HomeMy WebLinkAboutReport of Contributions and Expenditures 4-11-2024FIRESTONE TOWN CLERK
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO.gov t"
Ph: (303) 531-6264
Fax: (720) 7134106 I
www.frrestonecg.gov FIRESTONE
C 0 L 0 R A D 0
REPORT OF CONTRIBUTIONS AND EXPENDITURES
Article XXVIII of the Colorado Constitution and Title 1, Article 45 of the Colorado Revised Statute (C.R.S.)
Full Name of Committee/Person:
As Shown on Registration
Address of Committee/Person:
, .
City, State & Zip Code:
4 _ ,+
F1a�.iyTGor—,
Committee Type:
Name and Address of Financial
Institution
OA&-S E l b li b CC7iGt'A.,Ai (3kv b
COMMITTEE ID NUMBER
Type of Report
u Regularly Scheduled Filing.
RAmended Filing. This amends previous report filed on (date) fart 3 2624 t Q ,3 i
Submit changes or new information ONLY
❑ Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5)
IJ Check this box if this Report Contains Electioneering Communications Information
Reporting Period Covered: -3 ^ 1$ - -.ti Through - (r - 2.1j
Date Date
Declared Total Spending (if applicable) j
[Art. XXVIII, Sec. 4(1)]
Totals Detailed Summary Page
1
Funds on Hand at the Beginning of Reporting Period (monetary only)
$
2
Total Monetary Contributions (line 11)
$
3
Total of Monetary Contributions & Beginning Amount (line 1 + line 2)
$
4
Total Monetary Expenditures (line 19)
$
5
Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4)
$
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.
[Art. XXVIII Sec. 10(2)(a)]
Authorization (Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, tinder
penalty of perjury, that to the best of my knowledge or belief all contributions received during this reporting per-iod,
including any contributions received in the form of membership dues transferred by a membership organization, are from
permissible sources.
Print Registered Agent's Name: TI& W-1
Registered Agent's Signature: , Date: LA.
Print Candidate Name: —T (L�JI t 104 n
Candidates
-I \ 2!1
Firestone Town Clerk CPF form: 12/2023
DETAILED SUMMARY
Full Name of Committee/Person:
Current Reporting Period: 1 3 - 1 _ L,A Through 1 l r - 3 Z, t
Funds on hand at the beginning of reporting period (Monetary only)
$
6
Itemized Contributions $20 or More [C.R.S. 1-45-108(1)(a)]
"A")
$
(From Schedule
7
Total of Non -Itemized Contributions
$
(Contributions of $19.99 and Less)
8
Loans Received
$
(From Schedule "C")
9
Total of Other Receipts
$
(Interest, Dividends, etc.)
10
Returned Expenditures (from recipient)
"D")
$
(From Schedule
11
Total Monetary Contributions
$
(Total of lines 6 through 10)
12
Total Non -Monetary Contributions
$
(From Statement of Non -Monetary Contributions)
13
Total Contributions
$
(Line 11 + line 12)
°
14
Itemized Expenditures $20 or More [C.R.S. 1-45-108(1)(a)1
$ ate
(From Schedule `B")
15
Total of Non -Itemized Expenditures
$
(Expenditures of $19.99 or Less)
16
Loan Repayments Made
"C")
$
(From Schedule
17
Returned Contributions (To donor)
"D")
$
(Please list on Schedule
<
18
Total Coordinated Non -Monetary (in -kind) Expenditures
$
(Candidate/Candidate Committee & Political Parties only).
19
Total Monetary Expenditures
$ og„
(Total of lines 14 through 17)
1
20
Total Spending
$
(Line 18 + line 19)
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: -TY f v1_- A t � vt
PLEASE PRINUTYPE
1. Date Expended
� `� 2 � 4. Name: �" t"�L c 5 � L-' � =
2. Amount 5. Address: 1 a Z5 Z (C ti,v G 4 2
6. City/State/Zip: 1-`v c Ste\
3.11ecipient is (optional):
I_1Committee 7. Purpose of Expenditure: U h i-C L A.j, I'%
Non -Committee heck box if Electioneering Communication
1. Date Expended
4. Name:
2. Amount 15. Address:
R
Recipient is (optional): 6. City/State/Zip:
Committee 7. Purpose of Expenditure:
Non -Committee Elcheck box if Electioneering Communication
1. Date Expended
2. Amount
3. zc pient is (optional):
Committee
❑Non -Committee
1. Date Expended
2. Amount
3.Pilpient is (optional):
Committee
❑Non -Committee
1 Date Expended
2. Amount
3.1npient is (optional):
Committee
❑Non -Committee
4. Name:
5. Address:
6. City/State/Zip:
7. Purpose of Expenditure:
Dcheck box if Electioneeri
4. Name:
5. Address:
6. City/State/Zip:
7. Purpose of Expenditure:
ElCheck box if Electioneeri
4. Name:
5. Address:
Communication
P ( A-
Communication
1-
6. City/State/Zip:
(7. Purpose of Expenditure:
ElCheck box if Electioneering Communication
Firestone Town Clerk CPF form: 12/2023
Schedule D — Returned Contributions & Expenditures
Full Name of Committee/Person: i t e"\, � Ao �n
Returned Contributions
(Previously reported on Schedule A — Contributions accepted and then returned to donors)
PLEASE PRINT/TYPE
1. Date Accepted
3 M �- ZL
` �� t?�1
4. Name (Last, First): CJ (� h
\
5. Address: `" j' -7 S -.,G� +� ��'y� t`� ve
2. Date Returned
I.IF Zq
�.
6. City/State/Zip: 1ek `J kw
7. Purpose: w� �►� =�rw - �1 ��GZv�rtrrw�� w
3. Amount
$ 'i )
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Purpose:
3. Amount
$
Returned Expenditures
(Previously reported on Schedule B — Expenditures returned or refunded to the committee)
PLEASE PRINT/TYPE
1. Date Expended
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Comment (Optional):
3. Amount
$
1. Date Expended
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Comment (Optional):
3. Amount
Firestone Town Clerk CPF form: 12/2023