HomeMy WebLinkAboutBill Mars Office of the Minnesota Secretary of State Filing#
AFFIDAVIT OF CANDIDACY Cash/ heck#
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• .�Instructions Amount$1
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.2048.03)
Candidate Information
Name and Office
Candidate Name(as it will appear on the ballot) _✓��- `��S
Office Sought V-A PlO ft. J��+� 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
City �J A�Gi0--1„s1,,., Vn iV State Md� Zip Code
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Y j
❑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) �1 2— 44LtZZ.-? �y
Campaign Contact Address(Required for those who have checked the box above):
Street Address
Cit State Zip Code
Website Email ,p
Affirmation
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.2048.06,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, hoot Dist
r' t,or Special District Office—I meet any other qualifications for that office prescribed by law.
Candidate 'gnature � Date S 262Z,
•Subsc 'b ands orn t ; fore me this day of 20 147�RYPUEILIC
J.Hensen
Notary ublic o er officer empowered to take and certify acknowledgement lTiQ)Exp+r% Jan.31,2027
White Copy—Filing Officer Yellow Copy—CFPD Board Pink Copy—Public Information Goldenrod Copy— an
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OFFICE OF THE MINNESOTA SECRETARY OF STATE
CANDIDATE NAME PRONUNCIATION FORM
Candidate's Name(clearly print):
Office Filed For(clearly print): '
Type of District(circle one):
Federal State Judicial County S&WCD City Township School Hospital Park Other
District District District
District's Name(clearly print):
• Candidate Name's Pronunciation:
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 5/18/2020
CAMPAIGN FINANCIAL REPORTrs-�
(All of the information in this
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blc information)
Name of candidate,committee or corporationQ,P, MAj
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Office sought or ballot question i ` ON'-, District
•
Type of Candidate report Period of time covered by report:
report _� Campaign committee report
Association or corporation report from i ZZ to� , �Z
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.
o°Jc CASH $Lf(Soo V14 TOTAL CASH-ON-HAND $ 400t�' q�a
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
O
TOTAL ^ , U
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
E TOTAL
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0 I certify that this is a full and true statement.
v ° signature Date
Printed Name 1—�yw Telephone gt� 4 Email(if available)
Address �2— 1r1 C,SQAtcl9, SkCa '(�"13��
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CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate,committee or corporation \K�'\Q, M P L..S �-
Office sought or ballot question Mp iej 44 SV1zVN',Q r1. District
Type of Candidate report Period of time covered by report:
report _ZA Campaign committee report
Association or corporation report from to
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.
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CU CASH $ f�8 sU� TOTAL CASH-ON-HAND
IN-KIND + $ 4�1:
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
v
_U
0
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 Expenditure or
of Recipient Contribution
Amount
v
Z TOTAL
o I certify that this is a full and true statement. 2,10 -n- _
Signature Date
Printed Name 1%40,., Telephone &'2.4 'eZb Email(if available)
O Address (-Lq� 49.1- QJI 13y r An: . &s 4
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CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate,committee or corporation Qpvh�
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 Q{k, ?_� Z to �� 2'z-
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
aor occupation if self-employed,amount and date for these contributions.
CASH $ , � TOTAL CASH-ON-HAND $ l
IN-KIND +
$ I���
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 I Purpose Amount
t
O S ��
TOTAL
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditures) 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
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E
z TOTAL
0 1 certify that this is a full and true statement. G A --uZ e.
v Signature Date
m Printed Name r y�1 �P� �2y> Telephone 6Z Tb `�
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o Address 1201
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CAMPAIGN FINANCIAL REPORT
(All of the information in this report ispublic information)
Name of candidate,committee or corporation W-�� �� y �n—Pe�.f (IV-'C'%
Office sought or ballot question I gist District
Type of Candidate report Period of time covered by report:
report Campaign committee report Q f
Association or corporation report from-12-�I�I'to z
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
aor occupation if self-employed,amount and date for these contributions. �Q
cc CASH $ O UO TOTAL CASH-ON-HAND $ �. 1
IN-KIND +
TOTAL AMOUNT RECEIVED = �j UO
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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 Z2 -1A tQcl��c-cLot
0
TOTAL ��� (p
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditures) 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
a
E TOTAL
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o I certify that this is a full and true statement.
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eh, Signature Date
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� Printed Name r�`c�P� p Email(if available
o Address 12.2 I
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CAMPAIGN FINANCIAL REPORT
(All of the information�int�his report is public information)
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Name of candidate,committee or corporation W,Q t ' NZ-` \4.
Office sought or ballot question tAAJ ,.r District
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from 6i ZZ- to I 1 ZZ
�\ 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.
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CASH $ 10010i.�
� TOTAL CASH-ON-HAND $ 9D
IN-KIND + $
TOTAL AMOUNT RECEIVED �n�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.
Date Purpose Amount
vAr1Q,.a s Q 1!'o
a�
O
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TOTAL
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditures) 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
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I certify that this is a full and true statement. V
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CAMPAIGN FINANCIAL REPORT
(All of the informations in this report is public information)
Name of candidate,committee or corporation ��C Y�'���_Sy(�"we-'
Office sought or ballot question ' `1�' Ori ` District
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from to
Final report
CONTRIBUTIONS RECEIVED
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
0 or occupation if self-employed,amount and date for these contributions.
CL
W CASH $ )b. TOTAL CASH-ON-HAND $ Z--
IN-KIND + $ l'fkv q-19.�-t'
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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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r r�A.S
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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 Expenditure or
of Recipient Contribution
Amount
E TOTAL
Z
o I certify that this is a full and true statement.
nom, Signature Date
Printed Name `fl'��kAN, -4 Telephoned ►J% c Z`' � � Email(if available)
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