HomeMy WebLinkAboutReport of Contributions and Expenditures 2-2-2024Space 11da"'; for
Futrs-rom: I OWN (,.AJ1RX TOWN OF FIRESTONE
9930 Park Awn= w C jr ��
Fmon imc,("() 80520 Town Ctedes Ofte
flit: 003 j 531-6264 FrEB 2 2024
f'av (720) 7 t a4106
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FIRESIONE LR=eceived b
C 0 1, 0 H 'k 1) 1)
REPORT OF CONTRIBUTIONS AND EXPENDITIJRES
Article XXVIIJ ofthe Cof orado Cons(ittificin mid'hde 1, Article 45 ofthe Ccflotado Revised Statute (CR.S.)
FF�417N—�aa—le of Com-r-n—itt—ee/pe, rs-o-0-7.7- —.e,? —1i —A-1 I It rl
Address of Committee/Persoo.,
Mate & Zip Code:
Name and Address of Financial
Institution 7WK
COMNIFF"I'VE ID NUMBER
Type of Report
1z Regulady Scheduled 1-11ing,
Amended Yiling,ThiS U111CMIN pT-0i0U,, Mt)(A-L filed oil (date)
Submit chanccs or new infonviation ONLY
fermination Rq�(JC (TCI`WiTl:ldon Reports mus'r i javc a monetury Ralance of Zcro in 1-in5)
Check this box Ifthis Report Contains Electioneering Communications Information
jeln�,V� 2Q2!1 Throng
Reporting Period Covered: 2 0 2-19
se Mae
Declared Total Spending (tt pjjjjcjj�,e)
[.ArtXXVIIJ, *cc 4f 111
ta s l etailed Surnmary Pag g e
I I Funds on Hand at the Beginning of Reporting Period ononetary canI y
Total Morfctaiv ('ontributions (fine I If
'rotal of Monetary ('ontributions & Beginning Amount Orte 1, � hite -1)
-(fine
Furid.,sot'ifiaiidattlicEti(lot'Repot-tiiigl)et,lod(iii(riiet�tlyflillc3 finC4)
Tbeappropriate offieer shall hopose a penalty of $50 per day for each day that a report is riled late.
[Art., XXVIll See, I0(2ha)j
Au1iorizatigit-,feast lac conmi'leted by ejfher iXegit tot the I herebt, certq, and declare, under
penaln, q peijurv, that to the hest cap" inn biowleclge or befiel till conwihwhnuv received durinAthis reporing ) l-iod,
including an'l, contributions rece4vcd hi theficrin qf'membi,Frshij) dues lranNkrred b"r as memhe),ship organi--ation, arefiont
permissible smerca,
Print Registered Au
Registered Agent's
Print Candidate Name� Y
rl
Candidincs Signature: Date:
L
�mone Town ('IeTk CJIF fbnu� 12/2023
Full Narne of+Conuoittee/Person;
Current Reporting PeriodUT
-
Foods oil hand at the betyinning of reporting period (M on twy Only)
6
f tern ed Contributions 20 or More IC .lr.S. l 4L5.108(l )(a)]
(From Schedule "A")
7
Total of on itemized Contributions
(C casrtrilrutions, of S 19 r99 and Less)
Loans Revs%iced
(f turn SClredulF "n "')
r
Total of Other Receipts
(Interest, DMdr nds, etc.)
0
Returned Expenditures (farm recipient)
(,Frcrtn Schedule "U")
m"
1
Total Monetary Contribution
?
Total Non-Monetry+C`ontributions
$
(Frorn St< eiiicrtt trt'Non-Monetary Contributionsi)
13
Total Contribution
(Line I l i' Id e 12)
t x
14
Itemized Expenditures S20 or More IC S'. I-45-10 (1 w(a)j
S,
[5
Total of on-itenrrzed Expenditures
,
(Expenditures €rf$19.99 or Cessd
0 .—
Loan Repayments Made
l Ci
(Ft`oni Sefu�dule "("`°(
0,
17
Returned ned Contributions (To donor)
S
(Ple:a�e hsa on Schedule "D")
18
Total Coordinated mein -Monetary (in -kind) Expenditures
(Candidate/Candidate C oinruittee & Politic W 1 allies only)
19
Total Monetary Expenditures
$
('IoW cif°lines 14 through 17)
i
Total Spending
(Lure l line. 19)
�.
Firc%ttirusc'7'c,wki Clerk CPF 66mv 11,2023
Full Name of Committee/Person: I aUZZX_9� _j
WARNING:
Please read the instruction page for Schedule "A" before completing!
