OFFICE OF THE CITY CLERK City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]Date Created: 8/7/2019 5:50:51 PM Page 1 of 36 Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019 CAMPAIGN STATEMENT REPORT OF CONTRIBUTIONS AND EXPENDITURES Name/Address of Committee’s Bank: Phone: 720-524-7332 Candidate’s E-mail: [email protected]Termination Report: False Filing ID: 626 Reporting Period: (Pre-Election) 90 Days Prior to Election Name of Committee: Mike for Mayor Issue: Election Date: 11/1/2019 Status: Submitted Candidate’s Name: Mike Coffman Office: Mayor Aurora, CO 80014 Address of Committee: 14044 E. Hampden Place Name: Quinn Evans I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of false, erroneous, or incomplete information may be subject to sanctions in accordance with City Code Section 54-133(h). Role: Treasurer Phone: 720-951-7284 Date: 8/7/2019 5:41:00 PM Email: [email protected]Address: PO Box 472704 Aurora 80047 6. Total In-kind Contributions (From Schedule D) $5,697.78 1. Funds on Hand at Beginning of Reporting Period $0.00 DETAILED SUMMARY OF REPORT 2. Total Contributions (From Schedule B) $439,640.00 5. Funds on Hand at End of Reporting Period (line 3 - line 4) $308,477.00 4. Total Expenditures (From Schedule C) $131,163.00 3. Total Receipts (add line 1 and 2) $439,640.00
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OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 1 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
CAMPAIGN STATEMENT REPORT OF CONTRIBUTIONS AND EXPENDITURES
Reporting Period: (Pre-Election) 90 Days Prior to Election
Name of Committee: Mike for Mayor Issue:
Election Date: 11/1/2019 Status: Submitted
Candidate’s Name: Mike Coffman Office: Mayor
Aurora, CO 80014
Address of Committee: 14044 E. Hampden Place
Name: Quinn Evans
I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of false, erroneous, or incomplete information may be subject to sanctions in accordance with City Code Section 54-133(h).
6. Total In-kind Contributions (From Schedule D) $5,697.78
1. Funds on Hand at Beginning of Reporting Period $0.00
DETAILED SUMMARY OF REPORT
2. Total Contributions (From Schedule B) $439,640.00
5. Funds on Hand at End of Reporting Period (line 3 - line 4) $308,477.00
4. Total Expenditures (From Schedule C) $131,163.00
3. Total Receipts (add line 1 and 2) $439,640.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 2 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
$0.00
9. TOTAL LOAN REPAYMENTS MADE THIS REPORTING PERIOD Total of line 4 of all loan pages. (Transfer to Schedule C, Line 2)
$0.00
8. TOTAL OF ALL NEW LOANS THIS REPORTING PERIOD Total of line 1 of all loan pages. (Transfer to Schedule B, Line 3)
$0.00
7. Due Date for Final Payment
6. Terms of Loan
5. Outstanding Balance (Line 1 minus 2)
Full Name Address, City, State, Zip Amount Guaranteed
LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN
4. Amount Repaid this Reporting Period (Add lines 2 and 3)
Full Name, Address, City, State, Zip Code of Loan Source
Original Amount of Loan
Interest Rate Date Loan Received
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. [City Code Section 54-133(g)(1)(c)]
Schedule ALOANS – Loans Owed by the Committee
2. Principal Amount Paid this Reporting Period
3. Interest Amount Paid this Reporting Period
1. Loan Amount Received this Reporting Period
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 3 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 4 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Charles and Judy McNeil 4956 South Filmore Ct Cherry Hills Village Colorado 80113
2/25/2019 $1,000.00
R2 Advisors LLC 1350 17th Street Ste 206 Denver CO 80202 2/22/2019 $1,500.00
Stephen Tebo P.O. Box T Boulder CO 80301 2/22/2019 $2,500.00
Joy and James Hoffman 5308 S Franklin Circle Greenwood Village Colorado 80121
2/25/2019 $250.00
Allan and Diana Heinle 8261 South Monaco Ct Centennial Colorado 80112
2/25/2019 $10,000.00
Tom Heule PO Box 8612 Breckenridge Colorado 80424 2/18/2019 $1,000.00
Top Rock LLC 1225 17th St. Ste 2440 Denver, CO 80202 2/18/2019 $15,000.00
LaFawn Biddle PO Box 101780 Denver, CO 80250 2/20/2019 $3,000.00
Don and Patty Cook 6644 East Powers Avenue Greenwood Village Colorado 80111
2/19/2019 $1,500.00
Rita Connerly 70 Falcon Hills Dr Littleton, CO 80126 2/5/2019 $1,000.00
Byron and Lisa Haselden 6950 S. Potomac Street Centennial CO 80112
2/21/2019 $2,500.00
Jay Davidson 8390 E. Crescent Parkway Ste 100 Greenwood Village Colorado 801112
2/16/2019 $250.00
Mark Johnson 7009 South Jordan Road Centennial, CO 80112
2/13/2019 $1,500.00
Anne and John Draper 9905 Whitetail Lane Littleton Colorado 80127 2/21/2019 $5,000.00
Eric Weissmann PO Box 20650 Boulder, CO 80308 2/21/2019 $250.00
Ed Haselden 6950 S. Potomac Street Centennial CO 80112
2/21/2019 $2,500.00
James and Laura Johnson 7 Lake Avenue Colorado Springs Colorado 80906
2/21/2019 $2,000.00
Aldis Sides PO Box 632313 Highlands Ranch CO 80163 2/20/2019 $250.00
Charles and Judy McNeil 4956 S Fillmore Court Cherry Hills Village, CO80113
2/20/2019 $500.00
Bill Wiggins 12809 E. Cornell Avenue Aurora CO 80014 2/20/2019 $500.00
Lynn Myers 2520 South Tuscon Way Aurora CO 80014 2/20/2019 $250.00
ITEMIZED CONTRIBUTIONS - $20.00 OR MORESchedule B
Name of Contributor Address Street, City, State, Zip Date Amount
List name and address of each person or organization that made a monetary contribution of $20.00 or more in this reporting period [City Code Section 54-133(d)]. Use additional pages as necessary.
