REPORT OF CONTRIBUTIONS AND EXPENDITURES ( , C.R.S.)

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.) Space Below For Office Use Only Full Name of Committee/Person: As own n Registration Address of Committee/Person: g';). s-o <4arlCihd Dr, City, State & Zip Code: Committee Type: Name and Address of Financial nstitution Type of Report f} Y' v cj.. J a._, Co 80005"" C!a n J / dt7-- f.e Coors Cr-JJ...d..1'f U ni'on, 7 7 'J,/ A /ijaj s wcyf-h fjjyj 1 /frvt-li11..i C>o SOS D NUMBER (state and county committees):., 'J '7""-,., ~ Regularly Scheduled Filing. D Amended Filing. This amends previous report filed on (date) Submit changes or new information 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 Reporting Period Covered:. j_/_1 _/ J_!'_------~ Through <J /1-1-/1:;- Date Declared Total Spending (if applicable) [Art. XXV, Sec. 4(1)] ' ' Date l Totals Detailed Summarv Page Funds on Hand at the Beginning of Reporting Period (monetary only) o.oo Total Monetary Contributions (line 11) CJ, oo Total of Monetary Contributions & Beginning Amount (line + line 2) 9, 332. oo Total Monetary Expenditures (line 19) 7, /tf 3, ~" Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) :lij&i.3'f 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)l 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. _,--- /:::: (Y7 Print Registered Agent's Name:,U""'---_Q:...:h_!...!.._n-'-'e=--i.../_l, -=-a_r-'--t\:..=5 ~--- Registered Agent's Signature: ~-f/.lj14_u)j., ~ 71l ah-~-j_, Date: q b ( L '5 Print Candidate Name: G~. A l--,0 :::T.,YVl A J2 K:5 Candidates Signature: ---~'--'.:.;, --Jff- - JVl.L-~~o-_. i ~-<) Date ~ 1/i ") Colorado Secretary of State Form Rev. l 2/09 r

2 FullNameofCommittee/Person: DETALED SUMMARY fr/ends D-f ;-Jer-ry!VJar-k5 Current Reporting Period: ~,J-_/_1_/_1_5"". Through l~.q.._,/'-1_if._/...;_~-s-, Funds on hand at the beginning of reporting period (Monetary Only) o.oo 6 temized Contributions 20 or More [C.R.S (l)(a)] if 1 tf, o O (Please list on Schedule "A") 7 Total of Non-temized Contributions /'13.oo (Contributions of19.99 and Less) 8 Loans Received s; ois-,oo (Please list on Schedule "C") 9 Total of Other Receipts - (nterest, Dividends, etc.) 10 Returned Expenditures (from recipient) - (Please list on Schedule "D") 11 Total Monetary Contributions 9,33J..oo (Total oflines 6 through 10) 12 Total Non-Monetary Contributions 5'1G,.C13 (From Statement of Non-Monetary Contributions) 13 Total Contributions (Line 11 + line 12) q,qi <6, temized Expenditures 20 or More [C.R.S. l (l)(a)] 1, () lo 1. '-] l, (Please list on Schedule "B") 15 Total of Non-temized Expenditures (Expenditures of or Less) 75', Loan Repayments Made ().00 (Please list on Schedule "C") 17 Returned Contributions (To donor) (Please list on Schedule "D") 18 Total Coordinated Non-Monetary Expenditures (Candidate/Candidate Committee & Political Parties only) Total Monetary Expenditures }, 113, (,0 (Total of lines 14 through 17) 20 Total Spending 1, l'-f3 lo l:, (Line 18 + line 19) Colorado Secretary of State Form Rev. 12/09

