HomeMy WebLinkAboutCampaign Filing 4 - Adam for Aspen VW R
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APR 042019
CITY OFASPEM
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EMMMS
C&&la"WHOM
Fall Namie ot CommitbedPerson: A A ti
As Shown On
Addrem 4f Committeoftmon: 13 s o MJViIWO
aqt Statbe&Zip Code: -_ ) � `1
COMMM a T"m CAN p, WOC
Name and Address of Financial �t 1►� �y�L_ �p �. ��`� �,�.)��
Insatu n f'�7'�'"
Tit ,
R- U'l rly Scimdnled Filing.
Amended FiNw.Thi.mm*,previous pare m tiled oa(do)
st�mic duopa.ae nsvv ia�bsmWern ONLY
Termlmaaon Report.(Tmimisuoion Reports MuST have a Mommy HOW=ofza+o in Line 3)
Reporat Period Covered: Throaph i`.L�
NO
Tatak Deb"Isumm"PAM
1 Imes on Hmd at the Bo&n n8 otleporting Period(nwndwy $onlvli o . 9°1
2 Tool LMlometary Comtribatiom i Q
3 Toftl of Moaehry Contrlbmtlons aegM aS Amoant s ' i 0' Q
4 Tot Monetary Fspeoaditares s I t 3s
y
5FNWS on Bud at the End ofReport Period S
The aopropriste officer shall impose penaity of Mg per day,for each day that a report is Fled bk*
xxvm Sect.14. a
N AM CM
primASOWS(7vaslaws)Name:
2.t S�/H
R� is C&mm e's)Signature:
Date:
Candidate's Sisuture: Date:
9
Seh2d& A Ynst fi•*in*.
1
Cladftims Dommi Pars- ..A
Are , to disolo ..oco� � `
nabzW paw=(Article MMSeddon ft Md, 1 'fc °all"$l00 or more oontrnwtions made by
Contribution Limits
ftWon tot
Candidal
aioh No #Gerson shall make,Solicit or a000lrt a contributiion drat will m m dw total contril om
Paaon behalf of ani+candldate ora political '
No lnmdr�,d fifty ollars(�50� �°r o ��1e olscdon of
�►aendid�te to axaeed two
' Y on M MOW to my Slagle election
hitnaelf or ,. ( hWing oontn'b WOMI to a car didde from the caoctidate
manbers Of immediate family)latm dW seven('7)days.prior to any election.
PROHISITED CONTRIBUTIONS
M XXVlll,Seattort
• No candidate's candidate conunkbee shall
conlutions too another candidate comrni�esa�Pt`oontrlbu�ons from, or make
• No per on shell act as a condi for a o0
• No te ntribution to a candidate c ubes
comrrtitbee shall oospt a contribution,or make an
expo candidate or candidaditur+e, in currency or coin exceeding one hundred.dobra.
expocta
n that some or all dr the a carldidats or candidate corrrmiees.with he
shell make a cOnbtWbn to
anter Person. amounts of such conn will b n ursed by
• No person shop make, nor shall any ca
eaeny anonymous corrtrib �n treasurer, candidata or pawl correrdgee
PU of Muencing the eieod" orr,candidata. oornrr�ltb�.or anyond,for the
any issue.The Intended detbat,of any candldeb or the
rec�ipnt of an anonymous of deW of
rec*of such con nYrnous cio to the C shall, PrOMM upon
tr ution,tranamlt such c�ntrtbtrt n to the Cky.Clsrk for d"wk In the
gene�il fund of the City of Aspsn.
• Nondidf conwnkb %Political committee or
00 utions from any natural Poli P8"Y shag,knowingly accept
�rrergntnent. Person not a dti en 0f the t kd'sd�mete or a ft"n
DETAEM SUMMARY
F"Name of CDmmitteemwm:
Curremit Roporting Period: 31211 A Through
6 Fina*on Und at So be8lnnln8 of reporting period(Mo mw 0*)
7 Iteq$wd Coatrl6 fog EtO or More[CR81,4s-los(1)(a)) $
(Flue Wton Sdoduk"A") O
8 T otNon-Iteitr1 Costr�lbaonr $
(�q ofI19.99.and Lae)
9 $
meme Hit on aftha
10 QR�Fspeaditnree-(froa reeipient) $
11 Totol Mo*duyCosaw"m utione $ O
12 ToW NowMonetary Contrlbutlone $
13 Total Contributions $
O
14 $20 or More[CRS 1-4.51-109(1)
1-5 Totol of Non-It0ml=d.E:pmdit wr"
(Bxpepodipues of 119.99 or Lar) 0
16 Leap Repq►mts Made
(P1a�e 1Mtoa 8ohecWL►"G"� $ p .
17 Retomw Contlibutiono(To donor) $
(Pleipe list on 9diedak"D'�
18 Tool Monetary Expenditure$ $
(TOw oflma 14mrov&17)
19 TOW Spending $
(Me i2+Ilia 18)
Schedule A—Itemsed Costribudom Sttatemeat($20 or more)*
Cita -41-08 t
Fun Name of Commitbee/Peraon: AW -1�
�
WARMG:Place real dkt iesbreedn page for Mask"A"before completing!