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 5 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Ruth Prendergast 13850 E Marina Drive 107 Aurora CO 80014 3/6/2019 $64.00
Navin Dimond 2 Pond Road Cherry Hills Village Colorado 80113
3/6/2019 $2,500.00
Doak Jacoway 8055 East Tuffs Avenue Ste 1410 Denver 80237
3/6/2019 $150.00
Jim Ducker 7880 South Blackstone Pkwy Aurora CO 80016
3/4/2019 $250.00
Hai Bui 8358 W 62nd Place Arvada CO 80004 3/2/2019 $250.00
George K Garmer Jr 3089 South Vine Street Denver 80210 3/3/2019 $100.00
Philip and Nancy Anschutz 555 17th Street Ste 2400 Denver Colorado 80202
3/4/2019 $10,000.00
Mark Harding 5530 South Forest Lane Greenwood Village Colorado 80121
3/6/2019 $750.00
Earl Wright 2708 Castle Glen Drive Castle Rock Colorado 80108
3/6/2019 $2,000.00
David Mandarich 5353 W. Dartmouth Ave.Ste. 306 Denver CO 80227
3/7/2019 $2,500.00
Lynne Cottrell 2576 S Lansing Way Aurora Colorado 80014 2/27/2019 $100.00
Geri Adams 8101 E Dathmouth Ave Unit 55 Denver Colorado 80231
2/27/2019 $100.00
Hank and Nan Brown 470 Circle Drive Denver Colorado 80206 2/28/2019 $200.00
Hai and Michelle Bui 8358 West 62nd Place Arvada Colorado 80004
2/26/2019 $2,500.00
Paul Biederman 621 Sunrise Drive Golden Colorado 80401 2/26/2019 $1,000.00
Cathy Noon 7261South Chapparal Circle West Centennial Colorado 80016
2/26/2019 $300.00
Laura Leprino 219 Detroit Street Denver Colorado 80206 2/26/2019 $1,500.00
John and Ginger Graham 1108 N Lemay Avenue Fort Collins Colorado 80524
2/28/2019 $2,500.00
Gary and Mary Margarent Wright 950 Humbolt Street Denver Colorado 80218 2/28/2019 $1,500.00
Meyer Saltzman 1845 East Cedar Avenue Denver CO 80209 2/28/2019 $1,000.00
Wynne Shaw 7966 Witney Place Lone Tree Colorado 80124
3/2/2019 $64.00
Susan and Benson Stein 227 S. Syracuse Street Denver Colorado 20230
2/28/2019 $1,000.00
Barry Hirschfeld 150 So Bellaire Street Denver Colorado 80246
2/28/2019 $1,000.00
Bill Owens 1200 17th Street Suite 2400 Denver Colorado 80202
2/28/2019 $500.00
James and Karen Possehl 11 Canon Place Greenwood Village Colorado 80111
2/28/2019 $1,500.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 6 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Mikkel Anderson 13880 E Progress Way Aurora Colorado 80015
3/14/2019 $250.00
June Robinson 13691 East Marina Drive Aurora CO 80014 3/14/2019 $100.00
Karl Stecher 4013 South Carson Street Unit B Aurora Colorado 80014
3/14/2019 $100.00
Merry Snyder 6832 South Downing Circle East Centennial Colorado 80122
3/13/2019 $64.00
Norm Franke 5230 Rialto Drive Parker CO 80134 3/14/2019 $1,500.00
Kathleen Sgamma 1700 Bassettt Street Unit 1613 Denver Colorado 80202
3/14/2019 $300.00
Anne Mounsey 2155 East Hawthorne Place Denver Colorado 80206-4116
3/12/2019 $1,000.00
Charles Brega 4501 S Vine Way Englewood Colorado 80113 3/9/2019 $1,000.00
Rita Hyland 7272 South Sherman Street Centennial CO 80122
3/8/2019 $100.00
Sharon Evans 5701 South Jasmine Street Greenwood Village CO 80111
3/9/2019 $100.00
Benson Mineral Group 1560 Broadway Ste 1900 Denver Colorado 80202
3/9/2019 $5,000.00
Adrienne and Robert Hanagan 12300 W Alabama Place Lakewood Colorado 80228
3/8/2019 $100.00
William Wiggins 12809 East Conrell Avenue Aurora Denver CO 80014
3/7/2019 $100.00
Mike and Gail Shea 17908 East Berry Drive Centennial CO 80015 3/8/2019 $100.00
Sandra Walling 8405 S Pebble Creek Way No. 102 Highlands Ranch Colorado 80126
3/8/2019 $50.00
Lily Shen 7581 South Emerson Circle Centennial Colorado 80122
3/11/2019 $64.00
Alan Li 8651 East Duke Place Denver Colorado 80231
3/11/2019 $64.00
Paul Biederman 621 Sunrise Drive Golden Colorado 80401 3/11/2019 $250.00
Ralph Christie 10695 Featherwalk Lane Littleton Colorado 80126
3/11/2019 $250.00
Richard Bowman 5368 South Harvest Way Aurora Colorado 80016
3/11/2019 $100.00
Richard Harris 1125 Seventeeth Street Suite 450 Denver Colorado 80202
3/10/2019 $350.00
RAL Holdings, LLC 8301 E. Prentice Ave Ste 100 Greenwood Village Colorado 80111
3/11/2019 $25,000.00
Joneen Mackenzie 10427 East Dorado Place Greenwood Village Colorado 80111
