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Colorado Secretary of State
1560 Broadway, Suite 200
Denver, CO 80202
(303) 894-2680
(303) 894www. state.co. Us/dir.2govJoost
7732
DETAILED SUMMARY REPORT OF CONTRIBUTIONS AND EXPENDITURES
Full Name of Committee:
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Address of Committee:
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City, State & Zip Code:
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Secretary of State Issued Committee Number:
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Iffiled with sos
Type of Report
This is a Regularly Scheduled Filing.
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This is an Amended Filing. This
amends the filing of (date)
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Submit onlY those forms which have been altered. amended or changed.
This is a Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5)
Reporting Period Covered:
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Through
date
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date
FINALReporting For Current Period
1 Funds on Hand at Beginning of Reporting Period (monetary)
Total Monetary Contributions (line 11)
Total of Monetary Contributions & Beginning Amount (line 1+ line 2)
Total Monetary Expenditures (line 18)
Funds on Hand at End of Reporting
Period (monetary) (line 3 - line 4)
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 CRS 1-45-113.
Printed Name: D A v J .D
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Name of Person Completing Form
Signatur~aAM.d
Date:
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Colorado Secretary of State Form, Rev: April 2000
Front Page of Detailed Summary Report