3 Schedule A- temized Contributions Statement (20 or more) [C.R.S ( )(a)] Full Name of Committee/Person: Fn'erid of ;[~ryl{ frla,r-..; _s ) WARNNG: Please read the instruction page for Schedule "A" before completing!... PLEASE PRNTffYPE. Date Accegted s-/jq /;~ Me C a.._rvo o. 01.1cha-cl FfoLf 7_ {j_/a.j1~01t/. c!1ir. Soo 0.E 6. City/State/Zip: J1y J (;{_ ck l r!o gcoor. Date Accented ~/i_v) S' lfl b tj f TnJ. llrcla c.. Pr-l J 1 d.ll f- / fj {J..J7U_ r /V/Q_ ls e tj, i &1-a_h ~'-/ 1 s. J-lv lm..p.- h C1 r. /C(), City/State/Zip: La b_ tj av d~ Co 8_022-J C/ o/ ol 2.A.h wlj"j Efi V k::ld: l'.'.11 ' t1. jj fu.ll A..u_ g~ r. Date Accegted f0._µ_t--l s?!ltj, y X 2 So {:ulf' La A cl br City/State/Zip: /frua_~, e_o f()oo:j s/ ;,'f/1s- b/ams 5"'~Jku- J chou /J 1 0,.LLJ V. Date Accegted a tjj.r ns" P tj_ Hf- 3/J,1)) f' 2. Contribution Arnt. 5. Address: City/State/Zip: /JyutZda, 3. Aggregate Amt.* r_)cj 5') 6a r-ta nd J f lb tcwt/- Clf/ko fu_6 J l S caoa /_J ±_u L/uv For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVlll, Sec. 2(6); Political Party Art. XXVlll, Sec. 3(3); Political Committee Art. XXVlll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14). Colorado Secretary of State Fonn Rev. 12/09 r-~ ~>

4 Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (1)(a)] Full Name of Committee/Person: Prfi.hdJ (j f j.{_ry~ {Jja.,;-k 5 WARNNG: Please read the instruction page for Schedule" A" before completing! PLEASE PRNTffYPE. Date Accented Bod.ncu-, Joh11 3/~1J1s- 1S~o LJ. ~a--ji C/r, /So 6. City/State/Zip: ftvv ct da_ Co ZD{)OS- 3. Aggregate Amt.* /Yo v/scon!? (fi...{}.)fv ({){.1.. FtJ.e. r.... Date Accented Me Golf, /(_' ~ /1 /J 5" 1tS-S- A-Ll{Svh Ci. qq,qo 6. City/State/Zip: bvctdg, Co faoos- r..e..,-fj ~ { t:l r-. Date Accented J1J/'f1S- Ha r-1- J.)(1 r l -e jr- 1!-la 7--e L 7d-o/ Qu CL i) S/ City/State/Zip: /frva_d,a_, r.!o Yoao:;- r.e_ -1-('r e_ ol. Date Accel!ted L/j ];a_u.. /1/r_,j, ttt) 5/J-1 /1,) J /0 7 )~ l:-w 11 / '2Jr. JOO. OD 6. City/State/Zip: ])-fa LL q f o g1'()2-3i_ :5 OQP-t r lrt-w U 11/on Vic._'e 9r-eJ1 dfn f For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVll, Sec. 2(6); Political Party Art. XXVlll, Sec. 3(3); Political Committee Art. XXVlll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14). Colorado Secretary of State Fann Rev. 12/09 ~ "--

5 Full Name of Committee/Person: Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (1)(a)] Fr(ehd.. o / J.e r-r mar-ks WARNNG: Please read the instruction page for Schedule" A" before completing! PLEASE PRNTffYPE 1. Date Accegted 8ass-e t+, tflca.- rt '.L ; ~ /13)Jr- i. C.1 Jr. 0 78/ uje!if ljo!jds City/State/Zip: ill{/ Cl d_c.._ f Co 6{) Aggregate Amt.. Date Accegted le f/'r -e_ J....s'/1h1er 5 /, / / t;" _ Robb sf-. Roh ~.)O.oO 6. City/State/Zip: /tyv t1.. J Ct, (!() 8'000 if 3. Aggregate Amt. f<.ld fcocks Coram u n1 fy dj /t2 7 t. E"i,.ecuhv-{ 1J/redirv 1 -C cc.. Fou 11cf_d1i»J 1. Date Accegted Gablth12us-e; l/mo-1--fiy s/1r/1~ 111 S-Lf LD.u e n Cir, City/State/Zip: f-tvv tt df1. Co 8000:;~. Date Accegted se;.{ a. +fo r n~ 'f f'am1'b. s, :Skv-e_ S-/idf / "?;;? 7 g_ U 126anJ C-f 50,00 6. City/State/Zip:!frv ot dcl.~ (!o ~aj03, 3. Aggregate Amt..-- hhaw.{a.. Owi/1<-Y dj1hzen..r100 J For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVll, Sec. 2(6); Political Party Art. XXVll, Sec. 3(3); Political Committee Art. XXVll, Sec 3(5); Small Donor Committee Art. XXV, Sec. 2(14). Colorado Secretary of State Form Rev. 12/09 '- r-- "'->

