+ All Categories
Home > Documents > REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf ·...

REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf ·...

Date post: 02-Aug-2020
Category:
Upload: others
View: 2 times
Download: 0 times
Share this document with a friend
105
C M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y FE5AN018 FEC FORM 3 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) FEC FORM 3 (Revised 02/2003) Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. 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 Date 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day PRE-Election Report for the: Primary (12P) General (12G) Runoff (12R) Convention (12C) Special (12S) 30-Day POST-Election Report for the: General (30G) Runoff (30R) Special (30S) CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER 3. IS THIS NEW AMENDED REPORT (N) OR (A) in the Election on State of T TYPE OR PRINT REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5. Covering Period through T T in the Election on State of STATE DISTRICT T T Office Use Only T April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) Termination Report (TER) (b) T Example: If typing, type over the lines. (c) 12FE4M5 15 80306 02 10 Edith Hooton Edith Hooton 2014 [Electronically Filed] C00435370 PAGE 1 / 106 2014 07 Boulder CO Friends of Jared Polis Committee PO Box 4572 10/15/2014 21 : 11 Image# 14978380941 2014 01 30 09 CO
Transcript
Page 1: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

FE5AN018

FEC

FORM 3

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

FEC FORM 3(Revised 02/2003)

Office

Use

Only

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

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 Date

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

12-Day PRE-Election Report for the:

Primary (12P) General (12G) Runoff (12R)

Convention (12C) Special (12S)

30-Day POST-Election Report for the:

General (30G) Runoff (30R) Special (30S)

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

3. IS THIS NEW AMENDED

REPORT (N) OR (A)

in the

Election on State of

TYPE OR PRINT

REPORT OF RECEIPTS

AND DISBURSEMENTSFor An Authorized Committee

5. Covering Period through

in the

Election on State of

STATE DISTRICT

Office Use Only

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b)

Example: If typing, type

over the lines.

(c)

12FE4M5

15

80306

02

10

Edith Hooton

Edith Hooton

2014

[Electronically Filed]

C00435370

PAGE 1 / 106

201407

Boulder CO

Friends of Jared Polis Committee

PO Box 4572

10/15/2014 21 : 11Image# 14978380941

2014

01 3009

CO

Page 2: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

This Period

6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e)) ....

(b) Total Contribution Refunds

(from Line 20(d)) ..................................

(c) Net Contributions (other than loans)

(subtract Line 6(b) from Line 6(a)) ......

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17) ......................................

(b) Total Offsets to Operating

Expenditures (from Line 14) ................

(c) Net Operating Expenditures

(subtract Line 7(b) from Line 7(a)) ......

8. Cash on Hand at Close of

Reporting Period (from Line 27) .................

9. Debts and Obligations Owed TO

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

10. Debts and Obligations Owed BY

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

For further information contact:

Federal Election Commission

999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100

FEC Form 3 (Revised 02/2003) Page 2

SUMMARY PAGEof Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee Name

236981.60

231460.06

394141.47

998487.31

PAGE 2 / 106

2014

997967.31

201407

689913.93

2041.13

0.00 520.00

0.00

236981.60

Friends of Jared Polis Committee

6317.83

Image# 14978380942

0.00

696231.76

01 3009

229418.93

Page 3: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total This Period

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees

(i) Itemized (use Schedule A) ...........

(ii) Unitemized ....................................

(iii) TOTAL of contributions

from individuals .......................

(b) Political Party Committees .................

(c) Other Political Committees

(such as PACs) ...................................

(d) The Candidate ....................................

(e) TOTAL CONTRIBUTIONS

(other than loans)

(add Lines 11(a)(iii), (b), (c), and (d)) ..

12. TRANSFERS FROM OTHER

AUTHORIZED COMMITTEES ....................

13. LOANS:

(a) Made or Guaranteed by the

Candidate ............................................

(b) All Other Loans ...................................

(c) TOTAL LOANS

(add Lines 13(a) and (b)) ....................

14. OFFSETS TO OPERATING

EXPENDITURES

(Refunds, Rebates, etc.) ............................

15. OTHER RECEIPTS

(Dividends, Interest, etc.) ...........................

16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............

DETAILED SUMMARY PAGEof Receipts

I. RECEIPTS

FEC Form 3 (Revised 12/2003) Page 3

Report Covering the Period: From: To:

Write or Type Committee Name

7.11

1000.00

0.00

176931.25

0.00

1015182.94

59050.35

6317.83

656374.86

0.00

2041.13

PAGE 3 / 106

2014

3283.48

236981.60

2014

10350.00

0.00

07

0.00

300679.40

239029.84

0.00

0.00

0.00

Friends of Jared Polis Committee

696807.91

0.00

27.80

Image# 14978380943

998487.31

01

1000.00

3009

55766.87

40433.05

Page 4: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total This Period

17. OPERATING EXPENDITURES .....................

18. TRANSFERS TO OTHER

AUTHORIZED COMMITTEES .....................

19. LOAN REPAYMENTS:

(a) Of Loans Made or Guaranteed

by the Candidate .................................

(b) Of All Other Loans ..............................

(c) TOTAL LOAN REPAYMENTS

(add Lines 19(a) and (b)) .....................

20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons Other

Than Political Committees ..................

(b) Political Party Committees ..................

(c) Other Political Committees

(such as PACs) ....................................

(d) TOTAL CONTRIBUTION REFUNDS

(add Lines 20(a), (b), and (c)) ..............

21. OTHER DISBURSEMENTS .........................

22. TOTAL DISBURSEMENTS

(add Lines 17, 18, 19(c), 20(d), and 21)

II. DISBURSEMENTS

DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................

24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................

25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25)..............................................................................................

, , . , , .

394141.47

237460.06

0.00

0.00

237460.06

0.00

0.00

520.00

0.00

0.00

0.00

PAGE 4 / 106

696231.76

520.00

392571.69

0.00

47800.00

0.00

0.00

631601.53

0.00

0.00

239029.84

6000.00

0.00

Image# 14978380944

231460.06

0.00

744551.76

Page 5: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

43084.19

1000.00

500.00

500.00

MA

NY

PO Box 382110

5030 E 6th Avenue Pkwy

584 Broadway

500.00

Friends of Jared Polis Committee

10012-3229Transaction ID : C10311616A

02238-2110

CODenver

New York

Cambridge

C00401224

Wheeler Trigg O'Donnell LLP

i-Hatch Ventures

Transaction ID : C10311609A80220-5141

Transaction ID : C10311609AB

23

23

12

1500.00

2014

5

2014

2014

Image# 14978380945

09

09

09

106

Actblue

2014

2014

Randolph Austin

2014

Michael D Alper

Attorney

Conduit total listed in Agg. field

General Partner

[MEMO ITEM]

Page 6: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

43084.19

500.00

1000.00

CO

MA

134 Stonehenge Dr

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10311637AB

80525

MACambridge

Cambridge

Fort Collins

C00401224

C00401224

Transaction ID : C10311616AB02238-2110

Transaction ID : C10311637A

Colorado State University

12

20

20

500.00

2014

6

2014

2014

Image# 14978380946

09

09

09

106

Natalie Barnes

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Advisor

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 7: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

500.00

250.00

500.00

250.00

500.00

CO

CO

1387 Lambert Circle

367 Rossum Dr

PO Box 676

500.00

Friends of Jared Polis Committee

80446Transaction ID : C10311645A

80026

COLoveland

Granby

Lafayette

Personalized Portfolio Management

Quality Engineering & Design

Transaction ID : C1019337880537-9704

Transaction ID : C10193398

Fredericks Peebles & Morgan

13

13

18

1250.00

2014

7

2014

2014

Image# 14978380947

09

08

08

106

Frances Clare Bassett

2014

2014

Robert Benzin

2014

Richard H Barton

Investment Manager

Attorney

Engineer

Page 8: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

43084.19

500.00

500.00

CA

MA

6016 Contra Costa Road

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226366AB

94618

MACambridge

Cambridge

Oakland

C00401224

C00401224

Transaction ID : C10311645AB02238-2110

Transaction ID : C10226366A

O.penVAPE

18

20

20

500.00

2014

8

2014

2014

Image# 14978380948

08

08

09

106

Steven Berg

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

CFO

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 9: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1600.00

