer or that <br />the candidate or committee has not received contributions or made disbursements <br />exceeding $750 in the calendar year. The certification shall be submitted to the filing <br />officer no later than seven days after the general or special election. (Minnesota Statutes <br />211A.05, subdivision 1) <br /> <br />Nameofcandidateorcommitt~ #~ ~~ <br />. '-j-rr ,ad ~ <br />Office sought by candidate mar <'-'l/ . - <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br />(if applicable) <br /> <br />Check appropriate box below: <br /> <br />lkJ <br /> <br />I do swear (or affirm) that all campaign financial reports <br />required by Minnesota Statutes 211A.02 have been submitted. <br />to the filing officer. <br /> <br />41 <br /> <br />I do swear (or affirm) that campaign contributions or <br />disbursements did not exceed $750 in the calendar year. <br /> <br />0-~-'~~J d~ <br /> <br />(Signature of candidate or committee treasurer) <br /> <br />/1-21-9.5- <br />(Date) <br /> <br />08890846 <br />