\" )~~ CAMPAIGN REPORt ty of Fort Collins Full Name of Committee: Downsize City Gov~rnment Committee (as shown on Committee Registration Form) Name of Candidate: I Mark Brophy (if not refJected in Committee name) City, State & Zip Code: I 1109 Name of Financial Institution: W Harmony Road st Bank of Northern Colorado Address of Financial Institution: I P. City, State & Zip Code: O. Box 270770 Fort Collins , CO 80525 Type of Report: 12::) 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 16 , 2005 March 22 , 2005 Through date date (start with day following end of last reporting period) (end 2 days before date due) Reporting For Current Period 315. $i1 on Hand at S 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 Ex nditures (line 16 on Detailed Summary) 1 Funds 1, Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4) 315. 315. 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: Title: Mary Broe!!Y Name of Person Completing Form Sig n atu re Rev: Nov 2000 1\1 ~ I X Treasurer Campaign Title Date: 3/22/2 005
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