HomeMy WebLinkAboutReport of Contributions and Expenditures 3-15-2024FIRESTONE TOWN CLERK
9950 Park Avenue
Firestone, CO 80520
To-,vnC]erk@FirestoneCO.gov
Ph: (303) 531-6264
Fax: (720) 7134106
www.firejjtoneco.�
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Article XXV111 of the Colorado Constitution and Title 1, Article 45 of the Colorado Revised Statute (C.R.S.)
1 11411 111� 111��liiiiii qliiii � �111111l
IP
on
Address of Committee/Person:
City, State & Zip Code:
Committee Type:
Name and Address of Financial
Institution
0 Regularly Scheduled Filing.
Amended Filing. This amends previous report filed on (date) A/ 114
Submit changes or new information 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: I 31qZc2()o, jv�Lp/ I
---v- Date Through Date
Declared Total Spending (if applicable)
[Art. XXV111, Sec. 4(l)]
Totals Detailed Summary Page
I
Funds on Hand at the Beginning of Reporting Period (monetary only)
$ JaC). Vf,7
2
Total Monetary Contributions (line It)
$ e. 42 e'2
3
Total of Monetary Contributions & Beginning Amount (line I + line 2)
$ 12?0. 0 a
4
Total Monetary Expenditures (line 19)
$ 6P .(9 IV
5
Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4)
$ ao.00
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.
[Art. XXVItt Sec. 10(2)(a)]
Authorization (Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, under
penalty ofpetjuty, that to the best of my knowledge or belief all contributions received during this reporting period,
including any contributions received in the form of membership dues transferred by a membership organization, are front
permissible sources.
Registered Agent's Signature: —
Print Candidate Name: S)-
Candidates Signature-
ra
Firestone Town Clerk CPF form: 12/2023
DETAILED SUMMARY
Full Name of Committee/Person: �'Ce'1%(L WQ
Current Reporting Period: I 3 ZCi pda � I Through 3 `d° 2®®2)
Funds on hand at the beginning of reporting period (Monetary Only)
$ . 00
6
Itemized Contributions $20 or More [C.R.S. 1-45-108(1)(a)]
$ 00
(From Schedule "A")
`
7
Total of Non -Itemized Contributions
$ W—A
(Contributions of $19.99 and Less)
$
Loans Received
$ �p /
(From Schedule "C")
/ V
9
Total of Other Receipts
Dividends,
y�
$ / V
(Interest, etc.)
/N
10
Returned Expenditures (from recipient)
"D")
$
IVIA
(From Schedule
11
Total Monetary Contributions
$ 0.(00
(Total of lines 6 through 10)
12
Total Non -Monetary Contributions
$ q
/
(From Statement of Non -Monetary Contributions)
13
Total Contributions
$ a , (Q0
(Line 1 I + line 12)
14
Itemized Expenditures $20 or More [C.R.S. 1-45-108(i)(a)]
"B")
$ a�
(From Schedule
15
Total of Non -Itemized Expenditures
$19.99 Less)
$
(Expenditures of or
16
Loan Repayments Made
Schedule "C")
$ n
(From
17
Returned Contributions (To donor)
"D")
$
��
(Please list on Schedule
V
18
Total Coordinated Non -Monetary (in -kind) Expenditures
$
(Candidate/Candidate Committee & Political Parties only)
19
Total Monetary Expenditures
$ d ��
(Total of lines 14 through 17)
20
Total Spending
$
- "
(Line IS + line 19)
Firestone Town Clerk CPF form: 12/2023
Schedule A - Itemized Contributions Statement ($20 or more)
Full Name of Committee/Person:IJ
WARNING: Please read the instruction page for Schedule "A" before completing!
PLEASE PRINUTYPE
1. Date Accepted
Ow
LA -
4. Name (Last, First): A)
5. Address: !�%`I-
2. Contribution Amt.
6. City/State/Zip:
$ iv /`-
3. Aggregate Amt.
I. Description: �� A
$j,q
V `
8. Employer (if applicable, mandatory): %VIA
9. Occupation (if applicable, mandatory
Check box if
ectioneering
Communication
1. Date Accepted
y)P-
/
4. Name (Last, First): /
5. Address: / L/4
2. Contribution Amt.
6. City/State/Zip: 4//A
$ WA
3. Aggregate Amt. *
J. Description:
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
� h t I
/v Y+
Check box if
ectioneering
Communication
1. Date Accepted
r �
4. Name (Last, First): tv 1A
5. Address: iyA
2. Contribution Amt.
6. City/State/Zip: v
$ N L /}
3. Aggregate Amt.
7. Description: /v
8. Employer (if applicable, mandatory): /V
9. Occupation (if applicable, mandatory): A1/t4
$
nCheck box if
`E ectioneioneering
Communication
1. Date Accepted
4. Name (Last, First): 0 C 4
2. Contribution Amt.
5. Address:
/
6. City/State/Zip: iv l
$ 4,*
3. Aggregate Amt.
'7. Description: /1J
8. Employer (if applicable, mandatory): A) /JJF-jCheck
/
9. Occupation (if applicable, mandatory): %V G
$
Ll+
box if
Electioneering
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, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art.
