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Elections Division Department ofState Space Below For Office Use Only
1700 Broadway, Ste. 270 Denver, CO 80290 OCT 13 2009Ph: (303) 894-2200 x3 Fax: (303) 869-4861
www.sos.state.co.us
REPORT OF CONTRIBUTIONS AND EXPENDITURES (C.R.S. 1-45-108)
Full Name of CommitteelPerson: As Shovm on Registration
Address of CommitteelPerson: 9908 Garfield Ct.
City, State & Zip Code: Thornton
Committee Type: Political Committee - Thornton City Council
Name of Financial Institution: North Valley Bank
Address of Financial Institution: 9001 N. Washington, Thornton, CO 80229
SOS ill NUMBER (state committees ONLY): N/A Type of Report:
[i] Regularly Scheduled Filing. . [i] October 13, 2009 (21 days prior to the November 3,2009 Municipal Election)
D October 30,2009 (Friday prior to the November 3,2009 Municipal Election)
D December 3, 2009 (30 days after the November 3, 2009 Municipal Election)
D Annual - candidates from prior election held on -------------------,
D Amended Filing. This amends previous report filed on (date)
Submit changes or new information ONLY
D Termination Report (Tennination Reports MUST have a Monetary Balance ofZero in Line 5)
Reporting Period Covered: 1~---'---'4_/27_'Q=/Q-9-==...;...;i" Through 10/8/09 date date
Declared Total Spending (if applicable): [Art. XXVIII, Sect. 4 (I)]
Totals Detailed Summary Page
I Funds on Hand at Beginning of Reporting Period (monetary only) '. '\ ,'c,' :'
...' . ,$753.79 2 Total Monetary Contributions (line II)
..... '. '$,8;489.00
3
4
Total of Monetary Contributions & Beginning Amount (line I+ line 2)
Total Monetary Expenditures (line 19)
I: $9,242.79 $5,447.96
5 Funds on Hand at End of Reporting Period (monetary) (line 3 -line 4) $3,794·83
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late. [Art. XXVIII Sect. 10 (2) (a)]
Authorization (Must be completed by either the Registered Agent OR the Candidate) I hearby certify and declare, under penalty ofpetjury, that to the best of my knowledge or belief all contributions received during this reporting period, including any contributions received in the form of membership dues transferred by a membership organization, are from permissible sources.
Print Registered Agent's (Treasurer's) Name: V.41.a.1L:{..!.;...!n:.Jo...._~LJ::../---l..j"_.::;j~f:....~'---=..' _
Registered Agent's (Treasurer's) Signature: cJ ~L A.1 ~ Date: / tJ - I J - (} ? Print Candidate Name: \/,q. 1<........ ...=...;l=-===-------=:........,,.::..=.=----.!. .'V\ -~~==,.~~{}=-== -....;.....=---'--=-----''----
Candidate's Signature: rD ~~ rtJ? ~ 0 Date: _----Li....lll..........;...~ /.~'.J=-_-eJ...;;.....7=---· _
DETAILED SUMMARY
Full Name of CommitteelPerson: IL:Cotnm_·....... ·E_l...... .....·•.·_a._IV..;;,....... ' i_tt_e_e_to_·.... ect_V •• _lgI:,'_·l_·.·......_....,;,, 1
Current Reporting Period: 1:4f2()/09, .• Through 101L.:.;,...;,,/8....;./O;;.;....9 1
Funds on hand at the beginning of reporting period (Monetary Only): $753.79
6 Itemized Contributions $20 or More [CRS 1-45-108(1)(a)]
(Please list on Schedule "A")
...
,..
'... .
..." ...... , .. :"
..:. .... .
I:·
.........,. .,.
I
$8,394.00
$95.00
$0;00
$0.00
$8,489.00
$0.00
$8,489;00
$5,444.98
$2.98
$0;00
$0.00
$$;447.9(i
$5,447.96
7 Total of Non-Itemized Contributions
(Contributions of$19.99 and Less)
8 Loans Received
(Please list on Schedule "C")
9 Total of Other Receipts (Interest, Dividends, etc.)
10 Returned Expenditures (from recipient)
(Please list on Schedule "D")
11 Total Monetary Contributions
(Total oflines 6 through 10)
12 Total Non-Monetary Contributions
(From Statement ofNon-Monetary Contributions)
13 Total Contributions
(Line 11 + line 12)
14 Itemized Expenditures $20 or More [CRS 1-45-108(1)(a)]
(Please list on Schedule "B")
15 Total of Non-Itemized Expenditures
(Expenditures of$19.99 and less)
16 Loan Repayments Made
(Please list on Schedule "C")
17 Returned Contributions (To Donor)
(Please list on Schedule ''0'')
18 Total Coordinated Non-Monetary Expenditures
(Candidate/Candidate Committee & Political Parties only)
19 Total Monetary Expenditures
(Total oflines 14 through 17)
20 Total Monetary Expenditures
(Line 18 + Line 19)
Schedule A -Itemized Contributions Statement ($20 or more) [C.R.S. 1-45-108 (1) (a)]
Full Name of Committee/Person:Coti1inXt!:~etoElectVal Vigil ;;",;",~~,--,-","",-"----:,,,,",,,-"----:,,,,",,,-".........."'---'----:'_-------~-"'""'-"------
Reporting Period Covered: I.... .......... --"10-'-:/:-:-8/--"0_9,","",-"~~4/4f)7.;;;..O_9_,"'""'-"----', Through 1-..;. __ date date
WARNING: Please read the instruction page for Schedule "A" before completing!
Total Itemized Contributions: ]-$-.,-"':'<--'-"""--8-,-39-4-.-0-0-1
PLEASE PRINT/TYPE
1
2
$
3
$
1
2
$
3
$
I
2
$
3
$
1
2
$
3
$
Lucille P. Cardona Date Accepted 4 Name (Last, First):
6/30/2069 5 Address: 9822 Hight St.
Contribution Amount 6 City/State/Zip: Thornton, CO 80229
25.00 7 Description Check
8 Employer (if applicable, mandatory): Aggregate Amount*
9 Occupation (if applicable, mandatory):
Roberta Ortiz
25.00
Date Accepted 4 Name (Last, First):
6/3012069 5 Address: 4345 Quivas St.
Contribution Amount 6 City/State/Zip: Denver, CO 80211
$0.00 7 Description Check
8 Employer (if applicable, mandatory): Aggregate Amount*
9 Occupation (if applicable, mandatory):
Lucille Ve1a
50.00
Date Accepted 4 Name (Last, First):
6/3012069 5 Address: 9071 Raleigh Street
Contribution Amount 6 City/State/Zip: Westminster, CO 80031
",25.00, 7 Description Check
8 Employer (if applicable, mandatory): Aggregate Amount*
25.00 9 Occupation (if applicable, mandatory):
Linda G Wisniewski Date Accepted 4 Name (Last, First):
6/19/2009 5 Address: 10525 Dexter Dr.
