\p , !!; CAMPAIGN REPORT WofiEoitiCollins Full Name of Committee: I Committee to Elect Bill Bertschy (as shown on Committee Registration Form) Name of Candidate: Bill Bertschy (if not reflected in Committee name) City, State & Zip Code: I 430 Peterson, Fort Collins, Co 80524 Name of Financial Institution: Address of Financial Institution: Norlarco Credit Union I P. City, State & Zip Code: O. Box 528 Fort Collins, Co 80522 Type of Report: Regularly Scheduled Filing 021 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: February 1 2005 March 14 , 2005 Through date date (start with day following end of last reporting period) (end 2 days before date due) Reporting For Current Period Funds 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) Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4) liiii!i:iiiiliiliililii!il!!!!i!!:!/i!!!ll!il!i::ii:i: !!!!lii!:!i!!!i!!li!ll!!!!1!11!I~illil:IIII~lllllliliii:11 ii:.:!!l!!i::i:iiii!ii!!: 11111:i!i!!!!::'ilil:!!lii:lilllliilllll!li!!!llill!liili!iill!!I!illii!.'!!: !:II!!!!ii'iiilii:il!!i!!l!!i;11!I~i:IIII!II:~lllllill!II!! !!I!!!.!!!!!!:!:I/!!i,.!:!il;i;i!lil!II":I~:/IIIIIIII~lil:lli!III'i! 11:111_11:!!!II:!!I!i!!Ji!.!!!' 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: Brian Richmond Title: Treasurer Date: 3/1 , ame of Person Completing Form Signature: Rev: Nov 2000 ;h
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