HomeMy WebLinkAbout2025 Termination ReportCity of Pueblo
Elections Division
Marisa Stoller, City Clerk
#1 City Hall Place
Pueblo, CO 81003
Ph: (719)553-2669
Fax: (719) 553-2697
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REPORT OF CONTRIBUTIONS AND EXPENDITURES
The Report of Contributions and Expenditures is a financial report required for all committees or parties that
accept contributions or make expenditures to support or oppose a candidate or an initiative seeking access to the
ballot and/or a referendum placed on the ballot by the general assembly. The report is comprised of 7 basic data
entry pages along with several informational and instructional pages. The data entry forms consist of the Report
of Contributions and Expenditures with the Detail Summary, Schedules A, B, C, D and the Statement of Non -
Monetary Contributions. Completion of Schedules A, B, C, D and the Statement of Non -Monetary
Contribution forms should be done prior to completion of the Report of Contributions and Expenditures and
Detail Summary pages. Listed below are brief descriptions of what each data entry page accomplishes to help
you complete and finalize this report.
Report of Contributions and Expenditures (page 1)
A summary page of the committee or parry name, address, financial institution, registered agent and the
contribution/expenditure totals for a specific reporting period with the Detailed Summary page (page 2) that
summarizes totals for all other data entry forms. Complete this 2-page form last.
Schedule A
This form is used to report monetary contributions received by the committee or parry that exceed $19.99.
(Money received into the committee/party.)
Schedule B
This form is used to report expenditures paid out by the committee or party that exceed $19.99. (Money
expended/paid out by the committee/party.)
Schedule C
This form details loans received and repaid by the committee/party. (Money received by committee from a
financial institution and/or repayment of a loan to a financial institution.)
Schedule D
This form allows the committee/party to account for either a contribution or expenditure that has been made and
is being returned to the committee/party.
Statement of Non -Monetary Contributions
This form details contributions received that are tangible and can be assessed a fair market value. Expenditures
on behalf of a candidate that are coordinated with or controlled by the candidate, candidate's agent or the
political party shall be counted as a contribution to and expenditure by the candidate committee or the political
party. If filing the Report of Contributions and Expenditures manually, it MUST be received by the appropriate
officer on or before the manual due date. Postmark dates are not recognized. A faxed report MUST be
followed up with the original document within seven calendar days. If you wish to file electronically, please e-
mail directly to the City Clerk (mstolletLc�pueblo.us) Inquiry. The cai,idh.h.ae ai,id Epp,. w1uus�d:cwd �gcwI a�.��:.
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Municipal candidates and committees should contact the City Clerk for aid in filing these forms;
however, the Clerk's Office cannot give advice on how or what to file as far as campaign contributions.
Thank you
Colorado Secretary of State Form Rev. 12/09
INSTRUCTIONS FOR
REPORT OF CONTRIBUTIONS AND EXPENDITURES
DETAILED SUMMARY
Reference Colorado Revised Statute: 1-45-108, C.R.S.
Who uses this form? All Committees
Purpose of form: This form is used to summarize the information from all other required
financial forms.
Is this form required? Yes
When do I file this form? This form must be received by the designated election official on or
before the filing due date for the reporting period. Postmarks are not
accepted.
COMPLETING THE FORM
This form uses information contained on other forms; all other applicable forms must be completed prior to filing this
summary form.
STEP 1. Completely fill out the Report of Contributions and Expenditures page until you reach Line 1.
➢ Print or type the full name of the committee
➢ Print or type the address of your committee. Print or type the city, state and zip code of your
committee.
➢ Print or type the name of the financial institution where the committee funds are deposited. [1-45-
108(1)(a)(IV)(b), C.R.S.]
➢ Print or type the address of the financial institution including city, state and zip code.
➢ Determine what type of report is being filed.
• Regularly Scheduled Filings are normal reporting periods as required in 1-45-108 & 1-45-109,
C.R.S. (These dates are available from the City Clerk
• Amended Filings are reports that correct a previously filed report.
