..",--
CAMPAIGN REPORT
ty of Fort Collins
Full Name of Committee:
I No-Q
n-
(as shown on Committee Registration Form)
Name of Candidate:
(if not reflected in Committee name)
o. Box 271751
City, State & Zip Code:
I P.
Name of Financial Institution:
I Bank
Address of Financial Institution:
I 4602 Boardwalk
One
Fort Collins ,
City, State & Zip Code:
CO 80525
Type of Report:
Regularly Scheduled Filing
21 days before election
30 days after election
14 days before election
Annual
Friday before election
Amended Filing, replacing prior report dated:
Termination Report (Termination Reports MUST Have a Monetary Balance of Zero in Line 5 Below)
Reporting Period Covered:
March 31 , 2005
May 3 , 2005
Through
date
date
(end 2 days before date due)
(start with day following end of last reporting period)
Funds
Hand
~egln RJng
Reporting For
Current Period
16i, 237..11
200.
Reportin Period (monetary)
Total Moneta ry Co ntributions (line
Detailed Summary)
Total Monetary Contributions Beginning Amount (line
Total Monetary Expenditures (line
Detailed Summary)
Funds
Hand End Reporti ng Period (monetary) (line
437..
18,437..
line
line
I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of
false , erroneous or incomplete information may be subject to sanctions in accordance with Section 7 - 144 of the
City Code.
Printed Name:
t va ()
Title:
) Vf.QS
('6r
Campaign Title
Signature:
Date:
/!11 d
Rev: Nov 2000
Ot/5