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41
CAMPAIGN REPORT
ty of Fort Collins
Full Name of Committee:
I Down size City Govern me n t Com m ittee
(as shown on Committee Registration Form)
Name of Candidate:
I Mark Brophy
(if not reflected in Committee name)
City, State & Zip Code:
11 09
Name of Financial Institution:
1st Bank of Northern Colorado
Address of financial Institution:
I P. O.
City, State & Zip Code:
W Harmony Road
Box 270770
Fort Collins , CO 80527
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)
2005
Reporting Period Covered:
I Apri12date
April 18 , 2005
Through
date
(start with day following end of last reporting period)
(end 2 days before date due)
Reporting For
Current Period
innin of Reportin Peri.od (monetary)
oml Moneta Contributions (line 10 on Detailed Summary)
Total of Moneta ~ontributions & 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 Funds on Hand at Be
50.
100.
100.
2 T
I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of
false , errQneous or incomplete information may be subject to sanctions in accordance with Section 7- 144 of the
City Code.
Printed Name:
Mary Broe!!Y
Title:
Name of Person Compteting Form
Signatu re:
Rev: Nov 2000
Treasurer
Campaign Title
Date:
5/2/2005