HomeMy WebLinkAboutVote Option A - Campaign Filing 4 AWO C4 E ►��®
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CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.145-108
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of Committee/Person: litfi� 6pli,c)1J A o Lo c ezt C �
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As ftwn On Registration V (IJ
Address of Committee/Person: ,
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City,State&Zip Code:
Committee Type:
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Name and Address of Financial
Institution
Tyne of Report
Regularly Scheduled Filing.
Amended Filing.This amends previous report filed on(date)
Submit changes or new information ONLY
Termination Report.(Termination Reports MUST have a Monetary Balance of Zero in Line 5)
Reporting Period Covered: ,p _ Through "Z-0 ,l
Date Date
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of Reporting Period (monetary $ C
only)
2 Total Monetary Contributions $
3 Total of Monetary Contributions & Beginning Amount $
11C1 $ 3, -5
4 Total Monetary Expenditures $
5 Funds on Hand at the End of Reporting Period (monetary) $
The appropriate officer shall impose a penalty of$50 per day for each day that a report is filed late.
[Art.XXVIII Sect. 10(2)(a)]
Authorization Must be com leted by either the Repaistered Ment OR the Candidate
Print Registered Agent's(Treasurer's)Name: PV-A0
Registered Agent's(Treasurer's) Signature: o U Date: L), -06
Candidate's Signature: Date:
SSJ-2 CU pkfv .1
Schedule A Instructions
Candidate, Issue, Political Party and Political Committee
Are required t3 disclose occupation and employer for all $100 or more contributions made by
natural persons (Article XXVIII, Section 7)
Contribution Limits
Section 9.04.
Candidates
No person shall make, solicit or accept a contribution that will cause the total contributions by
such person on behalf of any candidate or a political committee supporting or opposing the election of
such candidate to exceed two hundred fifty dollars ($250.00) with respect to any single election
No person shaII accept any contribution (including contributions to a candidate from the candidate
himself or from members of his immediate family) later than ieven (7) days prior to any election.
PROHIBITED CONTRIBUTIONS
[Art. XXVIII, Section 31
• No candidate's candidate committee shall accept contributions from, or make
contributions to, another candidate committee.
• No person shall act as a conduit for a contribution to a candidate committee.
• No candidate or candidate committee shall accept a contribution, or make an
expenditure, in currency or coin exceeding one hundred dollars.
• No person shall make a contribution to a candidate or candidate committee with the
expectation that some or all of the amounts of such contribution will be reimbursed by
another person.
• No person shall make, nor shall any campaign treasurer, candidate or political committee
accept, any anonymous contribution to a candidate, committee, or anyone, for the
purpose of influencing the election or defeat of any candidate or the passage of defeat of
any issue. The intended recipient of an anonymous contribution shall, promptly upon
receipt of such contribution, transmit such contribution to the City Clerk for deposit in the
general fund of the City of Aspen.
• No candidate committee, political committee or political party shall knowingly accept
contributions "rom any natural person who is not a citizen of the United State or a foreign
government.
DETAILED SUMMARY
Full Name of Committee/Person: U
Current Reporting Period: —� j Through
6 Funds on hand at the beginning of reporting period (Monetary Only)
119931
7 Itemized Contributions$20 or More[CRs 1-45-108(1)(a)] $
(Please list on Schedule"A") —
8 Total of Non-Itemized Contributions $ -
(Contributions of$19.99 and Less)
9 Loans Received $
(Please list on Schedule"C")
10 Returned Expenditures(from recipient) $
(Please list on Schedule"D")
11 Total Monetary Contributions $
12 Total Non-Monetary Contributions $
13 Total Contributions $
14 Itemized Expenditures$20 or More [CRS 1-45-108(1)(a)] $
(Please list on Schedule"B")
15 Total of Non-Itemized Expenditures $ 1 J T 1
(Expenditures of$19.99 or Less)
16 Loan Repayments Made $
(Please list on Schedule"C")
17 Returned Contributions(To donor) $
(Please list on Schedule"D")
18 Total Monetary Expenditures $
(Total of lines 14 through 17) I ) q U3 .5
3
19 Total Spending $
(line 12+line 18) 1 ( 9 8.3• 53
Schedule A—Itemized Contributions Statement($20 or more)*
(CRS 1-45-108(1)(a)1
Full Name of Committee/Person: ��ic -11,,1 '1 d
WARNING: Please read the instruction page for Schedule"A"before completing!
PLEASE PRINT/TYPE
1.Date Accepted
4.Name (Last,First):
2.Con ution Amt. 5. Address:
6. City/State/Zip:
3. Aggregate Amt.
$ 7. Occupation and Employer:
1. Date Accepted
4.Name( t,First):
2.Contribution Amt. 5. Address:
6. City/State/Zip:
3. Aggregate Amt.
$ 7. Occupation and Emplo
1.Date Accepted
4.Name(Last,First):
2.Contribution Amt. 5. Address:
6. City/State/ ip:
3. Aggregate Amt.
$ 7. Occup ion and Employer:
1.Date Accepted
4.N me(Last,First):
2.Contribution Amt. 5 Address:
6. City/State/Zip:
3.Aggregate Amt.
$ 7. Occupation and Employer:
* Occupation and Employer only required on each person who has made a contribution of$100 or more
to a candidate committee,political committee, issue committee or political party.
