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Report of Receipts and Disbursements: FEC Form 3X
Report of Receipts and Disbursements: FEC Form 3X
Image# 201509209002770701
PAGE 1 / 28
REPORT OF RECEIPTS
AND DISBURSEMENTS
FEC
FORM 3X
1.
TYPE OR PRINT
NAME OF
COMMITTEE (in full)
12FE4M5
Check if different
than previously
reported. (ACC)
2.
CITY
(b) Monthly
Report
Due On:
(Choose One)
80111
STATE
3. IS THIS
REPORT
C00033134
4. TYPE OF REPORT
(a)
CO
GREENWOOD VILLAGE
NEW
(N)
ZIP CODE
AMENDED
(A)
OR
Nov 20 (M11)
Feb 20 (M2)
May 20 (M5)
Aug 20 (M8)
Mar 20 (M3)
Jun 20 (M6)
Sep 20 (M9)
Dec 20 (M12)
Apr 20 (M4)
Jul 20 (M7)
Oct 20 (M10)
Jan 31 (YE)
(Non-Election
Year Only)
(Non-Election
Year Only)
Quarterly Reports:
April 15
Quarterly Report (Q1)
(c)
12-Day
PRE-Election
Report for the:
July 15
Quarterly Report (Q2)
Primary (12P)
General (12G)
Convention (12C)
Special (12S)
Runoff (12R)
October 15
Quarterly Report (Q3)
M
January 31
Year-End Report (YE)
in the
State of
Election on
July 31 Mid-Year
Report (Non-election
Year Only) (MY)
(d)
30-Day
POST-Election
Report for the:
General (30G)
Termination Report
(TER)
Runoff (30R)
Special (30S)
in the
State of
Election on
M
5.
Covering Period
08
01
2015
through
08
31
2015
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer
Robert Balink
Robert Balink
[Electronically Filed]
Date
09
20
2015
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
Office
Use
Only
FE6AN026
FEC FORM 3X
Rev. 12/2004
Image# 201509209002770702
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
Page 2
08
From:
01
2015
To:
COLUMN A
This Period
6.
31
2015
838664.06
983947.50
793048.00
190899.50
2015
35813.28
219850.64
7.
28951.14
8.
190899.50
0.00
113898.89
145283.44
184037.36
.
.
This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
FE6AN026
COLUMN B
Calendar Year-to-Date
9.
08
.
.
.
.
Image# 201509209002770703
Page 3
From:
08
01
2015
To:
COLUMN A
Total This Period
I. Receipts
11. Contributions (other than loans) From:
(a) Individuals/Persons Other
Than Political Committees
(i) Itemized (use Schedule A) ............
31
2015
COLUMN B
Calendar Year-to-Date
,
,
,
,
,
,
,
,
,
,
.
5677.00
.
12277.00
.
0.00
.
.0.00
12277.00
,
,
23255.00
08
,
,
,
,
,
343359.00
,
,
,
,
,
444799.74
.
0.00
.
,
,
315310.00
,
,
.0.00
8241.42
6600.00
.
96322.64
.
439681.64
.
.0.00
5118.10
.
,
,
0.00
281.28
0.00
0.00
0.00
0.00
0.00
0.00
0.00
.0.00
0.00
0.00
35813.28
838664.06
35813.28
838664.06
FE6AN026
.
70312.90
.
.
.
.
.
.
.
.
Image# 201509209002770704
II. Disbursements
21. Operating Expenditures:
(a) Allocated Federal/Non-Federal
Activity (from Schedule H4)
(i) Federal Share .............................
,
,
.0.00
.0.00
,
,
,
,
,
,
,
,
,
,
28951.14
.
28951.14
.
.0.00
0.00
.
0.00
.
,
,
,
,
,
,
.
0.00
.
0.00
.
,
,
,
0.00
.
0.00
.
0.00
.
,
,
,
0.00
0.00
,
,
,
0.00
,
,
,
0.00
28951.14
28951.14
23.
