HomeMy WebLinkAboutBert Myrin - Bert Myrin for Council_Filing 2 Run-Off TFX CITY of AsPEN
CAMPAIGN REPORT FORM
REPOR'!'OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.145-109
Full Name of Committee(Pers(on: ,
-f- !M ►!t/1 GY (.ter G i '
_ as shown ou 'strallon
.Address of CommitteelPerson: �1 Mo t7
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eh
City,State&Zip Code:
Committee Type:
• Name and Address of PYnancirtt2- P/YI-
Institution (,✓�jU
Type of Report
Regularly Scheduled Filing.
Amended Filing.This aiiiends previous report filed on(date)
Submit changes or new information ONLY
Termination Report.11';nnination Reports MUSTUve a Monetary Balance of Zero in Line 5)
Reporting Period Covered; S r Through C - /s
DaLe Date
1
Totals Detailed Summa Page
1 Fends on Hand at the Beginning of Reporting Period(monetary S / � D
only) '
2 Total Monetary Contributions $ Li I -S
3 Total of Monetary Contributions&Beginning Amount $ 6.
4 Total Monetary Expenditures $
5 Funds on Hand at the End of Reporting Period(monetary) $
The appropriate officer shstll impose a penalty of$50 per day for each day that a report is filed late.
(Art.XXVIII Sect.20(2)(a)]
Authorization(Must be completed b% ' Cand date)
Print Registered Agent's(Trcrosurcr's)Name:
Registered Agent's(Treasurer's)Signature: Dat .
Candidate's Signature: d'e<r--Vw,.✓ Date: 26 rY1Q y
i
DETAILED SUMMARY
Full Name of Committee/Person: Bert Myrin for Council
Current Reporting Period: 5/8/15 Through 5/21/15
6 Funds on hand at the beginning of reporting period(Monetary only)
1 ,591 .09
7 Itemized Contributions$20 or More[cRs 1-45-108(1)(a)] $
(Please list on Schedule"A") 4,125
8 Total of Non-Itemized Contributions $
(Contributions of$19.99 and Less) 0
9 Loans Received $
(Please list on Schedule"C") 0
10 Returned Expenditures(from recipient) $
(Please list on Schedule"D") 0
11 Total Monetary Contributions $
4,125
12 Total Non-Monetary Contributions $
200
13 Total Contributions $
4.,325
14 Itemized Expenditures$20 or More[clts 1-45-108(1)(a)] $ p
(Please list on Schedule"B") 31607.80
15 Total of Non-Itemized Expenditures $
(Expenditures of$19.99 or Less) 0
16 Loan Repayments Made $
(Please list on Schedule"C") 0
17 Returned Contributions(To donor) $
(Please list on Schedule"D") 0
18 Total Monetary Expenditures $
(Total of lines 14 through 17) 3,607.80
19 Total Spending $ Q
(line 12+line 18) 13,807.80
Schedule A—Itemized Contributions Statement($20 or more)*
CPS 1-45-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING:Please read the instruction page for Schedule"A"before completing!
PLEASE PRINTfrYPE
1.Date Accepted
5/10/15 4.Name(Last,First): Myrin, Bert
2.Contribution Amt. 5.Address: 218 N. Monarch St
$ 250 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7.Occupation and Employer: Real Estate Broker/Self
1.Date Accepted
5/10/15 4.Name(Last,First): Madden, Walt
2.Contribution Amt. 5.Address: 218 N. Monarch
$250 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Keeps computers busy @ IBM
1.Date Accepted
4.Name(Last,First): Goldenberg, Steve
5/11/15
2.Contribution Amt. 5.Address: 430 W. Hopkins Ave
$ 250 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7.Occupation and Employer: Retired
1.Date Accepted
4.Name(Last,First): Behrendt, Michael
5/11/15
2.Contribution Amt. S.Address: 334 W. Hyman Ave
$ 250 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Inn Keeper
* Occupation and Employer Mty required on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Schedule A—Itemized Contributions Statement($20 or more)*
CRS 143-108 1 a
Full Name of Committee/Person: Bert Myr in for Council
WARNING: Please read the instruction page for Schedule"A"before completing!
PLEASE PRE4TffWE
1.Date Accepted
.4.Name(Last,Fisc): Emmer, Maurice
5/11/15
2.Contribution Amt. 5. Address: 1220 Alta Vista Drive
$ 250 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt. ,
$ 250 7. Occupation and Employer: Retired
1.Date Accepted
5/12/15 4.Name(Last,Fist): Hodgson, Phil
2.Contribution Amt. 5. Address: 212 N. Monarch St
$250 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Retired
1.Date Accepted
5/12/15 4.Name(Last,First): Hale, Terry
2.Contribution Amt. 5.Address: 1455 Silver King Drive
1100
6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
1100 7. Occupation and Employer: Real Estate Broker
1.Date Accepted
5/11/15 4.Name(Last'Fist): Dulaney, Anna Maria
2.Contribution Amt. 5.Address: Box 122
$ 250 6. City/State/Zip: Cimarron, CO 81220
3.Aggregate Amt.
