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HomeMy WebLinkAboutCampaign Filing 1 - Ann Mullins Aspen Mayor ` Aspen City Clerk RECEIVED /A FEB 12 2011) App CITY OF ASPEN CAMPAIGN REPORT FORM REPORT OF CONTRIBUTIONS AND EXPENDITURES C.R.S. 145-108 Full Name of Committee/Person: 11At// i n, r Aw en zn&&,y As Shown On Registration' Address of Committee/Person: S4�1"Lo n A. yAe City,State& Zip Code: Committee Type: Name and Address of Financial Institution Type 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: /02 f Through z7- /, h Date Date Totals Detailed Summary Page 1 Funds on Hand at the Beginning of Reporting Period(monetary $ Co only) 5-60 2 Total Monetary Contributions $ Z 41 64 3 Total of Monetary Contributions & Beginning Amount $ iR- I tx) 4 Total Monetary Expenditures $ /_ 5�V 5 Funds on Hand at the End of Reporting Period (monetary) $ 02; 9. 6 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 completed by either the Registered Agent OR the Candidate Print Registered Agent's(Treasurer's)Name: 441, ma 111g f Registered Agent's(Treasurer's) Signature: Date: Candidate's Signature: Date: DETAILED SUMMARY Full Name of Committee/Person: A (� Current Reporting Period: Through fa, 6 Funds on hand at the beginning of reporting period (Monetary Only) vv 50 7 Itemized Contributions $20 or More [CRS 1-45-108(1)(a)1 $ Cl) (Please list on Schedule"A") g/ 4170 8 Total of Non-Itemized Contributions $ 0 (Contributions of$19.99 and Less) 9 Loans Received $ (Please list on Schedule"C") 10 Returned Expenditures(from recipient) $ (Please list on Schedule"D") 1 l Total Monetary Contributions $ vO 12 Total Non-Monetary Contributions $ 13 Total Contributions $ c 14 Itemized Expenditures$20 or More [CRS 1-45-108(1)(a)1 $ (Please list on Schedule`B") „ 0 15 Total of Non-Itemized Expenditures $ a lv (Expenoitures 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) 7b 19 Total Spending $ (line 12+line 18) spv Schedule A-Itemized Contributions Statement($20 or more)* CRS 1-45-108(1 a Full Name of Committee/Person: - or WARNING: Please read the instruction page for Schedule " ' before completing! PLEASE PRINT/TYPE 1.Date Accepted 1/13 /11 4.Name (Last,First): M l.,,- 11;n-S W ` l, a,n 2. Contribution Amt. 5. Address: l/1-7a a� ;fLO/' 5o. _ 6. City/State/Zip: `� / 3. Aggregate Amt. a x $ 7. Occupation and Employer: � 1. Date Accepted k /10 /19 4.Name (Last,First): 2. Contribution Amt. 5. Address: r � $ 2- 'So. - 6. City/State/Zip: 3. Aggregate Amt. $ Z S 0 _ 7. Occupation and Employer: 1.Date Accepted I /I a /1 .1 4.Name(Last,First): 2.Contribution Amt. 5. Address: j $ 100. - 6. City/State/Zip: 3. Aggregate Amt. $ 100 - - 7. Occupation and Employer. 