Loading...
HomeMy WebLinkAboutFunding For Excellence.Registration.20161018THE CITY OF ,ASPEN CAMPAIGN REPORT FORM COMMITTEE REGISTRATION FORM [CRS 145-108(3)] Check only one Committee Type box: `jE] Candidate Committee [Section 2(3) of article XXVIII of the state constitution] Issue Committee [Section 2(10) of article XXVIII of the state constitution] Political Committee Section 2(12) of article XXV111 of the state constitution] Full Name of Organization: A-U(-AOLA r Physical Address: Mailing Address: -104 12 q INS 2 Q) �3I(015 Telephone number: '�MQ — q23 — FAX Number: - U-70 — Lj -Z_G —1I o 4 E -Mail: Su.S an m01v'0 R ,C Purpose/Office Sought: Financial Institute Information 04' I.ccrn Web Site: AW1 sues 14 On Institution Name: Institution Address: &oo ,t�, �ei � A4mn co e it, i 1 Agent / Contact Information: Name of Person Acting As Registered Agent: 9AS owl 1"14-- Under Colorado law, only the registered agent (or the candidate in the case of candidate committees) mayfile the committee reports. Phone Number:. �'�- (�p Registered Agent E -Mail: gUcaw -Wno 0 /L4M64 1 C©!Yj Alternate E -Mail 1: +r✓lrl u Authorization Registered Agent's Signature: Date: 1,0 ha /I, Print Candidate Name: Candidate Address (include mailing): Candidate Signature: Date: