ARV'AM-, C:i cf-~1 Committee Type:

Transcription

1 Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO Ph: (303) ext Fax: (303) REPORT OF CONTRBUTONS AND EXPENDTURES ( , C.R.S.) /V\A-Rc A s Sh own 0 n R eg1strat1on. Address of Committee/Person: f:, 1<61 (_L,..~,~ C1:<c L ~ City, State & Zip Code: ARV'AM-, C:i cf-~1 Committee Type: Name and Address of Financial nstitution Type of Report ~~.~/'\'~ L.Jet..L-S ~6-0 SOS D NUMBER (state and county committees): ~ Regularly Scheduled Filing. D Amended Filing. This amends previous report filed on (date) Submit changes or new information ONLY Space Below For Office Use Only ' J D Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5) D Check this box if this Report Contains s nformation 9~. _/_lo\~ _._/_~_...--,J Reporting Period Covered:!'- Through! Date Declared Total Spending (if applicable) \ 1 Q ' llj )-.,"1,... \ [Art. XXV, Sec. 4(1)] -~--'-~-'- _"7 1,_ L!.(_.J-'--'.---'J-~~,;...l...s~L ---_J Date 4 Total Moneta Ex enditures (line 19) 5 Funds on Hand at the End of Re ortin Period (monetary) (line 3 - line 4) The appropriate officer shall impose a penalty of 50 per day for each day that a report is filed late. [Art. XXV Sec. 10(2)(a)J Authorization (Must be completed by either the Registered Agent OR the Candidate): 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 organization, are from permissible sources. Print Registered Agent's Name: 7"r Registered Agent's Signature: ~Date: Print Candidate Name: N '!

2 DETALED SUMMARY ~ c Ll \\..-L &Vll'-S: "fu. Current Reporting Period: Through L-1 l_d_.--'j'~. _~ ' Funds on hand at the beginning of reporting period (Monetary Only) \g,3rg?..,,_. 6 temized Contributions 20 or More (C.R.S. l (1)(a)] (Please list on Schedule "A") 7 Total of Non-temized Contributions (Contributions of19.99 and Less) 8 Loans Received 4 l L~. 3. ~ - () (Please list on Schedule "C") 0 9 Total of Other Receipts ~ (nterest, Dividends, etc.) o~ 10 Returned Expenditures (from recipient) (Please list on Schedule "D") 11 Total Monetary Contributions y (Total of lines 6 through 10), ~-3:? 12 Total Non-Monetary Contributions (From Statement ofnon-monetary Contributions) 13 Total Contributions y ) z ~- 3<J (Line 11 + line 12) 14 temized Expenditures 20 or More [C.R.S (l)(a)] l z. \ 14 -,. ;-3 (Please list on Schedule "B") 15 Total of Non-temized Expenditures (Expenditures of or Less) - tj, Loan Repayments Made (Please list on Schedule "C").-- u ~ 17 Returned Contributions (To donor) (Please list on Schedule "D") 18 Total Coordinated Non-Monetary Expenditures (Candidate/Candidate Committee & Political Parties only) ~~(J\)~ Total Monetary Expenditures (Total oflines 14 through 17) J A. 1 ~ CJ 7. S Total Spending (Line 18 + line 19) 12-,qCJ7.S-3

