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 Political Committee or Political Fund
Period Covered: 1/1/2014 through 9/16/2014
MN Action Network IE PAC
41115
Countryman, Gina
Committee Information:
PO Box 16285
St Paul MN 55116
Registration number:
Committee name:
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 September 23, 2014
Page 1 of 1 Service Pack CF Reporter Version
Report of Receipts and Expenditures
20 2.4.1
Received by the Board September 23, 2014
Committee Transaction Summary
MN Action Network IE PAC
Independent Expenditure Committee Reg Num 41115
1 Beginning cash balance 1/1/2014 (should be the same
as the previous year ending cash balance)
0.00
A Receipts Cash In-Kind Total
2 Total Contributions Received 352,200.00 0.00 352,200.00 Sch. A1 - CR
3 Receipts from loans payable Sch. A2 - LP
4 Miscellaneous income Sch. A2 - MISC
5 Total Receipts 352,200.00 0.00 352,200.00 Sum #2 to #4
B Disbursements Cash In-Kind Total Unpaid Bills
6 Expenditures 36,417.22 0.00 36,417.22 Sch. B1 - EXP 0.00
7A Direct Contributions to candidate
committees
Sch. B2A - PCC
7B Approved Expenditures for Candidate
Committees
Sch. B2B - CAN
7C Total Contributions to Candidate
Committees
Sum #7A + #7B
8 Contributions to political parties Sch. B2 - PTY
9 Contributions to political committees
and political funds
Sch. B2 - PCF
10 Independent expenditures Sch. B3 - IND
11 Ballot question expenditures Sch. B4 - BQ
12 Total Expenditures and Disbursements 36,417.22 0.00 36,417.22 Sum #6 + #7C
thru #11
0.00
13 Ending cash balance on 9/16/2014 315,782.78 #1 + #5 - #12
Loans and Unpaid Obligations Summary
14A Total Outstanding balance of all loans incurred during the current year Sch. A2-LP
14B Total outstanding balance of all loans incurred during any year prior to the reporting year Sch. C
14C Total Outstanding balance of all loans Sum #14A + #14B
15A Total unpaid obligations incurred during the current year Line 12 Unpaid
15B Total unpaid obligations incurred during any year prior to the reporting year Sch. D
15C Total unpaid obligations Sum #15A + 15B
16 Total debt of committee Sum #14C + 15C
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.
Gina Countryman September 23, 2014
Date
I certify that this report is complete, true and correct.
Signature of Treasurer or Deputy Treasurer
Certified Electronically By Valid Person
Certification
Committee Transaction Summary
CF Reporter Version Service Pack Page 1 of 1
Printed September 23, 2014
2.4.1 20
Schedule A1-CR Contributions Received
MN Action Network IE PAC
Independent Expenditure Committee Reg Num 41115
In Kind
Associated Builders and Contractors
Total Cash Date
10179 Crosstown Cir Eden Prairie, MN 55344
08/25/14 1,700.00 1,700.00 0.00
In Kind
Larson, Jeff
Total Cash Date
PO Box 123 Bayport, MN 55023
Employer: Roosevelt Group
03/07/14 500.00 500.00 0.00
In Kind
MN Action Network
Total Cash Date
PO Box 16285 St. Paul, MN 55116
09/15/14 300,000.00 300,000.00 0.00
In Kind
Rosens Diversified
Total Cash Date
1120 Lake Ave PO Box 933 Fairmont, MN 56031
09/05/14 50,000.00 50,000.00 0.00
352,200.00
0.00
Total of itemized
Total of non-itemized
Totals 352,200.00
Cash In Kind Total
0.00 352,200.00
0.00
352,200.00
0.00
0.00
Cash In Kind Total
Schedule A1-CR Contributions Received
Printed September 23, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule A1-CR Contributions Received
20 2.4.1
Schedule B1 Expenditures
MN Action Network IE PAC
Independent Expenditure Committee Reg Num 41115
3724 Dunbarton Drive
Mountain Brook, AL 35223
Date Specific purpose of expenditure Paid Unpaid Total
Vendor: CFC Strategies
In Kind
09/16/14 Accounting Services: Accounting Services 1,100.00 0.00 0.00 1,100.00
214 North Fayette Street
Alexandria, VA 22314
Date Specific purpose of expenditure Paid Unpaid Total
Vendor: Public Opinion Strategies
In Kind
09/05/14 Telephone Banks: Polling 3,770.00 0.00 0.00 3,770.00
09/05/14 Telephone Banks: Polling 4,060.00 0.00 0.00 4,060.00
09/05/14 Telephone Banks: Polling 3,770.00 0.00 0.00 3,770.00
09/05/14 Telephone Banks: Polling 3,770.00 0.00 0.00 3,770.00
09/05/14 Telephone Banks: Polling 4,060.00 0.00 0.00 4,060.00
09/05/14 Telephone Banks: Polling 4,060.00 0.00 0.00 4,060.00
09/05/14 Telephone Banks: Polling 4,060.00 0.00 0.00 4,060.00
09/05/14 Telephone Banks: Polling 3,770.00 0.00 0.00 3,770.00
09/05/14 Telephone Banks: Polling 3,770.00 0.00 0.00 3,770.00
35,090.00 0.00 0.00 Vendor Total: Public Opinion Strategies 35,090.00
Schedule B1 Expenditures
227.22
Total of itemized:
Total of non-itemized:
Unpaid Inkind Total Paid
36,190.00 0.00 0.00 36,190.00
0.00 0.00 227.22
Totals:
Unpaid Inkind Total Paid
36,417.22 0.00 0.00 36,417.22
Printed September 23, 2014
Page 1 of 1 Service Pack CF Reporter Version
Schedule B1 Expenditures
20 2.4.1