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DAN
‘ovrv2010)
Candidate! COVTIEE TOLLECTOENNIG PLAN
Commitee
Colorado Secretary of tate
letont Diviscr
1700 Broadway, te, 200
Denver, CO 890.
Phi” 00) 896-2200 ex. 6285
Fee (08) R60-4861
Email: ephelp@eo sate cous
ELECTIONS/LICENSING
SECRETARY OF STATE
\S.— -|U, _ PERSONAL FINANCIAL DISCLOSURE STATEMENT
\rinle
Hor anrual filing requirements. File in accordance with the appropriate statutes,
1-45-1102), 12-9-201(2)(h), 12-47.1-301(1)(@), 12460-301(1)(@), 246-202, 24.51-207(4), 24-35-207(6), CRS.
Personal financial disclosure statements filed for ballot access purposes must be filed within 10 days of filing a candidate aff
Judges ranning for retention and candidates running for Regional Transportation District are only required to file their PFD within 30
days after being retained or elected. Appointed Judges must also file their PFD within 30 days afer being eppointed,
AA fine of $50 per day willbe assessed for late flings related to ballot access. Attach extra pages as necessary.
(An. XXVIT, Sec. 10 2a), Colorado Constitution and 1-45-110, CRS]
Name Dennis AeCuan
Mailing Address (incude cy, sxe. nd zin:_4522 Cawcaster Orwe , Coto SiS, Co 8096
Business Phone: (703) 866-3069 Residence Phone:_ (719) 290 - 9899
Check (¥) the appropriate response(s)
‘Lam filing this disclosure because:
Tam filling a vacancy. Coen seeking election to office, 1) This is my annual filing
Tam filing as:
Po OfficeHotdertacumben.__ HOUSE DISTRICT 17
(OFFICEDDISTRICT NUMBER)
D1 candidate
(OFFICEDISTRICT NUMBER
TT state Board/Agency/Commission Member
ORR
Judge,
(SUPREME COURTICOURT OF APPEALS/ or COUNTY & JUDICIAL DISTRICT)
Qo
Dotter
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orcs
1 Colorado Secretary of Sete Form Res, 1209
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INCOME:
List the names of any sures) of income, including capital gains for youself, your spouse, or minor children residing yh you,
Source of Income (ans of mpioyc) Recipient of Income (naividualrecivng income = SepApour, Minor]
hile
\
\
ASSETS:
List the name of each business, insurance policy, or trust where there. Nécia interestin exces of $5000 for you, your
spouse, or your minor children residing with you. c
‘Name of Business, Tosurance Company or Trust Wii it path fae aca nro
4
Sy
List he LEGAL descrip (s shown on MOooks ofthe county astestory of ala propery i Colorado Gineluding an
pion to buy) in which fou havea diedor Yes interest with af market value in ckeene of $5000, Proveny hag wet
be listed includes esi, in operty, condominium, rental property and any minerl, water coal, and rights to
sand and gravel. STREET ADDRE§SES DO NOT SATISFY STATUTORY REQUIREMENTS,
[Legal Deseriptigh of Property Owner of Record
aN
2 Calor Seseary of Sot Fem Rev. 1249
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e1/ii/2e1e 17:24 3838662218 (CO HOUSE OF REP PAGE
LIABILITIES:
List the name of each creditor for
of $1000 including the interest rate.
‘you, your spouse, or minor children living with you to whom is owed an amount in excess
Name of Creditor
[Tnterest Rate (%) Person Liable for Debt
‘Name of Organization or Trust
List all offices, directorships and fiduciary
| ww?
telationships held by you, your spouse r minor sane with you.
PosiGon Held naa ig the Position
o
List the name of any person, firm, of of
the compensation received for lobbying act
Name of Person, Firm, Corporation,
oO
Mécetins «person \@obby ons behalf you shave dive rine i
ing Lobbyist
=
&
Ww
5 we
im
0 |
List any busines¢with which you of
Colorado, (e,
‘attorney, real estate, het
i spouse ate associated and which does business with or is regulated by the State of
| profession, et.)
Name of Bysiness Nature of Business Person Involved 7
|
|
|
Ll !
3 Colo Secreta of Site Farm Rev. 1209
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LLenme
pac “//1/ 20/0
‘Candidate/Incumbent Signature
CO HOUSE OF REP Page 04/04
INCUMBENTS
(FOR ANNUAL UPDATE PURPOSES ONLY)
AS am alternative to items t through 7,
, Youmay file a copy of your federal income tax retum, plus a certified statement of
any investinents not reflected in your income tax return. Please note that any information required on this form and not
included in a federal income tax return must still be provided,
od Sera ft Fom Re, 1209 |
JAN-11-2010 16:21
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