6 Schedule A- temized Contributions Statement (20 or more) [C.R.S ( )(a)] Full Name of Committee/Person: Ei./t11dJ o..j1. rr~ (Vlcu --k_s WARNNG: Please read the instruction page for Schedule" A" before completing! "- PLEASE PRNTffYPE. Date Accegted 6c_-eeJ1-J rnar-hb b 3L/ w 13 ed. sh1/j s- /h; ~o.oo 6. City/State/Zip:!Jr_(/~ citd ' Co gooo3 (1, &~ 1 lo fyj {; h tl Jo n m e tt /-o.._ / GetJ.etJ1.L ma tj.12.~ r. Date Accegted ~)iq);~.. )kul) A /hi:e, e... C,t/10 lj x3rd! ;}. s--o' City/State/Zip: fh ii ta_ cl tt.. r!o g {)0CJ 3 Sk«t Lh S?( ranee OW!J.er. Date Accegted sh-1 /1 s-- j Sfv c lu_. r, L1 h dtl. q S_S-0 w g.s -1 Dr- /00,oO 6. City/State/Zip: fhti_a_cl a, Cu 0 Check box if {_.e h re J.._. Date Accegted 5/i-1 /;:;-- (.U)) SkA~!YJ/c/?ae.. &(p 77 fj-r h u -lz,, s SA 5'0,00 6. City/State/Zip: /rr Va d_cz. f o %Wot ~ 0 Check box if /-b c;h f 01 hf ~ Mlltt_a f 6f()Ll2_ F/'h. Svc.L &v..r~ For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVH. Sec. 2(6); Political Party Art. XXVll, Sec. 3(3); Political Committee Art. XXVll, Sec 3(5); Small Donor Committee Art. XXVll, Sec. 2(14). Colorado Secretary of State Fonn Rev. 12/09 { rm- ~~

7 Schedule A - temized Contributions Statement (20 or more) [C.R.S. l (j(a)] Full Name of Committee/Person: Fr/f._ n c!s 0 't;jr.. tt1.../!vla.1-f s WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNT/TYPE. Date Acce12ted 5/;_1/;s- 2. Contribution Amt. Jo. oo Yo UJ.e) ]),.Al, 5. Address: ~; 3 2/J be -ra Wt Wcty 6. City/State/Zip: i-t_ v vt_ Jfi,, ~C~o~-~fL-'"O"-'o=o-=s= ~ f-== re./-1-te d -~~-, -"-'-'... J. Date Accepted --~l--=e.-=-<f_,_1_-t,,,_1,_'h--'-'iqpe..--'-r-1-,,--1---r~a~l."=::::_lh_!. e._~/ s-h1/1s- 2. Co~ributionAmt. 5. Address: ~7~7~~~~~~~~~a=-~r-~L~~~~~~~l~fif_ ~--~_o_,_d_o_~6. cityffl~reaip:_~~~'~v~~~j~~~,~~c~o~~8~oda~o~3~ Date Accepted :5h.c1 /1) 2. Contribution Amt. /ex:> Employeqifapplicable,mandatory): ~-~~-=c=="-'--''-'---'-='-'-'"'-"'--<---'--'~~c_,.,_~~,~: ca Elu.cet-hr Vo/Lt &1/iowsh/p -~PJ--C.r_o.;-(J+.-e~J-"'-,tylL-'--,...a.~1_,_1-"'a'--'3'4---e"'-Lr _...[..._J_,_t~br.<LJ,,a~n' '''-5"--h'--'=e.'--'-V,e.. 5. Address: 6 8 ~S ft// /Joh Sf. ----~--"'--_..,,..,, -'-''--'-----'--'----""'----' ~ 6. City/State/Zip: fr'---'--'-r_l!:_~--"--'"=c!'-""c-;c--J- 1,C"'--'O... :fi_o=--=a=o...5,_ - f j --'Y-, -..._:. h~t-"f cc ~ Date Accepted ~12-1 /1 s-- 2. Contribution Amt. \ Address:,;,, 0"'-7~&i..,, t/-_ ) o, o o 6. City/State/Zip: >---=-=--'--=--=----1 a.,l-'""--'-c~o_,,_bl-=.s~e.'1-f),,.1 ]0~..,,m_,.' _LJ<= <L-f_._,_5_-1-_J,_f--'--J~. Ar'--"-'-~tl -:_t<'~c!,=--u<l 'C=--o= -'Lf_,_OO~O"""--".)c > ,,,...,<'---l'-p_,(),L_! i-_l o /1'---L-h._e~ Check box if Lt Q (.J J /1-2 t= _ For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVlll, Sec. 2(6); Political Party Art XXVlll, Sec. 3(3); Political Committee Art. XXVlll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2( 14) Colorado Secretary of State Fonn Rev 12/09

