Committee Registration Form

2. Committee Name

4. Purpose

6. Web Address

8. Committee Type (check only one)

   1. Candidate Committee

   1. Political Committee

   1. Issue Committee

   1. Small Donor Committee

10. Name of Person Acting as Registered Agent (Treasurer)

12. Physical Address

14. City

15. State

16. Zip

18. Mailing Address

20. City

21. State

22. Zip

24. Phone Number

25. Email

27. Financial Institution Name

29. Financial Institution Physical Address

31. Registered Agent's Signature*

32. Date
    Date

34. Candidate's Name

36. Candidate's Signature*

37. Date
    Date

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

41. 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.

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field