HomeMy WebLinkAboutBert Myrin - Bert Myrin for Council_Filing 4 THE CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
(CALS.145-108
Full Name of Committee/Person: c1•� c'it
As Shown On Registration
Address of Committee/Person:
City,State&Zip Code:
Committee Type:
Name and Address of Financial
Institution Com-✓ /
Type of Report
e/gularly Scheduled Filing
Amended Filing.This amen 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: 530 / Through
Date Date
i
Totals Detailed Summary Page
1 Funds on Hand at the Beginning of.Reporting Period(monetary
only) l�
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)
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 Reizistered Aizent OR the Candidate)
/
Print Registered Agent's(Treasurer's)Name: �P�1 '
Registered Agent's(Treasurer's)Signature: Date: . (5 1311
Candidate's Signature: ?, -rte,;/ Date: 3 /�
DETAILED SUMMARY
Full Name of Committee/Person: V� n —1"t;v -t,
Current Reporting Period: ,S ��/ 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) r C)
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 $ I
(Expenditures of$19.99 or Less)
16 Loan Repayments Made $
(Please list orr Schedule"C")
17 Returned Contributions(To donor) $
(Please list on Schedule"D")
18 Total Monetary Expenditures $
(Total of lines 14 through 1 n 3 l
19 Total Spending $
(line 12+line 18)
Schedule B—Itemized Expenditures Statement.($20 or more) .
CRS 145-108 1 a
Full Name of Committee/Person: <BUy'+-f�y �' b -�►/
�Ia1/jCr
PLEASE PRINT/TYPE
1.Date Expended 3.Name(Last,First);:.
l
G I J 4.Address:
2.Amount 5.City/State/Zip: CA
S6.Purpose of Expenditure: _
1.Date Expended 3.Name(Last,First): rCL: G-'e
4.Address:
2.Amount y
5:Cit /State/Zip:
$ D
C
6.Purpose of Expenditure:
1.Date Expended 3.Name(Last,First): /
4XI 6-11 (7 4.Address:.
2.Amount / 5.City/State/Zip:
6.:Purpose.of Expenditure: Ad
1.Date Expended 3.Name(Last,First):
4.Address:
2.Amount 5.City/State/Zip:
6.Purpose of Expenditure:
1.Date Expended 3.Name(Last,First):
4.Address:
2.-Amount 5.City/State/Zip:
6.Purpose of Expenditure:
�j
3 .