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Home My WebLink AboutReport of Contributions and Expenditures 03-13-2024FIREsTONE Tow,�� CLERK 9950 Park Avenue Firestore, CO 80520 Town(' ierk llh(303) 531-6264 F,m (720) 7134106 f IRESTONE ('01,0RA110 REPORT OF CONTRIBUTIONS AND EXPENDITURES Article XXVI Hor the Colorado Constitution and Tiflc 1, Aiii0c45 of the ("olorado Revised Statute (C.R.S.) Full Name of Committeef erson: cic' �Sv"kA �ks Sho�Nqi on Registnauon Address of CommitteelPerson: City, State & Zip Code, Committee Narne and Address of Financial Institution COMMITTEE ID NUNNI ER Type of Report Regularly Scheduled Filing. Amended Filing.'riiis, anrends previous rLport lilcd on (datc) Subinit changcs or ncw infonnawn ON LY TerminationibeptYrt, fTcrraination Reports MUSTbase aWnewy llalanc,� of Zero in Line -5) Check this box if this Report Contains Etectionecring Communications In Formation Reporting Period Covere& L Through l90 ze/ Date We Declared Total Spending rif Apphrable) S [Art, XXVU11, Sec Q, 1)] 1 I Funds on J+' nd at ffie, Belinriing of Reporting Period (Monetary Only) 33 T. i (D 2 Total Monetary Contri )(ItIMIS (hTle 11) s" -T Total of Monctiry Cont6butiong & Beginning Arm Unt (line i - luac 2) -S Funds on Hand at the End ol'Reportinp, Period ovoneLary) iIinc 3 - line 4) 1 $ The appropriate officer shall impose a penalty of S50 per day foi- each day that a report is filed late. l (Art. XXV111 See, 10(2)(a)l I Authorization tNlust be. comDicted by either [he Reg-6(cred Agent gn thet arttdialYk I herebt- certy ciarc, under �,, and tie pe-nalty qfjne�jtaythat io the best el/'nty knowledge Or hefiqfall vorild-ibulions received during this reporting period, in(*Ohtgaiav contributions received in 1he,fbrni qfawnsbershfp dues tramfirred by a nremhershij,,r organLadon, areftorn Print Registered Agent"s Name, Registered Agcnt's Signature; Print Caildidate Name: Candidates Signature; DETAILED SUMMARY Full Name of Committee/Person: Current Reporting Period: I Z I I S- ( w ?-2- Through Funds on hand at the beginning of reporting period (Monetary only) i 75 7. 1 Q) 6 Itemized Contributions $20 or More [C.R.S. 145-108(1)(a)] $ (From Schedule 'W) 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) $ (From Schedule "D") 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 I I + line 12) 14 Itemized Expenditures $20 or More [C.R.S. 145-108(1)(a)1 "B") $ (From Schedule 15 Total of Non -Itemized Expenditures $ (Expenditures of $19.99 or Less) 16 Loan Repayments Made "C') (From Schedule 17 Returned Contributions (To donor) $ (Please list on Schedule "D") 18 Total Coordinated Non -Monetary (in -kind) Expenditures $ (Candidate/Candidate Committee & Political Parties only) 19 Total Monetary Expenditures $ T i # (Total of lines 14 through 17) 20 Total Spending 18 + line 19) $ -7. t 0 (Line Firestone Town Clerk CPF form.* 12/2023 1 Schedule A - Itemized Contributions Statement ($20 or more) Full Name of Committee/Person: WARNING: Please read the instruction page for Schedule 11A7' before completing! PLEASE PPJNT/TYPE 1. Date Accepted 4. Name (Last,,First): 5. Address: 2. Contribution Amt. 6. City/State/Zip: $ 3. Aggregate Amt. 7. Description: $ 8. Employer (if applicable, mandatory F-]Check box if "Me"etioneering 9. Occupation (if applicable, mandato Communication I. Dated 4. Name (Last, First): 5. Address: 2. Contribution Amt. 6. City/State/Zip: $ 3. Agmgate Amt, 7. Description: 8. Employer (if applicable,mandatory PCheck box if ectionecring 9. Occupation (if applicable, mandato Communication 1. Date Accepted 4. Name (Last, First): 5. Address: 2. Contribution Amt. 6. City/State/Zip: $ 3. Aggregate Amt. 7. Description: 8. Employer (if applicable, mamlato [7]Cieck box if Electioneering 9. Occupation (if applicable, mandatory): Communication 1. Date Accepted 4. Name (Last,, First): iC 5. Address: -TContribution Amt. 6. City/State/Zip: 3. Aggregate Amt. 7. Description: $ 8. Employer (if applicable, mandato FjCbeck box if "Erectioneering 9. Occupation (if applicable, mandatory}: Communication * For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Coriftittitional cites: Candidate Committee Art. XXVIII, See, 2(6); Political Party Art. XXV111, Sec. 3(3); Political Committee Art, YXVHl, See 3(5); Small Donor Committee Art. XXVIH, Sec, 2(14). Firestone Town Clerk CPF form: 12/2023 i Schedule B - Itemized Expenditures Statement ($20 or more) [1-45-108(1)(a), C.R.S.] Full Name of Committee/Person: A_ )O OC, SIAN(Z MbAbt; rMIN 1/1 YrV, 1. Date Expended 4. Name: 1\1 _L__ 2. Amount 5. Address: $ 6. City/State/Zip: 3.Recipient is (optional): ncommittee 7. Purpose of Expenditure: ONon-Committee LICbeck box if Electioneering Communication 1. Date Expended 4. Name: 5. Address: 6. City/State/Zip: 7. Purpose of Expenditure: OCbeck box if Electioneering Communication I 2. Amount $ 3.Recipient is (optional): 11 Committee F1Non -Committee I I 4. Name: 2. Amount 5. Address: $ 6. City/State/Zip: 3.1n P(optional): FICommittee 7. Purpose of Expenditure: Non-Committee OCbeck box if Electioneerina Communication 1. Date Expended4. Name: 5. Address: 2. Amount $ 6. City/State/Zir). 