oi';, www, sos.state,co.us •i i r,l-.l · colorado secretary of state elections division...

6
Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email: [email protected] www, sos.state,co.us Space Below For Office Use Only REPORT OF CONTRIBUTIONS AND EXPENDITURES Article XXVIII of the Colorado Constitution and Tital 1, Article 45 of the Colorado Revised Statute (C.R.S.) m 'f\s' :!£: 1.L. 0"',' r,l-.l •I "I Oi';, <x ^ FuU Name of Committee/Person: I \/«^-^ .,.. „ , /;/i /n// /•_ , ^. "S' A/U OrJ ^-C- -7'^ <^&.-'MM u^ f r y Cs^rs^/^^&y P^r As Shown On Registration Address of Committee/Person: City, State & Zip Code: Committee Type: Name and Address of Financial Institution ^ro/ /? &^4-^A ,5/r»/9-^- /-/Wr^£ ^/^^h^/^J, ^U/^c. J> c-^M. 'V^-^J Tf^J, >/2f. c^ -3• \^t^. ^:nfr^: •Y^'^~ ^...^ r~/£>s ^/s^s- 'ft/^/Vl ^^ ^ r'TT^S: M y^ ^'r/w^^cp COMMITTEE ID NUMBER 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) Check this box if this Report Contains Electioneering Communications Information Through Reporting Period Covered: Declared Total Spending (if applicable) [Art.XXVm,Sec.4(l)] ^_ pplicable) -5-/y Date y. < ^ 3-iz--ic1 Date 1 2 3 4 5 Funds on Hand at the Beginning of Reporting Period (monetary only) Total Monetary Contributions (fine J l) Total of Monetary Contributions & Beginning Amount (line 1 +Hne2) Total Monetary Expenditures (line 19} Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) Totals Detailed Summary Page _i_x/^ $ 2. -^-1 5', GO $ z z-' ^.. oc $ X X ><- $ 7^t~ \'^> GO The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late. [Art. XXYm Sec. 10(2)(a)] Authorization (Must be completed by either the Resistered Agent OR the Candidate}, / hereby certify and declare, under penalty of perjioy, that to the best of my knowledge or belief all contnbiitions received chu-mg this reporting period, including any contnbutions received in the form of membership dues transferred by a membership organization, are from permissible sources. 6^7<y ^ A^/^6.- 7r~7 . „ ^./ , _.a Date: 5' '/^-/C7 Print Registered Agent's Name: Registered Agent's Signature: ci^2-^/T^^)^< Print Candidate Name: Candidates Signature: Date: Colorado Secretary of State Form Rev. 07/2016

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Page 1: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

Colorado Secretary of StateElections Division1700 Broadway, Ste. 200Denver, CO 80290Ph: (303) 894-2200 dial 3Fax: (303) 869-4861Email: [email protected], sos.state,co.us

Space Below For Office Use Only

REPORT OF CONTRIBUTIONS AND EXPENDITURESArticle XXVIII of the Colorado Constitution and Tital 1, Article 45 of the Colorado Revised Statute (C.R.S.)

m'f\s'

:!£:1.L.

0"','

r,l-.l•I "I

Oi';,<x^

FuU Name of Committee/Person: I \/«^-^ .,.. „ , /;/i /n// /•_ , ^."S' A/U OrJ ^-C- -7'^ <^&.-'MM u^ f r y Cs^rs^/^^&y P^r

As Shown On Registration

Address of Committee/Person:

City, State & Zip Code:

Committee Type:

Name and Address of FinancialInstitution

^ro/ /?&^4-^A

,5/r»/9-^-

/-/Wr^£

^/^^h^/^J,

^U/^c.

J> c-^M.

'V^-^J

Tf^J,

>/2f.

c^-3• \^t^.

