HomeMy WebLinkAboutNew Committee Registration - Firestone Initiative for Responsible IC FIRE - 05-06-2026_RedactedFIRESTONE TOWN CLERK
995DFires Park Avenue FIRESTONE
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Firestone, CO 80504 OWn Clerk's Office
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www.iiresLOneto.itav NEW COMMITTEE REGISTRATION FORMd
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Please use this form if you are registering anew committee for Colorado Campaign finance Purposes
Independent Expenditure Committees Use IEC Committee Form
Select Only One Committee Type:
❑ Candidate Committee ❑ Political Party mall Scale Issue Committee
❑ State Political Committee ssue Committee ❑ 527 Political Organization
❑ Small Donor Committee r
Committee Name:
Committee Address
Committee Address (mailing):
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Phone Number: �- , , Alternate Phone Number:
Email Address: I S-1 � ►r-tss! !, �C�+�1 Web Address: "''r �5 ,� e d c,�' +,rL
Check Only One Jurisdiction: Enter Applicable Counties
❑ Municipal (file with Municipality) ❑ COUNTY >
11 Special District — >
❑ School District >
Purpose/Office Sought- 1j2 e J.e.J, trlF �cu� cad rC, „� ►�,� V.
[include party (NP), office (NP), & election year, if applicable) it P o ,-,T-ne ir,
Financial Institution Information
Institution Name: P� 1. a f I
Institution Address:
Authorized Agents Contact Information
Registered Agent
Name:
Phone Number: `tAc) &okto :5E(y3
Ernail Address: SoAu"Itarr- n wo 1-
Alternate Email Ad ss:
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Date
Candidate Committee Information
Candidate Name (print):
Candidate Address (mailing):
Designated filing Agent (optional)
Name: Ott, 7+r
Phone Number?
Email Address: Ii �� nL"n� 5,rt .sw►
Alternate Email Address:
Alternate Email Address 2:
Designated Filing Agent's Signature Date
Candidate Signature
Date
Town of firestone Form No. TOF-CF-002
Revision Date:04117/2026