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HomeMy WebLinkAboutLara, Jesse - Affidavit of Candidacy y Office of the Minnesota Secretary of State Filing# J : . . :-.`, AFFIDAVIT OF CANDIDACY Cash/Check# 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.Stot.204B.03) Candidate Information Name and Office 4 _.�... Candidate Name(as it will appear on the ballot) J SS e L ar'o, Office Sought C� ��/ �C�t�t'1G' Districttri_— 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 1 115 5 f/l Gl' w+k onne- Cic , City o r 111:�q u, State �( � 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 ri , 3_ �� Candidate Phone Number(Required) o� Campaign Contact Address(Required for those who have checked the box above): Street Address 11 SS RV W 410ma C City 15 h-A State Ail Zip Code Website Email ens e-Law.-.4-1 511 1 Koh o_ Gjrn��l c on, 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.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.Start.243.166. • County,Municipal,School District,or Special District Office-I meet any other qualifications for that office prescribed by law. Candidate Signature Date y2^ �'�a3 Chrischelle Carolyn Bjerke a= Notary Public Subscribe nd sw rn to before me thi 0% day of 20 - Minnesota Fe ' voY ; . MV Cma im F.>�res,IBvM 31,2027 Notary public or other officer empowered to take and certify acknowledgement (Notary stamp) White Copy-Filing Officer Yellow Copy-CFPD Board Pink Copy-Public Information Goldenrod Copy-Candidate Rev.512015 CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate, committee or corporation Jere— L arn- Office sought or ballot question� Ct_f a k District Type of Candidate report Period of time covered by report: report Campaign committee report Association or corporation report from ` 3 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 tf 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. CASH $ O• TOTAL CASH-ON-HAND $ IN-KIND + TOTAL AMOUNT RECEIVED = $ I a �o 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 ...... _.... ......... .......___p 3 . al G( 010a3 �. �nfi- ovheria(� • fy •a� 13l aa.23 AS 4 LlS .09 o o kr,Y•t Fes-bw► _ - __.. _��•S�_. .. _, TOTAL Co(1-�. $,e�$lrfc 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 M TOTAL I certify that this is a full and true statement. J ;,r Signs re ? Date QJ Printed Name ��Jd --� t1 Telephone �� 3�J Email (if available) O Address `o Jesse Lara Campaign Financial Report Disbursements Continued Date Purpose Amount 3/3/2023 Campaign partner website $32.00 3/16/2023 Facebookad $25.00 3/27/2023 Facebookad $46.26 CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate, committee or corporation Je& -Z L acm- Office sought or ballot question CkA!� co nc; District Type of Candidate report Period of time covered by report: report Campaign committee report Association or corporation report 3 from to Final report �3 3 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 $ O•QD TOTAL CASH-ON-HAND $ IN-KIND + TOTAL AMOUNT RECEIVED = $ I a 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 Parr_�e�. ................_ 3.1-? al G� ava3 � dam. �l�fi - ov4�rialS �y�•8�b 31 aa�3 h ,Y.t4 >'(S`7.0 5 _ a S . ......TOTAL C..... car e(�S1'Lc 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 z TOTAL � I certify that this is a full and true statement. 3 Signa re Date QJPrinted Name ik'3�c Le`"-oe~ Telephone q2-M160 Email (if available) o Address � ) , W+ h(+ Ytt� cS/IG.�(�/�C� ltiJn sn?q UL Jesse Lara Campaign Financial Report Disbursements Continued Date Purpose Amount 3/3/2023 Campaign partner website $32.00 3/16/2023 Facebookad $25.00 3/27/2023 Facebookad $46.26