3/11/2019 $100.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 7 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Scott Stewart 1801 Broadway 200 Denver Colorado 80202 3/15/2019 $1,000.00
Jonathan McMaster 5605 S Bannock Street Apt 201 Littleton CO 80120-1727
3/15/2019 $5.00
Jerel McElroy 2340 South ADams Street Denver CO 80210 3/15/2019 $64.00
Bob Frelinger 4828 South Granby Street Aurora Colorado 80015
3/15/2019 $50.00
Gary Baird 1650 S. Kendall Street Lakewood Colorado 80232
3/15/2019 $25.00
Theron Sims PO Box 31 Edwards Colorado 81632 3/15/2019 $25.00
Stephen Schmeltekopf 8652 East 54th Ave Denver Colorado 80238 3/15/2019 $500.00
Dong Shin 6023 South Ironton Court Englewood Colorado 80111
3/15/2019 $100.00
Coy Ritchie 4198 S Kirk Ct Aurora CO 80013 3/15/2019 $100.00
Norwood Robb 1519 E. Maplewood Ct Centennial Colorado 80121
3/15/2019 $100.00
American Furniture Warehouse 8545 Cove Ct. Lone Tree Colorado 80124 3/14/2019 $1,000.00
David Lewis 2550 S Kendall Street Denver Colorado 80235
3/14/2019 $25.00
Lily Shen 7581 South Emerson Circle Centennial Colorado 80122
3/14/2019 $100.00
Brian Hamilton 12 Mockingbird Lane Englewood CO 80113 3/14/2019 $2,500.00
Keith and Kathy Finger 5050 El Camion Drive Cerry Hills Village Colorado 80111
3/14/2019 $500.00
Steve and Susan Halstedt 1717 E Stanford Ave Englewood Colorado 80113
3/14/2019 $500.00
Patrick Grant 106 South University Blvd Denver Colorado 80209
3/14/2019 $250.00
Nien-Tzu Tan 22645 East Freemont Place Aurora Colorado 80016
3/15/2019 $64.00
Donna Godfrey 16853 East Harvard Avenue Aurora CO 80013
3/15/2019 $25.00
Dona Troyer 10532 West Lehigh Avenue Lakewood CO 80235
3/15/2019 $100.00
Elsie Lacy 16397 Sheriden Drive Parker CO 80134 3/15/2019 $100.00
Weizhi Chen 36 Royal Ann Drive Greenwood Village CO 80111
7/17/2019 $60.00
Evergreen Fund 2851 S Parker Road Ste 1060 Aurora CO 80014
7/17/2019 $30.00
Lishi Chu 9639 W Cambridge Place Littleton CO 80127 7/17/2019 $30.00
Qin Zhou 12769 W Dakota Ave Lakewood CO 80228 7/17/2019 $60.00
Fikru Ayele 11777 E Harvard Ave Aurora CO 80014 7/17/2019 $100.00
Kindie Setegne 22465 E Layton Court Aurora CO 80015 7/17/2019 $50.00
Nebiyu Ausfaw 13968 E 106th Place Commerce City CO 80022
7/17/2019 $1,500.00
Dawit Beyene 5992 South Tibet Street Aurora CO 80015 7/17/2019 $100.00
Aberra Molla 10145 E 143rd Way Brighton Colorado 80602 7/17/2019 $300.00
Molla Gebeyehu 3826 S Kalispell Street Aurora CO 80013 7/17/2019 $100.00
Yalemwork Tekola 752 Helena Street Aurora CO 80011 7/17/2019 $300.00
Azeb and Merib Seifu 5135 Lisbon Street Denver CO 80249 7/17/2019 $50.00
Mekuanint Mekuria 200 Rampart Way #376 Denver CO 80230 7/17/2019 $50.00
Rubiao Yang 21239 E Bellewood Drive Centennial CO 80015
7/17/2019 $30.00
Bin Xu 6350 S Ouray Street Aurora CO 80016 7/17/2019 $30.00
Jun Zhou 20453 Layton Ave Aurora CO 80015 7/17/2019 $30.00
Zhijan Yu 10613 W Ontario Ave Littleton CO 80127 7/17/2019 $60.00
Xuezhong Wang 10285 S Charissglen Circle Highlands Ranch CO 80126
7/17/2019 $30.00
James Griesemer 2101 E. 7th Avenue Pkwy Denver CO 80206 7/17/2019 $1,500.00
Wenxin Wu 14 Berkshire Street Worcester MA 1609 7/17/2019 $60.00
Xhuoqun Wang 3755 Buchtel Blvd Apt 205 Denver CO 80210 7/17/2019 $60.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 25 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Dan Fischer 12510 E Liff Ave Ste 300 Aurora CO 80014 7/19/2019 $100.00
Ha Ho 1536 S Richfield Way Aurora CO 80017 7/19/2019 $100.00
Wayne and Diana Murdy 3737 South Gilpin Street Cherry Hills Village CO 80113
7/19/2019 $500.00
Craig Brown 1601 E 19th Ave. 6300 Denver CO 80128 7/19/2019 $100.00
Karen and James Fraser-Dyer 1180 Havana Street Aurora CO 80010 7/19/2019 $25.00
Dennis Reuss 1950 S Dayton Street Apt 334 Aurora 80247 7/19/2019 $50.00
Chin Nguyen 1424 S Peoria Ct Aurora CO 80012 7/19/2019 $20.00
Donald and Susan Biesecker 575 Troy Street Aurora CO 80011 7/19/2019 $250.00
William Cox 1900 E Girard Place Englewood CO 80113 7/19/2019 $100.00
Robert and Johnna Barrows 6379 S Netherlands Circle Centennial CO 80016
