HomeMy WebLinkAboutReport of Contributions and Expenditures - Kevin Botka for Firestone Trustee - 09-02-2026_RedactedTown of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 6
REPORT OF CONTRIBUTIONS AND EXPENDITURES
Article XXVIII of the Colorado Constitution and Title 1, Article 45 of the Colorado Revised Statute (C.R.S.)
As Shown on Registration
Address of Committee/Person:
City, State & Zip Code:
Committee Type:
Name and Address of Financial
Institution
COMMITTEE ID NUMBER
Type of Report (check one)
Reporting Period Covered:
Declared Total Spending (if applicable)
[Art. XXVIII, Sec. 4(1)]
Date
Through
Date
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of Reporting Period (monetary only) $
2 Total Monetary Contributions (line 11) $
3 Total of Monetary Contributions & Beginning Amount (line 1 + line 2) $
4 Total Monetary Expenditures (line 19) $
5 Funds on Hand at the End of Reporting Period (monetary) (line 3 – line 4) $
Authorization (Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, under penalty of
perjury, that to the best of my knowledge or belief all contributions received during this reporting period, including any
contributions received in the form of membership dues transferred by a membership orga nization, are from permissible sources.
Print Registered Agent’s Name:
Registered Agent’s Signature: Date:
Print Candidate Name:
Candidates Signature: Date:
Regularly Scheduled Filing
Amended Filing DATE AMENDED
This amends previous report filed on (date)
Termination Report
(Termination Reports MUST Have a Monetary Balance of Zero in Line 5)
Check this box if this Report Contains Electioneering Communications Information
Full Name of Committee/Person:
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.
[Art. XXVIII Sec. 10(2)(a)]
$
FIRESTONE TOWN CLERK
9950 Park Avenue
Firestone, CO 80504
TownClerk@FirestoneCO.gov
Ph: (303) 531-6264
www.firestoneco.gov
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 7
Full Name of Committee/Person:
Current Reporting Period: Through
Funds on hand at the beginning of reporting period (Monetary Only)
$
6
Itemized Contributions $20 or More [C.R.S. 1-45-108(1)(a)]
(From Schedule “A”)
$
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 11 + line 12)
$
14 Itemized Expenditures $20 or More [C.R.S. 1-45-108(1)(a)]
(From Schedule “B”)
$
15 Total of Non-Itemized Expenditures
(Expenditures of $19.99 or Less)
$
16 Loan Repayments Made
(From Schedule “C”) $
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
(Total of lines 14 through 17)
$
20 Total Spending
(Line 18 + line 19) $
DETAILED SUMMARY
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 8
Schedule A Instructions
NOTE: In addition to the disclosure requirements of the constitution and statute please note
provisions for specific Committee type, as follows:
Candidate, Issue, Political Party and Political Committee (PC)
• Required to disclose occupation and employer for all $100 or more contributions made by
natural persons. (Art. XXVIII, Sec. 7)
Small Donor Committee
• Accepts contributions of no more than $50 per year, FROM NATURAL PERSONS ONLY
who are U.S. citizens. [Art. XXVIII, Sec. 2(14)(a)]
Electioneering Communications Reporting
• Reporting required by persons spending $1,000 or more on Electioneering Communications,
• Required to disclose occupation and employer for all $250 or more contributions made by
natural persons. (Art. XXVIII, Sec. 6)
• Corporate and Labor Organization funding are prohibited. (Art. XXVIII, Sec. 6)
Contribution Limits
(Art. XXVIII, Sec. 3 of the Colorado Constitution and Campaign and Political Finance Rule 10.16)
Political Committees (State, County, District & Local):
• $575 per House of Representatives Election Cycle
Political Party (From any person other than Small Donor):
• $ 3,650 per year no more than $3,050 to state party.
Political Party (From Small Donor):
• $18,425 per year no more than $15,350� to state party.
Prohibitions on next page. Please refer to Article XXVIII, Section 3 of the Colorado Constitution for
complete contribution limits and prohibited contributions.
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 9
PROHIBITED CONTRIBUTIONS
• No candidate's candidate committee shall accept contributions from, or make
contributions to, another candidate committee.
• No person shall act as a conduit for a contribution to a candidate committee.
• It shall be unlawful for a corporation or labor organization to make contributions to a candidate
committee or a political party. A corporation or labor organization may establish a political
committee or small donor committee which may accept contributions or dues from employees,
officeholders, shareholders, or members to make contributions to a candidate committee or
political party.
• No candidate committee, political committee, small donor committee, or political party shall
knowingly accept contributions from:
• Any natural person who is not a citizen of the United States;
• A foreign government; or
• any foreign corporation that does not have the authority to transact business in this state
pursuant to article 115 of title 7, C.R.S., or any successor section.
• No candidate committee, political committee, small donor committee, issue committee, or
political party shall accept a contribution, or make an expenditure, in currency or coin exceeding
one hundred dollars.
