CAMPAIGN REPORT t;r of Fort Collins Full Name of Committee: Citizens for Eric Hamrick (as shown on Committee Registration Form) Name of Candidate: Eric Hamrick (if not teflected 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 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 15 , 2005 March 21 , 2005 Through date date (start with day following 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 Monetary 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 , 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: Name of Person Completing Form Signature: Rev: Nov 2000 Treasurer Campaign Title Date: 3/22/2005 Detailed Summary Funds on hand at beginning of reporting period (monetary): 605. 36 I Reporting For Current Period Itemized Contributions (monetary contributions of $20 or more and loans) Non- Itemized Contributions (monetary contributions of $19. 99 and less) Other Receipts (interest, dividends, refunds, rebates, ete.) Total Monetary Contributions 995. Itemized Contributions In Kind (non-monetary contributions with value of $20 or more) Non- Itemized Contributions in Kind (non-monetary contributions with value of $19. 99 and less) Total Contributions Expend itu res/Obligations 591. Contributions Returned Total Monetary Expenditures Rev: Nov 2000 591 Itemized Contributions (Monetary Contributions of $20. 00 or More and Loans) Total Itemized Contributions: I$ 985. 00 Date Contributor Address Loans Contri bution Amount of (Individual or Entity) (including City/State/Zip) (X) Accepted Contri bution Margaret Reeves onald and Catherine Kipp 1931 Sandalwood Lane, Fort Collins, CO 80526 3/19/2005 75. 1436 Tarryton Drive , Fort Collins , CO 3/19/2005 1 00. 80525 Beverly Gregory 1600 Quail Hollow Drive , Fort Collins , CO 80525 3/19/2005 25. Jane Nicolet 3401 Fieldstone Drive, Fort Collins, CO 80525 3/19/2005 35. Robert Petterson 5238 Keystone Creek Court, Fort Collins , CO 80528 3/19/2005 75. Paula Petterson 5238 Keystone Creek Court , Fort Collins, CO 80528 3/19/2005 75. 00 Patrick Mahoney 720 Roms Valley Drive , Fort Collins , CO 80525 3/19/2005 50. Cordelia Stone 4512 Moccasin Circle , Laporte, CO 80535 3/19/2005 75. David Davies 2072 Bennington Circle, Fort Collins, CO 80526 3/19/2005 50. 516 N Grant Avenue , Fort Collins , CO 80521 3/19/2005 75. Eric Hamrick 3766 Bromley Drive, Fort Collins , CO 80525 3/15/2005 300. Linda Knowlton 3230 Monarch Court, Fort Collins, CO 80525 3/15/2005 50. Store Press (Gary Wockner) Rpv' N/nT '000
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