Candidate Statement Of Non-Receipt Of Contributions Or Non-Expenditure Of Funds - Colorado Secretary Of State

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Colorado Secretary of State
1560 Broadway, Suite 200
Denver, CO 80202
(303) 894-2680
(303) 894-7732 Fax
CANDIDATE STATEMENT OF NON-RECEIPT OF CONTRIBUTIONS
OR
NON-EXPENDITURE OF FUNDS
[CRS 1-45-108(1) & CRS 1-45-109, SOS Rules 24.5 & 24.9]
(For use by a candidate who has not received any contributions nor made any expenditures. No expenditures have been made on
behalf of the candidate. This form is also for use by candidates that do not have a campaign committee.)
Name of Candidate: __________________________________________________________________
Address of Candidate: ________________________________________________________________
City, State, Zip Code: _________________________________________________________________
Report Period:
Beginning Date ________________ Ending Date ______________________
CONTRIBUTIONS RECEIVED OR RECEIVABLE DURING THIS REPORTING PERIOD
$ 0.00
EXPENDITURES MADE OR INCURRED DURING THIS REPORTING PERIOD
$ 0.00
I, _________________________________________, affirm pursuant to CRS 1-45-103(9) that no person
received contributions on my behalf or made any expenditures on my behalf. No contributions have been
pledged to me nor on my behalf. I have not received any contributions nor have I made or incurred any
expenditures on my own behalf during this election reporting period.
Candidate Signature
Date
Colorado Secretary of State Form Rev: May 2000

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