I FuJI Name of Committee/Person:

Transcription

1 Space Below For Office Usc Only I FuJI Name of Committee/Person: Address of Committee/Person: City, State & Zip Code: Committee Type: Name and Address of Financial Institution RECEi'fED REPORT OF CONTRIBUTIONS AND EXPENDIT URESZU\, OCl 2L1 p 3: 53 (C.R.S , Code 7) J Type of Report 1)0 Regularly Scheduled Filing. 0 Amended Filing. This amends prc, ious report liled on (date) Suhmit changes or new informauon ONL \ 0 Termination Report. (Tcrmimuion Reports M UST Have a Monetary Balance of Zero in Line 5) 0 Check this box if this Report Contains Electioneering Communications Information Reporting Period Covered:. Q..A---, t;'-'-,...;_/--~-----'' Through /0 I z) Date I J 3 Date ) (line 3- line 4) The City Clerk shall impose a penalty of10 per day for each day that a report is filed late. [Code, 7-4] Authoriza tion <Mu~t be completed bv either the Registered Agent OR the Candidate): I hereby cerlify and declure, under penalty of perjury, that to the besl of my knowledge or belief all comributions received during this reporling period, including any contributions received in the form of membership dues transferred by a membership organization, are from permissible sources. Pr~tRegi~eredAge~'sNam~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Registered Agenfs Signature: Print Candidate Name: - Candidates Signature: [0, 23)]

2 Full Name of Committee/Person: Current Reporting Period: Ct/AO Tb rough q. "' 13 ~ !.1-loO:::.. L-/ 1..L..- L.,.(~,..._:..., Funds on band at tbe beginning of reporting period (Monetal') On I)) 6 Itemized Contributions 20 or More [Mu01. Code 7-51 (Pieru.c list on Schedule.. A") 7 Total of Non-Itemized Contributions (Contributions ofs and Less) 8 Loans Received (Please list on Schedule ''C'') 9 Total of Other Receipts II I'V '-'., -., 6 i3 5 <;{, 0 () 3~ ere> {9-10 Returned Expenditures (from recipient) (Please li~t on Schedule "0") -9-1 I Total Monetary Contributions (Total of lines 6 through I 0) / J 90, oo 12 Total Non-Monetary Contributions 3Cf(p,D0 (From Statement of Non-Monetary Contributions) 13 Total Contributions J ou (Line II ~ line 12) 14 Itemized Expenditures 20 or More [C.R.S. l (1)(a)l IS (Please list on Schedule ' B") Total of Non-Itemized Expenditures (Expenditures of19.99 or Less) I ~I'-/, oct ff, <{;lo Loan Repayments Made (Please list on Schedule ~c") -e Returned Contributions (To donor) (Please list on Schedule "D"') (9 18 Total Coordinated Non-Monetary Expenditures (Candidate/Candidate Committee & Political Parties only) 8 19 Total Monetary Expenditures (Total of lines 14 lhrough 17) I~ Z. 5 :11 20 Total Spending (Line 18 ~line 19) /5>L S. 1LJ

3 Schedule A - Itemized Contributions Statement (20 or more) (C.R.S l (1)(a), "'luni Code 7-61 FuJJNameof CommitteefPerson: (;'t\o,q. -\k.rv: ~r \t\j~ ~~ PI ~ EASE PRJ~Tn\ PE I. Date Accegted 9 Le ' \~ -L Name <La~L. Firsll: \\!QR (' '~ 2 ~ontribu t ion Amt. 5 Address..., \C\0 w '-\<t~ &t-l \0\).- 6. Cit)/S tate/zip I\J9~ ~~ e..o ~~~ 7. Descriptton: ~Q;NlS\o ~! 1\)...~~ I Date Acccp_ted 9' te \!::> -1. Name clast First) ~t\)~\\ \).t'f\l~ 2. Contribution Amt. 5. Address \J-'540 \10. ~'(\ ~ qq, CiTy/State/Zip. '\)0'\\r\r w ~D~... ~»..g N) Q; fur-d.~ I. Date AcceQted ~ 22 \~ 4. Name (J...,a~l. f1rst). 2. Contribution Amt. 5. Address: ~~ \ 'fv\1~ ~'6...'==D ~G.lr'<!..-~ \QQ. oo 6. Cit~!State/Zip. ~'U~~o. U) ~to~':?> 7 Description: ~~~~ I. Date AcceQted 4. Name (last Firsl): ~~hi:\. ~~ 3. 6ggregate Amt. ~~~ I. Date Accegted C\ 2.2;\'; 4. Name (Last, first). 2 Contribution Amt. 5. Address: ac;d. oe> 3. 8ggregate Amt. ~~~~ ~~ 2JJ1D ~~~\{~ <\ 22\~ 1. Contribution Amt. 5. Address: L\:~k6 ~\.~b\- ~\. oo 6. Cit)'State'Zip \0~ ~ ~ ~(X)b~ S-\- 6. Cit)'State'Zip. ~gat- V~ c_,d ~2-\:! ~ Q Xi~Sz