1.Date Accepted 12 /24I S' 4.Name (Last,First): �{ e M C k k e I 2. Contribution Amt. 5. Address: ' Ae 250 . - 6. City/State/Zip: 97rZ1 3. Aggregate Amt. $ 250. - 7. Occupation and Employer: * Occupation and Employer only required on each pers who has made a cont tbution of$100 or more to a candidate committee, political committee, issue committee or political party. r � 1. Date Accepted 2- f I b / 18 4.Name (Last,First): C � , c k San e 2.Contribution Amt. 5. Address: o i i„1C,; Sir e t"r 6. City/State/Zip: AS t o Co S I 3. Aggregate Amt. In I l $ 50 . - 7. Occupation and Employer: �-\5 en �ts-}v (i cC-4 1. Date Accepted 4.Name (Last,First): ��� Iz l � / 18 2.Contribution Amt. 5. Address: $ 100. - 6. City/State/Zip: 745C 3. Aggregate Amt. $ I o _ 7. Occupation and Employer: 1.Date Accepted 4.Name (Last,First): I l ( 2rig }{ man A vt, C,r, -T) 2. Contribution Amt. 5. Address: �, 0 , o 5 $ X50 - 6. City/State/Zip: A5 e n Co F I ('? 3. Aggregate Amt. $ 2 5 O 7. Occupation and Employer: 1.Date Accepted I /9 /1 q 4.Name(Last,First): CA I-R- L' c k 2. Contribution Amt. 5. Address: 14- 51 S- A v e nLA-e- 5 5 o. - 6. City/State/Zip: s c n Co . g)tPi I 3. Aggregate Amt. $ 5 0 _ 7. Occupation and Employer: (e 1.Date Accepted - 4.Name (Last,First): Th m a --� o 5 I o n e 2. Contribution Amt. 5. Address: I�. o o 7,313 6. City/State/Zip: CAI co 8 1( 1 3. Aggregate Amt. $ 2-00 . - 7. Occupation and Employer: C * 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 A-Itemized Contributions Statement ($20 or more)* CRS 1-45-108 1) a Full Name of Committee/Person: �ZL/vl 6 /I-( WARNING: Please read the instruction page for Schedule"A" b fore completing! PLEASE PRINT/TVPE 1. Date Accepted 4.Name (Last,First): � � C, �. C 1 /5 /I 9 2.Contribution Amt. 5. Address: 6. City/State/Zip: A,5)c n Co 3. Aggregate Amt. $ 100 - - 7. Occupation and Employer: ` 1.Date Accepted i S / 19 4.Name (Last,First): L,-an , L.o e- 2. Contribution Amt. 5. Address: y" 5 pp-e- 2- 5o .-2So - n 6. City/State/Zip: 5�e n Ccs 3. Aggregate Amt. $ 2 5 0 _ _ 7. Occupation and Employer: K-C-H 1.Date Accepted 4.Name(Last,First): 2. Contribution Amt. 5. Address: 1�. '1 o X 1 0 9 7 p c- Cc 8162. 1 6. City/State/Zi 3. Aggregate Amt. $ I 00. _ 7. Occupation and Employer: 1.Date Accepted r II K 4.Name (Last,First): -! aa_/ (, n W-nal, W n c- 2. Contribution Amt. 5. Address: l U 8 VJ C 5t } ,M C,n � So . - 6. City/State/Zip: A5 c Co 91 to r t 3. Aggregate Amt. $ 5 0 - 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. c24� 1.Date Accepted 4.Name (Last,First): ro n , ) Cc 1 2.Contribution Amt. 5. Address: 2 3 c n c $ la © _ 6. City/State/Zip: M o G b �&+a 8 5 32- 3. 2- 3. Aggregate Amt. $ 1 Op. - 7. Occupation and Employer: re 1. Date Accepted l 1572019 4.Name (Last,First): A rn , c v o c c- 2. Contribution Amt. 5. Address: 3 At I G n c AV-c- - 7 3 $ 25o. - oz I I o 6. City/State/Zip: 5 5 3. Aggregate Amt. $ 7. Occupation and Employer: 1.Date Accepted 1 /20� 1I 4.Name (Last,First): e fr-C,n CACIIJ u fn c_s 2. Contribution Amt. 5. Address: 4 1 7 o o Sn ovv 1Z1/� $ 2- 00- - 6. City/State/Zip: f e Q, 6 a�fi J ri 5 , Co F0'A 'K7- $43 fo 3. Aggregate Amt. $ 200- 7. Occupation and Employer: A eyc J o e 1. Date Accepted 12 5 / ) q 4.Name (Last,First): k,-s' N i c h t o- S 2. Contribution Amt. 5. Address: 13 -5 V�est C" S .Sfi'ctrfi 6. City/State/Zip: s r) C c5 g l l l - ► �} 25 3. Aggregate Amt. $ SO. - 7. Occupation and Employer: CC a 1.Date Accepted 19 4.Name (Last,First): 