Campaign Finance &

Public Disclosure Board

First Floor South . Centennial Office Building . 658 Cedar Street . St. Paul MN 55155-1603 . 800/657-3889 . TTY 800/657-3529

Report of Receipts and Expenditures

for Principal Campaign Committee

Period Covered: 12/4/2017 through 1/29/2018

Committee Information:

Registration number: 18200

Committee name: Melissa Wagner for Minnesota 23B

Candidate name: Wagner, Melissa

Office and District: House District: 23B

Treasurer name: Simonson, Shawn

Treasurer address: 49898 211th St

Lake Crystal MN 56055

Received by the Board February 6, 2018

Special Report Indicators

No change since The committee received no contributions and made

last report no expenditures during the reporting period.

Previous Report Cash Balance:

Current Cash Balance:

Amendment This report amends a previously filed report for the same period.

Termination The committee has settled all its debts, disposed of all its assets in excess of $100 and
dissolved.

Report of Receipts and Expenditures Printed February 6, 2018

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 Committee Transaction Summary
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee
1 Beginning cash balance 12/4/2017 (should be the same 834.42
as the previous year ending cash balance)

A Receipts Cash In-Kind Total

2 Individual contributions Sch. A1 - IND 11,179.21 0.00 11,179.21
3 Lobbyist contributions Sch. A1 - LOB
4 Political committee and political fund Sch. A1 - PCF 5,500.00 0.00 5,500.00
contributions
5 Political party & terminating principal Sch. A1 - PTY/ 3,300.00 0.00 3,300.00
campaign committee contributions TERM PCC
6 Other contributions Sch. A1 - OTH
7 Public Subsidy Payment Sch. A1 - PS
8 Receipts from loans payable Sch. A2 - LP
9 Miscellaneous income Sch. A2 - MISC
10 Total Receipts Sum #2 to #9 19,979.21 0.00 19,979.21

B Disbursements Cash Unpaid Bills In-Kind Total

11 Campaign expenditures Sch. B1 - CE 4,210.21 0.00 0.00 4,210.21
12 State ballot question expenditures (Not Sch. B1 - BQ
local referendums)
13 Total Campaign Expenditures Sum #11 to #12 4,210.21 0.00 0.00 4,210.21
14 Non-campaign disbursements Sch. B1 - NCD 132.58 0.00 0.00 132.58
15 Contributions to other principal Sch. B2 - PCC
campaign committees
16 Contributions to political parties Sch. B2 - PTY
17 Contributions to political committees Sch. B2 - PCF
and political funds
18 Other disbursements Sch. B3
19 Total Expenditures and Disbursements #13 to #18 4,342.79 0.00 0.00 4,342.79
20 Ending cash balance on 1/29/2018 #1 + #10 - #19 16,470.84

Loans and Unpaid Obligations Summary

21A Total Outstanding balance of all loans incurred during the current year Sch. A2-LP
21B Total outstanding balance of all loans incurred during any year prior to the reporting year Sch. C
21C Total Outstanding balance of all loans Sum #21A + #21B

22A Total unpaid obligations incurred during the current year Line 19
22B Total unpaid obligations incurred during any year prior to the reporting year Sch. D
22C Total unpaid obligations Sum #22A + #22B
23 Total debt of committee Sum #21C + #22C

Certification
I certify that this report is complete, true and correct.
Robert G Menard February 6, 2018
Signature of Candidate, Treasurer, or Deputy Treasurer Date
Certified Electronically By Valid Person
Any person who signs and certifies to be true a report or statement which the person knows contains false information, or who knowingly omits
required information, is subject to a civil penalty imposed by the Board of up to $3,000 and is subject to criminal prosecution for a gross misdemeanor.

Committee Transaction Summary Printed February 6, 2018

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 Amendments to Filed Report
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

Trans. Orig. Date Description of

Type Entity Revised Date Current Amt. Amendment

RCP *, * * Changes effective on 1/25/2018

were: Receipt Amount was
changed from 125.00 to 0.00
Reason for change: Data entry
error.

RCP *, * * Changes effective on 1/25/2018

were: Receipt Amount was
changed from 250.00 to 125.00
Reason for change: Data entry
error.

Amendments to Filed Report Printed February 6, 2018

CF Reporter Version 2.4.9 Service Pack 30 Page 1 of 1
 Schedule A1-IND Individual Contributions Received
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

Adermann, Garnann
PO Box 219 736 E Humphrey Lake Crystal, MN 56055
Self-employed
Date Cash In Kind Total
01/18/18 500.00 0.00 500.00

Kluge, Johnathan
1833 Crestview Dr New Ulm, MN 56073
Self-employed Doctor / Retired
Date Cash In Kind Total
01/13/18 250.00 0.00 250.00

Mendoza, Mia
5117 Ridge Road Edina, MN 554361015
Self-employed Realtor
Date Cash In Kind Total
01/25/18 500.00 0.00 500.00

Mendoza, Salvadore
5117 Ridge Road Edina, MN 554361015
Self-employed Attorney
Date Cash In Kind Total
01/25/18 500.00 0.00 500.00

Prichard, James
720 N 4th St Minneapolis, MN 55401
Self-employed Consultant
Date Cash In Kind Total
12/31/17 300.00 0.00 300.00

Sullivan, Joseph
109 Sienna Cir Mankato, MN 56001
Employer: Center for Energy and Environment
Date Cash In Kind Total
01/01/18 250.00 0.00 250.00