• Termination Reports are filings that close a committee, indicating the committee is no longer
in existence. You must report a zero balance on line 45. (Art. XXVIII, Sec. 2(3), 1-45-106,
C.R.S., and the Rules Concerning Campaign and Political Finance 3.3)
➢ Check (0) the appropriate box next to the type of report filed. If this report is an amended filing,
print or type the date of the originally filed report being amended.
➢ Print or type the Reporting Period being covered. (The beginning and ending dates)
STEP 2. Skip Lines 1-5 and the Authorization portion of the Report of Contributions and Expenditures page (page 1)
and go to the Detailed Summary page (page 2).
STEP 3. On the Detail Summary page of the Report of Contributions and Expenditures form completely fill out the
header information and lines 6 through 20.
Colorado Secretary of State Form Rev. 12/09
➢ Line 46 —
Enter the total amount from Schedule A.
➢ Line 47 —
Enter the total amount of contributions received this reporting period that were $19.99 or less.
➢ Line 48 —
Enter the total amount of all loans received this reporting period. (Schedule C)
➢ Line 49 —
Enter the total amount of all other receipts. (Example: Interest, Dividends)
➢ Line # 10
— Enter the total amount of all expenditures returned or refunded to the committee. (Schedule
D - money coming back to the committee).
➢ Line 411
— Enter the sum of Lines 46 through 410.
➢ Line # 12
— Enter the total amount of all Non -Monetary Contributions from the Statement of Non -
Monetary Contributions form.
➢ Line # 13
— Enter the sum of Line # 11 and # 12.
➢ Line # 14
— Enter the total amount from Schedule B.
➢
Line 415
—Enter the total amount of all Expenditures $19.99 or less.
➢
Line # 16
—Enter the total amount of all loan payments paid this reporting period. (Schedule C)
➢
Line 417
—Enter the total amount of contributions returned to the donor. (Schedule D -money going
out of the committee).
➢
Line 418
—Enter the total amount of expenditures by a third party that are controlled by or coordinated
with a candidate, candidate committee or political party. (Statement of Non -Monetary
Contribution form)
➢
Line 419
—Enter the sum of Lines 414 through 417.
➢
Line 420
—Enter the sum of lines 418 and 419. [Art. XXVIII, Sec. 5(3)]
STEP 4. Return to the Report of Contributions and Expenditures form and complete Lines 1-5.
➢
Line # 1 —
If this is your first Report of Contributions and Expenditures as a committee enter zero (0). If
you have
previously filed enter the ending balance from line 45 of your most recently filed report.
➢
Line 42 —
Enter the total amount from Line # 11.
➢
Line 43 —
Enter the sum of Lines # 1 and #2.
➢
Line 44 —
Enter the total amount from Line # 19.
➢
Line 45 —
Enter the difference of Line 43 minus Line 44.
STEP 5. Complete the
Authorization portion of the Report of Contributions and Expenditures form by printing the
name of the registered agent and then sign and date the report.
Colorado Secretary of State Form Rev. 12/09
City of Pueblo
Elections Division
Marisa Stoller, City Clerk
#1 City Hall Place
Pueblo, CO 81003
Ph: (719)553-2669
Fax: (719)553-2697
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Space Below For Office Use Only
REPORT OF CONTRIBUTIONS AND EXPENDITURES
(1-45-108, C.R.S.)
As Shown on Registration
Full Name of Committee/Person:
Pueblo Firefighters IAFF Local 3 Small Donor
Address of Committee/Person:
116 N Main St
City, State & Zip Code:
Pueblo, CO 81005
Committee Type:
Small Donor
Name and Address of Financial
Institution
Denver Fire Department Federal Credit Union 12 Lakeside Ln Denver CO 8021
TYPE OF REPORT
❑ Regularly Scheduled Filing.
