HomeMy WebLinkAboutReport of Contributions and Expenditures 5-2-2024Space Below 16T Office IJw Only
t'stam•Srar,Nr i'eresls CLERK
'4951) Park Avenue TOW �€ �'�
COirustolle, S S0570 TownClef*d; office
i ownCIcrkier FirestoncCO,gviv
Tilt,
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24
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REPORT OF CONTRIBUTIONS ANDEXPENDITURES
Article XXV111 of the C'raltaratio Constitution and yitic 1,Article 45 of the Colorado Revised Statute,(C,R.S.€
Full Name of .im mffiiitt Ilaerratrii
;is. 0l47Aof ctia pon
Address of Committee/Person:
N� I
City, State & Zip trade
Committee Type:
same and Address of Financial
institution Z-F C T
COMMITTEE NUMBER 11W
1
Type of Report
Regularly Scheduled Fifing..
Amended Filing, nis amends previous apart tiled on (date)
Submit changes or nw^ information ONLY'
Termination u' qrt. cr na inatio Rt7, )oS 1, a°T" Have is Monetary Balance of Zero gat Line )
Check this box if this Ream Contains ins Electioneering Communications Info ation
Reporting Period Covered-, � I QCr, 244 Throught
1aat
� Date
Declared Total Spending to appkanki
9Art. XXtt111. Vic, 4(l)t ,.
Totals retailed Summary page
1 1= ttds on Hand at the Beginning of Reporting ortin e iod t a .a , a 1p:) a
a 2 Total Monetary Ca rittibutions lline.111
P3 Total cat'Monetary Contributions & Beginning ArTtount (line 9 � line 2) `. ,
Ifcarru aasne anr_ne;yl6tne 3 -_ line 1l_
Fonl'7n a thfnt -Rep atrn -Period t.! a ,
Ttme appropriate atmeer shall iitmtttm a mtait� cxt m° a famr r dad that a mart filed late.
lt�rt» "t4"ill e,r. iklf�taf
.= litho `izatigg (mqg lac eaaaai Meal lay raga r ila��1Cte�� d herebr r°v.a"uaj� and declare, urttSer
penaltv raf a a jury, that to the best of e i; knowlettge or far iaRf'aa l e arratr ibutions receAwd during this reporting period
inchidirtg a nv contr ilaartar ns received in ¢lre,fiar~rtr cy"itrc rrllre a-, hip dur°s tr-caa orred irt, a membership ocganiz alion are ja onl
permissible statarXVIV,
Print Registered Agent's Name:
e:-
..
Registered Agent's Si nature: � , Datc:Alar
Print Candidate e:
Candidates Signature: � :�� � Date: �`
Full =l Name �°
Current Reporting Period: a .. ' through
Funds on bared at the beginning of reporting period mon txary only)
Itemized Contributions 0 or More lc'. . . t- 5:m1 ()t )]
7 Total of Non -Itemized i Contributions
rtions:
(Conhibutions msfSR99gridLess)
Loans Received
(From Scha did C °1
"Total of Other Receipts
(6nrcr st; Dividends, etc.)
10 Returned d Expenditures ffrom recipient)
Total Monetary Contributions
(Tinal of lines fi thrrwgh 10)
12 Total Non -Monetary Contributions
"butions
(Fraser StatementofNon- Monetary Contributions)
13 Total Contributions
(]tuts 1 t + lima: 12)
14 Itemized' Expenditures $20 or More [C,R.. 1-4_t0S0(( (]
(FromSehedula "B")
1 Total of N1 Expenditures
s e tune
(Expenditures ofS19,99 or less()
Loan Repayments Made
.....a ... , ...
17 Returned Contributions (To donor)
{irleaase last on b dui "D")
1 'total Coordinated Non -Monetary (in -kind) Expenditures
(Candida te,'Ca ndidsates Committee & Political Parties only) c x
19 Total Monetary ry Expenditures
Total n n
(fine IN .s linc 19)
Firewacraac Town Clcrk 4.°K' faarem 11112d°23
Schedule A -- Itemized ContributionsStatemore)
l
Full Name of ilrrrr itt /Perstrris �
WARNING. Please read the instruction page for Schedule "A"' before completing!
PLEASE rt N°t' T PE
1. Date Accepted
%m(Lwst,,1'ixsi)s
'Ali w
It
6. City/ tirte/Zifr
3,A efe ate Anil.
7. Desc ription-
8. Employeriitaatitili#Ya51 45n7SY ateID%yl:
ic/ck!)ox d'
ectioncefing
9 Occupation ion (if attttiic b1c, `a r tatry):
Cili7ii unication
C , Pate
. Name that, First),
2 {.`tYntr7 tatattC7 Aszit_
5. Address:
b. °itv/Sf te/Zita:
.. elate Anil. �
7 Description- �
�� _
Employer i"itfaatiialic~able, �and7atta .�;
;_ T 1 c]t. hcia:.. il»
e0nincering
9, Occupation(if ap7licitili,Lngralgo ):
.i-ti mmunic ation
1.. 1�7tt t�4d~8t Ca'Cl
4, Name i Last, Firso:
I Contribution Amt.
