HomeMy WebLinkAboutCampaign Finance Report 2 - Samuel RoseION
C T F ASP'
CAMPAIGN REPORT FORM
REPORT OF CONTRIBUTIONS AND EXPENDITURES
(C. R.S. 11-45-108)
Full Name of Committee/Person: Samuel Dose
As Shown On Re istration
Address of Committee/Person:
424 Vine Street
City, State & Zip Code:
Aspen, CO 81611
Committee Type:
Candidate
Name and Address of
Financial Institution
Alpine Bank 600 E Hopkins Ave Suite 001, Aspen CO 81611
Tvve 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: Through
2/15/2023 2/27/2023
Date 1)atc
Totals Detailed Summary Page
1
Funds on Hand at the Beginning of Reporting Period
(monetary only)
$
917.63
2
Total Monetary Contributions
$2500.00
3
Total of Monetary Contributions & Beginning Amount
$3417.63
4
Total Monetary Expenditures
$5085.17
5
Funds on Hand at the End of Reporting Period (monetary)
$2665.83
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 Re istered Agent OR the Candidate
Print Registered Agent's (Treasurer's) Name: Sam Rose
2/27/23
Registered Agent's (Treasurer's) Signature:
1
Candidate's Signature: Date: 2/27/23
Date:
Schedule A Instructions
Candidate, Issue, Political Party and Political Committee
Are required to disclose occupation and employer for all $100 or more contributions made by
natural persons (Article XXVIII, Section 7)
Contribution Limits
Section 9.04.
Candidates
No person shall make, solicit or accept a contribution that will cause the total contributions by such
person on behalf of any candidate or a political committee supporting or opposing the election of
such candidate to exceed two hundred fifty dollars ($250.00) with respect to any single election
No person shall accept any contribution (including contributions to a candidate from the candidate
himself or from members of his immediate family) later than seven (7) days prior to any election.
PROHIBITED CONTRIBUTIONS
[Art. XXVIII, Section 3]
• No candidate's candidate committee shall accept contributions from, or make
contributions to, another candidate committee.
• No person shall act as a conduit for a contribution to a candidate committee.
No candidate or candidate committee shall accept a contribution, or make an
expenditure, in currency or coin exceeding one hundred dollars.
• No person shall make a contribution to a candidate or candidate committee with the
expectation that some or all of the amounts of such contribution will be reimbursed
by another person.
• No person shall make, nor shall any campaign treasurer, candidate or political committee
accept, any anonymous contribution to a candidate, committee, or anyone, for the
purpose of influencing the election or defeat of any candidate or the passage of defeat of
any issue. The intended recipient of an anonymous contribution shall, promptly upon
receipt of such contribution, transmit such contribution to the City Clerk for deposit in the
general fund of the City of Aspen.
• No candidate committee, political committee or political party shall knowingly accept
contributions from any natural person who is not a citizen of the United State or a
foreign government.
DETAILED SUMMARY
Full Name of Committee/Person:
Current Reporting Period: Throu h
6
Funds on hand at the beginning of reporting period (Monetary only)
$917.63
7
Itemized Contributions $20 or More [CRS 1-45-108 (1) (a)]
(Please list on Schedule "A")
$listed below
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
$2500.00
12
Total Non -Monetary Contributions
$0
13
Total Contributions
$7751.00
14
Itemized Expenditures $20 or More [CRS 1-45-108 (1) (a)1
(Please list on Schedule `B")
$715.80
15
Total of Non -Itemized Expenditures
$0
(Expenditures of $19.99 or Less)
16
Loan Repayments Made
$0
(Please list on Schedule "C")
17
Returned Contributions (To donor)
$0
(Please list on Schedule "D")
18
Total Monetary Expenditures
$715.80
(Total of lines 14 through 17)
19
Total Spending
$5085.17
(line 12 + line 18)
Schedule A — Itemized Contributions Statement ($20 or more)*
[CRS 1-45-108 (1) (a)]
Full Name of Committee/Person:
WARNING: Please read the instruction page for Schedule "A" before completing!
