HomeMy WebLinkAboutContributions and Expenditures 3-18-2024FUusrti'si;TowNIFR
9951( Park venue ! I T l
FirL to nt C,:O 0520 Town merle"
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Town lerktu, €resteazr is O,g(t % p Pb:1303) 5 I -62t 1
Itav (720) 13.4106 5 2024
c a n PrI IC. bat, Ime
_______________ fiRESTONE
REPORI Recejv
OF CONTRIBUTIONS
Arttele XIII of the Coloradla Constinit itan and Title 1, Article 45 of the Colorado Revised Statute tC R.S.'j
Full Name of C ittee/T ersorr:
r,riteII
[Address of Committee Person:_
City, State Zip (ode I J -
Lm0mmittee Type° * j
arm and Address of Financial
Institution ji
vj_
COMMITTEE T NIMBER
Type of Report
e ularly SeFeduled Fihrp ,
Amended Filing. `l'ltls arrcemntt Previous report tiled on (date )
Sub to change s or rrew tnformati u ONF." '.
TerminationRpport 1rminattcrn Reports MI ST H4 a M nuary Balance o Zero in Lin 5)
Check this box f this ReportContains Electioneering Communications information
Reporting Period Cere : Through
II hate;
Declared Total Spending atr applicable)
[An. xxxtl1, ec.4(l)i
��Total�sDetailed Summary Page
Funds ttn Hand at the l egirrtring tti Reporting orting i'e zocl (s ttrnetaryou3y'I
- I - I
I
ota4 atal
on hand at tire kin,
The appropriate, r
tlitt 3 tan
r shall impose a penalty of 550 per day for each day that a report is filed late
IArt XXVII1 Sec. 1tl()lali
}aeraaaBty cf pct( iar},v that trr the best .. t. Anon lidgc crr
including aani contributions receive in tlte,,i0rrta tt.finei
permissible sourcas
Print Registered Agent's Name. ..
Registered Agent's tai nature:_
Print Candidate Mantra:
Candidates Signatwc:
tggg the C arsd)dat t: l Ire chi r erwli t> an d declar°c „ tastier
all contributions recen d (luring this reportin g pc rind,
gyp tines tan crr d b ca membership organization, arc from
firestone To Clark c;PF IC i 1: 12/202:3
Full Name of Co iunitteef Person. t mom°
Current Reporting Period. Through
Funds on hand at the beginning of reporting period t t netary Only
6 Itemized Contributions S20 or More CXS-4S-1 08(1)()]
( f rrrtrt Schedule " ")
7 Tolat of Non4teir ized Contributions
(Contributions of 9indIss)
Loans Recelsed
(F root Schedule "C
9
'Total of Other Receipts
(Interest, Dividend , etc, l
10
Returned Expenditures (from recipient)
(from Schedule 'T""
11
Total Monetary Contributions
)Total of (ales ta..a ugh 10)
12
ns
Total Non-MonetaryContributions
(Iron Statement of Non Monetary (ontributions)
13
Total Contributions
(Line 1I +fine 12)
14
Itemized Expenditures 20 or More[ R.S, I 4 105 a)
"B")
S
(,Fro t Schedules
15
Total of 1 ion -It mired Expenditures
99 Less)
(xpenditures rv1 S1" ii
] fa
Loan Repayments Made
(Froin Schedule."C")
17
Returned ontri Loons (To donor)
)Pease h tt on Schedule a,")
is
Total C oordinated ,ion- r onetur ° (in -kind) Expenditures
(C"andrdate (an dadat. C:irrt mitte & Political Parties only)
19
l Monetary Expenditures
h 17
( )
*� w
(Total of lines 14 throu
20
1 otal Spending
(Lcrre ly " Inc 19)
1„
I•irtstarirc Town: Clergy CP Jornxr 12,`X123
Full of .mittai/Prun: L Tk 0cc;:
WARNING. Please read instruction page for Schedule "A" before o l tin !