Contribution Amount 6 City/State/Zip: Thornton, CO 80233 ",:
25.00 ,:', 7 Description Check
8 Employer (if applicable, mandatory): Aggregate Amount*
9 OccupatiOIJ. (if applicable, mandatory): 25.00
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A - Itemized Contributions Statement ($20 or more) Page 2
Reporting Period Covered: 1_·. 4_/2:--0/~O_9__1Through 1 10....,../8_/0_9 1
date date
PLEASE PRINT/TYPE
1 Date Accepted 4 Name (Last, First): Helen Hill
6/19/2009 5 Address: 3225 E. 124thAve.
2 Contribution Amount 6 City/State/Zip: Denver, CO 80241
$ 25.00 7 Description Check
3 Aggregate Amouilt* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Marie E. Torres
6/19/2009 5 Address: 9870 Franklin St.
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80229
$ 25.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Antonio B. Esquibel
6/19/2009 5 Address: 1329 Coronado Parkway
2 Contribution Amount 6 City/State/Zip: Denver, CO 80229
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Adams 12 Five Star School District
$ 100.00 9 Occupation (if applicable, mandatory): Counselor
1 Date Accepted 4 Name (Last, First): Joan K. Schaefer
06.19/09 5 Address: 14450 Elizabeth Ct
2 Contribution Amount 6 City/State/Zip: Brighton, CO 80602
$ 100;00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): SelfEmployed
$ 100.00 9 Occupation (if applicable, mandatory): Attorney
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 3
Full Name of Committee/Person: Co1l1Il1i~~ejo.ElectVal ViSil· .
Reporting Period Covered: __~4...;.;./2,,-,Q...;.;./(),,-,.9...;.;..·...;.;,...;.;._.···-J:IThrOUgh 1_~·_1O~/8...;.;.jO;,..9 __...J
dMe dMe
PLEASE PRINT/TYPE
1 Date Accepted 4 Name (Last, First): Amelia Reyes
6/19/2009 5 Address: 10153 Pecos St.
2 Contribution Amount 6 City/State/Zip: Northglenn, CO 80260
$ 25.QO 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Patricia L. Honeycutt
6/19/2009 5 Address: 3777 E 106th Ave
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80233
$ 30;00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 30.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Linda Lind Sand
6/19/2009 5 Address: 1134 Quivas Way
2 Contribution Amount 6 City/State/Zip: Westminster, CO 80234
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Retired
$ 100.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Ben H. Coleman
6/19/2009 5 Address: 2221 S Lowell Blvd
2 Contribution Amount 6 City/State/Zip: Denver, CO 80219
$ ~o,oo 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
.. For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art.· XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 4
Full Name of Committee/Person: Committee to Ele.ct Val Vigil
Reporting Period Covered: 1_·.·__.·...;..4_/2-':'-0_/0...;..9 1Through 1L....-_·__....;..10_/8_/0_9__ ~~ d*
PLEASE PRINT/TYPE
1 Date Accepted
6/19/2009
2 Contribution Amount
$ 75.00
4 Name (Last, First): C. Michael Litzau
5 Address: 10716 Zuni Drive
6 City/State/Zip: Denver, CO 80234
7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 75.00 9 Occupation (if applicable, mandatory):
1 Date Accepted
6/19/2009
2 Contribution Amount
$ 50.00
4 Name (Last, First): Francine Vigil
5 Address: 11164 Dexter Dr.
6 City/State/Zip: Thornton, CO 80233
7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 50.00 9 Occupation (if applicable, mandatory):
1 Date Accepted
6119/2009
2 Contribution Amount
$ 25.00
4 Name (Last, First): Carol J. Peterson
5 Address: 7648 Umatilla St.
6 City/State/Zip: Denver, CO 80221
7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
1 Date Accepted
6119/2009
2 Contribution Amount .....
$ 34;00
4 Name (Last, First): Alex Villagran & Roseanna Reyes
5 Address: 3641 W. 101stAve
6 City/State/Zip: Westminster, CO 80031
7 Description Cash
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 34.00 9 Occupation (if applicable, mandatory):
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. xxvrn, Sec. 2(6); Political Party Art. xxvrn, Sec. 3(3); Political Committee Art. xxvrn, Sec 3(5); Small Donor Committee Art. XXVTII, Sec. 2(14).
Schedule A - Itemized Contributions Statement ($20 or more) Page 5
Full Name of Committee/Person: Conunitteeto Elect Val Vigil
Reporting Period Covered: 1,-.·. __4_/2,-:-0_/0_9_.--,-_IThrough 1__1;...0;.../8_/0_9_·-.,..J
date date
PLEASE PRINT/TYPE
1 Date Accepted 4 Name (Last, First): Michael Scanlon
6/3/2009 5 Address: 2036 E. 102nd Cir
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80229
$ 25;00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount 6 City/State/Zip:
$ 7 Description
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount 6 City/State/Zip:
$ 7 Description
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Valentin Vigil
6/2012009 5 Address: 9908 Garfield Ct.
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80229
$ 25.00 7 Description Internet
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. xxvrn, Sec 3(5); Small Donor Committee Art. XXVllI, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 6
Full Name of Committee/Person: .CommitteetoElect Val Vigil
Reporting Period Covered: 1L...:..__4~t..;.20..;./0_9_.__I Through 1 10_/8",-/0...;.9__ dMe dMe
PLEASE PRINT/TYPE
1 Date Accepted 4 Name (Last, First): United Food & Commerical Workers Local #7--ABC Conunittee
6/20/2009 5 Address: 7760 W. 38th Ave. STE #400
2 Contribution Amount 6 City/State/Zip: Wheat Ridge, CO 80033
$ 2500.00 7 Description Cash
3 Aggregate Amount* 8 Employer (if applicable, mandatory): PAC Committee
$ 2500.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Judy Solano
7/10/2009 5 Address: 14789 Harrison St
2 Contribution Amount ... :
6 City/State/Zip: Brighton, CO 80602
$ 100:00. 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): State of Colorado
$ 100.00 9 Occupation (if applicable, mandatory): State Representative
1 Date Accepted 4 Name (Last, First): David Navarro
7/1012009 5 Address: 7850 Yates St,
2 Contribution Amount 6 City/State/Zip: Westminster, CO 80030
$ 50.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 50.00 9 Occupation (if applicable, mandatory):
1 bate Accepted 4 Name (Last, First): Michael Valdez
7/2212009 5 Address: 1900 Grant St, #950
2 Contribution Amount 6 City/State/Zip: Denvr, CO 80203
$ 2$,00 7 Description Thru Internet
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 25.00 9 Occupation (if applicable, mandatory):
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 7
Full Name of Committee/Person: Committee to Elect Val Vigil. .
