HomeMy WebLinkAboutReport of Contributions and Expenditures 5-1-2024FIRUSTONETOWN CLERK
99iO Park -avenue
Fircsione, CO 80520
TovvnGerk(, Fireslone('O,go�
M (303) 531-(,M4
Fax (7201713 -4 100
Town 0ark's Offijce
'5 M AY� 12024
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Thle
fIR I ESTONE LR=1v bZii
TOF CONTRIBUTIONS AND EXPENDITURES
ado Constitution and Title 1, Article,45 of the Colojado Rvviscd Statute (CKS�)
Full Name of Committee/Person:
Address of Committee/Persow
City, State & Zip Code -
Committee Type:
Name and Address of Financial
a I
CONINUTTEE 10 NUMBER
Type of Report
Regularly SchedUled Filing,
Amended Filing. Thris atnend, pw�ious report filed on Wwc�
Subma mantes or new informatwn ONLY
J_j Termination Report, i Terniin;tti in Reports MUST Have a Monciary Balance of Zero in Line 5)
000�1
I I Check, this box if this Repori CoiitarinsElectioneerin�Cotiiiiiunicatioris information
Reporting Period Covere ( Through
- I
Declared Total Speoding drapphrable)
jArt XXV111,sec, 41111
Travails lte——ta —il _edSn n—i i
Funds on Hand at the Beginning of Reporting Period (nwncuav oniv 1
S --LZ—Qt DIL
Total N4onetary Contributions oizn^ II I i $
Total of Nlo-y C neuuontribution-, & Beginning Anio+ unt (line I hne 21
S gye
4;>
Funds on Hand at the End of Reporting Period knonctar\ l clime 3 - line 41 S
The appropriate officer shall impose a penalty of $50 per day far each day that as report is riled late.
(Art. XX�`111 Scc, W(2had
Authorizatio ate): I hence Y certift and declare, tonder
penaltY e)fpefjut-v, that to the best of in), knowlei4ge or befiefall contributions receired dioring this reporting period,
inchiding am, contributions received in, thefiwin ofinemlieroiiji dianv rran,�fM-ed by a membership ot;qeinizaiion. arefiroin
peonis,s ible 501MICS. 4
Print Registered Agent's Name:
Registered Agent's Signaiure.
Print Candidate NaITIC
Candidates Signature:
—Date-.. Z,
FiresionvTown Clerk CPF lonyr 1 1�2023
DETAILED SUMMARY
Full Name of Committee/Person:
k ,
h �. .
Current Reporting Period- r �� . Through
Funds on hand at the beginning of reporting period i Monetary Oni
6
Itemized Contributions $20 or More fC R.S. l-45-108f t (afl
7
Total of 1'tlwal-Iteaaat zed Contributions
ontributiow, w (r 19,9 less(
�
( atw
Loans Received
(From S he " ")
(luk,
Total of Other Receipts
(Olen -Si, Divi4letti.fs, etc,)
1)
Returned Expenditures (from recipient)
�
(t'$`orn Schedule
1
Total Monetary Contributions
�...-
Jot,il of lius 0 through 101
12
Total Haan-Monetaary= Contributions
(From "Statemetil of Noo-rNionet;ar�y C"+intiibutions)
13
Total Contributions
`
(Line I I i hmo I 2)
14
Itemized Expenditures tl or More ICAS 1-45-I08(1((afl
(From Sdiedt le " ")
15
Total of Non -Itemized Expenditures
�
(F a1enditures of SI9.9tl or Less1.
1
Loan RepaymentsMade ad
(From fSc iedule ..C."'(
17
Returned Contributions (To donor)
"D"f
....._.
-....._ .. ,. ®. .�. .,,,.� ,. . ......,u ..
WleaNe list ou Schedule
18
Total Coordinatedon-Monet (in -kinds Expenditures
� !
only)
19
Total Monetary Expenditures
(,Towl of hues 14 through 17 t
20
Total Spending
C
i Line 18 + line 19)
L>
i
Schedule A - itemized Contributions Statement ($20 or Tire
Full Marne of ou tnitteefPerson:
WARNING: 'lease red the instruction. page for Schedule "A" before completing!
PLEASE PRINT/TYPE
1. Date ACCiMed
NA,
4. Name (fast. Rrr t: Y/
2. trntrik* tietn P aft,.
