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City- <br /> Louisville <br /> ity <br /> Louisville <br /> City ClerR's Orrice MO <br /> iris Main tre.r,Ceei3:lic,Co 80132/ <br /> sD ass 4s t5/Fo. (3S-6351550 D..te btun ip <br /> E...aa: Mercdrtn101@loeisrilleco.sov <br /> DISCLOSURE BY PUBLIC OFFICEROWER <br /> REPOR 1 uF GIF i s, HONORARIA AND OTHER BENEFITS <br /> (sec. <br /> Tilers shou,�also r view provisions of.)ecr:o...1,a rc:ci.xxIA of tn. ado Constiturion <br /> MUNICIPAL FILING -. <br /> Filing required: s'`Quarter Es Ind QearrerQ 3'd Quarter n 4`"Quarter <br /> OUP Apr:1 15) (bee July 3.5) Noe October 15) ;'uue January.j. <br /> name or ufrice Roirer: Ashley Stolzrnann vvarr 3 <br /> Address: 248 S0utl] Min son Avenue, Louisville CO 80027 <br /> Check one of the following: <br /> i have notrling to report(PIza3e sisn and date below) <br /> I received the following gifts, honoraria, or benefit during this period. <br /> 1) Name of Person from Who the Gift, Honoraria or Other Benefit was Received: <br /> Amount/Value: $ Date rceceived: <br /> Description: <br /> 2) Name of Person from vvho the Gilt, Ronoraria or Other Benefit Was Received: <br /> Amount/value: $ Date Received: <br /> Description: <br /> si Dame of Person from Who the Gift, Honoraria or Other Benefit Was Receiver: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift_ Flonoraria or Ogler Benefit Was Received: <br /> Amount/value: $ Date Received: <br /> Description: _ Jl <br /> Signature $II Daae: r <br />