7/19/2019 $50.00
John and Deborah Dingess 15453 E Grand Ave Aurora CO 80015 7/19/2019 $200.00
Gouping Liu 10112 Brady Place Highlands Ranch CO 80130
7/17/2019 $200.00
Zongking Li 12008 E Ida Circle Englewood CO 80014 7/17/2019 $30.00
Todd and Diane Rapue 130 E Geddes Ave Centennial CO 80122 7/17/2019 $30.00
Xing Liu 5248 S Granby Ct Aurora CO 80015 7/17/2019 $30.00
Xiaoniu Guo 9241 Bauer Ct. Lone Tree CO 80124 7/17/2019 $60.00
Wanning Feng 6257 S Jamaica Ct Englewood Colorado 80111
7/17/2019 $150.00
Ying Jin 15594 E Prentice Drive Centennial CO 80015 7/17/2019 $60.00
Jun Huang 14988 W Warren Ave Lakewood CO 80228 7/17/2019 $60.00
Ai Tang 20717 E Caley Place Aurora CO 80016 7/17/2019 $30.00
Joseph Smith 505 Circle Drive Denver CO 80206 7/18/2019 $500.00
David Mandarich 5353 W. Dartmouth Ave. Ste 306 Denver CO 80227
7/18/2019 $1,000.00
Linda and John Kimble 22915 E Clifton Place Aurora CO 80016 7/19/2019 $50.00
LaFawn Biddle P.O. Box 101780 Denver CO 80250 7/19/2019 $7,000.00
Barry Farah 9735 Brassie Court Colorado Springs CO 80920
7/18/2019 $1,000.00
David Lueders 5191 S Williams Drive Greenwood Village CO 80121
7/18/2019 $150.00
Louis Dupart 1146 19th Street Ste 350 Washington D.C. 20036
7/18/2019 $500.00
Greg Maffei 4175 South Humboldt Street Englewood CO 80113
7/18/2019 $1,000.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 26 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Edward Hurry 1067 S Race Street Denver CO 80209 7/26/2019 $250.00
Frank Whiteman 956 Wheeling Street Aurora CO 80011 7/26/2019 $200.00
Timothy Travis 4800 York Street PO Box 16405 7/26/2019 $1,000.00
James Neumann 18971 E Costilla Place Centennial CO 80016 7/26/2019 $350.00
Mary McKeever 2531 S Olathe Way Aurora CO 80013 7/26/2019 $40.00
John Cicchetti 3050 S Norfolk Street Auroa CO 80013 7/26/2019 $25.00
Carol Taylor 21932 E Canyon Place Aurora CO 80016 7/26/2019 $50.00
Dennis Greene 12469 Harvard Drive Denver CO 80014 7/26/2019 $25.00
Charles Kikumoto 4890 E Perry Pkwy Greenwood VIllago CO 80121
7/26/2019 $300.00
Laurence Donovan 90 Cherry Street Denver CO 80220 7/26/2019 $350.00
John Fox 3033 E 1st Avenue #400 Denver CO 80206 7/26/2019 $3,000.00
Bobby Kimble 12331 E Arkansas Ave Aurora CO 80012 7/26/2019 $200.00
Jonathan Gear 5804 E Powers Ave Greenwood Village CO 80111
7/26/2019 $250.00
Stephanie Levert 7867 S Valleyhead Way Aurora CO 80016 7/26/2019 $100.00
Meyer Saltzman 1845 E Cedar Avenue Denver CO 80209 7/22/2019 $500.00
Alice Fairey 15799 E Monmouth Place Aurora CO 80015 7/22/2019 $200.00
Pete Kirchhof 23783 E Hinsdale Place Aurora CO 80016 7/23/2019 $200.00
Michael Sheldon 8400 E Crescent Pkwy Ste 682 Greenwood Village CO 80111
7/22/2019 $250.00
David Barber 10891 E Lliff Place Aurora CO 80014 7/19/2019 $200.00
Kyle Hybl 3740 Hill Drive Colorado Springs CO 80906 7/19/2019 $75.00
Doug Ferraro 7797 Edgewater Court Lone Tree CO 80124 7/19/2019 $100.00
Heidi Ganahl 9511 Silent Hills Lane Lone Tree CO 80124 7/19/2019 $500.00
Bill Pauls 100 Saint Paul Street Denver CO 80206 7/23/2019 $1,000.00
Louis Surles 1540 S Goldbug Circle Aurora CO 80018 7/26/2019 $5.00
Terry Shroyer 11164 E Baltic Place Aurora CO 80014 7/26/2019 $10.00
Rosalie Einspahr 13840 E Hampden Place Aurora CO 80014 7/26/2019 $40.00
David and Barbara Weaver 4805 S Joplin Street Aurora CO 80015 7/26/2019 $1,000.00
Jeffery Uscier 8224 S Winnipeg Ct Aurora CO 80016 7/25/2019 $200.00
Jim Sanderson 105 Albion Street Denver CO 80220 7/24/2019 $350.00
Craig Woods 735 S Laredo Circle Aurora CO 80017 7/26/2019 $25.00
Donald Riebe PO Box 370492 Denver CO 80237 7/26/2019 $100.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 27 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Orville Hinerman 14062 Denver W Pkwy Suite 110 Golden CO 80401
7/26/2019 $500.00
Randy Hertel 33 Viking Drive Cherry Hills Village CO 80113 7/26/2019 $250.00
Gary Meggison 11284 W Asbury Ave Lakewood CO 80227 7/26/2019 $100.00
Associated General Contractors 1114 W. 7th Ave Suite 200 Denver CO 80204 7/26/2019 $1,000.00
Hien Do 11651 E Colorado Drive Aurora CO 80010 7/26/2019 $200.00