❑ Amended Filing. This amends previous report filed on (date)
Submit changes or new information ONLY
® Termination Report. (Termination Reports MUST Have a Monetary Balance of Zero in Line 5)
Reporting Period Covered: NOV 1 2024 1 Through OCT 14 2025
Date Date
.Totals Detailed Summary Page
1
Funds on Hand at the Beginning of Reporting Period (monetary only)
$ 13564.30
2
Total Monetary Contributions (line 11)
$ 2101.43
3
Total of Monetary Contributions & Beginning Amount (line 1 + line 2)
$15665.73
4
Total Monetary Expenditures (line 19)
$ 15665.73
5
Funds on Hand at the End of Reporting Period (monetary) (line 3 - line 4)
$ 0
The City Clerk shall impose a penalty of $10 per day for each day that a report is filed late.
[Section 5-2-12(d) Pueblo Municipal Code]
Authorization (Must be completed by either the Registered Agent OR the Candidate): I hereby certify and declare, under
penalty ofperjury, 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 Name:
Registered Agent's Signature:
Print Candidate Name:
Candidates Signature:
nder Briggs
Date: 10/14/2025
Date:
Colorado Secretary of State Form Rev. 12/09
DETAILED SUMMARY
Full Name of Committee/Person: Pueblo Firefighters IAFF Local 3 Small Donor
Current Reporting Period: NOV 1, 2024 1 Through NOV 1, 2025
Funds on hand at the beginning of reporting period (Monetary Only)
$13564.30
6
Itemized Contributions $20 or More [C.R.S.1-45-108(1)(a)]
$0
(Please list on Schedule "A")
7
Total of Non -Itemized Contributions
$2099A6
(Contributions of $19.99 and Less)
8
Loans Received
$0
(Please list on Schedule "C")
9
Total of Other Receipts
$2 37
(Interest, Dividends, etc.)
10
Returned Expenditures (from recipient)
$0
(Please list on Schedule "D")
11
.Total Monetary Contributions
$2101.43
(Total of lines 6 through 10)
12
Total Non -Monetary Contributions
$0
(From Statement of Non -Monetary Contributions)
13
Total Contributions
2101.43
$
(Line 11 + line 12)
14
Itemized Expenditures $20 or More [C.R.S. 1-45-108(1)(a)]
$15665.73
(Please list on Schedule `B")
15
Total of Non -Itemized Expenditures
$0
(Expenditures of $19.99 or Less)
16
Loan Repayments Made
"C")
$0
(Please list on Schedule
17
Returned Contributions (To donor)
$ 0
(Please list on Schedule "D")
18
Total Coordinated Non -Monetary Expenditures
$0
(Candidate/Candidate Committee & Political Parties only)
19
Total Monetary Expenditures
$15665.73
(Total of lines 14 through 17)
20
Total Spending
$15665.73
(Line 18 + line 19)
Colorado Secretary of State Form Rev. 12/09
Schedule A Instructions
NOTE: In addition to the reporting requirements of 1-45-108, C.R.S., please note provisions for
specific Committee type, as follows:
Candidate, Issue, Political Party and Political Committee (PC)
• Required to disclose occupation and employer for all $100 or more contributions made by
natural persons. (Art. XXVIII, Sec. 7)
Small Donor Committee
• Accepts contributions of no more than $50 per year, FROM NATURAL PERSONS ONLY.
[Art. XXVIII, Sec. 2(14)(a)]
PROHIBITED CONTRIBUTIONS
[Art XXVIII, Sec.3 & C.R.S. 1-45-105.5]
• No candidate's candidate committee shall accept contributions from, or make
contributions to, another candidate committee.
• No person shall act as a conduit for a contribution to a candidate committee.
• It shall be unlawful for a corporation or labor organization to make contributions to a
candidate committee or a political party, and to make expenditures expressly advocating the
election or defeat of a candidate; except that a corporation or labor organization may establish
a political committee or small donor committee which may accept contributions or dues from
employees, officeholders, shareholders, or members.
