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2216295
t- ~UM
CAMPAIGN REPORT
Sf of FoIt Collins
Citizens for Colton
Full Name of Committee:
(m
on
u_. --
Corrwni8e Registraion Pofm)
Name of Candidate:
I Glen
(if not tefIeCtacJ in CoMmittee 11iIme)
Colton
r .~5 Hinsdale Dr.. Fort COllins. CQ ~
City, State & Zip Code;
First National Bank
Name of Financial Institution:
Address of Financial Institution:
I' ~~ -W~st.g~ P. O. Box 578
City, State & Zip Code:
Fort Collins. CO _aOO22~~r8
... "tlf1" 111111
-.:1
III
1.111
Type of Report:
Reg ularty Sched u led Fin ng
21 days before election
30 days after election
14 days before election
Annual
Friday before election
U . ....
Amended
Filing, replacing prior report dated:
Term i nation
Report (T ennination Reports MUST Have a Monetary Bal8nce of Zero In Line $ Below)
Reporting Period Covered:
?~1.Q03
March 16, 2003
Through
date
,.rrn'lIRIIlf
dele
(n 2 days babe date dw)
(sfatt wih day fcJaowing end of Jest A!IpOIting period)
Reporting For
Current Period
1 Funds on.
3
4
5
Hand at of Re
Period (monetary)
, , I.
~95
Total Moneta Contributions (line 10 on 'MHksheet)
T _I of Ikmeta Contribtlti0n8 & iRnin Amount (line 1+ line 2)
T
ditures (line 18 on worksheet)
Funds on Hand at End of Reporting Period (monetary) (line 3 . line 4)
" ,t,295
ote.Moneta
(1lj
220,
s,
to the best of my knowledge and belief this is a true and correct filing. t understand the submission of
false, erroneous or incomplete information may be subject to sanctions in accordance with section 7 - 144 of the
City Code.
1 certify
Printed Name:
.-.uo
Nsme r:I
Signature:
Rev : Nov 2000
P8rmn
TrUe:
. F
Date:
;3
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2216295
FROM
121121:1219
12I3
Worksheet
Funds on band at beginning of reporting period (monetary):
I$
Reporting For
Current Period
Itemized Contributions
(monGty COIItributions of $20 or more and loans)
l,
0'
Si258i."
Non- Itemized Contributions
GYHJlnbutions of $19. 99
(monetary
and
less)
00:;
"~I
Other Receipts
rmterest,
dividends, refunds,
etc.
tebates,
,;0"
Total Monetary Contributions
1," "
f -
Item ized
Kind
Contributions
(~oontributions
with
value
oQ' ,
~:I"
' 0
: " ' ,0(:,
more)
of $20 or
Non-Itemized Contributions in Kind
(non-monetaty contributions
with
value of
$19. 99
and
less)
1 '
'0' '
Total Contributions
I."
t, "
, "0
Expend
itu reslOb I ig ations
Contributions Returned
ota I Moneta
Iter. N ov 2000
ry
Expenditures
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