HomeMy WebLinkAboutNew Committee Registration -Kevin Botka for Firestone Trustee - 08-05-2026_RedactedNE
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Town Clork'a Office
9950 Park Avenje
Firestone, CO 89504FiRESTONE AUG2026
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NEW CCOM1 MITI E.E REGIS [RATION FORM Receiedby_
( i-451 O8, CRS.)
Plcaease dais form it N cu are re=c`Ist, rit c < new coninaittee ti:r Colorado Campaign Finance [k re
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Select Only One Committee Tye:
` Candidate Committee C Political Part C Snta:] Scale Issue Committee
C1 State Political Committee 0 Issue Coma ittee C 527 Political Organ cation
C Slnall Dunoz Committee „ ,.
Committee Nanew pti Ia / 1� : ► ' -5 �"2 TA i
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Committee Address (physical): ?77+ C,' -t P. F:°4,to `I
Commit -tee Address (mailing): VZY7M (!c .:,, ' r F,lie5J f O -1
Phone Number: } 7' - r Alternate Phone Number:
Entail Address: kev,( r' es1 k MkR j 'eh Address: WW'. ,'. kevv b*fq, t v
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Check Univ One Jurisdiction: hinter .Applicable Counties
'Municipal (file with Municipality) i "COt:l` 1'Y
Cl Special District
7 School District
Purpnse't_IFfceSought: JLP
[include party (NP), office ("•.1P), & election year, ifapplicahle]
Financial Institution Information
Institution Name:
Institution Address:
Authorized Agents Contact Information
Registered Agent Designated Filing Agent (optional)
Name: �"�+`t a� t- 1 � Name: fir✓ i ✓r T
Phone Number: 3`� 7 ^ Phone Number: (S3 -7 3 a
Email Address: Qv; s i-a�� 5 . o+ v r1, Finail Address: , Az.
Alternate Email Address: Alternate Email Address:
Alternate Email Address Alternate EmaiJ Address 2:
Registered erg Agents Signature Date IslamDesignated t ing gen s Signature Date
Candidate Committee Information
Candidate Nan (print):
Candidate Address (mailir:g): j 2 -7 t( , ftI:,-e-r
C ntliddteigntature
Date
Town of Firestone Form No. TOF-CF-002
Revision Date: 07/14/2029