HomeMy WebLinkAbout2006 Bruce NawrockiCAMPAIGN FINANCIAL REPORT CERTIFICATION 4F FILING
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
27 9A.02 have been submitted to the filing officer or that the candidate or committee has not received
contributions ar 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 291A.05, subdivision 7)
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Name of candidate or committee
Office sought by candidate
(if applicable}
or
Identification of ballot question
Check the appropriate box below:
I do swear (or affirm) that ail campaign financial reports required by
Minnesota Statutes 211A.02 have been submitted to the filing officer.
1 do swear (or affirm} that campaign contributions or disbursements did not
exceed $750 in the calendar year.
(Signature of candidate or committee treasurer)
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(Date}
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CAMPAIGN FINANCIAL REPORT
(All of the information in th's report is public information)
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Name of candidate, committee, or corporation
Office sought or bal{ot question
Type of report Candidate report
Campaign committee report
Assoaation or corporation report
_~ Final report
CONTRIBUTIONS RECEIVED
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District
Period of time covered by report:
from to
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 c;ontnbutions from a single source that are equal to or greater than $500 during the
calendar year.}
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IN-KIND
TOTAL AMOUNT RECEIVED
EXPENDITURES
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Include every d'esbursement made for a politics! purpose during period of time covered by report. Attach additions!
Project title or description
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CORPORATE PROJECT EXPENDITURES
Corporations must list any media projer~ or corporate message project for which contributions} or expenditure(s) total
more than $200.. Submit a separate report for each project. Aftadt add'dional sheets if necessary.
Date Purpose Name and Address
of Recipient Expenditure or
Contribution
Amount
Total
I certify that this is a full and true statement.
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