Maczko John 10-25-2024Campaign Financial Report Form (Printable)
CAMPAIGN FINANCIAL REPUKI
jao of the infwmotion in tit s repwtes pub& injom arianf
Name of candidate, committee or corporation Jab..,, P• 064 7k Ci
Office sought or ballot question C 1 &I COA&W, fJ District
Type of Candidate report Period of time covered by report
report Campaign committee report
Anal report
or corporation report from 8 /P'� to
7s 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 -land] rather than contributor. see note on contribution limits on the back ofthisfonn. use a separatesheet toitemae 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 5 C% TOTAL CASH -ON -HAND $
IN -KIND + $ 0
TOTAL AMOUNT RECEIVED
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets Anecessary.
CORPDRATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for vfiiuin contribu[ion(s} aexpenditure(s) total more
than 5200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Gate
Purpose
Name and Address
of Recipient
Expenditure or
Contribution
Amount
TOTAL
Office of the Minnesota Secretary of State —Campaign Manual
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 John Maczko
Office sought by candidate (if applicable) Mendota Heights City Council
Identification of ballot question (if applicable)
Certification
Select the appropriate choice below, and sign.
O1 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 committee S72 1*41*�! 1000
Date October 22, 2024
Revised 2/2014