REC =:VE To Sei peel 111465 Date OULVZ010 Sacton Deen ta uel 170 ray, Se 270 JAN 11 2010 Tye resonance Pe Pe “oo wean 3 ancien Sarre Fox Gon sete ELECTIONS S$ Comme SECRETARY OF STATE _ PERSONAL FINANCIAL DISCLOSURE STATEMENT ‘For Annl Fling Requirements. Fle tn accordance wlth the appropriate states CRS. 145-110240; CRS. 129-2012N CRS. 1247 1-31(1K9, CRS, 1260-31018 CRS. 26-202, CRS. 2651-214;CRS, 1-35-2076) ‘Persoeal Faancal Dcosure Sttement led for ballot access purposes mast be fed within 10 day of Sing a candhat aida. Judges ranning for retcaton and candidates rning for Regional Transportation District are only required to ether PFD within 0 days ater blag retained or eet. ‘Aapolnted Judes mst lo fle tee PFD within 30 days ater beg appointed. A ie of SO per cay wil be anesed for late Mngs Plated to balla neces, {Art XXVII se 10 2a), Cole, Continton nd ner 145-110, CRS} — = Name: Soe ere Mailing Address (include city, state, and zip): _£ Ue > venty, We CoHETA CO PoirF Business Phone:_3 O3 - 366~-2-9e3___ Residence Phone: 22-959-4F45 (Check (4) the appropriate responses) 1 am filing this disclosure because: Cram stings acon. EDamsekingsctontootce. [Etats my amet List office and distriet number, (e4., Governor, Senate District #27, Racing , Bingo Raffle, Lotery, PERA, Public Utilities) [1 omeeatertacanten state _Represeatative , Hruse Datrict 3P_ (OFFICEMDISTRICT NUMBER) C1 candidate (OFFICEDISTRICT NUMBER) 1 state Boara/ageney/Commission Member (OFFICE) D1 incge Comnice 1 Colorado Secretary of State Form Rev: 0/2008INCOME: List the names of any source(s) of income, including capital gains, for yourself, your spouse or minor children residing with you. ‘Source of Tacome (Name of Employer) [Recipient of Income (aaividualrecdving income Sef, Spouse, Minor iden) State of Cluck Tose 2 Ree (Tie re) US. Army leserve. Jesenh % bree (Tie tee) Teseah 7 kere (sre fere) Drdeperdat Corultyrg ASSETS: List the name of each business, insurance policy, or trust where there isa financial interest in excess of $5000 for you, your spouse or your minor children residing with you. ‘Namie of Business, tusurance Company or Trust ‘Who is the person with this financial interest? AEM Lavestmeuts Tasepy _[e- evze (53e re) Coloraty ERA Josep _I2 fre (Toe Bre) Fedeuty Davedigeuts Tosenh kre (Tre kre) Prbelity Lavegmeh fe thir (Toe Joseah Wve) eutell Ice shine, 735 Boe) Pron eer Lnvertients L ll He [cocsrer- fere US Covecnmot Thertt Savongy bn Targa & here (we kre) Colorado cre of State Form Rev: 062008List the LEGAL description (as shown on the books of the county assessor of all real property in Colorado (including aneption to buy) in which you have a director indirect interest with a fair market value in excess of $5000. Property that must be listed includes residential, investment property, condominium, rental property and any mineral, water, coal, and rights to sand and gravel. STREET ADDRES‘ THE STATUTES. SATISFY THE REQUIREMENTS OF ‘Legal Description of Property ‘Owner of Record 2099-19 -2-02-039 Let tol GSS Covadtry Lae , UTiletea, CO FOA3 svouitry Mortal Josep; re (eeucbel( 1 ke Ne Cie 1a laces tive? * LIABILITIES: List the name of each creditor for you, your spouse, or minor children living with you to whom is owed an amount in excess of $1000 including the interest rate. Name of Creditor Tnterest Rate (%) Person Liable for Debt Amerctor Papoess ED Jeseph I x6 Cert beorefull teers re Ct Beale L7% osepl7 Ue [ire CTve ie, hall We lertbyer ire. fe py Ne Comueree Lurk | 6% tient leesteor dear el Are Ctr Mortgage BEE a ieee, Coe Moto 3.89FG Josefa 1 122 Cee hx} [Ceribked| Ue leeslner- fire] Security Serre FCU S97 Joseply We Fee Give tha) F (eel He lease Rave! List all offices, directorships and fiduciary relationships held by you, your spouse, ‘or minor children residing with you. ‘Name of Organkation of Tra Position Held ‘Person Holding the Position MLV Colorado Secretary of State Form Rev 06/2008List the name of any person, firm organization that retains a person to lobby on its behalf if you share directly or indirectly in the compensation received for lobbying activity. ‘Name of Person, Firm, Corporation or Organization Retaining Lobbyist Moro List any business with which you or your spouse are associated and which does business with ori regulated by the State of Colorado. (eg.,attomey, real esate, medical profession, et.) ‘Name of Business Nature of Business Person Involved: _ A 7” Candidate/incumbent Signature INCUMBENTS (FOR ANNUAL UP-DATE PURPOSES ONLY) ‘As an alternative to items | through 7, you may file a copy of your federal income tax return, plus a certified statement of any investments not reflected in your income tax retum. Please note that any information required on this form and not jneluded in a federal income tax return must still be provided. Colorado Secretary of State Form Rev: 0/2008,