HomeMy WebLinkAboutReport of Contributions and Expenditures 2-1-2024w#rt44M Mao*LP MY dA„r$ FA
F tRr,s. rat, Tows c a,raK
t r5n mark Avenue
Firestone CO 80520 ��
I
lilt.
Firestone l'owar Ciert i l`V Err , t 02-4
I
Full Nituil of Comatittee/Fivison: I --- ii ,
WAItNING- Pliemo rtAd the instruiefion pa* for Satil -A" bil omplieting!
1 . Da Le Acre t�cd
4. Name (Last, Uirset,
-Y,atri6utiqjj A —nit,
S. Address:
6City/State/Zip: VIX-SXIL
I AWMkte Amt.
7. Description: wtz>Ww
8. E-triployer (if applicable, agmi
PCheck
box if
,ecItioneenng
9. Occupation (ifapplicable,magdAim):
Communication
I . Date
4. Name i Last, f-irsw-
r4 JA
2. Contribution Amt.
T
$ fV1 A
5. AddrewmW
6. City/State/Zip:
3, A 1 re rate Amt.-
aggn��N
7. Description:
IN(/A
8. Employer (if applicablcMAUA&jjj):
heck box if
C heck: � fin
ctioneering
e ettione, _rm
9. Occupation (irapplicable.urandaIM)'
Communication
I . Late Ace Mted
IVA
4. Name (Last, First):
Amt.
S. Address:
P IA-
6City/State/Zip-----A/,4l
3, irerateA—mt,
7. Description:
8, Employer (if applicablcmARdgM)-.
WCheck box if
ectionecring
9. Occupation (if applicable. mizurla
Communication
1. Gate
e Accepted
—2. —Confrwli—ion flint,
4. Name (Last., First): 141111
5. Address: H/A
$
6. City/ Statc/Zip: ?V/A
/V
box if
7. Description:
8. Employer (if applicable, M4nda
Pheck
eLioncering
Communication
9. Occupation (if applicable, LnLa-kd IVIA
* For contribution liff-ats %idiin a eonarl election cycle or contfibution cyoc, picasc refer to the IbIlowing Colorado Constitutional cites: Candidate
Committee Art, XXVIII,
Sec. 2(6)-. Political Party Art. XXVIII, tic. 3(3); Polihad Committee Art. XXVJH,Srcc 3(5).- Small Donor Committee Art,
XXVIII, sec; 2(14),
Funds on hand at the beginning of reporting period (Monetary only)
6
Itemized Contributions $20 or More 1C.R.S. 145-108(l)(a)]
t>
(From Schedule "A")
7
Total of Non -Itemized Contributions
(Contributions $I 9M) Less)
$
of and
8
Loans Received
$
WA
(Frorn Schedule "C-)
9
Total of Other Receipts
$
A /A
(Interest, Dividend& ete,)
10
Returned Expenditures (from recipieno
(From Schedule"U')
I I
Total Monetary Contributions
$
(Total of lines 6 through 10)
12
Total Non -Monetary Contributions
$
WA
(From Statement of Non -Monetary Contributions)
13
Total Contributions
$
G>19
(Line I I + line 12)
14
Itemized Expenditures $20 or More [C.R,S. 1-45-108(1 )(afl
$
(From Schedule "Er)
15
Total of Non -Itemized Expenditures
$
(Expenditures of $19.49 or Less)
16
LoanRepaymde
tints Ma
*C")
$
(From Schedule
17
Returned Contributions (To donor)
A77777777�
$
. ... ..
.... ............... ............ .... . ............. . .. ....... . .................... ..... ........ . ............ ........ ...
vo
(Pimse I ist on Schedule "l)")
18
Total Coordinated Non -Monetary (in -kind) Expenditures
&L>
(Cand idatelCandidate Committee & Political Parties only)
19
Total Monetary Expenditures
5 C>
(Total of I ines 14 through 17)
20
Total Spending
$
(Line IS + line 19)
Fircstone'rown Clerk CPF forni: 1212023
Schedule B — Itemized Expenditures Statement ($20 or more)
11-45-108(l)(a), C.R,S]
Full Name Committee/Person:
of
PLEASE PRINTfrVPE
I. 1Qate _Fxpqndqd
NIA4.
