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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Committee Name: <br />Office sought or held by candidate �Q �l <br />or purpose of political committee: ►`���-�/ � 1 ��- <br />Type of Organization: � Candidate Committee <br />Type of report: <br />Initial report <br />Pre-primary <br />Pre-general <br />Political (Action) Committee <br />�i Post-general <br />Year-end (January) report <br />_ Flnal �epOrt (closes committee account- <br />see M.S. Ch. 211A.03 for requirements) <br />Period of time covered by report: From �Q �/d to l a � 1 a-- <br />SUMMARY STATEMENT TO DATE <br />Total For This Total From Total To <br />Report Previous Report Date <br />MAIOR CONTRIBUTORS �J�i.'{�jl��) (p�O .DD + S�Iv� . 5 i = �G'j 3 ,�} �{ <br />ALL OTHER CONTRIBUTIONS RECEIVED S��.J fr(J + a!, �J I9 •q "J� = 3, G 1��� 5 <br />EXPENDITURES �� D7G' 9� + � �IO � _ � � ,"� �G <br />SUMMARY OF EXPENDITURES AND CONTRIBUTION OR THIS PERIO��' <br />Itemize all cont�ibutions made during the previous 365 days by an individual or committee� re greater than $50 in the <br />aggregate on a separate sheet. Itemization must provide amount, date, name, address, employer or occupation if self- <br />employed for all contributors. <br />An itemized list of all ezpenditures must also be provided. This must include date, purpose, and amount for each <br />expenditure. <br />Contributions less than/equal to $50 5.� 5; p� <br />Contributions between $51 and $300 � � � � Li � �� h�"�'�-' �"_ K'�"�" �-n �L�S) <br />Check here if within the previous year <br />no individual, committee or organization has made one or more contributions that in the aggregate are greater than 550. <br />Expenditures y O 7 C���L' <br />Current Balance <br />.S(Q , / O <br />Committee treasurer <br />R��,vi Llf� 551�13 <br />Date <br />Email (note if you want it redacted before form becomes public): '�aa�T : L� �. �T fCUs��I I��C� � q�1GLI (•� <br />