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Dec, 24. 2012 11:52AM <br />Committee Name: <br />CITY OF ROSEVILLE <br />CAMPAIGN �lNANC£ REPORT FORM <br />� ��� r <br />No, 5850 P, 2 <br />�;;�'� � � � ��' � �r � <br />,� <br />,!; <br />( � ` - .;t ; I <br />� `�.�'�------- ` L� <br />Office sought or heid by candidate � <br />or purpose of political cornmittee:�DS�V►�`��'e-- Gi'�"�a Gol� fr14 � .— <br />i'ype of Organ9zation: _,�� Candidate Comm�ttee <br />Type of report; <br />�, In�t9al repori <br />Pre-primary <br />Pre-generak <br />� Politica! (Act3on) Commsttee <br />� Post-general <br />� Year-�nd (January) report <br />Final 1'eport (closes committea account-- <br />see M.S. Ch. 27��A.o3 for requirements) <br />Peri�d of time covered by report: From �a ��'� �o � �%� <br />SUMMARY STA'�EMEN7 TO DATE <br />MAJOR CQ�TRiBUTORS <br />ALL 07F�ER CO(VTRISUTIONS RECEiVED <br />EXP�NDkTURES <br />io�a1 For This T'otal From Total 7a <br />Report Previous Report Dat� <br />� � � � _ + 2 8 Ob � �.,.D �. � — <br />��� .�_ 32�a =_ 9� <br />�i � 9�_� S ! -i- �, 2 �, - �r 5'�3�1.1 v <br />SUMMARY OF EXAENDIiURFS AND �ONTRIBUTtONS FOR TWlS PERIOD <br />ttemize a11 contributions m�de during the previous 365 days by an iMdividual or commlrtee that are greater than $50 sn the <br />aggreg��e an a separate sheet. Itemizatiort must provide amount, date, name, addr�ss, employer or oecupatian if 5eif� <br />employed forall contributors. <br />An iterniz�d list of al! expettditures must also be provided. 7hf5 must lntlude d�te, purpo5e, and amount f�r e�ch <br />expendlture. <br />Contributions le5s than/equaf to $50 i�i <br />Contributions between $51 and $300 �, ��� ^� Check her� if withln the previous year <br />no individuai, cornmittee or organization has made one or more conYributions thae in the aggr�gate are greater than $50. <br />�xpenditures _. �"�' � �� ' g 1 <br />Current Balance �� �' ' � <br />List the name and address of all de ositories ��, ,� a..• dS �V%��� 5�(!3 <br />holdEngthiscommittee'sdeposits���Y��if�l N��• t7�� W'��� <br />�/��tt.U�J _ � ! ai � � � �' -- <br />Cornmittee treasurer Date <br />Emai1 (note if you want it redaeted b�fore form becomes public}; ^�Q1��:���'���r n�E ��I �' �� <br />_ <br />