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<br />> <br />c <br />o <br />Q) <br />III <br />::::> <br />Q) <br />(J <br />!E <br />o <br /> <br />... <br />o <br />u.. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br />Pursuant to Minnesota Statutes f211A.04, subd. 1 and f2118.14, subd. 12. <br /> <br />...::r <br />'- ~ ~.-9{ <br />~~ 0"- <br /> <br />This CAMPAIGN FINANCIAL REPORT is to be used by candidates, committees and corporations required by <br />Minnesota Statutes, Chapters 211A and 211 B to file such a report. This includes candidates and committees who <br />receive contributions or make disbursements of more than $750 in a calendar year; individuals and corporations <br />spending more than $750 for or against a ballot question in a calendar year; and corporations spending more than <br />$200 on activities to encourage participation in precinct caucuses, voter registration, or voting. (For supplemental <br />information, see page four.) Candidates and committees for state constitutional offices, the state legislature, <br />supreme court, court of appeals, district court, county court, and committees for state constitutional amendments <br />are not included. Candidates and committees for U.S. senate and U.S. representative may file copies of the reports <br />required by the Federal Election Commission in lieu of this report. <br /> <br />This report is to be filed with the filing officer designated in Minnesota Statutes ~211A.01, subdivision 7; questions <br />about completing and filing this report may be directed to that filing officer. The filing officer for county offices is the <br />county auditor; for municipal offices, the municipal clerk; and for school district offices, the school district clerk. <br /> <br />Name of candidate, committee, or corliloration <br /> <br />V~A." J{)J.l.AI' t!) A/ <br />District ~ I rt 1'# 4f1.lrVIL. t-t::. <br /> <br />1\11 II ~ II" <br /> <br />1:: <br />o <br />c. <br />Q) <br />a:: <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />Identification of ballot question <br />(if applicable) <br /> <br />Type of report -X- Candidate report <br /> <br />_ Campaign committee report <br /> <br />_ Association or corporation report <br /> <br />_ Final report <br /> <br />Period of time covered by report: from ~ to 'I ' C/ I If , <br /> <br /> <br />SUMMARY STATEMENT OF RECEIPTS AND EXPENDITURES <br />FOR CANDIDATES AND COMMITTEES <br /> <br />Q) <br />(J <br />!E <br />o <br /> <br />TOTAL FOR <br />THIS REPORT <br /> <br />- <br /> <br />MAJOR CONTRIBUTORS (Exhibit A) <br />ALL OTHER CONTRIBUTIONS RECEIVED (Exhibit B) <br />EXPENDITURES (Exhibit C) <br /> <br />- <br /> <br />3 1. 2... f. Ct"O <br /> <br />SUMMARY STATEMENT OF CONTRIBUTIONS AND <br />EXPENDITURES FOR CORPORATIONS <br /> <br />TOTAL FOR <br />THIS REPORT <br /> <br />CORPORATE PROJECT EXPENDITURES (Exhibit D) <br /> <br />- <br /> <br />I do swear (or affirm) that I am a candidate for public office or an officer of the <br /> <br />committee or corporation and this report is a full <br />and tme statement pu","ant to M;nnesota Statutes Chapte' 211A and 211 B. ~ <br /> <br />V~ G. <br /> <br />(candidate or officer sign her ) <br /> <br />Committee or corporate office held <br /> <br />Q) <br />E <br />III <br />Z <br /> <br />Address <br /> <br />I?D? L V()//i 4~i! <br />If dS~., , LI, ~ , Mw S)'I/l <br /> <br />SC 0069-04 <br />