3 Schedule A- temized Contributions Statement (20 or more) [C.R.S (1 )(a)] WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE 1---~Z-o fu~ "v\ /LAA«..7'f 5. Address: / 0oZ..J _h..'11\.jg. J"r -~~~~~~r~-----~~ o_-_--i,w""-----=~~i'/!a: 'l:_t~f'J.L.-=---+i --=\_.0=---~1-~~~_r{ ~~ f-----~--v--_-i 8. Employer (if applicable, mandatory)~-+a""" J l{rj.j <..t ttrhl - 9. Occupation (ifapplicable, mandatory): 61' ~ """ov-.jr ~ lt:s ~tv\ tj.~~ ) ~ 1--~--==iµ:! l 5. Address: ~'-ff/ \JM J~ (, CL U~-<-. ---='--'~;--~--=--=--..!~-==~-=---~-= z,-~ L_~_~---='-""'-=-+-~tJ---=~:... {,_f_~_~_~ ~So f ~ ~ ---;::,-;;::--' H r'fl..j P~"'f ~.J~Wll\4~ ' "~C...:...::'-=-= C o mm uni cation ] )0 _ ~ ----=-L.L...:---=--..= ~ J Mltf."'1 ~ LL W --'--L---"-'--. ";:,-=-=' _.:...;4~ C:_~_._...:._~_dt_V-=-tf\..-=-o-~-~-'--~~ _Af 1 5. Address: --'~3-~_ / 4---'l..=,_--"-w-=--_f_r- <.,'--"-'L'-=:-''1;-=----'(.::..:/_,""~..tt...-== ~3. 9o 'i!j'v>~-~ ~ &o.>:> ~ ---f-j.-.l l.l.3...: : l...---_:.}_q_~_. 9-'--o--i _4l,...A..>,.;w~\,,Mc..=,...L~...J...;'-l\.-"--'t.=:-f::..:.AJ=-'"f~ /t _, r L.l/.1S=-=o... ~c...:...~-=------'->~ ~"---~-(.-'l/ * For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXV, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXV, Sec. 2(14). Colorado Secretary of State Fonn Rev. 12/09

4 Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (l)(a)] ~~~~~~~~~~~~~~~~~~~- WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE. Date Accepted?.11.1 r 'tj-. 2.( 't f. ~) {)Jtc ~ (,_, 1 L.<...1 ~&41- A - 5. Address: L_/_u ;l~~- --W :_.-~'2~t,_.:::_~~~~!o.. &~ G ~V'T'-1 f ~ f-=,,, ,.,~.ft') ---1'----""---...L..L..L::!-1:..' Date Accepted '\ /"':.. ~ 4. Name(Last,First): l/""jll-s)...j ::>JE\A!""' -,. '}. /) ;, 5. Address: '.. '2. S u ~...t4. T 1----/ <i_3 -~-a City/State-/Z-ip-:~L);;;;:--~-H-V_c.H--_ 1 fl /) f'/t"-f r """'- } '13. '10 7) -=--.:Co~=~J-!!~~,.'..l_Cf K~T11'l.Jr:l f-= Employer(ifapplicable, mandatory): = l. Date Accepted ~./9. t) 4 t.f () q(..~o q, 11.,,-. Date Accepted 2-n..4r- d.'-{1..,~\ 9. Occupation (ifapplicable, mandatory): ,..---., ~~..J1'~ 5. Address: µ,(.~ } r-jol w. 7'1 ~ p4... ~\)~ Co ;.~~1 ~~~ l l Address: <..J(,O W 3.o ~ ~ 6. City/State-1z-i-p:~~~~~~~~-...t_-_v~-\}.t..,-;,1---C~~o~~~~~~J--~-v_-_'-~l~2-:_-_-_-_-_-_-_-_-_-_-_-_-:_-_-~ Q'-'-~'---1- j~...-._"-"' Emp toyer (if applicable, mandatory): ---~---if'< -"'U.,._._,_(-=L=-.Jlf----Jt?L...:::c;_,,,,,_,_t±o_,,,"""n-=--.,1 1--"""'-""'-+--~'.. ---,_,::..:O"'-"'~f!._::.L-L..!.J~.!:C!.-L'-----L:>...S::...Lll-1..L..L.4...U.--.~'.Ll.l..L...!l,,,il *For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXV, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14).

