CAMPAIGN REPORT
ty 9frQrtCQllins
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 80524
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:
Term i n a ti 0 n R e p 0
It (Termination Reports MUST Have a Monetary Balan ce of Zero in Li ne 5 Below)
Reporting Period Covered:
March 21 , 2005
March 30, 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 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 Hand at End of Reporting Period (monetary) (line 3 - line 4)
I certify to the best of my knowled,ge and belief this is a true and correct filing. I understand the submission of
faras errol1eousor incorffpt~te inforrnation may be subject to sanctions in accordance with Section 7- 144 of the
City Code.
Printed Name:
John S. Locker
Title:
Treasurer
Name of Person Completing Form
Signature:
Rev: Nov 2000
Campaign Title
Date:
31
2005"