2.Contribution Amt. 5. Address: $ 25(), - 6. City/State/Zip: C'a� 'o o rL� � � e , Co `d I(02 3 3. Aggregate Amt. $ 2- 50 . - 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. J� Schedule A-Itemized Contributions Statement ($20 or more)* CRS 1-45-108 1 a Full Name of Committee/Person: WARNING: Please read the instruction page for Schedule "A" b fore completing! PLEASE PRINT/TYPE 1. Date Accepted 4.Name (Last,First): Jo h h 5 o n v" 2.Contribution Amt. 5. Address: 15 1 Z L,a(t M e-r 5iyt eT or) $ 250 . - I 6. City/State/Zip: C 0 2'0 2- 0 2- 3. Aggregate Amt. $ 2- 5o . _ 7. Occupation and Employer: & S C/Z- YY7 1. Date Accepted 4.Name (Last,First): J0AS o n I- i 5 12 / 31 / 3I / I g � 2.Contribution Amt. 5. Address: Si-rt e_t 1 CC) $ 2 5 0 ' - 6. City/State/Zip: e n ✓.er Cc) $o z c) 2- 3. Aggregate Amt. $ 250 . - 7. Occupation and Employer: Le 1.Date Accepted //�� 4.Name(Last,First): /�(M C 5 1121 /► G1 2.Contribution Amt. 5. Address: 2- 3 6. City/State/Zip: C Q FS 1 1 1 3. Aggregate Amt. $ 50 . e rr 7. Occupation and Employer. � h� c- Z 1. Date Accepted 11 }} 1 // I /I 9 4.Name (Last,First): M a 'f o r a vie_ l C tt o v l 2.Contribution Amt. 5. Address: 2- ( j $ 5 () . - 6. City/State/Zip: '5 1)C 0 cc) 3. Aggregate Amt. $ �r D _ 7. Occupation and Employer: �"e �y * 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): Na-11 I T�c � e cc.'-- 1 /4 / n 2.Contribution Amt. 5. Address: 3 Cc,s c-a1 e. L,4 n e-- $ loo. - 6. City/State/Zip: As e n I Co g I b ► I 3. Aggregate Amt. $ 10d. _ 7. Occupation and Employer: As gg n Tn s Ak c- 1.Date Accepted 4.Name (Last,First): DF- ` ' \' 2.Contribution Amt. 5. Address: 5 l 17,��ve 5i ` vci �, $ 2-Go . - 6. City/State/Zip: A ,5 e r Co K I I I 3. Aggregate Amt. $ 2 00. 7. Occupation and Employer: Y e� 1.Date Accepted ^ 4.Name (Last,First): Tia A� i$O n 1 .2--7 1 g 2. Contribution Amt. 5. Address: 0//- o $ � O o ' 1 6. City/State/Zip: 3. Aggregate Amt. $ 7. Occupation and Employer: 1. Date Accepted 1 /27/11 4.Name (Last,First): o vJ 0 S C- ff) 2. Contribution Amt. 5. Address: 0 � $ 150 . _ r 6. City/State/Zip: 3. Aggregate Amt. $ 150. _ 7. Occupation and Employer: 1.Date Accepted 4.Name(Last,First): M C n e 1 I Cc.tt 2.Contribution Amt. 5. Address: p� $ 2-5o . - 6. City/State/Zip: 11104Sba 3. Aggregate Amt. $ 2 5 0 - 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. X, 10 Schedule A-Itemized Contributions Statement ($20 or more)* CRS 1-45-108(1) a Full Name of Committee/Person: 4"u4 //X---57 Q� WARNING: Please read the instruction page for Schedule "A" be re completing! PLEASE PRINT/TYPE 1.Date Accepted 4.Name (Last,First): �� I<c ((= C 2. Contribution Amt. 5. Address: i V - 6. City/State/Zip: S �l 3. Aggregate Amt. 22n=� $ 2-5. - 7. Occupation and Emp oyer: 1. Date Accepted 1 /2-3 /11 4.Name (Last,First): n 6 e n i 5 e- 2. Contribution Amt. 5. Address: C 5& C Vd $ 250. - 3. Aggregate Amt. 6. City/State/Zip: &IeyVIL X 7 $ 2 !S 0 . , 7. Occupation and Employer: 1.Date Accepted 4.Name(Last,First): �to�nl n M� C h C'e-- � ►1r'L 1/9 2. Contribution Amt. 5. Address: S 6. City/State/Zip: C-A 3. Aggregate