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Anne Little RobertsDeclaration of Candidacy I, A-Y1))e the undersigned, affirm that I am a qualified elector of the City of Meridian, State of Idaho, and that I have resided in the city for at least thirty (30) days. I hereby declare myself to be a candidate for the office of V; 41iI j1.12,. , fm• a term of _ years, to be voted for at the election to be held on the 3rd day of November, 2015, and certify that I possess the legal qualifications to fill said office, and that my residence address is aD l 5. FWn) ja)/)d LW.e., �kffj d.j,tm. TID anfa- A#&� &ez Candidate's Signature egg` ° 0�'Q ubscribed and sworn to before me this �l'-�day ofSigned avow ® Notary Public in and for the State of Idaho OF s�®® residing at aacvse� 1 My Commission expires (e, Z r; OFFICIAL USE ONLY CITY CLERK Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify: This declaration is accompanied by: OR The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification from the county clerk, A nonrefundable filing fee of $40. The City Clerk (or designee) must verify that the person submitting this declaration is a qualified city elector as defined in Idaho Code 50-402(c) and that the residence address provided above matches the ddress mi the individual's voter registration. This declaration was accepted by Q / Name, Tit �f �y� on (] ;Z4.—( 5� at -1-1 r eolqn, Date Time After the close of the candidate filing period, a copy of this form must be transmitted immediately to the County Clerk to assist in ballot preparation. COUNTY CLERK Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the front of this document. This document is to be used for ballot preparation. i Name of ❑ COMMITTEE: (Committee: .. .... . ........ ...... Name of Committee Chairman: Miscellaneous: F-] j Home Work Phone: Phone: Measure: ❑ ,Committee Mailing address: Candidate/Measure: ,Chairman email address: CERTIFICATION AND APPOINTMENT do hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: I Name of Political Treasurer: 'Y I Home Work `� Cell Ph o n e: J_010 Phonej.,�26 -J�'7 9�72 Phone:,Dzq `0221- :Treasurer -- -- Mailing address: FC�A --- -- . . .. ........... ....... . . . ..... ....... ..... I Treasurer I -VA elz U --VL 6�1 i Residence address: Treasurer Please remit to: I email address: City Clerk's Office City of Meridian 33 E. Broadway Ave. Signature of Candidate or Committee Chairman Suite 104 Meridian, ID 83642 (208) 888-4433 1, do hereby accept the appointment as political treasurer for Name of Political Treasurer the above named candidate or committee. Signature of Political Treasurer CF 4-AAPPOINTMENTAND CERTIFICATION OF POLITICAL TREAS ev. FOR CANDIDATES AND COMMITTEES "g ........ ...... ....... (Please Print or Type) i TY 0 F C�4- - -6603(cl), Idaho Code, No contribution shall be received or F14 -e -@�-of a Pursuant to Section 67 expendit6WnQ6-: by 1144 - candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer to the Secretary of State. Certification is for (check appropriate box below): Name of CANDIDATE: 'candidate: .......... .... Home Work Cell Phone: Phone: q1qj ......... ..... ......... .... Office Sought: )Unci,) Candidate 'Mailing address: L Candidate email address: Mylt WtL*WT�5. e V.W1..CD'M- i Name of ❑ COMMITTEE: (Committee: .. .... . ........ ...... Name of Committee Chairman: Miscellaneous: F-] j Home Work Phone: Phone: Measure: ❑ ,Committee Mailing address: Candidate/Measure: ,Chairman email address: CERTIFICATION AND APPOINTMENT do hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: I Name of Political Treasurer: 'Y I Home Work `� Cell Ph o n e: J_010 Phonej.,�26 -J�'7 9�72 Phone:,Dzq `0221- :Treasurer -- -- Mailing address: FC�A --- -- . . .. ........... ....... . . . ..... ....... ..... I Treasurer I -VA elz U --VL 6�1 i Residence address: Treasurer Please remit to: I email address: City Clerk's Office City of Meridian 33 E. Broadway Ave. Signature of Candidate or Committee Chairman Suite 104 Meridian, ID 83642 (208) 888-4433 1, do hereby accept the appointment as political treasurer for Name of Political Treasurer the above named candidate or committee. Signature of Political Treasurer CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) �'2 OCT 12 201T ev.12/14 CITY Lit- CITY :r I ii CLERKS I xw Name of Candidate or Political Co miittee and Chairperson Office Sought (if candidate) p Dlshid (if any) ((L lL <o y G( r'GiC malliq 11001M . GtK) oe . ully ana zip Home one Work