^:nfr^: •Y^'^~

^...^r~/£>s

^/s^s-

'ft/^/Vl

^^

^r'TT^S:

M y^ ^'r/w^^cp

COMMITTEE ID NUMBER

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)

Check this box if this Report Contains Electioneering Communications Information

ThroughReporting Period Covered:

Declared Total Spending (if applicable)[Art.XXVm,Sec.4(l)]

^_

pplicable)

-5-/yDate

y. < ^

3-iz--ic1Date

12345

Funds on Hand at the Beginning of Reporting Period (monetary only)

Total Monetary Contributions (fine J l)

Total of Monetary Contributions & Beginning Amount (line 1 +Hne2)

Total Monetary Expenditures (line 19}

Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4)

Totals Detailed Summary Page

_i_x/^$ 2. -^-1 5', GO

$ z z-' ^.. oc

$ X X ><-$ 7^t~ \'^> GO

The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.[Art. XXYm Sec. 10(2)(a)]

Authorization (Must be completed by either the Resistered Agent OR the Candidate}, / hereby certify and declare, under

penalty of perjioy, that to the best of my knowledge or belief all contnbiitions received chu-mg this reporting period,

including any contnbutions received in the form of membership dues transferred by a membership organization, are from

permissible sources.

6^7<y ^ A^/^6.-7r~7 . „ ^./ , _.a

Date: 5' '/^-/C7

Print Registered Agent's Name:

Registered Agent's Signature: ci^2-^/T^^)^<

Print Candidate Name:

Candidates Signature: Date:

Colorado Secretary of State Form Rev. 07/2016

Page 2: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

DETAILED SUMMARY

Full Name of Committee/Person: \/OT£ NO Oi\l ^C.

Current Reporting Period: 3-^- ^o/ Through 3-/z~^o/9

Funds on hand at the beginning of reporting period (Monetary Only)

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Itemized Contributions $20 or More [C.R.S. M5-io8(i)(a)](From Schedule "A")

Total of Non-Itcmized Contributions(Contributions of $19.99 and Less)

Loans Received(From Schedule "C")

Total of Other Receipts(Interest, Dividends, etc.)

Returned Expenditures (from recipient)(From Schedule "D")

Total Monetary Contributions(Total of lines 6 ilu-ou.ah 10)

Total Non-Monetary Contributions(From Scaiemem of Non-Moneiary Concriburions)

Total Contributions(Line 11 -line 12)

Itemized Expenditures $20 or More [C.R.S. l-45.l08(l)(a)](From Schedule "B")

Total ofNon-Itemized Expenditures(Expenditures of S 19.99 or Less)

Loan Repayments Made(From Schedule "C")

Returned Contributions (To donor)(Pleaae list on Schedule D )

Total Coordinated Non-Monetary (in-kind) Expenditures(Candidate/Caudidaie Commitiee & Politicai Pat-cies only)

Total IVionetary Expenditures(Tocal oflines 14through 17)

Total Spending(Line 18-r line 19)

$ /,x/-

$ 2/ /C^s.oo

$ Co^oo

$

$

s

$

$

$

$

$

$

$1

^.x<

/./<>-

X', x-/-

^./2f^ ,00

/./^

Z/-^/5'^

^ /i^S /a o

</Xt<

^^^

< -XX

$

s

$

•/.//:

,>^< ^/-

Colorado Sct-retarv of Siate Fonu Rev, 0'? .•2016

Page 3: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

Schedule A - Itemized Contributions Statement ($20 or more)

Full Name of Committee/Person: i/brs. /vro o/v c^l/

WARNING: Please read the instruction page for Schedule "A" before completing!

PLEASE PRINT/I'YPEI. Date.Accepted

3 ~5-^ftJ

2. Contribution Amt.

$ ^00,^03. Aggregate Amt. *

ICheck box ifelection eenng

Communication

4. Name (Last, First): ,71^^ Ci^u^T^ /C^^^cH-r/ ft^^rV

5. Address: ^2 ^ /h^^C^/ C-T.

6. City/State/Zip: C^ /^7-0/v^ <^^ <S/S'2-<^

7. Description: W^'i^^^ C^E^<.' ^^Mf/^r^- ^/^//^v/ ^r/^^-g:

8. Employer (if applicable, mandatory);

9. Occupation (if applicable, mandatory):

1. Date Accepted

3-/7-^^4. Name (Last, First): W^ ^/-//H/W . /<iE-AA"'

2. Contribution Amt.

) 000.0^

ZCC'-^ ^',4^^,^^ ^^At^

3. Aggregate Amt.

$ ./

5. Address:

6. Cky/State/Zip: <^/4-^<6 ^r'^CT/oJ , ^

7. Description: <?^ <>/-r:-

[Check box iflectioneenng

Communication

8. Employer (if applicable, mandatory);

9. Occupation (if applicable, mandatory):

1. Date Accepted

Z-^-Zo^/)/^5c.o rr fto /?^^r

2. Contribution Amt.

/ 6 O.c 0

s^-£//^ ftD.

