D Amended Filing. This amends previous report filed on (date)

Transcription

1 Coforado-Seactacy of State Elections ivision 7 Broadway,.Ste. 2 eaver, CO 829 Pb: (33) dial 3 Pax: (3'3) 869-4"!6 cpfhclp@sos.state.co.us Space Below For Office Use Only REPORT OF CONTRIBUTIONS AN EXPENITURES Article XXVIII of the Colorado Constitution and Tital, Article 45 of the Colorado Revised Statute (C.R.S.) j Full Name of Committee/Person: Address of Comniittee/Person: City, State & Zip Code: Committee Type: Name and Address of Financial l.qstitution COMMITTEEI~UMBER Type of Report fxj Regularly Scheduled Filing. Acva.da Amended Filing. This amends previous report filed on (date) Submit changes or new infonnation ONLY ~ ' Tennination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5) Check this box if this Report Contains Electioneering s Information Reporting Period Covered: I Ociobec (26 ate. eclared Total Spending {lf applicable) I Z q. J I 7 (2 a [Art xxvm, sec. 4( Jl ) _ o I I Through I Oc.fober 3~ 2 l6 a 2 3 Period (monetary only) Amount (Une _I+ line 2) 5 The appropriate officer sha.u impose a penalty of 5 per day for each day that a report is filed late. f Art. XXVIIl Sec.(2)(a)l Authorization <Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, under penalty of perjury, tliat io the best of my knowledge or belief all conitibutions received during this reporting period, including any contributions received in the form of membership dues transferred by a membership organization, are from permissible sources. Print Registered Agent's Name:,-=...,....~ :_:...,L-~~~..l-'--'_:c_ ,...--,--- Registered Agent's Signature:...:::=;'.l,:=~LL:._j'-..'...l!l:::!~~~ ate. IL '"I d.o f b Print Candidate :Name:.::.. _ Candidates Signature: ate: Colorado Secretal)i of State Form Rev. 726

2 Schedule A - Itemized Contributions Statement (2 or more) l Full Name of Committee/Person: (_.J;;:_L~... Qµ. S::J::r_e.e.J S.... A r_ :-Jg cl@:== ] l~ WARNING: Please read the instruction page for Schedule "A" before completing! PLEASE PRINTffYPE. ate Accegted l (24frr-i 2. ~ontribution Amt. 5. Address: 3. Aggregat:; Amt. * 2e-fec J: /?_ i'+o. t~c Coace! I l:~82l E. G ('av)d 6ve (OO 6. City/State/Zip:, ~u(o(q Co 8l5 ( ~C?eck b~x if ecnoneenng Cormminication C~eck J<';ta - c, i-r oj,asvg(k CoW\tvit.~.d-~ Oevelot:. Wle~ [);("c.foc I. ate Accegted ( c) rz 7 { G a (? t-2-. -C-on-tn~ ' bu_ti_,_on--<a-'-m=t Address: I 75 (' e( c q do S± 8 ( 3 l 5 6. City/State/Zip: o<d fa n3 I c 3. Aggregate Amt. * C I f -... h <? c... K ':>.JOcJO r ~ Check box if ectioneering I I. Qate Accented - 2. Contribution Amt. 5. Address: 6. City/State/Zip: 3. Ag~gateAmt. * ~heck box if tioneering 9. Occupation (if applicable, mandatq~): For conttibution lirruts within a corruruttee's election cycle or coolnbutton cycle, please refeno the following Colorado Constttuttoriltl.cttes: 'Candidate Committee Art. XXVIIl, Sec. 2(6); Political Party Art. XXVI, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small onor Committee Art. XXVIll, Sec. 2(4), Colorado Sccretiry of State Fonn Rev ,..... :... -l;&. ~ - --a-n ::. ~-~

3 Foll Name of Committee/Person r; :~~:E~::i:y lcja cf.,_ Current Reporting Period: I cio 6 e f l4j 2 ( 6 I Through I c. ±o be. r 3, Z '! 6 Funds on hand at the beginning of reporting period (Monetary Only) ' er,crto.6 6 Itemized Contributions 2 or More [C.R.S. -45-IOS(l)(a)] (From schedule "A'} '24) Total of Non-Itemized Contributions (Contributions of 9.99 and Less) 8 Loans Received (From Schedule "C") 9 Total of Other Receipts (Interest, ividends, etc.) Returned Expenditures (from recipient) (From Schedule "") Total Monetary Contributions 24 >8:. O (Total of lines 6 through ) 2 Total Non-Monetary Contributions (From Statement of Non-Monetary Contributions) 3 Total Contributions Z4> 85.oo (Line +line 2) 4 Itemized Expenditures 2 or More [C.RS IOS(l)(a)J (From Schedule "B'} 2<, i l?.89 5 Total of Non-Itemize_d Expenditures (Expenditures of 9.99 or Less) 6 7 Loan Repayments Made (Frein Schedule ''.C") Returned Contributions (To donor) (Please list c:m Schedule ''") 8 Total Coordinated Non-Monetary {in-kind) Expenditures (Candidate/Candidate Cbmmittee & Political Parties only) I 9 Total Monetary Expenditures (Total oflines 4 through 7) 29 J \ '7.B9 't - 2 Total Spending (Line 8 +line 9) z ql I ( 7. 8 Cf Colorado Secretary of State Fonn Rev. 726