Amt. $ 7. Occupation and Employer: 1. Date Accepted L 4.Name(Last,First): 1 /2 1/11 2. Contribution Amt. 5. Address: �Za C G77 - 6. City/State/Zip: 3. Aggregate Amt. $ I v 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): M k�1 ,n 5 Th o M caS 2.Contribution Amt. 5. Address: Q C 6. City/State/Zip: / 3. Aggregate Amt. $ 5 - 7. Occupation and Employer: 1. Date Accepted 4.Name (Last,First): ' `O C k►� } ` °Z �` e ` '� ( 12119 y �Q 2.Contribution Amt. 5. Address: ' �u $ 2- SO . - 6. City/State/Zip: 6hr't 3. Aggregate Amt. $ z 5 v - 7. Occupation and Employer: �G 1.Date Accepted , 4.Name(Last,First): W � �5-[ e ��l� N k /-?-o/� 9 n G 2.Contribution Amt. 5. Address: 6. City/State/Zip: J� Q �� 3. Aggregate Amt. $ ( � v r 7. Occupation and Employer: 1. Date Accepted 4.Name(Last,First): -Dt-,e(k SC n 2. Contribution Amt. 5. Address: � 00- - 6. City/State/Zip: /6 3. Aggregate Amt. $ 100. 7. Occupation and Employer: - 1.Date Accepted �V ' I 1 a.� 4.Name (Last,First): �� e rn.n 2. Contribution Amt. 5. Address: $ z5 - 6. City/State/Zip: lO 3. Aggregate Amt. $ z 5 7. Occupation and Employer: C * Occupation and Employer only required on each person who has made a contribution of$100 or more to a candidate c�mmittee, political committee, issue committee or political parry. Schedule A-Itemized Contributions Statement ($20 or more)* CRS 1-45-108 1) a Full Name of Committee/Person: , WARNING: Please read the instruction page for Schedule"A" bef re completing! PLEASE PRINT/TYPE 1. Date Accepted 4.Name (Last,First): 5 a�e 09 2. Contribution Amt. 5. Address: 0. 0 $ 125. - 6. City/State/Zip: e-n Co I ► 2- 3. Aggregate Amt. $ 2 5. _ 7. Occupation and Employer: go 1.Date Accepted 4.Name (Last,First): LA-1 CIA d 1 -- a'6 C e I / S h9 2.Contribution Amt. 5. Address: + 15 -NA/� Co L'A 250 - 6. City/State/Zip: A 6 r e n Co 8' l b 11 - 12 51p 3. Aggregate Amt. $ 2- 50 . _ 7. Occupation and Employer: Yc- rf 1.Date Accepted 4.Name(Last,First): 2.Contribution Amt. 5. Address: 6. City/State/Zip: 3. Aggregate Amt. $ 2-o . - 7. Occupation and Employer. 1. Date Accepted 1 13 1°I 4.Name(Last,First): -6 p n C a A�d..CO- lr�n c- pe+'-� 2. Contribution Amt. 5. Address: 45 t� n C c 5 tr e e fi A 2 1 p-r $ 2 5v . - 6. City/State/Zip: 105+-,D0 KA G 2- 10 S' 3. Aggregate Amt. p /- $ 2- 5o . - 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): v, e;rte. L-•;n 2.Contribution Amt. 5. Address: 5 L $ 50 - 6. City/State/Zip: J50 o V�M G Ss I co ?i �5 4 - y 2 17 3. Aggregate Amt. $ Jr-� 7. Occupation and Employer: w ori e n�5 h e.���t, rezcfi o e.l 1.Date Accepted 4.Name (Last,First): �-'` ' �I�� 1 13 / 19 2. Contribution Amt. 5. Address: $ 2-5c. - 6. City/State/Zip: A 5 c n C9 3. Aggregate Amt. $ 25 0 _ 7. Occupation and Employer: ('e h I 4-b r 1.Date Accepted 4.Name (Last,First): 0 'Le-c,-(V, C e Ja n o,- 2. Contribution Amt. 5. Address: 15 o o 3i 1 z-K kN5 $ ? So 6. City/State/Zip: /�, 5 c n , co 191 (1 1 1 3. Aggregate Amt. $ 2 5 O _ 7. Occupation and Employer. a vi/e/ 1.Date Accepted 4.Name (Last,First): � ' L�� 13 l��C o` ) /L� /19 2.Contribution Amt. 5. Address: 1 5 