XXVIII, Sec. 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:yayt VV o 5 ' z vl, bo Y-1
PLEASE PRINT/TYPE
1. Date Expended
q r
4. Name: IV
5. Address:
2. Amount
$ f A
/
6. City/State/Zip: A) l
3. pient is (optional):
Committee
Non -Committee
/
7. Purpose of Expenditure: A)
heck box if Electioneering Communication
1. Date Expended
� ! /�
A) /4
4. Name: `
5. Address: %V A-
2. Amount
$ N ,4
6. City/State/Zip: )VIn-
3.Recipient is (optional):
Committee
ElNon -Committee
7. Purpose of Expenditure: � M
Elcheck box if Electioneering Communication
1. Date Expended
,
4. Name:
5. Address:
2. Amount
$ /v )q
A
IV" l
3. pient is (optional):
Committee
�Non-Committee
6. City/State/Zip:
7. Purpose of Expenditure: A11, -
n
'-'Check box if Electioneering Communication
1. Date Expended
�
/
4. Name: EGA'
5. Address:!
2. Amount
$ )v �
1
3. pient is (optional):
Committee
❑Non -Committee
6. City/State/Zip:
7. Purpose of Expenditure: /VI14
Elcheck box if Electioneering Communication
1 Date Expended
� /h
4. Name: Az Lq
5. Address: Al 1 -
2. Amount
$ G �'
A/ML
3. pient is (optional):
Committee
n
EJNon-Committee
6. City/State/Zip:
7. Purpose of Expenditure: /�4�
OCheck box if Electioneering Communication
Firestone Town Clerk CPF form: 12/2023
Schedule C - Loans
Candidate Committees only
Full Name of Committee/Person: S-�ZVIoyt
c
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, Sec. 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))
LOANSOURCE
Name (Last, First or Institution): NLA
Address: A119
City/State/Zip:
Original Amount of Loan: $ /V�� Interest Rate: N
Total of All Loans This RepoMA
Loan Amount Received This Reporting Period: $��' _ Period: $
(Place online 8 of Detailed Summary Report)
Principal Amount Paid This Reporting Period: $ N
Interest Amount Paid This Reporting Period: $
Amount Repaid This Reporting Period: $ Alll-� Total Repayments Made: $ A11
(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: N
Date Loan Received Due Date for Final Payment
LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN
Full Name
Address, City, State, Zip
Amount Guaranteed
NIP
A)1'W
N` �-
N ,4
NIA
Firestone Town Clerk CPF form: 12/2023
Schedule D — Returned Contributions & Expenditures
Full Name of Committee/Person: ��vokt UJosf�en-hey-
Returned Contributions
(Previously reported on Schedule A — Contributions accepted and then returned to donors)
PLEASE PRINT/TYPE
1. Date Accepted
w, F %
r a
4. Name (Last, First): / V
5. Address:
2. Date Returned
6. City/State/Zip; /V
7. Purpose: N /)q
3. Amount
$ q1A
1. Date Accepted
V IA"
� /g
4. Name (Last, First): l `
5. Address: Al l 4-
2. Date Returned
/State/Zil
6. City/State/Zip:
tJ' p: /
7. Purpose: `
3. Amount
$ Nlt4
Returned Expenditures
(Previously reported on Schedule B — Expenditures returned or refunded to the committee)
PLEASE PRINT/TYPE
1. Date Expended
�4.
� f l
Name (Last, First): IV /�
jReturned 5. Address: N G l-
2. D/atte
6. City/State/Zip: V /P
N � /
7. Comment (Optional): ,y ` A-
3. Amount
$ &/A
1. Date Expended
1
4. Name (Last, First):
5. Address:
2. Date Returned
A
6A1114-
. City/State/Zip:
7. Comment (Optional): _ zz�-
3. Amount
$ /Y `t-
Firestone Town Clerk CPF form: 12/2023
Statement of Non -Monetary Contributions
[Art. XXVIII, Sec. 2(5)(a)(I1)(III) & Sec. 5(3) & 1-45-108(1), C.R.S.]
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Provided
/
/V" 0
M �
4. Name (Last, First): / V LA
5. Address: ff M
2. Fair Market Value
$
Al" �"
6. City/State/Zip:
7. Description:
3. Aggregate Amt.
$
8. Employer (if applicable, mandatory): A1114-
ryAI `�Lj-
9. Occupation (if applicable, mandato):
10. heck box if Coordinated with a Candidate/Candidate Committee or Political Party.
heck box if
ecuoneermg
Communication
1. Date Provided
/�
4. Name (Last, First): N G
1111,4
5. Address: / V 6 A
/14
2. Fair Market Value
�
N
6. City/State/Zip: `/
7. Description: IVG A
3. Aggregate Amt.
$ Nl�
/
8. Employer (if applicable, mandatory: /VG d
9. Occupation (if applicable, mandatory): N `A
10. QCheck box if Coordinated with a Candidate/Candidate Committee or Political Pa
heck box if
ecnoneermg
Communication
1. Date Provided
n
,V �
4. Name (Last, First): /V
� l 5. Address:
2. Fair Market Value
$
6. City/State/Zip: 9 V ( A
/
7. Description: � C
3. Aggregate Amt.
$ N`14
8. Employer (if applicable, mandatory): N
9. Occupation (if applicable, mandatory): IVIA
Check box if
Electioneering
Communication
10. ❑Check 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