5. Address.
_
6. `lty/State/ i �:
Ott* Aiitk•
(
7. Description:
-heck box if
8, Employer (if alicab1.c, alataaa)—
l:' eiitl k iin
Occupation lat lictttil� r� . : tiYa is
i %itiiti'itS ication
i. bite Accepted
Name iLwst., First):
.
Haan ribution t.
5: Address:___—,
, ity/st tefzi i.
3. Aw re&atc Anl
leser itititi: ,.
itr)yer
Check box if
a; rri (if aapplicable nisa¢ic& i is�aj=
ectionectin
Occupation tion(ifiiiitilicable,,ga,asiclatqrv):
Communication
_
* for contribution liaaii! within ckctiin cycle or rontributlon cydcw ia& as ac trkT, to the tiiilpwro ig Colorado C'erm iiution all citm i.`aandidale
CoFi7riaittee An:, Jw:?tV111, S c. 2.(6)_ Political Pinny Ati, XXV111 Sec, 30)lwirliiicaal: C ortioutiaic Art. XXVIti. See 3(151: 'Small Donor ['ratiiniatiee
Schedule B — Itemized Expenditures Statement or ore)
It t trt tall l.C.R, .]
Full Name of tttrr itt /P r urtfi'
!, gate bpended
. Name:
Cntcantt5.
Address:
3-1 x pit is (opnonrl):
Committee
7, Purpose of Expenditure-
l�lc?n-t'catr rrtatt
LICheck box if Electioneering Communication
?,,xirsttt�t
ifitt
tl tpil�et
AW
tiSt��t
.
Committee
7. Purpose ofExpenditure:
�.
Non -Committee
"}tccic box lr Electioneering Communication
4. Name.
� . AMO�
5. Address:
--�
3„ m rtt is (Optional):
C O' nunittee
. °i'ty/ tatclZip.
xpenditurnr
T Purpose 'Expenditure:
t-""�nttttatt
of
�
box if Elct tinitc ri
tr cation
i . Date EX pnded
n t n
. Ad ress-
`
3, Inoent is (,optional)
Committee
. C""ity/ trtt "ip.
Purpose
Expenditure:IJ
mittee
Non-Cornsmuc
7. of
'
lark box!`l it cctionwrtrn C.otatrtuntctttt
a
. Metres.
?.art tr�tt
. Address:
2
3,jfir.
i 9
p1 T t 3 la3pta&inal .
C its`, t t ,'Zim
J
l
arras of Apenditure:
leck box VElectioncering Communication
8"'sn�#ac:. "Ttxsvrs t°clerk.`t�t` ti.r�n. t?'. 2Bk`_';
Schedule C - Loans
Candidate Committees only
Full Nai-neofCommittee/PeTson'4?t,-��i'Llo�, �,-
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 intorntation colood from such rcrKwts deal bc sold or used by any perem (tw the puqxvic of soliciting cmaributiorate or for any toinowreW
purpose, fArt, XXVUL Sm, 9(e)l Ninwobstanding any other sectii m of this article to the contrary, a candidina's candidate committee rat ay receive a
loan from a fitemcial institution targanv, W undur state or federal law if the loan hears the usual and customary interest ratc, rs madc on a basis that
assures m-likyntent, is evidenced by a written instrunwrit, and iistilitect to a due date or amortizaiamscbedule lAo, XX Vil 1, Sec 3(8
LOANSOURCE 'NIL
Name (Last, First ortirstilution)-.
Address -
ciao/ Stat o/Zip,
Original Amount of Latan. Interest Rate:
Total of All Loans as RR elportur
Period, S Loan Amount RecRe eived This porting Period: S
�
i Place on line 9 (if X it Sumam
mary Relent,)
Principal Amount Paid This Reporting Period:
Interest Amount Paid This RcTorting Period:
A
Total Repasments Made: mount Repaid This Reporting Period:
f Amd i cunt Repais surn of Principal & lutcre-st evarnxt on octuil Sumoutry) (Sunt of Schedule C pages, PI.A/
Detailed Summary)
OuLstsinding Balance: $
TERMS OF LOAN: _true late fiwFimalPaymeto -
LISTALL ENDORSERS OR GUARANTOWS OF THIS LOAN
Full Name ddress, City, State, dip Amount Guaranteed
then ione Town Oerk CPV form-, 11'2023
2i$
A`
.G9TpC tfrli
I mate, Rc
3. Amount
l . hate l
?. I3, c
3, Amount
Schedule D - Returned Contributions & Expendit re
turned
tur�t
Returned Contributions
lire t��rousiv r 1wr tt�d on Schedule dole a� --
otitributions accepted d and trots returned ne its r�nor
,N'I'rUVPL
4, Name
carts ti
. Address:
7. Pur os k mm__ .��Wm
l
rp
4. Name (Last -First):
5. Address:
Cit ^""« tatte l t i::
7. �Mt�7oSe—,
i
Returned Expenditures
r
(ar'revious v reported trrr � ch ecicd B - Expenditures returned or rt� trr dtd to the tconit rtttiw) f
�
py g y� yy
NITI PE
. Name f,1rstl:
. Address:
ta, City/State/zip:
7, Comment (optional):
w
4. Name lt.rt�t.l arse:
rAt
tl
.Address:
ti. "kty/9iarF''Zipn
� 1
r
f
j
I
Statement of Non -Monetary Contributions
^