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CAMPAIGN REPORT
ity of Fort Collins
full Name of Committee:
Citizens for Manvel
(as shown on Committee Registration Form)
Name of Candidate:
I Ben Manvel
(if not reflected in Committee name)
City, State & Zip Code:
Fort Collins. CO 80524
Name of Financial Institution:
I Home State Bank
Address of Financial Institution:
I 303 E. Mountain Ave.
City, State & Zip Code:
Fort Collins ,
CO 60524
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
(start With day following end of test reporting period)
(end 2 days before date due)
Reporting For
Current Period
00
on Hand at Be innin of Reportin Period (monetary)
Total Moneta Contributions (line 10 on Detailed Summary)
Total of Moneta Contributions & Be innin Amount (line 1+ line 2)
Total Moneta Expenditures (line 16 on Detailed Summary)
1 Funds
Funds on
00
848. 66 ,
160.
008. 66008. 66
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 1- 144 of the
City Code.
Printed Name:
John S. Locker
Title:
Nam of Person Completing Form
Signature:
Rev: Nov 2000
Treasurer
Campaign Title
Date:
2005
Detailed Summary
Funds on hand at beginning of reporting period (monetary):
848.
Reporting For
Current Period
Itemized Contributions
(monetary contributions
of
$20
or
more and loans)
Non- Itemized Contributions
(monetary contributions
Oth er
and less)
of $19. 99
eceip ts
(interest, dividends, refunds, rebates, etc.)
Total Monetary Contributions
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
Total Contributions
Expend itures/Obligations
Contributions Returned
Total Monetary Expenditures
Rev: Nov 2000
and less)