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Home My WebLink AboutAngelica Contreras ` Office of the Minnesota Secretary of State Fi 1: AFFIDAVIT OF CANDIDACY Casi, heck# • Instructions "° ' Amount$ All information on this form is available to the public.Information provided will be published on the Secretary of State's website.If filing for partisan office and not a major party candidate,you must file both an affidavit of candidacy and a nominating petition.(Minn.Stat.20413.03) Candidate Information Name and Office Candidate Name(as it will appear on the ballot) s Office Sought (NN Covn(AI.. _ District# For Partisan Office,Provide Political Party or Principle For Judicial Office,Provide Name of Incumbent �. Residence Address Do not complete if residence address is to be private and checkbox below is marked.All address and contact information is optional for federal, judicial,county attorney,and county sheriff office candidates. Street Address ((! 7 City `x1LState M .; Zip Code ❑My residence address is to be classified as private data.I certify a police report has been submitted or I have an order for protection for my (or my family's)safety,or my address is otherwise private by Minnesota law.I have attached a separate form listing my residence address. Campaign Address and Contact Candidate Phone Number(Required) 2-2 �' �-, „• Campaign Contact Address(Required for those who have checked the box above): Street Address City .`:)Jr)6 k C State Zip Code "✓r% �` Q,� t " A • website l ll-Ele(,TI1l1G{C'IICC�fbf Cl / }� J WU��11¢ Email '��t?(�"(ill"� Affirmation "W For all offices,I swear(or affirm)that this is my true name or the name by which I am generally known in the community. If filing for a state or local office,I also swear(or affirm)that: • I am eligible to vote in Minnesota; • I have not filed for the same or any other office at the upcoming primary or general election(except as provided in M.S.204B.06,subd.1(2)); • I am,or will be on assuming office,21 years of age or more; • I will have maintained residence in this district for at least 30 days before the general election;and • If a major political party candidate,I either participated in the party's most recent precinct caucuses or intend to vote for a majority of that party's candidates at the next general election. If filing for one of the following offices,I also swear(or affirm)that I meet the requirements listed below: • United States Senator—I will be an inhabitant of this state when elected and I will be at least 30 years old and a citizen of the United States for not less than nine years on the next January 3rd,or if filled at special election,within 21 days after the election. • United States Representative—I will be an inhabitant of this state when elected and I will be at least 25 years old and a citizen of the United States for not less than seven years on the next January 3rd,or if filled at special election,within 21 days after the election. • Governor or Lieutenant Governor—I will be at least 25 years old on the first Monday of the next January and a resident of Minnesota for not less than one year on election day.I am filing jointly with • Supreme Court Justice,Court of Appeals Judge,District Court Judge,or County Attorney—I am learned in the law and licensed to practice law in Minnesota.My Minnesota attorney license number is and a copy of my license is attached. • State Senator or State Representative—I will be a resident of Minnesota not less than one year and of this district for six months on the day of the general or special election. • County Sheriff—I am a licensed peace officer in Minnesota.My Board of Peace Officer Standards and Training license number is and a copy of my license is attached. • School Board Member—I have not been convicted of an offense for which registration is required under Minn.Stat.243.166. • County,Municipal,Sch I ct or Special District Office—I meet any other qualifications for that office prescribed by law. UNp�Wcorq nature Date • d s rn to f e me thi day of 20 Lori J.Hensen e mpowered to take and certify acknowledgement ��i�q PUBLIC White Copy—Filing Officer Yellow Copy—CFPD Board Pink Copy—Public Information GoldenrodO'd qcor"ssb�REbp (��B•31,2027 OFFICE OF THE MINNESOTA SECRETARY OF STATE J �st858*� CANDIDATE NAME PRONUNCIATION FORM Candidate's Name (clearly print): _,br*o(CA6 Office Filed For(clearly print): Type of District(circle one): �, Federal State Judicial County S&WCD City l Township School Hospital Park Other l District District District District's Name (clearly print): Candidate Name's Pronunciation: AN - Additional Notes: Info of Staff Member completing this form: Name and Title: Name of Your Jurisdiction: Date completed: Date submitted to County Auditor's Office: Date submitted to ERS Data-Entry Staff Member: Date entered into ERS: Form updated 5/18/1020 CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate,committee or corporation1 Dn-A�le.Ya Office sought or ballot question��u a�— District Type of Candidate report Period of time covered by report: report Campaign committee report Association or corporation report from ��Ii)I Z2 to Oh 2Z 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 0 or occupation if self-employed,amount and date for these contributions. a CASH $ I D1, l2(a 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 cn. _ Z 5 Yel — 1 e Ir ma � � 9 U v= a- 0 TOTAL �19O 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 ETOTAL 4z VCi Z I certify that this is a full and true statement. — Sig re Date v II,,,�,��yy� n Telephone (�52)Zl� Email (if available) e�eGkC�YI I�Sr►�''"I'"" Printed Name j��Illi �S p ��U��I. y�/1 Mf 7 o Address ��lU I l t � o �� 9 m loo- --- Lh,a-I-( a lO , MN 55311 59-�5 Wesi- Ri��Jr. ------------�i' # 50► -- r3h6�lrxl MN 5531q CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate,committee or corporation AnM,L'It A CDlri+re_ru S Office sought or ballot question G�� ti4�r1(/�� District Type of ✓ Candidate report Period of time covered by report: report Campaign committee report Association or corporation report from 22 to Ib 2� 22 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 0 or occupation if self-employed,amount and date for these contributions. rr CASH $ Z Z •yD TOTAL CASH-ON-HAND $ l Z Z• J 0 IN-KIND + $ )' TOTAL AMOUNT RECEIVED = $ 00 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 `d 8 22 W 4•wrn -W&btA, 15. °I S 1� 2 (A Wi &At be.si rn 115.00 a 1 Vi 0A int -Fl 4 510. 7 o AIM Sin - rvfi t Imre, 55. 01122 IAWeS -Ma4C4 5 TOTAL ` 3 (Q�J3•`I�P CORPORATE PROJECT EXPENDITURES Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total more than$200. Submit a separate report for each project. Attach additional sheets if necessary. Project title or description Date Purpose Name and Address Expenditure or of Recipient Contribution Amount v E TOTAL m Z 10.2$•Z o I certify that this is a full and true statement. — v Sign Date r 014 (Ay% ltVA5 kop� Printed Name Telephone(aL,')?,11 7AA Email (if available -j—a o Address 1111r� 1 is L? D$j��i�2 G1 �e�r,��ra► lot)— 112-1.p Nnum'Oo.) hc -�, MN553.lq e5c� H�ussc� � �� C��' .�e►� I�� +�re sfirv�od 7r M N ___�____.. Cad Krog �horp� __� _�5" 1�vrn�m�►CeX 1 01� I��i oY1 St. S . 001 Z2�22 ?au1 �p�nnsoh �b1 �a�mbmemaa«x 2[�r,> ► M Gtr scanal� �1 Sha��pee, N�c� 553`0