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� <br />Committee Name: <br />CiTY OF ROSEVILLE <br />CAMPAIGN FiNANCE REPORT FORM <br />� <br />e <br />dfiFice sought or held by candidate <br />ar purpase of po(it�cal comrnitte�.� . ��la� � ;r.3 6 <br />-- �-�-�---- <br />Type trf �rganiza#ion: T�_ Candidaie �omrnittee . P�litica! �Aeti:c�nj Commitiee <br />T'Ype �f repi�rt: `,� Ini�ial reporC .::� Pc�st-genera( <br />Pr�-priinary _ Year-end (January},�epQrt <br />_. Pre-gen�rai ^�. �inai re'pot� (tlasescorr�r�nt�ceea�caunt-� ` <br />se� M�S. t�li. 221A.#�3 fior requiremet`IYs) <br />Period �f iirrie cc�ve�ed tiy repc�r�a �r�ri� _.. l�- I i ,�,_ to !� <br />� , <br />SU�1Vl�i�l�: STAT�iti,�'��Nfi TO i��`�`� <br />�t�va� c�iv�`����uxc��s <br />7�ta� ��r Thts 7o#�al �rt�rn %t�f �'o <br />Repori Previous Re�art t�a�e <br />_____�..�..� � ...� �� +� = � �`""°°. <br />�_ <br />��.�. c����� ���-r��gu-����s ����tv�o �_—. . �.--- _ � —��-�� <br />�,�pE�taITURE� _ ��. ��,, � � ��."'�� � � T <br />�_ <br />�tJ . tti�1�Rl� E� Ei�P��C�Y�kl��-�1t11� i 1 '��t�lN� �E) T�I�..RER �?�1 <br />� separ.a�� sii�ei, `itemiz�tion m� <br />atl cantrYbt�o�s, <br />dafie, name, a�iiir�e�,"�rnp <br />An iterr�ized ti�# af a!1 expend�#uxes m�st alsv be pr�v➢sied. This inust include d�te, p�rp�e, an�l a�a�rit for �ecPi <br />expend�ture. , <br />� <br />Contr�buiic�rt$ I��s than/equal to � � <br />C4t?tilkiUtit�C1S �t�'�1M��1� �J'� �Tld �3�i ._._.. _... .._....�._ Gheckher2 ifvuithinthept�euinusyear <br />no indivictuai, corrtrr�it�ze,ot organiiafion has made one ot more coniributions tFrat in the aggreg�te �re greater than $5�. <br />'"�' �" ��, �_�„„;� � <br />�Xp2"it(�d'�liT'�� � � <br />Curre�it Bal�nce � � � _ ...._.- �°��� � _ �� �: . <br />�� <br />�`t,�:�! t <br />List the name ancl address r�f all depasa#ories . <br />holding this commit�ee's depos'rt5_._-.--.----4�E� � _���� ._. ��4i�d����._�v5�t��--� ,�� ���' <br />- � " ----�--s_.._�..---� l.� �.1 J '�-. <br />._ ..._ ---- _..- <br />Committee t"re; s r � Date , <br />Emai) (note if you want, it`redacted be€ore farrn becomes public}. 1'��?��"/�i} ��Q��+,+�i�t,� �} t'�t�� f.�a�t, <br />