Reporting Period Covered: '--'-'--'---'4"'-/2"'-0"'-10"'-9"'-"'-....-;;.... 1Through 1__1_0_/8..;.,./0~9_-----J d~e d~e
PLEASE PRINTITYPE
James Cole 1 Date Accepted 4 Name (Last, First):
7/31/2009 5 Address: 15873 W. 66th Cir.
2 Contribution Amount 6 City/State/Zip: Arvada, CO 80007
..$ 100.00 7 Description Thru Internet
8 Employer (if applicable, mandatory): Self Employed3 Aggregate Amount*
9 Occupation (if applicable, mandatory): Government Relations
Elbra Wedgeworth
$ 100.00
1 Date Accepted 4 Name (Last, First):
7/31/2009 5 Address: 3026 Gaylord St
2 Contribution Amount 6 City/State/Zip: Denver, CO 80205
$ 50.00 7 Description Check
8 Employer (if applicable, mandatory): 3 Aggregate Amount*
9 Occupation (if applicable, mandatory):
Kenneth D. Clifton
$ 50.00
1 Date Accepted 4 Name (Last, First):
8/10/2009 5 Address: P.O. Box 18324
2 Contribution Amount 6 City/State/Zip: Denver, CO 80218 ..
$ 100:00 .. 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Self Employed
$ 100.00 9 Occupation (if applicable, mandatory): Charter School
Jared Schultz Polis 1 Date Accemted 4 Name (Last, First):
8/10/2009 5 Address: P.O. box 4659
2 Contribution Amount 6 City/State/Zip: Boulder, CO 80306
$ 250;00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): U.S. Government
9 Occupation (if applicable, mandatory): Congressman$ 250.00
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the folIowing Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); SmalI Donor Committee Art. XXVIII, Sec. 2(l4).
Schedule A -Itemized Contributions Statement ($20 or more) Page 8
Full Name of Committee/Person: Committee toElecf ValVigil
Reporting Period Covered: ~__4_/2_'0_/0_9__....JIThrough 1__::....:10::....:/8...:..../0::..:..9__ dooe dooe
PLEASE PRINTrrYPE
1 Date Accepted 4 Name (Last, First): Michael Feeley
8/10/2009 5 Address: 13486 W Center Dr.
2 Contribution Amount 6 City/State/Zip: Lakewood, CO 80228
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Self Employed
$ 100.00 9 Occupation (if applicable, mandatory): Government Relations
1 Date Accepted 4 Name (Last, First): Travis Berry
8/17/2009 5 Address: 362 S. Williams St.
2 Contribution Amount 6 City/State/Zip: Denver, CO 80209
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): SelfEmployed
$ 100.00 9 Occupation (if applicable, mandatory): Government Relations
1 Date Accepted 4 Name (Last, First): Gayle Berry
8/17/2009 5 Address: 777 Washington St Apt 504
2 Contribution Amount 6 City/State/Zip: Denver, CO 80203
$ 25.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Anthony Fernandez
8/25/2009 5 Address: 2090 East 104th Ave, Suite 300
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80233
$ 150,00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Self Employed
$ 150.00 9 Occupation (if applicable, mandatory): Insurance
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVill, Sec. 2(6); Political Party Art. xxvrn, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A - Itemized Contributions Statement ($20 or more) Page 9
Full Name of Committee/Person: C()J:nilP.ttee to ElectValVigil
Reporting Period Covered:
PLEASE PRINT/TYPE
Jimmy Lovato 1 Date Accepted 4 Name (Last, First):
8/25/2009 5 Address: 70053 W. 77th Dr.
2 Contribution Amount 6 City/State/Zip: Arvada, CO 80005
$ 50.00 7 Description Check
8 Employer (if applicable, mandatory): 3 Aggregate Amount*
9 Occupation (if applicable, mandatory):
Colorado CD Political Action Committee
$
1 Date Accepted 4 Name (Last, First):
8/28/2009 5 Address: 1009 Grant St
2 Contribution Amount 6 City/State/Zip: Denver, CO 80203
$ 200.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Political Action Committee
9 Occupation (if applicable, mandatory): Government Relations
Joseph D, Martinez
$ 200.00
1 Date Accepted 4 Name (Last, First):
9/4/2009 5 Address: 461 E. 134th Ave
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80229
$ 50.00. .... 7 Description Check
8 Employer (if applicable, mandatory): 3 Aggregate Amount*
9 Occupation (if applicable, mandatory):
Abel Tapia
$ 50.00
1 Date Accepted 4 Name (Last, First):
9/17/2009 5 Address: 11 A Judy Dream
2 Contribution Amount 6 City/State/Zip: Pueblo, CO 81005 .. $ 200:00·
...
7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): State of Colorado
$ 200.00 9 Occupation (if applicable, mandatory): State Senator
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 10
. . ,
Full Name of Committee/Person: .Committeetp.·Eleqt.V'alVigil
Reporting Period Covered: I~······-,,·~.~.4-,,;2-:-0_/O_9_·_ ......1Through IL-'--_10-:-/8..;,../0_9_---J d~ d~
PLEASE PRINTrrYPE
1 Date Accepted 4 Name (Last, First): Gasper Romero
9/1712009 5 Address: 403 S Stuart St
2 Contribution Amount 6 City/State/Zip: Denver, CO 80219
$ 30.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
I Date Accepted 4 Name (Last, First): Tanya Kelly-Browry
9/17/2009 5 Address: 11630 Zenobia Ct.
2 Contribution Amount 6 City/State/Zip: Westminster, CO 80031
$ .150.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Self Employed
$ 150.00 9 Occupation (if applicable, mandatory): Government Relations
1 Date Accepted 4 Name (Last, First): S.E.LV. Local 105 Small Donor Committee
9/30/2009 5 Address: 2625 W. Alameda Ave.
2 Contribution Amount .:.
6 City/State/Zip: Denver, CO 80219
$ 2500.00· 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Small Donor Committee
$ 2500.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Sun Enterprises, Inc
9/30/2009 5 Address: 8877 North Washington Street
2 Contribution Amount 6 City/State/Zip: Thornton, CO 80229
$ 500;00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Retail Store
$ 500.00 9 Occupation (if applicable, mandatory):
.. For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. xxvrn, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. xxvrn, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 11
. .
Full Name of Committee/Person: GQtllll1itt:ee to Elect :V:at¥f~l··..
