HomeMy WebLinkAboutAndrew M Israel for Aspen - Andrew M Israel_Filing1THE CITY OF A4PEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S. 1-45-1OS
Full Name of Committee/Person:
N � � tnl /Ul • � S � A-�
Address of Committee/Person:
O n^^
'
(' 1
City, State & Zip Code:Peeo,
c I
Committee Type:
CA r (1M/h
Name and Address of Financial
Institution
3
Type of Report
Regularly Scheduled Filing.
Amended Filing. This amends previous report filed on (date)
Submit changes or new information ONLY
IVIA-
Termination Report. (Termination Reports MUST have a Monetary Balance of Zero in Line 5)
Reporting Period Covered: c3 Through
ate Date
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)]
Print Registered Agent's (Treasurer's) Name:
Registered Agent's (Treasurers)
Date:
Candidate's Signature: / /1n^ /--1 '�n,r ' �/-\ A 0 Date:
Totals Detailed Summary Page
1
Funds on Hand at the Beginning of Reporting Period (monetary
only)C./
$ l+�
2
Total Monetary Contributions
$ O
3
Total of Monetary Contributions & Beginning Amount
$ (� „l
4
Total Monetary Expenditures
$
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)]
Print Registered Agent's (Treasurer's) Name:
Registered Agent's (Treasurers)
Date:
Candidate's Signature: / /1n^ /--1 '�n,r ' �/-\ A 0 Date: