CAMPAIGN REPORT ty of Fort Collins Full Name of Committee: I Downsize City Govern me nt Com m ittee (as shown on Committee Registration Form) Name of Candidate: I Mark Brophy (if not reflected in Committee name) 1109 W Harmony Road , Fort Collins , CO 80526 City, State & Zip Code: Name of Financial Institution: st Ban k of Norther Colorado Address of Financial Institution: I P. City, State & Zip Code: O. Box 270770 Fort Collins , CO 80525 Type of Report: Regularly Scheduled Filing 21 days before election 30 days after election 14 days before election Annual Friday before election Amended March 15 Filing, replacing prior report dated: Term in atio 2005 n R epo rt (Term ination Reports MUST Have a Monetary Balance of Zero in line 5 Below) Reporting Period Covered: February 17 2005 March 15 Through 2005 date date (end 2 days before date due) (start with day following end of last reporting period) Reporting For Current Period on Hand at B . ioDin of Re ortin 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 869. 869. 554 . Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4) 1, 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: Broe!:!)' Title: Signature: Rev: Nov 2000 Treasurer Campaign Title Name of Person Completing Form Date: 3/17/2005 Detailed Summary Funds on hand at beginning of reporting period (monetary): I$ Reporting For Current Period Itemized Contributions of (monetary contributions $20 or more and loans) 850. Non- Itemized Contributions (monetary contributions of $19. 99 and less) 19. Other Receipts (interest, divid~nds, refunds, rebates etc. Total Monetary Contributions 869. Itemized Contributions In Kind more) (non-monetary contributions with value of $20 or 300. Non. Itemized Contributions in Kind $19. 99 and (non-monetary contributions with value of Total Contributions Expenditures/Db ligations Contri butions Retu 2, 169. 554. rned otat Monetary Expenditures Rev: No" 2000 less) 554.
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