HomeMy WebLinkAboutDonna Schmitt Dec 01 2010 3:07 HP LF1SERJET FAX 7635712291 p.2
DEC- 1 -20i0 14:19 FROM :COLUMBIA HEIGHTS 7637063601 TO:9E7122,1 p,2
CAMPAIGN FINANCIAL REPORT CERTIFICATION OF 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 2114.02 have been submitted to the filing officer or that
the candidate or committee has not received connb lbutions or made disbursements
cxeceding S750 in the calendar year. The certification shall be submitted to the fling
officer not later than seven days after the general or special election. (Minnesota Statutes
2114.05, subdivision 1)
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Name ofcandldate or committee ,� V\ 1
Office sought by candidate C l4. CO u Vtf' .
Of applicable)
Or •
Identification of ballot question
Check the appropriate box below:
I do swear (or affirm) that all campaign financial reports required by
Minnesota Statutes 211A .02 have been submitted to the tiling officer.
■ I do swear (or affirm) that campaign contributions or disbursements did not
exceed 5750 in the calendar year.
I,
Ilk II _ A. 4 � 1 -...
(Signature ofcandidata or committee treasurer) ( ate
Douce of the 1%4 lemma* Secretary of State •rcv. May 2008
Nov 30 2010 23:39 HP LASERJET FAX 7635712291 p.2
CAMPAIGN FINANCIAL REPORT
(Alt or Ike bromidic'? In Ude report Is pubic h*niaeton)
Name of candidates normalise, oroarporallon i-JC y'T\( )
Office sought at ballot questlon (\ *i CA) t\ri 1 District
Type of report Candidate report Period of kme cowered by report
Campaign committee report
Association or corporation report
Finai report from jo-a 2 tv I (19)-10)1)
Give the total for al co.*tutia received we
during period of firma covered by this sspntl. Contributions should listed
Ce
by type (money or In -kind) rather than conMbutor. See note an coon India on the bade of this Use a separate
sheet to itemize ail contribukOns from a single SOW= that exceed $100 Minna the mdender year. This itereketion Herat
include name, address. employer or occupation it setkemployed, amount. nt. and data for base CardrIbudone.
CASH $ l_ f1L
•
+
IN-KIND
TOTAL AMOUNT REC9VED $
EXPENDITL IoS
• Include the amount. date, and purpoe r for all a pendt0urea made during the period of tfrne covered by this report.
Attach additional sheets If neceeeary.
0 D. PUIPOSO Arnwsrt
see ar d
TOM. ,
CORPORATE PROJECT IEUPEIEDITURES
E CorpOratlons rrhuet Est any media project or corporate message project for vrtdch canbtbuttort(a) or e q endfbae(s) lcpd
ma than $200_ Submit a Waal. report *w each project Attach additonrd streets if necessary.
Project dile or description
Data Pump* Aherne end Address Fxpandiure or
of Recipient Contrb ibn
Amount
Taeol
I certify tha is 61,Atel ` - .
ry ,
Printed Name , f i( )1i�� Sr` F'f Talsphorhe743.7i'a- Ernall (if S '"" -@ CCIILC
Address "taco o E f. !) ( t J mike] -� r M A ,.1:511,14
•
Nov 30 2010 23:39 HP LASERJET FAX 7635712291 p. 3
Final Expenses
10/2212010 —
11/30/2010
Date Purpose - Amount
10/30/10 Jerusalem Market — Sign Placement 5.00
11/1/10 Paul Dingman — Sign Placement 5.00
11/1/10 Filfrlah Market — Sign Placement 5.00
11/1/10 McCallum Chiropractic — Sign Placement 5.00
11/1/10 Paul Westby — Sign Placement 5.00
11/1/10 Manuela Guttierea — Sims Placement 5.00
11/7/10 Oak 1111— Room Rental 50.00
11/10/10 Election Part, Expenses 69.00
11/12/10 Mailing Supplies 20.00
11/12/10 Signs_ 400.00
TOTALS 569.00