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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,

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