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CITY OF ROSEViILE <br />CAMPAIGN �IiVAiVCE REROk�T FOl2M <br />Committee Name: [�,(�`c'���V� �� �.���f ��i�/ <br />OffiCe sought or held by candidate <br />or purpose of political committee:��� �� U�� ��� <br />Type of Organization: � Candidate C�mrrzitiee Political (Action) Committee <br />Type of report: Initial report Post-general <br />Pre-primary Year-end (January) report <br />� Pre-general Fillaf t'epOrt {closes committee account- <br />see M.S. h. 211A.Q3 or requirements) <br />Periad of time covered by report: From �� �� �`" ta �- �' {�s`�' <br />SUMN�ARY STATEMENT TO DATE <br />Toial For This Total From iotal To <br />Report Previous Report Date <br />MAJOR CONTRIBUTORS ��P% Z-C� + � �j� _ � � �C� <br />ALL OTHER CONTRIBUTIONS RECEIVED ��(� + �D C� _ �� U C� <br />EXpEI�DlTUREs ) � U l� ��+ �� j � � 2. �� � �� <br />SUNiMARY OF EX�ENDBTURES AND CONTRiBUTJONS FOR THIS PER[QD <br />Itemize al! eontributions made during the previous 365 days by an individual or commiftee that are greater than $50 in the <br />aggregate on a separate sheet, Itemizatian must provide amount, date, name, address, employer or occupation if self- <br />employed for all contributars. <br />An fiemized iist of ail expenditures must afso be provided. This must include date, purpose, and amount for each <br />expenditure, <br />Contributions less than/equal fio $50 <br />Contributions between $51 and $600 <br />�.� <br />� ; ;� <br />Check here if within the previaus year no individual, committee or organization has made one or more contributions that in the <br />aggregate are greater than $50. <br />Expenditures <br />Current Account Balance <br />List the name and address of all depositories <br />holding this comm�t�e's deposits <br />� <br />Signature: <br />Printed Name: <br />� � v� o �� <br />$ ��-���. �� <br />!� <br />� ' <br />Date: 2 <br />Email: �����-�C�S�VI i��i��Y���l��(i��� <br />Address: �-ri �� � �t � i � lfl ��-" � Phone: �0�� � �� -��` � �� �-C� <br />Revised 7/2014 <br />