Address:
. ilv/ twit r l 't'.
T
3� A-. Ytre�ate r` nt.
` , Description: ,
8. l�iiiployer I =t i lit#liciihle. t iiiitfjt%1r5 l:
Check het : f
ectioneering
. cciri tionnilt,'tpphcct li:.t11SS551 a_tilnt:,
t�#7tTlti unicatio 1
1, Date .� c e , d
, Name (Iasi, t� ir,, :
_'. i'4YiitYiltittt(79i Ann
5. Address:
fit.City/State/Zip:
7., Description,
i plt)Ver (it applacable.iiiaiialsitorv),I
heck box 1
eetioneeriitg
9. Occitpaati n tttapplicable. mandatory):
t.ain3Ctt tlitl� *atiii
I. Date Acce ect
. Name tLast, Fir,;o1
2. Contributi n Mitt.
u Address:
6Cit /StatC,tZIF
7. Description.
. Employer (it applicable. dazwr, , I,
7-lectioneerit
i Occupation iIH 4s1, cilii al I# . st�aana atc'ra`t ,t
t"#ktltliiint4ait ;itl
1, Date AcceAted
4. Name i Last, Fir;,tl:
5. Address.
2. Contributio i Amt.
fit. ity/Strati./zlj�:
3, Aggregate A nit,
7, Description:
S. Employer tit xw.l,i�ll �t,l�,i�,qnjaton,,)"
t#3 f
Iqllec
e C}nt
O:"IS itli)!1 X €i' applicable,tti21i7€l iC1)i t:
t)n t" a ntefttt
Fear COMM, rttic#n Istta#its awtratin a eeita mitiecw"'s Jcc on Cycle or crnitrahutwn cy Ie. plea e ret'ex to the, tolk)ivritg CoIasrtido t onmitutiortal Cites: ('„niclic zqe
CommWee An, X:XVIII. See, 2(6)Po ii€c° g I*tint}' Art, <';;tiVItI,... See, 3t$t; Ilohiac:tt Committee ,art XXVIII, Gael 3t5R' Small DcPnot- Coninnuce Art.
2a VIII, sec, 21141,
Firestonc wi'4awn Geri, ri, CPF fortiv t 1 �202 Y
Schedule 8 — Itemized ExpendituresStatement ($20 or more)
I 1-4 -ltt t I ttat, C,R,S]
Full Name ofCctrrmittee Person: bey"
PLEASE PRINT/TYPE
l , Date Exttendecl.
j "- I r
. enI � to>t l ctnY l t:
Cool iitte� , Purpose ol` xpe nditure.: ,
%lttti onl!it ec heck l f,x l' lectitiateet`ita ' ctrttt�U111C tMtt
1. Ete eleci
. mate:
e City'State,'Zip:
S.Eectp3el t f tetptit�tyctil:
El
'c ni,n-One : 7. Purpose, ofENpenditure,
n--omit ttee 11check cap: Kt" lec:tion � hno c alrrai. licution
1. Date E, , ender}
Lill
,.
t . City/State; taste; p,
�pien t� tcrtasie)tIctltr
t tt t fitter 7, Purpose o ,xpentlitut�c::
i con Committee
I�Check box if Electioneering Cottyallicallon
l . Dale Ex ended
oull
mount 5. Address:
3. pien is toptkm ah:
on Inter Purpose cal` Expend ttta :
�«or Coinnintee
'hcc taax it Electioneerit'a.ttatiitt cation
1 Date Ex ended
. Saffle:
?.. sitar 5. Addrew
Z mM
I �co
pi nt tagpfiot ah:
nittee 7. Purpose of Expenditure: _r
1' on-Comi nit e heek box i lectioneering Cornniunication
Firestone 't"oun Clerk CPF tcarnr Ili IO2
LOANSOURCE
Natn (Last:, t~irsi or Instinnic:"t ):
Address:
City, tate "Zip:
Original Amount of Loan-.