PLEASE PRUNTITYPE
4. Name (Last, Fim): 2?, q-!
—f-Contribtifitrn
—6
A111—L
N. Addres
6, City/Statc!/Zip-.
2k2ol:e Anal.,
7. Descriptiow
,ft 0.
8. Employer (if arnli,ti
7ap
1,
9. Occupation(i _ La
Communication
I . Qate A
4. Nairre (Last. First)"
1 Crntribution Anit.
5. Address:
6. City/Statc/zip-
I A Ir
$
7. Description:
__ NA
L—
_PCheck
8. Employer (if, LnLmdatory).
applicable,
box if �, e
7 Cerioneering
9. OcetipatioTi(ifaiijilicaible, iiiatidai(,)i
Corli'mumeadon
I . Da AiLv�pte
Le ic
4.Name (Lasl, Firstr
mion Anil.
5, Address-,
$
6, City."State/Zip,
7. Description -
Al
_eckt
8� E111p] oyer (O'appl icaWc, ma
P- it-
i o
c�!I,
ectionecT !
�t c'lle -in�
9. Occupation Ofapplicable,mand t�jryl�
_L -
Communication
1, TameAccep
1 4. Nam e (Last. H rm j
2, Contribtition Anit.,
S
6, Clit)UStatc/zijt.
3 , A gr �lregi�lcA nil
7. Description:
'heek box if
-ing _an at 9, Occupation (il'applicable, Lii id, ory,
CommunicaLio(
Foi contributOo rrifts witliin a Con Im i lice's elszfiwcycle or Contribu6cm cy6c, please refer to ilie following Colorado Constitutional cites: Cirididale
Commitice Ati XXV111, See, 20); Pofi6cal Party Art, XXV111, Sic. 3(3f, Polilical Committee Art- XXVIB, Sec 30); Small DonorCommittee AM
XXVIR See. 2(14).
Firc,tone Town Clerk CIT iomv IM023
Schedule R — Itemized Expenditures Statement ( or more)
t tt'rttttt tif°d'r►atuittt'crtrts
6, City/State/Zip�
Committee ?. Purpose of Expenditurez
?ion -Committee Ullieck box ifFlectioncering Communication
I , ,it Expended
4.
l a me .
:-Anio rtt
5
r" ddress- m
S b �
; 6
ptt /Stcite"Zi :
3,Reeipient is (opti4iiait#!.
(
Committee
7,
Ptit'POSC: of °:KKpC
nditute:
1 tt 'CiC1 31I91: t
11check box il'ElecttoneerinL, UmiC7ttit ication
1. Date Expgagri
��
y y"_..,....Y_e. pp
ttient is (opti4t.mid t.
. �P, i.� 9 t'j�7f L{+dW f��..d,w W I). .,,.....,—, .—.m.,m................
d
Committee
C
7 Pttt`J)OSe of E xpcttdtttttc°
cira tttttittttte
heck box it [ 1� .ti Eic eC"iBi �s C`c�mmutiieatia�in
..
1, t 1 tc t tied
_
a...
Amogm
ry
pity.
E 3, pient is (opttc.Mttiili.
6 1. ?tatel eip.
Committee mittee
7,
k
Non -Committee
Oubeck box ff 111eetici,aeea r¢t C `itittiiivattetitiC ii
r 1 �ttr Ea�,�ct�tt �
. Name,
', tataa aliti2 (Idi s,;
1 1� 6, City'
'ity ttwi tti
�.
1PNon-Con-iminee
C�oit�iittttteet�carr,�li;
F'utpose of t.xtaertc iture:
! _-heck faux if Electioneering Communication uni action
Schedule C - Loarls
Candidak Commilues only
I 'it I I Nanic ofCommitteei I lus on MA410 ws4-'-a r",2&
LOANS — LOAM Owed by the Committee
(Use aseparate scliedule for cacti loan, This fomi is for line item 9 and 16 of the Fettled Surnmary Report.)
I No information copicd from such reports, shall be soldorLINCilby any persmi for Ow pwl'osc ofsoh cili"g, colluribufions or fol ally coll"Ilercial
purpose, [At I, XXV I I L See, 9wfl NNrITw6stIndi I eg any 01'T]tis 31-10CTO tIICC0DtrarV, as CaMfidUte's UlUdidate COMmittee may recelve a
Imin from a financial iamiwion mganrzed under state or federal law ifthe loan bears The usual and ci�stonuuN, mwvsi raze, is ma(k, wm a bsasis Ihm
a, repayment, is evidenced by a ww°rilken mstaimem, and is subject to aonus date , or amoni/alion schedule [Art. XXVIII, Sec, 3(K)l
LO.A,N7 SOURCE
Nai]te (Last, First or Institunon):
Address:
Original Amount of Loan -I hiterest Rate'.