Schedule A1-IND Individual Contributions Received

Cash In Kind Total
Total of itemized 2,300.00 0.00 2,300.00
Total of non-itemized 8,879.21 0.00 8,879.21
Cash In Kind Total
Totals 11,179.21 0.00 11,179.21

Schedule A1-IND Individual Contributions Received Printed February 6, 2018

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 Schedule A1-PCF Political Committee/Fund Contributions Received
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

AFSCME Council 5 PEOPLE Fund (Registered Id: 30686)

300 Hardman Ave S South St Paul, MN 55075
Date Cash In Kind Total
12/28/17 1,000.00 0.00 1,000.00

Friends of DFL Women (Registered Id: 40295)

PO Box 7896 St Paul, MN 55107
Date Cash In Kind Total
01/25/18 500.00 0.00 500.00

IBEW Local 343 Political Education Fund (Registered Id: 30236)

9 80th St SE Rochester, MN 55904-8435
Date Cash In Kind Total
12/31/17 1,000.00 0.00 1,000.00

MAPE-PAC (Registered Id: 30270)

3460 Lexington Ave N Ste 300 Shoreview, MN 55126
Date Cash In Kind Total
01/28/18 500.00 0.00 500.00

TEMPO Political Fund (Registered Id: 30641)

5846 Irving Ave S Minneapolis, MN 55419
Date Cash In Kind Total
12/12/17 300.00 0.00 300.00

womenwinning State PAC (Registered Id: 40268)

2610 University Ave W Ste 325 St Paul, MN 55114
Date Cash In Kind Total
12/31/17 1,000.00 0.00 1,000.00

Working Families Fund (Registered Id: 30618)

11 4th St SE Rochester, MN 55904
Date Cash In Kind Total
01/13/18 1,000.00 0.00 1,000.00

Schedule A1-PCF Political Committee/Fund Contributions Received

Cash In Kind Total
Total of itemized 5,300.00 0.00 5,300.00
Total of non-itemized 200.00 0.00 200.00
Cash In Kind Total
Totals 5,500.00 0.00 5,500.00

Schedule A1-PCF Political Committee/Fund Contributions Received Printed February 6, 2018

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 Schedule A1-PTY Party Unit/Principal Campaign Committee Contributions Received
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

1st Congressional District DFL (Registered Id: 20465)

314 Lilac Ct Waseca, MN 56093
Date Cash In Kind Total
01/10/18 1,000.00 0.00 1,000.00

66th Senate District DFL (Registered Id: 20446)

285 Transit Ave Roseville, MN 55113
Date Cash In Kind Total
12/31/17 500.00 0.00 500.00

LeSueur County DFL (Registered Id: 20026)

46287 Wildlife Rd Cleveland, MN 56017
Date Cash In Kind Total
01/25/18 600.00 0.00 600.00

Waseca County DFL (Registered Id: 20128)

710 4th Ave NE Waseca, MN 56093
Date Cash In Kind Total
01/15/18 1,000.00 0.00 1,000.00

Schedule A1-PTY Party Unit/Principal Campaign Committee Contributions Received

Cash In Kind Total
Total of itemized 3,100.00 0.00 3,100.00
Total of non-itemized 200.00 0.00 200.00
Cash In Kind Total
Totals 3,300.00 0.00 3,300.00

Schedule A1-PTY Party Unit/Principal Campaign Committee Contributions Received Printed February 6, 2018
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 Schedule B1-CE Campaign Expenditures
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

Vendor: GateHouse Media

604 1st Ave. So
St. James, MN 56081

Date Specific purpose of expenditure Paid Unpaid In Kind Total

01/26/18 Advertising - Print: Newspaper placements 846.78 0.00 0.00 846.78

Vendor: Impact Printing

1067 Rice Street
St. Paul, MN 55117

Date Specific purpose of expenditure Paid Unpaid In Kind Total

01/03/18 Printing and Photocopying: Lawn signs, 2,186.63 0.00 0.00 2,186.63
letterhead, envelopes, remit envelopes

Vendor: Printwear Graphics

1602 S Broadway
New Ulm, MN 56073

Date Specific purpose of expenditure Paid Unpaid In Kind Total

01/09/18 Advertising - general: Campaign hats and 475.00 0.00 0.00 475.00
shirts for volunteers

Vendor: USPS
300 S 3rd St
St Peter, MN 56082

Date Specific purpose of expenditure Paid Unpaid In Kind Total

01/02/18 Postage/ Delivery: Postage purchase for 111.80 0.00 0.00 111.80
campaign letters
01/10/18 Postage/ Delivery: Postage for campaign 490.00 0.00 0.00 490.00
mailing
Vendor Total: USPS 601.80 0.00 0.00 601.80

Schedule B1-CE Campaign Expenditures

Paid Unpaid Inkind Total
Total of itemized: 4,110.21 0.00 0.00 4,110.21
Total of non-itemized: 100.00 0.00 0.00 100.00
Paid Unpaid Inkind Total
Totals: 4,210.21 0.00 0.00 4,210.21

Schedule B1-CE Campaign Expenditures Printed February 6, 2018

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 Schedule B1-NCD Noncampaign Disbursements
Melissa Wagner for Minnesota 23B
Reg Num 18200 Principal Campaign Committee

Schedule B1-NCD Noncampaign Disbursements

Paid Unpaid Inkind Total
Total of itemized: 0.00 0.00 0.00 0.00
Total of non-itemized: 132.58 0.00 0.00 132.58
Paid Unpaid Inkind Total
Totals: 132.58 0.00 0.00 132.58

Schedule B1-NCD Noncampaign Disbursements Printed February 6, 2018

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