Schedule as Loans
Candidate Committees aataly
t
Interest .ate
Total of's li Loans This eporting
Loan I��rDunt Received This ep ortim, Period Period S
Mace on hne acf �t aired summary ary cr a g
Interest r°�i,IT1ount Paid This Reporting Period.- `ti
Amount Repaid This cpcDning Period Total Repayments Mad
Q,•Lmouin Relmia is a€r of l'rinci[ml & Inic°t: s't caatcred on Detai saua many i (sum of, Schedule C Page „ Nice on tame 164
tDttaailed Sc auaaaary)
Outstanding Balance
TERINIS OFLOAN:
D ate Lo ata l`teceia cil i?ua litzte l r9 l a al k as ass atat
LIST ALL ENDOW '- 1ARA TORS OF ,OA
utp me d� dress, Citv. State, Zip N\Atnoudt C.Aaranteed
I
D areston "1'atwn Gerk CPF fointt 12`2021,t
rl
Schedule D - Returned Contributions & Expenditures
Full Name of Committee/Person: t, Vey
Returned Contributions
(PreviouslIv reported wy Schedide A — Contributions accepted and then rettirned to donors)
4. Name if-asa,First).'
Date Returned
5, Address�
fNI
Arnount f)x Citv/Sgate Zip:
7, PUrpose�
I . D at rkcce tea[
4, Namew.,t,I',ir-stt:
2. Date Retumed
5. Address:
61 City/SUW:tzipn
—3, Atuount
$ 7, Purpose:
Returned Expenditures
(PrevitiuvIv reported on S, bethile B - Eipenditti res rem oted or re, fittided to the commiltee)
PLEASE PRVNTrrYPE
I. Date Exoejkded 4. Name (I,astFirst):
2. Date Ret, Wd 5. Address:
3. Amouni 6, City/stateiZip
7, Comment (Optional):
-7i 7Date Ex ended
ate LN
4. Name (Last. First):
I 4DarteR, tu�rjied 5� Address:
fIN
I At 6 6, Cirty/StateiZip:
$ 7, Comineril fOph(,)nJ)-.
FiresionoTown CkA CPF form, Qi2023
Statement of Non -Monetary Contributions
�Arr XXVIII. Sec20)tabli)(111) & Sec.5(3) 1-45-108 1).C°,R, ,l
Full Name Cornnitittee/1"erson:
of
PLEASE RINTC'i YPE
1.
VProv`�a
erne last. t first)5.
ddlyd� s:?.
tiut
6, 'ttv/ ttate /Zip
3.,,=ke re ° to T"n'
. Description:.
8, Employer tt'," ajalrlidsahlt.,dal=adacldtd?ra`i;
�'llec" �d4i76 it
t c t]on121.1
1'r17L
9. Occupation (if applie:able.+ad<mdatorv):
diCi7$i&tll 1tt9tii)rl
ldl. 11eek l dt, if Coordinated irilated� with art[]1C�Lait"r' aaliC�it� ltE Committee t or tbltttci$ atrtV'. "
I. Date rda�state
5� Address-.
2-Fair 'lkarket Value
0, City/Stare/Zip:
7. Deserrtltrdart:
salts ,ttat.
S, Ernployer ill ad)t-pliccattle,ni n dory):
�`l1 "!� ttdax a10.
ing
et`tlda et'box
`) Occupration�ifu?plica le,mandatoryi:
darattatt rttcaatican
itl.
hea k boxtl C oorcbrt«ated with Cvandid�atte! "aatididaa e C�'atrt ttirttee car 1�a11rtre t t'aart .
. Mate to "ideci
1ue
5. Address:
2, Fair N, aar �t Val
6 City!Stateip:
3. ire late Pont.
i, , fie sertltttd�n: _; � ...
iS. rnplo er lid .,ip +1tcablak•.,87"4�kFldatt)ry).
It dk cox 11
lee �d e ria
9� eeupaatl n tifit rlilictable^"tr€tandat(,,)rr°r:
t"om t t ac.attion
Its. [:]Cheek bc1 It Coordinated with aandidlaate/CMa ndidate Committee or Political Party.
eetce tt° rerr.9Ar ate d, then coniritrsrtion
must at .,o t+c �,e'ooflcd A" a non"aaa4�isdary C-gsv' daurc onDca.aia� d Stsatteturry An.?$15,"n. �icc. -7191 rlIttca.
thad are rcleatrolled by ur a`i1$ dinated
with a candidate to srgc-nk are'deemed
'deeEad to he hoth conlri (Ifiotd", b1he iiiaker of the e C efilaitt res, anar expenditures by
the candidate cerradniatec "
i
i^tCc .dv.?tttt rt"�64r1 e.a� *t"Iw E.. t" pe�rfll..12,2023