Reporting Period Covered: date
PLEASE PRINT/TVPE
Michael Beasley 1 Date Accepted 4 Name (Last, First):
9/30/2009 5 Address: 303 S Broadway, Suite 200-321
2 Contribution Amount 6 City/State/Zip: Denver, CO 80209
.. 7 Description Check
3 Aggregate Amount*
$ 100.00
8 Employer (if applicable, mandatory): SelfEmployed
9 Occupation (if applicable, mandatory): Govermnent Relations $ 100.00
Metro Housing Coalition I Date Accepted 4 Name (Last, First):
10/2/2009 5 Address: 9033 E Easter PI, STE 200
2 Contribution Amount 6 City/State/Zip: Centennial, CO 80112
$ 250.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Organization
9 Occupation (if applicable, mandatory): $ 250.00
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount 6 City/State/Zip: , '
$ 7 Description
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount 6 City/State/Zip:
$ .
.. i 7 Description
3 Aggregate Amount* 8 Employer (ifapplicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
* For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. xxvrn, Sec 3(5); Small Donor Committee Art. xxvrn, Sec. 2(14).
Schedule B -Itemized Expenditures Statement ($20 or more) [C.R.S. 1-45-108-(1) (a)]
Full Name of Committee/Person: Gonunittee to Elect Val.Vigil
Reporting Period Covered: 1_··__.....j~20/.O94 ................._---'I Through 1_·',--_1~0...,-'/8_/0_9
PLEASE PRINT/TYPE
1 Date Expended
6/8/09 2 Amount
$ 80.00
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
6/11/09 2 Amount
$ 56.00
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
6/11/09 2 Amount
$ 208.98
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
6/18/09 2 Amount
$ 83.59
3 Recipient is (optional):
D Committee
D Non-Committee
d~e
Total Itemized Expenditures: 1......·.·_···.....·
_ dare
5.:...,44_4_.9_8_1
4
5
6
Name (Last, First): City of Thornton
Address: 11151 Colorado Blvd
City/State/Zip: Thornton, CO 80233
7 Purpose ofExpenditure: Room Rental -- Kick-off
4
5
6
Name (Last, First):
Address:
City/State/Zip:
U.S. Postal Service
Thornton Branch
Thornton, CO 80229
7 Purpose ofExpenditure: Postage
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Gamino Printing
1090 S. Raritan St.
Denver, CO 80223
7 Purpose of Expenditure: Printing -- Remittance envelopes
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Sams Club
96th & Grant
Thornton, CO 80229
7 Purpose ofExpenditure: Food for Kick-Off
Schedule B - Itemized Expenditures Statement ($20 or more) Page 2
Full Name of Committee/Person: C0:mn:1ittee (9:Elect ValVigil
Reporting Period Covered: L.....-__4_/.....,.20"""'/O_9_·."""'._~I Through 1L.....-L.....--,--10_/8_/_09
PLEASE PRINT/TYPE
1 Date Expended
6119/09 2 Amount
$ 162.84
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
7110/09 2 Amount
$ 1560.68
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
7114/09 2 Amount
$ 70.54
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
7/22/09 2 Amount
$ 44;00
3 Recipient is (optional):
D Committee
D Non-Committee
_ date date
4 Name (Last, First): King Soopers
5 Address: 750 E l04thAve
6 City/State/Zip: Thornton, CO 80229
7 Purpose ofExpenditure: Food for Kick-Off
C & D Printing, Inc. 4 Name (Last, First):
5 Address: 5351 Tennyson St. Unit l-C
6 City/State/Zip: Denver, CO 80212-4065
7 Purpose of Expenditure: Flyers -- Door Hangers
Name (Last, First): Mile High Cartridges 4
5 Address: 8923 Washington St
6 City/State/Zip: 8923 Washington St
7 Purpose ofExpenditure: Toner -- to print walk lists.
U. S. Postal Service 4 Name (Last, First):
5 Address: Thornton Brach
6 City/State/Zip: Thornton, CO 80229
7 Purpose of Expenditure: Postage
Schedule B -Itemized Expenditures Statement ($20 or more) Page 3
Full Name of Committee/Person:
Reporting Period Covered: 1,-·..;.......;.........:.4....:./2....:.0....:./....:.09....:./__ I Through 1'---~..;.....1....:.()_/8....:./0....:.9_··•
PLEASE PRINT/TYPE
1 Date Expended
7/31109 2 Amount
$ 47,68
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/1109 2 Amount
$ 223()
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
10/2/09 2 Amount
$ 252~OO .
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/8/09 2 Amount
$ 8'48. ...... 3 Recipient is (optional):
D Committee
D Non-Committee
d~e
__d~e
_
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Walmart
98th & Grant St
Thornton, CO 80229
7 Purpose of Expenditure: Food for Volunteer
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Albertsons
Colo. Blvd. & 104th
Thornton, CO 80229
7 Purpose of Expenditure: Food for Volunteer
4
5
6
Name (Last, First):
Address:
City/State/Zip:
MetroNorth Newspaper
P.O. Box 350070
Westminster, CO 80035-0070
7 Purpose of Expenditure: Ad on Northglenn/Thornton Sentinel
4
5
6
Name (Last, First): King Soopers
Address: 750 E. 104thAve
City/State/Zip: Thornton CO 80229
7 Purpose of Expenditure: Food for Volunteer
Schedule B -Itemized Expenditures Statement ($20 or more) Page 4
Full Name of Committee/Person: Cotinnittee to Elect Val¥!~l.
Reporting Period Covered: ____'_~_4'""'j2""'P""'jO-'-9 ____'__1 Through 1 10_/8/0,-"9,... _ __ ____
PLEASE PRINTffVPE
1 Date Expended
8/8/09 2 Amount
$ 52,42
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/13/09 2 Amount
$ 538.60
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/14/09 2 Amount
$ 41.40 ....
