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2016 Barnette, Robert toi¢i uttirICS iUli1C gate Received /D 2 8+/& Forward to JJpy to CAMPAIGN FINANCIAL REPORT (All of the information in this report is public info1 tion)/J / C Name of candidate,committee or corporationlJ �lgti► rie.; c. 6(.c-'1 G Office sought or ballot question O li.i -'/h1edVLh/' aitG District tg Type of Candidate report Period of time covered by report: report ,/ Campaign committee report / Association or corporation report from � 16 to /v/2 /6p 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 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 a cc CASH $ �alQ�+ dd or occupation if self-employed,amount and date for these contributions. TOTAL CASH-ON-HAND ?$ 7O. 55 + IN-KIND + $ 0' TOTAL AMOUNT RECEIVED = /00Q. $ ! CSO -A DISBURSEMENTS Include the amount,date and purpose for all disbursements made during the period of time covered by report. iAttach additional sheets if necessary. •.p Date Purpose Amount •...1 -*I—P(0 A/br,ck r .5 .,,:17 -1/60 00 9116,/1 to Ezdr Pr-isn 1Zs 33 7. 4/5 E /o�/7 /lo �'�t5 , rf 4- goo,e 0 ' TOTAL /0 97 95 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 4 of Recipient Contribution Amount v E z TOTAL AIM 0 I certify that this is a full and true statement. lko , W /c - 'A /� j n / �/ _ ignature Date c Printed Name 1)ber't,eJar � Telephone ��-- / Email(if avvailable) O Address , -'T/ /'(jU� Cir Ikz R rt/°7/ 1i&i 5 7 33� • • ierik.s Oppe, CAMPAIGN FINANCIAL REPORT ` S (All of the information in this report is public information) Name of candidate,committee or corporation Bo i B 4-2Nem Office sought or ballot question CO vN C;1-M A-1v 441z G E District Type of ✓ Candidate report Period of time covered by report: report Campaign committee report Association or corporation report from /(, to /1— Final report V 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 or occupation if self-employed,amount and date for these contributions. CASH $_7O 2. 65 TOTAL CASH-ON-HAND $ 7402. 55 IN-KIND TOTAL AMOUNT RECEIVED = �( $ fC� 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 5 t'E ,1-'t C1ftom TOTAL e) .-`17 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 TOTAL I certify that this is a full and true statement. _ (Li Signature Date Printed Name /'p'zn-T' 6 412/11t-71-E- TelephonW° "-'MT Email(if available) Address 5z-// /2/ 4 C/2tti °6"0 F2/0 l c/ M!V Disbursements for Second Report 05/19/16 Candidate Filing Fee- $10.00699.97+10 11/03/16 Albrecht Signs - $32.78 11/08/16 American Legion- $50.00 11/08/16 Marino's - $372.16 08/29/16 State of MN (Voter List) - $35.00 11/14/16 Don and Marietta Holum - $100.00—Expenses for Treasurer 11/14/16 Bob Barnette- $110.03 —Expenses and mileage Total Disbursements 2nd Report $709.97 City ierk's Office Date Rc i ived 7 [� Forward to 27.1 tO Office of the Minnesota Secretary of State CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING Instructions Each county, municipal or school district candidate or treasurer of a committee formed to promote or defeat a ballot question shall certify to the filing officer that all reports required by Minnesota Statutes I ' have been submitted to the filing officer or that the candidate or committee has not received contributions or made disbursements exceeding$ 50 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 I: 11). Campaign Information Name of candidate or committee BO 842A/&77 Office sought by candidate(if applicable) GO IA(C-i 1-/k1 Al 6 r 1--fik,E Identification of ballot question (if applicable) Certification Select the appropriate choice below, and sign: v I do swear(or affirm)that all campaign financial reports required by Minnesota Statutes I:' have been submitted to the filing officer. I do swear(or affirm)that campaign contributions or disbursements did not exceed $750 in the calendar year. Signature of candidate or committee treasurer r�liif7L '�'4N�' Date I t- t L1- e Office of the Minnesota Secretary.of State—2016 Campaign Manual 71