Hoathiong Thich Trivien 2050 Clinton Street 7/26/2019 $25.00
Nathan Cooper 1114 W 7th Ave Suite 250 Denver CO 80204 7/26/2019 $500.00
Sum Nguyen 4746 S Netherland St Centennial CO 80015 7/26/2019 $25.00
CAMPC 1391 Speer Blvd Suite 450 Denver CO 80204 7/26/2019 $1,000.00
William Cox 1900 E Girard Place Suite 804 Englewood CO 80113
7/26/2019 $125.00
Toan Long Tran 10330 S Royal Eagle Street Highlands Ranch CO 80126
7/26/2019 $50.00
Jolin Vargas 11364 Waldorf Court Parker CO 80134 7/26/2019 $40.00
Byron Elliott 10820 Unity Pkwy Commerce City CO 80022 7/26/2019 $100.00
Aldis Sides 8974 Hunters Way Highlands Ranch CO 80129
7/26/2019 $500.00
Brett Moore 4514 E Louisiana Ave Denver CO 80264 7/26/2019 $150.00
Mike Rosser 12478 E Amherst Ct Aurora CO 80015 7/26/2019 $150.00
Faye Salvatore 18561 E Radcliff Place Aurora CO 80015 7/26/2019 $10.00
Joan Braun 7884 S Argonne Ct Centennial CO 80016 7/26/2019 $50.00
Mary Link 12809 E Cornell Ave 7/26/2019 $200.00
Wendy Miles 2225 S Tucson Way Aurora CO 80014 7/26/2019 $100.00
Thiensa Nguyen 1301 S Blackhawk Way Aurora CO 80012 7/26/2019 $140.00
Thomas Ashburn 40004 S Sable Way Aurora CO 80014 7/26/2019 $100.00
San Antonio Medical Center 1701 S Federal Blvd Unit D Denver CO 80219
7/26/2019 $200.00
Tuyet-Trinh Nguyen 3200 Scantron St Aurora CO 80111 7/26/2019 $150.00
CVL Consultants of Colorado, Inc 10333 E Dry Creek Road Suite 240 Englewood CO 80112
7/26/2019 $1,000.00
Rita Rippetoe 14501 E Crestline Dr #150 Aurora CO 80015 7/26/2019 $500.00
Arapahoe Leadership Fund 5920 S Akron Circle Greenwood Village 80111
7/26/2019 $100.00
ACP DIA1287 Investors LLC 4530 E Shea Blvd Suite 100 Phoenix AZ 85028
7/26/2019 $1,000.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 28 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Todd Maul 2600 High Prarie Way Broomfield CO 80023 7/26/2019 $250.00
Alan Philip 403 S Reed Ct Lakewood CO 80226 7/26/2019 $200.00
Affordable Concrete LLC 9725 E Hampden Ave Suite 100 Denver CO 80231
7/26/2019 $200.00
Bruce Johnson 6035 E 17th Avenue Pkwy Denver CO 80220 7/26/2019 $500.00
CJ Minor 2874 S Joplin Ct Aurora CO 80013 7/26/2019 $15.00
Joseph Vellinga 21600 otero Place Aurora CO 80016 7/26/2019 $25.00
Carla Hoffschneider 3824 S Uravan St Aurora CO 80013 7/26/2019 $100.00
Sherman Mayle 1821 S Dunkirk Street #206 Aurora CO 80017
7/26/2019 $50.00
Ron Rakowski 41 Coral Place Greenwood Village CO 80111 7/30/2019 $100.00
John Dybala 2114 Sterling Green Drive Morrisville, NC 27560
7/27/2019 $10.00
James Andrews 13801 E Yale Ave Unit G06 Aurora CO 80014 7/30/2019 $25.00
Ruth Pendergast 13850 E Marina Drive Apt 107 Aurora CO 80014
7/26/2019 $50.00
Lee Weinstein 160 Jersey Street Denver CO 80220 7/26/2019 $500.00
Tom Kim 1350 17th Street Suite 210 Denver CO 80202 7/26/2019 $1,000.00
Mark Wallace 62 Fairway Lane Littleton CO 80123 7/26/2019 $500.00
George Tracy 17 Maryland Road Colorado Springs CO 80906
7/26/2019 $250.00
Harold Smethills 8155 Piney River Ave Suite 200 Littleton CO 80725
7/26/2019 $1,000.00
William Cox 1900 E Girard Place Suite 804 Englewood CO 80113
7/26/2019 $125.00
Gary Wright 950 Humboldt Street Denver CO 80218 7/26/2019 $1,000.00
Kevin Keltey 2200 Creekside Point Littleton CO 80129 7/26/2019 $100.00
D.D. Bartlett 701 E Hampden Ave Englewood CO 80113 7/26/2019 $150.00
Kent Holsinger 891 14th Street Unit 1009 Denver CO 80202 7/26/2019 $250.00
Bradley Pierce 4804 S eagle Circle Aurora CO 80015 7/26/2019 $100.00
Kelsey Alexander 2075 Marlin Way Castle Rock CO 80109 7/26/2019 $250.00
Marcy Benson 1133 Race Street Unit 14 S Denver CO 80206
7/26/2019 $2,000.00
Dennis and Judy McCormick 334 Ivy Street Denver CO 80220 7/26/2019 $350.00
Richard Right 31 Cherry Lane Drive Englewood CO 80113 7/26/2019 $350.00
Wayne Hutchens 400 S Steele Street #45 Denver CO 80209 7/26/2019 $350.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 29 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Raynoad Mascareal 6687 Cabin Creek Drive Colorado Springs CO 80923
8/1/2019 $20.00
Ranganatha Vinjamuri 6566 S Rifle Way Aurora CO 80016 8/1/2019 $20.00