Kam
1.Dde AwspW
4.Name amt,fto: Iw tie
a.contribution Amt. S.Addrem:
3.AnroWe Amt. 6.City/Shite/Zip:
$
7.Occupation and Employer:
1.Dde Accepted'
4.Name UAK Fj,tl:
2.conhibutioa Ata 5.Address:
S
J.A tte Amt. 6.Clty/State/Zip
S
7.Occupation and Employer:
1.Doe Aooei:ted
4.Name(ter.rmo:
.2. AmL S.Addms:
3.Agglegft Amt. 6.City/State/Zip:
$
7.Occupation and Employer.
I.Date Aooq*d
4.Name<LIA gip:
2.60 'qm . S.Addrass:
$ '
•AAmt. 6.City/St"ZiF.
g
7-Occupation and Employer.
to odd avid Employer "imd on each pmo„wl:o s m A
ommitboo,polidosl cotnrniftm issue committee or political on Sl or more
ftediWle B—hmbW ExpeadWres Statement WO or more)
Cits 1-45-108 1
M Now of Committoe/Penons ,kJ�( 8,
1.Date Bxpepded 3.Name(Lest,nw): fAf
4.Address:
2•Amount S.City/State✓Zip:
6.Purpose of Expenditure:
1.Date Expended 3.Name(Last,Fh*):
4.Address:
2.Amount 5.City/Statomp:
6.Purpose of Expenditure:
1.Date Expanded 3.Name(Lut ph*)-.
4.Address:
2.Amount S.City/swb/zip:
6.Purpose of Expenditure:
1.Deme 3.Name a m%Fhst):
4.Address:
2.Amount 5.City/Stato/Zip:
6.Purpose of Expenditure:
1.D.te Expended 3.Nance(yak Flo):
4.Address:
2.Amount 5.City/State/Zip:
S
6•Purpose of Expenditure:
gtntemgnt Of Non•MoaetuT Contributions
[Art.XXVM C� 2.(3))(a)8 (In Bert.3,(3)1
FoR Name of Commttee/Person: *,k tA ,FIW A
PLZAUPXNTMM
1.Date PWAM. 4.Name(L#A
2.A� Amt: 5.Address:
$ 6.CitylStatemp:
3.Fair Moliat Value:
$ 7.Description: -
1.DatePravided: 4.Name am4 Fins:
2.Awe Amt: 5.Address.
$ 6.City/State/ZIP:
3.Fair Ma"Values
$ 7.Description:
1.Dere Provided: 4.Name(Lak Fbwo:
2 Ag�roBpbe Amt. 5.Address:
$ 6.Cityaltn!Zip.
3.Pak mm"value:
7.Description:
1.Date Pn*ided: 4.Name(LaL mo:
2.Awe po Amt: S.Address:
$ 6.City/StatsMp:
3.Fair Motet Value.
$ 7.Description:
1.Date ftvidod: 4.Name(t.ar,Fw.
2 Awe Amt: S.Address.
$ 6.City/Ststo/Zip:
3.M Market Value:
$ 7.Description:
Schedule D—Returned Expenditures&Contribatlow
Fall NammoiComadttee/Persoa:
1.Date 4.Namo(xAn.Fwo: 1`jb
2.Date Rebutted:
5.Address:
6.City/Stato/Zip:
3.Amamt:
$ 7.Comment;
1.Date Aooebed: 4.Name(tom Fes:
I Date Reap*: S.Address:
6.clh► te/z�p:
3.Amoq
$ 7.Comment:
1.Dobe Aooq bod: 4.) ame a�,wk FW:
2 Dabs�. S.Address:
6.City/Ststemp:
=omt� 7.purpose;
1.Dabs AoospM ; 4N81111e(Lat.Phi*:
2.Die Reautled: 5.Address:
3.
6.City/Stxwzip:
Amoemt:
$ 7.Purpose:
Schedule C—Loan
This Farm detaiia ION=received and rwWd by the oommitbedp" (Money►received by oommitoe0 ftom a fi wn W int hudw
and/or of a loan to.a gneaciai i>ustiWw j
Fun N=0 of Commitbee/Penon: •��►�( . 13
ry
(Vee a eo6eduk for eeoh baq.11ib 9nift ie�tbrline`ibeay 9 aa4d'�1Bwef drb
il'� aop9ed tivat such ehtH be isld dr�leed'by tnq►`peMeen:�dte pA`t!�o��oU� ode�Mq►aopt pu�pan,
trtteleeotlteooat�ry,aet beaiadwe'eow1��110edpt eenuq►tewiveAlwaftatl�uooWiaelibeiaa
and K*Jw toe due dMwa�module Aelfote� 7dt [I,AoMynude m a b�tlt'BMt ewn�1ropq�mpu,Lt svidei�oed bpi a rKltben
Nemo(Let.Piet or Iaetitution):
Addreoa: ,
CitYlStda ft:
Origlnai Atpotmtof Lova:$ hand pift:
Loan Amount Received We Repordug,Period: $ Toni of AU Low Thio
• Reporting Period:
PrIWpai Amount PaidThia Reporting Period: s $
b tw Amount.Paid This Reporting Pertod: s (tJt w Mum a YrDOWW t HOMY RwU
Amount Repitid This Repotting Period: $ TOW Repqusnu Madel s
(A�eouec t+.e.tet/wrr atPd.�ipd a eol...e.oe..a m o.o�e�,�
(ars etadrdd.GvwR she.d,ud 16 etuwe.a e..e,.y+�
Ou b tnftg Balance: $
TERMS OF LOAN:
Do L=Received Due Dae Jbr Pte(pqaemt
LM ALL OR Gy
FUN Name
. tG
8 8: 1
� 3
M
7
a €
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