HomeMy WebLinkAboutReport of Contributions and Expenditures 03-18-2024,fJ_ k - Y,i_
REPORT OF CONTIUBUTIONS AND EXPENDITURES
Article XXV111 oft e Colorado Constitution aird Tirlc 1, Article 45 of the Colorado Revised Statute (C R-S
01) 1
AV
Committee Type�
tAe
Name and Address of Financial G(-')_r 1'r L,)jj
Institution "I:�
COMMITTEE ID NUMBER L
Type of Report
Regularly Scheduled Filing,
Amended Filing. Ibis amends previous rejxm filed on (date)
Submit changes or new infonnation ONLY
17ITennination ftort. (Tennination Reports MUST Have a Mcnietary Balance of Zero in Line 311
71 Check this box if this Report Contains Electioneering Communications Information
Reporting Period Covered- jr,)2� Through
Date Date
Declared Total Spending (it aprikable)
[Art XXV111, Sox, 4t 1)] Eli qF&--
Totals Detailed Sununi� �gel
rind (inonctary anK)
�0
Am
MIM
M
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.
jArt. XXVIII Sec. 1ill )(al]
A uthDrization tMust be com jai eted hIs ei the rdie Reehitc red A gent OR jLi_c_C_a_n_d_id&j I he rehr, ccrtl,h, tit 0 decdare, under
J,wnalt I (?fj.7equ1j" that to the best qf ntv brou ledge or befie .fall contributions received during this reporting 1.1ertod,
inclutling arty contributions received in dreftwn qI'menthership dites trams .ferreil b.Y a mentbership organizemon, cxrge p rcrrrt
I)ermissiblesources.
Print Registered Agent's Narne,
Registered Agent's Signature �Vy"Ix Date. 3 22 2Y
Print Candidate Name: V 'A L_
S
Cwtdidates Signature: Date:
Firestone"Fown Uerk CIT 1'nnn, 1212023
DETAILED SUMMARY
Full Name of CommitteelPerson:
Current
Reporting period:N,
h
Funds on hand at the beginning of reporting period (Mon latOnly)
Itemized Contributions l or More [C. 1-4 -fl i 0 )t Jj
{l"rom Schedule "A"')
Total of Non -Itemized Contributions
(Contributions of $19,91) and Lesel
Loans Received
.w"
(FromSchedule"C")
Total of Other Receipts
�
(Interest., Dividends, ete.I
10
Returned Expenditures (from recipient)
(From Schedule "D")
�w
1 I
Tate( Monetary Contributions
(Total oflines 6 through 10)
1
Total Non -Monetary Contributions
$ R .
(From Statement of"Non- onetContributions) .r
1Total
Contributions
'(
(Line l + litre 12
14
Itemized penditur or More [C.lt . 1- 5408(l)ta l
rA o'
(Fr Schedule "B")
15
TotalVon-It i edd Expenditures
(Expenditures of $19,99 or i ass)
16
Loan Repayments Made
q d
(From Schedule—C-)
17
Returned Contributions To donor
(Please list on Sclicsitilc " D-=)
18
Total Coordinated Non -Monetary (in -kind) Expenditures
(Candidate/Candidate Committee & Political Parties only)
19
Total Monetary Expenditures
$
(Total of lines 14 through 17)
20
Total en in
1 -,- line 19)
(Line
Firesto c Tait"n Clerk CP forzwa.1212023
Schedule A — Itemized Contributions Statement ($20 or more)
Full Name of Committee/Penon:
WARNING: Please read the instruction page for Schedule "A" before completing'.
PLEASE PRINTrINPE
1
4 Name (Last, First): 31-
2. Contribution Amt,'
5. Addres&
6. City/State/Zip
0_9
3, Aaureayate Amt,
?,A
A(611
7. Description.,,
8, Employer (if applicable, ji_andatonfY
"lieck Dox if
[Ationeeting
9, Occupation (if applicable. mandalM)1.
otr
_.qt1imunication
Date Acceitted
4, Name (Last, First):
2, CCU ti n Amt,
5. Address-,
�t
6. City/Stat e/Zi
3 AQUIM, e Fin
7, Description
8. Employer (if applicable, MM4212!1):
Check box it\
[Eal,tioneering
9. Occupation (if applicable,,MMAa!2Dj.
Conimunication
ate 'A ccepted
'1041,,ast.