Phone ameo i ca reasurer TT NA /10 Maing AMM City and Zip{z ome Phone VktkPhone �2 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section 11 TYPE OF REPORT This filing is an: [> Original ❑ Amendment This report is for the period from through�l �v I ), 7 Day Pre -General Report Is this a Termination Report: ❑ Yes ❑ 30 Day Post -General Report .R No October 10 Pre -General Report ❑ Annual Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate 'Calendar Year to Date" figures in Column 11, Section IV. ❑ I hereby certify that f have received no contributions and have made no expenditures during this reporting period. Section 1V SUMMARY To reach your Calendar Year to Date figure: Add this report's Column i figures to the Column II figures of your previous report (except on line 6). Line 1: Cash on Hand January 1, This Calendar Year' Line 2: Enter Beginning Cash Balance'* Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) COLUMN I COLUMN 11 This Period Calendar Year to Date $ XXXXXX $ $ $ XXXXXX $ etc $ $ Laa I $ $ X517 g �U"v $ Ilbi *This same figure should be entered on line 1 of all reports filed this calendar year. **This Is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Please remit to: City Clerks Offloe1, _ _vL�Z — �rr? t�IQS hereby certify that the information in this City of Meridian Name of Political Treasurer 33 E. Broadway Ave. report is a true, complete and correct mpaign Financ'a Disclosure Report as required by law. Suite 104 Meridian, ID 83042 (208) 888-4433 , .�j,,.,�- ��P•-,1 Signature of Political Treasurer Page 1 Q 0 0 12 13 14 15 16 0 18 DETAILED SUMMARY Name of Candidate or Committee: Expenditures Total This Period Contributions + $ Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $.� In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $. Loans (Total of all New Loan amounts from Schedule D sheets) + $ i -�- Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $ Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule 6 sheets) cc' + $1 Pal In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ qbw' Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) t: $ Loans, Credit Cards and Debt Unitemized Pledged Contributions ($50 and less) # of Pledges Outstanding Balance from previous reporting period + $ + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ rav �! New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal $ !' Repayments of Loans made during this reporting period (Total of ail Loan Repayment amounts from Schedule D sheets) $ Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $ Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule P sheets) + $ Total Pledged Contributions this period $ Page 2 SCHEDULE A page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Data Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check r� U — 3'7 � $ m Calendar Year -To -Date El Primary General 2. 06v ► $ lb $ Jbb Calendar Year -To -Date Q Primary ❑ General I I 3, $ $ Calendar Year -Tb -Date 4, $ Calendar Year -To -Date 5. $ Calendar Year -To -Dale 1 / 6. $ $ Calendar Year -b -Date 1 / 7. $ $ Calendar Year -Ib -Date 1 � 8. $ Calendar Year -To -Date 9. Calendar Year -To -Dale 1 1 �0. $ $ Calendar Year-To-Dato Total This Page., u' Transfer the combined total of all Schedule Apages to the Detailed Summary on page 2 line 2. SCHEDULE B Page ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period IName of Candidate or Committee: I trurpose roues tinter up to j purpose coaes per txpenaiture.) FullName, Mailing Address and Zip Gode of Recipienturpose e s)! A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 OtherAdvertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Date Spent FullName, Mailing Address and Zip Gode of Recipienturpose e s)! (;asn or GWX 1. -riliq fee - r� i 3,3 o45r o'1 "o+q YY c ;tet sQ U2 1P 2, Uy 6 q 3. Gz a}).c. ).ev1 17�r=' :sty t*ac-�-- 00 14 r—i 15 �idr•�t� � ��� � ��`� t~ j f N Lac u t wtt 166 &4 1 b r i_ -b n ttaf��$ 1 i_ $ 6. $ 7. 8. 9. l / $ 10. 1 1 $ Total This Page: Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C I page 10, IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: Contributor Name, Mailing Address and zip Code 6(4p,thJG 7—EV1 ��D Purpose Codes (Enter up to 3 purpose codes per Expenditure,) © Primary C'General (1 r) t .r}� j� , �� Ll A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other periodical Advertising B Broadcast Advertising (Radio, N, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditure Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 1. i� Contributor Name, Mailing Address and zip Code 6(4p,thJG 7—EV1 ��D © Primary C'General (1 r) t .r}� j� , �� Ll 5o Calendar Year -To -Data Expenditure Name, Mailing Address and Zip Code Purpose Code(s) ,5pryv: �b fibooz b 2. 