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/20/09 2 Amount
.$ 64.63
3 Recipient is (optional):
D Committee
D Non-Committee
dm dm
Black Jack4 Name (Last, First):
5 Address: 3218 E. 104thAve
6 City/State/Zip: Thornton, CO 80029
7 Purpose ofExpenditure: Food for Volunteer
Color Graphix4 Name (Last, First):
5 Address: 33 Fox St.
6 City/State/Zip: Denver CO 80223
7 Purpose ofExpenditure: Printing -- Signs
4 Name (Last, First): King Soopers
5 Address: 750 E. 104th Ave
6 City/State/Zip: Thorton, CO 80229
7 Purpose ofExpenditure: Food for Volunteer
Color Graphix4 Name (Last, First):
5 Address: 33 Fox St.
6 City/State/Zip: Denver, CO 80223
7 Purpose of Expenditure: Printing - Signs
Schedule B -Itemized Expenditures Statement ($20 or more) Page 5
Full Name of Committee/Person: Cotmnitteeto Elect Val Vigil
Reporting Period Covered: I.;.;... Through .. _._---:;,1..;,;,,01...;.8/....:.0..;,;,,9•.~_._4/.;.;...2.;.;...0/.;.;...0.;.;...9_·-'--'-"----oJ.I 1_·
PLEASE PRINT/TYPE
1 Date Expended
8127/09 2 Amount
$ 560.27
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/28/09 2 Amount
.. $ 50;00
3 Recipient is (optional):
D Committee
D Non-Committee
dme dme
_
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Office Depot
411 W. 104thAve
Northglenn, CO 80234
7 Purpose ofExpenditure: Office Supplies & Postage
4
5
6
Name (Last, First):
Address:
City/State/Zip:
City of Thonton
11151 Colorado Blvd
Thorton, CO 80233
7 Purpose ofExpenditure: Booth for Harvest Fest
1 Date Expended
8129/08 2 Amount
$ 57.06
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
8/29/09 2 Amount
$ . . ...20.46 •
3 Recipient is (optional):
D Committee
D Non-Committee
Black Jack4 Name (Last, First):
5 Address: 3218 E. 104thAve
6 City/State/Zip: Thornton, CO 80229
7 Purpose ofExpenditure: Food for Volunteers
4 Name (Last, First): King Soopers
5 Address: 750 E. 104th Ave
6 City/State/Zip: Thornton, Co 80229
7 Purpose of Expenditure: Food for Volunteers
Schedule B -Itemized Expenditures Statement ($20 or more) Page 6
Full Name of Committee/Person: Committee t0E:l¢ctValVi~l
Reporting Period Covered: I·. 4/20/09 .·1 Through I•••.·. ... ... 10/8/09
PLEASE PRINT/TYPE
1 Date Expended
9111109 2 Amount
$ 430.aS
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
917/09 2 Amount
$ 73.76
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
7/31109 2 Amount
.}
$ 29.90 ...... . .....
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
6/30/09 2 Amount
$ 31.54 . :.
3 Recipient is (optional):
D Committee
D Non-Committee
'----d--at-e-- date
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Color Graphix
33 S. Fox St
Denver, CO 80223
7 Purpose of Expenditure: Printing -- Signs
4
5
6
Name (Last, First): Jay's
Address: 7820 N. Washington T
City/State/Zip: Denver, CO 80221
7 Purpose of Expenditure: Food for Volunteers
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Intuit Payment Solutions
21215 Burbank Blvd. 100
Woodland Hills, CA 91367
7 Purpose of Expenditure: Web Site
4
5
6
7
Name (Last, First): Intuit Payment Solutions
Address: 21215 Burbank Blvd. 100
City/State/Zip: Wooland Hills, CA 91367
Purpose of Expenditure: Web Site
__
Schedule B -Itemized Expenditures Statement ($20 or more) Page 7
Full Name of Committee/Person: Conmrit1;~~to:Elecf:Y:alVigil
Reporting Period Covered: ...................._4....;.1....;.20....;./0....;.9 1Through I~·__-"10....,./8-"/0~9_·
PLEASE PRINTffVPE
1 Date Expended
8/31/09 2 Amount
$ 31.95
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
9/30/09 2 Amount
$ 31:9.5 . 3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
9/25/09 2 Amount
$ 25.00
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
10/8/09 2 Amount
$ 80827
3 Recipient is (optional):
D Committee
D Non-Committee
date date
Intuit Payment Solutions 4 Name (Last, First):
5 Address: 21215 Burbank Blvd 100
6 City/State/Zip: Wooland Hills, CA 91367
7 Purpose ofExpenditure: Web Site
Intuit Payment Solutions 4 Name (Last, First):
5 Address: 21215 Burbank Blvd 100
6 City/State/Zip: Wooland Hills, CA 91367
7 Purpose ofExpenditure: Web Site
ACDLIPAC4 Name (Last, First):
5 Address: 9908 Garfield Ct.
6 City/State/Zip: Thornton, CO 80229
7 Purpose ofExpenditure: Advertising on Hispanic Heritage Month Brochure
C & D Printing 4 Name (Last, First):
5 Address: 5351 Tennyson St., Unit l-C
6 City/State/Zip: Denver, CO 80212
7 Purpose ofExpenditure: Printing & Postage -- Mailer
vUi~[)iTIONALLY ACCEPTEQ; Elections Division Department of State Space Below For Office Use Only
1560 Broadway, Ste. 200 OCT 30 2009 Denver, CO 80202 Ph: (303) 894-2200 x3 Fax: (303) 869-4861 THORNTON CITY CLERK WWW.sos.state.co.us
REPORT OF CONTRIBUTIONS AND EXPENDITURES (C.R.S. 1-45-108)
Committee to Elect Val Vigil Full Name of CommitteelPerson: As Shown on Registration
Address of CommitteelPerson: 9908 Garfield Ct.
City, State & Zip Code: Thornton, CO 80229
Committee Type: Polititcal Committee - Thornton City Council
Name of Financial Institution: North Valley Bank
Address of Financial Institution: 9001 N. Washington St.,. Thornton. CO 80229
SOS ID NUMBER (state committees ONLY): N/A Type of Report:
[{] Regularly Scheduled Filing Deadlines.D October 13,2009 (21 days prior to the November 3, 2009 Municipal Election)
[{] October 30, 2009 (Friday prior to the November 3, 2009 Municipal Election
D December 3,2009 (30 days after the November 3, 2009 Municipal Election)
D Annual - candidates from prior election held on I I~==============================
Amended Filing. This amends previous report filed on (date)D Submit changes or new information ONLY
D Termination Report (Termination Reports MUST have a Monetary Balance ofZero in Line 5)
Reporting Period Covered: 110/9/09 Through 1_1_0_12_5_12_0_0_9--: _ date date
Declared Total Spending (if applicable): [Art. XXVlIl, Sect. 4 (I)] N/A
Totals Detailed Summary Page
1 Funds on Hand at Beginning of Reporting Period (monetary only) $3.794.83 2 Total Monetary Contributions (line 11) $2.100.00 3 Total of Monetary Contributions & Beginning Amount (line 1+ line 2) $5,894.83 4 Total Monetary Expenditures (line 19) $1309.21 5 Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4) $4,585.62
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late. [Art. XXVIII Sect. 10 (2) (a)] .
