8
Space Below For Office Use Only Colorado Secretary of State Elections Divi sion 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax : (303) 869-4861 Email : [email protected] www.sos .state.co.us REPORT OF CONTRIBUTIONS AND EXPENDITURES Article XXVIII of the Colorado Constitution and Tital I, Article 45 of the Colorado Revised Statute (C.R .S.) Full Name of Committee/Person: Committee to Elect Virge Owens s own n eg1strallon A Sh O R . Address of Committee/Person: 8531 W 71st CIR City, State & Zip Code: Arvada, CO 80004 Committee Type: Candidate Name and Address of Financial First Bank Institution 1 2 3 4 5 COMMITTEE ID NUMBER Type of Report I I Regularly Scheduled Filing. D Amended Filing. This amends previous report filed on (date) Submit changes or new information ONLY 183-3287144 D Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5) D Check this box if this Report Contains Electioneering Communications Information Reporting Period Covered:!,_ 1_/1_/2_0_1_9_-=--------~I Through ._19_11_8_/2_0_1_9 ___ =-----~ Date Date Declared Total Spending (if applicable) I $ [Art.XXVffl,Sec.4(1)) '-· ________ __, Totals Detailed Summary Page Funds on Hand at the Beginning of Reporting Period (monetary only) $0 Total Monetary Contributions (line 11) $9405 Total of Monetarv Contributions & Beginning Amount (line 1 + line 2) $9405 Total Monetary Expenditures (line 19) $7733.81 Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) $1671.19 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): I hereby certify and declare, under penalty of perjury, that to the best of my knowledge or belief all contributions received during this reporting period, including any contributions received in the form of membership dues transferred by a membership organization, are from permissible sources. . . Virg ~ ~wen~ Pnnt Registered Agent's Name: Registered Agent's Signature: / ~ -:=::::, If~ .-- Print Candidate Name: Virge Owe s ----:----7'-'------:: ;::;---==;;---==- ---- -=- """"' ::.,_ ____________ _ D 9/23/2019 ate: _____ _ Candidates Signature: 9/23/2019 Colorado Secretary of State Form Rev. 07/2016

City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

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Page 1: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Space Below For Office Use Only Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 dial 3 Fax: (303) 869-4861 Email: [email protected] www.sos.state.co.us

REPORT OF CONTRIBUTIONS AND EXPENDITURES Article XXVIII of the Colorado Constitution and Tital I, Article 45 of the Colorado Revised Statute (C.R.S.)

Full Name of Committee/Person: Committee to Elect Virge Owens s own n eg1strallon A Sh O R .

Address of Committee/Person: 8531 W 71st CIR

City, State & Zip Code: Arvada, CO 80004

Committee Type: Candidate

Name and Address of Financial First Bank Institution

1 2 3 4 5

COMMITTEE ID NUMBER

Type of Report

I ✓ I Regularly Scheduled Filing.

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

Submit changes or new information ONLY

183-3287144

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

D Check this box if this Report Contains Electioneering Communications Information

Reporting Period Covered:!,_ 1_/1_/2_0_1_9_-=--------~I Through ._19_11_8_/2_0_1_9 ___ =-----~ Date Date

Declared Total Spending (if applicable) I $ [Art.XXVffl,Sec.4(1)) '-· ________ __,

Totals Detailed Summary Page Funds on Hand at the Beginning of Reporting Period (monetary only) $0

Total Monetary Contributions (line 11) $9405

Total of Monetarv Contributions & Beginning Amount (line 1 + line 2) $9405

Total Monetary Expenditures (line 19) $7733.81

Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4) $1671.19

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): I hereby certify and declare, under penalty of perjury, that to the best of my knowledge or belief all contributions received during this reporting period, including any contributions received in the form of membership dues transferred by a membership organization, are from permissible sources.

