HomeMy WebLinkAboutCampaign Filing 2 (Amended) - Lee Mulcahy ! I
RV
CITY OP ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.1-45-108
Full Name of Committee/Person:
As Shown On Registration
Address of Committee/Person: 61--
City,State & Zip Code:
s Co
Committee Type:
Name and Address of Financial V ,
Institution
'fame of Report
Regularly Scheduled Filing.
Amended Filing.This amends previous report filed on(date) n
Submit changes or new information ONLY
Termination Report.(Termination Reports MUST have a Monetary Balance of Ze'ro in Line 5)
Reporting Period Covered: Through
Date Date
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of Reporting Period(monetary $ Q
only) L Z/^Q� go
2 Total Monetary Contributions $ / G
3 Total of Monetary Contributions&Beginning Amount $
4 Total Monetary Expenditures $
5 Funds on Hand at the End of Reporting Period(monetary)
The appropriate officer shall impose a penalty of$SO 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:
Registered Agent's(Treasurer's)Signature: Date:
Candidate's Signature: Date:
DETAILED SUMMARYV�
Full Name of Committee/Person:
Current Reporting Period: „2 Through
6 Funds on hand at the beginning of reporting period(Monetary only)
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 $
(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) O
r
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 beforecompletin .
PLEASE PRINT/TYPE
1.Date Accepted PD
4.Name(Last,First):
2.Contribution Amt. 5. Address:
r6. City/State/Zip:
ggregate Amt. 7. Occupation and Employer:
1. Date Accepted
4.Name(Last,First): �l�-✓l� v ��f�
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.