Authorization (Must be completed by either the Registered Agent OR the Candidate)
Print Registered Agent's (Treasurer's) Name:
Registered Agent's (Treasurer's) Signature:
Print Candidate's Name: Committee to Elect Val Vigil
DETAILED SUMMARY
Full Name of CommitteelPerson: _C_o_rn_Inl_·_tt_e_e_to_E_le_c_t_V_a_l_V_i..::g:..-il _
Current Reporting Period: 10/9/09 Through 10/25/2009
Funds on hand at the beginning of reporting period (Monetary Only) $ $3,794.83
6 Itemized Contributions $20 or More [C.R.S. 1-45-108(l)(a)] (Please list on Schedule "A")
$ $2,100.00
7 Total of Non-Itemized Contributions (Contributions of $19.99 and Less)
$
8 Loans Received (Please list on Schedule "C")
$
$
$0.00
9 Total of Other Receipts (Interest, Dividends, etc.)
10 Returned Expenditures (from recipient) (Please list on Schedule "D")
$ $0.00
11 Total Monetary Contributions (Total of lines 6 through 10)
$ $2,100.00
12 Total Non-Monetary Contributions (From Statement ofNon-Monetary Contributions)
$
$
$646.84
$2,746.84
I
13 Total Contributions (Line 11 + line 12)
14 Itemized Expenditures $20 or More [c.R.s. 1-45-108(l)(a)] (Please list on Schedule "B")
$ $1,309.21
15 Total of Non-Itemized Expenditures (Expenditures of$19.99 or Less) $
16 Loan Repayments Made (Please list on Schedule "C")
$
$
$
$0.00
$0.0017 Returned Contributions (To donor) (Please list on Schedule "D")
18 Total Coordinated Non-Monetary Expenditures (Candidate/Candidate Committee & Political Parties only)
19 Total Monetary Expenditures (Total 0 f lines 14 through 17)
$ $1,309.21
20 Total Spending (Line 18 + line 19)
$ $1,309.21
-----------
Schedule A -Itemized Contributions Statement ($20 or more) [C.R.S.I-45-108(l)(a)]
Full Name of Committee/Person: Committee to Elect Val Vigil-----------,------=:::_----------,---------- Reporting Period Covered: --'1""0/c.:..9:...::/O.:...9__--=-_ through 1012512009
Date Date
WARNING: Please read the instruction page for Schedule "A" before completing!
$2,100.00Total Itemized Contributions: PLEASE PRINTffYPE
1. Date Accepted 4. Name (Last, First): Jared Schultz Polis10/16/09
5. Address: P.O. Box 4659
6. City/State/Zip: Boulder, CO 80306
7. Description: Check
8. Employer (if applicable, mandatory): U.S. Government
9. Occupation (if applicable, mandatory): Congressman
2. Contribution Amt. $300.00
3. Aggregate Amt. * $550.00
1. Date Accepted 4. Name (Last, First): AFSCME10/21/09
5. Address: 1625 L Street, NW 2. Contribution Amt. $500.00 6. City/State/Zip: Washington, DC 20036
7. Description: Check
3. Aggregate Amt. * 8. Employer (if applicable, mandatory): N/A $500.00
9. Occupation (if applicable, mandatory): N/A
1. Date Accepted 4. Name (Last, First): Marlon H. Reis10/19/09
1301 Canyon Blvd.5. Address: 2. Contribution Amt. $200.00 6. City/State/Zip: Boulder, CO 80306
7. Description: Check
3. Aggregate Amt. * 8. Employer (if applicable, mandatory): Self-Employed $200.00 Author9. Occupation (if applicable, mandatory):
1. Date Accepted 4. Name (Last, First): Denver Area Labor Federation10/21/09
140 Sheridan Blvd.5. Address: 2. Contribution Amt. $500.00 6. City/State/Zip: Denver, CO 80226
7. Description: Check
3. Aggregate Amt. * 8. Employer (if applicable, mandatory): N/A $500.00
9. Occupation (if applicable, mandatory): N/A . . . .
• For contnbutlon limits wlthm a commIttee s electIon cycle or contnbutIon cycle, please refer to the followmg Colorado ConstItutIonal cites. CandIdate Committee Art. XXVlll, Sec. 2(6); Political Party Art. XXVlll, Sec. 3(3); Political Committee Art. XXVlll, Sec 3(5); Small Donor Committee Art. XXVlll, Sec. 2(14).
Schedule A -Itemized Contributions Statement ($20 or more) Page 2
Full Name of Committee/Person: Committee to Elect Val Vigil-----------'='---------------------
Reporting Period Covered: --=l'--0--:./9_/0--:.9_~--through 10/25/2009 Date Date
PLEASE PRINTffYPE 1. Date Accepted
4. Name (Last, First): Randall L. Peterson10/19/09
5. Address: 13349 Downing St
6. City/State/Zip: Thornton, CO 80241
7. Description: Check
8. Employer (if applicable, mandatory): School Dist. 12
9. Occupation (if applicable, mandatory): Teacher
2. Contribution Amt.
$ 100.00
3. Aggregate Amt. * $ 100.00
1. Date Accepted CSCEW Small Donor Committee4. Name (Last, First): 10/21/09
5. Address: 5660 Logan Street 2. Contribution Amt.
Denver, CO 802166. City/State/Zip:$ 500.00
7. Description: Check
3. Aggregate Amt. * 8. Employer (if applicable, mandatory): N/A $ 500.00
9. Occupation (if applicable, mandatory): N/A
1. Date Accepted 4. Name (Last, First):
5. Address: 2. Contribution Amt.
6. City/State/Zip: $
7. Description:
8. Employer (if applicable, mandatory):
Occupation (if applicable, mandatory): 9.
3. Aggregate Amt. * $
1. Date Accepted 4. Name (Last, First):
5. Address: 2. Contribution Amt.
6. City/State/Zip: $
7. Description:
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
3. Aggregate Amt. * $
,• For contnbutton limits wlthm a committee s electIOn cycle or contnbutlon cycle, please refer to the followmg Colorado ConstttutlOnal cites: Candidate Committee Art. XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule B -Itemized Expenditures Statement ($20 or more) [C.R.S. 1-45-108-(1) (a)]
Full Name of CommitteelPerson: Committee to Elect Val Vigil
Reporting Period Covered: 110/9/09 I Through 110/25/2009
PLEASE PRINTffVPE
1 Date Expended 10/10/09
2 Amount
$ 9.11
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended 10/10/09
2
$
Amount
49.98
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended 10/14/09
2 Amount
$ 650.98
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
10/14/09 2 Amount
$ 100.00
3 Recipient is (optional):
D Committee
D Non-Committee
date date
Total Itemized Expenditures: 1_$_1_,_30_9_._2_1 _
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Albertsons
104th & Colorado Blvd
Thornton, CO 80229
7 Purpose of Expenditure: Food for Volunteers
4
5
6
7
Name (Last, First): Black Jack Pizza
Address: 3218 E. 104th Ave.
