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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Committee Name: f�eP.+t� ,Sfir�,n„z ���' �or IZca52v�11� Ca.� Ca�►..*�c.� a�ow..w.,ttce <br />Office sought or held by candidate <br />or purpose of political committee:_ Gi 1-u� C.o��+'�L� e <br />Type of Organization: <br />Type of report: <br />Candidate Committee <br />Initial report <br />X Pre-primary <br />Pre-general <br />Period of time covered by report: From ���T� � Z <br />MAJOR CONTRIBUTORS <br />Political (Action) Committee <br />_ Post-general <br />_ Year-end (January) report <br />_ Fllla� 1'epOCt (closes committee account— <br />see M.S. Ch 211A.03 for requirements) <br />to �/3a�,Z <br />SUMMARY STATEMENT TO DATE <br />ALL OTHER CONTRIBUTIONS RECEIVED <br />EXPENDITURES <br />Total For This <br />Report <br />�Zoo <br />� SO <br />� O <br />Total From <br />Previous Report <br />+ ��'�s'6 = <br />+ $ 75 = <br />+ � ���c,3 •Sto _ <br />Tota) To <br />Date <br />�t 2.�p5� <br />� ��� <br />� 1,$03•S!c <br />SUMMARY OF EXPENDITURES AND CONTRIBUTIONS FOR THIS PERIOD <br />Itemize all contributions made during the previous 365 days by an individual or committee tha e greater than $50 in the <br />aggregate on a separate sheet, Itemization must provide amount, date, name, address, emplo � o ation if self- <br />employed for all contributors. /c��� <br />�� �% �. <br />An itemized list of all expenditures must also be provided. This must include date, purpos , n . t�ve����S t` <br />�, �.> ,, f <br />expenditure. � f9�; ...� ; , <br />g� ��5�� � ��>jff.1/ <br />Contributions less than/equal to $50 � So �'�T� o� � <br />�'�S �r� � <br />Contributions between $51 and $300 �� ��� Check here if within r ious year <br />no individual, committee or organization has made one or more contributions that in the aggregate are greater than $50. <br />Expenditures � O <br />Current Balance <br />�' 371.yy <br />'rc�a�..,K, t44s Co•,�•�.�j �� tv t'Zose.vtllc,MW ss'N.3 <br />List the name and address of all depositories TCF C�..b� �DO W. Cow�-� Rd 1,3� Maplcuaar� ,MV SStr,j <br />ho�g this committee's deposits <br />1.�.�.... �D�-a_ gl��,z, <br />Committee treasurer Date <br />Email (note if you want it redacted before form becomes public): p4+�r-o1r�n�t�t�` `-' g��',• ��M <br />