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CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.1-45-108
Full Name of Committee/Person: Bert Myrin for Council
As Shown On Registration
Address of Committee/Person: 220 N Monarch St
City,State&Zip Code: Aspen, CO 81611
Committee Type: Candidate Committee
Name and Address of Financial Wells Fargo; 225 N Mill St; Aspen, CO 81611
Institution
Tyne of Resort
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:I Dec 31 , 2018 Through Feb 12, 2018
Dere u,,c
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of Reporting Period(monetary $
only) 1119.78
2 Total Monetary Contributions $
5389.00
3 Total of Monetary Contributions& Beginning Amount $
6508.78
4 Total Monetary Expenditures $
3132.59
5 Funds on Hand at the End of Reporting Period(monetary) $
3376.19
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: Walt Madden 1
Registered Agent's(Treasurer's)Signature: ,! d Date: Dec 31 , 2018
Candidate's Signature: (� �� �). Datc: Feb 12, 2018
DETAILED SUMMARY
Full Name of Committee/Person: Bert Myrin for Council
Current Reporting Period: IDec 31, 2018 Through JlFeb 12, 2019
6 Funds on hand at the beginning of reporting period(Monetary Only)
1119.78
7 Itemized Contributions $20 or More[cxs 1-45-108(1)(a)1 $
(Please list on Schedule"A") 5389.00
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 $
5389.00
12 Total Non-Monetary Contributions $
62.50
13 Total Contributions $
5451 .50
14 Itemized Expenditures$20 or More [cRs 1-45-108(1)(a)] S
(Please list on Schedule`B") 3132.59
15 Total of Non-Itemized Expenditures
(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)
19 Total Spending $
(line 12+line 18) 3132.59
Schedule B- Itemized Expenditures Statement ($20 or more)
[CRS 1-45-108(1)(a)]
Full Name of Committee/Person: Bert Myrin for Council
PLEASE PRINT/TYPE
1. Date Expended 3. Name (Last,First): Yard Sig nWholesale.corn
Jan 8, 2019
4. Address: 1813 E Colonial Dr
2. Amount 5. City/State/Zip: Orlando, FL 32803
240.00 6. Purpose of Expenditure: yard signs
1. Date Expended 3. Name (Last,First): StiekerGiant.eom
Jan 9, 2019
4. Address: 1880 Weaver Park Rd
2. Amount 5. City/State/Zip: Longmont, CO 80501
269.26 6. Purpose of Expenditure: stickers
1. Date Expended 3. Name (Last,First): 4imprint.eom
Jan 30, 2019
4. Address: 101 Commerce St
2. Amount 5. City/State/Zip: Oshkosh, WI 54901
888.61 6. Purpose of Expenditure: logo pens
1. Date Expended 3. Name (Last,First): USPS
Jan 30, 2019
4. Address: 235 Puppy Smith St
2. Amount 5. City/State/Zip: Aspen, CO 81611
550.00 6. Purpose of Expenditure: stamps
1. Date Expended 3. Name (Last,First): USPS
Feb 4, 2019
4. Address: 1235 Puppy Smith St
2. Amount 5. City/State/Zip: Aspen, CO 81611
1100.00 6. Purpose of Expenditure: stamps
Schedule B-Itemized Expenditures Statement ($20 or more)
[CRS 1-45-108(1)(a)]
Full Name of Committee/Person: Bert Myrin for Council
PLEASE PRINT/TYPE
1.Date Expended 3. Name(Last,First): Square
Feb 11, 2019
4. Address: 1455 Market Street, Suite 600
2. Amount 5. City/State/Zip: San Francisco, CA 94103
84.72 6. Purpose of Expenditure: credit card fees
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):
4. Address:
2.Amount 5. City/State/Zip:
$
6. Purpose of Expenditure:
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):
4. Address:
2.Amount 5. City/State/Zip:
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:
PLEASE PRINUTYPE
1. Date Provided: 4.Name(Last,First): Myrin, Bert
Feb 12, 2019
5. Address: 1220 N Monarch St
2. Aggregate Amt.:
$ 62.50 Aspen, CO 81611
6. City/State/Zip: p
3. Fair Market Value:
$ 62.50 7. Description: pa er, toner, envelopes
1.Date Provided: 4.Name(Last,First):
2.Aggregate Amt.:
5. Address:
$ 6. City/State/Zip:
3. Fair Market Value:
$ 7. Description:
I. Uatc Provided: 4.Name(Last,First):
2.Aggregate Amt.: 5. Address:
$ 6. City/State/Zip:
3. Fair Market Value:
$ 7. Description:
1.Date Provided: 4.Narne(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:
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CITY OFASPEN
CAMPAIGN REPORT FORM
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[CRS 1-45-108&CRS 1-45-109, SOS Rules 4.13]
(For use by a candidate who has not received any contributions,but has made expenditures of personal funds.)
Name of Candidate: Bert Myrin
Address of Candidate: 220 N Monarch St
City, State, Zip Code: Aspen, CO 81611
Office Being Sought: City Council
Report Period: Beginning Date 12/1/2018 Ending Date 2/12/2019
Total amount of Non-Itemized Expenditures ($19.99 or less): $
Expenditures exceeding $19.99 shall be itemized and listed below.
Date Expended Amount Name of Recipient Address
12/9/2018 $78.00 Shutterfly 2800 Bridge Parkway
City State Zip Comment/ Purpose
Redwood City CA 94065 cards
Date Expended Amount Name of Recipient Address
2/8/19 $65.00 Constant Contact 3675 Precision Drive
City State Zip Comment/ Purpose
Loveland CO 80358 email distribution list
Date Expended Amount Name of Recipient Address
City State Zip Comment/ Purpose
I certify to the best of my knowledge this Statement of Expenditures is true and correct.
Signature of Candidate cvz � N/'/'kp Date Feb 12, 2019