HomeMy WebLinkAbout2021/01/28 CAMPAIGN FINANCIAL REPORT (Photocopy version)
CAMPAIGN FINANCIAL REPORT
PH of the information in this report is public information)
Name of candidate,committee or corporation O ric ti i 0.ry N�[ �eG�r
Office sought or ballot question C i\-' Cwnc.A [&ehnkcX District
Type of Candidate report Period of time covered by report
report Campaign committee report
Association or corporation report from t alfri c to I 1 i !sa
Final 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
s or in-kind)rather than contributor.See note on contribution units 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 nest include name,address,employer or occupation if
self-employed,arnowit and date for these contributions.CASH $ TOTAL CASH-ON-HAND $ 31 I +64
IN-KIND + $
TOTAL AMOUNT RECEIVED
$
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary
ar
Dote Purpose Amount
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
Dote Purpose Nome and Address Expenditure or
of Recipient Contribution
Amount
TOTAL
I certify that this is a full and true statement ( Gas a I31/21
Signature Date
Printed Name CA,T s'�71174N++t 1RC Ll ..11 Telephone .�-a ` Email(if available)
Address
Office of the Minnesota Secretary of State
2020 Campaign Manual
65