PLEASE PRINT/TYPE
1. Date Accepted 2/15/2023
2. Contribution Amt.
$100.00
3. Aggregate Amt.
$100.00
1. Date Accepted 2/15/2023
2. Contribution Amt.
$100.00
3. Aggregate Amt.
$200.00
4.Name (Last, First): Duncan, Leslie
5. Address: 533 W Hallam
6. City/State/Zip: Aspen, CO 81611
7. Occupation and Employer: Retired
4.Name (Last, First): Gunn, Robert
5. Address: 533 W Hallam
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Commercial pilot, United
1. Date Accepted 2/15/2023 1 4.Name (Last, First): Sohn, Paul
5. Address: 1345 Sierra Vista Dr
2. Contribution Amt. 6. City/State/Zip: Aspen CO 81611
$250.00
7. Occupation and Employer: Self Employed, Mont alto capital,
3. Aggregate Amt.
$450.00
1. Date Accepted 4.Name (Last, First): Sohn, Sarah
2/15/2023
2. Contribution Amt.
$250.00
3. Aggregate Amt.
$700.00
1. Date Accepted 2/15/2023
2. Contribution Amt.
$250.00
3. Aggregate Amt.
$950.00
1. Date Accepted 2/15/2023
2. Contribution Amt.
$250.00
3. Aggregate Amt.
$1200.00
1. Date Accepted 2/15/2023
2. Contribution Amt.
$100.00
3. Aggregate Amt. $1300.00
5. Address: 1345 Sierra Vista Dr
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Stay at home mom
4.Name (Last, First): Budd, Aviva
5. Address: 100 N 8th St
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Retired
4.Name (Last, First): Vanderpool, Amanda
5. Address: 208 Cottonwood Ln
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Realtor, Mason Morse
4.Name (Last, First): Suber, Janet
5. Address: 233 S Linden Dr
6. City/State/Zip: Beverly Hills, CA 90212
7. Occupation and Employer: Retired
1. Date Accepted 2/15/2023
2. Contribution Amt.
$50.00
3. Aggregate Amt.
$1350.00
1. Date Accepted 2/16/2023
2. Contribution Amt.
$250.00
3. Aggregate Amt.
$1600.00
1. Date Accepted 2/21/2023
2. Contribution Amt.
$50.00
3. Aggregate Amt.
$1650.00
4.Name (Last, First): Langer, David
5. Address: 4118 Crystal Bridge
6. City/State/Zip: Carbondale CO 81623
7. Occupation and Employer:
4.Name (Last, First): Starr, John
5. Address: 305 S Aspen St
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Lawyer, Self Employed
4.Name (Last, First): Sparks, Susan
5. Address: 320 Silverlode Dr
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer:
1. Date Accepted 2/22/2023 4.Name (Last, First): Skewes, Andrew
5. Address: 835 East Durant Ave #3
2. Contribution Amt. 6. City/State/Zip: Aspen CO 81611
$250.00
7. Occupation and Employer: Co owner, Beyul Retreat
3. Aggregate Amt.
$1900.00
1. Date Accepted 2/22/23
2. Contribution Amt.
$50.00
3. Aggregate Amt.
$1950.00
1. Date Accepted 2/22/23
2. Contribution Amt.
$100.00
3. Aggregate Amt.
$2050.00
4.Name (Last, First): Ames, Martha
5. Address: 23 Smuggler Grove Rd
6. City/State/Zip: Aspen Co 81611
7. Occupalion and Employer:
4.Name (Last, First): Raptis, George
5. Address: 814 W Bleeker St
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer: Owner, The Aspen Office and Breef
1. Date Accepted 2/22/2023 4.Name (Last, First): Johnson, Sandra
5. Address: 51 Overlook Dr
2. Contribution Amt.
$50.00
3. Aggregate Amt.
$2100.00
1. Date Accepted 2/24/2023
2. Contribution Amt.
$200.00
6. City/State/Zip: Aspen CO 81611
7. Occupation and Employer:
4.Name (Last, First): Sklar, Steve
5. Address: P.O. Box 1934
6. City/State/Zip: Aspen CO 81612
2. Contribution Amt.
3. Aggregate Amt.
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 2olitical
Schedule B — Itemized Expenditures Statement ($20 or more)
[CRS 1-45-108 (1) (a)]
Full Name of Committee/Person:
