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1pil„, , CaT3agn Hinanci , Report
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All information in this report is public.
Re'oft Information
Name of candidate or committee at_ t "JT -�- f'PA�
Office sought v`^""\c 9--
Report type(choose onel orti r' a Dates of reporting period
Candidate 0 Initial ❑ Post-general
0 Campaign committee 7 Pre-primary ❑ Annual From 7 / r`i / 2.(in to 7 / a7/ 26
0 Association ❑ Pre-general ❑ Final
Contributions Received
Record the totals for all contributions received during the reporting period(dates listed above)by type:monetary or
in-kind.Use a separate sheet to itemize all contributions from a single source that exceeded$100 during the reporting period;
itemization must include name,address,employer or occupation if self-employed,amount,and date for these contributions.
See note on contribution limits for individual donors on the back of this form.
DURING REPORTING PERIOD
MONETARY CONTRIBUTIONS $ CURRENT TOTAL AMOUNT ON HAND $ -g• I
IN-KIND CONTRIBUTIONS VALUE + $
TOTAL AMOUNT RECEIVED $
Disbursements
Record the amount,date,and purpose for all disbursements that exceeded$100 during the reporting period.
Date Purpose Amount
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Total Including those listed on any attachment
0 I certify that all information provided in this report is true.
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Printed name Signature Date
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Address Phone
} t,,)r�5--N' e_ (.' v,,,,c'"c,�,. ❑I certify I do not have an email address.
Email address required or you must affirm the following attestation
DEFINITIONS & INSTRUCTIONS
Reference: Minnesota Statutes, Chapters 211A and 211E
This campaign financial report is for use by candidates and committees for county,municipal,school district and
special district office who receive contributions or make disbursements of more than$750 in a calendar year.
Candidate or committee report:The initial report must be filed within 14 days after the candidate or committee
receives contributions or makes disbursements of more than$750 in a calendar year.
During an election year:An"election year"is any year in which the candidate's name appears on the ballot.
In an election year,if an initial report has been filed,additional reports are required to be filed:
• Pre-primary report:10 days before the primary or special primary
• Pre-general report:10 days before the general election or special election
• Post-general report:30 days after a general election or special election
• Annual/"January"report:By January 31 every year after an initial report has been filed,
until a final report is filed and reporting requirements end.
During a non-election year:By January 31 every year after an initial report has been filed,until a final report is filed.
Once a final report is filed,no further subsequent reports are required.
Contributions:Means anything of monetary value that is given or loaned to a candidate or committee for a political
purpose."Contribution"does not include a service provided without compensation by an individual.Each candidate or
committee must list the total amount of cash-on-hand designated to be used for political purposes as of the close of the
reporting period.
Contribution limits:Candidates or candidate's committees for county,municipal,school district offices may not accept
aggregate contributions in excess of$600 in an election year or in excess of$250 in a non-election year made or delivered
by an individual or committee.However,candidates seeking election from districts with a population in excess of 100,000
may not accept aggregate contributions in excess of$1,000 in an election year and$250 in a non-election year.
Congressional candidates:Congressional candidates(candidates for the United States House of Representatives and
Senate and any committee raising funds exclusively on behalf of those candidates)should file federal reports with the
Federal Election Commission(FEC).
Final report:A final report may be filed any time after the candidate,committee or corporation has settled all debts and
disposed of all assets in excess of$100 in the aggregate.Check final report under"type of report:'
Prohibited transfers:Candidates for county,municipal,school district or special district offices may not accept
contributions from the principal campaign committees of any candidate for legislative,judicial or state constitutional
office.In addition,a candidate may not make contributions to the principal campaign committee of any candidate for
legislative,judicial or state constitutional office unless the contributions are made from the candidate's personal funds.
State candidates:State candidates and committees for state constitutional offices,the state legislature,supreme
court,court of appeals,district court and committees for state constitutional amendments are governed by Minnesota
Statutes Chapter 10A.Contact the State Campaign Finance and Public Disclosure Board for further information at
(651)539-1180.
Important privacy note
The local government filing officer,subject to Minn.Stat.211A requirements,must restrict public access
to the street address of all individuals who contribute to candidates or campaign committees.Filing
officers must first receive reports with the required information in itemized contributions,then redact the
street address-including the name or number of the building,the name of the street on which the building
is located,and any unit number-of all individuals listed in itemized contributions,before the report is
posted to the public website.