HomeMy WebLinkAboutReport of Contributions and Expenditures 04-23-2024FIRESTONF,'TOWN CLFRK
9950 Park Avenue
Fmts,loncCO 90520
I' goo
Pir (,_103) 531-62fA
Fax (720) 7 1,14 1 CW)
=I
REPORT Of
Article VIII of die Colorado Cc
Full Name of Committe
Address of Committee/Persow,
Cit y, State & Zip Code: -7;
J-1
Committee Type -
Name and Address of Financial T Ci;LEbfL-T- Ur� i e3 t,,�
Institution as,-L\� L, _4'I's,
COMMITTEE ID NUMBER
'Fype of Report
IRRegularly Scheduled Filing,
ElAmended Filing, This aniends previous report filed on (date)
Sulwml changes or stew inn rmalton ONL Y
ElTertuination &2grt. (Tennination RWrts MUST Have a Monetan, Balance of Zero in Lille 5)
F-4
1 1 Check this box if this Report Contains Electioneering Communication S Information
Reporting Period Covered- LbreN\ z("")IA Through, 1
75ate
Declared Total Spending arospr,,,wi)
jAo, XXVULlioc, *,01
Totals Detailed Summary Page
un s on Hand at the Beginning of Reporting Period unonerary only)
Total Monetary Contributions (line 11) S
Funds on Hand at the End of Revortina, Peri
Amount (line I + line 2) 1 $
3 -
The appropriate officer shall impasse a penalty of $50 per day for each day that a report is riled late.
(Art. VIII See. 10(2)(a)l I
AuthorimLon Imust 12g-ognitifeted by eiLherthe acgistered Aant OR the Caiidjdatcherebr, certy claunder
F, and tit, re,
jwnau�v of lierjury, Mar to the !rest slf'rpq knowledge or belief all contributions received during thry rejwrfing pericki,
including inty contributions received in the.1br"I ol'ineinhership diiev iranjprred Iri, a menibership organization, true torn
permi.vvible source.v,
Print Registered Agent's Name,, In N 0,l,
4
3 -7)
Registered Agent's Signature.- r,,- Daw a -,
Print Candi&te Narrie;r, 1-1 %4
6-.)
Candidates Signature: —Date: _
I-Ireswinc'rqsi Clerk ClIFfcon 1212023
DETAILED SUMMARY
Full Name off o itt Berson:, r, C_
Current Rsporting',Period: Through
Lf-Aa r �Ql
Funds on and at the beginning of reporting period (Monetary Onty)
jX_
' �_l , L)
6
Itemized Contributions $20 or More 1C.R.S. 1-45-109(t)(a)l
(Frorn Schedule "A")
7
Total of Non-ItemizeCo d ntributions
(Contributions of$ 19 99 and Less)
8
Loans Received
(Frorn Schedulc "C
9
Total of Other Receipts
$
(Interest. Dividends. etc
10
Returned Expenditures (from recipient)
(From Schiolule "D")
Total Monetary Contributions
$
(Total of lines to through 10)
12
Total Non -Monetary Contributions
(From Statern ern of Non-,\4onetary Contributions)
13
to Conttions
ribu
(Line I I + hno, t 2)
14
Itemized Expenditures $20 or More [C,R,S, 145-108(1)(atj
"B")
$
(From Schedule
15
Total of Non -Itemized Expenditures
(Expenditures of $19,99 or Less)
16
an Repayments Made
tFrown Schedule "C")
$
17
Returned Contributions To donor)
(Please list on Schedule "'U')
18
Total Coordinated Non -Monetary (in -kind) Expenditures
(Candidate/Candidate Committee & Political Parties ony)
'19
Total Monetary Expenditures
(Total of fines 14 through 17)
20
Total Spending
$
(Line 18 + line 19)
I"i,resttinol'o),kTiCleTk,CPF'f9'in,n, 12/2023
Full Name of CommitteelPerson.-lo
* ; C
WARNING: Please read the instruction hags for Schedule "A"' before completing!
PLEASE PRINTfFYPE
I. lie ceept
Vey
4, Name (LasL First),
t4"t ntributt n Anit
.\\kddre.
1 °tt'iv�st te/Zfp:
3 tzreate Aint,
w
7. l e erl on"
. m loy r\ "are C� � t ®ma at ).