• No candidate committee, political committee, small donor committee, or political party shall
knowingly accept contributions from:
0 Any natural person who is not a citizen of the United States;
0 A foreign government; or
0 Any foreign corporation that does not have the authority to transact business in this
state pursuant to article 115 of title 7, C.R. S., or any successor section.
• No candidate committee, political committee, small donor committee, issue committee, or
political party shall accept a contribution, or make expenditures in currency or coin exceeding
one hundred dollars.
• No person shall make a contribution to a candidate committee, issue committee, political
committee, small donor committee, or political party with the expectation that some or all of
the amounts of such contribution will be reimbursed by another person. No person shall be
reimbursed for a contribution made to any candidate committee, issue committee, political
committee, small donor committee, or political party, nor shall any person make such
reimbursement except as provided in subsection (8) of this section. [Art. XXVIII, Sec. 3(8)]
Colorado Secretary of State Form Rev. 12/09
Schedule A - Itemized Contributions Statement ($20 or more)
[C.R. S. 1-45-108(1)(a)]
Full Name of Committee/Person: Pueblo Firefighters IAFF Local 3 Small Donor
NOTE: Please read the instruction page for Schedule "A" before completing.
PLEASE PRINT/TYPE
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Contribution Amt.
6. City/State/Zip:
3. Aggregate Amt.
7. Description:
$
8. Employer (if contribution is $100.00 or more, mandatory):
9. Occupation (if contribution is $100.00 or more, mandatory):
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Contribution Amt.
6. City/State/Zip:
3. Aggregate Amt. *
7. Description:
$
8. Employer (if contribution is $100.00 or more, mandatory):
9. Occupation (if contribution is $100.00 or more, mandatory):
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Contribution Amt.
6. City/State/Zip:
3. Aggregate Amt.
7. Description:
$
8. Employer (if contribution is $100.00 or more, mandatory):
9. Occupation (if contribution is $100.00 or more, mandatory):
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Contribution Amt.
6. City/State/Zip:
3. Aggregate Amt. *
7. Description:
$
8. Employer (if contribution is $100.00 or more, mandatory):
9. Occupation (if contribution is $100.00 or more, 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).
Colorado Secretary of State Form Rev. 12/09
Schedule B - Itemized Expenditures Statement ($20 or more)
[1-45-108(1)(a), C.R.S.]
Full Name of Committee/Person: Pueblo Firefighters IAFF Local 3 Small Donon
PLEASE PRINT/TYPE
1. Date Emended
01 /22/25
4. Name: Cityof Pueblo
5. Address: 1 City Hall PI
2. Amount
$ 120.00
6. City/State/Zip: Pueblo, CO 81003
3.Recipient is (optional):
El Committee
0 Non -Committee
7. Purpose of Expenditure: Fines for Late Filing Fees
1. Date Expended
2/14/2025
4. Name: Pueblo Firefighters Historical Society
5. Address: 116 N Main ST
2. Amount
$ 15,000
6. City/State/Zip: Pueblo, CO 81003
3.Recipient is (optional):
❑ Committee
0 Non -Committee
7. Purpose of Expenditure:
1. Date Expended
05/23/2025
4. Name: Pueblo Firefighters Historical Society
5. Address: 116 N Main St
2. Amount
$ 469.23
6. City/State/Zip: Pueblo, CO 81003
3.Recipient is (optional):
El committee
0 Non -Committee
Donation of unexpended funds to IRS recognized non-6
7. Purpose of Expenditure:
1. Date Expended
05/23/2025
4. Name: Pueblo Firefighters Historical Society
5. Address: 116 N Main ST
2. Amount
$ 76.50
6. City/State/Zip: Pueblo, CO 81003
3.Recipient is (optional):
El committee
0 Non -Committee
Donation of unexpended funds to IRS recognized non-6
7. Purpose of Expenditure:
1. Date Emended
4. Name:
5. Address:
2. Amount
$
6. City/State/Zip:
3.Recipient is (optional):
❑ Committee
❑ Non -Committee
7. Purpose of Expenditure:
Colorado Secretary of State Form Rev. 12/09
Schedule C - Loans
Full Name of Committee/Person:
LOANS - Loans Owed by the Committee
(Use a separate schedule for each loan. This form is for line item 8 and 16 of the Detailed Summary Report.) [No
information copied from such reports shall be sold or used by any person for the purpose of soliciting contributions or
for any commercial purpose. [Art. XXVIII, Sec. 9(e)] I ���:��: a it q u gyp' tug u u u� , M Vrr �� l fl ics :011111 14 fl i u s �� l u Jc' fi l� flic +:.ii;l a 1111 any ,.
