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Committee Name: <br />CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Volunteers for Jason Etten <br />Office sought or held by candidate <br />or purpose of political committee: Roseville City Counci! _ <br />Type of Organization: X <br />Type of report: _ X <br />Candidate Committee <br />Initial report <br />Pre-primary <br />Pre-general <br />Political (Action) Committee <br />_ Post-general <br />_ Year-end (January) report <br />_ FIf18{ t'2pOCt (closes committee account— <br />see M.S.. Ch. Z11A,.03 for requirements) <br />Period of time covered by report: From __June 7, 2012 to _June 25, 2012 <br />SUMMARY STATEMENT TO DATE <br />Total For This Total From Total To <br />Report Previous Report Date <br />MAJOR CONTRIBUTORS i4) $1600 cash; $968.56 in-kind + � _$2568.56 <br />ALL OTHER CONTRIBUTIONS RECEIVED 0 + 0 = 0 <br />EXPENDITURES <br />$150.00 + 0 _ $150.00 <br />SUMMARY OF EXPENDITURES AND CONTRIBUTIONS FOR 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 amaunt for each <br />expenditure. <br />Contributions less than/equal to $50 _ � <br />Contributions between $51 and $300 $1600 Cash; $968.56 in-kind Check here if within the previous year <br />5�'L r=1-}{-����� <br />no individual, committee or organization has made one or mare contributions that in the aggre ate are greaterthan $50.. <br />Expenditures _ $150.00 (see attached) <br />Current Balance $1450.00 cash <br />List the name and address of all depositories <br />holding �' committee's deppsits North Star State Bank, 1820 N. Lexington, Roseville, MN 551 i3 <br />� ,;�, - C�; � � 5 � / Z <br />Committee treasurer Nancy O'Brien Date ` <br />Email (note if you want it redacted before form becomes public): I�IG'aS@ C@C1aCt <br />