HomeMy WebLinkAboutCampaign Filing 2 - Linda 4 Aspen r b:
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CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S. 145-108
Full Name of Committee/Person: ( C/Asa tj
r�I
L
As Shown On Re istration
Address of Committee/Person: �� n
City, State& Zip Code:
2-
Committee Type:
Type:
Name and Address of Financial
Institution l l U
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: l hrough 12 /26/2612
Date Date
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of Reporting Period (monetary $
only)
� V --I UA-
2 Total Monetary Contributions $ /
3 Total of Monetary Contributions & Beginning Amount
4 Total Monetary Expenditures $ C
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 completed by either the Re istered A ent OR the Candidate
Print Registered Agent's (Treasurer's) Name: ( ,n
Registered Agent's (Treasurer's 'Signature: �' Date:
Candidate's Signature: ! Date:
DETAILED SUMMARY
Full Name of Committee/Person: C `'
,
Current Reporting Period: 6 17 7d Through
6 Funds on hand at the beginning of reporting period(Monetary Only)
7 Itemized Contributions $20 or More [CRs 1-45-108(1)W] $
(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")
1 1 Total Monetary Contributions $
12 Total Non-Monetary Contributions $
�D ,�)0
13 Total Contributions $ D
14 Itemized Expenditures $20 or More [CRs 1-45-108(1)(a)l $
(Please list on Schedule"B") I `1 q l
15 Total of Non-Itemized Expenditures $ I
(Expenditures of$19.99 or Less)
16 Loan Repayments Made $
(Please list on Schedule"C")
17 Returntd 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)
� 111
1. Date Accepted
4.Name (Last,First): JP
2--Iq-!
2. Contribution Amt. 5. Address:
c� ► 6. City/State/Zip: Cc, LIU ( /
3. Aggregate Amt. -
$ 7. Occupation and Employer: k- �&6iii� -<�-evii (-e<, �WiA6�
/�
1. Date Accepted
n _Z: r �l 1 4.Name(Last,First): �
2. Contribution Amt.) 5. Address: l VI A
6. City/State/Zip: I I
3. Aggregate Amt.
$ S 7. Occupation and Employer:
1. Date Accepted
_ ) 4.Name (Last,First):
2.Contribution Amt. 5. Address:
$
6. City/State/Zip: `� ,GN (10 �S a
3. Aggregate Amt.
$ j\ 7. Occupation and Employe ¢
UU • u
1. Date Accepted c�
S l � 4.Name (Last,First): tho
rn
-
2. Contribution Amt. 5. Address: '� I
$ /
L1616D 6. City/State/Zip:
3. Aggregate Amt.
$ ��C?, 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.
Statement Of Non-Monetary Contributions
[Art. XXVIII,Sect 2,(5)(a)(II)(11I),Sect. 5,(3)]
[CRS 1-45-108(1)]
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Provided: 4.Name (Last,First):
Q ks 9 5. Address: I/
2. Aggregate Amt.:
$ 4;101D trio 6. City/State/Zip:
3. Fair Market Value:
$ '::�>C)a l D D7 I. Description: �tG
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.Natne (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 B — Itemized Expenditures Statement ($20 or snore)
CRS 1-45-108(1)(a
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Expended 3. Name (Last,First): S
� I l 4. Address: �
et L-2 I 1 4
2. Amount 5. City/State/Zip: �� �, f:�
1 t( 6. Purpose of Expenditure: 4 SSS)
1. Date Expended 3. Name(Last,First): C 'G
Z,Z tl
` 1 ?
4. Address: , Q
2. Amount 5. City/State/Zip: �Ii (oz S
2JS��(J 6. Purpose of Expenditure:
1. Date Expended 3. Name(Last,First): i>
4. Address: ff —
C-L
2. Amount 5. City/State/Zip:
C D�j 6. Purpose of Expenditure: ( A 4
1. Date Expended 3. Name(Last,First):
4. Address: Q
2. Amount 5. City/State/Zip:
�S laD 6. Purpose of Expenditure:
1. Date Expended 3. Name (Last,First):
4. Address:
2. Amount I 5. City/State/Zip:
���l ✓� 6. Purpose of Expenditure: (}
Schedule B—Itemized Expenditures Statement ($20 or more)
[CRS 145-108(1)(a)1
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Expended 3. Name (Last,First): _ � v
2—20 4. Address:
2. Amount 5. City/State/Zip:$ <-ZG OD �!uh Or-we
% (�
6. Purpose of Expenditure:
1. Date Expended 3. Name (Last,First): / �1
2--1� 4. Address:
2. Amount 5. City/State/Zip:
$
6. Purpose of Expenditure: S
1. Date Expended 3. Name (Last,First): p
1 4. Address:qqA
2. Amount 5. City/State/Zip:
6. Purpose of Expenditure:
CS
1. Date Expended 3. Name (Last,First):
2 4. Address:
I? , J4
$2. Amount 5k::D i. City/State/Zip: V� 6. Purpose of Expenditure: S V Y
1. Date Expended 3. Name (Last,First):
2fs-'fT 4. Address:
2. Amount 5. City/State/Zip:
NZ&D
b��j 6. Purpose of Expenditure:
Schedule D—Returned Expenditures & Contributions
Full Name of Committee/Person:
Returned Expenditures
(Previously reported on Schedule B—Contributions then returned.from recipient)
PLEASE PRINT/TYPE
1. Date Accepted: 4.Name (Last,First):
2. Date Retumed: 5. Address: /
6. City/State/Zip:
3. Amount:
$ 7. Comment:
1. Date Accepted: 4.Name (Last,First):
2. Date Returned: 5. Address:
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):
2. Date Returned: 5. Address:
6. City/State/Zip:
3. Amount:
$ 7. Purpose:
1. Date Accepted: 4.Name (Last,First):
2. Date Returned: 5. Address:
6. City/State/Zip:
3. Amount:
$ 7. Purpose:
1
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 XXVI1,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 11 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