City/State/Zip: Thornton, CO 80229
Purpose of Expenditure: Food for Volunteers
4
5
6
7
Name (Last, First): C & D Printing, Inc.
Address: 5351 Tennyson St., Unit 1-C
City/State/Zip: Denver, CO 80212
Purpose of Expenditure: Printing and Mailing Services
4
5
6
7
Name (Last, First): Michael A. Scanlon
Address: 2036 E. 102nd Cir
City/State/Zip: Thornton, CO 80229
Purpose of Expenditure: Political Advisor
Schedule B - Itemized Expenditures Statement ($20 or more) Page 2
Full Name of CommitteelPerson: Committee to Elect Val Vigil
Reporting Period Covered: IL-1_0_/9_/0_9 1 Through 110/25/2009
PLEASE PRINTffVPE
1 Date Expended
10/15/09 2 Amount
60.00$
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended 10/16/09
2 Amount
$ 63.46
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended 10/23/09
2
$
Amount
75.68
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended 10/24/09
2 Amount
$ 300.00
3 Recipient is (optional):
D Committee
D Non-Committee
date date
4 Name (Last, First): Adams County Clerk & Recorder
5 Address: 1865 W. 121st Ave, Suite 600
6 City/State/Zip: Westminster, CO 80234
7 Purpose of Expenditure: Set Up/e-mail for returned ballots
4
5
6
7
Name (Last, First): King Soopers
Address: 750 E. 104th Ave.
City/State/Zip: Thornton, CO 80229
Food for Volunteers Purpose ofExpenditure:
4
5
6
7
Name (Last, First): Robodial.Org
Address: 312 Woodland Ave
City/State/Zip: Media, PA 19063
Robo Calls Purpose of Expenditure:
4
5
6
7
Name (Last, First): Michael A. Scanlon
2036 E. 102nd Cir Address:
City/State/Zip: Thornton, CO 80229
Political Advisor Purpose of Expenditure:
Statement of Non-Monetary Contributions [Art. XXVIII, Sec. 2(5)(a)(II)(III) & Sec. 5(3) & C.R.S. 1-45-108(1)]
Full Name of CommitteelPerson: Committee to Elect Val Vigil
10/9/09 10/25/2009 $646.84PLEASE PRINTffYPE 1. Date Provided
4. Name (Last, First): SEIU Colorado
10/24/09 5. Address: 22625 W. Alameda Ave,
2. Fair Market Value 6. City/State/Zip: Denver, CO 80219
$ 646.84 7. Description: In-Kind Staff Time
8. Employer (if applicable, mandatory): N/A3. Aggregate Amt.
9. Occupation (if applicable, mandatory): N/A$ 0.00
10. III Check box if Coordinated with a Candidate/Candidate Committee or Political Party. * 1. Date Provided
4. Name (Last, First):
5. Address:
2. Fair Market Value 6. City/State/Zip:
$ 7. Description:
8. Employer (if applicable, mandatory): 3. Aggregate Amt.
$ 9. Occupation (if applicable, mandatory):
10. D Check box if Coordinated with a Candidate/Candidate Committee or Political Party. * 1. Date Provided
4. Name (Last, First):
5. Address:
2. Fair Market Value 6. City/State/Zip:
$ 7. Description:
8. Employer (if applicable, mandatory): 3. Aggregate Amt.
9. Occupation (if applicable, mandatory): $
10. D Check box if Coordinated with a Candidate/Candidate Committee or Political Party. * 1. Date Provided
4. Name (Last, First):
5. Address:
2. FairMarketValue 6. City/State/Zip:
$ 7. Description:
8. Employer (if applicable, mandatory): 3. Aggregate Amt.
$ 9. Occupation (if applicable, mandatory):
10. D Check box if Coordinated with a Candidate/Candidate Committee or Political Party. * • Note: If coordinated, then contribution must also be reported as a non-monetary expenditure on Detailed Summary. Art. XXVIII, Sec. 2(9) states: "... Expenditures that are controlled by or coordinated with a candidate or candidate's agent are deemed to be both contributions by the maker of the expenditures, and expenditures by the candidate committee."
Elections Division Department of State 1700 Broadway, Ste. 270 Denver, CO 80290 Ph: (303) 894-2200 x3 Fax: (303) 869-4861
www.sos.state.co.us
)18310 All::> N01NI:IOHJ Space Below For Office Use Only
600l f: 0 330
031d300V All\iNOI1IO~j(
REPORT OF CONTRIBUTIONS AND EXPENDITURES (C.R.S. 1-45-108)
Full Name of Committee/Person: . Committee to Elect Val Vigil As Shown on Registration
Address of Committee/Person: 9908 Garfield Ct,.
City, State & Zip Code: Thornton, CO 80229
Committee Type: Political Committee - Thornton City Council
Name of Financial Institution: North Valley Bank
Address of Financial Institution: 9001 N. Washington St., Thornton, CO 80229
SOS ID NUMBER (state committees ONLY): N/A Type of Report:
lXJ RegUljlY j<hedUled FlUng. October 13,2009 (21 days prior to the November 3, 2009 Municipal Election)
D October 30, 2009 (Friday prior to the November 3, 2009 Municipal Election)
00 December 3,2009 (30 days after the November 3, 2009 Municipal Election)
D Annual- candidates from prior election held on ----------------
D Amended Filing. This amends previous report filed on (date)
Submit changes or new information ONLY
D Termination Report (Termination Reports MUST have a Monetary Balance of Zero in Line 5)
Reporting Period Covered: 10/26/09 Through 11/28/09I-- date date
Declared Total Spending (if applicable): [Art. N/AXXVIII, Sect. 4 (1)1
Totals Detailed Summary Page
1 Funds on Hand at Beginning of Reporting Period (monetary only) $4,585.62 2 Total Monetary Contributions (line II) $200.00 3 Total of Monetary Contributions & Beginning Amount (line 1+ line 2) $4,785.62 4 Total Monetary Expenditures (line 19) $1,010.76 5 Funds on Hand at End of Reporting Period (monetary) (line 3 -line 4) $3,774.86
The appropriate officer shall impose a penalty of $50 per day for each day that a report is filed late. [Art. XXVIII Sect. 10 (2) (a)]
Authorization (Must be completed by either the Registered Agent OR the Candidate) I hearby certify and declare, under penalty ofpeIjury, that to the best ofmy knowledge or belief all contributions received during this reporting period, including any contributions received in the form ofmembership dues transferred by a membership organization, are from permissible sources.