43084.19

2600.00

1000.00

1000.00

MA

CO

PO Box 382110

1925 30th St

1925 30th St

2600.00

Friends of Jared Polis Committee

80301Transaction ID : C10311264A

02238-2110

COBoulder

Boulder

Cambridge

C00401224

SURNA

SURNA

Transaction ID : C10226362A80301

Transaction ID : C10226362AB

21

21

25

2600.00

2014

9

2014

2014

Image# 14978380949

09

08

08

106

Apt 148

Apt 148

Actblue

2014

2014

Tom Bollich

2014

Tom Bollich

CEO

Conduit total listed in Agg. field

CEO

[MEMO ITEM]

Page 10: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

100.00

200.00

43084.19

100.00

1600.00

CO

MA

5036 East County Road 60

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226352AB

80549

MACambridge

Cambridge

Wellington

C00401224

C00401224

Transaction ID : C10311264AB02238-2110

Transaction ID : C10226352A

Self

25

09

09

100.00

2014

10

2014

2014

Image# 14978380950

08

08

09

106

Joan Bowen

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Veterinarian

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 11: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

43084.19

1000.00

250.00

250.00

MA

CO

PO Box 382110

375 16th St

10250 Crooked Stick Trl

500.00

Friends of Jared Polis Committee

80124-8507Transaction ID : C10311628A

02238-2110

COBoulder

Lone Tree

Cambridge

C00401224

Hutchinson Black and Cook

GES

Transaction ID : C10247805A80302-8001

Transaction ID : C10247805AB

01

01

21

1250.00

2014

11

2014

2014

Image# 14978380951

09

09

09

106

Actblue

2014

2014

Howard Brill

2014

Christopher R. Brauchli

Attorney

Conduit total listed in Agg. field

CEO

[MEMO ITEM]

Page 12: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

2600.00

2600.00

43084.19

2600.00

1000.00

NY

MA

40 5th Ave

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10311607AB

10011-8843

MACambridge

Cambridge

New York

C00401224

C00401224

Transaction ID : C10311628AB02238-2110

Transaction ID : C10311607A

Union Square Ventures

21

23

23

2600.00

2014

12

2014

2014

Image# 14978380952

09

09

09

106

Bradford Burnham

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Executive

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 13: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

43084.19

500.00

500.00

500.00

MA

CO

PO Box 382110

2326 Bluff St

1601 Emerson St

500.00

Friends of Jared Polis Committee

80218Transaction ID : C10226359A

02238-2110

COBoulder

Denver

Cambridge

C00401224

Self

Self

Transaction ID : C10226378A80304

Transaction ID : C10226378AB

26

26

23

1000.00

2014

13

2014

2014

Image# 14978380953

08

08

08

106

Actblue

2014

2014

Christian Chiari

2014

Theodore Calvo

Attorney

Conduit total listed in Agg. field

Business Consultant

[MEMO ITEM]

Page 14: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

.01585 Bitcoins sold via Coinbase - purchaser unknown

.01567 Bitcoins sold via Coinbase - purchaser unknown

Note: Above Contribution earmarked through thisorganization.

10.00

1965.94

1965.94

10.00

500.00

CA

CA

548 Market St

PO Box 382110

548 Market St

43084.19

Friends of Jared Polis Committee

94104-5401Transaction ID : C10363883

94104-5401

MACambridge

San Francisco

San Francisco

C00401224

Transaction ID : C10226359AB02238-2110

Transaction ID : C10363882

23

16

22

20.00

2014

14

2014

2014

Image# 14978380954

07

07

08

106

# 23008

# 23008

Coinbase

2014

2014

Coinbase

2014

Actblue

Conduit total listed in Agg. field

[MEMO ITEM]

Page 15: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

.02514 Bitcoins sold via Coinbase - purchaser unknown

500.00

2500.00

43084.19

500.00

10.00

CO

MA

2060 Nehel Lane

548 Market St

PO Box 382110

1965.94

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226364AB

80302

CASan Francisco

Cambridge

Boulder

C00401224

Transaction ID : C1036388494104-5401

Transaction ID : C10226364A

Skinny Pineapple Inc.

19

21

21

510.00

2014

15

2014

2014

Image# 14978380955

08

08

09

106

# 23008

Jan Cole

2014

2014

Actblue

2014

Coinbase

CEO

Conduit total listed in Agg. field

[MEMO ITEM]

Page 16: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1080.00

1080.00

43084.19

1080.00

1000.00

CO

MA

1942 Broadway St

5104 Oceanfront Ave

PO Box 382110

1000.00

Friends of Jared Polis Committee

02238-2110Transaction ID : C10247800AB

80302-5233

VAVirginia Beach

Cambridge

Boulder

C00401224

ECPI College of Technology

Transaction ID : C1033198923451

Transaction ID : C10247800A

P.N. Eklund Interests, Inc.

26

01

01

2080.00

2014

16

2014

2014

Image# 14978380956

09

09

09

106

Ste 314

Paul Eklund

2014

2014

Actblue

2014

Mark Dreyfus

President

Real Estate

Conduit total listed in Agg. field

[MEMO ITEM]

Page 17: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

43084.19

500.00

250.00

CO

MA

1426 Haystack Way

3350 N 107th St

PO Box 382110

450.00

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226367AB

80026

COLafayette

Cambridge

Lafayette

C00401224

Fredericks Peebles & Morgan

Transaction ID : C1019340080026

Transaction ID : C10226367A

Self

13

19

19

750.00

2014

17

2014

2014

Image# 14978380957

08

08

08

106

Rachel Gillette

2014

2014

Actblue

2014

Thomas Fredericks

Partner

Attorney

Conduit total listed in Agg. field

[MEMO ITEM]

Page 18: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

900.00

43084.19

1000.00

100.00

100.00

MA

CO

PO Box 382110

5299 Dtc Blvd

5299 Dtc Blvd

1000.00

Friends of Jared Polis Committee

80111-3332Transaction ID : C10248265A

02238-2110

COGreenwood Village

Greenwood Village

Cambridge

C00401224

The Madison Group, Inc.

The Madison Group, Inc.

Transaction ID : C10248099A80111-3332

Transaction ID : C10248099AB

03

03

04

1000.00

2014

18

2014

2014

Image# 14978380958

09

09

09

106

Ste 1100

Ste 1100

Actblue

2014

2014

Neal Groff

2014

Neal Groff

Owner

Conduit total listed in Agg. field

Owner

[MEMO ITEM]

Page 19: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

2600.00

2600.00

43084.19

2600.00

900.00

CA

MA

32 Cezanne

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226358AB

92603-0208

MACambridge

Cambridge

Irvine

C00401224

C00401224

Transaction ID : C10248265AB02238-2110

Transaction ID : C10226358A

Weedmaps

04

24

24

2600.00

2014

19

2014

2014

Image# 14978380959

08

08

09

106

Justin Hartfield

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Founder

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 20: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

2600.00

43084.19

5200.00

1500.00

1500.00

MA

CO

PO Box 382110

1624 S Monroe St

PO Box 101178

3200.00

Friends of Jared Polis Committee

80250-1178Transaction ID : C10363645A

02238-2110

CODenver

Denver

Cambridge

C00401224

Univ of Colorado Denver

Homemaker

Transaction ID : C10226363A80210-3018

Transaction ID : C10226363AB

21

21

30

4100.00

2014

20

2014

2014

Image# 14978380960

09

08

08

106

Actblue

2014

2014

Seeme Hasan

2014

Aliya G. Hasan

Physician

Conduit total listed in Agg. field

Homemaker

[MEMO ITEM]

Page 21: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

525.00

500.00

2600.00

IL

DC

180 North Wolcott

PO Box 382110

PO Box 33106

43084.19

Friends of Jared Polis Committee

20033-0106Transaction ID : C10363633AB

60622

MACambridge

Washington

Chicago

C00401224

C00441949

Transaction ID : C10363645AB02238-2110

Transaction ID : C10363633A

Self

30

30

30

500.00

2014

21

2014

2014

Image# 14978380961

09

09

09

106

John Hedges

2014

2014

JStreetPAC

2014

Actblue

Conduit total listed in Agg. field

Business Owner

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 22: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

43084.19

1000.00

500.00

500.00

MA

CA

PO Box 382110

1045 S University Blvd

19 Sutter St

500.00

Friends of Jared Polis Committee

94104-4901Transaction ID : C10247768

02238-2110

CODenver

San Francisco

Cambridge

C00401224

Grayling Worldwide

Equidex, Inc.

