CAMPAIGN REPORT ty of Fort Collins Full Name of Committee: Citizens to Elect Kelly (as shown on Committee Registration Form) Name of Candidate: Kelly Ohlson (If not reflected in Committee name) City, State & Zi P Code: 2040 Bennington Circle , Ft. Collins , CO 80526 Name of Financial Institution: I Norlarco Cr~dit Union Address of Financial Institution: l 319 S. Meldrum City, State & Zi P Code: Ft. Collins, CO 80521 Type of Report: Regularly Scheduled Filing 21 days before election 30 days after election 14 days before election Annual Friday before election Amended arm i n ati Filing, replacing prior report dated: on R aport (Termination Reports MUST Have a Monetary Balance of Zero in Une 5 Below) Reporting Period Covered: March 14, date 2005 March 20 , 2005 Through date (start with day fo"owing end of last reporting period) (end 2 days before date due) Reporting For Current Period 1 Funds on Hand at Be innin of Re ortin Period (monetary) Total Moneta Contributions (line 10 on Detailed Summary) Total of Moneta Contributions & Be innin Amount (line 1+ line 2) Total Moneta Ex enditures (line 16 on Detailed Summary) Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4) I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of false , erroneQus or incomplete information may be subject to sanctions in accordance with Section 7- 144 of the City Code. Printed Name: Gina C. Janett Name of Perso Signature: Rev: Nov 2000 Title: Completing Form Treasurer Campaign Title Date: 3/22/2005
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