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<br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br />Pursuant to Minnesota Statutes 1211A.04, subd. 1 and 1211B.14, subd. 12. <br /> <br />af-<ce ~ S6Q <br />e> c::> 9/V~" <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 yeat; 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 />r <br />o <br />Q. <br />CD <br />a:: <br /> <br />Name of candidate, committee, or corJiloration 7)t7~A", ~aUh~ <br />Office sought by candidate~OSl.v:l/e. {!;~ t?o~(.~C District <br />(if applicable) <br />Identification of ballot question <br />(if applicable) <br />Type of report -A- Candidate report <br />- Campaign committee report <br />- Association or corporation report <br />- Final report <br /> <br />Period of time covered by report: from <br /> <br />8/1 /8~ <br /> <br />to 9/,'1e, <br /> <br />= <br /> <br />~ <br /> <br />SUMMARY STATEMENT OF RECEIPTS AND EXPENDITURES <br />FOR CANDIDATES AND COMMITTEES <br /> <br />CD <br />(J <br />it: <br />o <br /> <br />TOTAL FOR <br />THIS REPORT <br />$2., 000.00 <br /> <br />= <br /> <br />MAJOR CONTRIBUTORS (Exhibit A) <br />ALL OTHER CONTRIBUTIONS RECEIVED (Exhibit B) <br />EXPENDITURES (Exhibit C) <br /> <br /> <br />SUMMARY STATEMENT OF CONTRIBUTIONS AND <br />EXPENDITURES FOR CORPORATIONS <br /> <br />= <br /> <br />CORPORATE PROJECT EXPENDITURES (Exhibit D) <br /> <br />TOTAL FOR <br />THIS REPORT <br /> <br />I do swear (or affirm) that I am a candidate for public office or an officer of the <br /> <br />and true statement pursuant to Minnesota Statutes C <br /> <br />committee or corporation and this report is a full <br />d <br /> <br /> <br />Committee or corporate office held <br /> <br />SC 0069-04 <br /> <br />Address I~ 'fS 11 ;11~o~::'i: <br />RO.$J:/J litE. t' /vi ":I 13 <br /> <br />- <br />