o p ' V e/ k. D�U 2 ,6o. - 6. City/State/Zip: A '5C o 4S i 1 3. Aggregate Amt. e $ 7. Occupation and Employer: "j 250• - 1.Date Accepted 4.Name (Last,First): �e nn le Laren Z O 2. Contribution Amt. 5. Address: 7-54 $ ` p c7 6. City/State/Zip: As e , Co 'Z I b 12- 3. Aggregate Amt. / $ 10 _ 7. Occupation and Employer: c o0 . I ►ti�, rt s (,(//�/ �t/1i * 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. r Schedule A—Itemized Contributions Statement ($20 or more)* CRS 1-45-108 1 a Full Name of Committee/Person: AVZ4 & lbh7 WARNING: Please read the instruction page for Schedule "A" bl4ore completing! PLEASE PR-INT/TYPE 1.Date Accepted 2_I Z y 4.Name (Last,First): 2.Contribution Amt. 5. Address: '7 %t ( G1 S 6. City/State/Zip: bz v\. vZ 1r CO 3. Aggregate Amt. $ 7. Occupation and Employer: 1.Date Accepted /ZZ� � q 4.Name (Last,First): Gl,/ 2. Contribution Amt. 5. Address: ' 6. City/State/Zip: j 3. Aggregate Amt. $ 7. Occupation and Employer: 1.Date Accepted ,�( � 4.Name (Last,First): 1 r 2.Contribution Amt. 5. Address: `0700 $ �V 6. City/State/Zip: 3. Aggregate Amt. $ S'� 7. Occupation and Employer. 1. Date Accepted Z2_0 I q 4.Name (Last,First): 1 -7 / 7 2. Contribution Amt. 5. Address: 7 f CIO 6. City/State/Zip: A�weli Co 3. Aggregate Amt. v ,, �,,, $ 7. Occupation and Employer: l! �° * 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. 1330 1.Date Accepted 4.Name (Last,First): � . 2 2.Co bution 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: 6. City/State/Zip: 3. Aggregate Amt. $ 7. Occupation and Employer: 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: 6. City/State/Zip: 3. Aggregate Amt. $ 7. Occupation and Employer: 1.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 A–Itemized Contributions Statement($20 or more)* CRS 1-45-108 1 a Full Name of Committee/Person: ` �r WARNING: Please read the instruction page for Schedule"A" efore completing! PLEASE PP.MT/TV--PE 1.Date Accepted ^ Il ue 4.Name (Last,First): ` f'j' Ar 6-r Ig 2.Contribution Amt. 5. Address: 6. City/State/Zip: 1 V6?- � 1 AgVegata Amt. ^ $ 7. Occupation and Employer: "Pie 1.Date Accepted //3o /�r C 4.Name(Last,First): 5��- 2.Contribution Amt. 5. Address: / $ SD ' Co6. City/State/Zip: �'t ✓ C 9 C0 2.&,) 3 3. Aggregate Amt. $ 7. Occupation and Employer: 1.Date Accepted. L L-c/V J,?eAJYO,,l C �Q � (q4.Name(Last,First>: 2.Contribution Amt. 5. Address: Co mss— 14 *ve, 6. City/State/Zip: 3. Aggregate Amt. co Z4�2 $ 7. Occupation and Employer. 1.Date ccepted 4.Name(Last,First): 2.Contribution Amt. 5. Address: 6. City/State/Zip: 3.Aggregate Amt. $ 7. Occupation and Employer: Y L� * 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. Vv Schedule A—Itemized Contributions Statement($20 or more)* CRS 1-45-108 1 a Full Name of Committee/Person: C'-&/,/ //L�- 47/'1111w WARNING: Please read the instruction page for Schedule"A" b ore completing! PLEASE PRJNT'/TVPE 1.Datecepted '] ; j 4.Name (Last,First):0 2.Contribution Amt. 5. Address: 31.1 A P 174-- 6. City/State/Zip: fCi� ZC� 3, Aggregate Aunt. $ 7. Occupation and Employer: 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: 6. City/State/Zip: 3. Aggregate Amt. $ 7. Occupation and Employer: 1.