5 Schedule A- temized Contributions Statement (20 or more) [C.R.S (1 )(a)] ~~~~~~~~~~~~~~~--~~~~ WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE 1. Date Acce~ted L ~,.JT 2. - t'rc.*f\. q 17~ 1r 5. Address: 133~~- w. 7z_-! c, rt.. /.::>.:J -,A-Rv~M- (_ J bj._..;- Joo- C ~ i2 e-h red l. Date Accegted w ''"'-tia,.,... ~ J~~ '1.L.'1.1r ' 5. Address: 'fo'-t ~q w, l:, l~ Cr ~c.1...r so- A<'-'1n~ Co t-~.:j( C~-«- s-o- k,?.w Ass ~ c.,., "tr~ <;"~~\+ -h~~ -. < C=-~-'--' --==l,..._,,::_::::..-=...!...!.~=--1--::..-!'-"...:l= Con~:ut;: ~- 5. Address: ) Ca "2 r- ~ ~~ v..ft\..\ ~ \~ l ~' ~~'bc_~~~~co~~,~~~~~ ) D.) ~ \ d... A c... ' ~ i,...:::.._,.,,,,.le!.\~v'-""l-_--tf---==-=------'tr=..l-c-=---~--='-"= ,z.f.1\ 7 Sl:> - 7<;c:;- C...{n:dc... &~ ~a_~ ~.t A.L. tll-.-j M.;:r~ a ~\A&.,.,A ~ (""' 5. Address: q\)31 t b~ ~Ute' u.._.~,..i~~ Co ~ell,-z... ~u.. ~ iv..\ &... ) JY'-..1 &!.s?.c.. * For contribution hm1ts w1thm.. a committee's elect10n cycle or contnbut10n cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXV, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXV. Sec. 2(14).

6 Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (l)(a)] -~--' _L ~...;:::;--:l,,.j:ll;;;.:::...:1:.::::.fr:...l.1't:..;,i..f _fu.i...;;._~~.:::.&vh1~:d.~wl--~~~--- WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE 1. Date Accepted ( J L / b. ftj. 1 ~ -~-=--W:-;:~"'-'--"'-".:..::..>.T---==...:...1-=-S_:.4-2.~~~~5.~~:-~~~-~~--~~~~~~ ~=~~~-~s~'~ ~ So..,~ 1 r r _:::l-l'-\::::_: :...:.<t"'"""1-~~~..,f}=--t---=~~-~(f"": \J_Z..-=.Z_~ l _ /T J ~ L (K dl- 5 o~ ~ f Employer(ifapplicable,mandatory): Sw.+1~ KC!Yrh:.N D~~~ D. 1 ~~~ :~--'--= Date Accepted ) { S -n J 0. ~ 7. J :) --=-V-.J-~lt--~5~1'\=-t\---~-"_J C-o_n_tn_'b-ut-io_n_Am_t.~ 5. Address: J ::::> <c, {"' b YVt E\(.. 5' ~,...{ ~ tf Z.. <') n... _:: ~ r \' O'\. ~ u D G~ "\)/\_ ~ O"' ~ L ~ Cf~k- c:x5o~:i rr ~,,S=-::~;,.---Wrr L_~ _1 f '--.::. fl \...A-=-_,,,...J s_'-- :;L:.../>1-=--1. Date Accepted? (' / ~ -1..::;- ) \..,c. \~" LAL,i-J f-2-_-c_o_n_tri_bu-t-io_n_am_t.~ 5. Address: f 3'13 b \<.~"'--~ ~ S' o "'~ & 7J r ~ i ~c._ 0 /\f>tr '-1'> Q" () ~.:i. '>- r 5 O "~ '--\llil'-. 1. Date Accepted l\:j_/,1s J ~ (.) ~ l K-=\..v_.s._1.-..~L..::.._l"l~i ~..J~C-::.+-_l..:: L_c: _ :_:_-.J-=-"C.. ',_..c..._..ww...:...,_,_._,~= S._,,_~..._,_,_,,_~'-'-...::..:-"'-~ S: C. f'.,n t:. > ~ \h"l.- f CA-)1-.J. ~ rj t 5. Address: G~ 91 ~ ~M:/'(_._ c~ ;t._\)~- ~ J-..j'-' Q l 3. Aggregate Amt.* /',.c:::ll~~""-'r'ul.-===--""""""==:: / ~~- > --"'"---"'~..._,_.:..:...!-L...' D..C',--'-...:-=%_'-'-.-...~tr" *For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXV, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXVH. Sec. 2(14). --=' Colorado Secretary of State Fonn Rev. 12/09

