HomeMy WebLinkAbout2022/11/15 Certification of Filing RECEIVED
OCT 1 5 2022
n f
Office of the PAnorsota Secretary d sal!.
CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING
Instructions rornotr or
Fisch county,municipal or school district candidate or treasurer of a committee fod by rmed to prO o lutes
defeat a ballot question shah certify to the f officer that all repo committee has stint rc`Ct Statutes
eled
211A4x have been submitted to the filing officer or that the candidate or co*t+
cei ntr+butkins or made disbursements exceeds'sft$750 m the calendar year.
or'the
spe certif is tior+ shalt be
submitted to the filing officer not later than seven days after
the general(Minnesota Statutes it IA,9' -s '1).
Campaign Information
Name of candidate or committee __Fr �_.i--��c.'•-'A- t ._�
Office sought by candidate(rf applicable) 9.G r A
Identification OBE baliat question(rf apphhcab'e)
C ►tifitation
Select the appropriate choice below,and sign
I do swear(or affirm)that all campatn financial reports required to date by Minnesota
Statutes 11 LAM have been submitted to the eating officer
[) I do swear(or affirm)that campaign contributions or disbursements did not exceed
$750 in the calendar year.
lelawcia40.46.)._
Signature of candidate or committee treasurer
Date, ireVo //2.Z