3 InCommittee pient is (optional): EINon-Committee 7. Purpose of Expenditure: E]Cbeck box if Electioneering Communication 1 Date Expended 4. Name: 5. Address: 2. Amount $ 6. City/State/Zip: 3. P(optional): Committee �Nan-Committee 7. Purpose of Expenditure: [�Cbeck box if Electioneering Communication Firestone Town Clerk CPF form: 12/2023 Schedule C - Loans Candidate Committees only Full Name of Committee/Person: 7N) ac-, 'SAN 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 purpose of soliciting contributions or for any commercial propose. [Art. XXVIII, See. 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. )OM, Sec. 3(8)] LOAN SOURCE Name (Last, First or Institution): Address: L-T C. 0 C)"-st City/State/Zip: &Qs-0 Original Amount of Loan: $ :;S Interest Rate: Total of All Loans This Reporting Loan Amount Received This Reporting Period: Period: $ (Place online 8 of Detailed Summary Report) Principal Amount Paid This Reporting Period: $ 5-7-90 Interest Amount Paid This Reporting Period: Amount Repaid This Reporting Period: 'S 7- ( Cl Total Repayments Made:$ 337-H) (Amount Repaid is sum of Principal & Interest entered onDetail Summary) (Sum of Schedule C pages, Place on line 16 of Detailed Summary) Outstanding Balance: $, gs t--oi-t r" V C- - 4 TERMS OF LOAN: c - 22 - Z02Z — VIA - Date Loan Received Due Date for Final Payment LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN Full Name Address, City, State, Zip Amount Guaranteed Firestone Town Clerk CPF form: 12/2023 Schedule D - Returned Contributions & Expenditures Full Name of Committee/Person: -')�c — j -,SIA4&P- Returned Contributions (Previously reported on ScheduleA - Contributions accepted and then returned to donors) Returned Expenditures (Previously reported on Schedule B - Expenditures returned or refunded to the committee) PLEASE PRINT/TYPE 1. Date Expended 4. Narne (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. 1 tate ip: 7. Comment (Optional): 3. Amount $ Firestone Town Clerk CPF form: 1212023 Statement of Non -Monetary Contributions [Art. XXVHI, Sec. 2(5)(a)(11)(III) & See. 5(3) & 145-108(l), C.R.S.] Full Name of Committee/Person: —Y)C)0CS,(LP . Vo —%-G- PLEASE PRINUTYPE 1, Date Provided 4. Name (Last, First): C) r4 (=7 5. Address: 2. Fair Market Value $ 6. City/State/Zip: 7. Description: 3. Aggregate Amt.. $ 8, Employer (if applicablemandato 9. Occupation (if applicable, mandato I Check box if trectioneenng Communication I 0._aheck box if Coordinated with a Candid to/Candidate Committee or Political Party. 1. Date Provided 4. Name (Last, First): 5. Address: 2. Fair Market Value $ 6. City/State/Zip: 7. Description: 3. Aggregate Amt. $ 8. Employer (if applicable,mandato 9. Occupation (if applicable, mandato 10. []Check box if Coordinated with a Candi4e/Candidate Committee or Political.P�q. I Check box if cti Meoneenng Communication 1. Date Provided 4. Name (Last, First): 5. Address: 2. Fair Market Value $ 6. City/State/Zip: 7. Description: 3. Aggregate Amt, $ 8. Employer (if applicable,mandatory Occupation (if applicable, mandato HCheck box if Electioneering. Communication 10. OCheck box if Coordinated with a Candidate/ aiididate Committee or Political Party.* Note: If coordinated, then contribution must also be reported as a non -monetary expenditure on Detailed Summary. Art, XXVIIL 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 fornu. 12/2023 vr)�PREMIE MEMBER THE ARTISANS OF SANKI .i Interlocken Broomfield, CO 60021 ♦- DOUGSHARP VOTE 6760 OWL LAKE DR 1-166-37 FIRESTONE CO 80504-3405 (I!'��l!'�j�ll�.!'1�'�'�1'III61l1'I�I��j[6II�I��II.PlIIIIIIII� ACCOUNT NO. xxxxxx 631 STATEMENT DATE 02129/24 PACE 1 of 1 02/01 Balance Forward 02/29 Ending Balance Dividends Paid Year to Date 02101 Balance Forward 02129 Withdrawal Dormant Acct Fee 02129 Ending Balance Dividends Paid Year to Date SAVINGS 5.00 CHECKING 337.10 CERTIFICATES YEAR TO DATE DIVIDEND AND INTEREST CHARGES Dividends Paid Year to Date let - a el jf - fX is , o. Paper statement fees assessed on .2/ 1/24 are for the,january 2024 statement. Paper statement fees assessed on 2/29/24 are for February 2024. HOME LOANS AUTO LOANS IRAS 1A ME eE 342.10 -5.00 337.10 337.10 0.00 0.00 S1-1 1-166-37 C0001016600370101