8 Full Name of Committee/Person: Schedule A - temized Contributions Statement (20 or more) [C.R.S. l-45-08(1)(a)] fr/fridj of ;Se. trj. l}1 tt r- /c_s WARNNG: Please read the instruction page for Schedule" A" before completing! "- PLEASE PRNTffYPE. Date.Acce12ted s/;1 J is- cj).oo 6. City/State/Zip:!tr v a._ d 3. Aggregate Amt.*. Date Accepted 6 / j J }1-!} SJ rn C{--,l/ ~ 10~2 a u a.t, s 1-. f1. (lo toooslt reh'rtd Eel l m tt tj. /( fl Y f. -f-t1 i ~ 1~1 )Jr- L?..6:>~ w ft/ fl, ljr,. /SOtOO 6. City/State/Zip: A-rv(A_ dct C!o iooo s K{ss1fio,e.r f ~ l}t tlj) pc_ a.ffornet- r-. Date Accepted ~/11/1<) E_-e n_ t- f-/ Y<J ~rd LL3- ft;_ 5" W. 16 fji lura. '-- ~w. oo 6. City/State/Zip: ffrvc1dal Co Foo6 s- 0 Check box if r_e_/, }e d P. /chard. Date Accepted LuL' Ui am_ 7 ' /1~-/1) '1! 10 &---1 shh RoJ :;. 00 CJ!!_ 6. City/State/Zip: ffruo.._drt, Co [000 z 0 Check box if 7. Description: t-1-e m s} ~sj ~ {J.)/ti /a.rn s o.._ +v r vi --t'f For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVlll, Sec. 2(6); Political Party Art. XXYlll, Sec. 3(3); Political Committee Art. XXVlll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14) '-~ Colorado Secretary of State Form Rev. 12/09

9 Full Name of Committee/Person: Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (1)(a)] Eriend_s () f'.j]. rr µ(l~_s WARNNG: Please read the instruction page for Schedule" A" before completing! PLEASE PRNTffYPE. Date Accented t /is);s- f-/arkrxa._/ef 1 harry L-/ ")_ (J Eo.5'i Elm Sf. 10 ~ 6. City/State/Zip: Lo ft11. v_ e+ft. Co t'ooz-l. Date Accented ftovn!yl{!,)r..1- r kt"ru Gzu/ho <t/21 J J:) '/'L. q 0 6. ar [11<, n J tjr 5' City/State/Zip: fty!j..fa_dttl Co RDOVS- AJvtm s r:; - f frtt- Scf.00 J..S 1._QAc..tLJr r-. Date Accented '6!11 l1s- She fur i L/h Jt1._ q&-ro w. F s_-1-7);-. /00 ~ 6. City/State/Zip: ftr lj_cj,._ c!.~ Co sooo~ Joo~. Date Accepted l re-hr-ej 3. Aggregate Amt.* 7. Description: ~ujlv m {;fl v. y '! Pl -e /\. k L ill ffi_-e 'f- CtJ..J- h Cl. r-l <l/l7/1f" 1 l's-3 s; 6/en La-e. WCAf- /00 ~;:? 6. City/State/Zip: f e o_ 1-e a tj. 1 ~ ~ (!Q c;<:o; l/..)11. N. ~ o_ A..U fyla_la ~ v~- For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVJll, Sec. 2(6); Political Party Art. XXVll, Sec. 3(3); Political Committee Art. XXVll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14). Colorado Secretary of State Form Rev. 12/09 "' ~ 'ill>