24.
25.
FE6AN026
COLUMN B
Calendar Year-to-Date
,
,
22.
Page 4
COLUMN A
Total This Period
,
,
,
,
.
0.00
.
,
,
,
,
,
,
,
,
,
,
770812.77
,
,
,
,
,
,
.
0.00
.
0.00
.
,
,
,
0.00
,
,
,
0.00
0.00
.
0.00
.
0.00
.
,
,
,
,
,
,
.0.00
.0.00
22235.23
.
22235.23
793048.00
0.00
0.00
.
770812.77
.
0.00
.
0.00
.
.0.00
0.00
.
0.00
.
0.00
.
.
.
793048.00
Image# 201509209002770705
of Disbursements
FE6AN026
Page 5
COLUMN A
Total This Period
COLUMN B
Calendar Year-to-Date
12277.00
,
,
,
,
,
,
,
,
.
12277.00
.
28951.14
.
281.28
.
28669.86
0.00
444799.74
,
,
,
,
,
,
,
,
.
444799.74
.
770812.77
.
8241.42
.
762571.35
0.00
Image# 201509209002770706
PAGE
OF
11a
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Robert Balink
Date of Receipt
State
CO
08
07
2015
Transaction ID : SA11AI.9172
Zip Code
80920
100.00
Receipt
Name of Employer
Occupation
El Paso County
Receipt For:
Primary
Other (specify)
County Treasurer
Aggregate Year-to-Date
General
680.00
Date of Receipt
08
City
State
CO
Colorado Springs
Zip Code
12
2015
Transaction ID : SA11AI.9163
Amount of Each Receipt this Period
80906
50.00
Receipt
Occupation
Political and Government Relations Con
Aggregate Year-to-Date
General
250.00
C. Amy Byczkowski
Date of Receipt
08
City
Parker
State
CO
Zip Code
80134
31
2015
Transaction ID : SA11AI.9278
100.00
,
,
250.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Best Efforts
Receipt For:
Best Efforts
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
600.00
.
.
Image# 201509209002770707
PAGE
OF
11a
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Maurice Emmer
Date of Receipt
State
CO
Zip Code
81611
Retired
Receipt For:
Primary
Other (specify)
Retired
Occupation
Name of Employer
08
24
2015
Transaction ID : SA11AI.9223
500.00
Receipt
Aggregate Year-to-Date
General
500.00
B. Rick Enstrom
Date of Receipt
08
City
State
CO
Lakewood
Zip Code
24
2015
Transaction ID : SA11AI.9236
Amount of Each Receipt this Period
80228
50.00
Receipt
Occupation
Community Affairs
Aggregate Year-to-Date
General
250.00
C. George K. Gramer
Date of Receipt
08
City
Denver
State
CO
Zip Code
80210
13
2015
Transaction ID : SA11AI.9166
100.00
,
,
650.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Retired
Receipt For:
Retired
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
680.00
.
.
Image# 201509209002770708
PAGE
OF
11a
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Patrick Grant
Date of Receipt
City
Denver
State
CO
Zip Code
80209
Retired
Receipt For:
Primary
Other (specify)
Retired
Occupation
Name of Employer
08
12
2015
Transaction ID : SA11AI.9102
Unit 4
2500.00
Receipt
Aggregate Year-to-Date
General
5000.00
B. Kathryn Isenberger
Date of Receipt
08
City
State
CO
Golden
Zip Code
24
2015
Transaction ID : SA11AI.9235
Amount of Each Receipt this Period
80401
50.00
Receipt
Occupation
Property Manager
Aggregate Year-to-Date
General
300.00
C. Brandon Johnson
Date of Receipt
08
City
Denver
State
CO
Zip Code
80202
11
2015
Transaction ID : SA11AI.9136
500.00
,
,
3050.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Investment Manager
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
500.00
.
.
