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Click ‘Get Form’ to open the 53970 Campaign Disclosure Statement in the editor.
In Section A, enter the full name of the candidate, the office they are seeking or currently holding, and their address. Also include the name and daytime telephone number of the person completing this statement.
Move to Section B and select the type of statement you are filing by checking the appropriate box. If applicable, provide the election date.
For Section C, report total contributions received in excess of $200. If there were no reportable contributions during this period, check the corresponding box.
If you are completing a year-end statement, proceed to Section D and list all expenditures made during the calendar year under specified categories.
Finally, in Section E, certify that all information is accurate by signing and dating the form before submission.
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53970 Campaign Disclosure Statement County, City, or
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