Transaction ID : C10226382A80209-4736

Transaction ID : C10226382AB

25

25

29

1500.00

2014

22

2014

2014

Image# 14978380962

08

08

08

106

Actblue

2014

2014

James C. Hormel

2014

Mary Kay Hogan

Consultant

Conduit total listed in Agg. field

Chairman

[MEMO ITEM]

Page 23: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

43084.19

520.00

500.00

500.00

MA

CO

PO Box 382110

5765 N Orchard Creek Circle

3144 Race St

500.00

Friends of Jared Polis Committee

80205Transaction ID : C10255982

02238-2110

COBoulder

Denver

Cambridge

C00401224

Self

Vicente Sederberg

Transaction ID : C10226380A80301

Transaction ID : C10226380AB

25

25

08

1000.00

2014

23

2014

2014

Image# 14978380963

09

08

08

106

Actblue

2014

2014

Joshua Kappel

2014

Travis Howard

Business Owner

Conduit total listed in Agg. field

Attorney

[MEMO ITEM]

Page 24: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

2100.00

43084.19

2600.00

500.00

500.00

MA

CO

PO Box 382110

1301 Wazee Street, 2E

1301 Wazee Street, 2E

2600.00

Friends of Jared Polis Committee

80204Transaction ID : C10248281A

02238-2110

CODenver

Denver

Cambridge

C00401224

Dixie Brands

Dixie Brands

Transaction ID : C10226365A80204

Transaction ID : C10226365AB

21

21

28

2600.00

2014

24

2014

2014

Image# 14978380964

08

08

08

106

Actblue

2014

2014

Vincent Keber

2014

Vincent Keber

CEO

Conduit total listed in Agg. field

CEO

[MEMO ITEM]

Page 25: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

43084.19

500.00

2100.00

NY

MA

4 Rest Avenue

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226369AB

10502

MACambridge

Cambridge

Ardsley

C00401224

C00401224

Transaction ID : C10248281AB02238-2110

Transaction ID : C10226369A

O.penVAPE

28

18

18

500.00

2014

25

2014

2014

Image# 14978380965

08

08

08

106

David Kochman

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Attorney

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 26: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

2600.00

43084.19

2600.00

2500.00

2500.00

MA

CA

PO Box 382110

17050 South Park Boulevard

88 Mercedes Ln

2500.00

Friends of Jared Polis Committee

94027-4036Transaction ID : C10226354A

02238-2110

OHCleveland

Atherton

Cambridge

C00401224

Riverside

Lauder Partners, LLC

Transaction ID : C10248096A44120

Transaction ID : C10248096AB

03

03

15

5100.00

2014

26

2014

2014

Image# 14978380966

08

09

09

106

Actblue

2014

2014

Gary Lauder

2014

Stewart Kohl

Finance

Conduit total listed in Agg. field

Venture Capitalist

[MEMO ITEM]

Page 27: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

250.00

250.00

43084.19

250.00

2600.00

CO

MA

145 Green Rock Dr

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10156650AB

80302-4702

MACambridge

Cambridge

Boulder

C00401224

C00401224

Transaction ID : C10226354AB02238-2110

Transaction ID : C10156650A

University of Colorado

15

05

05

250.00

2014

27

2014

2014

Image# 14978380967

07

07

08

106

W Carl Lineberger

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Teacher And Researcher

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 28: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

43084.19

250.00

1000.00

1000.00

MA

CO

PO Box 382110

4424 Apple Way

31226 Stone Canyon Road #206

1000.00

Friends of Jared Polis Committee

80439Transaction ID : C10255952

02238-2110

COBoulder

Evergreen

Cambridge

C00401224

PivotDesk

ALPS Fund Services, INC

Transaction ID : C10311620A80301

Transaction ID : C10311620AB

11

11

08

1250.00

2014

28

2014

2014

Image# 14978380968

09

09

09

106

Actblue

2014

2014

Alex Marks

2014

David Mandell

Executive

Conduit total listed in Agg. field

Paralegal

[MEMO ITEM]

Page 29: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

43084.19

200.00

100.00

100.00

MA

CO

PO Box 382110

PO Box 619

PO Box 619

200.00

Friends of Jared Polis Committee

81122-0619Transaction ID : C10156647A

02238-2110

COBayfield

Bayfield

Cambridge

C00401224

Retired

Retired

Transaction ID : C10156645A81122-0619

Transaction ID : C10156645AB

04

04

04

200.00

2014

29

2014

2014

Image# 14978380969

07

07

07

106

Actblue

2014

2014

D.E. E McGill

2014

D.E. E McGill

Retired

Conduit total listed in Agg. field

Retired

[MEMO ITEM]

Page 30: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

2600.00

5200.00

43084.19

2600.00

100.00

CO

MA

16608 Red Canyon Ranch Road

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10156691AB

80538

MACambridge

Cambridge

Loveland

C00401224

C00401224

Transaction ID : C10156647AB02238-2110

Transaction ID : C10156691A

Aleph Objects Inc

04

22

22

2600.00

2014

30

2014

2014

Image# 14978380970

07

07

07

106

Jeffrey Moe

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

President

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 31: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

500.00

1000.00

500.00

500.00

500.00

CO

CO

930 28th St

425 W 10th St

1058 Delaware St

500.00

Friends of Jared Polis Committee

80204Transaction ID : C10226361A

80303-2290

COLoveland

Denver

Boulder

Homemaker

Owner

Transaction ID : C1019336780537-4619

Transaction ID : C10311211

Retired

13

24

22

1500.00

2014

31

2014

2014

Image# 14978380971

08

09

08

106

Apt 161

Marion M. Morgan

2014

2014

Ralph Morgan

2014

Frances Anne Moore

Homemaker

Retired

NCG

Page 32: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

100.00

250.00

200.00

250.00

500.00

CO

WA

3701 Arapahoe Ave Apt C410

PO Box 382110

6212 NE Lariat Loop

43084.19

Friends of Jared Polis Committee

98110Transaction ID : C10156723

80303-1079

MACambridge

Bainbridge Island

Boulder

C00401224

Self

Transaction ID : C10226361AB02238-2110

Transaction ID : C10193403

Fredericks Peebles & Morgan LLP

22

13

30

350.00

2014

32

2014

2014

Image# 14978380972

07

08

08

106

Jeremy Patterson

2014

2014

Joan Phillips

2014

Actblue

Conduit total listed in Agg. field

Attorney

Business Manager

[MEMO ITEM]

Page 33: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

700.00

43084.19

100.00

1000.00

CO

MA

7644 E. Lakecliff Way

111 S Wacker Drive

PO Box 382110

1000.00

Friends of Jared Polis Committee

02238-2110Transaction ID : C10156685AB

80134-5933

ILChicago

Cambridge

Parker

C00401224

Pritzergroup

Transaction ID : C1015671460606

Transaction ID : C10156685A

Retired

14

27

27

1100.00

2014

33

2014

2014

Image# 14978380973

07

07

07

106

Suite 4000

Herschel Ramsey

2014

2014

Actblue

2014

J.B. Pritzker

President

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

Page 34: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

43084.19

700.00

100.00

100.00

MA

CO

PO Box 382110

7644 E. Lakecliff Way

7644 E. Lakecliff Way

700.00

Friends of Jared Polis Committee

80134-5933Transaction ID : C10363677A

02238-2110

COParker

Parker

Cambridge

C00401224

Retired

Retired

Transaction ID : C10311621A80134-5933

Transaction ID : C10311621AB

10

10

29

200.00

2014

34

2014

2014

Image# 14978380974

09

09

09

106

Actblue

2014

2014

Herschel Ramsey

2014

Herschel Ramsey

Retired

Conduit total listed in Agg. field

Retired

[MEMO ITEM]

Page 35: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

100.00

1700.00

43084.19

100.00

100.00

CO

MA

2945 Lafayette Dr

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10247798AB

80305-7108

MACambridge

Cambridge

Boulder

C00401224

C00401224

Transaction ID : C10363677AB02238-2110

Transaction ID : C10247798A

Retired

29

01

01

100.00

2014

35

2014

2014

Image# 14978380975

09

09

09

106

Diane B. Rosenthal

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 36: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

200.00

43084.19

200.00

500.00

500.00

MA

CO

PO Box 382110

3906 Raptor Ct

1668 Bear Mountain Dr

500.00

Friends of Jared Polis Committee

80305-6838Transaction ID : C10256139

02238-2110

COFort Collins

Boulder

Cambridge

C00401224

OpenVAPE

Colorado State Board of Education

Transaction ID : C10226360A80528

Transaction ID : C10226360AB

22

22

08

700.00

2014

36

2014

2014

Image# 14978380976

09

08

08

106

Actblue

2014

2014

Angelika Schroeder

2014

Gary Ross

CEO

Conduit total listed in Agg. field

Member

[MEMO ITEM]