4 Schedule-B-Itemized Expenditures Statement (2 or more) [-45-lOS(I)(a), C.R.S.] Full Name of Committee/Person: _[_,_' +-'}~O~u~c~<_,,{,_C~Q~e~~s~..,... PLEASEPRINT/l'YPE 7 J\--+-_._( -"V..._-"-'- J"-'a i. ~: f~~nf edc 4. Name:,R'--'-\-'-'."""'--"..._,.._._ 'l,_,_., -.:.r_=i_,_._.=...!.~l-w'-l.> _ Address:, { 9+---"o~G'""'--'-'ro"""--'n'4-±r---=<S"-'-f_S.=--L..::f e ~(..:._J( 7. i--:--~~~?..=~ 6. City/Statemp: _(..,.._~~e-'-ln~v~e~c- _C=o_ ~8_~2_--'-3..ate Expended (o 2 ~. Purpose of Expenditure: _..._{'_~o-=..._..;_,_(_,_:-<-n-<--->oq3f---_,,s)i,...e~"'--'('-'v'---'-l'_c.'"-e=-3, l:zbheck box if Electioneerin 4. Name: l ( 5. Address: f 9 CO Geo rd 52--f. SJe. ( 7 f--'.-~ ;_,,,L..!4~'5_9.:. ~ 6. City/State/Zip: OeV') v e. f J C 8 Z 3 3.Recipient is (optional): 7 ( o-committee 7. Purpose of Expenditure: MC?;\ ; i ng Se ( v <Le.rS [,Non-Committee ;Recipie"nt is (optional): Ocommittee ~on -Committee l. ate, Ex~nded {O rz - b 53Cf.8Cf 3.Recipientis (optional): Oconimittee ~Oil"Conunittee 4. Name: z-'-""~, =.f----l-'=-'-~_,._,.,_.{'-l.> --=-' 5. Address: -=-Cf_O_O--=- G_,_(_,,.._Q r~f_,._.s"--":f_ _...S..,_J-=e.---'('-'--'{ ff-'- 6. city/state/zip:.(... )_,.,e... )-+-'v. e~c <----'=: _, B"'-=o'--'2..._-----'-->.,3. PurposeofExpenditure: t\o: I; VJ 9 Sec V ;ce.s heck box if Electioneerin. Communic;i.tion 4. Name: ~_._.=L--f.. L_,.u~"--""'~a=---r-""-'--=--~~~~~~~~~~- 5. Address: _7i~::c._5>L---~fu=-"- b!......>,_e_l.c-'-c_,_'{,c=-'--'-~' r-=c_:_::(e,, 6. city/state/zip: _lo--=>-fu~ '{+-=e,,_if'-"'e::..._,,_g-="'---'-8"'--m--"'-rz.6-= Purpose of Expenditure: V; deo, lo3 Oes, 3n. heck box if Electioneerin Co_mmunication ate Exllended 4. Name: 2. Arriount 5. Address: > Red pient is (optional): Bdmn'littee on-committee _.. : "" City/Statemp: 7. Purpose of Expenditure: O:hec:k box if Electioneering.. Colorado S~Ctary of State Form Rev. 7i:2Pl ~

5 Schedule A - Itemized Contributions Statement (2 ;or more) ] Full Name of Committee/Person: [_[.J~ _i, Ou.L.S::f_c,e~_IS ----Af->.CQ_JQ =v. f WA.RNING: Please read the insfyuction page for Schedule "A" before completing! PLEASE PRINT!fYPE. ate Acce2ted ~!2b~ f o:t/,'a Co mpanj {O (q ( {6 2. ~ontribution- Amt. 5. Address: tle 5.Jooo 6. City/State!Zip: Golden lcq Aggregati:; Amt. * S.,ooo. ~C~eck ~x. if. ectwneenng. ate Acceted {o(rcrff& C laec. ~< 2. ContributiQri Amt. 5. Address: C~mwiarcon etle(aem~r)t ComaVJv: {5 ~a d s cu Q r i {,-, C. ~ v J Z)OO 6. City/State/Zip: ~l\f est m; n s~ec,co Aggregate Amt. * 7. ellcription: Ck:JC?c k 2 'rnj,check box if ctioneering Communica~on --. ate Acceted f?e?j'. fen() Ca~ 5 f c vc±, an- Co. fne.. fo /rz4j6 2. CQntribution Amt. 5. Address: 4 4- ~ Ced ra.~ Ae S'i-e.. (8 fc),ooo 6. City/State!Zip: ~o [orf)a '6,ea~ CA C/2?5 3.. Aggregate Amt. * Cbeck {OJoo L,theck lx5x if Electioneering c-o-ntn_.,.' b~u,,-..no~n... Q 9 b y ) c() hf b~ f o e' et= A_._m-"-t-j. 5. Address:,_b~3~_,_ 8 6 -'-..c..-'w)'-l-_...,_,,e._r. -=-_,\ _.r.,c=-~_,,,8:::;...:~lf._=--"3= Z City/StatefZip:_-A_.._._t.Y}..O.=--->-<c"'-"(a"'-t- 3. Aggregate Amt. * C f - k..z~o.oo 7.escription:ve.c -=~------i 8. Employer(ifapplicable, mandatory): Cci-:{ of A rvadq i. ectioneering C"'--'i_f._::(--+--'-A-4-±f..._,,.Q""--'t._V),_'2"--)J'J-I Conuµunication. _ Fat co'nitjbutioil limits wilhin a committee's election cycle or contribution cycle, please refer to!he following Colorado Constitutional Cites: candidate Committee An. XXVIIi, Sec. 2(6); Politital Party An. XXVI, Sec. 3(3); Political Committee. /ut :XXVI, Sec 3(5); Small onor ConUrilttce Art XXVIII. Sec. 2(4). J... i Colorado Secretary of State Form Rey. 726