9Io�7I Contributor Name, Mailing Address and Zip Code TO %0*40t)A5 1 U © primary Ert eneral im I Lo • 6AMIdLeS Mt c4wi , -L D g 1S6 Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code(s) 3, Contributor Name, Mailing Address and Zip Code CJ Primary © General Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code(s) 4. 1 I Contributor Name, Mailing Address and Zip Code � 0 Primary El General $ Calendar Year -To -Dale Expenditure Name, Mailing Address and Zip Code Purpose Code(s) Expenditure Total: (Transfer the combined total of ail Expenditures on Schedule C pages $0.00 to the Detailed Summary, page 2 line 8) Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages�j� $ to the Detailed Summary, page 2 line 3) SCHEDULE D - LOANS Name of Candidate or Committee: Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, It must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67-6610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new loan amounts should be listed in the New Loan column. Any Interest accrued should be listed in the interestAccrued column. If a paymentwas made on the loan, list It In the Repayments column. Note: Any loan that was repaid In full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus new loans and accrued interest less any repayments. Name, Mailing Address and zip Previous Balance New Loan amount Interest accrued Repayments of Loan Balance Code of Lender of loan at the received during this during this during this reporting outstanding at (Candidate, Individual or Business) end of the last reporting period reporting period period the end of this reporting period reporting period 1. Nile, Wfic 99)�ezb Date: �> IX815 A)� / Dale; Amount: aD (IIbl-- Amount: $ 2, Date: Date: Amount: Amount: $ $ 3. Date: Date: Amount: Amount: $ $ Date: Date: Amount: Amount: $ $ 6 Date: 1 1 Date: 1 1 Amount: Amount: $ $ 61 Date: 1 I Date: I l Amount: Amount: $ $ 7 Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $ 0.00 Receive Total: 41 (Transfer the combined total of all received loans to the Detailed Summary, page 2 line 4) Interest Total $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $ 0.00 Detailed Summary, page 21ine 9 & 16) Me Ending Balance Total: $0:W) (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) SCHEDULE E - CREDIT CARDS and DEBT IName of Candidate or Committee: I Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a credit card or incur debt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to that item. Each Creditor listed below with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E•1 lists where and when the debt was incurred. Credit Cards are considered debt to the campaign. Regardless of whether the credit card is repaid when the statement is received, all credit card transactions will appear on Schedule E and E-1. However, only Repayments of Debt during this reporting period appear In the Expenditure Section of the Detailed Summary Page. Any creditor(s) with a balances) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new debt should be listed in the New Debt column, including any accrued interest. if a payment was made on the debt, list it in the Repayments column. Note: Any debt that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column Is the Previous Balance plus New Debt less any Repayments of Debt. Name, Mailing Address and Zip Code of Previous Balance of New debt amount Repayments of Debt Balance outstanding Creditor debt at the end of the incurred during this during this reporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1, Date: pate: Amount: Amount: 2, Date: Date: 1 1 � T I I Amount; Amount: $ $ g, Date: Date: Amount: Amount: 4, Date: Date: Amount: Amount: 5. Date: Date: Amount: Amount: 6. Date: Date: Amount: Amount: Previous Incurred Repayments Ending Balance Previous Total: $ Incurred Total: (Transfer the combined total of all incurred debt to the $ Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ Detailed Summary, page 2 line 10 & 17) )) Ending Balance Total: $ j�l SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Pago ° Name of Candidate or Committee; Name of Creditor from Schedule E; Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when the debt was incurred. Purpose Codes (Enter up to 3 purpose codes per Expenditure.) FUJI1481710, Mailing A00ress and lip U00 °t 1--Xp0ndflUre Purpose e s A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, TV, Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC's 0 OtherAdvedising (Yard Signs, Buttons, etc.) