nM Mn
Doe Doc Date 01/11/2010
Type: Pavone Faancal econ Ute Pa
(Colorado Seretary of State
fons Divison
Phe (303) 894.2200%3
Fax: (303) 869-4861
ELEC ie this form with the appropriate election official
SECRETARY Ur avait
PERSONAL FINANCIAL DISCLOSURE STATEMENT - UPDATE
For Annual Fling Requirements, Filein accordance with the appropriate statutes.
CRS, 145-1102) ERS. 12.9.-2012X), CRS, 12-47 1 FOUN CRS. 12.60301(1NQ): CRS. 246-202; CRS. 24.51.2074); CRS. 24-35-2076)
Name: dacle OmMMef—
Mailing Address Gite cy, state, and ripy: QOS Live ot} - bow Jon _ S50
Business Phone: 30°3 617 277. Residence Phone:_ 303 GG¢S 8559
‘Check the appropriate responses)
Tam filling a vacancy. Tam seeking election to office. am
Tom tingas: FA once otietnember ilovee trie). 1)
(OFFICEDISTRICT NUMBER)
am filing this disclosure because:
is my annual filing.
Candidate
(OFFICHDISTRICT NUMBER)
State Board/Agency/Commission Member
(OFFICE)
Judge,
(SUPREME COURTICOURT OF APPEALS! or COUNTY OR JUDICIAL DISTRICT)
Other:
(OFFICE)
List office and district number, (e.g, Governor, Senate District #27, Racing , Bingo Raffle, Lotery, PERA, Public Utilities)
UPDSZE INFORMATION:
ANNUAL UPDATE ~ NO CHANGE INCOME CHANGE ASSET CHANGE
LIABILITY CHANGE OTHER =
IF CHANGES have occurred please explain below (attach additional sheets if needed):
—_ 7 ;
ach dren ate: L[1e
Signature of Disclosing Individual:
Colorado Secretary of State For Revs 03/08,