Print Registered Agent's (Treasurer's) Name: Valentin Vigil
1 ~ ~ Registered Agent's (Treasurer's) Signature: ......;..t]1 ~ ·_,/{.:=./----::J/-le_""'~=..1 Date: / 2. .....1 - cJ ?....u{(""·_»<..:.::;-':-<==-J2.,=-·=.__ __ Print Candidate Name: Valentin Vigil
Candidate's Signature: --('J-. -~-,I--<--1-1,....-)-~--:J~X-:::;""'~" ...----------D-at-e-:-/-;1-'~-J---o--2-----
DETAILED SUMMARY
Full Name of CommitteelPerson: II..C_o_mrni_tt_e_e_to_E_I_ec_t_V_al_V_ig;;.i_I__ ....
Current Reporting Period: 110/26/09 Through 1~1_1/_2_8/_0_9 _
Funds on hand at the beginning of reporting period (Monetary Only): $4,585.62
6 Itemized Contributions $20 or More [CRS l-45-108(1)(a)]
(Please list on Schedule "A") $200.00
7 Total of Non-Itemized Contributions
(Contributions of $19.99 and Less)
8 Loans Received
(Please list on Schedule "C") $0.00
9 Total of Other Receipts (Interest, Dividends, etc.)
10 Returned Expenditures (from recipient)
(Please list on Schedule "D") $0.00
11 Total Monetary Contributions
(Total of lines 6 through 10) $200.00
12 Total Non-Monetary Contributions
(From Statement ofNon-Monetary Contributions) $0.00
13 Total Contributions
(Line 11 + line 12) $200.00
14 Itemized Expenditures $20 or More [CRS l-45-l08(l)(a)]
(Please list on Schedule "B") $1,010.76
15 Total or Non-Itemized Expenditures
(Expenditures of$19.99 and less)
16 Loan Repayments Made
(Please list on Schedule "C") $0.00
17 Returned Contributions (To Donor)
(Please list on Schedule "D") $0.00
18 Total Coordinated Non-Monetary Expenditures
(Candidate/Candidate Committee & Political Parties only)
19 Total Monetary Expenditures (Totaloflines 14 through 17) $1,010.76
20 Total Monetary Expenditures
(Line 18 + Line 19) $1,010.76
Schedule A -Itemized Contributions Statement ($20 or more) [C.R.S. 1-45-108 (1) (a)]
Full Name of Committee/Person: Committee to Elect Val Vigil
Reporting Period Covered: 1'--__1_0/...,....2_6/_09__--'1 Through 1 11_/2:-8_/0_9__ date date
WARNING: Please read the instruction page for Schedule "A" before completing!
Total Itemized Contributions: 1-$-~---2-0-0-.o-o-1 PLEASE PRINTITYPE
1 Date Accepted 4 Name (Last, First): Vigil, Viola C.
11/6/2009 5 Address: 5780 E. 67th PI
2 Contribution Amount 6 City/State/Zip: Commerce City, CO 80022
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Retired
$ 100.00 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First): Sandoval, Paula E.
11/6/2009 5 Address: 4077 W. 26th Ave.
2 Contribution Amount 6 City/State/Zip: Denver, CO 80212
$ 100.00 7 Description Check
3 Aggregate Amount* 8 Employer (if applicable, mandatory): Se1f- Employed
$ 100.00 9 Occupation (if applicable, mandatory): Restaurant Owner
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount 6 City/State/Zip:
$ 7 Description
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
1 Date Accepted 4 Name (Last, First):
5 Address:
2 Contribution Amount . 6 City/State/Zip:
$ 7 Description
3 Aggregate Amount* 8 Employer (if applicable, mandatory):
$ 9 Occupation (if applicable, mandatory):
• For contribution limits within a committee's election cycle or contribution cycle, please refer to the following Colorado Constitutional cites: Candidate Committee Art XXVIII, Sec. 2(6); Political Party Art. XXVIII, Sec. 3(3); Political Committee Art. XXVIII, Sec 3(5); Small Donor Committee Art. XXVIII, Sec. 2(14).
Schedule B -Itemized Expenditures Statement ($20 or more) [C.R.S. 1-45-108-(1) (a)]
Full Name of Committee/Person: Committee to Elect Val Vigil
Reporting Period Covered: ___1_0/-:-2_6/_09 1 Through 1 1_1/-:-2_8/_09 _
PLEASE PRINTrrYPE
1 Date Expended
11/3/09 2 Amount
$ 31.95
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
9/30/09 2 Amount
$ 274.81
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
10/31/09 2 Amount
$ 252.00
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
10/27/09 2 Amount
$ 352.00
3 Recipient is (optional):
D Committee
D Non-Committee
d~
Total Itemized Expenditures: 1
d~
1.....:,_0_10_._7_6-J
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Intuit Payment Solutions
21215 Burbank Blvd. #100
Woodland Hills, CA 91367
7 Purpose of Expenditure: Web Site
4
5
6
Name (Last, First):
Address:
City/State/Zip:
La Botana
8995 Washington St
Thornton, CO 80229
7 Purpose of Expenditure: Election Night Reception
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Metro North Newspapers
P.O. Box 350070
Westminster, CO 80035
7 Purpose ofExpenditure: Advertising
4
5
6
Name (Last, First):
Address:
City/State/Zip:
Postal Service
Thornton Branch
Thornton, CO 80229
7 Purpose ofExpenditure: Postage
___
Schedule B - Itemized Expenditures Statement ($20 or more) Page 2
Full Name of Committee/Person: Committee to Elect Val Vigil
Reporting Period Covered: 1_o/_2_6/_o9 1 Through 1 1_1_/2_8/_0_9__
PLEASE PRINTITYPE
1 Date Expended
11/28/09 2 Amount
$ 100.00
3 Recipient is (optional):
D Committee
D Non-Committee
1 Date Expended
2 Amount
date date
Scanlon, Michael A.4 Name (Last, First):
5 Address: 2036 E. 102nd Cir
6 City/State/Zip: Thornton, CO 80229
7 Purpose of Expenditure: Political Advisor
4
5
Name (Last, First):
Address:
City/State/Zip:
Purpose of Expenditure:
$ 6
3 Recipient is (optional):
D Committee 7
D Non-Committee
1 Date Expended 4
2 Amount 5
$ 6
3 Recipient is (optional):
D Committee 7
D Non-Committee
Name (Last, First):
Address:
City/State/Zip:
Purpose of Expenditure:
1 Date Expended 4
2 Amount 5
$ 6
3 Recipient is (optional):
D Committee 7
D Non-Committee
Name (Last, First):
Address:
City/State/Zip:
Purpose of Expenditure: