HomeMy WebLinkAbout2020/11/10 i.
Office of the Minnesota Secretary of State
CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING
Instructions
Each county, municipal or school district candidate or treasurer of a committee formed to promote or
defeat a ballot question shall certify to the filing officer that all reports required by Minnesota Statutes
211A.02 have been submitted to the filing officer or that the candidate or committee has not received
contributions or made disbursements exceeding$750 in the calendar year. The certification shall be
submitted to the filing officer not later than seven days after the general or special election.
(Minnesota Statutes 211A.05, subdivision 1).
Campaign Information
Name of candidate or committees 1/f4 .21 64.4RA- (i,96-0k/,(../77,1
Office sought by candidate (if applicable),4p1 _ 2/4 zi- }' (:-/ / ( ,/1 'C-/1
Identification of ballot question (if applicable)
Certification
Select the appropriate choice below, and sign:
is I do swear(or affirm)that all campaign financial reports required to date by Minnesota
Statutes 211A.02 have been submitted to the filing officer.
n I do swear (or affirm) that campaign contributions or disbursements did not exceed
$750 in the calendar year.
47' i
Signature of candidate or committee treasurer`~ YC 'L Z11 e__.../ 4 .74,
Date
Office of the Minnesota Secretary of State
2020 Campaign Manual
67
RECEIVED
CAMPAIGN FINANCIAL REPORT NOV 1 0 2020
(All of the informationrm� in this report is ublic information)
Name of candidate, committee or corporation - - ■g ,r A_ I efp ,q 41l
ai
Office sought or ballot question F/ 4« i c" i f0''7 U`s `c 2-,
Type of Xi Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report f• to Id/P)/24,
from
XFinal report
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind)rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
oor occupation if self-employed,amount and date for these contributions.
Q
CL CASH $ TOTAL CASH-ON-HAND $ 0
IN-KIND + ��
TOTAL AMOUNT RECEIVED }--r.[
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Date ? Purpose Amount
9://17 7) /1 -6()_.1 pi q 1‘76"A' n p os ,i,le_ 2.4(7_
. (112. ,(1-0 _ C;-- 711.4PSIV/Fil z),--<1 , ... 4...w/ .
u i /0 /2 e_77 (-(z,ff-te ___-(./r-g:-,..4, --/-ap 3).2. ,k,frze4-
TOTAL
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than$200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount
v
ra
m TOTAL
z
o I certify that this is a full and true statement. i
cu Signature Date
u Printed NamiTiPMe `'(i.r9� .l�� elephone� � Email(if
�available) ci 1�C j�Q;
o Address (- 1)/i AM-VW /1/� . P / /4','�_. VX74/tl /1 -
J ° � :.rim fir ~
UNISYS
imagine it.done.
/2 R.6/ • Pig(- 5aY0 P
dF /,4L? -
/9&I te2 "70t.,17 0
�� -
DW102104-100