Lorberbaum Campaign Financial Report 1-1-23 to 12-31-23For Office Use Only:
CAMPAIGN FINANCIAL REPORT
(rill of the lnfornmtlon in this report is publicinformotlon)
Name of candidate, committee or corporation Sally Lorberbaum - Sally for Council
Office sought or ballot question Mendota Heights City Council District
Type of X Candidate report
report Campaign committee report
Association or corporation report
Final report
Period of time covered by report: from
1 /1 /2023 to 12/31 /2023
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
kly
$ 263.88
TOTAL. CASH -ON -HAND
$ 0
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
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
1
TOTAL
I certify that this is a full and true statement.
Printed Name Mickey Kieffer Telephone 952-831-4000 Entail (if available) mkieffer@ameritelinc.net
Address 1830 Rolling Green Curve, Mendota Heights, MN 55118-4230
Office of the Minnesota Secretary of State
CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING
Instructions
Each county, municipal or school district candidate or treasurer of a committee formed to promote or defeat a
ballot question shall certify to the filing officer that all reports required by Minnesota Statutes 211A.02 have been
submitted to the filing officer or that the candidate or committee has not received contributions or made
disbursements exceeding $750 in the calendar year. The certification shall be submitted to the filing officer not later
than seven days after the general or special election. (Minnesota Statutes 211A.05, subdivision 1)
Campaign Information
Name of candidate or committee Sally Lorberbaum
Office sought by candidate (if applicable) Mendota Heights City Council
Identification of ballot question (if applicable)
Certification
Select the appropriate choice below, and sign.
0 I do swear (or affirm) that all campaign financial reports required by Minnesota Statutes 211A.02 have been
submitted to the filing officer.
OI do swear (or affirm) that all campaign contributions or disbursements did not exceed $750 in the calendar
year.
Signature of candidate or committ•e treasurer‘ Mi y Kieffer, Treasurer
Date 1/14/2024
Revised 2/2014
IN KIND DONATIONS OVER $100
Date Transaction Description Address Phone Notes Amount
3/18/2023 Sally Lorberbaum
Website Renewal Sallyforcouncil.com
890 Douglas Road, Mendota Heights, MN 55118
employed by
Wells Fargo
$ 263.88