$ 250 7.Occupation and Employer: Retired
* Occupation and Employer on required on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Schedule A—Itemized Contributions Statement($20 or more)*
CRs 1-45-1118 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING:Please read the instruction page for Schedule"A" before completing!
PLEASE PRINTfME
1.Date Accepted
5/11/15 4.Name(Last,First): Dulaney, Natalie
2.Contribution Amt. 5.Address: Box 122
$ 250 6. City/State/Zip: Cimarron, CO 81220
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Corporate Wine Director @ David Burke Gr
1.Date Accepted
4.Name(Last,First): De Francia, James
5/11/15
2.Contribution Amt. 5. Address: PO Box 12393
$ 100 6. City/State/Zip: Aspen, CO 81612
3.Aggregate Amt
1100 7.Occupation and Employer: Real Estate/Self
1.Date Accepted
5/1-1/15 4.Name(Last,First): Blatt, Robert or Elaine
2.Contribution Amt. 5.Address: 990 E. Hopkins
$ 40 6. City/State/Zip: 'Aspen, CO 81611
3.Aggregate Amt.
$ 40 7. Occupation and Employer: N/A- Under$100
1.Date Accepted
4.Name(Last.First): John Staton
5/12/15
2.Contribution Amt. 5.Address: 1180 Peachtree St NE
$ 200 6.City/State/Zip: Atlanta, GA 30309
3.Aggregate Amt.
$ 200 7. Occupation and Employer: Retired
• Occupation and Employer oWLrequired on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Schedule A—Itemized Contributions Statement($20 or more)*
CRS 1-43-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING:Please read the instruction page for Schedule"A" before completing!
PLEASE PRINWI'YPE
1.Date Accepted
5/12/15 4.Name(Last,First): Ed Calesa
2.Contribution Amt. 5. Address: 277 Royal Poinciana Way#102
$ 50 6. City/State/Zip: Palm Beach, FL 33480
3.Aggregate Amt.
$ 50 7. Occupation and Employer: N/A Under$100
1.Date Accepted
5/12/15 4.Name(Last,First): Denny Vaughn
2.Contribution Amt. 5.Address: 221 7th Street
$250 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Retired
1.Date Accepted
5/13/15 4.Name(Last,First): William B. Wiener Jr
2.Contribution Amt. 5.Address: 701 Gibson
$ 250 6..City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 250 7. Occupation and Employer: Retired
1.Date Accepted
4.Name(Last,First): C. Kim Sheelar
5/13/15
2.Contribution Amt. 5. Address: 20 Whispering Water Circle
$ 25 6. City/State/Zip: Carbondale, CO 81623
3.Aggregate Amt.
$ 25 7. Occupation and Employer: N/A- Under$100
* 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.
Schedule A—Itemized Contributions Statement($20 or more)*
CRs 1-45-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING: Please read the instruction page for Schedule"A"before completing!
PLEASE PRINT/TYPE
1.Date Accepted
5/13/15 4.Name(Last,First): Jerald A Bovino
2.contribution Amt. 5.Address: 804 Hunter Creek Road
$ 25 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 25 7. Occupation and Employer: Retired
1.Date Accepted •
4.Name(Last,First): Emmer, Jamie
5/14/15
2.Contribution Amt. 5. Address: 1220 Alta Vista Drive
$250 6.City/State/Zip: Aspen, CO 81611
3. Aggregate Amt.
$ 250 7. Occupation and Employer: Retired
1.Date Accepted
5/14/15 4.Name(Last,First): de Pagter, Yasmine
2.Contribution Amt. 5.Address: 217 Harbour Lane
$ 125 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 125 7. Occupation and Employer: Retired
1.Date Accepted
5/14/15 4.Name(Last,First): Simmons, Jack
2.Contribution Amt. 5.Address: 217 Harbour Lane
$ 125 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 125 7. Occupation and Employer: Retired
.* Occupation and Employer on required on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Schedule A—Itemized Contributions Statement($20 or more)*
CRS 1-45-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING: Please read the instruction page for Schedule"A" before completing!
