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Fridley Citizens for a New City Hall - Final Report • RECEIVED JAN 312017 CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate,committee or corporation 1-F2(19 Lei CM ZE.i13 row_ if-New C7 1-4A-Lt— Office sought or ballot question District Type of Candidate report Period of time covered by report: report j( Campaign committee report Association or corporation report Final report from 1 to 3Pi17 CONTRIBUTIONS RECEIVED o .0 Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type(money a 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 cc 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 $ , - - TOTAL CASH-ON-HAND $ /ObJ, 15 IN-KIND + $ 614/7 /) a4nr TOTAL AMOUNT RECEIVED (: Q DISBURSEMENTS Include the amount,date and purpose for all disbursements made during the period of time covered by report. Attach additional sheets if necessary. u Date Purpose Amount o 1 /9117 C c OLP,4i ,J6, 3,Eli-) i /to/P7 fldr...wir imi -re (5A,JF.L4- I-OC'.1_C /39, 4:4` a /23/17 .8 , Pos Trett7C F5 47 ' TOTAL / 01)1, IS CORPORATE PROJECT EXPENDITURES Corporations must list any media project or corporate message project for which contribution(s)or expenditure(s)total more nthan$200. Submit a separate report for each project. Attach additional sheets if necessary. v Project title or description N Date Purpose Name and Address Expenditure or Cj of Recipient Contribution cu Amount 1= co Z .4 TOTAL c O v V31117 j I certify that this•is a full and true statement. - �j ,...-- cu Sign ture ✓ Dante o Printed Names T 144r� EtaU�--o Telephoner/4;3,_4$b'-E ic,S�Emaif if available) ��C miti L., cetv.., o Address 9D VV-14.4 AV 1. E Il=r�-I OL�J (4t 5 _4.32_ Office of the Minnesota Secretary of State–2016 Campaign Manual 'vcAA)A'C D 69 V` 'v G Fridley Citizens for a New City Hall Donors over$100 Donna Bahls (Retired) 7514 Alden Way NE Fridley, MN 55432 Ann Bollkcom (University of Minnesota Physicians) 6821 Hickory St. NE Fridley, MN 55432 Jim Saefke (Retired) 6131 5th St. NE Fridley, MN 55432 David Saltman (Retired) 7812Alden Way NE Fridley, MN, 55432 Mandy Meisner (North Metro Mayors Assoc.) 7836 Alden Way NE Fridley, MN 55432