Image# 201509209002770709
PAGE
OF
11a
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Marjorie A Klein
Date of Receipt
State
CO
08
10
2015
Transaction ID : SA11AI.9162
Zip Code
80621
50.00
Receipt
Name of Employer
Occupation
Homemaker
Receipt For:
Primary
Other (specify)
Homemaker
Aggregate Year-to-Date
General
400.00
B. Rex W. Kramer
Date of Receipt
08
City
State
CO
Colorado Springs
Zip Code
24
2015
Transaction ID : SA11AI.9238
Amount of Each Receipt this Period
80906
500.00
Receipt
Occupation
Retired
Aggregate Year-to-Date
General
500.00
C. Linda S. McCausland
Date of Receipt
08
City
Aspen
State
CO
Zip Code
81612
06
2015
Transaction ID : SA11AI.9134
1000.00
,
,
1550.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Retired
Receipt For:
Retired
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
1000.00
.
.
Image# 201509209002770710
PAGE 10 OF
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Christopher Murray
Date of Receipt
State
CO
Zip Code
80203
Attorney
Occupation
Name of Employer
08
24
2015
Transaction ID : SA11AI.9221
500.00
Receipt
Aggregate Year-to-Date
834.00
B. Jerry Natividad
Date of Receipt
08
State
CO
Zip Code
17
2015
Transaction ID : SA11AI.9169
Amount of Each Receipt this Period
80227
100.00
Receipt
Occupation
Owner/President/CEO
Aggregate Year-to-Date
General
1600.00
C. Thomas Peterson
Date of Receipt
08
City
Elizabeth
State
CO
Zip Code
80107
16
2015
Transaction ID : SA11AI.9165
50.00
,
,
650.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Executive Director
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
250.00
.
.
Image# 201509209002770711
PAGE 11 OF
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Richard Poole
Date of Receipt
State
CO
Zip Code
80239
Retired
Receipt For:
Primary
Other (specify)
Retired
Occupation
Name of Employer
08
31
2015
Transaction ID : SA11AI.9270
100.00
Receipt
Aggregate Year-to-Date
General
300.00
B. Joan Poston
Date of Receipt
08
City
State
CO
Denver
Zip Code
31
2015
Transaction ID : SA11AI.9271
Amount of Each Receipt this Period
80237
100.00
Receipt
Occupation
Retired
Aggregate Year-to-Date
General
1150.00
C. Michael Williamson
Date of Receipt
08
City
Lakewood
State
CO
Zip Code
80228
15
2015
Transaction ID : SA11AI.9164
50.00
,
,
250.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Software Consultant
Primary
Other (specify)
FE6AN026
Receipt
Aggregate Year-to-Date
General
300.00
.
.
Image# 201509209002770712
PAGE 12 OF
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Judi Wolf
Date of Receipt
State
CO
08
31
2015
Transaction ID : SA11AI.9276
Zip Code
80113
100.00
Receipt
Name of Employer
Occupation
Homemaker
Receipt For:
Primary
Other (specify)
Homemaker
Aggregate Year-to-Date
General
300.00
B. Lester Woodward
Date of Receipt
08
City
State
CO
Denver
Zip Code
31
2015
Transaction ID : SA11AI.9277
Amount of Each Receipt this Period
80220
100.00
Receipt
Occupation
Retired
Aggregate Year-to-Date
General
570.00
C.
Date of Receipt
Mailing Address
City
State
Zip Code
Amount of Each Receipt this Period
TOTAL This Period (last page this line number only) ...............................................................
,
,
,
,
.
6600.00
.
Name of Employer
Receipt For:
Primary
Other (specify)
FE6AN026
Occupation
Aggregate Year-to-Date
General
.
200.00
Image# 201509209002770713
PAGE 13 OF
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Date of Receipt
State
DC
08
03
2015
Transaction ID : SA12.9337
Zip Code
20003
C00003418
23255.00
Transfer
Occupation
Aggregate Year-to-Date
General
315310.00
B.