Page 37: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

43084.19

1000.00

1000.00

1000.00

MA

NY

PO Box 382110

3249 W Fairview Pl #112

300 Central Park W

1000.00

Friends of Jared Polis Committee

10024-1591Transaction ID : C10311638A

02238-2110

CODenver

New York

Cambridge

C00401224

Self

The Beanstalk Group

Transaction ID : C10226375A80211

Transaction ID : C10226375AB

26

26

20

2000.00

2014

37

2014

2014

Image# 14978380977

09

08

08

106

Apt 7A

Actblue

2014

2014

Seth Siegel

2014

Christian E Sederberg

Attorney

Conduit total listed in Agg. field

Executive

[MEMO ITEM]

Page 38: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

43084.19

500.00

1000.00

MD

MA

9316 W Parkhill Dr

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10156654AB

20814

MACambridge

Cambridge

Bethesda

C00401224

C00401224

Transaction ID : C10311638AB02238-2110

Transaction ID : C10156654A

Katten Muchin Rosenman LLP

20

20

20

500.00

2014

38

2014

2014

Image# 14978380978

07

07

09

106

Robert Smith

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Attorney

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 39: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

43084.19

1000.00

500.00

500.00

MA

OK

PO Box 382110

699 Walden Road

2020 Lonnie Abbott Blvd

500.00

Friends of Jared Polis Committee

74820Transaction ID : C10247772

02238-2110

ILWinnetka

Ada

Cambridge

C00401224

Retired

Transaction ID : C10156653A60093

Transaction ID : C10156653AB

20

20

29

1500.00

2014

39

2014

2014

Image# 14978380979

08

07

07

106

Actblue

2014

2014

The Chickasaw Nation

2014

Kathleen Spear

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

Page 40: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

500.00

1000.00

535.00

1000.00

2600.00

CO

CO

46729 Silver Fir St

The Ute Indian Tribe

774 Race St

2600.00

Friends of Jared Polis Committee

80206-3732Transaction ID : C10226376A

80138

UTFort Duchesne

Denver

Parker

Self

Transaction ID : C1019338884026

Transaction ID : C10332000

Colorado State University

13

26

26

4100.00

2014

40

2014

2014

Image# 14978380980

08

09

08

106

Becky Takeda Tinker

2014

2014

Brian Vicente

2014

The Ute Indian Tribe

President of Global Campus

Attorney

Page 41: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

43084.19

500.00

500.00

CO

MA

5913 Pierce St #201

PO Box 382110

PO Box 382110

43084.19

Friends of Jared Polis Committee

02238-2110Transaction ID : C10226379AB

80003

MACambridge

Cambridge

Arvada

C00401224

C00401224

Transaction ID : C10226376AB02238-2110

Transaction ID : C10226379A

Self

26

25

25

500.00

2014

41

2014

2014

Image# 14978380981

08

08

08

106

Samantha Walsh

2014

2014

Actblue

2014

Actblue

Conduit total listed in Agg. field

Consultant

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 42: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

2100.00

43084.19

2600.00

500.00

500.00

MA

CO

PO Box 382110

1422 Yaupon Ave

1422 Yaupon Ave

2600.00

Friends of Jared Polis Committee

80304Transaction ID : C10248284A

02238-2110

COBoulder

Boulder

Cambridge

C00401224

The Generic Locker

The Generic Locker

Transaction ID : C10226381A80304

Transaction ID : C10226381AB

25

25

29

2600.00

2014

42

2014

2014

Image# 14978380982

08

08

08

106

Actblue

2014

2014

Christopher Woods

2014

Christopher Woods

Owner

Conduit total listed in Agg. field

Owner

[MEMO ITEM]

Page 43: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: Printing and Reproduction - Tshirts for Event

* In-Kind: Event Space Rental

Note: Above Contribution earmarked through thisorganization.

606.87

756.87

756.87

150.00

2100.00

CO

CO

1124 Pilgram Place

PO Box 382110

1124 Pilgram Place

43084.19

Friends of Jared Polis Committee

80536Transaction ID : C10363736

80536

MACambridge

Livermore

Livermore

C00401224

Homemaker

Transaction ID : C10248284AB02238-2110

Transaction ID : C10363733

Homemaker

29

10

13

756.87

2014

43

2014

2014

Image# 14978380983

09

09

08

106

Rachel Beyer Yung

2014

2014

Rachel Beyer Yung

2014

Actblue

Conduit total listed in Agg. field

Homemaker

Homemaker

[MEMO ITEM]

Page 44: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

*

PARTNERSHIP--partners below if itemized

200.00

1000.00

200.00

1000.00

1000.00

CO

SD

1900 Plaza Drive

10085 West 19th Ave

910 5th St., Suite 104

1000.00

Friends of Jared Polis Committee

57701Transaction ID : C10364138

80027

CODenver

Rapid City

Louisville

Sushi Hai

Fredericks Peebles & Morgan LLP

Transaction ID : C1031122480215

Transaction ID : C10193396

24

13

13

2000.00

2014

44

2014

2014

Image# 14978380984

08

08

09

106

Frederick Peebles & Morgan LLP

2014

2014

Fred Assam

2014

Katrina Zechman

Director of Events

Partner

[MEMO ITEM]

Page 45: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

*

*

*

200.00

200.00

200.00

200.00

200.00

CO

CO

1900 Plaza Drive

3350 N 107th St

1900 Plaza Drive

450.00

Friends of Jared Polis Committee

80027Transaction ID : C10364133

80027

COLafayette

Louisville

Louisville

Fredericks Peebles & Morgan

Fredericks Peebles & Morgan LLP

Transaction ID : C1036413280026

Transaction ID : C10364135

Fredericks Peebles & Morgan LLP

13

13

13

0.00

2014

45

2014

2014

Image# 14978380985

08

08

08

106

Lance Morgan

2014

2014

John Peebles

2014

Thomas Fredericks

Partner

Partner

Partner

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 46: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

*

200.00

1900 Plaza Drive

200.00

Friends of Jared Polis Committee

55766.87

COLouisville

Fredericks Peebles & Morgan LLP

Transaction ID : C1036413780027

13

0.00

2014

46

Image# 14978380986

08

106

2014

Conly Shulte

Partner

[MEMO ITEM]

Page 47: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

17 ORCHARD STREET

1000.00

Friends of Jared Polis Committee

1000.00

MAMEDFORD

C00541599

Transaction ID : C1019330302155

13

1000.00

2014

47

Image# 14978380987

08

106

2014

Carl Sciortino Committee

Page 48: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: Cell Phone

* In-Kind: Cell Phone

* In-Kind: Cell Phone

76.26

300679.40

300679.40

76.26

76.26

CO

CO

PO Box 4659

PO Box 4659

PO Box 4659

300679.40

Friends of Jared Polis Committee

80306-4659Transaction ID : C10363889

80306-4659

COBoulder

Boulder

Boulder

C00435370

C00435370

C00435370

United States House of Representatives

United States House of Representatives

Transaction ID : C1036388780306-4659

Transaction ID : C10363888

United States House of Representatives

10

10

10

228.78

2014

48

2014

2014

Image# 14978380988

09

08

07

106

Jared Polis

2014

2014

Jared Polis

2014

Jared Polis

Member of Congress

Member of Congress

Member of Congress

Page 49: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: Lodging for Volunteers

* In-Kind: Lodging for Volunteers

175000.00

300679.40

300679.40

393.98

714.52

CO

CO

PO Box 4659

PO Box 4659

PO Box 4659

300679.40

Friends of Jared Polis Committee

80306-4659Transaction ID : C10363886

80306-4659

COBoulder

Boulder

Boulder

C00435370

C00435370

C00435370

United States House of Representatives

United States House of Representatives

Transaction ID : C1036389280306-4659

Transaction ID : C10363893

United States House of Representatives

18

18

22

176108.50

2014

49

2014

2014

Image# 14978380989

09

09

09

106

Jared Polis

2014

2014

Jared Polis

2014

Jared Polis

Member of Congress

Member of Congress

Member of Congress

Page 50: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: Lodging for Volunteers

