.0. MAR I 6 1999 DETAILED SUMMARY iIU CITY CLERK REPORT OF CONTRIBUTIONS AND EXPENDITURES (To be used by Candidate Committees. Politica.1 Committees, Issue Committees and Politica.1 Party Committees) OR OFFICE USE ONLY 1. FULL NAJ.\1E OF CO1ftv1ITTEE (as shown on statement of organization) h(: 'LDU~ ch C::.\e-c:hCh .ttece. Co 2. NAME OF FINANCIAL INSTITUTION o~ CLv~, 4tC1 -\-e ADDRESS . ~~a -P. Co III :r\-S 4. Did you accept Voluntary D, Eo)C J:"Tc... J-/OliO ~()S J.-l 3. SECRETARY OF STATE J.D. Nillv1BER CITY . STATE an IP CODE fb,- t tk Cb ~ev- ""- CJ()~ sf ADDRESS w check if different than previously reported 6 06 c1 l Spending Limits? (State Candidate Committees Only) DYes DNo 5. TYPE OF REPORT (County and Municipal Elections) Pre-election Reports 21 days before election (3/16/99) Post-election Reports (City of Fort Collins only) 14 days before election (3/23/99) 30 days after election (5/6/99) Annual (April 1 of each year) Friday before election (4/2/99) C T errnination Report 6. REPORTING PERIOD COVERED C Other (specify) -LI Iqq Is nus report an Amendment? 1BRU 3/15)qCf COLU11N A This Rept. Period eYes DNo COLillAN B Calendar Year-Ie-Date FUNDS ON HAND AT BEGINNING OF REPORTING PERIOD xxxxxx.XXXXX TOTAL CONTRIBUTIONS (from Line 16) $ S'. 89S-. gQS, TOTAL EXPENDITURES (from Line 21) if, soo. 10. FUNDS ON HAND AT CLOSE OF REPORTING PERIOD 11. Debt and Oblig:ations Owed BY the Committee $ V, .37 VI' S; 00 39Q. (,3 XXXXXXXXXX XXXXXXXXXX 12. Pledges Owed TO the Comrmttee XXXXXXXXXX I certify that I have examined this Report of Contributions and Expenditures and to the best of my knowledge and belief it is true, correct and complete. I understand submission offalse , erroneous, or incomplete information maybe subject to sanctions in accord with CRS 1-45113. PRINT NAME OF REG. AGENT: (SillvnvfAR Y SHEET - REV 12/97) f.\! AGENT SIGNATURE DATE 3 FILE IN DD"PLICA /lS/qq
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