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HomeMy WebLinkAboutReport of Contributions and Expenditures 2-29-2024FIRESTONE TOWN CLERK 9950 Park Avenue Firestone, CO 80520 ToivnC1er1-@FirestoneCO3gov Ph: (303) 531-6264 Fax: (720) 713-4106 TOWN OF -FIR�EISITMONI 0 _ M Town Clews offfm FFEB 2 9 2024 - Nh _ I . r FIRESTONE "r. I AA .91V 0 1. 0 R � 11 0 R";�d b REPORT OF CONTRIBUTIONS AND EXPENDITU Article XXV111 of the Colorado Constitution and Title 1, Article 45 of the Colorado Revised Statute (C.R.S.) I Full Name of Committee/Person: GbOYAC- I own Address of Committee/Person: (oxaa sayz- A v e, City, State & Zip Code: C-1-i z Committee Type: Dame and Address of Financial Col— CP--CD#T L)t-.7 lop Institution lluk E.---Aa Type of Report Regularly Scheduled Filing. Amended Filing. This amends previous report filed on (date) Submit changes or new inforniation ONLY Termination Report (Termination Reports MUST Have a Monetary Balance of Zero in Line 5) Check this box if this Report Contains Electioneering Communications Information Reporting Period Covered: U>n 'Throughl-H—ar�v--,, 1 20 ZT Daf6'- Date Declared Total Spending Of applicable) $ [Art. XXV111, See, 4(1)1 1 N)A Totals Detailed Summary Page I I Funds on Hand at the Beginning of ReportingPeriod(monetary only) $ al 09 2 Total Monetary Contributions (line 11) $o 3 Total of Monetary Contributions a Beginning Amount (line I + line 2) —Y 6 4 Total Monetary Expenditures (line 19) $ 5 Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) The appropriate officer shall impose a penalty of $50 per day for each day that a report is riled late. [Art. XXVM See. 10(2)(a)] Authorization {Must be completed by either the Registered Agent OR the Candidate):I hereby certify and declare, under penalty qfjiet jiny, that to the best of nay knowledge or belief all contributions receNed during this reportingperiod, including any contributions receNed in the form of membership dues transferred by a membership organization, are from permissible sources. "-l Print Registered Agent's Name: I Registered Agent's Signature - Print Candidate Name: .77T6, Candidates Sip -nature: IN Full Name of Committee/Person: Funds on hand at the beginning of reporting period (Monetary Only) 6 Itemized Contributions $20 or More [C.R.S. 1-45-108(l)(a)] $ (From Schedule "A") 7 Total of Non -Itemized Contributions $ (Contributions of $19,99 and Less) 8 Loans Received $ (From Schedule "C") 9 Total of Other Receipts (Interest, Dividends, etc.) 10 Returned Expenditures (from recipient) $ (From Schedule "D") 11 Total Monetary Contributions (Total of lines 6 through 10) 12 Total Non -Monetary Contributions IT> $ (From Statement of Non -Monetary Contributions) 13 Total Contributions $ (Line 11 + line 12) 14 Itemized Expenditures $20 or More [C.R.S. 1-45-109(l)(a)] "B") $ (From Schedule 15 Total of Non -Itemized Expenditures (Expenditures of $19.99 or Less) 16 Loan Repayments Made "C") $ (From Schedule 17 Returned Contributions (To donor) $ (Please list on Schedule "U) 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 Spending (Line 18 + line 19) $ 11)� Firestone Town Clerk CPF form: 12/2023 Schedule A - Itemized Contributions Statement ($20 or more) Full Name of Committee/Person: WARNING: Please read the instruction page for Schedule "A" before completing! PLEASE PRINUTYPE 1. Date Accepted 4. Name (Last, First): ll 5. Address: Nl� 2. Contribution Amt. 6. City/State/Zip: $ P 7. Description: 3. Agregate Amt. $ + v k 8. Employer (if applicable,mandato!3 ) Check box if LET'ectioneering 9. Occupation (if applicable,mandato Communication 1. Date Accepted 4. Name (Last, First): 2. Contribution Amt. 5. Address: 6. City/State/Zip: $ t) 7. Description: 3. Aggr gate Amt. $ 8. Employer (if applicable, mandato Ky Chec box