HomeMy WebLinkAboutReport of Contributions and Expenditures 3-1-2024Space Below for Office Use Only
FIRESTONE ToNvN CLERK
9950 Park Avenue
Firestone, CO 80520 1 1OWNOFFIRESTONE
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erk s offi
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TownC1crk@FircstoncC0 Town Clews oftice
Ph: (303) 531-6264
Fax: (720) 713-4106 MAR 12024 1
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REPORT OF CONTRIBUTIONS AND EXPENDYTIREeS :V:el: _
Article XXV111 ofthe Colorado Constitution and Title 1, Article 45 of the Colorado Revised Statute (C.R.S.)
Full Name of Committee/Person.&a&Aene 'Li(Asfev
As Shown ot(Registration
Address of Committee/Person*
I? gt� S4,6-2J
City, State & Zip Code:
Committee Type:
Name and Address of Financial
Institution
COWMTTEE ID NUMBER
arzicz =1
N Regularly Scheduled Filing.
F-1 Amended Filing. This amends previous report filed on (date)
Submit changes or new information ONLY
ETermination Report. (Termination_Reports MUST Have a Monetary Balance of Zero in Line 5)
1:1 Check this box if this Report Contains Electioneering Communications Information
Reporting Period Covered: j Through 11nnak, , i490
l2!�
Date Date
Declared Total Spending of applicable)
[Art. XXV111, Sec. 4(1)]
Totals Detailed Summary Page
I
Funds on Hand at the Beginning of Reporting Period (monetary only)
$ 4-Tod
2
Total Monetary Contributions (line 11)
$ , 60
3
Total of Monetary Contributions & Beginning Amount (line I + line 2)
$
4
Total Monetary Expenditures (line 19)
1
5
Funds on Hand at the End of Reporting Period (monetary) (line 3 — line 4)
1 $ 00
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.
[Art. XXVIR See. 10(2)(a)]
Authorization (Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, under
penalty qfpejuiy, that to the best of my Imotpledge or belief all contributions received during this reporting period;
including any contributions received in the forni qj'nienthership dues transferred by a membership organization, are froth
permissible sources.
Print Registered Agent's Name:
Registered,
Print Candii
Candidates
Firestone Town Clerk CPF form: 1212023
Schedule A - Itemized Contributions Statement ($20 or more)
Full Name of Committee/Person: bg I "-W__ i G
WARNING: Please read the instruction page for Schedule "A" before completing!
PLEASE PRINT/TYPE
1. Date Accepted
4. Name (Last, First): .� L; o �_,r, r t 3 Vt5 ck V
5. Address:
2. Conul ution Amt.
$ 160, o 6
6. City/State/Zip: �;�� �� �,c_� Ca"6Zu LQ0
3. Aggregate Amt. *
7. Description: j1& ,C L cc --st
$ lod, o
8. Employer (if applicable, mandatory
p
9. Occupation (if applicable, mandatory):/r+
Check box if
9'ctioneering
Communication
1. Date Accepted
2
i
4. Name (Last, First): L -A ZC lr'j
5. Address: 16 :2 :i> r1 dt .t S'-f .
2. Cont ibution Amt.
$ #60, 0 6,
6. City/State/Zip:
3. Aggregate Amt. *
7. Description: G,,�, Ling} l , C' iC . )644
$ �
% do l (9 '
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
PCheck box if
ectioneering
Communication
1. Date Accepted
4. Name (Last, First): �/�,�
5. Address: Al
2. Contribution Amt.
$
6. City/State/Zip: 4/ ?
3. Aggregate Amt. *
I. Description:
$
8. Employer (if applicable, mandatory:
9. Occupation (if applicable, mandatory): %yA
❑Check box if
Electioneering
Communication
1. Date Accepted
>
4. Name (Last, First): /ll'�f�
5. Address: 4111,,'6
2. Contribution Amt.
$
6. City/State/Zip: j✓
3. Aggregate Amt.
7. Description: ////vJ
�
8. Employes' (if applicable, mandatory . 44/!g
9. Occupation (if applicable, mandatory):
heck box if
ectioneering
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, See 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)
[145-108(l)(a), C.R.S.]