593.97

PO Box 4659

300679.40

Friends of Jared Polis Committee

176931.25

COBoulder

C00435370

United States House of Representatives

Transaction ID : C1036389180306-4659

29

593.97

2014

50

Image# 14978380990

09

106

2014

Jared Polis

Member of Congress

Page 51: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1800.00

1800.00

241.13

CO

1375 Walnut Street

789 Sherman Street

241.13

Friends of Jared Polis Committee

2041.13

80302

CODenver

Boulder

C00161786

Transaction ID : C1015671680203

Transaction ID : C10156719

17

17

2041.13

2014

51

2014

Image# 14978380991

07

07

106

Suite 110

Suite 10

W.W. Reynolds Inc

2014

2014

COLORADO DEMOCRATIC PARTY

Page 52: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

PO Box 382110

PO Box 382110

110.03

190.01

130.89

Friends of Jared Polis Committee

Transaction ID : D496540

MA

MA

MA

02238-2110

02238-2110

02238-2110

Transaction ID : D496538

Transaction ID : D496539

09

09

Credit Card Processing Fee

09

Credit Card Processing Fee

Credit Card Processing Fee

2014

430.93

ActBlue Technical Services

2014

ActBlue Technical Services

2014

ActBlue Technical Services

52

2014

2014

2014

Image# 14978380992

30

106

28

21

Cambridge

Cambridge

Cambridge

Page 53: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

PO Box 382110

PO Box 382110

86.90

203.93

325.29

Friends of Jared Polis Committee

Transaction ID : D496543

MA

MA

MA

02238-2110

02238-2110

02238-2110

Transaction ID : D496541

Transaction ID : D496542

09

08

Credit Card Processing Fee

09

Credit Card Processing Fee

Credit Card Processing Fee

2014

616.12

ActBlue Technical Services

2014

ActBlue Technical Services

2014

ActBlue Technical Services

53

2014

2014

2014

Image# 14978380993

14

106

07

31

Cambridge

Cambridge

Cambridge

Page 54: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

PO Box 382110

PO Box 382110

363.62

107.65

6.77

Friends of Jared Polis Committee

Transaction ID : D496546

MA

MA

MA

02238-2110

02238-2110

02238-2110

Transaction ID : D496544

Transaction ID : D496545

08

08

Credit Card Processing Fee

08

Credit Card Processing Fee

Credit Card Processing Fee

2014

478.04

ActBlue Technical Services

2014

ActBlue Technical Services

2014

ActBlue Technical Services

54

2014

2014

2014

Image# 14978380994

24

106

17

10

Cambridge

Cambridge

Cambridge

Page 55: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

PO Box 382110

PO Box 382110

0.80

113.00

52.52

Friends of Jared Polis Committee

Transaction ID : D496549

MA

MA

MA

02238-2110

02238-2110

02238-2110

Transaction ID : D496547

Transaction ID : D496548

07

07

Credit Card Processing Fee

08

Credit Card Processing Fee

Credit Card Processing Fee

2014

166.32

ActBlue Technical Services

2014

ActBlue Technical Services

2014

ActBlue Technical Services

55

2014

2014

2014

Image# 14978380995

03

106

27

20

Cambridge

Cambridge

Cambridge

Page 56: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 541013

PO Box 382110

PO Box 382110

3.95

17.78

1666.63

Friends of Jared Polis Committee

Transaction ID : D488861

CA

MA

MA

90054-1013

02238-2110

02238-2110

Transaction ID : D496550

Transaction ID : D496551

07

08

Insurance - Health/Dental

07

Credit Card Processing Fee

Credit Card Processing Fee

2014

1688.36

ActBlue Technical Services

2014

ActBlue Technical Services

2014

Anthem

56

2014

2014

2014

Image# 14978380996

13

106

06

27

Cambridge

Cambridge

Los Angeles

Page 57: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 541013

PO Box 541013

PO Box 541013

1473.53

3332.72

207.90

Friends of Jared Polis Committee

Transaction ID : D496678

CA

CA

CA

90054-1013

90054-1013

90054-1013

Transaction ID : D496103

Transaction ID : D496105

09

09

Insurance - Health/Dental

07

Insurance - Health/Dental

Insurance - Health/Dental

2014

5014.15

Anthem

2014

Anthem

2014

Anthem

57

2014

2014

2014

Image# 14978380997

28

106

26

02

Los Angeles

Los Angeles

Los Angeles

Page 58: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

5660 Greenwood Plaza Blvd

5660 Greenwood Plaza Blvd

PO Box 541013

c/o Cherry Creek Insurance

415.80

743.00

27.00

c/o Cherry Creek Insurance

Friends of Jared Polis Committee

Transaction ID : D496111

CO

CO

CA

80111-2416

90054-1013

80111-2416

Transaction ID : D496679

Transaction ID : D496109

08

09

Insurance - Business

08

Insurance - Business

Insurance - Health/Dental

2014

1185.80

Anthem

2014

Auto Owners Insurance Co

2014

Auto Owners Insurance Co

58

2014

2014

2014

Image# 14978380998

14

106

18

30

Greenwood Village

Los Angeles

Greenwood Village

Page 59: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

322 Shepherd St NW

690 S Lashley Ln

PO Box 18793

400.00

1194.00

198.00

Friends of Jared Polis Committee

Transaction ID : D483268

DC

CO

CO

20011-4812

80308-1793

80305-5920

Transaction ID : D496114

Transaction ID : D496117

09

07

Website Hosting Services

09

Advertising Placement

Ad - Voter Guide

2014

1792.00

Boulder County Dems

2014

BOULDER WEEKLY INC

2014

BuzzMaker LLC

59

2014

2014

2014

Image# 14978380999

17

106

19

07

Boulder

Boulder

Washington

Page 60: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

5351 Tennyson St

5351 Tennyson St

322 Shepherd St NW

Unit 1C

99.00

222.80

366.08

Unit 1C

Friends of Jared Polis Committee

Transaction ID : D483275

CO

CO

DC

80212-4065

20011-4812

80212-4065

Transaction ID : D488843

Transaction ID : D483272

07

07

Printing & Reproduction - signs

08

Printing & Reproduction - business cards

Website Hosting Services

2014

687.88

BuzzMaker LLC

2014

C & D Printing

2014

C & D Printing

60

2014

2014

2014

Image# 14978381000

27

106

08

08

Denver

Washington

Denver

Page 61: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

5351 Tennyson St

5351 Tennyson St

5351 Tennyson St

Unit 1C

Unit 1C

158.08

391.04

275.60

Unit 1C

Friends of Jared Polis Committee

Transaction ID : D496135

CO

CO

CO

80212-4065

80212-4065

80212-4065

Transaction ID : D496131

Transaction ID : D496133

07

07

Printing & Reproduction - letterhead

07

Printing & Reproduction - envelopes

Printing & Reproduction - labels

2014

824.72

C & D Printing

2014

C & D Printing

2014

C & D Printing

61

2014

2014

2014

Image# 14978381001

28

106

28

28

Denver

Denver

Denver

Page 62: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

789 Sherman Street

789 Sherman Street

5351 Tennyson St

Suite 110

Unit 1C

1248.06

1000.00

2000.00

Suite 110

Friends of Jared Polis Committee

Transaction ID : D486227

CO

CO

CO

80203

80212-4065

80203

Transaction ID : D496136

Transaction ID : D496137

09

07

Office Rent - Boulder

07

Office Rent - Boulder

Printing and Postage - Direct Mail

2014

4248.06

C & D Printing

2014

COLORADO DEMOCRATIC PARTY

2014

COLORADO DEMOCRATIC PARTY

62

2014

2014

2014

Image# 14978381002

28

106

01

30

Denver

Denver

Denver

Page 63: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

6720 S Adams Way

PO Box 34744

PO Box 34744

349.47

453.01

2100.00

Friends of Jared Polis Committee

Transaction ID : D496552

CO

WA

WA

80122-1802

98124-1744

98124-1744

Transaction ID : D496139

Transaction ID : D496140

08

07

Compliance Consulting

07

Phones & Internet

Phones & Internet

2014

2902.48

Comcast

2014

Comcast

2014

Counting & Compliance LLC

63

2014

2014

2014

Image# 14978381003

28

106

17

09

Seattle

Seattle

Centennial

Page 64: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

11783 W 84th Pl

6720 S Adams Way

6720 S Adams Way

2100.00

2100.00

72.68

Friends of Jared Polis Committee

Transaction ID : D496143

CO

CO

CO

80005-5159

80122-1802

80122-1802

Transaction ID : D496553

Transaction ID : D496554

08

07

Mileage

07

Compliance Consulting

Compliance Consulting

2014

4272.68

Counting & Compliance LLC

2014

Counting & Compliance LLC

2014

Danielle E Oliveto

64

2014

2014

2014

Image# 14978381004

30

106

30

28

Centennial

Centennial

Arvada

Page 65: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

11783 W 84th Pl

11783 W 84th Pl

11783 W 84th Pl

109.08

308.76

81.94

Friends of Jared Polis Committee

Transaction ID : D496147

CO

CO

CO

80005-5159

80005-5159

80005-5159

Transaction ID : D496144

Transaction ID : D496145

09

07

Mileage

07

Mileage

Mileage & Phone

2014

499.78

Danielle E Oliveto

2014

Danielle E Oliveto

2014

Danielle E Oliveto

65

2014

2014

2014

Image# 14978381005

29

106

24

02

Arvada

Arvada

Arvada

Page 66: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

503 2ND STREET NE

1455 Pennsylvania Ave, NW

11783 W 84th Pl

Suite 1200

614.20

350.00

8.22

Friends of Jared Polis Committee

Transaction ID : D486238

DC

DC

CO

20002

80005-5159

20004

Transaction ID : D496753

Transaction ID : D496149

08

07

Credit Card Processing Fee

08

Event Space Rental

Mileage/Parking/Tolls, Cell Phone and Blast Calls

2014

972.42

Danielle E Oliveto

2014

Davis & Harman LLP

2014

DEMOCRATS FOR EDUCATION REFORM

66

2014

2014

2014

Image# 14978381006

29

106

13

07

Washington

Arvada

WASHINGTON

Page 67: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2121 E. Dartmouth Ave