Name:
2. Amount
5. Address:
3. pient is (optional):
6, City/State/Zip;
toatmittee
7. Purpose of Expenditure: IVA
OMora-Comminee
r1
L—Xheck, box if Electioneering Communication
1. Date EX d d
)771' W
4, Name.-
2, Amount
5, Address:
3.Recipient is (ojytjonal):
6. City/State/Zip:
F] Committee
7. Purpose of Expenditure:.
Non -Committee
Elcheck box if Electioneering Communication
1. bate Expended
9 L)+
4, Name:
2. Amount
5. Address.
3.1npient is (optional):
6 City/State/Zip-
ECommittee
C-Committee
-7, purpose of Expenditure: /V
LJ.heck box if Election ern otnrnuntcatto
1, Date Expended;
4. Name. -
mount 5. Address:
6. City/State/Zip:
3.1npient is (optional):
Committee 7, Purpose of Expenditure:____-,
ONon-Conimittee Ocheck' box if Electioneerine Communication
I Date Expended
4. Name:
2. Amount 1 5. Address:
$ A(
6. CitylState/Zip,
'pient is canal): 7, Purpose of Exp
tin t I
ittee L—beck box if Elt
,.ing Communication
Firestone Town Clerk CPF form: IM02-3
Seltedule" - Loans
Candidate to Committees only
{till Name of Committ /Person:54&_V/CV�W�o
LOANS- Luaus Owed by the Committee
lase aseparate Schedule for each loan, Tins form is for line item 8 and Its of the Detailed att m r Report.)
(No information copied front such rcpc)rts shall be scald or used by any person n for the purpose of soliciting contributions or for anyWincaercial
purlsose, l rt. XXVI11, See 9(c)l Notwithstanding,any ether section of this article to the contrary, a dul ate's candidate wrnntittee may receive d
loan from a financial institution organized ircd 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 instrunumt, and is subject tot due. date or anionuzation schedule jAn. XXVIII, Sec. 3{))`
LOANSOURCE
Gaut Last, First or Institution):
Address:
Original Amount of Loan: Interest.; Pate:
Loan Amount Received This Reporting rting Period: 1; _hQ/ -A
Principal Amount Paid This Reporting Period:
Interest Amount Paid This Reporting Per tad:
Amount Repaid'rhis Reporting Period:
(Amount Repaid is stern of Principal & Interest entered on Detail Surnmaryi
Period: $ 7 Lie
,adea �u��l
A —
( Sum of Schedule C" pages, Place on line 16of
Detailed Summary)
� e
Outstanding Balancer _
TERMS OF LOAN: 1A_
Date Low Received i?uc. ifauce i.'Final l'ayrnent
LIST L ENDORSERS CAR GUARANTORS OF TMS LOAN
Full Name Addlr " ty, State, Zip Amount Guaranteed
WA
oA1
FircstancTown Clerk C"iar ronir 12P2023
Returned Contributions
(Previoas v reported on Schedule, A - Contribulions (accepted and then returned to donors)
PLEASE PRINTrrYPE
1. DgaLte�e
4. Name (i.astj'irso:
2. Date Retu d
�ount'u
5 . Address:
3 mo
A
6. City/State/Zip.,
7, Purpose:
----------
1. DateAcce led
4. Name(Lasit-First):
date Returne
5. Address:
mount
t,, City tate/hp:
IAI
7, Purpose:
Returned Expenditures
l`Previous�v reportedyarn Schedule B Expenflitures reiurned or riqfunded to the committee)
PLEASE PRINT/TYPE
1, Qgg.�Exegded
A4. Name (Lwst. First):
2. Date RctuMmod, 5. Address.
_2
3A"
I . A -- +
Amount 6, City/State/Zip:
$ 7. Commcnt (Optional):
1. late ,Ex )enqed
j-
4. 'Name q,ast, j;irst).-
:2. Date Retunt
5. Address-
3. Aniount 6. City/SWC/Zip:
$ 7. Comment (Optioiial):
Fireskme Town Clerk CPF fornv 112023