PLEASEP P'ti flPJ
1 Date a Lct� red
..Name (Last. l itst)`
�.Contribution Ann. Address �,..,�._��.. _.
cVO
6. Citytate/ i
re a.te ArnL 1
Employer tit` a pl'acabtc.mrrnandatrr4:)`
7----
heckboxit
irtrrecring. Occupation of applicable, rstand trarL}
Communication
Contribution Ai it,,
3. A e gate z ult
�Ceck'-boxif
erirt
Communication
i , Date Aeeptcde
I AgggateAmt.
S
"heck box if
Name (Last, t"irst): , .
. Address
6a City/ State/i3 _ ..
lctitiol r
.: Employer (it'trltttlicaattle.rrt nd torv):
a Occupant r iif applic«ablemrta ffat u ):
1. Name ILast. First)"LLh
5 Address
"(fly 'States°"/H
7 Descriptionx
Employer lifialt licable,rrsandata w
„ (Xcupatioi ap licable.m nd to 1=;.
, Na it (Last, Firstl.
2. C ontribution Amt. aAddress
tr City /State l.ilt:
3negate Amto
, De enptiot�:
8 bmployer ppiic rruradatcarv°t.,
heck box if
cetion rin Occupation d ta}a lac l lc,trt Clatatry)
ommunieatxni
* For contribution lsttaits itltzn a csatin a elc,etion cycle or contri ution cycle„ pease icier to the Iiaaa in C of rrado Constitutional aces.tendidate
Committee Al \X111, ee, 2(U3 Politicarty° Sit . X3C'C'lit See. 3l3lt Political C'a mmittee .&r°t, X)tSStt, Sc • 331. Small Donor ( ri ii ttee 1iat
X.X\1t, Si.e. 1114
Firestont "nowt Clerk 1.'01 fortiv 11,2(123
Schedute Itemized Expenditures Statement ($20 or more)
ufl Name of °o itte l e s n: °
s PRINT/TYPE
t a male L4d � - -
J) 4 Name. __
.:count
u w F
k � � it T tatet` i �
3. pietit is (optional), '
"ommitke 7. P , ease ofExpenditure: _
No'-ommittee tole box i l rsrar
C Due xtiended
4,Name:
kAmount
(5 .ecipient is (optzo i
6 . "it " t .t "/ip
Committee
7. Purpose of Expenditure
[ O 3 tsrm zttee
hark bii if Electioneering Cmniunlcatlon
t. Date Lxped
4. Name.
2. Amts t
. Address.
'pient
, ity ' tat l:_ .... _
ip
.`- is (optional}t
Committee
7_ Purpose oil xpend tore
l 3 timCommitiee
'c1heck box if lectiiatieerzri Communication
1. Date xuended
4 Name.
�: rticauttt,.
. Address£ : ____-..,,...,....m......�....................�: _.,.... r...
tip.
6. Cu f State/ip. _ _...
3. pieut is (optional).
Committee
\on -Coil mtttee
Pit ose iiicii x endit e;
�lrcck
hiss it Electioneering...c�a�tmatrttc�€tttun
p �C'yy p�r�Fx9�q .�y,y
4. Name.
2 Amount:
. Address.
3.armp [cot is (optioian:
. City/t.tc,`,ip. - n
C. trtmittce
7. Purpose ol`I xpenditure;
ii0- . i mittcc
Communication
heck box i# Flcctioncnng
' ii: Town Iw i PF C : 12='2022
Schedule -Loans
Candidate ommittee% only
Full Namof o irnitteelParstlti.
LOANS - Loans Owed by Committee
(Use a separate schedule for ea It loan. `la s Tetrtri is for line item £land l6 of the Datikd Summary Report)
l'Ni inIi in at icari cnl ied Frctrtt such reports shall be sold orused byr any person' for the purpose of so tit contributor it ft r ant co mmerual
purpose, gArt, , ` ilL Su. . g(i. IsNotwithstanding it other section of this article tcs the font iv at lndtddtt 's candidate committee viax re eive a
loan fri it a financial institution airy iiti under state or federal law i fthe loam hears the usual and us on us interest rate, is trade un a basis that
a as: .s repayment, is evidenced t y a# tttiiten insiraantent, and is subject to a due date. or arracrrK.i<tatttaaa Si. hedtiii. [ Sri: XXVtll„ Set it8)1
LOAN Ot R( E g,?
