CAMPAIGN REPORT tr of Fort Collins Full Name of Committee: Citizens for Eric Hamrick (as shown Qn Committee Registration Form) Name of Candidate: Eric Hamrick (if not reflected in Committee name) City, State & Zip Code: Fort Collins , CO 80525 Name of Financial Institution: First National Bank Address of Financial Institution: 155 East Boardwalk Drive , P. O. Box 272500 City, State & Zip Code: Fort Collins , CO 80527~2500 Type of Report: Regularly Scheduled Filing 21 days before election 30 days after election D~ 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: April 1 , 2005 May 4 , 2005 Through . date date (start with day following Emd of last reporting period) (end 2 days before date due) Reporting For Current Period on Hand at Be innin of Re ortin Period (monetary) 1 Funds Total Monetary Contributions (line 10 on Detailed Summary) Total of Moneta Contributions & Be inn in Amount (line 1+ line 2) Total Moneta Expenditures (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 , erroneous or incomplete information may be subject to sanctions in accordance with Section 7- 144 of the City Code. Printed Name: Laura A. Hamrick Title: Treasurer Name of Person Completing Form Signature: Rev: Nov 2000 Campaign Title Date: 5/5/2005
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