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Home My WebLink AboutTermination Report 05-09-2024, Curly. .... ... . . . . ............... " 1 1 1 1-1 il FtPE5r0Nr ToNvN OxRx 9950 Park Avenue Firestone, CO 80520 Town0erk( FirestoneCftov Ph: (303) 531-6264 Fax(720) 7134100 FIREST011 C 0 1, () R 1 1) 0 REPORT OF CONTRIBUTIONS AND EXPENDITURES Article XXV111 of the Colorado Constitution and Title 1, Article 4_5 of the Colorado Revised Statute (C.R.S.) Full Name of CommitteelPerson- Address of Committee/Person- city, State & Zip Code: Committee Type: Name and Address of Financial COMMITTEE ID NUMBER I & Z42 Type of Report 1-1 Regularly Scheduled Filing. Amended Filing. 'This tiara cnds previous report filed on (date) Submit changes or new information ONLY Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5) Check this box, if this Report Contains Electioneering Communications information Reporting Period Covered: [ 01r, e � 2 6 94 1 Through 14n U q, 2r, Declared'Yotal Spending rjf.,pkb&r jArL XXV111, See. at])] Funds on Hand at the Beginning of Reporting Period tinonctary only) c- T—talMC onetary ontributions (line 11) 10 o Total of Monetary Contributions & Beginning Amount (line I -+ line 2) Total Monetary Expenditures (line 19) $ Funds on Hand at the End of Reporting Period (monetary) (lime 3 -line 4) The appropriate officer shaff impose a penalty of $50 per day fear'each day that a report is riled late. I tArt. XXVIH See. 10(2)(a)] Authorization fMust be ce#tn letLd by either the RqgisteredAgent OR the Candidate)., I herebt, cer4ftT and declare, under penaI4, qfper jw,, that to the best qf my, knowledge or belief all contributions received during this re p rfineriod, po g inchiding arky contributions received in thefarray of fie difev lranqerred by a nrenthe^*ip organization, arefirom pernictsible sources. Print Registered Agent's Narise: (2" C, aflhei 91 Registered Agent's Sig Print Candidate Name - Candidates Signature.-, Firestone To" Ocrk CPF form: 12/202-3 Schedule A - Itemized Contributions Statement ($20 or more) I I I Full Name of Committee/Person: WARNING: Please read the instruction page for Schedule "A" before completing! PLEASE PIUNTfl7YPE 1. Date Accented 4. Name (Last, First): -,M ex44 IA3 a 6761:,6t, t!2 t 2. CatntTiKu Address: vc� (a cg &J h e 54, 9a `�, -11 00 6. City/Statelzip: 3. Aggregate Amt_ 7. Description: Ca-cb � a .4 8. Employer (if -pplicablemandato Check box if -dionecring 9. Occupation (ifpplicablengmdato Communication 1, R#!LAccepted 4. Name g=4 First): 2. Contribution Arnt- 5. Address: /V Aq Zv 6. City/State/Zip: 3. Aeereaate Amt. $ 7. Description: Al 8- Employer (ifappiicablernmrdatory &Zd 17Check box if Trectioneering 9. Occupation (ifapplicable, mandato Communication 1. Date Accepted, A/ 1A 4. Name (Last, First): 5. Address: 2. Contrifigtio'n Amt. ZVAI 6. City/State/Zip: 3. Aggregate Amt 7. Description: IYIJV 8- Employer (if applicable, 9. Occupation (ifapplicab1e,rnmAatojy): [jCheck box if E F cctioneering Communication 1. Date Accepted &1-4 2. Confribotion A .A-m $ a F-lCheck box if 4. Name (Last, First): Z" 01 1 5. Address: 6. City/Stale tZip- A11,4? 7. Description: 8. Employer (if applicable,}: 9. Occupation (if applicablemandato Communication I * For contribution limits within a committee's election c Committee Art. XXVM Sec. 2(6); Political Party Art XXVR Sec. 2(14). or contribution cycle please infer to the following Colorado Cbastitudonal cites: Candidate VM Sec. 3(3); Political Committee Art. MMIL Sec 3(5); Small Donor Committee Art. Firestone Town Clerk CPF form: 1212023 Schedule B — Itemized Expenditures Statement ($20 or more) [145-108(l)(a), CKS.] Full Name of Committee/Person: rL,LA.,5v, rkuAw i y rL 1. Date Expended 4. Name: CcLjgb6rj VolLea 144e I -xi a4eA q 2. Ajiotfn - 5. Address: Ow cJ? an a a 6. City/State/Zip: cS ��@- , [] 3.Recipient is (optional): f Committee 7. Purpose of Expenditure: --rD n yt c I on +a i:6W Ce-.4g-.31 EINon-Committee Umeck box if Electioneering Communication I. Date Expended 4. Name:— t�IA . 