Name Last. First c ii
Address
`its/StateFLip :
Original Amount of 1. oan S Interest late
Total of i1 l k arts This Reporting
Loan ArrowArticitait Received This ep011mg Period S Period,
(i'lacer taxi liaae s of Derailed Sonto tart mparti
Principal Altura Paid T his ReportingPeriod.
Interest Amount Paid Ihis Reporting 'eriod., S_
Amount Repaid This I e ortini Period Total Repayments Made:
(Ainc t Repaid is sctrei cat Principal & l toast crstered eau i detail Soon vii (Suzsa (it Schedule (` pages. Pace on lute if i
Detailed la )
Outstanding l alan e
TERMS 01 LOAN.
F) ate l,ctan Receives Dot lyate for C irtai l ay°metit
"F etIE ENDORSERSORGUARANrORSOF illS LOAN
f"irest sne Town Clerk u ill fun": i33033
Schedule et ed Contributions & Expenditures
Full Name of Car mitteePeurt: €V1 ) L
Returned ' tibuin
P evi in i tpo# ted on ch < u contributions ibutior s a'epted and t Se rA turned to donors),
PLEASE PRINTTITYPE
4 Nanie l t. t t;First):
2. Cate etat ed
AddressA
Amount -City Slit tC Lap:. Aw
s PLIrPOSe!
I . Date rccerrted
4 Nanie It a t, First"l
e p;atc Returned 5, r ddress
3 imLnt te.City+'St' te°' ip$ .
7, Purpose
_ gate Lx
. Date Re
inount
, Datex
2. Date Re
Returned Expenditures
(Pr e vwus° ° rep ira d on & lii dole B L Expenditures returned or relunded to the committee)
renld
4. NarneLt, l aratl
turned 5. Address..
t, icy / tate r' ip;
7. Comment (Option l";
trended.
Natne ( at First w
t ed 5. Address;. ...
I. Amout
4, CitySe ip. ..
7 CComment (OFstional).._ �. m
F iresta e Town C'l rk CP forrw 1217073
Statement of Non -Monetary Contributions
[ .n XXVIII, Sec. ° ( I(a)bllitllt) & Sec, 5(3) & 1 451-45-108(t), C".it. .
Full Name of Committee Person:
PLEASE PRI\'Tr %PF
I. Date ProvidedJ:b:7 * * -
4w Namc (La.st,1"tirst'):
tddre;
2. Pais Market YaIuc
Value
C . i1 �t. �7ip
e ceri ation ..m
e ate wt.zaat,
S . Employer (if aapplrcable,giaadatrt
:heck box if
(
� ttranep n a . Occupation tit applicable, rnandattarv}. ._
cstrtrnutticatita t(I "heck lacy if o rdinated with a Candidate,' andidate `ommittee or Political Parts
I. Date Provided
4 tame (Latsc.I=trst)1
. Address: _.m
2 Fair Market Val)a
(it)/Stater'/i
. = e ate lnit.; l e cr[iatitan;
I(.Fri Employer 6ira piic:.ahlr,Xa andatcarv>.
heck box if
. o ccu it tion (if ap licable, nt d trt ):
Lc�tloncenng
(omit Communication
it.l 'heck .a if o rdinated with a 'andidat Candidate rat ittee or Political Party.
�•mm ��...m _ gym: v. �.
1.Date Prou"tded
s „
4 Nune baiut. ("lrsO'
S. Address
2,. t an Market Value
C 'utateL
3. c ate Wit. 7, Descnption-
Employer (if applicable, atbdatii )
Muck box it" . f c cupation (if aat plica le, M. and t rv):
I leetioneerin
Communication �.: , .., h s ife_ h dilateCommittee or Political Party.
1(t. Check fiaa if�ra(ardirlated wrtla andidat�trl.andida
Now If coordinated, titer contribution nt st atso he atevre:d aas a cunra•xttittaenu V tsecnditCit. on Detailed saamma y art.X55111, See. 2(9) states. "...tiwe ditures
th at are ctantro lc d ray" or t"crsactI rCt ate t r candi date's Cage nt a re let need to it' herein contributions tr*,' ilaaa maker o the a; xtat nc hires, nd expenditures by
the candidate come ttee."
FireSte bust CJerk C`PF ii,rut 1211ft2.