HomeMy WebLinkAbout04/19/2021 - Melanie for Fort Collins - 14 days prior to Election - AmendedFull Name of Committee:
Name of Candidate (or NA):
Type of Report:
Regularly Scheduled Filing
X Amended Filing, replacing prior report dated:
Termination Report (Termination Reports MUST Have a Monetary Balance of Zero in Line 5 Below)
Reporting Period Covered:3/15/2021 Through 3/21/2021
date date
(start with day following
end of last report)
(end 2 days before date due)
1
2
3
4
5
Title:Melanie for Fort Collins
Campaign Title
Date:4/16/2021
CAMPAIGN REPORT
(as shown on Committee Registration Form)
(if not reflected in Committee name)
Funds on Hand at Beginning of Reporting Period (monetary)
Total Monetary Contributions (line 2 on Detailed Summary)
Melanie Potyondy
Total of Monetary Contributions & Beginning Amount (line 1+ line 2)
Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4)
Total Monetary Expenditures (line 7 on Detailed Summary)
Printed Name:
5,196.12$
Signature:
Name of Person Completing Form
Melanie Potyondy
Oct 2020
I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of
false, erroneous or incomplete information may be subject to sanctions in accordance with Chapter 7, Article V
of the City Code.
Melanie for Fort Collins
6,618.52$
250.00$
6,868.52$
Reporting For
Current Period
3/23/2021
1,672.40$
Use due date of report being amended
35 days before election
21 days before election
14 days before election
35 days after election
70 days after election
Annual filing (start with day after last report)
Friday (noon) before election
4/19/21
6,618.52$
Reporting For
Current Period
1 250.00$
2 250.00$
3 -$
4 250.00$
5 1,672.40$
6 -$
7 1,672.40$
Detailed Summary
Contributions
(monetary contributions and loans)
Funds on hand at beginning of reporting period (monetary):
Oct 2020
Contributions Returned
Total Monetary Expenditures
Total Monetary Contributions
Contributions In Kind
(non-monetary contributions)
Total Contributions
Expenditures/Obligations
250.00$
LLC?
(X)
Loan?
(X)
Date
Contribution
Accepted
(in date order)
Amount of
Contribution
Contributor Name
(individual or entity)Shirley Lupis 3/15/2021 25.00$
Address
(including City/State/Zip)2318 Water Blossom Ln, Fort Collins CO 80526
Contributor Name
(individual or entity)Patricia Zymeri 3/17/2021 75.00$
Address
(including City/State/Zip)9953 E Exposition Ave, Denver CO 80247
Contributor Name
(individual or entity)Will Walters 3/17/2021 75.00$
Address
(including City/State/Zip)1701 Tanglewood Dr, Fort Collins CO 80525
Contributor Name
(individual or entity)Monica Lynn 3/19/2021 75.00$
Address
(including City/State/Zip)2015 Kerry Hill Dr, Fort Collins CO 80525
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Total Contributions:
Contributions
(All Monetary Contributions and Loans)
Contributor
(Contributions from LLCs must be marked with an X in Column C,
and details about the attribution of the contribution must be
provided on the last sheet of this report.)
Total Contributions: -$
LLC?
(X)
Date
Contribution
Accepted
(in date order) Brief Description of Contribution
Fair Market
Value of
Contribution
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributor Name
(individual or entity)
Address
(including City/State/Zip)
Contributions in Kind
(Non-monetary Contributions)
Contributor
(Contributions from LLCs must be marked with an X in Column C,
and details about the attribution of the contribution must be
provided on the last sheet of this report.)
1,672.40$
Person/Entity to Whom
Expenditure or Obligation
Was Made
Address
(including City/State/Zip
if outside Fort Collins)
Date
Expenditure or
Obligation
Was Made
(in date order)
Purpose of Expenditure or
Obligation
Amount of
Expenditure
or
Obligation
Lindsay Ubaldini 1207 S Shields St, Fort Collins CO 80521 3/17/2021 Campaign Management 1,000.00$
United States Postal Service 301 Boardwalk Dr, Fort Collins CO 80525 3/19/2021 Postage 61.20$
Anedot, Inc.1340 Poydras St, Suite 1770, Baton Rouge LA 70112 3/21/2021 Transaction Fees 11.20$
NoCo Blue 600.00$
Expenditures/Obligations
Total Expenditures:
(Include all expenditures, obligations as referenced in
the definition of "expenditure", and repayment of loans)
-$
Person or Entity Whose Contribution
Was Returned
Address
(including City/State/Zip)
Date
Contribution
Was Originally
Accepted
Date
Returned
(in date
order) Reason for Return Amount
Contributions Returned
Total Contributions Returned:
Date of
Contribution by
LLC
LLC
Contribution
Amount Name of LLC Individual LLC Members
Amount of
Attribution
Tab/Line Where Contribution Listed
Date of
Contribution by
LLC
LLC
Contribution
Amount Name of LLC Individual LLC Members
Amount of
Attribution
Tab/Line Where Contribution Listed
Date of
Contribution by
LLC
LLC
Contribution
Amount Name of LLC Individual LLC Members
Amount of
Attribution
Tab/Line Where Contribution Listed
Date of
Contribution by
LLC
LLC
Contribution
Amount Name of LLC Individual LLC Members
Amount of
Attribution
Tab/Line Where Contribution Listed
ATTRIBUTION OF LLC CONTRIBUTIONS TO INDIVIDUAL MEMBERS
All contributions from LLCs must be listed here with the amount of the contribution or contribution in kind attributed to
each member of the LLC as stated in the Affirmation Statement for Limited Liability Company Contributions provided by
the contributing LLC