3. Aggregate Amt.:it

4. Name (Last, First):

5. Address:

6. City/State/Zip: ^/U^ -J^^ C^c^ ^0 S (^0^

7. Description: c^w

^heck box ifElecttoneering

Communication

8. Employer (if applicable, manda_tory):

9. Occupation (if applicable, mandatory):

I. Date Accepted

Z-ZG 2^\c)

2. Contribution Amt.

$ -3 . .. ....

^C>,00

4. Name (Last, First):

5. Address:

^ ^ C/^-^^-y , /<^v''/j

5'Zr /h^^^J C^r.

3. Aggregate Amt. ;i:

6. Clty/State/Zip:

7. Description:

C^-A-o^ <^Q ff/ 5^'^u

C^f-

;heck box ifEtectioneering

Communication

8. Employer (if applicable, mandatory):

9. Occupation (if applicable, mandatory):

'•' For contribution limits wkiiin a committee's eleciioncycle or contribution cycle, please refer to the following Colorado Constitutional cites: CandidateCommittee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee An. XXVHL See 3(5); Smaii Donor Committee Aft.

XXVTU, See. 2(14).

Colorado Secretary of Slate Fonn Rev. 07/2016

Page 4: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

Schedule A - Itemized Contributions Statement ($20 or more)

Full Name of Committee/Person: \1 or^ Ho _^^ c^c-

WARNING: Please read the instruction page for Schedule "A" before completing!

PLEASE PRINT/TYPE1. Date Accepted

^--U--^/<r

2. Contribution Amt.

,^0,003. Assregate Amt. *

ICheck box ifElectioneerins

Communicatioi-i

4. Name (Last, First):

5. Address:

s / r?=,. /-^(^^

/2S/ A/, 3^ 3;~-

6. City/State/Zip: <S^A^6 CTZ^/.J c770tJ, (Co ^/^ f

7. Descnption: _^-'-ri^h

8. Employer (if applicable, mandatory):

9. Occupation fiF applicable, mandatory):

1. Date Accepted

7^-U-Z^^

2. Contribution Amt.

$ /a^>^cy

3. Assrre.sate Amt.

s

ICheck box iflectioneenng

Communicaaon

4. Name (LasE, First): ^/'//v> r^/b^r<^

5. Address:_/°^ ^-/4-^^^/^£ /)^

6. City/State/Zip:

7. Description:

^,4 ^/U^ ^77-0^ ^<3 ^/-SO^

8. Employer Cif applicable, mandatory):

9. Occupation {if applicable, mandatory):

t. Date Accepted

7^2.^^/()

2. Contribution Ami.

$

4. Name (Lasi. First):

5. Address:

/ny'e^ 5 /^^j/-h^-6

5^4,0 C^)^C/AA^\ /\/SrV^

o3° . o^-'

3. Aasregate Ami.

s

6. Cuy/Staie/Zip:

7. Description:

(3y^--h^^ ^u.^^r^w. Oc. ^^ ^aj?

Cfl-^

(""[Check box ifElecitoneeritv":CommLtnicauoti

8. F.mployer (if applicable, mandatory}:

9. Occupation (if applicable, mandaiorv'l:

1. Da(.e Accepted

Z^-2of92. Contribution Amt.

$ //^oo

4. Name (Last, Firstj: //77 €'^^/57^j /i/l/^^

5. Address:_-V/V ^^^€M/W

3. Assresate Ami.

6. City/Staie/Zip:

7. Description:

<S^/hJ^ J^^r^rJ, Co S/^07

-'/^//

Ifcheck box iffelccdoneeringCommunication

8. Employer (if appticable.niamlaiorv):

9. Occupation (if applicable, mandatoryj;

:i For rontribimon fimus v.'itfn'n a committee's action cycfe ur cosicnbution c.^-fc. pfoasri rfifer fo the ^WWS CQ!wado cwstlmtwn c^s^Com^Et^l^"XXV[H.'S^'2(6):'Po1i[!cal-Pmy An.'XXVIFL See. 3(3): Palitical Camminee An. XXVITT. Sec 3(5): Small Donor Commicte.

XXVIU. Sec. :(1-».