4 First):
2, C6hrrithiticij Anit,
5 Address,
S
6. Cit-r/State/Zip,
3, A& LYMITA'Arit. *
7. Description-
& ployer (if applicable. matidatory
Lit
heck box of
Electioneering
9. Occupation lif applicable,Majidatory
Coiny
4. Nate"
2, C L n unit, 5. 'Ail
tA
6. City/State/Zip:
rat
3. Aaare tatint, dd
S 7. Description -
beck box if 8, EMployer (if applicable, mandatory):
ecifioneering 9. OCCUpation (if applicable, niandatorv):
Cominunication
for oontribution limits within to corninitteeCs clecuon c.vele (,)T contribution cycle, please rcfr to the following Colorado Conqututional cites -1 Candhluk,_,
Cojurnitice Art, XXV111, See, 2(6),. Political Party Art, XXV1111, Sc, 3(3). Political Coffmiiitee Art.:: ;V111, Sec 3(5),, Sinall Donor Cominifte Ati
XXV11 1, Scc 2(14),
FiresioncTown Clerk C11F forni: 121202,%
Schedule Itemized Expenditures t t ment r ore)
1-45-10lll)i),CRS,i
Full Name of C ftt r6I r rr:
PLEASE PRINTrFVPE
. Amount
,.
address. c_ F 1 1 - r7Oj
3, cspient i )optional}:
a
C at)tati ip:
Committee
.
Purpose ofE pundi ur : LA- 'fib r ,, , ( r-"
Non -Committee
heck box if Election ring ommuni ti s
1Date Expended
J,
2
Amount
5.
Address:
' l"srm
6,
Cit t tat / ip: r.. t..
� � 1 r>, r', CA
,. ctpicnt is (optional).
ElCommittee
.
purpose ofExpenditure: 4,ctrt Lw �
Non -Committee
heck box if'Electioneering Crrmmunication
i. Date Expended
4.
Nanie.�.
.""°
NJ
tti t
,
Address-
&
C9ittate/ ip.
pi�:nt is ,ptis��i�ll:
tiCommittee
«.
Purpose of`E p nditu
l7
on—Committeeheck.
box if El cttcfrr cart � C�rnn tttrntcatrsatt
1, 2DIg Etiendd
w
,. a t
.
Address:
«
a.l ni fti rr tatstt tll.
6.
city/state/Zip,
�...
Crtriiirritt
.
Purpose f p rtdituru;
Non-Committeeheck
box if-Electioneerinj Cctntrrrurrrcatrurt
"..
Date Expended
w
pp
114)
,w
5,
Address:
( ®}.
3,lp cipient is to �?nall.
&
C ttyl tatul p;
"ommittee
7.
Purpose of Expenditure:
"heck box if Electioneerinu Communication
Full Name of Corrunittee/Perso-n-,
LOANS- Loans Owed kv the Committee
(Use a separate sch dul ftrr each Irian. This form is for line item 8 and 16 of the Detailed Summary Rep rt,
l:llca iaatin-matiaaxt copied from such ox.^f tits shall te, sold or used by iaety fvrs«n: firr tits; (tutrraise of Soliciting contributions or f ra aanN commercial
al
pralvsc lA t- XXVIII, Iiaxc 9(c)i Notwithstanding mw a ffier section of this article to ilte contrary, to icindiartate s caai..ardidatc corniaxlutee inny rmciIve a
loan froin as tiranxie tall institution orwiaria.ed fancier state of tiulcr,tl IaaNA il'ibe l+watt t aars tht usual end ciistorriaary interest rate., is Made on as Iiaasas that
asiauvs relttiy rnent, is evidenced t4' as written instrument, and xis suklec i to «a due suite in aanior laaation 3tadule [Art, XXVIII, Scc: g I1
f arm (Last, first or Institution):
Mdrs i
City , t o ip:
Original rt uta of o ,: Interest bate,;
Total of All Loans This Reporting
Loan not it F ee t ed'lbs Reportingeriod
Period: ri'laacsa,n iirac9 e1k"l�Zarailcri'Ictittriaars, &lefx»rt;p
Principal Arnount Paid T _s l e r ' I�erirFd:
Interestiv ountradlitisme i}tin l
Amount nt paid This Reporting, lie d:
( mount Pel�aaial is sutra tit° f'rinci it Interest core sa °!sift: st �tes'I
/\ \ /1' ' Y
Outstanding l alanc(S
" T RMS OF LOAN.