. . Virg~ ~wen~ Pnnt Registered Agent's Name: ~

Registered Agent's Signature: / ~ -:=::::, If~ .--

Print Candidate Name: Virge Owe s ----:----7'-'------::;::;---==;;---==------=- """"'::.,_ ____________ _

D 9/23/2019 ate: _____ _

Candidates Signature: 9/23/2019

Colorado Secretary of State Form Rev. 07/2016

Page 2: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

DETAILED SUMMARY

Full Name of Committee/Person: Virge Owens --------------------------

Current Reporting Period: Through

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

6 Itemized Contributions $20 or More [C.R.S. l-45-IOS(l)(a)J (From Schedule "A")

$8264

7 Total of Non-Itemized Contributions $141 (Contributions of$19.99 and Less)

1000 8 Loans Received $

(From Schedule "C")

9 Total of Other Receipts $0 (Interest, Dividends, etc.)

10 Returned Expenditures (from recipient) $0 (From Schedule "D")

9405.00

11 Total Monetary Contributions $ (Total of lines 6 through 10)

12 Total Non-Monetary Contributions $0 (From Statement of Non-Monetary Contributions)

9405 13 Total Contributions $

(Line 11 + line 12)

14 Itemized Expenditures $20 or More [C.R.S. l-45-108(1)(a)] $7733.81 (From Schedule "B")

15 Total of Non-Itemized Expenditures $0 (Expenditures of $19.99 or Less)

Loan Repayments Made 0

16 $ (From Schedule "C")

17 Returned Contributions (To donor) $0 (Please list on Schedule "D")

18 Total Coordinated Non-Monetary (in-kind) Expenditures $0 (Candidate/Candidate Committee & Political Parties only)

7733.81 19 Total Monetary Expenditures $

(Total oflines 14 through I 7)

20 Total Spending (Line 18 + line 19)

7733.81 $

Colorado Secretary of State Form Rev. 07/2016

Page 3: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Schedule A -Itemized Contributions Statement ($20 or more) ]

Full Name of Committee/Person: I I WARNING: Please read the instruction page for Schedule "A" before completing!

PLEASE PRINTfl'YPE 1. Date Acce12ted

4 . Name (Last, First):

'\ --~(!_,,, 2. Contribution Amt. 5. Address: ~

$ 6. City/State/Zip: [b&(A_eJ--.erA

3. Aggregate Amt. * $ 7. Description:

8. Employer (if applicable, mandatory): W1

Check box if ctioneering 9. Occupation (if applicable, mandatory):

Communication

1. Date Acce12ted 4. Name (Last, First):

2. Contribution Amt. 5. Address:

$ 6. City/State/Zip:

3. Aggregate Amt. * $ 7. Description:

8. Employer (if applicable, mandatory): QC?eck b_ox if

9. Occupation (if applicable, mandatory): ctioneenng Communication

1. Date Acce12ted 4. Name (Last, First):

2. Contribution Amt. 5. Address:

$ 6. City/State/Zip:

3. Aggregate Amt. * $ 7. Description:

8. Employer (if applicable, mandatory): ~heck box if Electioneering 9. Occupation (if applicable, mandatory): Communication

1. Date Acce12ted 4. Name (Last, First):

2. Contribution Amt. 5. Address:

$ 6. City/State/Zip:

3. Aggregate Amt. * $ 7. Description:

8. Employer (if applicable, mandatory): Q;heck box if

tioneering 9. Occupation (if applicable, mandatory): Communication

* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVID, Sec. 2(6); Political Party Art. XXVID, Sec. 3(3); Political Committee Art. XXVID, Sec 3(5); Small Donor Committee Art. XXVID, Sec. 2(14).

Colorado Secretary of State Form Rev. 07/2016

Page 4: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Name Address City State Zip Employer Amount Date

Julius Uhlmann 2988 Hampton Cove Way Owens Cross AL 35763 Self Employed 200 3/19/2019

Gerry Marks 8250 Garland ST Arvada co 80005 Self Employed 100 3/30/2019

Derek Gabbard 397 Severncrest Dr. Millersville MD 21108 Retiired 500 3/25/2019

Rob Breisch 928 Burning Bush Point Monument co 80132 Trillium 25 3/26/2019

Brenda Snyder 3287 S Oneida Way Denver, CO Denver co 80224 Self Employed so 3/27/2019