Krishna Kastury 26061 E Orchard Drive Aurora CO 80016 8/1/2019 $20.00
M Raju ravada 10552 Applebrook Circle Highlands Ranch CO 80130
8/1/2019 $100.00
Vimal Andrews 25660 E Hoover Place Aurora CO 80016 8/1/2019 $60.00
Sriniua Cheela 24344 E Glasgow Circle Aurora CO 80016 8/1/2019 $40.00
Kiran Ganuthula 6225 S Ider Way Aurora CO 80016 8/1/2019 $20.00
Ramana Kookuntla 6393 S Salida Street Aurora CO 80016 8/1/2019 $20.00
Rajesh Acarwal 16149 E Aberdeen Avenue Centennial CO 80016
8/1/2019 $20.00
Syama Reddy 78 Cherryhills Farm Drive Englewood CO 80113
8/1/2019 $500.00
Vasa Killansetty 16843 E Euclio Place Aurora CO 80016 8/1/2019 $20.00
Venugopaorado Mudigonda 9814 Stonebriar Lane Parker CO 80134 8/1/2019 $50.00
Jim Peif PO Box 2027 Breckenridge CO 80424 7/31/2019 $20.00
Bill Gregory 1227 S Kramer Ct Aurora, CO 80012 7/30/2019 $200.00
Ed Novak 1900 E Girard Place Englewood CO 80113 7/31/2019 $50.00
Michael Mattis 1662 S Vaughn Street Aurora CO 80012 7/31/2019 $10.00
Michael Hopkins 16172 E Mercer Circle Aurora CO 80013 7/30/2019 $25.00
Joy Hoffman 5308 S Franklin Circle Greenwood Village CO 80121
7/30/2019 $500.00
Daniel Frank 7400 E Orchard Rd Ste. 290-S Greenwood Village, CO 80111
7/30/2019 $1,000.00
Don Kwitek 1061 Velley View Drive Canon City CO 80121 7/30/2019 $20.00
Galen Garrison 9732 E Hawaii Place Aurora CO 80247 7/31/2019 $10.00
Zahid Kamraal 3215 S Kirk Way Aurora CO 80013 8/1/2019 $100.00
Sreedhar Donthula 16133 E Maplewood Place Centennial CO 80016
8/1/2019 $100.00
Nirav Shay 15526 E Powers Drive Centennial CO 80015 8/1/2019 $20.00
Praboda Gupta 5245 S Hanover Way Englewood CO 80111 8/1/2019 $20.00
David Merage 18 Inverness Place East Englewood CO 80112
7/31/2019 $500.00
Virginia Lewis 2781 S Xanadu Way Aurora CO 80014 7/31/2019 $30.00
Sridhar Talanki 16082 E Aberdeen Ave Centennial CO 80016 8/1/2019 $500.00
Natli VanDerWerken 1505 South Norfolk Street Aurora CO 80017 7/31/2019 $25.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 30 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
L Lu 11916 E Lake Cicle Greenwood Village CO 80111
8/6/2019 $100.00
CT Blickensderfer 3895 Telluride Place Boulder CO 80305 8/6/2019 $20.00
Aschalew Agonafer 5521 Lewiston Court Denver CO 80239 8/6/2019 $100.00
Girum Alemayehu 18680 E Illiff Ave Aurora CO 80013 8/6/2019 $400.00
Sossena Dagne 11777 E Harvard Ave Aurora CO 80014 8/6/2019 $600.00
Tarakegne Kassa 6055 S Sicily Way Centennial CO 80015 8/6/2019 $420.00
Fisseha Admase 2029 Espana Way Aurora CO 80111 8/6/2019 $40.00
Girma Tilahun 21171 Randolph Place Denver CO 80249 8/6/2019 $400.00
Kaihua Song 3209 Lynwood Ave Highlands Ranch CO 80126
8/6/2019 $25.00
Andy Zhao 16324 Roan Court Parker CO 80134 8/6/2019 $30.00
Jianhui Shen 17607 E Euclid Ave Aurora CO 80016 8/6/2019 $30.00
Ling Ma 10203 E Crestridge Ct Englewood CO 80111 8/6/2019 $55.00
Tao Chen 9250 E Chenango Ave Greenwood Village CO 80111
8/6/2019 $30.00
Wendy Miles 2225 S Tuscon Way Aurora CO 80014 8/2/2019 $100.00
Susan Knapp 18658 E Long Avenue Centennial CO 80016 8/2/2019 $200.00
William Thompson 12897 E Arkansas Drive Aurora CO 80012 8/2/2019 $100.00
John Mork 4100 E Mansfield Ave Englewood CO 80113 8/2/2019 $1,000.00
James Alspaugh 1359 S Kramer Court Aurora CO 80012 8/2/2019 $50.00
Richard Frank 7400 E Orchard Road #290 South Greenwood Village CO 80111
8/2/2019 $1,250.00
Robert Culbertson 6447 S Potomac Ct Centennial CO 80111 8/2/2019 $50.00
James Bobick 15755 E Chenango Ave Aurora CO 80015 8/2/2019 $50.00
Pin Zheng 2662 Valentina Street Denver CO 80238 8/6/2019 $800.00
Huiliang Liu 9750 S Newcastle Drive Highlands Racnch CO 80130
8/6/2019 $30.00
Alan Li 8651 E Duke Place Denver CO 80231 8/6/2019 $50.00
Merid Seifu 5135 Lisbon Street Denver CO 80249 8/6/2019 $60.00
Fang Zhang 9552 E Calay Circle Englewood CO 80111 8/6/2019 $100.00
Hongjun Zhang 6170 S Newark Way Englewood CO 80111 8/6/2019 $500.00
Yu Tai Guo PO Box 221748 Denver CO 80222 8/6/2019 $500.00
Xiuhua Ye 6304 S Geneva Circle Englewood CO 80111 8/6/2019 $50.00