2. Amount 5. Address: 3.Recipient is (optional): 6. City/State/Zip: F] Corn ittcc 7. Purpose of Expenditure: ElNon -Committee E]Cheek box if Electioneering Communication L Date Expended 1 4. Name: 2. Amount 5. Address: $ /V 6. City/State/Zip: 3.l eciIn is (optional): 1 Committee 7- Purpose ofExpenditure. Ale Z-Committec [:]Check box if Electioneering Communication A114 1. Date Expended 4- Name: 2. Amount 5. Address: $ /V//-7 6. City/State/Zip: 3. pient is (op onal): Committee 7. Purpose of Expenditure: ❑Non -Committee Oneck box ifElectioncerina Communication A114 4. Name. &, �a, 2. Amount 5. Address: 6. City/State/Zip: 3. pient is (optional): ri Mommittce 7. Purpose of Expenditure. QMeck box if Electioneering Communication Firestone To" Clerk CPF form: 12t2023 Schedule C - Loans Candidate Committees only nZ, 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 shall be sold or used by any person for the jimpose of soliciting contrilmdons or for any commercial purpose. [Art. XXVHL Sec. 9(c)] 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 Y—XVM Sec. 3(8)] Name (Last, FirstorInstitution): ZVI) I 00"S mr, Me4lotAJ Address: City/State/Zip: Original Amount of Loan: 6flg Interest Rate: ................. Total of All Loans This Rep Loan Amount ReceivedTbis ReportmgPeriod. S Period: $ N (Place on line 8 ofDetmW Summary Report) Principal Amount Paid This Reporting Period- /V Interest Amount Paid This Reporting Period: $ Amount Repaid This Reporting Period: $ All,* Total Repayments Made: j (Amount Repaid is sun of Principal & Interest entered onDemil Sunimmy) (Son ofSchcdale C pages, place on line 16 of Detailed Summary) Outstanding Balance:$ xlw Date Loan Received Due Date for Final payment Full Name Address, City, State, Zip Amount Guaranteed I - WA A02: Ax? AYA - -1110! Firestone To" Clark CpF form: 1=023 Schedule D —Returned Contributions & Expenditures Full Name of Committee/Persow(RA"I, fiIAAI0_(Z.9 f7b_g_ Returned Contributions (Previously reported on Schedule A — Contributions accepted and then returned to donors) PLEASEPPJNTtME 1. Date Accepted IV14 4. Name (Last, First): 5. Address: 2. pate Returned IVIV 6. City/State/Zip: 7. Purpose: A/1/0 3. Amount $ 1. Date Accepted 4. Name (LastFirst): /V I 5. Address: 2. Date Returned 6. City/State/Zip: ey—M 7. Purpose: 3. Amount Returned Expenditures (Previously reported on Schedule B —Expenditures returned or refunded to the committee) PLEASE PPX4TrfYPE 1. Date Expended A6�A 4. Name (Last, First): 6114 5. Address: 2. Date Returned &�g 6. City/State/Zip: 7. Comment (Option*. 3. Amount $ 1: Date Expended4. Name (Last, First): 5. Address- 2. Date Returned 6. Cit3dState/Zip: 7. Comment (Optional): 4�41 3. Amount $ lyle Firestone Town CIcrk CPF for= 1212023 Statement of Non -Monetary Contributions [Art. XXVHL Sec. 2(5)(a)(-U)(" & Sec. 5(3) & 1-45-108(1), CaS.] Full Name of CommitteeJPerson: 1. Date Provided 4. Name (Last, First): "VIA IV14 5. Address. 2. Fair Market Value $ 6. City/State/Zip: A�lw 7. Description: A 3. Ag-gregate Amt. 8. Employer (if applicable mandate 9. Occupation (if applicablcMgyggoU). 10. aheck box if Coordinated with a Candidate/Candidate Committee or Political Party. --heck box if M etioncenng Communication 1 1. Date Provided A11,4 - 4. Name (Las4 First): 2. Fair Market Value 5. Address: 6. City/State/Zip: 3. Aggregate Amt. 7. Description: $ 8- Employer ff applicabie�rnandgqo 2heck box if rectioneering 9. Occupation (if applicablemandatqW- Communication io. E]Check box if Coordinated with a Candidate/Candidate Committee or Political Party. 1. Rate Provided 4. Name (F-zs4First): 5. Address: 2. Fair Market Value $ 6. City/State/Zip: 3. Aggregate Amt. 7- Description: 8. Employer (if applicableman LjCheck box if 9. Occupation (appcabIcMM4gqxy)-. Electioneering Otiif li &Zg: Communication JO.E]Check box if Coordinated with a Candidate/Candidate Committee or Political Party. *Note. If coordinated, then contribution am also be reported as anon-monctary c:tpendiftwc on Detailed Summary. Art XXOM 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: 12023