HomeMy WebLinkAboutFunding For Excellence.Filing.20161018THE CITY OF ASPEN
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
C.R.S.>-as-ios)
Full Name of Committee/Person: �ndin
e. ch.- n„ Ra -;i f of7— 1
Address of Committee/Person:
TO. 0 2106
City, State &Zip Cade:
Funds on Hand at the Beginning of Reporting Period (monetary
Committee Type:
Name and Address of Financial�j
Institution
(
� +r �600
2
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: Qui - Zcl 2-0 Through I CCS'. 1-7, 6/6
Date 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)]
Authorization Must be completed by either the Registered Agent OR the Candidate
Print Registered Agent's (Treasurer's) Name: r , A /t—
Registered Agent's (Treasurer's) Signature:
Candidate's Signature:
Date: '0)
Date:
Totals Detailed Summary Page
1
Funds on Hand at the Beginning of Reporting Period (monetary
S 11
2-q� &
Y • B'
2
Total Monetary Contributions
3
Total of Monetary Contributions & Beginning Amount
$
q,
61
4
Total Monetary Expenditures
$
15 1,00
5
Funds on Hand at the End of Reporting Period (monetary)
$ d
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 Registered Agent OR the Candidate
Print Registered Agent's (Treasurer's) Name: r , A /t—
Registered Agent's (Treasurer's) Signature:
Candidate's Signature:
Date: '0)
Date:
Full Name of Committee/Person:
Current Reporting Period:
DETAILED SUMMARY
Through Nc,4-. 1
6
Funds on hand at the beginning of reporting period (Monetary only)
r�
7
Itemized Contributions $20 or More [CRS 1-45-108 (1) (a)]
$
(Please list on Schedule "N')
'i 00 Go
"�VEI
S
Total of Non -Itemized Contributions
$
(Contributions of $19.99 and Less)
9
Loans Received
$
(Please list on Schedule "C")
10
Returned Expenditures (from recipient)
$
(Please list on Schedule "D")
11
Total Monetary Contributions
$
�dV • 00
12
Total Non -Monetary Contributions
$
13
Total Contributions
$
'300• o
14
Itemized Expenditures $20 or More [CRS 1-45-108 (1) (a)]
$
(Please list on Schedule "B")
�Y 0,0
15
Total of Non -Itemized Expenditures
$
(Expenditures of 519.99 or Less)
16
Loan Repayments Made
$
(Please list on Schedule "C")
17
Returned Contributions (To donor)
$
(Please list on Schedule `D")
18
Total Monetary Expenditures
$
(Total of lines 14 through 17)
19
Total Spending
$
(line 12 + line 18)
GO
Schedule A — Itemized Contributions Statement ($20 or more)*
[CRS 145-108 (1) (a)]
Full Name of Committee/Person: r•1 U _'� C
v
WARNING: Please read the instructs ge for Schedule "A" before completing!
PLEASE PRYNTITYPE
L Date Accepted
f7,5 11 {,
2. Contri ution Amt.
$ 1 0.40
3. Aggregate Amt.
1. Date Accepted
rQ i
2. Contribution Amt.
$ ��o. ®0
3. Aggregate Amt.
4.Name (Last, First):
5. Address: 6
6. City/State/Zip:
7. Occupation and Employer:
4.Name (Las( First): az-
5.
,z5. Address:
6. City/State/Zip:
7. Occupation and Employer:
r
51,
T� SCD t
1. Date Accepted r
f 4.Name (Last, First): NizJ a hof
2. Contribuiid Amt. 5. Address: T.Q_ 3�0
$ x,910
6. City/State/Zip: CC) 2) � w3. Aggregate Amt.
$ 7. Occupation and Employer:
1. Date Accepted
2. Contribution Amt.
3. Aggregate Amt.
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Occupation and Employer:
* Occupation and Employer only required on each person who has made a contribution of $100 or more
to a candidate committee, political committee, issue committee or political party.
Schedule B — Itemized Expenditures Statement (S20 or more)
[CRS 145-108 (1) (a
Full Name of Committee/Person:
PLEASE PRINTITYPE
1. Date Expended 3. Name (Last, First):
01 JZ4 I (p 4. Address:
2. Amount S. City/State/Zip:
„$ i
51'00 6_ Purpose of Expenditure:_�j
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: