HomeMy WebLinkAboutWheeler Yes.Filing.20161018THE CITY CSF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.1-4S-1Ox
Full Name of Committee/Person: (A
JJ f
Ac Qkn. (7n Rnnictratinn
Address of Committee/Person:
r ( vo "16
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i �0 t c / (� �4
City, State & Zip Code:
.6
v 0 /
Committee Type:
Total of Monetary Contributions & Beginning Amount
$
1d
11.E v
Name and Address of Financial
$ Z
Institution
C C111—
t
Tvpe of Report
Regularly Scheduled Filing.
Amended Filing. This amends pre)ious report tiled on (date)
Submit changes or wN information ON LY
Termination Report. (Termination Reports :VPST have a Monetary Balance of Zero in Li e 5)
Reporting Period Covered:C� 2ol,�rj __= Through ZO
D'Itc D to
Tntolc n.tailorl Gimmnry pAaP
1
Funds on Hand at the Beginning of Reporting Period (monetary
only)V
2
Total Monetary Contributions
$
3
Total of Monetary Contributions & Beginning Amount
$
1d
4
Total Monetary Expenditures
$ Z
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: (A)"? Tj-
Registered Agent's (Treasurer's) Signature:
Candidate's Signature:
Date:
Date:
DETAILED SUMMARY
Full Name of Committee/Person:
a /� rwle
Current Reporting Period: 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")
/ 9
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)
$ n
(Please list on Schedule "D")
I 1
Total Monetary Contributions
$ /
I �
12
Total Non -Monetary Contributions — _
$
9
13
Total Contributions
$ r
�4
14
Itemized Expenditures $20 or More [CRs 1-45-108 (1) (a)1
$
(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")
Q
17
Returned Contributions (To donor)
$
(Please list on Schedule "D")
0
18
Total Monetary Expenditures
(Total of lines 14 through 17)
Total Spending
�
19$
(line 12 + line 18)
Schedule A — Itemized Contributions Statement ($20 or more)*
[CRS 1-45-108 (1) (a)l
Full Name of Committee/Person: !
WARNING: Please read the instruction "page for Schedule "A" before completing!
rtu1'% v I i rr.
1. Date Accepted
b l4
2. Contr uti n Amt.
$ p 0
3. Aggregate Amt.
$ (9�
1. Date Accepted
2. Contribution Amt.
3. Aggregate Amt.
$
1. Date Accepted
2. Contribution Amt.
3. Aggregate Amt.
4.Name (Last. First):
5. Address: �D
6. City/State/Zip: Oo
7. Occupation and Employer:
4.Name (Last. First):
5. Address:
6. City/State/Zip:
7. Occupation and Employer:
4.Name (Last. First):
5. Address:
6. City/State/Zip:
7. Occupation and Employer:
1. Date Accepted
4.Name (Last, First):
2. Contribution Amt. 5. Address:
6. City/State/Zip: '
3. Aggregate Amt.
$ 7. Occupation and Employer:
* Occupation and Employer on lv 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 B — Itemized Expenditures Statement (S20 or more)
CRS 1-45-108 (1) (a)
Full Name of Committee/Person:
MLANL YKI IN l! 1 Y rr,
1. Date Expended 3. Name (Last. First) /
c
4. Address: / /%, • %
2. A unt G 5. City/State/Zip:
$ �0o
6. Purpose of Expenditure: ilk 5 V '�A^2
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:
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: