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2. Instructions

   Complete the online form below.

   Items marked with an asterisk (*) are required.

4. Committee Name
6. Purpose
8. Web Address
10. Committee Type (check only one)

    1. Candidate Committee

    1. Political Committee

    1. Issue Committee

    1. Small Donor Committee
12. Name of Person Acting as Registered Agent (Treasurer)
14. Physical Address
16. City
17. State
18. Zip
20. Mailing Address
22. City
23. State
24. Zip
26. Phone Number
27. Email
29. Financial Institution Name
31. Financial Institution Physical Address
33. Registered Agent's Signature*
34. Date
    Date
36. Candidate's Name
38. Candidate's Signature*
39. Date
    Date
41. Note: Submission of false, erroneous, or incomplete information may be subject to sanctions in accord with the Greenwood Village Municipal Code.
43. Filing Requirements
    Chapter 2, Article 1, Section 130

    For the purpose of meeting the filing requirements for candidates or committees under the Village’s Fair Campaign Reporting, electronic copies shall be accepted; provided that original documents are received by the City Clerk within five (5) days from the date of the electronic filing pursuant to Chapter 2, Article 1, section 130 of the Village’s Municipal Code. Reports/ Forms required are deemed timely if received by the City Clerk no later than 5:00 p.m., local time, on the designated day for filing.
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

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