12245 Stratford Drive

503 2ND STREET NE

2.90

7500.00

1500.00

Friends of Jared Polis Committee

Transaction ID : D496154

CO

IA

DC

80210

20002

50325

Transaction ID : D496560

Transaction ID : D496152

09

08

Event Consulting

08

Social Media/Online Marketing

Credit Card Processing Fee

2014

9002.90

DEMOCRATS FOR EDUCATION REFORM

2014

Digital Brinq, LLC

2014

Edible Events

67

2014

2014

2014

Image# 14978381007

25

106

26

29

Clive

WASHINGTON

Denver

Page 68: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1377

1177 Grant St

PO Box 172526

Ste 200

32.12

249.48

3000.00

Friends of Jared Polis Committee

Transaction ID : D496157

CO

CO

CO

80201-1377

80217-2526

80203-2362

Transaction ID : D481269

Transaction ID : D496159

09

07

Research Services

07

Advertisement

Food & Catering - Water

2014

3281.60

Eldorado Artesian Springs Inc

2014

Intermountain Jewish News

2014

IRN, Inc

68

2014

2014

2014

Image# 14978381008

01

106

24

30

Denver

Denver

Denver

Page 69: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

CO

CO

CO

* In-Kind Received

PO Box 4659

* In-Kind Received

PO Box 4659

PO Box 4659

* In-Kind Received

76.26

76.26

76.26

Friends of Jared Polis Committee

Transaction ID : D496592

CO

CO

CO

80306-4659

80306-4659

80306-4659

Transaction ID : D496590

Transaction ID : D496591

08

09

Cell Phone

07

Cell Phone

Cell Phone

2014

Jared Polis

Jared Polis

228.78

Jared Polis

Jared Polis

2014

Jared Polis

2014

Jared Polis

69

2014

2014

2014

Image# 14978381009

10

02

106

02

10

10

Boulder

02

Boulder

Boulder

Page 70: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

CO

CO

CO

* In-Kind Received

PO Box 4659

* In-Kind Received

PO Box 4659

PO Box 4659

* In-Kind Received

593.97

714.52

393.98

Friends of Jared Polis Committee

Transaction ID : D496595

CO

CO

CO

80306-4659

80306-4659

80306-4659

Transaction ID : D496593

Transaction ID : D496594

09

09

Lodging for Volunteers

09

Lodging for Volunteers

Lodging for Volunteers

2014

Jared Polis

Jared Polis

1702.47

Jared Polis

Jared Polis

2014

Jared Polis

2014

Jared Polis

70

2014

2014

2014

Image# 14978381010

29

02

106

02

18

18

Boulder

02

Boulder

Boulder

Page 71: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

114A Mansfield Hollow Rd

620 12th St

620 12th St

417.08

60.00

22526.68

Friends of Jared Polis Committee

Transaction ID : D496161

CT

CO

CO

06250-1316

80302-7517

80302-7517

Transaction ID : D496759

Transaction ID : D496751

07

08

Printing and Postage - Direct Mail

08

Moving Expense

Mileage/Parking/Tolls, Cell Phone

2014

23003.76

Kate Siegel

2014

Kate Siegel

2014

Mission Control Inc

71

2014

2014

2014

Image# 14978381011

29

106

02

21

Boulder

Boulder

Mansfield Center

Page 72: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

1101 15th Street NW

Ste 50

Ste 500

1500.00

29.63

32.12

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496597

CO

CO

DC

80239-5754

20005

80239-5754

Transaction ID : D481267

Transaction ID : D496596

07

07

Insurance - Worker Comp

07

Insurance - Worker Comp

Database Management Software

2014

1561.75

NGP VAN

2014

PayChex Payroll Services

2014

PayChex Payroll Services

72

2014

2014

2014

Image# 14978381012

01

106

15

31

Denver

Washington

Denver

Page 73: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

4400 Kittredge St

Ste 50

Ste 50

29.63

32.12

21.29

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496600

CO

CO

CO

80239-5754

80239-5754

80239-5754

Transaction ID : D496598

Transaction ID : D496599

08

09

Insurance - Worker Comp

08

Insurance - Worker Comp

Insurance - Worker Comp

2014

83.04

PayChex Payroll Services

2014

PayChex Payroll Services

2014

PayChex Payroll Services

73

2014

2014

2014

Image# 14978381013

15

106

29

30

Denver

Denver

Denver

Page 74: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

4400 Kittredge St

Ste 50

Ste 50

76.23

96.02

89.02

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496603

CO

CO

CO

80239-5754

80239-5754

80239-5754

Transaction ID : D496601

Transaction ID : D496602

07

08

Payroll - Processing Fees

08

Payroll - Processing Fees

Payroll - Processing Fees

2014

261.27

PayChex Payroll Services

2014

PayChex Payroll Services

2014

PayChex Payroll Services

74

2014

2014

2014

Image# 14978381014

01

106

15

15

Denver

Denver

Denver

Page 75: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

4400 Kittredge St

Ste 50

Ste 50

75.76

88.55

118.76

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496606

CO

CO

CO

80239-5754

80239-5754

80239-5754

Transaction ID : D496604

Transaction ID : D496605

09

09

Payroll - Processing Fees

08

Payroll - Processing Fees

Payroll - Processing Fees

2014

283.07

PayChex Payroll Services

2014

PayChex Payroll Services

2014

PayChex Payroll Services

75

2014

2014

2014

Image# 14978381015

29

106

15

30

Denver

Denver

Denver

Page 76: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

4400 Kittredge St

Ste 50

Ste 50

2161.52

2161.52

2216.47

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496609

CO

CO

CO

80239-5754

80239-5754

80239-5754

Transaction ID : D496607

Transaction ID : D496608

09

08

Payroll Taxes

09

Payroll Taxes

Payroll Taxes

2014

6539.51

PayChex Payroll Services

2014

PayChex Payroll Services

2014

PayChex Payroll Services

76

2014

2014

2014

Image# 14978381016

30

106

15

29

Denver

Denver

Denver

Page 77: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

4400 Kittredge St

4400 Kittredge St

Ste 50

Ste 50

2455.92

2463.25

2472.15

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496612

CO

CO

CO

80239-5754

80239-5754

80239-5754

Transaction ID : D496610

Transaction ID : D496611

07

07

Payroll Taxes

08

Payroll Taxes

Payroll Taxes

2014

7391.32

PayChex Payroll Services

2014

PayChex Payroll Services

2014

PayChex Payroll Services

77

2014

2014

2014

Image# 14978381017

15

106

31

15

Denver

Denver

Denver

Page 78: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1900 Grant St

1900 Grant St

4400 Kittredge St

Ste 1170

Ste 50

29.63

19500.00

5600.00

Ste 1170

Friends of Jared Polis Committee

Transaction ID : D496163

CO

CO

CO

80203-4344

80239-5754

80203-4344

Transaction ID : D496764

Transaction ID : D496162

09

07

Polling

09

Polling

Insurance - Workers Comp

2014

25129.63

PayChex Payroll Services

2014

Ridder-Braden

2014

Ridder-Braden

78

2014

2014

2014

Image# 14978381018

15

106

12

17

Denver

Denver

Denver

Page 79: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

50 E St SE

PO Box 674533

PO Box 674533

700.00

700.00

300.00

Ste 300

Friends of Jared Polis Committee

Transaction ID : D488860

DC

MI

MI

20003-2620

48267-4533

48267-4533

Transaction ID : D496164

Transaction ID : D481270

07

08

Legal Services

09

Broadcast Email Services

Broadcast Email Services

2014

1700.00

Salsa Labs Inc

2014

Salsa Labs Inc

2014

Sandler, Reiff & Young, PC

79

2014

2014

2014