Date of Receipt
Mailing Address
City
State
Zip Code
Amount of Each Receipt this Period
Occupation
Aggregate Year-to-Date
General
C.
Date of Receipt
Mailing Address
City
State
Zip Code
Amount of Each Receipt this Period
TOTAL This Period (last page this line number only) ...............................................................
,
,
,
,
Name of Employer
Receipt For:
Primary
Other (specify)
FE6AN026
Occupation
Aggregate Year-to-Date
General
.
.
23255.00
.
23255.00
Image# 201509209002770714
PAGE 14 OF
11b
11c
12
13
14
15
16
28
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Date of Receipt
State
CO
08
04
2015
Transaction ID : SA15.9334
Zip Code
80112
113.34
Refund
Name of Employer
Occupation
Aggregate Year-to-Date
231.44
Date of Receipt
08
City
State
CO
Greenwood Village
Zip Code
04
2015
Transaction ID : SA15.9335
Amount of Each Receipt this Period
80112
56.89
Refund
Occupation
United States Postal Service
Aggregate Year-to-Date
General
288.33
Date of Receipt
08
City
Greenwood Village
State
CO
Zip Code
80112
24
2015
Transaction ID : SA15.9336
93.05
,
,
263.28
TOTAL This Period (last page this line number only) ...............................................................
,
,
Name of Employer
Occupation
Primary
Other (specify)
FE6AN026
Refund
Aggregate Year-to-Date
General
381.38
.
263.28
.
Image# 201509209002770715
PAGE 15 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Date of Disbursement
M
State
TN
Zip Code
37401
State:
14
2015
Transaction ID : SB21B.9322
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
2000.00
General
B. Jose Alanis
Date of Disbursement
M
State
CO
Zip Code
80111
State:
05
2015
Transaction ID : SB21B.9309
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
153.66
General
C. Jose Alanis
Date of Disbursement
M
City
Greenwood Village
Purpose of Disbursement
Payroll
08
Zip Code
80111
12
2015
Transaction ID : SB21B.9294
Candidate Name
Category/
Type
1143.54
,
,
3297.20
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770716
PAGE 16 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Amcheck
Date of Disbursement
M
State
CO
Zip Code
80207
State:
12
2015
Transaction ID : SB21B.9292
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
739.69
General
B. Amcheck
Date of Disbursement
M
State
CO
Zip Code
80207
State:
12
2015
Transaction ID : SB21B.9293
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
50.15
General
C. Amcheck
Date of Disbursement
M
City
Denver
Purpose of Disbursement
Payroll Taxes
08
Zip Code
80207
12
2015
Transaction ID : SB21B.9298
Candidate Name
Category/
Type
2962.22
,
,
3752.06
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770717
PAGE 17 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Amcheck
Date of Disbursement
M
State
CO
Zip Code
80207
State:
12
2015
Transaction ID : SB21B.9299
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
75.25
General
B. John Cutter
Date of Disbursement
M
State
CO
Zip Code
80126
State:
12
2015
Transaction ID : SB21B.9295
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1426.70
General
C. John Cutter
Date of Disbursement
M
City
Highlands Ranch
Purpose of Disbursement
Travel- Milage Reimbursement
08
Zip Code
80126
14
2015
Transaction ID : SB21B.9317
Candidate Name
Category/
Type
56.25
,
,
1558.20
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770718
PAGE 18 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Jordan Gascon
Date of Disbursement
M
State
CO
Zip Code
80111
State:
05
2015
Transaction ID : SB21B.9306
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
171.98
General
B. Jordan Gascon
Date of Disbursement
M
State
CO
Zip Code
80111
State:
12
2015
Transaction ID : SB21B.9296
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1378.03
General
C. Jordan Gascon
Date of Disbursement
M
City
Greenwood Village
Purpose of Disbursement
Travel- Milage Reimbursement
08
Zip Code
80111
14
