HomeMy WebLinkAbout3/25/2025 - Steve for CouncilRec’d by City Clerk
COMMITTEE REGISTRATION/TERMINATION FORM
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—Datepf Election ~November~2P25 ‘-0 Other.i_—~
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Type of Committee (check only one)
Candidate Committee El Small Scale Issue Committee
o Issue Committee (Note:if you have not received contributions or made
o Political Committee expenditures in an aggregate amount exceeding$200,no registration is required at this time.)
Is this an amendment to,or termination of,a previous registration?
No.This is a new registration.
o Yes.Reason for amendment:____________________________________________________
o Yes.I wish to terminate the Committee and hereby state that the Committee has received no
contributions and made no expenditures since the original registration of the Committee.(Note:if the
Committee received contributions or made expenditures,you must file a final Campaign Finance Report
showing a zero balance and mark the form as a termination report.)
Full Name of Committee (spell out acronyms)Phone No.
Steve for Council 970 215-6755
Street Address (including city/state/zip)Mailing Address (if different)
713 Milan Terrace Dr.
Fort Collins,CO 80525
Email Address Web Site Address
syurash@hotmail.com www.steveyurash.org
Purpose or Nature of Interest of the Committee
To elect Steve Yurash to the Fort Collins City Council
Name and Address of Financial Institution in which contributions are deposited (in a separate
account bearing the name of the Committee).Must provide written documentation of such account.
First Bank,1013 E.Harmony Rd.Fort Collins,CO 80525
Name of Registered Agent for Committee Registered Agent’s Phone No.
Stephen Yurash 970 215-6755
Registered Agent’s Mailing Address Registered Agent’s Email Address
713 Milan Terrace Dr.Fort Collins,CO 80525 syurash@hotmaiI.com
Acknowledgement and Certification of Candidate and Registered Agent
I hereby acknowledge the foregoing information and certify and attest that all information above is true and
complete to the best of my knowledge,after reasonably diligent inquiry.I understand that any intentional
misrepresentation of facts may result in denial of a registration and that falsification of statements on and with
this attestation may be punishable by law.
Signature of Candidate Date Signature of Registered Agent
M st be filed w
Date
ity Clerk •:fore accepting or maki g any c •butions.(City Code §7-1 4)
ALL FIELDS ARE REQUIRED