Image# 14978381019

19

106

01

27

Detroit

Detroit

Washington

Page 80: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1600 Locust St

1600 Locust St

PO Box 50

7961.30

59950.00

20000.00

Friends of Jared Polis Committee

Transaction ID : D496128

PA

PA

VA

19103-6305

22003

19103-6305

Transaction ID : D496122

Transaction ID : D496126

09

09

Campaign Advertisement Production

08

Digital Advertising Placement

Printing & Reproduction - Signs

2014

87911.30

The Blue Deal

2014

The Campaign Group Inc

2014

The Campaign Group Inc

80

2014

2014

2014

Image# 14978381020

20

106

24

22

Philadelphia

Annandale

Philadelphia

Page 81: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 660108

PO Box 660108

PO Box 660108

192.09

192.30

192.24

Friends of Jared Polis Committee

Transaction ID : D496167

TX

TX

TX

75266-0108

75266-0108

75266-0108

Transaction ID : D481265

Transaction ID : D496166

08

09

Phones - Cellular

07

Phones - Cellular

Phones -Cellular

2014

576.63

Verizon Wireless

2014

Verizon Wireless

2014

Verizon Wireless

81

2014

2014

2014

Image# 14978381021

01

106

17

17

Dallas

Dallas

Dallas

Page 82: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 54349

PO Box 54349

PO Box 660108

186.04

25.00

26.25

Friends of Jared Polis Committee

Transaction ID : D496658

CA

CA

TX

90054-0349

75266-0108

90054-0349

Transaction ID : D496168

Transaction ID : D496655

09

08

Credit Card Payment

07

Credit Card Payment - Finance Charge

Phones - Cellular

2014

237.29

Verizon Wireless

2014

Wells Fargo II

2014

Wells Fargo IX

82

2014

2014

2014

Image# 14978381022

07

106

22

18

Los Angeles

Dallas

Los Angeles

Page 83: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1242 Pearl St

PO Box 54349

PO Box 54349

45.00

50.00

12.00

Friends of Jared Polis Committee

Transaction ID : D496586

CO

CA

CA

80302-5209

90054-0349

90054-0349

Transaction ID : D496662

Transaction ID : D496653

09

08

Bank Fee

09

Bank - Fees & Finance Charges

Credit Card Payment

2014

107.00

Wells Fargo IX

2014

Wells Fargo X

2014

Wells Fargo Bank Checking & Savings

83

2014

2014

2014

Image# 14978381023

22

106

23

11

Los Angeles

Los Angeles

Boulder

Page 84: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1242 Pearl St

1242 Pearl St

1242 Pearl St

12.00

12.00

30.00

Friends of Jared Polis Committee

Transaction ID : D496763

CO

CO

CO

80302-5209

80302-5209

80302-5209

Transaction ID : D496587

Transaction ID : D496588

09

09

Bank Fee

07

Bank Fee

Bank Fee

2014

54.00

Wells Fargo Bank Checking & Savings

2014

Wells Fargo Bank Checking & Savings

2014

Wells Fargo Bank Checking & Savings

84

2014

2014

2014

Image# 14978381024

10

106

10

22

Boulder

Boulder

Boulder

Page 85: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

1124 Pilgram Place

* In-Kind Received

1124 Pilgram Place

PO Box 964

670.00

150.00

606.87

Friends of Jared Polis Committee

Transaction ID : D496559

CO

CO

CO

80536

80516-0964

80536

Transaction ID : D496169

Transaction ID : D496558

09

09

Printing and Reproduction - Tshirts for Event

09

Event Space Rental

Advertisement Placement

2014

1426.87

Yellow Scene Magazine

2014

Rachel Beyer Yung

2014

Rachel Beyer Yung

85

2014

2014

2014

Image# 14978381025

17

106

10

13

Livermore

Erie

Livermore

Page 86: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

620 12th St

11783 W 84th Pl

4400 Kittredge StSte 50

4925.45

1899.16

1144.80

Friends of Jared Polis Committee

Transaction ID : D496616

CO

CO

CO

80302-7517

80239-5754

80005-5159

Transaction ID : D496613

Transaction ID : D496615

07

07

Payroll

07

Payroll

Payroll

2014

4925.45

PayChex Payroll Services

2014

Danielle E Oliveto

2014

Kate Siegel

86

2014

2014

2014

Image# 14978381026

14

106

15

15

Arvada

Denver

Boulder

[MEMO ITEM]

[MEMO ITEM]

Page 87: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

11783 W 84th Pl

4400 Kittredge St

10091 Isabelle Rd

Ste 50

1881.49

4925.43

1899.15

Friends of Jared Polis Committee

Transaction ID : D496619

CO

CO

CO

80005-5159

80026-9103

80239-5754

Transaction ID : D496614

Transaction ID : D496617

07

07

Payroll

07

Payroll

Payroll

2014

4925.43

Lisa Kaufmann

2014

PayChex Payroll Services

2014

Danielle E Oliveto

87

2014

2014

2014

Image# 14978381027

15

106

31

31

Denver

Lafayette

Arvada

[MEMO ITEM]

[MEMO ITEM]

Page 88: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

10091 Isabelle Rd

620 12th St

1144.79

1881.49

4925.43

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496621

CO

CO

CO

80239-5754

80302-7517

80026-9103

Transaction ID : D496620

Transaction ID : D496618

07

08

Payroll

07

Payroll

Payroll

2014

4925.43

Kate Siegel

2014

Lisa Kaufmann

2014

PayChex Payroll Services

88

2014

2014

2014

Image# 14978381028

31

106

31

15

Lafayette

Boulder

Denver

[MEMO ITEM]

[MEMO ITEM]

Page 89: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

10091 Isabelle Rd

620 12th St

11783 W 84th Pl

1899.16

1144.79

1881.48

Friends of Jared Polis Committee

Transaction ID : D496622

CO

CO

CO

80026-9103

80005-5159

80302-7517

Transaction ID : D496624

Transaction ID : D496623

08

08

Payroll

08

Payroll

Payroll

2014

0.00

Danielle E Oliveto

2014

Kate Siegel

2014

Lisa Kaufmann

89

2014

2014

2014

Image# 14978381029

15

106

15

15

Boulder

Arvada

Lafayette

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 90: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

620 12th St

11783 W 84th Pl

4400 Kittredge StSte 50

4925.45

1899.15

1144.80

Friends of Jared Polis Committee

Transaction ID : D496628

CO

CO

CO

80302-7517

80239-5754

80005-5159

Transaction ID : D496625

Transaction ID : D496627

08

08

Payroll

08

Payroll

Payroll

2014

4925.45

PayChex Payroll Services

2014

Danielle E Oliveto

2014

Kate Siegel

90

2014

2014

2014

Image# 14978381030

28

106

28

28

Arvada

Denver

Boulder

[MEMO ITEM]

[MEMO ITEM]

Page 91: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

11783 W 84th Pl

4400 Kittredge St

10091 Isabelle Rd

Ste 50

1881.50

4925.44

1899.15

Friends of Jared Polis Committee

Transaction ID : D496631

CO

CO

CO

80005-5159

80026-9103

80239-5754

Transaction ID : D496626

Transaction ID : D496629

09

09

Payroll

08

Payroll

Payroll

2014

4925.44

Lisa Kaufmann

2014

PayChex Payroll Services

2014

Danielle E Oliveto

91

2014

2014

2014

Image# 14978381031

28

106

12

12

Denver

Lafayette

Arvada

[MEMO ITEM]

[MEMO ITEM]

Page 92: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

4400 Kittredge St

10091 Isabelle Rd

620 12th St

1144.80

1881.49

4925.44

Ste 50

Friends of Jared Polis Committee

Transaction ID : D496633

CO

CO

CO

80239-5754

80302-7517

80026-9103

Transaction ID : D496632

Transaction ID : D496630

09

09

Payroll

09

Payroll

Payroll

2014

4925.44

Kate Siegel

2014

Lisa Kaufmann

2014

PayChex Payroll Services

92

2014

2014

2014

Image# 14978381032

12

106

12

30

Lafayette

Boulder

Denver

[MEMO ITEM]