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefits & Bonuses I interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising a e mcurrea FUJI1481710, Mailing A00ress and lip U00 °t 1--Xp0ndflUre Purpose e s moun I l� 1. $ 2. 11_ � 3. 4, I / $ 5. 1 I $ 6. 1 l $ 7. 8. 9, 1 � Total This Page: is The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. SCHEDULE E vage 10, PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED Name of Candidate or Committee: Directions: Complete this schedule If you were promised and agreed to accept a contribution during this reporting period but have not actually received the money, goods or services offered before the end of the reporting period. Do not include these entries on Schedule until you actually receive the contribution. Pledged For — " —' Full Name, Mailing Address and zip Code of Contributor Amount Pledged Data 1. ❑ Primary ❑ General I 2. ❑ Primary ❑ General I I 3. ❑ Primary ❑ General 4. Q Primary ❑ General I I 5. ❑ Primary ❑ General 6. ❑ Pdmary ❑ General 7. ❑ Primary © General I I 8. ❑ Primary ❑ General I I ❑ Primary CI General I I 10. ❑ Primary ❑ General 0 Primary 11. ❑ General I AIX Total Amount of Pledged Contributions: $ 0.00 Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20. CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEIVED C-2 SUMMARY PAGERev. 12/14 x (Please Print or Type) OCT 19 2015 CITY OF CM-rjqLyN Section I CiTY CLERKS OFFICE Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Anne Little Roberts City Council seal Mailing Address ulty and zip Home Phone Work hone 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of PoliticalTreasurer Clarence Jones Mailing Address City and Zip Home Phone Work Phone 736 E. Trinidad Dr. Meridian 83642 208-258-2033 1208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an:Amendment This report is for the period from 08/24/2015 through 09/30/2015 / ❑ 7 Day Pre -General Report Is this a Termination Report: ❑ Yes ❑ 30 Day Post -General Report • ❑i October 10 Pre -General Report ❑ Annual Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ $ XXXXXX 00 931. Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1, $ 1,931.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,931.00 $ 1,931.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,581.10 $ 1,581.10 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 349.90 $ 349.90 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,181.00 *This same figure should be entered on line 1 of all reports filed this calendar year. **This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V City Clerk Contact Info Clarence Jones Name of Political report is a true, complete and hereby certify that the information in this n Finqpr�al Disclosure Report as required by law. Signa ure of Political Treasurer Page 1 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Anne Little Roberts Expenditures Total This Period' Contributions + $ Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $ 350.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 400.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $1,181.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $1,931.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $1,181.10 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 400.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $1,581.10 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $1,181.00 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal = $1,181.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) - $ Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $1,181.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period = $ 0.00 Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 8 30 201! 1. Ray Stark$ 3358 W. Agate Ct. Boise, Idaho 83705 250.00 $ 250.00 Calendar Year -To -Date 9 10 201! 2. David Zaremba 100.00 $ 100.00 Calendar Year -To -Date 3. Calendar Year -To -Date 4. Calendar Year -To -Date 5. $ Calendar Year -To -Date 6. Calendar Year -To -Date 7. $ Calendar Year -To -Date 8. $ $ Calendar Year -To -Date 9. Calendar Year -To -Date 10. Calendar Year -To -Date Total This Page: $ 350.