Eric Stoltz 2952 S Newport Street Denver CO 80224 8/6/2019 $200.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 31 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
George Smith 10175 E Colorado Ave Denver CO 80247 8/7/2019 $25.00
CarlGail 13950 E Oxford Place Apt B112Aurora CO 80014
8/7/2019 $250.00
Rockies Spirits 17766 E Cloudberry Drive Parker CO 80134 8/7/2019 $100.00
Susan Sandstrom 12660 E Bates Circle Aurora CO 80014 8/7/2019 $100.00
George Donovan 23351 E Rockinghorse Pkwy Aurora CO 80016
8/7/2019 $25.00
Stephen Galer 2587 S Eagle Circle Aurora CO 80014 8/7/2019 $25.00
Louise Niekerk 20137 East Dartmouth Drive 8/7/2019 $100.00
Colorado Contractors Association 6880 S Yosemite Ct #200 Centennial CO 80112
8/7/2019 $1,000.00
Douglas Diehl 2587 S Eagle Circle Aurora CO 80014 8/7/2019 $25.00
Sky 1 Auto 3650 Fraser St Suite C Aurora CO 80111 8/7/2019 $500.00
Josephine S DeGala 19416 E Nassau Drive Aurora CO 80013 8/6/2019 $100.00
Constance Russell 3237 Summer Wind Lane Apt 1205 Highlands Ranch CO 80129
8/6/2019 $25.00
Freddy He 10786 Montrale Circle Highlands Ranch CO 8/6/2019 $55.00
Lily Shen 7581 S Emerson Circle Centennial CO 80122 8/6/2019 $500.00
Frank Taylor 7019 S. Buchanan St. Aurora CO 80016 8/6/2019 $25.00
Charles Fox 25234 E Davies Dr Aurora CO 80016 8/6/2019 $5.00
Banfield Smith 14613 E Atlantic Drive Aurora CO 80014 8/7/2019 $10.00
Cody Gertz 2758 West Greens Drive Littleton CO 80123 8/6/2019 $200.00
Patrick Bush 2035 South Kenton Court Aurora CO 80014 8/6/2019 $50.00
3. Total Amount of New Loans to Campaign this Reporting Period (From Schedule A) $0.00
4. TOTAL CONTRIBUTIONS THIS REPORT (add lines 1-3) (Transfer to page 1, line 2)
$439,640.00
2. Total Non-itemized Contributions (Currency and checks less than $20.00) $0.00
1. Total Itemized Contributions (Total of above and any additional pages) $439,640.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 32 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Brown Paper Tickets 220 Nickerson Street Seattle WA 98109 4/19/2019 Event Fee $64.08
New Bridge 17145 W 62nd Cir Arvada CO 80202 4/10/2019 Polling $29,500.00
Red Maverick Media 104 N 19th St Richmond VA 23223 4/10/2019 Website design and hosting
$5,100.00
VistaPrint 275 Wyman St Waltham MA 02451 4/10/2019 Business Cards $46.11
Starboard Group 4950 S Yosemite Street F2 314 Greenwood Village CO 80111
4/10/2019 Retainer, Commission, and Reimbursements
$8,270.06
Starboard Group 4950 S Yosemite Street F2 314 Greenwood Village, CO 80111
3/15/2019 Retainer and Commission
$4,352.75
The Bent Fork 12191 E Iliff Aurora CO 80016 2/27/2019 Event Expenses $361.44
King Soopers 4910 S Yosemite St Greenwood Village, CO 80111
3/18/2019 Event Supplies $4.38
King Soopers 4910 S Yosemite St Greenwood Village, CO 80111
3/18/2019 Event Supplies $67.66
Great Western Printing 303 Airport Blvd Suite 110 Aurora CO 80011
8/5/2016 Printing $554.00
Maven Law Glenarm Place Denver CO 80202 4/10/2019 Legal Services $682.50
First Bank 8901 E Hampden Avenue Denver, CO 80231
2/21/2019 Checks $16.95
Verizon 180WVB, Baskin Ridge, NJ 07920 3/2/2018 Phone Bill $113.27
Glenmoor Country Club 110 Glenmoor Dr. Englewood, CO 80113
4/9/2019 Event Fee $40.00
Verizon 180WVB Basking Ridge NJ 07920 4/5/2019 Phone Bill $87.19
Aurora Ogg PO Box 2036 Littleton CO 80161 4/10/2019 Milage Reimbursements $358.00
Aurora Ogg PO Box 2036 Littleton CO 80161 4/10/2019 Consultant $6,000.00
The UPS Store 4950 S Yosemite Street F2 Greenwood Village, CO 80111
3/27/2019 Stamps $255.00
GQUE BBQ Lone Tree 8433 Park Meadows Center Dr. Suite 143B Lone Tree, CO 80124
3/18/2019 Event Expenses $935.34
NAACP Freedom Fund PO Box 990727 Naples FL 34116 4/4/2019 Event Ticket $103.58
Constant Contact 1601 Trapelo Rd Waltham MA 02451 4/1/2019 Email System $295.00
ITEMIZED EXPENDITURESSchedule C
Name Address Street, City, State, Zip Date Purpose of Expenditure Amount
List the name and address of each person or organization to whom expenditures have been made by or on behalf of the candidate or issue committee in this reporting period. Use additional pages as necessary.
