CAMPAIGN REPORT
itJ1'
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 & Zip Code:
2040 Bennington Circle , Ft. Collins , CO 80526
Name of Financial Institution:
Norlarco Credit Union
Address of Financial Institution:
I 319 S. Meldrum
City, State & Zip 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
Filing, replacing prior report dated:
arm i atfo n
apo rt (Termination Reports MUST Have a Monetary Balance of Zero in Une 5 Below)
Reporting Period Covered:
January 18
2005
March 13 , 2005
Through
date
date
(start with day following end of last reporting period)
(end 2 days before date due)
Reporting For
Current Period
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)
1 F~nds
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:
Gina c. Janett
Title:
Signature:
Rev: Nov 2000
Treasurer
Campaign Title
Name of Person Completing Form
Date:
3/15/2005