Lorberbaum, Sally - Campaign Financial Report 8-16-2022t
0
a
v
Cr
v
E
M
z
CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public Information)
Name of candidate, committee or corporation Sally Lorberbaum - Sally for Council
Office sought or ballot question Mendota Heights City Council District
X
Type of Candidate report
report Campaign committee report
Association or corporation report
Final report
CONTRIBUTIONS RECEIVED
Period of time covered by report:
from 5/11/2022 to 8/4/2022
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 $ 3,525 TOTAL CASH -ON -HAND $ 2,212.94
IN -KIND + $ 167.88
TOTAL AMOUNT RECEIVED = $ 3,692.88
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
See enclosed attachment
TOTAL 1$1,312.06
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
of Recipient
Expenditure or
Contribution
Amount
---------
TOTAL
------
c
I certify that this is a full and true statement. _
ignature
Printed Name Mickey Kieffer Telephone 952-831-4000
Address
1830 Rolling Green Curve, Mendota Heights, MN 55118-4230
022
Date
Email (if available) mkieffer@ameritelinc.net
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 1 do swear (or affirm) that all campaign financial reports required by Minnesota Statutes 211A.02 have been
submitted to the filing officer.
O1 do swear (or affirm) that all campaign contributions or disbursements did not exceed $750 in the calendar
year. 9
V
Signature of candidate or committee treasurer Ls
Date August 4, 2022
Revised 212014
EXPENSES
Date Transaction Description Amount
6/1/2022
Office Of The Secretary Of
State
Voter Registration Database
$35.00
6/13/2022
Ethan Roberts Photography
Candidate photo shoot
$250.00
6/21/2022
FedEx Office
5 12xl8 maps of the City
$8.77
7/3/2022
Menards
4 pkgs of ties for lawn signs at $9.99
each = $39.96 plus $3.05 tax.
$43.01
7/12/2022
Secretary of State
Registered the EIN number
$50.00
7/26/2022
Public Notice in Lakeville Sun
Public Notice - Published twice
$90.00
7/29/2022
USPS
20 Flag Stamps
$12.00
7/31 /2022
Menards
Rebar
$816.66
8/1/2022
Transaction fee - Venmo
$0.57
8/1/2022
Transaction fee - Venmo
$1.05
8/2/2022
City of Mendota Heights
Filing fee
$5.00
8/3/2022 Report
$1,312.06
CONTRIBUTIONS OVER $100
Address
Employer/OccupationName
Date
Amount
Sally Lorberbaum
890 Douglas Road, Mendota
Wells Fargo,Project Manager
5/11/2022
$500.00
Heights, MN 55118
Sally Lorberbaum
890 Douglas Road, Mendota
Wells Fargo,Project Manager
7/26/2022
$200.00
Heights, MN 55118
Sally Lorberbaum
890 Douglas Road, Mendota
Wells Fargo,Project Manager
8/2/2022
$2,000.00
Heights, MN 55118
David Wark
1588 Northrop St., Falcon
Retired
7/29/2022
$200.00
Heights, MN 55108-1322
Mary Ann Barrows
1588 Northrop St., Falcon
Retired
7/29/2022
$200.00
Wark
Heights, MN 55108-1322
8/3/2022 Report
IN KIND
AddressName
CONTRIBUTIONS OVER $100
• Date Amount
Kara Wallace
715 Linden St., Apt 201,
Mendota Heights, MN 55118
Mortenson Construction, VP
6/17/2022
Go Daddy website
$167.88
8/3/2022 Report