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. D �Y7 Schedule B-Itemized Expenditures Statement($20 or more) CRS 1-45-108 1) a Full Name of Committee/Person: /jff/4'" PLEASE PRINT/TYPE 1.Date Expended 3. Name (Last,First): pt . 1 F t, I �A Pa 6- 1 1 4. Address: `e I I 2.Amount 5. City/State/Zip: woo S^ j S IJO 6. Purpose of Expenditure: 1. Date Expended 3. Name (Last,First): I I J z 12-0 4. Address: - 3 'f ST 2. Amount 5. City/State/Zip: 1 ��� C v1 1�Q Z(� $ / ( � V ct 6. Purpose of Expenditure: 0 tj 1.Date Expended 3.Name(Last,First): I M p I p V- syvx 12 sI Z0( � 4. Address: 2 3 /vv,, f S� 2.Amount 5. City/State/Zip: � ` 7-7 802 OS- 23 5 ' Z 6. Purpose of Expenditure: 1. Date Expended 3. Name (Last,First): 4. Address: f 2.Amount 5. City/State/Zip: G� 32-1 -3k) 6. Purpose of Expenditure: 5- 1. 1.Date Expended 3. Name (Last,First): 2- / "� (� 4. Address: ou 2.Amount 5. City/State/Zip: 13k 6. Purpose of Expenditure: e F Schedule B—Itemized Expenditures Statement($20 or more) CRS 1-45-108 1 a r. Full Name of Committee/Person: PLEASE PRINT/TYPE 1.Date Expended 3.Name(Last,First): Z ' t( I 20 4. Address: 2.Amount 5. City/State/Zip: 6. Purpose of Expenditure: S 1.Date Expended 3.Name(Last,First): 4 rt- 4. Address: l 2.Amount 5. City/State/Zip: l 6. Purpose of Expenditure: Cc 5 1. Date Expended 3.Name(Last,First): 1 ( ( ( 20 ( 4. Address: 2.Amount 5. City/State/Zip: KO $ 'j RLjZ 6. Purpose of Expenditure: 1.Date Expended 3.Name(Last,First): 4. Address: — 2.Amount 5. City/State/Zip: $3v i(I , 8-0 6. Purpose of Expenditure: n 1.Date Expended 3. Name(Last,First): 4. Address: (Clb 2.Amount I 5. City/State/Zip: w CD Z 6. Purpose of Expenditure: ` Statement Of Non-Monetary Contributions [Art.XXVIII, Sect 2,(5)(a)(II)(III), Sect. 5,(3)] CRS 1-45-108(1) Full Name of Committee/Person: I 0 PLEASE PRINUTYPE 1.Date Provided: 4.Name.(Last,First): 2. Aggregate Amt.: 5. Address: $ 6. 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: 1. Date Provided: 4.Name (Last,First): 2.Aggregate Amt.: 5. Address: $ 6. 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: 1.Date Provided: 4.Name (Last,First): 2.Aggregate Amt.: 5. Address: $ 6. City/State/Zip- 3. Fair Market Value: $ 7. Description: 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). LOAN SOURCE Name(Last,First or Institution): Address: City/State/Zip: Original Amount of Loan: $ Interest Rate: Loan Amount Received This Reporting Period: $ Total of All Loans This Reporting Period: Principal Amount Paid This Reporting Period: $ Interest Amount Paid This Reporting Period: $ (Place on line 9 of Detailed Summary Report) Amount Repaid This Reporting Period: $ Total Repayments Made: $ (Amount Repaid is sum of Principal&Interest entered on Detail Summary) (Sum of Schedule C pages,Place on line 16 of Detailed Summary) Outstanding Balance: $ TERMS OF LOAN: Date Loan Received Due Date for Final Payment LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN Full Name Address, City, St., Zip Amount Guaranteed