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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Com m ittee N a me: ��,�-� wv� � -� er�' �.= --�-ti- � `' �='s-��y� � .�-�> <br />Office sought or held by candidate <br />or purpose of political committee: �-���-K �.-G� c4-�� c.� �- I�, c��c�,v �) l� <br />Type of Organization: <br />Type of report: <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 />✓ Flna� 1"2pOt't (closes committee account— <br />see M.S. Ch. 211A.03 for requirements) <br />Period of time covered by report: From �� Z:� • i� to !•��� r s� <br />SUMMARY STATEMENT TO DATE <br />Total For This Total From Totaf To <br />Report Previous Report Date <br />MAJOR CONTRIBUTOE2S + _ `� I' �, � �G� • �` <br />ALL OTHER COfVTRIBUTIONS RECEIVED + - 8��� •-- �' k'`^`� <br />EXPENDITURES + _ � 1(P� % t��.� � �' <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 separa#e sheet. Itemization must provide amount, date, name, address, employer or occupation if self- <br />employed far all contributors. <br />An itemized list of afl expenditures must also be provided. This must include date, purpose, and amount for each <br />expenditure. '�1sz���.,� s'� � r� %i�� �-k ec� �� e e-{�. <br />Contributions less than/equal to $50 <br />Contributions between $51 and $600 <br />Check here if within the previous year no individual, committee or organization has made one or more contributions that in the <br />aggregate are greaterthan $50. <br />Expenditures <br />Current Account Balance <br />`�6 /�, 3 c��c� . .,.� <br />List the name and address of all depositories <br />holding this committee's deposits `'�-� �� �-�-�-c �� ;.�.,��- �l � s�c� <br />Signature: <br />Date: � r � � ° / s�a <br />Printed Name: ( a v� vr,� ti.r WL� Ca-_e_.Li �,r Email: ��-y+�i ���-�-��i �� h��-� <br />Address: `f ��,`{R L�a..ks k._cQ-,� ��, 7���.,v; l t�. ��� s�ii3 Phone: [� s �- ���S--Z`1 `Y 3 <br />Revised 7/2014 <br />