Fonnest, Larry - 2017 - Aug 15-Oct 26 Financial ReportCAMPAIGN FINANCIAL REPORT
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(All of the information in this report is public information)
Name of candidate, committee or corporation �- 0 t-A 4--.
Office sought or ballot question
Type of Candidate report
report Campaign committee report
Association or corporation report
Final report
CONTRIBUTIONS RECEIVED
District
Period of time covered by report:
from, \ j' �' to i t
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 $ a-`= - ` TOTAL CASH -ON -HAND $
IN -KIND t
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
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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.
Signature Date
Printed Name Telephone Email (if available)
Address
CAMPAIGN FINANCIAL REPORT
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m
z
(All of the information in this report is public Information) /
Name of candidate, committee or corporation �-"01
Office sought or ballot question
Type of
report
Candidate report
Campaign committee report
Association or corporation report
Final report
CONTRIBUTIONS RECEIVED
District
Period of time covered by report:
from w to i.9 (47 -
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.
Dote
Purpose
Amount
TOTAL
CtZ- ,'677—
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 �—PZ4�"
f N
� Telephone
!' GTi e mail (if available)
Address
Fonnest For Golden Valley 2017
Contributions of $100+
NAME
$
ADDRESS
EMPLOYER
DATE
Mike Regan
100
4006 Girard N/MPLS
Hennepin Med
08/14
MPLS-BCTC
300
312 Central Ave/MPLS
Union
08/17
Craig Cole
100
11773 Woodbury St/Coon Rapids
Wells Fargo
08/17
David Hanson
100
1500 Yosemite N/GV
Retired
08/17
Bob Brandt
100
625 Lexington Pkwy/St. Paul
Walden U
08/17
Ron Zweber
150
389 Portland Ave/St. Paul
Bremmer Bank
08/17
Pat Williamson
100
4830 Dawnview Terr/GV
Unity MPLS
08/17
Scott Hvidsten
100
439 Sheridan S/MPLS
Consultant
08/17
Ron Blum
200
PO Box 27371/Mpls
City MPLS
08/29
Pat Hoyt
100
1420 Bridgewater Rd/GV
Retired
08/29
Jan Kuball
100
2620 Perry Ave/GV
FeedMyStarve
08/30
Adam Brookins
150
1355 Oak Grove Cir/GV
Consultant
08/30
Joanie Clausen
100
2516 Lee Ave N/GV
City Council
08/30
Gloria Peck
100
410 Lawn Terr/GV
Retired
08/30
Carole Carlson
100
8216 35th Ave N/Crystal
Retired
08/30
Jane Pagenkopf
100
4500 Hampton Rd/GV
Retired
08/30
Dave Bucher
100
1409 Franklin SE/MPLS
Health Part.
09/05
Mary Carlson
100
2040 Noble Ave/GV
City MPLS
09/06
Tom Harkcom
100
387 Portland Ave/St. Paul
Health Part.
09/07
Dan Nepp
100
4820 Emerson S/MPLS
TEA II
09/13
Jonathan Burris
100
222 S. 91h/MPIs
Lawyer
09/14
IBEW Local 292
250
312 Central Ave SE/Mpls
Union
09/15
Ann Reid
Barb Pilling
Louise Simons
Vicki Holmstrom
Peter Knaeble
Kevin Olsen
100
1115 Elway/St. Paul
Consultant
09/24
100
141 Wheeler/St. Paul
U of MN
09/28
100
PO Box 22007/Robbinsdale
Retired
10/05
100
2107 Windsor Way/GV
Retired
10/05
100
6001 Glenwood/GV
Consultant
10/06
250
2840 43rd S/MPLS
Retired
10/09