1. Date Accepted
4.Name (Last,First):
2. Contribution Amt. 5. Address:
6. City/State/Zip:
3. Aggregate Amt---
$ 7. Occupation and Employer:
1. Date Accepted
4.Name (Last,First):
2. Contribution Amt. 5. Address:
\7cupation
/State/Zip:
3. Aggregate Amt.
$ and Employer:
1. Date Accepted
4.Name4anployer:
2. Contribution Amt. 5. Addr
6. City/
3. Aggregate Amt.
$ 7. Occu
1. Date Accepted
4.Name (L First):
2.Contribution Amt. 5. Addr ss:
6. Ci /State/Zip:
3. Aggregate Amt.
$ 7. ccupation and Employer:
I. Date Accepted
4.Name (Last,First):
2. Contribution Amt. 5. Address:
6. City/State/Zip:
3. Aggregate Amt.
$ 7. Occupation and Employer:
* Occupation and Employer only required on each person who has made a contribution of$100 or more
to a candidate committee, political committee, issue committee or political party.
Schedule B-Itemized Expenditures Statement($20 or more)
[CRS 145-108(1)(a)]
Full Name of Committee/Person: 1 J O 1 A
PLEASE PRINTITYPE _
1.Date Expended 3.Name(Last,First): &oatji; N,1
11-05- 18 4.Address:
2. Amount 5. City/State/Zip: D
$
6. Purpose of Expenditure: P
1. Date Expended 3.Name(Last,First):
4.Address:
2. Amount 5. City/State/Zip:
6. Purpose of Expenditure:
1.Date Expended 3.Name(Last,First):
I I - 10 3 4.Address:
2. Amount o 5. City/State/Zip: 1 +�
6. Purpose of Expenditure: OG �'1 N Q P 2 I'i L�
1.Date Expended 3.Name(Last,First):
\ 4.Address:
2. Amount 5. ' State/Zip:
$
6. Purpose of �ditu .
1.Date Expended 3.Name (Last,F' t):
4. Addr s:
2.Amount City/State/Zip:
6. Purpose of Expenditure:
Statement Of Non-Monetary Contributions
[Art.XXVI11, Sect 2,(5)(a)(I1)(111), Sect. 5,(3)]
CRS 1-45-108(1)
Full Name of Committee/Person:
PLEASE PRINUTYPE V
1. Date Provided: 4.Name (Last,First):
2. Aggregate Amt.:
5. Address:
$ 6. City/State/Zip:
3. Fair Market Val e:
$ 7. Description:
1. Date Provided: Name(Last,First):
2. Aggregate Amt.:
5. A dress:
$ 6. City/ ate/Zip:
3. Fair Market Value:
$ 7. Descriptio
1. Date Provided: 4.Name(Last,First):
2. Aggregate Amt.: 5. Address:
$ 6. City/State/Zip
3. Fair Market Value:
$ 7. Descriptio
1. Date Provided: 4.Name Last,First):
2. Aggregate Amt.: 5. A dress:
$ . City/State/Zip:
3. Fair Market Value:
$ 7. Description:
1. Date Provided: 4.Name (Last,First):
2.Aggregate Amt.:
5. Address:
$ 6. City/State/Zip:
3. Fair Market Value:
$ 7. Description:
Schedule D —Returned Expenditures& Contributions
Full Name of Committee/Person: UG1tD
Returned Expenditures
(Previously reported on Schedule B-Contributions then returned from recipient)
PLEASE PRINT/TYPE
1. Dat ccepted: 4.Name(Last,First):
2. Date Returned: 5. Address:
6. City to/Zip:
3. Amount:
$ 7. Comment:
1.Date Accepted: 4.Name(Last,Firso*'
2. Date Returned: 5.Addce�s:
J
6. City/State/Zip:
3. Amount:
$ 7. Comment:
Returned Contributions
(Previously reported on Schedule A-Contributions returned to donors)
PLEASE PRINT/TYPE
1.Date Accepted: 4.Name(Last,First):
Icy - 29 - I0
Uc
2.Date Returned: 5.Address: y (� �) t ( (�(� (� t`N S /a
6. City/State/Zip: A< <m'o
3. Amount: ,( G
a
$ S� , �� 7. Purpose: l �y 1��
1. Date Accepted: 4.Name (Last,First):
2. Date Returned: 5.Address:
6. City/State/Zip:
3. Amount:
$ 7. Purpose:
Schedule C—Loans
This form details loans received and repaid by the committee/party (Money received by committee from a financial institution
and/or repayment of a loan to a financial institution.)
Full Name of Committee/Person:
LOANS-Loans Owed by the Committee
(Use a separate schedule for each loan.This form is for line item 9 and 16 of the Detailed Summary Report.)
[No information copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or for any commercial purpose.
Notwithstanding any other section of this article to the contrary,a state 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 Article XXVII,Sec.3(8).
LOANSOUR
Name(Last,First or stitution):
Address:
City/State/Zip:
Original Amount of Loan:$ Interes te:
Loan Amount Received This Reporting Perio - $ Total of All Loans This Reporting Period:
Principal Amount Paid This Reporting Period: $
Interest Amount Paid This Reporting Period: (Place on line 9 ofDetailed Summary Repot)
Amount Repaid This Reporting Period: $ Total Repayments Made: $
(Amount Repaid is sum of Principal&Interest entered on Detail S mary)
(Sum of Schedule C pages,Place on line 16 of Detailed Summary)
Outstanding Ba nce: $
TERMS O OAN:
Date Loan Received Due Date for Final Payment
L T ALL ENDORSERS OR GUARANT S OF THIS LOAN
Full NiMe Address City,St.,Zip N Amount Guaranteed