10 Schedule A- temized Contributions Statement (20 or more) [C.R.S. l (1)(a)] Full Name of Committee/Person: fj(eajj of Q}rr~ []Ja1-< 5 WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE. Date Accented ttca..l q /.e_r 1 luwre. n t ~ th~/;~ Ll3 s:j_ w S-5 +!i lah{l cj.oo c:~ 6. City/State/Zip: /hr u ()._ dt\_ l Co trooz tlc11'q 1 r F { E LLC. li_e j_1_'rl_ A:Ji 1. Date Accented <th.2-/j) ' ])().. v) '51 ~c/<j'e_ /0 glj, [ Co (ovc1-do kjr1 K!S 0 ~ 6. City/State/Zip: l+uror~ C,o 't00/2 ('O Ct.J tj n e, f Jiry!ieo... J-lh S';-.s-km ~~1'1-.sf.». Date Accegted f arro ll L/~ j '7/1/1~ 3 t..f FLowev ~s+. 2.S-. ()0 6. City/State/Zip: la. bwqqj. 1. Date Accegted q /q ~ <:.ell- ' Co 6U 2-2--fp a_ llqu Q-1-tl f1 + (!a. ttq Ll7 ~Tobn ;tfqgl ()J. 3 2 r_c1.. p)l 50~ 6. City/State/Zip: Go LJ.eb to POtfo L 8. Employer (if applicable, mandatorv): te-h}t cl For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVll, Sec. 2(6); Political Party Art. XXV, Sec. 3(3); Political Committee Art. XXV, Sec 3(5); Small Donor Committee Art. XXY, Sec. 2(14). Colorado Secretary of State Fonn Rev. 12/09 '-- r-- ~~

11 Full Name of Committee/Person: Schedule A - temized Contributions Statement (20 or more) (C.R.S ( )(a)) fr1endj o/ :Fe rvy fyltt r-k_s WARNNG: Please read the instruction page for Schedule "A" before completing! PLEASE PRNTffYPE. Date Accented M.tCtufy 1.JJan/eJ CJ/10 /1r- '/5o (j_ UtA./ j Sf, City/State/Zip: /lrtltldv., Co!'oooS- 0 Check box if. Date Accented G4 Df_ ia. hwoud Jvlcu-ks, 1/t/1) ~ ;;;tso /1a1Cet-td PoLlu 0 ihl-t fr j(g~ Jr. 5o. oo 6. City/State/Zip:!Trua!a to t'uoo~ YC A- 0 Check box if f;!;//d,a~ J;_A. u r J (J. av. 7-. Date Acce12ted - - ~ r-- 6. City/State/Zip: 0 Check box if. Date Accented 6. City/State/Zip: 8. Employer (if applicable, mandatorv): 0 Check box if For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVll, Sec. 2(6); Political Party Art. XXVll, Sec. 3(3); Political Committee Art. XXVll, Sec 3(5); Small Donor Committee Art. XXVll, Sec. 2(14). ~~ Colorado Secretary of State Form Rev. 12/09