if ectioneering 9. Occupation (if applicable, mandatoly Communication 1. Date Accented 4. Name (Last, First): 5. Address: 2. Contrf6ution Amt. $0 J^ 6. City/State/Zip: 3. Aggregate Amt. 7. Description: $ 8. Employer (if applicable, mandatory nCheck ox if Erectioneering 9. Occupation (if applicable, mandato1y Communication 1. Date Acce ted 4. Name (Last, First): 5. Address: 2. Conirribution Amt. $ %) 6. City/State/Zip: 3. Aoar&ate Amt. $ 7. Description: 8. Employer (if applicable, mandato Ky heck box if ectioneering 9. Occupation (if applicable, mandato�& Communication * For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, See. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, See. 2(14). Firestone Town Clerk CPF form: 12/2023 Schedule B - Itemized Expenditures Statement ($20 or more) [1-45-108(1)(a), C.R.S.] Full Name of Committee/Person: PLEASE PRINT/TYPE 1. Date Expended F� 1 t� �Z�Z 4. Name: 1 ����Pr i r� 5. Address: .S� (A) kA h-,a 2. Amount 6. City/State/Zip: a t A $ ` g 3. pient is (optional): LJCommittee ❑Non -Committee ''�\ 1 7. Purpose of Expenditure: 1 N'e--,S Cards °� �J�r 1'Aa n4 t'-el- acheck box if Electioneering Communication 1. Date Expended 1 4. Name: NJC)v f n.-\ 5. Address: q 14 ) `(4 ��1 r', d --J�2 6. City/State/Zip: 1 .t n �/ eR , 6 (aJ`A d ® 3 0 2 6 2. �j 7. Purpose of Expenditure: �i 5 1 - N--OLWtZ�i v` 2. Amount $ ` ©0 3.Recipient is (optional): Committee ElNon -Committee E]Check box if Electioneering Communication 1, Date Expended F�)6__,�)02 4. Name: H"d r''t °e 5. Address: ia�5� _ ; L-V b 2. Amounts / , f`�'t ► 7& $ ' n ' ' i2 sTo �1�J�cJ Q© �65 ©y 3. pient is (optional): �Committee n '-'Non-Committee 6. City/State/Zip: (' " 7. Purpose of Expenditure: F IZP_^'`e s P 'r r e rS heck box if ElectioneeringCommunication 1. Date Expended �� i � 2� � 4. Name: 5. Address: .J ekes � Of !� 2. Amount $ 't r e S ToN � 4 �sLo2)0 3, ptent is (optional): Committee ❑Non -Committee 6. City/State/Zip: f 7. Purpose of Expenditure: heck box if Electioneering Communication 1 Date Expended r-~t � e `t 4. Name: � 0-1 5. Address: 2. Amount $ ' 3 L' 3. pient is (optional): ❑Non -Committee 6. City/State/Zip: �--Committee 7. Purpose of Expenditure: YYI It's id ✓' rpt� Elcheck box if Electioneering Communication Firestone Town Clerk CPF form: 12/2023 Schedule B - Itemized Expenditures Statement ($20 or more) [1-45-108(1)(a), C.R.S.] Full Name of Committee/Person: PLEASE PRINT/TYPE 1. Date Expended -D C 4. Name: 5. Address: Co 3-� Aye- 2. Amount 6. City/State/Zip: G ToN 1 C��o �t o c��-S 0 $ 11�v1 Q , ® 0 3.Recipient is (optional): O�j. Committee ®Non -Committee �r�` 7. Purpose of Expenditure: �loaph54- OtL bIt-S heck box if Electioneering Communication 1. Date Expended Fib a - 3 -1-Zo2 4. Name: F. CC�b c:)o 5. Address: cd,, b 2. Amount $ Z , Od 6. City/State/Zip: I , 1e�114 ��� �1 ► �6 /' Yl ) 11''.. G 7. Purpose of Expenditure: E�eJoK 3.Recipient is (optional): Committee ® Non -Committee lacheck box if Electioneering Communication 1. Date Expended 4. Name: 5. Address: 2. Amount $ 3. pient is (optional): 6. City/State/Zip: ❑Committee Non -Committee 7. Purpose of Expenditure: aheck box if Electioneering Communication 1. Date Expended 4. Name: 5. Address: 2, Amount $ 3. ent is (optional): 6. City/State/Zip: Mpiommittee ❑Non -Committee 7. Purpose of Expenditure: heck box if Electioneering Communication 1 Date Expended 4. Name: 5. Address: 2. Amount $ 3. 