Patrick Lynch 100 Park Ave W #SOS Denver co 80205 Redwood Financi; so 3/27/2019

Reid betzing 6568 W Oregon Ave Lakewood co 80232 City of Littleton 100 3/27/2019

Steven Berg 2315 S Gilpin St Denver co 80210 Self Employed 25 3/28/2019

Jason Friend 355 Hayes st San Francisco CA 94102 Self Employed 144 4/9/2019

mary wermers 2810 Leoti DR Colorado Springs co 80922 Retired so 4/15/2019

Kathryn Warrick 610 Carr St Lakewood co 80214 Retired 15 4/15/2019

Jeremy Lowell 26678 E Nova Auora co 80016 Fortified Data 500 4/16/2019

Gillian Mccarron 7728 Vance Drive Arvada co 80003 Self Employed 300 4/17/2019

Jon Girand 11970 W 67th Ave Arvada co 80004 Retired 100 4/18/2019

Linda Minnick 185 Spring Trace Roswell GA 30076 Self Employed 25 5/19/2019

Mike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019

James Whitfield PO Box 1065 Arvada co 80001 Self Employed so 7/12/2019

Robert perry 5893 Owens St Arvada co 80004 Retired 100 8/2/2019

Chris Mcgowne 9141 e mansfield ave Denver co 80237 Self Employed so 8/5/2019

Denise Mund 6560 Independence Way Arvada co 80004 Self Employed so 8/8/2019

Chistine Jensen 5660 Webster St. Arvada co 80002 Self Employed 100 8/25/2019

Remington Homes SF Superior 5740 Olde Wadsworth BLVD Arvada co 80004 500 5/23/2019

Remington Homes Company 5740 Olde Wadsworth BLVD Arvada co 80004 500 5/23/2019

Remington Homes at Candelas 5740 Olde Wadsworth BLVD Arvada co 80004 500 5/23/2019

Remington Homes of Colorado 5740 Olde Wadsworth BLVD Arvada co 80004 500 5/23/2019

John Sullivan 5916 Braun Way Arvada co 80004 Gartner Group 200 5/23/2019

Don Allard 9555 w 59th Ave Apt 148 Arvada co 80004 Retired 100 5/23/2019

Woodside Realty Company 5440 Ward Road Suite 230 Arvada co 80004 500 8/20/2019

John Bodnar 8415 Clara Belle DR Arvada co 80002 Self Employed 100 8/14/2019

Dick Henke 7147 Dudley DR Arvada co 80004 Retired 100 7/24/2019

Pete Kazura 8551 W 71st CIR Arvada co 80004 Doctor 200 8/20/2019

Christine Jenson 7543 Lupine CT Arvada co 80007 Self Employeed 100 5/23/2019

Trust Hall Insurance Services 7502 W 80th AVE Arvada co 80003 500 5/30/2019

RRCEA Two 7353 South Alton Way Suite 100 Centinnial co 80112 500 5/29/2019

Kenn Fellman 12659 W 84th Drive Arvada co 80005 Self Employed 250 6/6/2019

Homer Anderson 5645 Dudly DT Arvada co 80002 Retired 100 5/30/2019

Lorraine Anderson 5645 Dudly DT Arvada co 80002 Retired 100 5/30/2019

Douglass McGee 7275 W 62nd AVE Arvada co 80003 Retured 75 6/7/2019

Dave Figurski 7442 W 82nd Way Arvada co 80003 Engineer 100 5/30/2019

Vesta Miller 6191 Flower ST Arvada co 80004 Retired 20 5/28/2019

Patricia Connell 7545 Otis ST Arvada co 80003 Retired 80 8/20/2019

Richard Rodriguez 500 W. 123rd Ave #2924 Westminster co 80234 Enigneer 40 5/30/2019

Paula Langhorst 7286 W 79th DR Arvada co 80003 Retired 25 5/30/2019

Blain Corning 6248 Teller Arvada co 80003 GAF 40 5/30/2019

Mark Bishard 10452 W 77th PL Arvada co 80005 100 5/30/2019

Patricia Jehn 7878 McIntyre CT Arvada co 80007 Retired 200 8/27/2019

Page 5: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Ramona Richers

John Bilby

6238 W 63rd Pl

6238 W 63rd Pl

Arvada

Arvada

CO 80003 Retired

CO 80003 Retired

50 9/6/2019

50 9/6/2019

8264

Page 6: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Schedule B - Itemized Expenditures Statement ($20 or more) [1-45-108(l)(a), C.R.S.]

Full Name of Committee/Person: ...... C~o- ~_/Yl.~/~#~t_c __ rrv __ ~lit~( ~-~-c)_ ,_1_-<---___ , -=23~=----PLEASE PRINT/fYPE 1. Date Expended

4. Name:

2. Amount

,__$ ______ __, 6. City/State/Zip: ________________________ _ 3.Recipient is (optional):

1.

