HomeMy WebLinkAboutCampaign Filing 3 - Erin Smiddy ��►1 �,►
CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.145-108
Full Name of Committee/Person: 1^ 1,h d
1M,
As Shown On Registration
Address of Committee/Person:
X10 5t'1r-
City,State&Zip Code:
Committee Type:
�a r1 d i fu C� vwte
Name and Address of Financial _
Institution C O ('►�i Wl 67 l�/ f3�l'w1� -t%/1-'�
Tvve of Report
Regularly Scheduled Filing.
Amended Filing.This amends previous report filed on(date)
Submit changes or new information ONLY i2efj N Ia Y 5CAwaf K I�v{
Termination Report.(Termination Reports MUST have a Monetary Balance of Zero in Line 5)
Reporting Period Covered: Through ' 'I / 2 S—l.-.2- 1 ]
Date Date
Totals Detailed Sumosery Page
I Funds on Hand at the Beginning of Reporting Period(monetary a T�
only) 0
2 Total Monetary Contributions $
3 Total of Monetary Contributions&Beginning Amount $
4 Total Monetary Expenditures $
5 Funds on Hand at the End of Reporting Period(monetary) E
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 Rrtristered Agent OR the Candidatet
Print Registered Agent's(Treasurer's)Name:
Registered Agent's(Treasurer's)Signature: / Date: I
Candidate's Signature: d Date: �1 fjt
DETAILED SUMMARY
Full Name of Committee/Person: i51-1,Y1 Y11 t ',571d! Q
Current Reporting Period: Through Z�'1 2-
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")
c
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) /--
4
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) D
l
19 Total Spending $
(line 12+line 18) �—
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R
CITY OFASPEN
CAMPAIGN REPORT FORM
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[CRS 1-45-108&CRS 1-45-1091
(For use by a candidate who has not received any contributions,but has made expenditures of personal funds.)
Name of Candidate: S 1 '�a
Address of Candidate: _l I O Sr-I
City,State,Zip Code: ` eo , g 1(`j
Office Being Sought:
Report Period:Beginning Date Ending Date a l.2�l
Total amount of Non-Itemized Expenditures($19.99 or less): $
Expenditures exceeding$19.99 shall be itemized and listed below.
Date Ex ended Amount Name of Recipient Address
City State Zip Comment/Purpose
Date Expen4eLdt Amount Name of Recipient Address
City State I Zip Comment/Purpose
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 w rdG Date