Colorado Secretary of StateElections Division1700 Broadway, Ste. 200Denver, CO 80290Ph; (303) 894-2200 ext. 6383Fax: (303)869-4861Email: cpf1ielp@sos.stute.co.ui>www.sos.state.co.us

Space Below For Office Use Only

REPORT OF CONTRIBUTIONS AND EXPENDITURES(1-45-108, C.R.S,)

Full Name of Committee/Person: Rq^da\\ ^4-z. ^ ^T Gi4tf CGD^\^\

Address of Committee/Person: ?.n. 6^ W&City, State & Zip Code: (jld^A ^w^'^n, ^ ^/5^Committee Type: a^d'iA^.Name and Address of FinancialInstitution o?55- Al.S* ^OMcl ^., U) 81561

SOS ID NUMBER (state and county committees):

Type of Report

Regularly Scheduled Filing.

Amended Filing. This amends previous report filed on (date)

Submit changes or new information ONLY

Termination Report. (Tennination Reports MUST Have a Monetary Balance of Zero in Line 5)

Check this box if this Report Contains Electioneering Communications Information

Reporting Period Covered: /-<^5t Through S-//-<3/Date Date

Declared Total Spending (if applicable)[Art. XXVIII, Sec. 4(1)1

Totals Detailed Summary PageFunds on Hand at the Beginning of Reporting Period (monetary only) -G-Total Monetary Contributions (line 1 I) n^5~C5./r7Total of Monetary Contributions & Beginning Amount (line I + line 2) u\ (^so ./7Total Monetary Expenditures (line 19) ^w.^aFunds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) $ ^I^J^

The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late.[Art, XXVIII Sec. 10(2)(a)]

Authorization (Must be completed by either the Registered Agent OR the Candidate): / hereby certify and declare, underpenalty of perjury, thaf to the best of my knowledge or belief all contributions received during tins reporfifig period,sncltifSing any contributions received in the form of membership dues transferred by a membership organization, are from

permissible sources.

Print Registered Agent's Name: Tf^T^t -hf^U^SD/,,

Registered Agent's Signature: "f\^^AA. ^YT^K^

Print Candidate Name: f\€l^d^l) I^Elt^

Candidates Signature: | \^^^-\] }c<^\

Date: 3-1^^1

^- Date: 3/15^4Colorado Secretary of State Form Rev. f 2/09

DETAILED SUMMARY

Full Name of Committee/Person: ^/W^.// ^r^'faf Q-T C^U ^^^)^ /

ThroughCurrent Reporting Period: /^-^/ ^-//-o?/

Funds

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

on hand at the beginning of reporting period (Monetary Only)

Itemized Contributions $20 or More [C.R.S. l-45-l08(l)(a)](Please list on Schedule "A")

Total of Non-Itemized Contributions(Contributions of $19.99 and Less)

Loans Received(Please list on Schedule "C")

Total of Other Receipts(Interest, Dividends, etc.)

Returned Expenditures (from recipient)(Please list on Schedule "D")

Total Monetary Contributions(Total of lines 6 through 10)

Total Non-Monetary Contributions(From Statement ofNon-Monetary ConEributions)

Total Contributions(Line 11 + line 12)

Itemized Expenditures $20 or More [C.R.S. l-45-l08(l)(a)](Please list on Schedule "B")

Total of Non-Itemized Expenditures(Expenditures of $ 19.99 or Less)

Loan Repayments Made(Please list on Schedule "C")

Returned Contributions (To donor)(Please list on Schedule "D")

Total Coordinated Non-Monetary Expenditures(Candidate/Candidate Committee & Political Parties only)

Total Monetary Expenditures(Total of lines 14 through 17)

Total Spending(Line 18 + line 19)

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

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Culunuto Secretary uf State Fonn Rev. 12/09

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Statement of Non-Monetary Contributions[Art. XXVIII, See. 2(5)(a)(H)(IH) & Sec. 5(3) & 1-45-108(1), C.R.SJ

Full Name of Committee/Person: J\^\\A^^ t^^^Z -f^t ^T Cf-k/ C^WY^C\

PLEASE PRINT/TYPE1. Date Provided

2. Fair Market Value

3. Afigregate Amt.

$

D Check box ifElectioneeringCommunication

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Description:

8. Employer (if applicable?^atidatory):

9. OccuRat«5n (if applicable, mandatory):

f D Check box ifCoordinated withj_Candidate/Candidate Committee or Political Party. *

1. Date Provided

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3. Aggregate Amt.