0 �N11C0.Afidadi 9!G calq Afi.dak" cilI 7ColJildi'c' M A PC'cc' k�ic' "k �111aln l1 ggVInlC q kn ggll!!!N1gIIV�llq�l � 'll �i�qj, knVq � r;lq� 1'11 udi'p s flc' 111Ili dc' d hk 0
flit, �.111alV bc*" Is flit tl tllfl gl11111c'gc'!4 p"'Hic k p:'V cic' 11111 k lxk�ns fliok ��sslfl'C'N PCI)kbMrCA11lll qS c;Jdc'gVti.rc'd b" �
k uu011c: a uuI hL11n111N.' uil, k s11bJcxA file � � d'klc' d'flc' 1111u sti°'pi�cd�floc,. [Art. XXVIII, Sec. 3(8)]
LOANSOURCE
Name (Last, First or Institution):
Address:
City/State/Zip:
Original Amount of Loan: $ Interest Rate:
Total of All Loans This Reporting
Loan Amount Received This Reporting Period: $ Period: $
(Place on line 8 of Detailed Summary Report)
Principal Amount Paid This Reporting Period: $
Interest Amount Paid This Reporting Period: $
Amount Repaid This Reporting Period: $ Total Repayments Made: $
(Amount Repaid is sum of Principal & Interest entered on Detail Summary) (Sum of Schedule C pages, Place on line 16 of
Detailed Summary)
Outstanding Balance: $
TERMS OF LOAN:
Date Loan Received Due Date for Final Payment
LIST ALL ENDORSERS OR GUARANTORS OF THIS LOAN
Full Name
.Address, City, State, Zip
.Amount Guaranteed
Colorado Secretary of State Form Rev. 12/09
Schedule D — Returned Contributions & Expenditures
Full Name of Committee/Person:
Returned Contributions
(Previously reported on Schedule A Contributions accepted and then returned to donors)
PLEASE PRINT/TYPE
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Purpose:
3. Amount
$
1. Date Accepted
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Purpose:
3. Amount
$
Returned Expenditures
(Previously reported on Schedule B Expenditures returned or refunded to the committee)
PLEASE PRINT/TYPE
1. Date Emended
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Comment (Optional):
3. Amount
$
1. Date Emended
4. Name (Last, First):
5. Address:
2. Date Returned
6. City/State/Zip:
7. Comment (Optional):
3. Amount
$
Colorado Secretary of State Form Rev. 12/09
Statement of Non -Monetary Contributions
[Art. XXV111, Sec. 2(5)(a)(II)(I1I) & Sec. 5(3) & 1-45-108(1), C.R.S.]
Full Name of Committee/Person:
PLEASE PRINT/TYPE
1. Date Provided
4. Name (Last, First):
5. Address:
2. Fair Market Value
6. City/State/Zip:
$
7. Description:
3. Aggregate Amt.
$
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. ❑ 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:
3. Aggregate Amt.
$
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. ❑ 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:
3. Aggregate Amt.
$
8. Employer (if applicable, mandatory):
9. Occupation (if applicable, mandatory):
10. ❑ 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."
Colorado Secretary of State Form Rev. 12/09