12 ..,, Full Name of Committee/Person: PLEASE PRNT/TYPE 1. Date Exgended S-72'2-/ r" Schedule B- temized Expenditures Statement (20 or more) [l (1)(a), C.R.S.] ~ r r1 rr1 e..n_j. of J-erry mar-.f'_s (!_ ~ ]) Pr (hhh o;- u, Amount 5. Address: 5 3s 1 ehn'f_so-yj ;}_too. ~ if 6. City/State/Zip: D--e n V-t r, (10 f?od-):2 } D Committee 7. Purpose of Expenditure: Eh v~ ci l>.f!-5 1. Date Exoended c ( j) Pr 1 -h -)-(h ttr_ ~ /J /, s- s+. Urul ~c_ 2. Amount 5. Address: 535/ 'Nnh'j_Soh Sf Lln/f ;~c_ 3q~ &,g 6. City/State/Zip: ]Jenver Co go~!jf2 V.J' f Ltl r cl S ra (.)( Cf)_ r Jsl 0 Committee 7. Purpose of Expenditure: 0 Non-Committee 11. ;;;~12~~ Mdt ah ~v-e_e f.e.j Hu.). f-uj1. +.,.. 2. Amount 5. Address: ~S-5(., WC{_ d ~ w or- l-h f3 Jvd So5. 2 if 6. City/State/Zip: ftrvttda_l Co go ao s D Committee R~ovn/ fu J- 1. Date Exgended 7. Purpose of Expenditure: ca mpa-uj h Gecu---N- Ur 6)13),:; 2. Amount 5. Address: g 'J-o 1 5 ha f(-f_ r f klut t:f:a 1133.q S- 6. City/State/Zip: l/ + -eh 11, Co?011--.s D Committee.sfi'c, irj, ba /Joo n5 7. Purpose of Expenditure: ~ard-s~nj, ha n n-lr 5 1 1=-~,~y~ < 1. Date Ex12ended 4_ Name: A-r1Lf/td~ 6/;-1)1_\ 2. Amount 5. Address: -;30s OAarn b-er {) fo tn m {_r t e_ 6, rrji._r1 J v_ /-t w #vf. qc1.oo 6. City/State/Zip:!hvA-dt:t- 1 Co g ooos- D Committee 7. Purpose of Expenditure: r kickoff, _.. B.oo--Ui" S tj, nc!,ri.jhe Ch1 Colorado Secretary of State Form Rev. 12/09

13 Schedule B - temized Expenditures Statement (20 or more) [l (1)(a), C.R.S.] Full Name of Committee/Person: ---'-n_f_..._t"""'e_.._h..._d=--=s o_f. \.-_,.~...-~=-'---r_r_,y~~fyl'--'--=tl..c::...'-~-'-k-=-5- PLEASE PRNT/TYPE 1. Date Ex12ended <Sear- V - Clp bh'-1/ 1r- 2. Amount 5. Address: f ::i-o J SliaJ/:er f_/::_ wt- 4,4.J~;;;. s'-1 6. City/State/Zip: Li H!..t +on, (!o J>'0/2-1 D Committee 7. Purpose of Expenditure: /-;J h/rh 0 Non-Committee l. Date Exoended WoonsbaJo w mo 6//e_ tk/j) 2. Amount 5. Address: 4lf w byoa_d U...J?L<f S&.1_:.k l.jo o 8'tO. OD 6. City/State/Zip: f;it_9 en-e 1 OR 97'-/o 0 Committee 7. Purpose of Expenditure: f:zrou. a J_ ham e,.j_ - Va-1-e r ma,l-/2.l by 0 Non-Committee 1. Date Expended ~/;~ 2. Amount Gear--- V-Up 5. Address: f)o/ Shtlf/V- f kwy #-fa. /._----'1'--1_2_, ~ o_----j 6. City/State/Zip: l1jfl ~lo n c_ 0 g 0 ;2_ 1 D Committee 7. Purpose of Expenditure: ----.l ~a~r_j. Electioneerin. Date Exoended c ~ ]) Pr1),hn1 =5'._.1...,"j,,,..'~n----S" <1/11/1< 2. Amount 5. Address: )35/ le n n 'f.-soh Sf U. n /- ;--L_ ~tfg. 5"& 6. City/State/Zip: D-e (\V-. r i C 11 0 fd:2.l:l ' D Committee 7. Purpose of Expenditure: ro...r.j-<. ccu--j 2 0 Non-Committee f!o lo v-ttdo t~ mmuju hr [Yl.edf/1,--- Nt5Y-+-/, fne..+ro f-2-. -'-Am'-'o,_,._un_, t -"' J 5. Address: g Jo 3 ya Je j Dr --#-: :;._11-o_o_._o_o_-- 6. City/State/Zip: ()./e.j fm 11 s-kr,, {'o t'oo 3 D Committee 7. Purpose of Expenditure: ftrvt>r..~ Pr-e JJ ad 5 Electioneerin Colorado Secretary of State Fonn Rev. 12/09

