HomeMy WebLinkAboutBert Myrin - Bert Myrin for Council_Filing2 C'ty Clerk
`�` FIVED
I V
E., 7 2015
THE CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
CRS.1-45-108
Full Name of Committee/Person:
As Shown On Registration
Address of Committee/Person:
City,State&Zip Code:
Committee Type:
Name and Address of Financial
Institution
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: / 'Zea i -I-`- Through Z.3 Vic►j S'
Date Date
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of:Reporting Period(monetary $ ,
2 Total Monetary Contributions
3 Total of Monetary Contributions&Beginning Amount $
4 Total Monetary Expenditures $ /// [l—
.5 Funds on Hand at the End of Reporting Period(monetary) $ I
The appropriate officer shall impose a penalty of$50 per day for each day that a report is filed late.
[Art.XXVIH Sect. 10(2)(a)]
Authorization(Must be completed by either the Registered Agent OR the Candidate)
Print Registered Agent's(Treasurer's)Name: �� J?
Registered Agent's(Treasurer's)Signature: Date:
2-7 yEalS
Candidate's Signature: 64-T— Date: `'f Z7 V I S
DETAILED SUAMARY
y
Full Name of Co mmittee/Perso.n: ��/ � ✓I y► ✓ b'Z�t
CurrentReporting Period:. 7 Through 2 319-o 1
6 Funds on hand at the beginning of reporting period(Monetary only)
7 Itemized Contributions:$20 or More[CRS 1-45-io8(1)(a)] $
(Please list on Schedule"A")
Uu 00
8 Total of Non-Itemized Contributions
(Contributions of$19.99 and Less)
9 Loans Received $
(Please list on Schedule".C:") J
10 Returned Expenditures (from recipient). $
(Please list on Schedule",D'.') v .
11 Total Monetary-Contributions $
7v; 0
12 Total Non-Monetary.C.ontributions. .. $
13. Total Contributions $
14 Itemized Expenditures $20 or More [CRS 1415=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")
0
17 Returned Contributions(To donor)
(Please list on Schedule"D") .C)
18 Total Monetary Expenditures:
(Total of lines.l4 through 17)
19 Total Spending $
(line 12+line 18) `� L�
Berl Myrin For Council-Itemized Contributions-Schedule A through 4{W2B4S—
A B 1 C ID1 E 11`1 G I H I J I K I L I M I N 1 O
104 Total $5,950 $5,950
705
106 4/15/2015 20 20 Stover Ray 914 Waters Ave Aspen CO 81611 20
107 4/15/2015 10 10 Blitt Rita 89 Pitkin Mesa Dr Aspen CO 81611 20
108 4/15/2015 20 20 Stover Lou 914 Waters Ave Aspen CO 81611 20
109 4/15/2015 10 10 Blitt Irwin 89 Pitkin Mesa Dr Aspen CO 81611 20
110 4/15/2015 10 10 ? Joan Monarch&Main Aspen CO 81611 21
111 4/15/2015 10 10 Heck Carl ? Aspen CO 81611 21
112 4/15/2015 50. 50 Rowlands Donna 770 CemetaryLn Aspen CO 81611 20
113 4/19/2015 10 10 Tarver Charlie 315 E.Hyman Aspen CO 81611 21
114 4/20/2015 10 30 dePagter Yasmine 217 Harbow Ln Aspen CO 81611 21
115 4/20/2015 10 10 Simmons Jack 217 Harbow Ln Aspen CO 81611 21
116 4/20/2015 10 10 Thompson Donna 1208Snowbunny Aspen CO $1611 21
117 4/20/2015 10 10 Thompson Ron 1208 Snowbunny Aspen CO 81611 21
118 4/21/2015 10 30 Monaghan Matt 333 Paepke Dr Aspen CO 81611 21
119 4/21/2015 30 10 Monaghan Meg 333 Paepke Dr Aspen, CO 81611 21
120 $200 $200
121
to
1
Schedule B—Itemized Expenditures Statement($20 or more)
CRS 1-45-108 1 a
Full Name of Committee/Person: N If-I VIor/
PLEASE PRINUTYPE.
1.Date Expended 3.Name(Last,Fust);
4: Address: . t
S7}
2.Amount
5. City/State/Zip:
$
G� � 5
6.Purpose of Expenditure: j
1.Date Expended 3.Name(Last,First):
y, 4.Address: G?
2.Amount 5:City/State/Zip:
�-1 Q , Y,
$ o
6. Purpose of Expenditure: .y
1.Date Expended 3.Name(Last,First):
Z f: / 4. Address:
$..Amount 5. City/State/Zip: S
6.:Purpose:of.Expenditure: / �; ' i :r- Y✓ ;c
1.Date Expended 3.Name(Last,.First):
4. Address:
2.Amount
5. City/State/Zi
p. -S /�//
$ Purpose of Expendture; u, �
y t c°_ z� S
1.Dafe Expended 3.Name(Last,First):
4. Address:
2.Amount
5. City/State/Zip:
6: Purpose.of-Expenditure:
lu , � Y
Statement Of Non-Monetary Contributions
[Art.XXVIII;Sect 2,(5),(a)(II)(III),Sect.5,(3).].
CRS 1-45-108(1
Full Name of Committee/Person: ,( i .
PLEASE PRINTITYPE
1.Date Provided. 4.Name(Last,First):
� � N
5. Address: Z l"')6✓v�C�•
2.Aggregate Amt.: r.rAj 44
61
6. City/State/Zip:
3. Fair Market Value: n'OF
::7.Description. ::
1.Date Provided: 4.Name(Last,First).: lY�y/1\�i ���2 T-
-2 ret 15
2.Aggregate Amt::
5 Address . �. �"►!AJ(AZ t-� .
.
d
6,v c> 916 6
6. City/State/Zip:: .
3. Fair Market Value:
$ L4 -q 7 Description:
1.Date Provided:. 4.Name(Last,First): -•e- rr
2.Aggregate Amt.:
5.Address': ?