□committee ON on-Committee

Date Expended

2. Amount

$ 3.Recipient is (optional):

D Committee

D Non-Committee

1. Date Expended

2. Amount

$ 3.Recipient is (optional):

□committee ON on-Committee

1. Date Expended

2. Amount

$ 3.Recipient is (optional):

□committee ON on-Committee

1 Date Expended

2. Amount

$ 3.Recipient is (optional):

□committee Don-Committee

7. Purpose of Expenditure: _________________________ _

Llheck box if Electioneering Communication

4. Name:

5. Address:

6. City/State/Zip:

7. Purpose of Expenditure:

Gheck box if Electioneering Communication

4. Name:

5. Address:

6. City/State/Zip:

7. Purpose of Expenditure:

f°l2heck box if Electioneering Communication

4. Name:

5. Address:

6. City/State/Zip:

7. Purpose of Expenditure:

Gheck box if Electioneering Communication

4. Name:

5. Address:

6. City/State/Zip:

7. Purpose of Expenditure:

Qheck box if Electioneering Communication

Colorado Secretary of State Form Rev. 07/2016

Page 7: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Company Purpose Amount Date Electioneering Communication

Zazzle Inc. Supplies 46.49 4/19/2019

Office Depot Inc. Flyers 68.97 5/28/2019 X

Vistaprint Netherlands B.V. Flyers 234.24 8/5/2019 X

Wedlake Studios, Inc Images 500 8/9/2019

Office Depot Inc. Flyers 53.03 8/20/2019 X

PayPal Fees 83.29 9/29/2019

Vistaprint Netherlands B.V. Flyers 247.43 8/10/2019 X

Vistaprint Netherlands B.V. Flyers 60.66 8/10/2019 X

Facebook Advertising 5 4/29/3019 X

Facebook Advertising 25 5/28/2019 X

Mountain Media Media Services 1200 8/28/2019 X

BuildASign.com Signs 506.74 7/22/2019 X

BuildASign.com Signs 1020.27 4/22/2019 X

Word press website 13 3/11/2019 X

Word press website 96 3/11/2019 X

Cheap Printing Right Now Material 119 6/1/2019

Arvada Press Advertising 1997 8/30/2019

Office Max Printing and supplies 255.56 5/6/2019 X

Costco Planning and kickoff supplies 530.81 5/29/2019

Costco Planning and kickoff supplies 13.46 5/29/2019

Costco Planning and kickoff supplies 186.61 5/29/2019

Walmart Planning and kickoff supplies 74.25 5/30/2019

Marketology Printing 397 8/29/2019 X

Page 8: City of Arvada Regular Election/Owens 1st FCPA 2019.pdfMike Wilcox 8629 Gladiola Cir Arvada co 80005 Boulder Schools 200 6/6/2019 James Whitfield PO Box 1065 Arvada co 80001 Self Employed

Schedule C - Loans Candidate Committees only

. Virge Owens Full Name of Comm1ttee/Person: _______________________ _

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 information copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or for any commercial purpose. [Art. XXVIII, Sec. 9(e)] Notwithstanding any other section of this article to the contrary, a candidate's candidate committee may receive a loan from a financial institution organized under state or federal law if the loan bears the usual and customary interest rate, is made on a basis that

assures repayment, is evidenced by a written instrument, and is subject to a due date or amortization schedule [Art. XXVIII, Sec. 3(8)]

LOAN SOURCE Virge Owens

Name (Last, First or Institution):

8531 W 71 st CIR Address:--------------------------------

. Arvada CO 80004 City/State/Zip: ____________________________ _

1000 0 Original Amount of Loan: $ _________ _ Interest Rate:

1000 Loan Amount Received This Reporting Period: $ _____ _

0 Principal Amount Paid This Reporting Period: $ _____ _

$0

Interest Amount Paid This Reporting Period:

Amount Repaid This Reporting Period: $_0 _____ _

(Amount Repaid is sum of Principal & Interest entered on Detail Summary)

$ 1000

Outstanding Balance:

TERMS OF LOAN: 5/1/2019

Date Loan Received

Total of All Loans This Reporting Period: $ _1 o_o_o ____ _

(Place on line 8 of Detailed Summary Report)

0 Total Repayments Made: $ ___ _

(Sum of Schedule C pages, Place on line I 6 of Detailed Summary)

1/1/2030

Due Date for Final Payment

LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN

Full Name Address, City, State, Zip Amount Guaranteed

Colorado Secretary of State Form Rev. 07/2016