Fonnest, Larry - 2017 - Mar 16-Aug 14 financial reportTA.Ge 1
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CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public infornio on)
Name of candidate, committee or corporation talsai,s ST- t-0U— (50
Office sought or ballot question District
Type of Candidate report Period of time covered by report:
report Campaign committee report ��(
Association or corporation report from o s ( to Q%�-�i �'�--
Final report
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be fisted 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 $ 3 _ o�. tz TOTAL CASH -ON -HAND $ q$3 .S I
IN -KIND + $''
TOTAL AMOUNT RECEIVED =
$ 3� 503 3Z
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
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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
of Recipient
Expenditure or
Contribution
Amount
TOTAL.
I certify that this is a full and true statement.
Signature Date
Printed Name Telephone Email (if available)
Address
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CAMPAIGN FINANCIAL REPORT
(Alf of the information in this report is public information)
Name of candidate, committee or corporation 3F_Rt iy'Er'-r- V�D'T_. Cc�'Lrex"`
Office sought or ballot question District
Type of
report
Candidate report
Campaign committee report
Association or corporation report
1 final report
Period of time covered by report:
from to
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 $
IN -KIND +
TOTAL AMOUNT RECEIVED =
TOTAL CASH -ON -HAND $
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
�,l a
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
of Recipient
Expenditure or
Contribution
Amount
TOTAL
I certify that this is a full and true statement.
Printed Name
Address
Signature
Date
Telephone Email (if available)
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CAMPAIGN FINANCIAL REPORT
(an of the information in this report is public information)
Name of candidate, committee or corporation
Office sought or ballot question
Type of
report
Candidate report
Campaign committee report
Association or corporation report
!'final report
District
Period of time covered by report:
from to
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this rpporL 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 $ _ TOTAL CASH -ON -HAND
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.
Date
Purpose
Amount
C)
00
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
Date
Purpose
Name and Address
of Recipient
Expenditure or
Contribution
Amount
TOTAL
I certify that this is a full and true statement.
S�iature Date
Printed Name'L_Ak%%rg,'r % Telephone4j,'ZZ5AH-2?`i mail (if available)
Address yti ��`*7 Z_
Iairy 4 -�- ('
NAME
James Nepp
Anthony Winer
Leah Nordquist
Milo Pinkerton
Howard Nepp
Fonnest For Golden Valley 2017
Contributions Exceeding $100
ADDRESS
100
4901 Dawnview Ter/GV
200
7659 Woodview Ct/MPLS
400
15045 Spyglass Dr/Egan
100
2362 Meeting Place/Minnetonka
150
300 15Y Ave NE/Austin
EMPLOYER DATE
US Bank 06/01
Mitchel -Hamlin 07/30
Consultant 08/07
Landlord 08/07
Retired 08/10