Full Name of Committee/Person:
PLEASE PRINUTYPE,
1. Date Expended
4. Name:
4,2c/. 20A(
2. Amouhf 5. Address: &;2C
$2,06, 6. City/State/Zip:
3. pient is (optional):
tiCommittee 7. Purpose ofExpenditure i _D% dZ Q h
J
-F-]Non-Committee LICheck box if Electioneering Communication A 1' 00 1j
1, Date Expended4. Name:
-2. Amlo- 5. Address:
$ 6. City/State/Zip:
3.Recipient is (optional):
F1 Committee 7.'Purpose of Expenditure:
Non -Committee [:]Check box if Electioneering Communication
1. Date Emended 4. Name:
TAmount 5. Address:
$
3.lnpient is (optional): 6. City/State/Zip:
ElCommittee 7. Purpose of Expenditure: Committee
OCheck box if Electioneering- Communication
1. Date Expended
4. Name- AM
2. Amount 5. Address:
$ N
. & 6. City/State/Zip:
3. pient is (optional):
Committee 7. Purpose of Expenditure: A//,v
❑Non -Committee OCheck box if Electioneerin2 Communication
I Date Expended 4. Name:
2. Amount 5. Address:
$ M 6. City/State/Zip:
3.1npient is (optional): jj
[:]Committee 7. Purpose of Expenditure:
Non -Committee Elbe& box if Electioneering Communication
Firestone Town Clerk CPF form: 12/2023
Schedule C - Loans
Candidate Committees only
Full Name of Committee/Person: "lv Ma 146 i s1 s -Ay- E trte— : wi e % a us ; ps:
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 sball 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)]
LOAN SOURCE A/o L c,e, its
Name (Last, First or Institution): �
Address: �k
City/State/Zip: /VX0
Original Amount of Loan: $/ Interest Rate:
Total of All Loans This Reporting
Loan Amount Received This Reporting Period: $__ Period: $
(Place on line 8 of Detailed Summary Report)
Principal Amount Paid This Reporting Period: $
Interest Amount Paid This Reporting Period: $ '61 M —
Amount Repaid This Reporting Period: $ /V4 Total Repayments Made: $ZY10
(Amount Repaid is sum of Principal & Interest entered onDetail Summary) (Sum of Schedule C pages, Place on [fine 16 of
Detailed Summary)
Outstanding Balance: $ _
TERMS OF LOAN: A m
Date Loan Received Due Date for Final Payment
LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN
Full Name
Address, City, State, Zip
Amount Guaranteed
1/
Ah�
Firestone Town Clerk CPF form: 12/2023
Schedule D — Returned Contributions & Expenditures
Full Name of Committee/Person:
Returned Contributions
(Previously reported o Schedle A — Contributions accepted land then returned to donors)
iv3'l vS R irSr lei
r-LEaJh rKin 1 { 1 Y rh
1. Date Accepted
4. Name (Last, First): �'
5. Address:/J
2. Date Returned
6. City/State/Zip:
7. Purpose:
3. Amount
$ �V 4
- A 6 1
2. �Date
Re
3. Amount
$ /Y/4,
4. Name (Last, First):
5. Address: 1i1;
6. City/State/Zip:
7. Purpose:
Returned Expenditures
(Previously reported on Schedule B — Expenditures returned or refunded to the committee)
rLrA3r rKuN i i i Y rr.
1. Date Expended
N4. Name (Last, First): ,W&
l
2. Date Returned 5. Address:
3. Amount 6. City/State/Zip:
$ 7. Comment (Optional):
1. Date ExRended
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:/jam?
7. Comment (Optional).
3. At ount
$ /)/ /�
Firestone Town Clerk CPF form: 12/2023
Statement of Non -Monetary Contributions
[Art. XXVIII, Sec. 2(5)(a)(I))(III) & Sec. 5(3) & 1-45-108(1), C.R.S.]
Full Name of Committee/Person:
rur, AJL+ JMIIN 1 / 1 Y rL'
1. Date Provided
4. Name (Last, First): Ct �lr'i ►.� 1
L o t A
5. Address: _tS`2 Rd
2. Fair Market Value
$
6. City/State/Zip: =; 1LC-S -tuns
G = v R&!E20
2• Description: r r o
cS ., ns
0� 2 �
3. Aggregate Amt.
$ C / , 23_
8. Employer (if applicable,mandatory:
9. Occupation (if applicable, mandatory
A/
heck box if
ectioneering
Communication
10. DCheck box if Coordinated with a Candidate/Candidate Committee or Political Party.
_ 4. Name (Last,First):
5. Address:.
2. Fair Market Value n
$ 6. City/State/Zip: �-iG1 S ri tro T 'e� d2 G �11r� _ 7)
,2 .
3. Aggregate Amt. 7. Description: t!Z �? �c� ► r, r� */��p� U�_S'
$ 2 S'2 8. Employer (if applicable,mandatorv):
k bif
eathenecbox ox 9. Occupation (if applicable,mandatM): %✓��T
ioneermg
Communication �
10. QCheck box if Coordinated with a Candidate/Candidate Committee or Political Party.
1. Date Provided
/'
4. Name (Last, First): /X /�z
5. Address:
2. Fair Market Value
$
6. City/State/Zip:%j
7. Description:
3. Aggregate Amt.
$
8. Employer (if applicable, mandatory
9. Occupation (if applicable, mandatorv):�/
Check box if
Electioneering
Communication
10. ❑Check box if Coordinated with a Candidate/Candidate Committee or Political Party.
s 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: I2/2023