Form CPF-9 "Affirmation Statement for Limited Liability Company (LLC) Contributions" - Colorado

What Is Form CPF-9?

This is a legal form that was released by the Colorado Secretary of State - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Colorado Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CPF-9 by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download Form CPF-9 "Affirmation Statement for Limited Liability Company (LLC) Contributions" - Colorado

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Affirmation Statement for Limited Liability Company (LLC) Contributions
1-45-103.7(5)(d), C.R.S.
This form should be retained by the receiving committee for at least one year following the end of the applicable election cycle.
Date of Contribution:
Contribution Amount: $
 Monetary
 Non-Monetary
Contribution Type:
Description if non-monetary:
Name of LLC making Contribution:
Address:
City:
State:
Zip:
Name of Recipient Committee:
 Candidate committee
 Political committee
 Political party
Recipient Committee Type:
I
, individual acting on behalf of the above named Limited Liability Company, affirm
(Print Individual Name)
that the LLC is authorized to make this contribution under Colorado State law.
______________________________________________________________
Signature of Individual Acting on behalf of the LLC
Names and Address of All Individual LLC Members
LLC Member(s)
Address
City
State
Zip
Attributed
Employer & Occupation (if
Contribution
applicable)
10001 E. Mississippi Ave.
Colorado Springs
CO
80901
$100
XYZ Printing Pressman
Example: Jane Doe
 A LLC member may contribute individually or through their LLC(s) so long as they don’t exceed their individual contribution limit, if applicable.
 This is based on percentage of ownership the LLC member had in the LLC at the time of the contribution.
Colorado Secretary of State Sample Form CPF-9
Rev. 06/2019
Affirmation Statement for Limited Liability Company (LLC) Contributions
1-45-103.7(5)(d), C.R.S.
This form should be retained by the receiving committee for at least one year following the end of the applicable election cycle.
Date of Contribution:
Contribution Amount: $
 Monetary
 Non-Monetary
Contribution Type:
Description if non-monetary:
Name of LLC making Contribution:
Address:
City:
State:
Zip:
Name of Recipient Committee:
 Candidate committee
 Political committee
 Political party
Recipient Committee Type:
I
, individual acting on behalf of the above named Limited Liability Company, affirm
(Print Individual Name)
that the LLC is authorized to make this contribution under Colorado State law.
______________________________________________________________
Signature of Individual Acting on behalf of the LLC
Names and Address of All Individual LLC Members
LLC Member(s)
Address
City
State
Zip
Attributed
Employer & Occupation (if
Contribution
applicable)
10001 E. Mississippi Ave.
Colorado Springs
CO
80901
$100
XYZ Printing Pressman
Example: Jane Doe
 A LLC member may contribute individually or through their LLC(s) so long as they don’t exceed their individual contribution limit, if applicable.
 This is based on percentage of ownership the LLC member had in the LLC at the time of the contribution.
Colorado Secretary of State Sample Form CPF-9
Rev. 06/2019