2015
Transaction ID : SB21B.9316
Candidate Name
Category/
Type
166.69
,
,
1716.70
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770719
PAGE 19 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Kristian Hemphill
Date of Disbursement
M
State
CO
Zip Code
81122
State:
05
2015
Transaction ID : SB21B.9307
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
383.18
General
B. Kristian Hemphill
Date of Disbursement
M
State
CO
Zip Code
81122
State:
12
2015
Transaction ID : SB21B.9297
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1333.21
General
C. Ian Lindemann
Date of Disbursement
M
City
Greenwood Village
Purpose of Disbursement
Travel - Mileage reimbursement
08
Zip Code
80111
12
2015
Transaction ID : SB21B.9289
Candidate Name
Category/
Type
449.67
,
,
2166.06
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770720
PAGE 20 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Date of Disbursement
M
State
CO
Zip Code
80211
State:
14
2015
Transaction ID : SB21B.9329
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1000.00
General
Date of Disbursement
M
State
CO
Zip Code
80211
State:
14
2015
Transaction ID : SB21B.9330
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
500.00
General
C. Brandi Meek
Date of Disbursement
M
City
Greenwood Villiage
Purpose of Disbursement
Travel - Mileage reimbursement
08
Zip Code
80112
05
2015
Transaction ID : SB21B.9305
Candidate Name
Category/
Type
980.00
,
,
2480.00
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770721
PAGE 21 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Lilly Nunez
Date of Disbursement
M
State
CO
Zip Code
80125
State:
25
2015
Transaction ID : SB21B.9320
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1159.20
General
B. Southwest Airlines
Date of Disbursement
M
State
TX
Zip Code
75235
State:
25
2015
Transaction ID : SB21B.9320.0
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
369.75
[MEMO ITEM]
General
C. Renaissance Hotel
Date of Disbursement
M
City
Phoenix
Purpose of Disbursement
Travel - Hotel
State
AZ
Zip Code
85004
Senate
President
State:
25
Disbursement For:
Primary
Other (specify)
2015
789.45
,
,
1159.20
[MEMO ITEM]
General
District:
TOTAL This Period (last page this line number only) ...............................................................
FE6AN026
Transaction ID : SB21B.9320.1
Category/
Type
House
Candidate Name
Office Sought:
08
,
,
.
.
Image# 201509209002770722
PAGE 22 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Anne K O'Donnell
Date of Disbursement
M
State
CO
Zip Code
80112
State:
12
2015
Transaction ID : SB21B.9291
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
1505.89
General
B. Ronald Palacioz
Date of Disbursement
M
State
CO
Zip Code
80112
State:
14
2015
Transaction ID : SB21B.9315
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
500.00
General
C. PSI
Date of Disbursement
M
City
Denver
Purpose of Disbursement
Staging & production services
08
Zip Code
80250
17
2015
Transaction ID : SB21B.9327
Candidate Name
Category/
Type
2000.00
,
,
4005.89
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770723
PAGE 23 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Date of Disbursement
M
State
CO
Zip Code
81004
State:
04
2015
Transaction ID : SB21B.9301
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
4286.42
General
B. Jefferson Thomas
Date of Disbursement
M
State
CO
Zip Code
80112
State:
05
2015
Transaction ID : SB21B.9308
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
171.66
General
C. Tusk Digital
Date of Disbursement
M
City
Washington
Purpose of Disbursement
Web Services
08
Zip Code
20004
17
2015
Transaction ID : SB21B.9318
Candidate Name
Category/
Type
4033.00
,
,
8491.08
TOTAL This Period (last page this line number only) ...............................................................
,
,
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
.
.