• No person shall make a contribution to a candidate committee, issue committee, political
committee, small donor committee, or political party with the expectation that some or all of the
amounts of such contribution will be reimbursed by another person. No person shall be
reimbursed for a contribution made to any candidate committee, issue committee, political
committee, small donor committee, or political party, nor shall any person make such
reimbursement except as provided in subsection (8) of this section. [Art. XXVIII, Sec. 3(8)]
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 10
Full Name of Committee/Person:
WARNING: Please read the instruction page for Schedule “A” before completing!
* For contribution limits within a committee’s election cycle or contribution cycle, please refer to the following Colorado C onstitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6);
Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
1. Date Accepted 4. Name (Last, First):
2. Contribution Amt. 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amt. * 7. Description:
$
Check box if Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
1. Date Accepted 4. Name (Last, First):
2. Contribution Amt. 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amt. * 7. Description:
$
Check box if Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
1. Date Accepted 4. Name (Last, First):
2. Contribution Amt. 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amt. * 7. Description:
$
Check box if Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
1. Date Accepted 4. Name (Last, First):
2. Contribution Amt. 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amt. * 7. Description:
$
Check box if Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
Schedule A – Itemized Contributions Statement ($20 or more)
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 11
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Expended 4. Name:
2. Amount 5. Address:
$ 6. City/State/Zip:
3. Recipient is (optional) 7. Purpose of Expenditure:
Committee
Non Committee Check box if Electioneering Communication
1. Date Expended 4. Name:
2. Amount 5. Address:
$ 6. City/State/Zip:
3. Recipient is (optional) 7. Purpose of Expenditure:
Committee
Non Committee Check box if Electioneering Communication
1. Date Expended 4. Name:
2. Amount 5. Address:
$ 6. City/State/Zip:
3. Recipient is (optional) 7. Purpose of Expenditure:
Committee
Non Committee Check box if Electioneering Communication
1. Date Expended 4. Name:
2. Amount 5. Address:
$ 6. City/State/Zip:
3. Recipient is (optional) 7. Purpose of Expenditure:
Committee
Non Committee Check box if Electioneering Communication
Schedule B – Itemized Expenditures Statement ($20 or more)
[1-45-108(1)(a), C.R.S.]
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 12
Full Name of Committee/Person:
LOAN SOURCE
Name (Last, First or Institution):
Address:
City/State/Zip:
Original Amount of Loan: $ Interest Rate:
Loan Amount Received This Reporting Period: $
Principal Amount Paid This Reporting Period: $
Total of All Loans This Reporting
Period: $
(Place on line 8 of Detailed Summary Report)
Interest Amount Paid This Reporting Period: $
Amount Repaid This Reporting Period: $ Total Repayments Made: $
(Amount Repaid is sum of Principal & Interest entered on Detail Summary) (Sum of Schedule C pages, Place on line 16 of
Detailed Summary)
Outstanding Balance: $
TERMS OF LOAN:
Date Loan Received Due Date for Final Payment
LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN
Full Name Address, City, State, Zip Amount Guaranteed
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
purpose. [Art. XXVIII, Sec. 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 rat e, 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. XXVIII, Sec. 3(8)]
Schedule C - Loans
Candidate Committees only
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 13
Full Name of Committee/Person:
Returned Contributions
(Previously reported on Schedule A – Contributions accepted and then returned to donors)
PLEASE PRINT/TYPE
1. Date Accepted
4. Name (Last, First):
2. Date Returned 5. Address:
6. City/State/Zip: 3. Amount
$ 7. Purpose:
1. Date Accepted
4. Name (Last, First):
2. Date Returned 5. Address:
6. City/State/Zip: 3. Amount
$ 7. Purpose:
Returned Expenditures
(Previously reported on Schedule B – Expenditures returned or refunded to the committee)
PLEASE PRINT/TYPE
1. Date Expended
4. Name (Last, First):
2. Date Returned 5. Address:
6. City/State/Zip: 3. Amount
$ 7. Comment (Optional):
1. Date Expended
4. Name (Last, First):
2. Date Returned 5. Address:
6. City/State/Zip: 3. Amount
$ 7. Comment (Optional):
Schedule D – Returned Contributions & Expenditures
Town of Firestone Form No. TOF-CF-005
Revision Date: 05/20/2026 14
DDDD
Full Name of Committee/Person:
* Note: If coordinated, then contribution must also be reported as a non-monetary expenditure on Detailed Summary. Art. XXVIII, 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.”
PLEASE PRINT/TYPE
1. Date Provided 4. Name (Last, First):
2. Fair Market Value 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amount 7. Description:
$
Check box if
Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. Check Box if Coordinated with a Candidate/Candidate Committee or Political Party*
1. Date Provided 4. Name (Last, First):
2. Fair Market Value 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amount 7. Description:
$
Check box if
Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. Check Box if Coordinated with a Candidate/Candidate Committee or Political Party*
1. Date Provided 4. Name (Last, First):
2. Fair Market Value 5. Address:
$ 6. City/State/Zip:
3. Aggregate Amount 7. Description:
$
Check box if
Electioneering Communication
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. Check Box if Coordinated with a Candidate/Candidate Committee or Political Party*
Statement of Non-Monetary Contributions
[Art. XXVIII, Sec. 2(5)(a)(II)(III) & Sec. 5(3) & 1-45-108(1), C.R.S.]