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Communication

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Description;

8. Employer (if applicable, mandKtory):

9. Occupation (if applicable, mandatory):

10. D Check box if Coordinated with a Candidate/Candidate Committee or Political Party, *

1. Date Provided

2. Fair Market Value

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3. Aggregate Amt,

a Check box ifElectioneeringCommunication

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Description;

8. Employer (if applicable, mandatory):

9. Occupation (if applicable, mandatory):

10. D Check box if Coordinated with d Candidate/Canclidate Committee or Political Party. *

:il Note: IF coordinated, (hen contribution must aiso be repmted as a non-monetary expenditure on Detailed Summary. Art. XXVIII, See. 2(9) states: "...Expendituresthat are controlled by or coordinated with a candidate or candidate's agent arc deemed to bebuthcontributionsby Ihe maker of the cxpenctitures, and expenditures by

the candidate committee.'

Cyloraiio Secretary of State Form Rev.12/09

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Schedule C - Loans

Full Name ofCommittee/Person: J^Ulr/^// ^/-^ -^-fff Cj-IT Of4tf ^6 U^^_'}

LOANS - Loans Owed by the Committee(Use a separate schedule for each loan. This form is for line item 8 and 16 of the Detailed Summary Report.)

[No infunniiEion copied from Kiicli reports sliall besokl or used by any person fortlie purpose ufsolicitiitgcontnbutioit.s or for any coinmereialpurpose. [Art. XXVIII, Sec. 9(e)] Notwithstanding any other section of this article tu the contrary, a candidate's cnndidate committee may receive aloan from a financial institution organized under state or Federal law if the iuan bears the usual and customary interest rate, is made on a basis that

assures repayment, is evidenced by a written instrument, nncl is subject to a due tliite or amortlxation schedule [Art. XXVUI, Sec.3(8)]

LOAN SOURCE

Name (Last, First or Institution):

Address: P.6. BQ^ ^S^U

/?i?/'^ /^/TVT'/}//

City/State/Zip: GlT^Y\^ ^{JUY}^f^n ^ d6 8 IS^A06

Original Amount of Loan: $ /, ^5/^3 Interest Rate:

Loan Amount Received This Reporting Period: $ ^^7^^3,/Q^)

Principal Amount Paid This Reporting Period: $. - 0

Interest Amount Paid This Reporting Period: $ " C>

Amount Repaid This Reporting Period: $. , " 0(Amount Repaid is sum of Principal & Interest entered un Detail Summary)

Outstanding Balance: $ i^O^). (0^)

TERMS OF LOAN: i-s^sf

Total of All Loans This Reporting

Period: $ ^6^6.€>H(Place on line 8 ot Detailed Summary Report)

Total Repayments Made: $ " 0(Sum of Schedule C pages, Place on line 16 of

Detailed Summary)

Date Loan Received

SS'^^^1Due D;ite for Final Payment

LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN

Full Name

A/^A/f

Address, City, State, Zip Amount Guaranteed

Colurailo Secretary of State Form Rev. 12/09

Schedule D - Returned Contributions & Expenditures

Full Name of Committee/Person: f^^Mcl^l) ^^-Z ^ G^T A^L/ ^U^C\

Returned Contributions{Previously reported on Schedule A - Contributions accepted and then returned to donors}

PLEASE PRINT/TYPE1. Date Accepted

2. Date Returned

3. Amount

$

4. Name (Last, First):

5. Address:

6. Clty/State/Zip:

7. Purpose:

1. Date Accepted

2. Date Returned

3. Amount

$

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Purpose:

Returned Expenditures(Previously reported on Schedule B - Expenditures returned or refunded to the committee)

PLEASE PRINT/TYPE1. Date Expended

<3-<95'-o?/2. Date Returned

^^5'^J_3. Amount

W/.qg

4. Name (Last, First): _S{^AS 6T} -/^ C)f\^£.

5. Address: i\S^S^ Stt^^^lhtji) rlk)\/^^

6. City/State/Zip: ftlAS+m, T)( ^759

7. Comment (Optional):

1. Date Expended

2. Date Returned

3. Amount

$

4. Name (Last, First):

5. Address:

6. City/State/Zip:

7. Comment (Optional):

Colorado Secretary of State Form Rev. 12/09