Image# 201511209003417719

SCHEDULE C (FEC Form 3X)

NAME OF COMMITTEE (In Full)

OF 37

35

PAGE

Use separate schedule(s)

for each category of the
Detailed Summary Page

LOANS

FOR LINE 13 OF FORM 3X

Transaction ID : SC/10.25073

COLORADO REPUBLICAN COMMITTEE

Election:
Primary
General
Other (specify)

LOAN SOURCE Full Name (Last, First, Middle Initial)

Centennial Bank

Mailing Address 13700 E Arapahoe Rd.

City Centennial

State CO

Original Amount of Loan

ZIP Code 80112

Cumulative Payment To Date

60000.00

Balance Outstanding at Close of This Period

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

List All Endorsers or Guarantors (if any) to Loan Source

1. Full Name (Last, First, Middle Initial)

Name of Employer

Mailing Address

City

Occupation

State

ZIP Code

2. Full Name (Last, First, Middle Initial)

State

ZIP Code

Amount
Guaranteed
Outstanding:

Name of Employer

Mailing Address

Occupation

State

ZIP Code

4. Full Name (Last, First, Middle Initial)

Amount
Guaranteed
Outstanding:
Name of Employer

Mailing Address

City

Occupation

3. Full Name (Last, First, Middle Initial)

City

Name of Employer

Mailing Address

City

Amount
Guaranteed
Outstanding:

Occupation

State

ZIP Code

Amount
Guaranteed
Outstanding:

SUBTOTALS This Period This Page (optional) ................................................................

TOTALS This Period (last page in this line only) .............................................................

,
,

,
,

.
60000.00
.
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

FEC Schedule C (Form 3X) Rev. 02/2003

Image# 201511209003417720

36

SCHEDULE C1 (FEC Form 3X)

LOANS AND LINES OF CREDIT FROM LENDING INSTITUTIONS
Transaction ID : SC/10.25073.SC1

FEC IDENTIFICATION NUMBER

COLORADO REPUBLICAN COMMITTEE

LENDING INSTITUTION (LENDER)
Full Name

Interest Rate (APR)

100000.00

Mailing Address

Centennial

Zip Code

CO

80112

No

2015

12
/

01/08/2016

Back Ref ID:SC/10.25073

If yes, date originally incurred

Yes

B. If line of credit,
Amount of this Draw:

Date Due
M

A. Has loan been restructured?

01

Date Incurred or Established

State

3.25

13700 E Arapahoe Rd.

City

C00033134

Amount of Loan

Centennial Bank

37

Supplementary for
Information found on
Page
of Schedule C

Federal Election Commission, Washington, D.C. 20463

NAME OF COMMITTEE (In Full)

OF

60000.00

Total
Outstanding
Balance:

60000.00

C. Are other parties secondarily liable for the debt incurred?

No
Yes
(Endorsers and guarantors must be reported on Schedule C.)
D. Are any of the following pledged as collateral for the loan: real estate, personal
property, goods, negotiable instruments, certificates of deposit, chattel papers,
stocks, accounts receivable, cash on deposit, or other similar traditional collateral?
No

Yes

What is the value of this collateral?

.0.00

If yes, specify:
Does the lender have a perfected security
interest in it?
No
Yes

E. Are any future contributions or future receipts of interest income, pledged as

collateral for the loan?
No
Yes If yes, specify:

What is the estimated value?

Address:

Date account established:

M

0.00

Location of account:

A depository account must be established pursuant

to 11 CFR 100.82(e)(2) and 100.142(e)(2).
M

City, State, Zip:

contrary to Schedule C claiming that the loan

is secured, this schedule indicates that it is
not secured.

F. If neither of the types of collateral described above was pledged for this loan, or if the amount pledged does not equal or exceed
the loan amount, state the basis upon which this loan was made and the basis on which it assures repayment.

G. COMMITTEE TREASURER
Typed Name Marty Neilson
Signature
H.

DATE
M

11

20

2015

Attach a signed copy of the loan agreement.

I.

TO BE SIGNED BY THE LENDING INSTITUTION:

I. To the best of this institutions knowledge, the terms of the loan and other information regarding the extension of the loan
are accurate as stated above.
II. The loan was made on terms and conditions (including interest rate) no more favorable at the time than those imposed for
similar extensions of credit to other borrowers of comparable credit worthiness.
III. This institution is aware of the requirement that a loan must be made on a basis which assures repayment, and has
complied with the requirements set forth at 11 CFR 100.82 and 100.142 in making this loan.
AUTHORIZED REPRESENTATIVE
[Electronically Filed]
DATE
Typed Name Davis Butler
M
M
/
D
D
/
Y
Y
Y
Y
Signature Davis Butler
Title
12
2015
01
SVP
FE6AN026

FEC Schedule C-1 (Form 3X) Rev. 02/2003