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 33 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Wizbang Solutions 6747 E 50th Ave Commerce City, CO 80022
6/4/2019 Printing and Text Set Up $898.01
Office Depot 2730 S Colorado Blvd University Shopping Center, Denver CO 80222
All Seasons Rental 2157 S Havana St Aurora CO 80014 7/18/2019 Event Chairs, Tables, and Tent Rentals
$503.02
Constant Contact 1601 Trapelo Rd Waltham MA 02451 7/20/2019 Email System $295.00
EATopia 1030 Havana St Unit B Aurora CO 80010
7/24/2019 Catering for event $1,320.00
Office Depot 2730 S Colorado Blvd University Shopping Center, Denver Co 80222
6/6/2019 Letterhead for Handwritten Notes
$37.87
Eatopia Bar and Restaurant
1030 Havana St Unit B Aurora CO 80010
6/6/2019 Venue deposit for event $300.00
Cherry Creek Republican Women
2945 S Moline Place Aurora, CO 80014 6/21/2019 Advertisement $100.00
Starboard Group 4950 S Yosemite St F2 314 Greenwood Village CO 80111
6/6/2019 Retainer, Commission, and Reimbursement
$6,568.32
Aurora Ogg PO Box 2036 Littleton CO 80161 6/6/2019 Mileage Reimbursement $361.00
Aurora Ogg PO Box 2036 Littleton CO 80161 6/6/2019 Event Supplies $35.32
Office Depot 2730 S Colorado Blvd University Shopping Center, Denver, CO 80222
6/28/2019 Pens and letterhead $37.89
Starboard Group 4950 S Yosemite St. F2 314 Greenwood Village, CO 80111
7/1/2019 Retainer and Commission
$3,943.50
Starboard Group 4950 S Yosemite St. F2 314 Greenwood Village, CO 80111
7/1/2019 Reimbursements Office Max
$245.61
Aurora Ogg PO Box 2036 Littleton CO 80161 7/1/2019 Consultant $6,000.00
Constant Contact 1601 Trapelo Rd Waltham MA 02451 6/30/2019 Email System $295.00
VistaPrint 275 Wyman St., Walham, MA 02451 6/30/2019 Business Cards $83.23
Office Depot 2730 S Colorado Blvd University Shopping Center, Denver, CO 80222
6/30/2019 Stamps and envelopes $400.76
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 35 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Anedot 1920 McKinney Ave 7th Floor Dallas TX 7521
8/7/2019 Online Transaction Fees $4,952.67
2. Total Loan Repayments this Reporting Period (From Schedule A) $0.00
3. Total Expenditures (Add lines 1 and 2) (Transfer amount to page 1, line 4) $131,163.00
1. Total Itemized Expenditures (Total of above and additional pages) $131,163.00
OFFICE OF THE CITY CLERK
City of Aurora 15151 East Alameda Parkway, Suite 1400 Aurora, Colorado 80012 303-739-7094 [email protected]
Date Created: 8/7/2019 5:50:51 PM Page 36 of 36
Mike for Mayor | [email protected] | (Pre-Election) 90 Days Prior to Election | 11/1/2019
Colorado Association of Mechanical and Plumbing
Contractors 1391 Speer Blvd Ste 450 Denver, CO 80204
1391 Speer Blvd Ste 450 Denver, CO 80204
7/23/2019 Catering and refreshments during a reception at their office
$500.00
Gary & Mary Margaret Wright 950 Humboldt Street
Denver, CO 80218
950 Humboldt Street Denver, CO 80218
7/24/2019 Appitizers, refreshments and valet services during a reception at ther home
$1,000.00
Don and Patty Cook 6644 E Powers Ave Greenwood Village, Colorado 80111
6644 E Powers Ave Greenwood Village, Colorado 80111
6/18/2019 Appitizers and refreshments during a reception at their home
$1,174.28
L. Roger Hutson 925 N. Lincoln Street Denver, CO
80203
925 N. Lincoln Street Denver, CO 80203
4/1/2019 Catering and refreshments during a reception at his home
$1,000.00
NPS, Inc 14200 E Colfax Ave, Aurora, CO 80011
14200 E Colfax Ave, Aurora, CO 80011
7/26/2019 Food, beverage, service charges for a reception at the Holiday Inn
$1,900.00
Tim Jackson 290 Speer Blvd, Denver, CO 80203
290 Speer Blvd, Denver, CO 80203
5/15/2019 Food cost for a reception
$123.50
2. Total Non-itemized In-kind Contributions (Less than $100.00 value each) $0.00
1. Total Itemized In-kind Contributions $5,697.78
3. Total In-kind Contributions this report (Add lines 1 and 2) (Transfer to page 1, line 6)
$5,697.78
[City Code Section 15-133(4)(b-e)]
STATEMENT OF CONTRIBUTIONS IN-KINDSchedule D
NOTE: In-kind contributions are reported separately. Do not combine with other monetary contributions.
Name of Contributor Address of Contributor Date of Contribution
Description of Contribution
Fair Market Value
List name and address of each person or organization that made an aggregate in-kind contribution in excess of $100.00 in this reporting period. Use additional pages as needed.