HomeMy WebLinkAboutCandidate Statement of Non Receipt Contributions 2-2-2024rrmEsTor TowN CLERK
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO,gov
Ph: (303) 531-6264
Fax: (720)713-4106
www. ff restorfieco.gov
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CANDIDATE STATEMENT OF NON -RECEIPT OF CONTRIBUTIONS
.AND..
NON -EXPENDITURE OF FUNDS
[1-45-108(1) & 1-45-109,C.R.S.]
Space Below for Office Use Only
This form is for the use of candidates that do not have a campaign committee and have not received contributions nor made expenditures,
No expenditures have been trade on behalf of the candidate.
Name of Candidate:
Address of Candidate:
City, State, Zip: .+.s`a .� c o c
ReportingPeriod: Beginning Date Ending Date
$ 0.00
$ 0.00
I'Z 5 C&_-- , affirm that no person received contributions on
my behalf nor made any expenditures on my behalf. No contributions have been pledged to me nor on my
behalf. I have not received any contributions nor have I made or incurred any expenditures on my own
behalf during this election reporting period. $
.te:
Firestone Town Clerk, revised 12f2023