PLEASF. PRINT/TYPE
1. Date Expended 3. Name (Last, First): Aspen Daily News
2/15/2023
4. Address:
2. Amount 5. City/State/Zip:
$ 715.80 6, Purpose of Expenditure: Two Half Page Ads in Aspen Daily News
3. Aggregate Amt.
$2300.00 7. Occupation and Employer: Owner, Big Hoss Restaurant
1. Date Accepted 2/24/2023 4.Name (Last, First): Disalvo, Joseph
5. Address: 500 W Bleeker St
2. Contribution Amt. 6. City/State/Zip: Aspen CO 81611
$100.00
7. Occupation and Employer: Former Pitkin County Sherriff
3. Aggregate Amt.
$2400.00
1. Date Accepted 2/24/2023 4.Name (Last, First): Suber, David
5. Address: 233 S Linden Dr
2. Contribution Amt. 6. City/State/Zip: Beverly Hills CA 90212
$100.00
7. Occupation and Employer: Owner, Perfect Dry Cleaners
3. Aggregate Amt.
$2500.00
1. Date Accepted
2. Contribution Amt.
3. Aggregate Amt.
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Occupation and Employer:
1. Date Accepted 4.Name (Last, First):
1. Date Expended 1 3. Name (Last, First):
4. Address:
5. City/State/Zip: Aspen CO 81611
2. Amount
$ 6. Purpose of Expenditure:
1. Date Expended 1 3. Name (Last, First): Rose, Samuel
4. Address: 424 Vine St
2. Amount 5. City/State/Zip:
$ 6. Purpose of Expenditure:
1. Date Expended
2. Amount
$
3. Name (Last, First):
4. Address:
5. City/State/Zip:
6. Purpose of Expenditure:
Statement Of Non -Monetary Contributions
[Art. XXVI11, Sect 2, (5) (a) (II) (111), Sect. 5, (3)]
[CRS 1-45-108 (1)]
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Provided:
2. Aggregate Amt.:
I Fair Market
Value: $
1. Date Provided:
2. Aggregate Amt.-
3. Fair Market
Value: $
1. Date Provided:
2. Aggregate Amt.:
3. Fair Market
Value: $
1. Date Provided:
2. Aggregate Amt.:
$
3. Fair Market
Value: $
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Description:
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Description:
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Description:
4.Name (Last, First):
5. Address:
6. City/State/Zip:
7. Description:
1. Date Provided: 4.Name (Last, First):
2. Aggregate Amt.:
$ 5. Address:
3. Fair market 6. City/State/Zip:
Value: $
7. Description:
Schedule D — Returned Expenditures & Contributions
Full Name of Committee/Person:
Returned Expenditures
(Previously reported on Schedule B — Contributions then returned from recipient)
DI.F.AW PRINT/TYPE
1. Date Accepted: 4.Name (Last, First):
5. Address:
2. Date Returned:
6. City/State/Zip:
7. Comment:
3. Amount:
1. Date Accepted: I 4.Name (Last, First):
5. Address:
2. Date Returned:
6. City/State/Zip:
7. Comment:
3. Amount:
Returned Contributions
(Previously reported on Schedule A — Contributions returned to donors)
PLEASE PRINT/TYPE
1. Date Accepted: 4-Name (Last, First):
5. Address:
2. Date Returned:
6. City/State/Zip:
3. Amount: 7. Purpose:
1. Date Accepted: 4.Name (Last, First):
5. Address:
2. Date Returned:
6. City/State/Zip:
3. Amount:
7. Purpose:
Schedule C — Loans
This form details loans received and repaid by the committee/party (Money received by committee from a financial institution
and/or repayment of a loan to a financial institution.)
Full Name of Committee/Person:
LOANS - Loans Owed by the Committee
(Use a separate schedule for each loan. This form is for line item 9 and 16 of the Detailed Summary Report.)
[No information copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or fbr any commercial purpose.
Notwithstanding any other section orthis article to the contrary, a state candidate's candidate commitice may receive a loan from a financial institution
organized under state or federal law if the loan bears the usual and customary interest rate, is made on a basis that assures repayment, is evidenced by a
written instrument, and is subject to a due date or amortization schedule Article XXVII, Sec. 3(8).
LOAN SOURCE
Name (Last, First or Institution):
Address:
City/State/Zip:
Original Amount of Loan: $ Interest Rate:
Loan Amount Received This Reporting Period: $ Total of All Loans This Reporting Period:
G;
Principal Amount Paid This Reporting Period: $
$ of Principal &Interest entered on Detail Summary)
Interest Amount Paid This Reporting Period: $ Total Repayments Made: $
(Place on line 9 of Detailed Summary Report)
Amount Repaid This Reporting Period: (Amount Repaid is sum (Sum of Schedule C pages, Place on line 16 of Detailed Summary)
Outstanding Balan $ ce:
TERMS OF LOAN: Date Loan Received Due Date for Final Payment
LISTALL ENDORSERS OR G[. AB VNTORS OF
THIS LOAN
Full Name
Address, City, St., Zip
Amount Guaranteed