PLEASE PRINWME
1.Date Accepted
5/15/15 4-Name(Last,First): Stuart, Dona
2.Contribution Amt. 5.Address: PO Box 11733
$ 10 6. City/State/Zip: Aspen, CO 81612
3. Aggregate Amt.
$ 1.0 7. Occupation and Employer: N/A- Under$100
1.Date Accepted
5/15/15 4.Name(Last,First): Nicklin, Peter
2.Contribution Amt. 5.Address: 609 W Francis
'$125 6.City/State/Zip: Aspen, CO 81611
3. Aggregate Amt.
$ 125 7.Occupation and Employer: Retired
1.Date Accepted
5/15/15 4.Name(Last.First): McCausland, Linda
2.Contribution Amt. 5.Address: 609 W Francis
$ 125 6- City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 125 7. Occupation and Employer: Retired
1.Dau Accepted
5/17/15 4.Name(Last,First): Kribs, Karen
2.Contribution Amt. 5.Address: 217 E Bleeker
$ 100 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 100 7.Occupation and Employer: Retired
* Occupation and Employer gaty required on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Schedule A—Itemized Contributions Statement($20 or more)*
CRS 145-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
WARNING:Please read the instruction page for Schedule"A"before completing!
PLEASE PRINTMWE
1.Date Accepted
5/18/15 4.Name(Last,First): Osur, Richard
2.Contribution Amt. 5.Address: 1300 Riverside Drive
$ 50 6. City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 50 7. Occupation and Employer: N/A- Under$100
1.Date Accepted
5/19/15 4.Name(Last,First): Wright, Gary
2.Contribution Amt. 5.Address: 715 W. Main St#201
$25 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 25 7.Occupation and Employer: N/A- Under$100
1.Date Accepted
5/15/15 4.Name(LM First): Leslie Hoist
2.Contribution Amt. 5.Address: 1415 Alberta Street
$ 100 6.City/State/Zip: Key West, FL 33040
3.Aggregate Amt.
$ 100 7. Occupation and Employer: Retired
1.Date Accepted
5/21/15 4-Name(Last,First): Erspamer, John
2.Contribution Amt. 5.Address: 534 Spruce Street
$ 50 6.City/State/Zip: Aspen, CO 81611
3.Aggregate Amt.
$ 5.0' 7.Occupation and Employer. N/A- Under$100
* Occupation and Employer on required on each person who has made a contribution of$100 or more
to a candidate committee,political committee,issue committee or political party.
Statement Of Non-Monetary Contributions
[Art.XXVIII,Sect 2,(5)(a)(1I)(III),Sect.5,(3)]
CRS 1-45-108 1
Full Name of Committee/Person: Bert Myrin for Council
PLEASE PRINT/TYPE
1.Date Provided: 4.Name(Last,First): Myrin,Bert
5/16/15
2.Aggregate Amt.: 5.Address: 220 N. Monarch Street
$ 200 6. City/State/Zip:-Aspen,CO 81611
3.Fair Market Value:
$ 200 7. Description: Paper and Toner
1.Date Provided: 4.Name(Last,First):
2 Aggregate Amt.: 5. Address:
$ 6. City/State/Zip:
3. Fair Market Value:
$ 7. Description:
1.Date Provided: 4.Name(Last,First):
2.Aggregate Amt.: 5. Address:
$ 6. City/State/Zip:
3.Fair Market Value:
$ 7. Description:
1.Date Provided: 4.Name(Last,First):
2.Aggregate Amt.:
5. Address:
$ 6. City/State/Zip:
3.Fair Market Value:
$ 7. Description:
1.Date Provided: 4.Name(Last,First):
2.Aggregate Amt..
5. Address:
$ 6. City/State/Zip:
3.Fair Market Value:
$ 7. Description:
Schedule B-Itemized Expenditures Statement($20 or more)
CRS 145-108 1 a
Full Name of Committee/Person: Bert Myrin for Council
PLEASE PRINTMWE
1.Date Expended 3.Name(Last,First): Sign Depot
5/12/15
4.Address: 1813 E Colonial Drive
2.Amount 5. City/State/Zip: Orlando, FL 32803
$
275 6. Purpose of Expenditure: Lawn Signs
1.Date Expended 3.Name(Last,First): Constant Contact
5/12/15
4. Address: 3675 Precision Drive
2.Amount 5. City/State/Zip: Loveland,CO 80538
35 6.Purpose of Expenditure: email services
1.Date Expended 3.Name(Last,First):
Sticker Giant
5/13/15
4.Address: 11755 N. 75
2.Amount 5. City/State/Zip: Longmont, CO 80503
$
234.45 6.Purpose of Expenditure: Stickers
1.Date Expended 3.Name(Last,First): Aspen Daily News
5/15/15
4. Address: 517 E. Hopkins Ave
2.Amount 5. City/State/Zip:
$ Aspen, CO 81611
1 ,_881 .47 6. Purpose of Expenditure: Ads
1.Date Expended 3.Name(Last,First): USPS
5/18/15
4. Address: Puppy Smith Street
2.Amount 5. City/State/Zip: Aspen, CO 81611
19181 .88 1 6. Purpose of Expenditure: Postage