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REPORT OF CONTRIBUTIONS Al'c1)
5 1999
CITY CLER K
EXPENDITURES
(To be used by Candidate Committees. Political Committees, Issue Committees and Political Party Committees)
OR OFFICE USE ONLY
1. FULL NA.1\1E OF COM:MITTEE (as shown on statement of organization)
Sh~
check if diffi ent than pre ly reported
ADDRESS
3. SECRETARY OF STATE I.D. NillvfBER
CITY . STATE and ZIP CODE
(;lJ t'tlJ;
rrf.
4. Did you accept Voluntary
Spending Limi tS? (State Candidate Committees Only)
DYes
ONo
5. TYPE OF REPORT (County and Municipal Elections)
Pre-election Reports
21 days before election (3/16/99)
Post-election Reports
30 days after election (5/6/99)
Annual (April 1 of each year)
(City of Fort Collins only)
14 days before election (3/23/99)
before election (4/2/99)
C Termination Report
C Other (specify)
6. REPORTING PERIOD COVERED 3/2-
J
/99
Is this report an Amendment?
THRU
Ie;
COLIDAN A
This Rept. Period
eYes
DNo
COLUMN B
Calendar Year-Te-Date
FUNDS ON HAND AT BEGINNING OF REPORTING PERIOD
xxxxxx.XXXXX
TOTAL CONTRIBUTIONS (iromLine 16)
TOTAL EXPENDITURES (from Line 21)
tJ.
10.
FUNDS ON HAND AT CLOSE OF REPORTING PERIOD
11.
Debt and ObliQ:ations Owed BY the Committee
tkJ
6" 1-0
$ 15'. ()-o
XXXXXXXXXX
XXXXXXXXXX
12. Pled es Owed TO the CommIttee
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 , COITect and complete. I understand
submission offalse , eJToneous, or incomplete information may be subject to sanctions in accord with CRS 1-45113.
PRINT NM1E OF REG. AGENT:
(SIDvfiv!ARY SHEET - REV 12/97)
AGENT SIGNATURE
DATE
Fll..E IN Dt.:"PLICA TE