| Municipal/Judicial Exemption FormFiled By APOC StaffCompleted
              Submission Date:
              09/13/2019 
               Filer First Name: Dacia 
              Filer Middle Name: C 
               Filer Last Name: Collins 
              Election: 2019 - Lake and Peninsula Borough 
              Office Type: Did Not Report Candidate Information
               Election Year: 2019 
              Reason for Filing: Municipal 
               Candidate Display Name: Scott W. Anderson 
               Candidate Legal First Name: Scott 
              Candidate Legal Last Name: Anderson 
               Purpose: Municipal 
              Campaign Mailing Address: 1011 Christensen Dr. 
              City, State Zip: Port Heiden, Alaska 99549 
              Phone: 907-837-2428 
               Email: scott5025@yahoo.com 
              Fax (Optional): Did Not Report Deputy Treasurers
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