7 ~ Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (l)(a)] ~L u l \J...l V'- wa k AM-:(WL._ WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE l ~,/., r 5. Address: ~()-:.~_ '5 ~ ~' - 1? 1... n~ "'-.s s o '\1\.1 :JAii\\~ k,r\7~ w~,~~h.s. ' c\ \Le.. L..f ~~/\. Co fw.::s{ c l'\-tul- ~~ 5. Address:.. 5. Address: 5. Address: For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXV, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXV, Sec. 2(14).

8 Schedule B - temized Expenditures Statement (20 or more) [l (1)(a), C.R.S.] --~ :: ; =-- LN_~\-~-=::..!.fr :.w-j~--~----~::...:...:.---=~l>-f~=----- PLEASE PRNT/TYPE 1. Date Expended 2. Amount q,~' - 4. Name: -~~'~~flal\? :..:_c_~~-l--'-1_tjtc~--.,~ J:-~~-:h~~~'~~~~~~~~ ~J. '1'. fo'4-5. Address: l.o L/9 '-/ W 9 /.5_(' /.1-W r '/'---r-----,,,.L~ '{_ ""'":-S_1~M---'--'-1.rl-'.S=- "{._QL'-"--,--L-O--=-- <T'_~_.J_~-----"-J Recipient is (optional): p D Committee 7. Purpose of Expenditure: Electioneerin er ~ 1. Date Expended 4. Name: M~k_.c-1 0,{{.FZll 11vc_, 2. Amount 5. Address: 0 r./ 0-/ U. LJ 5 _!' fj-1k _~_C)_:;_ _1_c~~---'-----=--_; '--A'--1_rf_._J_,.,.---=G-= 'b (5"5'.i [J B"1"-lv1. 1 N' 5.ilfal ~ JJ.:.~/ 3.Recipient is (optional): D Committee 1. Date Expended 10,z.,1r 1 7. Purpose of Expenditure: Po.s \14 & 4. Name: - GL~~~ G AAN\ l_b,.../ t11 C)137 R_,~WL.1~ B1...vf\ t4 Mt:P(j1 fl- 2. Amount 5. Address:?._ " /C]CJ<l- 3.Recipient is (optional): D Committee /-h,li~~ ~<-11- Co F~1l1 7. Purpose of Expenditure: & \k"t_ n S',J G... l. Date Expended 4. Name: 2. Amount 5. Address: 3.Recipient is (optional): D Committee l. Date Expended 7. Purpose of Expenditure: 4. Name: 2. Amount 5. Address: 3.Recipient is (optional): D Committee 7. Purpose of Expenditure:

9 Schedule D - Returned Contributions & Expenditures Returned Contributions (Previously reported on Schedule A - Contributions accepted and then returned to donors) PLEASE PRNTffYPE Sf. 'p.sf'. >~"" \) \J'YL Ca f 0?.,.a~. Date Accegted M._j s.;,~ G-i L.L rj. M 9,z3.1.;- 2. Date Returned 5. Address: 711 ~ /+\A. L q_2.3.,~- 3. Amount,..2. ~o "_: 7. Purpose: r<~ f A...-Ji)~ Gr.1 )...'' ~ v---1 lrw,...,.. ' t'-vct:- SS u--f L,...,.,. Date AcceQted 2. Date Returned 5. Address: 3. Amount 7. Purpose: Returned Expenditures (Previously reported on Schedule B - Expenditures returned or refunded to the committee) PLEASE PRNTffYPE 1. Date Ex,gended 2. Date Returned 5. Address: 3. Amount 1. Date Exnended 7. Comment (Optional): 2. Date Returned 5. Address: 3. Amount 7. Comment (Optional): Colorado Secretary of State Form Rev