Image# 201509209002770724
PAGE 24 OF
28
21b
22
23
24
25
26
27
28a
28b
28c
29
30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
A. Derrick Wilburn
Date of Disbursement
M
State
CO
Zip Code
80111
State:
05
2015
Transaction ID : SB21B.9302
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
29.23
General
B. Derrick Wilburn
Date of Disbursement
M
State
CO
Zip Code
80111
State:
05
2015
Transaction ID : SB21B.9303
Category/
Type
House
Senate
President
District:
Candidate Name
Office Sought:
08
Disbursement For:
Primary
Other (specify)
216.52
General
C.
Date of Disbursement
M
Mailing Address
City
State
Zip Code
Purpose of Disbursement
Amount of Each Disbursement this Period
Candidate Name
Category/
Type
TOTAL This Period (last page this line number only) ...............................................................
,
,
,
,
.
28872.14
.
Office Sought:
House
Senate
President
State:
FE6AN026
Disbursement For:
Primary
Other (specify)
General
District:
245.75
Image# 201509209002770725
OF 28
25
PAGE
LOANS
Transaction ID : SC/10.8226
State CO
60000.00
0.00
60000.00
TERMS
Date Incurred
M
01
12
Date Due
Y
2015
Interest Rate
Y
01/08/2016
Secured:
3.25
Yes
(apr)
No
Name of Employer
Mailing Address
City
Occupation
State
ZIP Code
State
ZIP Code
Amount
Guaranteed
Outstanding:
Name of Employer
Mailing Address
Occupation
State
ZIP Code
Amount
Guaranteed
Outstanding:
Name of Employer
Mailing Address
City
Occupation
City
Name of Employer
Mailing Address
City
Amount
Guaranteed
Outstanding:
Occupation
State
ZIP Code
Amount
Guaranteed
Outstanding:
,
,
,
,
.
.
60000.00
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE6AN026
Image# 201509209002770726
OF 28
26
PAGE
LOANS
Transaction ID : SC/10.8228
State CO
10312.90
0.00
10312.90
TERMS
Date Incurred
M
02
26
Date Due
Y
2015
Interest Rate
Y
01/08/2016
Secured:
3.25
Yes
(apr)
No
Name of Employer
Mailing Address
City
Occupation
State
ZIP Code
State
ZIP Code
Amount
Guaranteed
Outstanding:
Name of Employer
Mailing Address
Occupation
State
ZIP Code
Amount
Guaranteed
Outstanding:
Name of Employer
Mailing Address
City
Occupation
City
Name of Employer
Mailing Address
City
Amount
Guaranteed
Outstanding:
Occupation
State
ZIP Code
Amount
Guaranteed
Outstanding:
,
,
,
,
.
70312.90
.
10312.90
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE6AN026
Image# 201509209002770727
PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
27
OF
28
9
10
PO Box 11181
City
State
Chattanooga
Zip Code
TN
37401
Transaction ID : SD10.9064
4012.01
.0.00
2000.00
City
State
33762
FL
Transaction ID : SD10.9063
9659.83
.0.00
0.00
State
Saint Paul
9659.83
Zip Code
55128
MN
Transaction ID : SD10.9065
City
FLS Connect
Mailing Address
2012.01
Zip Code
Clearwater
7071.33
7071.33
,
,
18743.17
2) TOTALS This Period (last page this line number only) ......................................................
,
,
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
,
,
,
,
FE6AN026
.0.00
.0.00
.
.
.
.
Image# 201509209002770728
PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
28
OF
28
9
10
State
Zip Code
CO
80211
Transaction ID : SD10.9068
1000.00
.0.00
1000.00
City
State
80211
Transaction ID : SD10.9325
0.00
3000.00
500.00
State
Denver
2500.00
Zip Code
80250
CO
Transaction ID : SD10.9070
PO Box 100382
City
PSI
Mailing Address
0.00
Zip Code
CO
Denver
24342.82
22342.82
,
,
24842.82
2) TOTALS This Period (last page this line number only) ......................................................
,
,
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
,
,
,
,
.
113898.89
.
FE6AN026
.0.00
2000.00
.
43585.99
.
70312.90