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: 1/1/2013 through 12/31/2013
Greta Bergstrom for 64B
17673
Bergstrom, Greta
House District: 64B
Bergstrom, Eric
Committee Information:
1362 Sargent Ave
St Paul MN 55105
Registration number:
Committee name:
Candidate name:
Office and District:
Treasurer name:
Treasurer address:
No change since
last report
Amendment
Termination
The committee received no contributions and made
no expenditures during the reporting period.
This report amends a previously filed report for the same period.
Previous Report Cash Balance:
Current Cash Balance:
Special Report Indicators
The committee has settled all its debts, disposed of all its assets in excess of $100 and
dissolved.
Printed January 27, 2014
Page 1 of 1 Service Pack CF Reporter Version
Report of Receipts and Expenditures
18 2.3.31
Received by the Board January 25, 2014
Committee Transaction Summary
Bergstrom, Greta House Dist. 64B Committee
Principal Campaign Committee Reg Num 17673
1 Beginning cash balance 1/1/2013 (should be the same
as the previous year ending cash balance)
0.00
A Receipts Cash In-Kind Total
2 Individual contributions 5,785.00 0.00 5,785.00 Sch. A1 - IND
3 Lobbyist contributions 450.00 0.00 450.00 Sch. A1 - LOB
4 Political committee and political fund
contributions
Sch. A1 - PCF
5 Political party & terminating principal
campaign committee contributions
Sch. A1 - PTY/
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 6,235.00 0.00 6,235.00 Sum #2 to #9
B Disbursements Cash In-Kind Total Unpaid Bills
11 Campaign expenditures 1,326.78 0.00 1,341.78 Sch. B1 - CE 15.00
12 State ballot question expenditures (Not
local referendums)
Sch. B1 - BQ
13 Total Campaign Expenditures 1,326.78 0.00 1,341.78 Sum #11 to #12 15.00
14 Non-campaign disbursements 130.30 0.00 130.30 Sch. B1 - NCD 0.00
15 Contributions to other principal
campaign committees
Sch. B2 - PCC
16 Contributions to political parties Sch. B2 - PTY
17 Contributions to political committees
and political funds
Sch. B2 - PCF
18 Other disbursements Sch. B3
19 Total Expenditures and Disbursements 1,457.08 0.00 1,472.08 #13 to #18 15.00
20 Ending cash balance on 12/31/2013 4,777.92 #1 + #10 - #19
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 15.00 Line 19
22B Total unpaid obligations incurred during any year prior to the reporting year Sch. D
22C Total unpaid obligations 15.00 Sum #22A + #22B
23 Total debt of committee 15.00 Sum #21C + #22C
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.
Eric Bergstrom January 25, 2014
Date
I certify that this report is complete, true and correct.
Signature of Candidate, Treasurer, or Deputy Treasurer
Certified Electronically By Valid Person
Certification
Committee Transaction Summary
CF Reporter Version Service Pack Page 1 of 1
Printed January 27, 2014
2.3.31 18
Schedule A1-IND Individual Contributions Received
Bergstrom, Greta House Dist. 64B Committee
Principal Campaign Committee Reg Num 17673
In Kind
Stevens, Luchelle
Total Cash Date
500 North Robert Street Unit 704 St Paul, MN 55101
Employer: SEIU
12/30/13 250.00 250.00 0.00
250.00
5,535.00
Total of itemized
Total of non-itemized
Totals 5,785.00
Cash In Kind Total
0.00 5,785.00
5,535.00
250.00
0.00
0.00
Cash In Kind Total
Schedule A1-IND Individual Contributions Received
Printed January 27, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule A1-IND Individual Contributions Received
18 2.3.31
Schedule A1-LB Lobbyist Contributions Received
Bergstrom, Greta House Dist. 64B Committee
Principal Campaign Committee Reg Num 17673
In Kind
Youngerman, Anna (Registered Id: 2742)
Total Cash Date
Children's Hospitals and Clinics 2525 Chicago Ave S Minneapolis, MN 55404
Employer: Children's Hospitals and Clinics
12/06/13 250.00 250.00 0.00
250.00
200.00
Total of itemized
Total of non-itemized
Totals 450.00
Cash In Kind Total
0.00 450.00
200.00
250.00
0.00
0.00
Cash In Kind Total
Schedule A1-LB Lobbyist Contributions Received
Printed January 27, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule A1-LB Lobbyist Contributions Received
18 2.3.31
Schedule B1-CE Campaign Expenditures
Bergstrom, Greta House Dist. 64B Committee
Principal Campaign Committee Reg Num 17673
1362 Sargent Ave
St Paul, MN 55105
Date Specific purpose of expenditure Paid Unpaid Total
Vendor: Bergstrom, Eric
In Kind
12/07/13 Internet Access and Web Hosting: Domain
Names
171.78 0.00 171.78
Reimbursement Details: Go Daddy
14455 North Hayden Road, Suite 219
Scottsdale, AZ 85260
(480) 505-8877
0.00
12/16/13 Food and Beverages: Food Chatterbox Pub
Event - 4 Appetizer Platters
254.00 0.00 254.00
Reimbursement Details: The Chatterbox Pub
Highland Park
800 Cleveland Ave
St Paul, MN 55116
(651) 699-1154
0.00
425.78 425.78 0.00 0.00 Vendor Total: Bergstrom, Eric
1326 Randolph Ave
St Paul, MN 55105
Date Specific purpose of expenditure Paid Unpaid Total
Vendor: Kortes Super Market
In Kind
12/21/13 Postage/ Delivery: 600 Stamps 276.00 0.00 276.00 0.00
1430 Concordia Ave
St Paul, MN 55104
Date Specific purpose of expenditure Paid Unpaid Total
Vendor: USPS
In Kind
12/27/13 Postage/ Delivery: 1,000 Stamps 460.00 0.00 460.00 0.00
Schedule B1-CE Campaign Expenditures
180.00
Total of itemized:
Total of non-itemized:
Unpaid Inkind Total Paid
1,161.78 0.00 0.00 1,161.78
15.00 0.00 165.00
Totals:
Unpaid Inkind Total Paid
1,341.78 15.00 0.00 1,326.78
Printed January 27, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule B1-CE Campaign Expenditures
18 2.3.31
Schedule B1-NCD Noncampaign Disbursements
Bergstrom, Greta House Dist. 64B Committee
Principal Campaign Committee Reg Num 17673
Schedule B1-NCD Noncampaign Disbursements
130.30
Total of itemized:
Total of non-itemized:
Unpaid Inkind Total Paid
0.00 0.00 0.00 0.00
0.00 0.00 130.30
Totals:
Unpaid Inkind Total Paid
130.30 0.00 0.00 130.30
Printed January 27, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule B1-NCD Noncampaign Disbursements
18 2.3.31