14 ..,- Full Name of Committee/Person: PLEASE PRNTrTYPE 1. Date Exnended sir:. /1r- Schedule B- temized Expenditures Statement (20 or more) [l (1)(a), C.R.S.] ~ rr1en,- J _s o J Jervy rllar-1: s ' p / f y }(.-b L ~ 2. Amount S. Address: 5}D f-1-o w (}.,'r J.S-f. # lfo 2-!).o.o 5"' 6. City/State/Zip: ~<:)a..h E@nc(S l!.o, ca 91f!oS- ' D Committee 7. Purpose of Expenditure: -1-r a n 1 o..c._h "o 11 ~~e_ 1. Date ExQended 2. Amount S. Address: D Committee 6. City/State/Zip: 7. Purpose of Expenditure: Date ExQended Amount S. Address: 6. City/State/Zip: D Committee 7. Purpose of Expenditure: l. Date ExQended 2. Amount S. Address: D Committee 1. Date ExQended 6. City/State/Zip: 7. Purpose of Expenditure: 2. Amount S. Address: r1 D Committee 6. City/State/Zip: 7. Purpose of Expenditure: Colorado Secretary of State Form Rev. 12/09

15 Schedule C - Loans Full Name of Committee/Person: ~ r rr1f.0c!s. 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 infonnation copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or for any commercial purpose. [Art. XXVll, 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 rate, 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. XXV, Sec. 3(8)] LOAN SOURCE Name (Last, First or nstitution): ' Address: -~f_:?~.fi~o~h~a~g=la~ 1t~d_._fJ~r city/state/zip: -~'-'--"1/--"-ut-"-'d=-'{:(.<-=,. f-----"c"'--'o=-----=-g-=o--=o"--'a"---'-s- -.- Original Amount of Loan: ~ ();JS: 1.20 nterest Rate: o"l) Loan Amount Received This Reporting Period: ~ D J S: 0 0 Principal Amount Paid This Reporting Period: 0_ _0_0_ nterest Amount Paid This Reporting Period: Amount Repaid This Reporting Period: (Amount Repaid is sum of Principal & nterest entered on Detail Summary) 0_, _0_0 D_, _O_O Total of All Loans This Reporting Period: s; 0 2- ~ o O (Place on line 8 of Detailed Summary Report) Total Repayments Made: (Sum of Schedule C pages, Place on line 6 of Detailed Summary) Outstanding Balance: ~ 0 2.S. 0 0 TERMS OF LOAN: ;;.-/;; /;.) Date Loah Received Due Date?or Final Payment LST ALL ENDORSERS OR GUARANTORS OF THS LOAN Full Name Address, City, State, Zip Amount Guaranteed Colorado Secretary of State Fonn Rev. 2/09

16 Statement of Non-Monetary Contributions [Art. XXV, Sec. 2(5)(a)(l)() & Sec. 5(3) & (1), C.R.S.] Full Name of Committee/Person: PLEASE PRNT/TYPE. Date Provided t/-);/;) 2. Fair Market Value 3S/,'J Aggregate Amt.. Date Provided i/21/1~ 2. Fair Market Value 2-1 r-. l (,,. a ;Je r rl/ ('(lrllr /cs ) vo-1- Writ;A-f Address: ~ fr 7 w. ) ;-0 Qy 6. City/State/Zip: l+rv ac!0::r- (!_ o g ooo 3 f-~ ~t) 6 J df cc.._/_s f r1 P,(_ ~u.chve 'J> r ( ~ c_,f-zrv 10. Coordinated with a Candidate/Candidate Committee or Political Party. * Mcu-/<. 5, ' Jo n nf_ r 5. Address:?2~0 (1arlt1J1cf Dr- 6. City/State/Zip:!frutA-c!a, {!,o 8oao5' ' fuj ~ Pfer fro clc.a 3. Aggregate Amt. Sv n~19h bcv houd 6(3~,-- XceL t--:h erg y j 10. Coordinated with a Candidate/Candidate Committee or Political Party. * :th re l-+ov-. Date Provided 2. Fair Market Value 3. Aggregate Amt. 5. Address: 6. City/State/Zip: 10. Coordinated with a Candidate/Candidate Committee or Political Party.* * Note: f coordinated, then contribution must also be reported as a non-monetary expenditure on Detailed Summary. Art. XXV, 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." Colorado Secretary of State Form Rev. 12/09