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HomeMy WebLinkAboutCandidate Affidavit - Kevin Botka - 08-05-2026_RedactedFI1tFSTONLTOWN CLERIC 9950 Park Avemte Firestone, CO 80504 TownClerk rr FirestoncCO.gov Ph: (303) 531 ,6264 w'.'Ww4tin stomco,eov FIRESTONE CANDIDATE AFFIDA'�VI I [Art, XXVIII, See. 2(2) & 1 -X15 -110(t), C.R.S,] Municipal Candidates file with the Municipal Clerk TOWN OF FIRESTONE Town Clerk's Offce AUG 05 2026 Time Received b This affidavit certifies that I V [ ri o l I_ -o , a member of the (Name*) NOT APPLICABLE political party/organization (if applicable), 1 am a candidate (Political Party) for the November 3.2026 election, [Art. XXVIII, Sec. 2(2)1 for the office of T/fns E' , (Year*) (Office') District NOT APPLICABLE (if applicable), County WELD (if applicable). (District*) (County*) I understand that campaign finance activities in Colorado are governed by Article XXVIII of the Colorado Constitution, Article 45, Title 1 of the Colorado Revised. Statutes (C.R.S.) (also known as the Fair Campaign Practices Act (FCPA)), and the Secretary of State's Rules Concerning Campaign and Political Finance. I further certify that I am familiar with the provisions of the Colorado Fair Campaign Practices Act (FCPA) as required in §1-45-110 of the Colorado Revised Statutes. Signature of Candidate* Date*: c/ z� Physical Address of Candidate*: 127 71 _ fc -% Rt e r� Dr. R es7 (0 &'oro y= (Strcet/City/StfZip+) Mailing address: Business Phone: Residence Phone*: iZts 3) 73 b— c S 7 I Fax: Web Address: W wc,r . e v .1 o f:-MailAddress*:��1�, 4Ired�`C) 'e 1 . a'f'1`�,r1,.r+i rQw Fields marked with * are required unless they do not apply to the race for which you are submitting this afttdavit. "Tel otary seclirm below must be completed in Cull. STATE OF C©L41_�A COUNTY OF 1►►,f Before me, _r Ai+h S LC* , a notary/officer duly authorized to administer oaths, in and for said State, personally appeared_ g ih , whose name is subscribed to the foregoing Candidate Affidavit, and who affirms, that said statements are true and that he/she acknowledges the execution of said instrument to be of their own free act and voluntary deed for the uses and purposes therein set forth. Subscribed and affirmed to before me this 'fit day of , 20 7L. (Seal) JUDITH E. SCO T (No#er ml . ig attire) NOTARY PUBLIC STATE OF COLORADO 1,4 NOTARY ID 20164022329 1 " - MY COMMISSION EXPIRES JUNE 10, 2029 (Commission Expires) Town of Firestone Form No. TOF-CF-001 Revision Date; 05/20/2026