'pient is (optional): 6. City/State/Zip: Committee on -Committee 7. Purpose of Expenditure: aheck box if Electioneering Communication Firestone To-,i,n Clerk CPF form: 12/2023 Schedule C - Loans Candidate Committees only Full Naive of Committee/Person: ,ZON C(Jl,)4AC, LOANS - Loans Owed by the Committee (Use a separate schedule for each loan. This form is for line item 8 and 16 of the Detailed Summary Report.) [No information copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or for any commercial purpose. [Art. XXVIII, Sea 9(e)] Notwithstanding any other section of this article to the contrary, a candidate's candidate committee may receive a loan from a financial institution organized under state or federal law if the loan bears the usual and customary interest rate, is made on a basis that assures repayment, is evidenced by a written instrument, and is subject to a due date or amortization schedule [Art. XXVIII, Sec. 3 (8)] LOAN SOURCE Name (Last, First or Institution): Address: City/State/Zip: Original Amount of Loan: $ Interest Rate: Total of All Loans This Reporting Loan Amount Received This Reporting Period: $ Period: $ (Place online 8 of Detailed Summary Report) Principal Amount Paid This Reporting Period: $� Interest Amount Paid This Reporting Period: $ Amount Repaid This Reporting Period: $ d Total Repayments Made: $ (Amount Repaid is sum of Principal & Interest entered onDetail Summary) (Sum of Schedule C pages, Place on line 16 of Detailed Summary) Outstanding Balance: $ TERMS OF LOAN: Date Loan Received Due Date for Final Payment LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN Full Name Address, City, State, Zip Amount Guaranteed Firestone Town Clerk CPF form: 12/2023 Schedule D — Returned Contributions & Expenditures Full Name of Committee/Person: 0 6 r Returned Contributions (Previously reported on Schedule A — Contributions accepted and then returned to donors) PLEASE PRINT/TYPE 1. Date Accepted P ]A 4. Name (Last, First): 5. Address: 2. Date Returned )J/4 6. City/State/Zip: 7. Purpose: 3. Amount $ A) 1. Date Accepted 4. Name (Last, First): 5. Address: 2. Date Returned 6. City/State/Zip: 7. Purpose: 3. Amou t $ Returned Expenditures (Previously reported on Schedule B — Expenditures returned or refunded to the committee) PLEASE PRINT/TYPE 1. Date Expended N 4. Name (Last, First): 5. Address: 2. Date Returned N 6. City/State/Zip: 7. Conurtent (Optional): 3. Amount $ I" 1. Date Expended 4. Name (Last, First): 5. Address: 2. Date eturned N 6. City/State/Zip: 7. Comment (Optional): 3. Amo ut Firestone Town Clerk CPF form: 12/2023 Statement of Non -Monetary Contributions [Art. XXVIII, Sec. 2(5)(a)(II)(111) & Sec. 5(3) & 1-45-108(1), C.R.S.] Full Name of Committee/Person: bJ PLEASE PRINUTYPE 1. Date Provided 4. Name (Last, First): v 5. Address: 2. Fair Market Value 6. City/State/Zip: 7. Description: 3. Aggragate Amt. 8. Employer (if applicable,mandatoiy 9• Occupation (if applicable, mandato 2he k box if ecttoneermg Communication 10, alleck box if Coordinated with a Candidate/Candidate Committee or Political Party. 1. Date Provided 4. Name (Last, First): N 5. Address: 2. Fair $ Market Value A A ' 6. City/State/Zip: 7. Description: 3. Aggregate Amt. 8. Employer (if applicable, mandator 9. Occupation (if applicable, mandatory lo, aheck box if Coordinated with aCandidate/Candidate Committee or Political Party. �hec box if ecttoneermg Communication 1. Date Provided 4. Name (Last, Ft N 5. Address. 6. City/State/Zip: 2. Fair Market Value $ 7. Description: 3. Aggregate Amt. $ 8. Employer (if applicable,mandatorv): [__JChecV box if Electioneering 9. Occupation (if applicable, mandatoly Communication 10. QCheck box if Coordinated with a Candidate/Candidate Committee or Political Party. Note: If coordinated, then contribution must also be reported as a non -monetary expenditure on Detailed Summary. Art. XXVIII, Sec. 2(9) states: "...Expenditures that are controlled by or coordinated with a candidate or candidate's agent are deemed to be both contributions by the maker of the expenditures, and expenditures by the candidate committee." Firestone Town Clerk CPF form: 12/2023