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 Zaiger (Gloria) for House 17667 Zaiger, Gloria D House District: 64B Schwimmer, Jill Committee Information: 3100 44th Ave. South Minneapolis MN 55406 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 21, 2014 Page 1 of 1 Service Pack CF Reporter Version Report of Receipts and Expenditures 17 2.3.31 Received by the Board January 20, 2014 Committee Transaction Summary Zaiger, Gloria House Dist. 64B Committee Principal Campaign Committee Reg Num 17667 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 4,800.00 0.00 4,800.00 Sch. A1 - IND 3 Lobbyist contributions 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 500.00 500.00 Sch. A2 - LP 9 Miscellaneous income Sch. A2 - MISC 10 Total Receipts 5,300.00 0.00 5,300.00 Sum #2 to #9 B Disbursements Cash In-Kind Total Unpaid Bills 11 Campaign expenditures 1,411.81 0.00 1,411.81 Sch. B1 - CE 0.00 12 State ballot question expenditures (Not local referendums) Sch. B1 - BQ 13 Total Campaign Expenditures 1,411.81 0.00 1,411.81 Sum #11 to #12 0.00 14 Non-campaign disbursements 135.31 0.00 135.31 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 1,547.12 0.00 1,547.12 #13 to #18 0.00 20 Ending cash balance on 12/31/2013 3,752.88 #1 + #10 - #19 Loans and Unpaid Obligations Summary 21A Total Outstanding balance of all loans incurred during the current year 500.00 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 500.00 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 500.00 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. Jill Schwimmer January 20, 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 21, 2014 2.3.31 17 Schedule A1-IND Individual Contributions Received Zaiger, Gloria House Dist. 64B Committee Principal Campaign Committee Reg Num 17667 In Kind Hong Cao, Angela Total Cash Date 7 Dove Lane North Oaks, MN 55127 Self-employed CPA 12/18/13 250.00 250.00 0.00 In Kind Hunter, Kimberly K Total Cash Date 1451 Edmund Ave St. Paul, MN 55104 Self-employed Attorney 11/25/13 500.00 500.00 0.00 In Kind Lipe, Joan Total Cash Date 9901 Penn Ave. S. Apt 100 Bloomington, MN 55431 Self-employed Retired 12/08/13 50.00 50.00 0.00 12/14/13 900.00 900.00 0.00 950.00 950.00 0.00 Total In Kind Moshier, Becky A Total Cash Date 2055 Marion St. Roseville, MN 55113 Self-employed Attorney 12/10/13 250.00 250.00 0.00 In Kind Taylor, Doris Total Cash Date 2001 Holcombe Blvd 2706 Houston, TX 77030 Employer: Texas Heart Institute 12/28/13 300.00 300.00 0.00 In Kind Zaiger, Deborah Total Cash Date 2315 Rainbow Ave. New Brighton, MN 55112 Employer: Specialty Manufacturing Co. 11/25/13 250.00 250.00 0.00 2,500.00 2,300.00 Total of itemized Total of non-itemized Totals 4,800.00 Cash In Kind Total 0.00 4,800.00 2,300.00 2,500.00 0.00 0.00 Cash In Kind Total Schedule A1-IND Individual Contributions Received Printed January 21, 2014 Page 1 of 1 Service Pack CF Reporter Version Schedule A1-IND Individual Contributions Received 17 2.3.31 Schedule A2-LP Receipts from Loans incurred in Current Year Zaiger, Gloria House Dist. 64B Committee Principal Campaign Committee Reg Num 17667 Zaiger, Gloria Outstanding Balance Date 1917 Bohland Ave St. Paul, MN 55116 Employer: US Bank Original Loan Amount 12/05/13 500.00 500.00 500.00 0.00 Total of itemized Total of non-itemized Totals 500.00 Schedule A2-LP Receipts from Loans incurred in Current Year Outstanding Balance Original Loan Amount Outstanding Balance Original Loan Amount 500.00 0.00 500.00 Printed January 21, 2014 Page 1 of 1 Service Pack CF Reporter Version Schedule A2-LP Receipts from Loans incurred in Current Year 17 2.3.31 Schedule B1-CE Campaign Expenditures Zaiger, Gloria House Dist. 64B Committee Principal Campaign Committee Reg Num 17667 1443 Alameda Ave. St. Paul, MN 55117 Date Specific purpose of expenditure Paid Unpaid Total Vendor: Debough, Rhonda In Kind 12/15/13 Printing and Photocopying: Printing 57.85 0.00 57.85 Reimbursement Details: FedEx Office 0.00 12/18/13 Postage/ Delivery: Stamps for Mailing 207.00 0.00 207.00 Reimbursement Details: USPS 0.00 264.85 264.85 0.00 0.00 Vendor Total: Debough, Rhonda 1067 Rice Street St. Paul, MN 55117 Date Specific purpose of expenditure Paid Unpaid Total Vendor: Impact Printing In Kind 12/05/13 Printing and Photocopying: Lit Piece 577.95 0.00 577.95 0.00 12/30/13 Printing and Photocopying: Lit Piece 374.64 0.00 374.64 0.00 952.59 952.59 0.00 0.00 Vendor Total: Impact Printing Schedule B1-CE Campaign Expenditures 194.37 Total of itemized: Total of non-itemized: Unpaid Inkind Total Paid 1,217.44 0.00 0.00 1,217.44 0.00 0.00 194.37 Totals: Unpaid Inkind Total Paid 1,411.81 0.00 0.00 1,411.81 Printed January 21, 2014 Page 1 of 1 Service Pack CF Reporter Version Schedule B1-CE Campaign Expenditures 17 2.3.31 Schedule B1-NCD Noncampaign Disbursements Zaiger, Gloria House Dist. 64B Committee Principal Campaign Committee Reg Num 17667 Schedule B1-NCD Noncampaign Disbursements 135.31 Total of itemized: Total of non-itemized: Unpaid Inkind Total Paid 0.00 0.00 0.00 0.00 0.00 0.00 135.31 Totals: Unpaid Inkind Total Paid 135.31 0.00 0.00 135.31 Printed January 21, 2014 Page 1 of 1 Service Pack CF Reporter Version Schedule B1-NCD Noncampaign Disbursements 17 2.3.31