Total of All Loans This Rcriorring
Loan Aniount Received This Reporting Period: Period: S
i Place, on line '8' of'Detafleu.1 Summmy Repon)
Principal A11101,111t VaidThis Reporting Perjo& S
Interest Aniount Paid `bis Reporting Period: $,
Amoum Repaid TI-ris Reporting Perio& S_ Total Repaymenn; Made:
(Amoom 1;qx6d swo of PrRIOPAl & 1111CRONI i:Tlter"OF) Delft SWIMI t-e (Sum of*Sched0c C pages- Placc, on kne 1 6(W
r�,,tadcd Summary)
Outstanding Balance: S
TERMS OF LOAN,-
Datc I oan kccciwd Duk� Date I'or Final Paynwnt
hrestone'town Cluk CPF tbrm 12,202-1 1
Schedule 11 — Returned Contributions & Expenditures
Full Name ofConunittee/Person:
Returned Contributions
(Pee-viously rel-wrted on Schedule A -- Cono-ibulions accepled and then reau-ned to tknors)
PLEAS',& PRINTrl'YPE
1 4, Narlic (Last, FirSW t - _
Y bate fieturned 5, Address:
6- City/State/Zip:
.3. AnioLtnt
7, Purpose:
—0—
I. L�qtg Y��ccptg
4, N ame (Last, First):
2 Date ReaLm,& 5. Address:
3, Ainowit 6, City/'State`Zip�
7, Purywose�
Returned Expenditures
(Pi-evionsfy Yvportedon Schedule B —,Expenclitures i-eturned oi- rc, fiinded to the coninduce)
PLEASE PRIN17rYPE
Mwq ed
4.
Name (Lask Firsw
2. Datc Retun ed
5,
Address:
3. Aniounttt.
citylstag "Zip;
A ------------
LS
7,
Comment (Optional):
___ /V
1, Dgte �Lx qq qOI
4,
NamedLast,First'r
Kate Returned
5.
Address---.-
3, Aniount
6,
Crty?Statcf/fip
Cornment (Optionall:
FireitoneTown Clerk CPF'form 121,1023
Statement of Non-Monetan Contributions
jArt, XXVIII, :sec. 2( )(a)ti1)(111) & Sec, �'( t & i 5-909(1), CA-S ]
Full Nanatt of Committee/Person:
'LEASE 8 i f ltTYPE
.- Address:
I l4tttt° MarketValue
6, City/Statel"=Zile;
_.::. 7. Dcscrilrtion;
a S, Employer tit` t(i3alaettial�rt�t zstcf $t t °}.
beck box if
t ct)a�nec 'ira � 'Ciicitpation (il' ap �ficable, Land tcta ):
Communication
H)a "ltcck box if Coordinated with a Candidate/C::andidate Committee or Political Part i.
1, Date Provided
..... ._...._ ...... w
:r+oddr°eS�:
.. ..__.
2. Fair tvtaiket Value
6City/State/Zip:
r Ater ate ^pra t. 7 l�is:�i riptioni
mm�_.=.
`!� r ")#' fit.Employer (if'appIicatste,matttd
ltcek box it'
e Oecilf)atFl"r31 t'illtsp�Plittttic.tttt�t3c$fMltttml: �l "'T
tx�tlaratee.rttr�,
Communication
10, Check box ifCoordinated with a Candidate/Candidate Crrtrtn ittee or Political Part .
1. gate Prcavrtlerl
�,{
"Y Name .{l at4t. t`iC;it):
......
p
. Fair Nlat ,e.t Value
faCity/State/Zip: ...__
„3. r'�ttt�e�a6e fy,irrt.
7. Description:
81, Employee- (if`a fsl�ctibi ;,rrttrLdl tt�'frvd:
C'lteck lynx 8t
Electioneering
in
9. tcctipation (,i€' applicably, nr rich$ rtiv'):
_
Cornntttnication
fir,
FICheck box if Coordinated with
a Candidate/Candidate Committee or Political Party.
* Note, If c t` lia:att 1, then ctrm bution rtaust:aaho be reported .as a nun-tatorrct.aty expen9itaase tier Dosiled Saatramar (, .ire XXVIII, Se, 2(9) swt+ s'. `, Axtax nditures
that are controlled by or coordinated ra ith a caanWatc or candidates aa., ent ari: deeianed to lac° both couiribution s by the maker- s fffie exttendilures, and eNpendiwivs by
than candidate committee'
Fir>Mstaeiaz'I"ttwn Clerk, CTIF fort ? I2023