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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Committee Name: C_. �� "� ��=� �=-�� c��� =; � <br />Office sought or held by candidate <br />or purpose of political committee: �/ T`% ���� � t t--- <br />Type of t7rganization: __� Candidate Committee <br />Type of report: Initial report <br />__ Pre-primary <br />Pre-general <br />Period of time covered by report: From s~�- Z- `�� l Z- <br />MAJOR CONTRIBUTORS <br />� ����d� <br />n �..:,�v � � 2012 f <br />i �� <br />R �1flSE1� C'OL\ I.�' <br />FLECTIO�c <br />Political (Action) Committee <br />Post-general <br />Year-end {)anuary} report <br />_� Fltla) 1'2�Ot"t (closes committee account -�- <br />see M.S. Ch. 211A.03 for requirements) <br />to �; - z z — � �z- <br />SUMMARY STATEMENT TO DATE <br />AlL CITHER CUNTRlBUTIQNS RECEIVED <br />EXPENDITURES <br />Total For This Tatal �rom Total To <br />Report Previous Report Date <br />?v � . 3� + � _ `� r� �s 3� ��c�= �,�,�a�� <br />c_'i + <br />')��_ s� + <br />� _ c� <br />r� = l � $ . � � <br />SUMMARY OF EXPENDITURES AND CONTRIBUTIONS FQR THIS PERIOD <br />Itemize all contributions made during the previous 365 days by an individual or committee that are 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 expenditures must also be provided. This must include date, purpose, and amount for each <br />expenditure. <br />Contributions less than/equal to $50 � <br />%Ot1tl'lbUtI0C1S b2tW�E'Cl $51 at1Ci �3�� _ � _ _._, Gheck here if within the previous year <br />no individual, committee or organization has made one or mare con#ri6trtions that in the aggregate are greater than $50. <br />Expenditures <br />Current Balance <br />List th� name and address of all depositories <br />holdin this committee's d osits <br />.�i' `? 4 � .'Z�/,� �� t��/ <br />Committee treasurer <br />�O�—, .3`� <br />� <br />� .._ Z 2 �- 1 Z.- <br />Date <br />Email (note ifyou want it redacted before form becomes public): ��i'i'i�'��/'� i�f� �'c?r,f 11G1 /� G!'r'��t� � ��=�%� <br />v <br />