4 Schedule A- Itemized Contributions Statement (20 or more) [C.R <; J )(n) ~1um Code 7-6) Full Name of Committee/Person: ;~=-:::~::..::::::~~~:..:::~..:...::.. ~...!..!::..!~--~..!k-aal.!.:::~!:d.. _'Q.s:= ~*~"- I. Date AcceQted 4. Name (Last Fir~ll Qqent)JO.. ' ~ r'\ q \?::> 2.!:ontrtbution Ami. 5 Address ~'-\~ Q_\15; ~ '-\\). oe> 6. City/State/Zip \k)~ ~ ~a ~J:,~ 3 Aggregate Ami. 7. Dcscripuon: ~f)(\.~ XJ}..'I\O..C> I. Date Accented Cn.oo.xn "~ o \(xyyj " '22:\? 4. Name (lru.t, rirst): l 2. Contribution Amt. 5. Address. L\\"JiO ~ s- I ~D.oo 6. City/State/Zip. ~'t., oo:\- ~ t' ) ~~~ ~~Q ~~ 4. Name (Last. firsl). ~--\-' --"l\...,j J-!~06.1 ~~0~{\-L~ I--::-~"""""""'...,-4-L Address ::1 ODD \J'.J 3D~ fujl. I----'--...JiooL Cit) IStateiZip \_~n:)= U~ (' ~ ~0"2:>?.:> (\ --r ; 7 Description: D~ SJ.A..li'O...~ I. Date Accented ~ t:l-{ry 2. Contri!;!ution Amt. :: :::.~~" ;;~~~;~ ~oo.- 6. Ci t ~ ' State Zip Lak'e LO and. CD <8D:ddl 3. Aegregate Amt. ~ 4. Name (LaSt, First): f.r~\\, TO'<')::) 5. Address. \0:]150 \1\.)? ) ~ ~ t--::----"'"""'"~-:----:--i 6. Cit~ /State 'Zip \10~ \2A~ 3. Aggregate Amt. "

5 Schedule A - Itemized Contributions Statement (20 or more) (C.R I-4S-108{ll(al.l\luni Code --61 Fu II Name of Committee/Person: -~)N ;..;.~PA ~:: ~:..liolox_'f :~...-_~..;:.::...:.. r_~~==--~-= ~~=~; PLI:ASE PRJ' rrn PE I. Date Accegted 4. Name (Lust. First) ~:C\f \ ~kd. ~ t\.\"::> 2 Contribution Ami. 5. Address: :1\'\0 w L\'& ~ 'fu-f..a?:>\:doc 6. Cii) /State.'Zip ~~ ~ e._\j ~~ 3 Aggregate t)mt. '1oo oo I Date Accegted CJ-2o -13 ~Q..t\.Q,ooQ ew-ds.. 4. '\arne <Ln~t. rirstr DA til's ILr1, S.! l 7'175 w s r rtf A VJ~ 2. Contribuuon Amt. 5. Address: 3. Aggrel!ate Amt. ' - G.~vVeAv1 L ~,N>(J~. ioo. 0 '0 6. Cit~ State/Zip. W/-ft;y}T (L(r/01.'::: Co g'oo 3 < I Date AcceQted -t. Name CLast. first1: 2 Contribution Amt 5 Address: 3 Aggreeate Amt. I Date AcceQted 4. Name tlast. First) 2. Contribution Amt. 5. Address. 6. Cit) State Zip 3 Ae.grcgate Amt. I. Date Accepted 4. l\ame (Last. rirst): 2 Contribution Amt. 5. Address: 6. Cit) /Statc/Zip. 3 Aggrel!ate Amt.

