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Candidate/Committee Statement of No Contributions and No Expenditures of Funds

  1. For use by a candidate or committee who have not received any contributions nor made any expenditures.

  2. as shown on registration

  3. CONTRIBUTIONS RECEIVED OR RECEIVABLE DURING THIS REPORTING PERIOD: $0.00

  4. EXPENDITURES MADE OR INCURRED DURING THIS REPORTING PERIOD $0.00

  5. Candidate's Name

  6. affirm pursuant to Section 2-1-170 of the Greenwood Village Municipal Code; that no person received contributions or made any expenditures on my behalf. No contributions have been pledged to me nor on my behalf. I have not received any contributions nor have I made or incurred any expenditures on my own behalf during this election reporting period.

  7. Note: Submission of false, erroneous, or incomplete information may be subject to sanctions in accord with the Greenwood Village Municipal Code.

  8. Leave This Blank:

  9. This field is not part of the form submission.