Check boxif
ectioneenng
9. Occupation (,t,l, ��li a l , � • ):
Communication
] Date ��cceted
. Name (Last, First):
C ontrlbuttaan Amt.
5.Address:
a. City/State/Zip:
9, Aeareeate .«.X.t t.
7, Description-,
x
. Employer (if aj)phcdblc,mttdao 1. m
PCheck
box if
ectioneering
9. Ocaupation (if appitcablc,m ndatq-r_v).
�rttnt ttt�tn
] y ..gy�pp
i
2 ContfibUtion Area.
.: .. _. _..
"d fens. {^
. C"tt / tate/Zip.
3. A cure ate Amt.
7. Description:
. Employer (if altltltcablc,map,atoty°
PCheck
box if
leciioneefing.
Occupation (if 'applicable, i andato�'-l.
Ctommuntcatitan
1, Date AcPl.w,i
. Name (LasL First).
3. Address: :
Contribution Amt.
6. City/State/Zip,
3 . Aggregate Amt.
^f Description:
trr }.
..Ernplo er (tt`appltcabl ,m rlatOieck
box if
ectioneering
9. Occupation ttl'ap l,cablc.tnan atct . ,
Communication
For contribution firrrits,,ohin a snittec i� slection evcl or -:wntrib tion cycle, please ief�r to tht following Colorado Constitutional cites, Can date
Committee Ail XXVUL 'Swc 2(f)), Political Party art., XXVIII, Scc 31,p; Political Cornmince Art, XXVdI[. CC 3t5? Small f� ttt r t (rartaaaadt `'atrt.
XXX IIl< Qwc 2041
Schedule B — Itemized Expenditures Statement ($20 or more)
1145-108(l)(a), C,R,S,l
Full Name of Committee/Person: Ool 0 aA C_
PLEASE PRINTrrYPE
1, Date Exnended
C IL-5 :s
4 . Narn
2, 8AmQtm1 5. Address: )'#1
S ) I f —I L_ .1 ?) � 6. City/Statelbp,
3, I'pient is (optional)� tCommittee T. Purpose of Exp
T_
LjNon-Committee he box if Elecfioneefin* Communication
I mate t;x ended
2 "
4, Narne:
t'� 5, Address�,I.
- ta j?-C,) v C,
, Cty/SteLO /Zip� dLPT U Ll L"
3,Recipient is (opuona,])� 6L
Committee 7. Purpose of Expenditure: Fe7v
Non -Committee ��Check box if Electioneering Communicafion
1, Date Exl2ended
4. Natne,
2. aAmpunt
5 . Addre
'pent
.......................
Ciry/State/Z;P,
I is (optional),
Committee
n.
x Purpose of'Expenditure:
Non -Committee
Ocheck box if Eleefioneering, Communication
1. Date Expended
4. C,�
Name�
2, Amount
5. Address:
G
3 Inpient is mptional)-.
6, Cipy/Statelhp
v_
ONon-Committee
Committee
7, Purpose of Expenditure: _v)cb,
a"
aheck box if Electioneering Communication
I 12ate .Exl2ended
4, late:
2. AArnount
5, Address,
6, City/State/Zip�
3,lg
i,oent ilso(optionaJ)�
C u
31
urpose of Expenditure:
C mollue
Uheck boo if ElectioneerinE Communication
_11"
Firestone Town Clerk 4"", PF form- � 212023
Schedule C - Loans
Candidate "om al es only
Full Name of offitnitt /Person ML' , F
LOANS - Loans Owed by the Committee
(Use separate schedule for each loan. 'f his form is for line item 8 and 16 of the Detailed Summary Report
(No rn8ounaataecn copied f orn studs rejx rt'a shall Ix sold or arsed by any tvi-A P7: for the: purIvsc a f,,mlaciting ex)nts butions or for any comrite cial
purpose. tdtrt. XXV111, Sack `e(a*) Notwithstanding any as her seetttrtt of'this attiete to flie corltt an0 , a caandiLt tte's caanrlae ate urax mittce nauti receive at
loan from it rin ancaal institunartt tar aanize i turcier fait or fodertaf law il'the loan bear the ustratt and customa ty ingress rate, as ss de aarr n 1xisis dial
assitres rejui °tataaut, is evidenced tA a saitten a itrurnena, rind is satatcat to a due date lArt. XXV111, " a 3(,$')