Date "tsctttaa Rtac
LIST ALL ENDORSERS OR GUAR�4,�
't l tr e Address, i
TotalRepayments Made:
(`curs of Schedule C jvgcs, Place dart Iva: It of
1`))railed tsufrutttary )
eived Disc 13ate fmarFinal Payment
3 OF r S LOAN
g
1• fret Ugic `f"c ,mi Clerk CI'Fism 12t2023
F_ Schedule Returned Contributions & Expenditur
Felt Name of Comm itt 1P ttnc
Returned Contributions
'c,)tier ibzition cat cel)ter acid li *n rt?ttlrfl ado otlr r:v
PLEASE PRINTrrYPE
I Date Acceoted
4. Name (Last, First):
"fir Date R6tunied 5, address:
. Amount 6 C'it °l tit /Zip:
7.Purpose;
I Lute AEEe
Sted
(Lust, First)_
2 :Hate Returned 5. ss:
3. Amount 6, Crt / t ip.
rM
± 7 ptt Ise.
1.1trei us tv reported on Schedule
PLEASE PRINT/TVVE
1 ate Exvended,
2, mate R t rrt d
5..drs:
3. Arnount 6, C"it / t t /Zif
7, Comment (Optional):
, Nam(Las.t irst):
2ite Fttttrnf 5. address.
3, Nniourit 6, City/State/Zip:
$ :::] 7. C 0111trtertnt (Opfion l ):
oures returned red or t°efivided it the committee)
Statement of Non -Monetary Contributions
1,Art-XXVI I L. Sec- 2(5,Xa)(1l)QIl)& Sec, 5(3)& 1-45-108(t),CAS, I
1-11
Full Name of Committee/Person: r-,,
>LKASE PRI-NTrrYPE
4. Narne (Ltst, First),
5 . Address:
2, Fair Mar et Value
City/State/Zip,
3, A re rate Amt. "'1 7, Description:
,4, Employer (if applicablc,MagqaLor :
iisart rise if 9. Ncupation (if applicable, mandatory Communication
10, ieck, box if Coordinated with a Candidate/Candidate Committee or
1. Date ProviTe—d
4,
Name (LasCT.girsi
5.
Address:
2. Fair Market Value
s
6,
City/State/Zip
7,
Description: _
3, Aaaret-late Amt
$
F,
Employer (if apt
Y if
9,
Occupation ora
fi t oneering
Communication
i g,
F-ICIt box
)ate Provided 4, Name (LasL f-tirst):
5, Address.-
2. Fair Market Value
S 6, City/State/Zip
3, Agaregate Amt. T Description:
9 Employer of applicable,mand
L - heck box if ), Occupat'on (if applicable. mandatory):
ET-eyetfioneering 1
Communication ip� r—if-t—A, 1-- � f1._AA_i-_X
N
Ir Political Party.
Now: If coordinated. then contribution must alsgr be ruTxmed as as non -monetary exlvnditure on IX -tailed Surnmary Art. XXV111, Sw
that are conizolled h,a or coordimied with a candi(ble or, uindidate's agew are &med to be h(ah Loraribultionq aay the trialwir of the ex pei
aw candidate coinmitrce,-
cxr&rrdnurcb,v
FiremorieTcotier Clerk ClIFfimp: 121/2() 1 2