[MEMO ITEM]

Page 93: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

10091 Isabelle Rd

620 12th St

11783 W 84th Pl

1899.16

1144.79

1881.49

Friends of Jared Polis Committee

Transaction ID : D496634

CO

CO

CO

80026-9103

80005-5159

80302-7517

Transaction ID : D496635

Transaction ID : D496636

09

09

Payroll

09

Payroll

Payroll

2014

0.00

Danielle E Oliveto

2014

Kate Siegel

2014

Lisa Kaufmann

93

2014

2014

2014

Image# 14978381033

30

106

30

30

Boulder

Arvada

Lafayette

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 94: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

3150 139th Ave SE

60 Massachusetts Ave NE

PO Box 54349

1500.00

822.00

1275.74

Friends of Jared Polis Committee

Transaction ID : D496641

WA

DC

CA

98005-4046

90054-0349

20002-4285

Transaction ID : D496637

Transaction ID : D496638

07

07

Campaign Travel -Lodging

07

Campaign Travel - Transportation

Credit Card Payment

2014

1500.00

Wells Fargo X

2014

AMTRAK INT'L

2014

Expedia

94

2014

2014

2014

Image# 14978381034

08

106

08

08

Washington

Los Angeles

Bellevue

[MEMO ITEM]

[MEMO ITEM]

Page 95: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

7001 Tower Rd

PO Box 54349

7001 Tower RdFrontier Center One

25.00

1500.00

15.00

Frontier Center One

Friends of Jared Polis Committee

Transaction ID : D496645

CO

CA

CO

80249-7312

80249-7312

90054-0349

Transaction ID : D496644

Transaction ID : D496642

07

07

Travel Expenses - Luggage Fee

07

Credit Card Payment

Travel Expenses - Luggage Fee

2014

1500.00

Frontier Airlines

2014

Wells Fargo X

2014

Frontier Airlines

95

2014

2014

2014

Image# 14978381035

08

106

25

25

Los Angeles

Denver

Denver

[MEMO ITEM]

[MEMO ITEM]

Page 96: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1242 Pearl St

2001 Welton St

2009 Chapman Ave

322.50

307.12

45.15

Friends of Jared Polis Committee

Transaction ID : D496648

CO

CO

MD

80302-5209

20852-1614

80205-2806

Transaction ID : D496647

Transaction ID : D496646

07

07

Bank - Fees & Finance Charges

07

Campaign Travel - Transportation

Event Expense - Drink

2014

0.00

Gilly's

2014

Hertz

2014

Wells Fargo Bank Checking & Savings

96

2014

2014

2014

Image# 14978381036

25

106

25

25

Denver

Rockville

Boulder

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 97: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1242 Pearl St

1229 Wisconsin Ave NW

PO Box 54349

500.00

770.87

34.12

Friends of Jared Polis Committee

Transaction ID : D496651

CO

DC

CA

80302-5209

90054-0349

20007

Transaction ID : D496650

Transaction ID : D496652

08

08

Bank - Fees & Finance Charges

08

Computer Equipment

Credit Card Payment

2014

500.00

Wells Fargo X

2014

Apple - Georgetown

2014

Wells Fargo Bank Checking & Savings

97

2014

2014

2014

Image# 14978381037

18

106

18

18

Washington

Los Angeles

Boulder

[MEMO ITEM]

[MEMO ITEM]

Page 98: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2795 Pearl St

PO Box 54349

PO Box 54349

59.47

40.59

9.75

Ste 104

Friends of Jared Polis Committee

Transaction ID : D496657

CO

CA

CA

80302-3826

90054-0349

90054-0349

Transaction ID : D496654

Transaction ID : D496656

08

08

Shipping

07

Credit Card Payment

Credit Card Payment

2014

100.06

Wells Fargo II

2014

Wells Fargo II

2014

FEDEX KINKO'S

98

2014

2014

2014

Image# 14978381038

10

106

18

18

Los Angeles

Los Angeles

Boulder

[MEMO ITEM]

Page 99: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

400 Marshall Rd

PO Box 10306

PO Box 54349

Dept CH

58.89

34.25

23.39

Store #00017699

Friends of Jared Polis Committee

Transaction ID : D496661

CO

IL

CA

80027-8623

90054-0349

60055

Transaction ID : D496659

Transaction ID : D496660

07

07

Printing- Photos

07

Shipping

Credit Card Payment

2014

58.89

Wells Fargo IX

2014

FEDEX

2014

TARGET

99

2014

2014

2014

Image# 14978381039

10

106

10

10

Palatine

Los Angeles

Superior

[MEMO ITEM]

[MEMO ITEM]

Page 100: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1755 29th St

1755 29th St

PO Box 54349

926.48

172.24

10.83

Friends of Jared Polis Committee

Transaction ID : D496666

CO

CO

CA

80301

90054-0349

80301

Transaction ID : D496663

Transaction ID : D496665

07

07

Computer Equipment

07

Computer Equipment

Credit Card Payment

2014

926.48

Wells Fargo D

2014

Apple

2014

Apple

100

2014

2014

2014

Image# 14978381040

10

106

10

10

Boulder

Los Angeles

Boulder

[MEMO ITEM]

[MEMO ITEM]

Page 101: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2300 18th St NW

400 Marshall Rd

2795 Pearl St

Store #00017699

Ste 104

4.37

19.75

284.31

Friends of Jared Polis Committee

Transaction ID : D496664

DC

CO

CO

20009-1892

80302-3826

80027-8623

Transaction ID : D496668

Transaction ID : D496667

07

07

Shipping

07

Office Supplies

Postage

2014

0.00

FEDEX KINKO'S

2014

TARGET

2014

USPS - DC

101

2014

2014

2014

Image# 14978381041

10

106

10

10

Superior

Boulder

Washington

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 102: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1601 Willow Rd

PO Box 18793

PO Box 54349

500.00

25.00

213.77

Friends of Jared Polis Committee

Transaction ID : D496676

CA

CO

CA

94025-1452

90054-0349

80308-1793

Transaction ID : D496669

Transaction ID : D496674

08

08

Online Advertising

08

Event Ticket

Credit Card Payment

2014

500.00

Wells Fargo D

2014

Boulder County Dems

2014

FaceBook.com

102

2014

2014

2014

Image# 14978381042

22

106

22

22

Boulder

Los Angeles

Menlo Park

[MEMO ITEM]

[MEMO ITEM]

Page 103: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

7001 Tower Rd

7001 Tower Rd

1601 Willow Rd

Frontier Center One

50.69

408.00

618.00

Frontier Center One

Friends of Jared Polis Committee

Transaction ID : D496672

CO

CO

CA

80249-7312

94025-1452

80249-7312

Transaction ID : D496673

Transaction ID : D496671

08

08

Campaign Travel - Airline Tickets

08

Campaign Travel - Airline Tickets

Online Advertising

2014

0.00

FaceBook.com

2014

Frontier Airlines

2014

Frontier Airlines

103

2014

2014

2014

Image# 14978381043

22

106

22

22

Denver

Menlo Park

Denver

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

Page 104: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 54349

8725 W 14th AveSte 130

170.00

53.00

Friends of Jared Polis Committee

230953.00

CA

CO 80215-4849

90054-0349

Transaction ID : D496675

Transaction ID : D496677

09

08

Credit Card Payment - Finance Charge

Event Tickets

2014

53.00

Jefferson County Democratic Party

2014

Wells Fargo D

104

2014

2014

Image# 14978381044

22

106

23

Los Angeles

Lakewood

[MEMO ITEM]

Page 105: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/941/14978380941/14978380941.pdf · 2014-10-16 · REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5.

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

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)

! ! ! , , .

! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ...............................................................

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

CO

* In-Kind

263 Massachusettes Ave, NE

413 New Jersey Ave SE

413 New Jersey Ave SE

1000.00

1000.00

2000.00

Ste 602

Friends of Jared Polis Committee

Transaction ID : D496555

DC

DC

DC

20002

20003

20003

Transaction ID : D496556

Transaction ID : D496557

07

08

Event Consulting

07

Contribution - Training Program

Contribution - Training Program

2014

4000.00

Congressional Black Caucus Institute

Andrew Romanoff

2014

Congressional Black Caucus Institute

2014

Katz Watson Group

105

2014

2014

2014

Image# 14978381045

01

06

106

01

30

Washington

Washington

Washington


Recommended