6 Schedule 8 - Itemized Expenditures Statement (20 or more) IC.R.S. t--l5-108(1)ta). Muni. Code 7-6) Full Name of Commit1ee/Person: Cl/?10 HliafL h2.,// ta2hhp'fr!lroge. PLEASE PRINTfrYPE I. Date Ex~nded q, Z..o. 13 6~6'c AdtJcx 2. Amount 5. Address: '52?5 Vt1r22Wot11- hf 3Y P/1-.s s ~'11. it9 6. City/State/Zip. /j/1(1;?0/1 Cu f3ooc) z.. 0 Committee ~ose of Expenditure, FL. Y lijz <;; 0 Non-C'ommittee Check box if Electioneeri n~ Communication I. Date ExQended, 5rt2NS I {) Is, I s 5 f.", G 2. Amount 5. Address: r; 'ilfc:j M4/l.cs 1../4LL r v 6. City/State/Zip. Arlv'rJrM: C:..c) c;!oooz.. 0 Committee 7. Purpose ofexpenditure: 'LAao 2_/~NS ~eel.. box if Electioneering Communication I Date ExQcnded ~ -I /(!), (o, 13 a rlt c..c_ Mttx 2 Amount 5. Address: t;"z 75 1.)),- ) 0 2vUQ,t'l rl.j- tl ~ ~_s lf%. 9h 3.Recipient is (oplionul); dll l/tfr26 co S?.'ooo 2 0 Committee 7. Purpose of Expenditure PLl/ ff_ ~. lb-eheck box if Electioneering Communication I. Date Ex12ended N,Z:. / & tll'i o ll f,..{o () 0 Lf3 Z5 5 fuhll'ca- 7io.AJS d-!'lc lo,?..t3 2 Amount 5. Address: WJ10'S Wc!,l'l1-l-f ~~ Ll/(), ) l-{5. 73 vu;-l~rtz (l!q ' {qj~ &{? CZ{oo..f3_ 0 Committee 7, Purpose of Expenditure: 4 Q lfcheck box if Electioneering Communication I. Date Exgended 2. Amount 5. Address: 0 Committee 7. Purpose of Expenditure: 0 Check box if Electioneering Communication

7 Statement of Non-Monetary Contributions l<\rt.xxviil ec.1(5)(a)fll)llll>& ec S(J)&(..R').I (1)1 Fu ii NameofCommitteefPerson: C:~ ~ k ~~~. I Date Provided -t Nametl.ast. Hrst): \)..~ SVc \ ~II:)-\t,\0.,.\\)~"'~\ \N~ C1 2.1 \b 5. Address: :V.O.~ 20~ 2. Fair Market Value Pl E \ Sl PH" rrr \ Pl 3~to. oo 6 City/State/Zip: \k)\-..,aa\--~ cd '6~ J. Aggregate Amt. lq S.~S, ~~~ II ~Check box if Coordinated with a Candidate/Candidate Committee or Political Party.* 9. Check box if Electioneering, Communication I. Date Provided 4. Name (Last. First): 2. Fair Market Value 5. Address: 6 Cit)/State/Zip: 3. Aggregate t\mt. 7 Description g 0 Check box if Coordinated with a Candidate/Candidate Committee or Political Part) Check box ifeiectioneenng Communication I. Date Provided 4. Name CLast. First): 2. Fair Market Value 3. Aggregate Amt. 5. Address: II. 0 Check box if Coordinated with a Candidate/Candidate Comminee or Political Party.* 9 0 Check box if Electioneenng Communication I. Date Provided 4. Name (Last. first): 2. Fatr Market Value 5. Address: 6 City/State/Zip: 3. Aggregate Amt. 7 Description: 8. 0 Check box if Coordinated with a Candidate/Candidate Comminee or Political Party Check box if Electioneering Communication Note If coordmatcd. then contnbuuon must also be reponed as a non-moneta!' ex~ndllure on Dcw led Summa!) An XXV Ill Sec 2(9) smtes. Lxpcndnures thai are controlled b, 01 coordm:nt-d '~ th n candtdatc or candtdotc s agent nrc decm~d to be 1>01h contnbuuorh b) the 11111~cr of thr t\pc:ndnurcs,nnd cxpenduure~ b) the candjc:hltc: comm ncc