Alt.

Cotoradn Secreurv or S;a;e Form Rev. 07/2016

Page 5: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

Schedule A - Itemized Contributions Statement ($20 or more)J

Full Name of Committee/Person: V_o^ ^o ^v AL.

WARNING: Please read the instruction page for Schedule "A" before completing!

PLEASE PRINT/TYPEI. Date Accepted

^2^-2.^}€p

2. Contribution Amt.

c^-a^ 003. A.sgregate Amt.

$

ICheck box ifElecti oneenn.s

Communication

4. Name (Last, First): fit- /A//^S , 5^o-i

5. Address: /)0 B&^ ^/

6. City/State/Zip: -t^/^<.^ S^ft^^-^ _ <^o Sc^ ^

7. Description: _C- /^'^/^

8. Employer (if applicable, mandatory);

9. Occupation dfapplicable. mandatorY):

1. Date Accepted

1. Cojitributi.on Aint.

$3. Astn'esrate Am[.

s

ICheck box IfElectiotieerin.s

Commumcation

4. Name (La-st, Fin;tj:

5. Address;

6. CiEy/Slate/Zip:

7. Description:

8. Employer fif applicable, mandaion'):

9. Occupauon (if applicable, niitnduiorv):

1. Date Accepted

2. Contribution Ami.

s3. Aggregate Ami.

s

QCheck box IfElecliotieerm.sCommutiicaiion

4. Name (Lasi. Firsi}:

5. Address:

6. City/Staie/Zip:

7. Description:

8. Employer (if applicable, maydatary):

9. Occupation fifapplicable.mandaton:'!:

I. Date Accepted

2. Contribution Amt.

s

3. Assresac^AmL

5

;heckboxifiecEioneenn.CT

Communication

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Descripuon:

8. Employer (if applicable, mandatory']:

9. Occupation (if applicable, mandatorvj:

-• For contribuiion ft-mi-ts wt-thm a comiui-ttee-s tffecuon cycic or coiKributfon c^fe.^p/ease refer co ?e ^?w"^ Lo/o''^,cffl;";;u^0^^Co^^'^"XX^Il[.'Sec"'2(6):'Politicaf Party An.'XXV-fH. Sec. 3(3): Political Commltiec An. XXViTT. See 3C5): Small Donor Commitie.

XXVm.St:^2(i4i.

Ati.

Colorado Sccresarv of StaEe Form Re^'. 07/2016

Page 6: Oi';, www, sos.state,co.us •I I r,l-.l · Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email:

|Colorado Secretary of StateElections Division1700 Broadway, Suite 200Denver, CO 80290

Ph; (303)894-2200Fax: (303) 869-4861Email: cpfhejp^asos.state.co.usWebsite: www.sos.state.co.us

Below Space for Office Use Only

NOTICE OF MAJOR CONTRBBUTOR[1-45-108(2.5)]

This report is mandatory for all committees and political parties for contributions of $1000 or more (monetary or non-monetary]

received within 30 days immediately preceding a primary or general election.This report shall be filed with the Secretary of State within 24 hours after receipt ofthe contribution.

Loans to committees are considered contributions

Name of Committee Receiving Contribution:

Vo^-ne A/O o/u^C- -n-^ ^b/^wu^'rV ^^jr^>^M^^£y ft

Address of Committee Receiving Contribution:

^SD/ /^u^/^ft^fj. 5r€,Full Name of Contributor;

^)^r~ />-A-u^(^^ ^

Full Address of Contributor:

2- ^ 6> ^ C^i^f ^/A &£f fto/A-/^

•^f0& -^L

-^cT

Co

C^o

S/s^^

<Sf r<^ c

onetary

Contribution Date: 3-72-2o/ f

C Non-MonetaryQtem/s)

Amount of Contribution: $

Description of Non-Monetary Contribution:

Print Registered Agent's Name:_ (3>^y A^ /<?^/if-/;W 6-

^Registered Agent's Signature: ^-^y^( (<

Print Candidate's Name:

Candidate's Signature:

^Date:, ?-/^/9

Date:

Save & Print

This form may be saved

Form may be submitted by Fax, E-mail, handdelivery, or postal sen/ice.

The original is not required by this officeplease submit only once.

Attach additional pages if needed.

Colorado Secretary of State Form CPF-10, Rev. 5/10/2013