<br />~
<br />~ g
<br />0i>~
<br />N &.
<br />Q)
<br />...0::
<br />
<br />~i- ~~ ~1
<br />L. /"\ /c
<br />~ "I
<br />~)/'
<br />
<br />STATEMENT OF RECEIPTS AND EXPENDITURES
<br />pursuant to the Minnesota Fair Campaign Practices Act, Minn. Stat. ~210A.27, Subd. 1
<br />
<br />This STATEMENT OF RECEIPTS AND EXPENDITURES is to be used by candidates, committees, and corpora-
<br />tions required by Minn. Stat. Ch. 210A to file such a report. These include candidates and committees in elections
<br />for county office; municipal office in municipalities over 20,000 population; individuals, political committees,
<br />associations, or corporations for ballot questions; and corporations spending more than $100 on certain activities to
<br />encourage participation in precinct caucuses, voter registration, or voting. (For supplemental information, see page
<br />four.) Candidates and committees for state constitutional office, state legislature, supreme court, district court,
<br />county court, and committees for state constitutional amendments are not included; candidates and committees for
<br />U.S. senate and U.S. representative in congress may file copies of their federally-required disclosures in lieu of this
<br />statement.
<br />
<br />This statement is to be filed with the filing officer designated in Minn. Stat. ~ ~210A.26, Subds. 2-4, and 210A.34,
<br />Subd. 8; questions about completing and filing this statement may be directed to that filing officer.
<br />
<br />
<br />....
<br />...
<br />o
<br />c.
<br />Q)
<br />0::
<br />
<br />Name of candidate, committee, or corporation
<br />
<br />Office sought by candidate """"'11 t ..".,./pA/
<br />(if applicable)
<br />
<br />District r,,,..., 111& ~'S#IfI"'f.C
<br />
<br />Identification of ballot question
<br />(if appl icable)
<br />
<br />Type of report ~Candidate report
<br />
<br />_ Personal campaign committee report
<br />
<br />_Party committee report
<br />
<br />_Association or corporation report
<br />
<br />_ Political committee report
<br />Period of time covered by report: from (!), r 1.1; ,fir '0
<br />
<br />1411.1 ,') Ii' 7
<br />
<br />SUMMARY STATEMENT TO DATE
<br />
<br /> TOTAL FOR TOTAL FROM TOTAL
<br /> THIS REPORT PREVIOUS REPORT TO DATE
<br />Q)
<br />u
<br />;;:: -
<br />'+- RECEIPTS (Exhibit A) +
<br />0
<br /> PROMISES OR PLEDGES -
<br /> RECEIVABLE (Exhibit B)
<br /> EXPENDITURES ACTUALLY - .., DIl r "-~ "II1U r- -,I
<br /> MADE (Exhibit C) +
<br /> OBLIGATIONS INCURRED -
<br /> BUT NOT PAID (Exhibit D)
<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 Ch. 210A.
<br />
<br />committee or corporation and that this report is a full
<br />
<br />
<br />J~~~,,~,~~
<br />
<br />Committee or corporate office held
<br />
<br />~
<br />c:
<br />o
<br />Q)
<br />VI
<br />:>
<br />Q)
<br />()
<br />i
<br />o
<br />
<br />, '"' '-Y6,V~~
<br />, tr"" MAl .
<br />
<br />
<br />
<br />l,-.~~~,",.,.....,,_.--,.,-~/~ r
<br />., <-~.'-', ~f /1 0
<br />" A',' ~ 0'. a:anne CY'dla/1
<br />Subscribed andsWorm.m.befur~lmel''''ijsoT
<br />!\i J . _ _'. . ..,' ~:' :,'-{';' '1991
<br />sc 00069-M ~v...) (",.em,,"'... .,,,,.-.',,> I ~.J. :J,
<br />~_;o"""""_"-~:",,,-;-~,",~;,,,",,",.......,.,~;.._-:., ----
<br />
<br />Q)
<br />E
<br />ClI
<br />z
<br />
<br />1~
<br />
<br />...
<br />o
<br />LL
<br />
<br />day of
<br />
<br />- Notary Public
<br />
|