LOANSOURCE
aft (rust; tair tarInstitution):
Address'°;w_
`ity agate/zip""\
Original Amount count t `li�t�an: _ .� Interest late,
l`rttal of All Loans This Reporting
rtin
Gnarl Amount unt Received This R orting.Peri tf. a Period-, a
/ fk'lace on line 8 ot'l-ktaalaai titunniary Tit^I'XIMAl
Principal Amount aunt Paid This Reportin ,, riod:
Interest Amount l aid `rhis Rejxvting la t e dam*
Amount Repaid This Reporting Period: ,, � Total Repayments Made:
f era :}aannt t ; zil as srraa a T'rttrcif tl irracrest c etc acrl carfl tart *anarrsa tt (Suin of Sels dule C rages. Plater: on lasts 16of°
Doan ed Sunr mu-1a f
Outstanding 1 glance: a
TERMS OF LOAN:
Date Loan Recei, t [ c Date for Firtal Pa> merit
LIST ALL ENDORSERS OR GUARANTORS Fx
LAti"
hill Address, City, State, Zits Amon nt Guaranteed
Firestone Timm tf'lcrla twPF' dome: I V2023
Full Name of Committee/Person:
L C
Returned o ntr ution
. lret°itrus4, reported on Stliedule A
Contributions accepted and ten returned to donors)
PLEASE PRINTITYPE
i ,Date Accevted
. N (Last, First)
2, 'Date Returned
, add ess-
.: mount
C iq,/ tatet ip;:
7. P170sel.
l Cite. Accoged�
.torte 0,1. First):
. QgLe &qturrlqd
. ant gn
6, Cft / ttte/dip:
T Purpose:
Returned end,"
. tc,° c ta. it# 1 } rrtee c rr <" + Tt c rt
Expen "tittor rc fi rr ed to the cot astute,
PLEASE PRINTfrYPE
l . 1�te 1W,pertt�etl
'N
. Name (List, Firsty
2. Ctate It turned
5, Address:
6, City/State/Zip:
�, Ant nt
7. Comment ment Optional"):
t Date Ex
. Name (Last, First),
?.: Iat turned 5. Address,
a. Lkm t 6- C"tt / t te? (p'.
QIL-
7. Co,mnielit (Optional):
Statement of Non -Monetary Contr ib tion
jArt, XXV111, Sec. 2(5)(a)(11)(111) & Sec 50) & 145-10 (1). CKS,j
Full Name of Committee/Person:
1, Dat6,Prrl id d
. Name (Last. i°irtxt):
2 Fair Market i"aloe
.AZgrejLate Aunt Description:
pltr r (if applicable, rrt datot :
Mheck box i
9 'cttp ti rt (if airplicable arlandat i'
rtLti
L'cnoueer�
�at%}tt
it'l. Tr ek b if C"tat dirr l�d ith iICBM did to Committee mittee or Ptr] ticai P "
1 t�tzte k°�ided
M blame (lust, Firaat)�
. Addressor
2. fair Nr'iarketlaa
fa. City/State/Zip:
3. ,k re gate Ar t.
i l esri titrrr:
Employer (t` ais rii abie lttan at };
heck b if
_t,__
9, Occupation tion 6r ap licab .t�tar�dat t �
cttneena
Communication
10 beck box ifCoordinated with a Candidate/f7andidate Committee or Ptrlitieal P .
. Name (mast, First):
5, Address-, ,
2, Fair Market Value
�
6. Crtyaptate/Zip=
2,Description-
3 A ' tre ate t'lrrr .
rnp oyez" of a piicabje,mAne
ek bca al"
l ecti
oneeritt
. Occupation Gf r Ixcabl ,nj to 1.
Communication
to 'beck boat if Coordinated rdinated with a Candidate/Candidate Committee mittee or P lrttca
" t` otc: If carairdi$taatarxt, trail .ca`anuibution Must: shw tv re.".-&brted as to non-ITBtkCIel ar4 e"".+:tvnditurt3 on a,31''tatlt'd Summary. Arl XXV111, See 2f,,9) swtes. " J$"tipE`koiture.r
that are tt:.antrcallrat by or m3rdinaated
with a candidate or candidate's agent LIM dcorn try t* SAII contri ufions by, ow rrutker of the ext ndituTesi, and expendildivs tw
the candidate collialiitee •.„,
Vvestovel oun t"1or C ta1' taumi, 12/202