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page'_,__,._._ o I Name of Candidate or Committee: I Purpose uoaes anter up to s purpose codes per txpenaiture.) Date Spent A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 120.00 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent , Mailing Address and Zip Code of RecipientPurpose Code(s) Cas or Check 1 - City of Meridian - filing fee G 08 24 201 33 East Broadway 40.00 p Meridian, Idaho 83642 $ 2. US Government - Tax ID Number G 09 14 201 IRS Office, 1905 Woods Dr 120.00 © Beavercreek, OH 43432 $ I Graphic ZEN O 09 14 201 1788 E. Summer Place 250.00 / / © Meridian, Idaho 83642 $ 4. Bryant Ideas 09 01 201 1500 N. Locust Grove, Suite 100 771.10 / / 0 Meridian, Idaho 83642 $ 5. J J $ 6. J / $ 7. 8, 9. 10. Total This Page: $ 1,181.10 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Name of Candidate or polt8cal C Imiltee and Chairperson Office Soughl Of candidate) p iDIOM (if any) CC,, ��, o r a Mailing Addrm ff �r ` / Gi N)Viil�t i w zip +� ome one ane Name Of ilio remurer Ta ng W a ress t �ty1 IC��C Cityan Ip home Phone Phone <,X2 Change of address for: Candidate or Political Committee © Political Treasurer ❑ Section 11 TYPE OF REPORT This filing is an: Iq Original ❑ Amendment This report is for the period from through l �v 1 October 10 Pre -General Report Day Pre -General Report j] 30 Day Post -General Report ❑ Annual Report is this a Termination Report: ❑ Yes X No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate 'Calendar Year to Date'figures in Column 11, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column t COLUMN I figures to the Column 11 figures of your previous report (except on line 6). This Period Line 1: Cash on Hand January 1, This Calendar Year* g XXXYXCX Line 2: Enter Beginning Cash Balance** $ � Line 3; Total Contributions (Enter amount from line 5, page 2) ,3 ct-1' Line 4: Subtotal (Add lines 1, 2 and 3) $ Line 5: Total Expenditures (Enter amount from line 11, page 2) s. )gym Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $_. Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ COLUMN 11 Calendar Year to Date *This same figure should be entered on line 1 of all reports filed this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed, if this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Please remit to: City Clerk`s offloe City of Meridian 33 E. Broadway Ave, Suite 104 Meridian, ID 83642 (208) 888-4433 hereby certify that the information in this Name of political Treasurer report is a true, complete and correct �pqnFinanc` Disclosure Report as required by law. Signature of Political Treasurer Page 1 Q 0 Q 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Expenditures Total This Period Contributions + $ Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $.� In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ c. Loans (Total of all New Loan amounts from Schedule D sheets) + $ ( c -- Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $ Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $ In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) $ Loans, Credit Cards and Debt Unitemized Pledged Contributions ($50 and less) # of Pledges Outstanding Balance from previous reporting period + $ + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ , j (fi) New Credit Card and Debt Incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal $ _ I W Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) $ Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) r $ Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period = $ Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check ❑ Primary General 1. 11 �a (,Q� , %� C����`— , 52 Calendar Year -To -Date I t 2. p�1V ► d 12� )Y�� g . - Calendar Year -To -Date Ci Primary EJ General / I 3. $ $ Calendar Yaar•To-Dale 4. $ CatendarYear-To-Date J. Calendar Year -To -Date 6. $ Calendar Year -To -Date 7. $ Calendar Year -To -Data l 1 $ $ Calendar Year -To -Date 9. $ Calendar Year -To -Date $ Calendar Year -To -Date Total This Page: . 0 y �p Transfer the combined total of all Schedule Apages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period age o (Name of Candidate or Committee: I A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 OtherAdvertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 2. Date Spent Fullama, Mailing Address and Zip Code of Keapjenturposa Uwe ($) as or Check ��1 !S 3,3 6455 81�> cG, n _DD LA -,- � 2. AI qv�' , t . �- 14 3. ►etc �e✓1 17� e` 00 t, A 4.<�GL1tj UcuV 6Ae to b Ill' 5. 6. 7. 1 / � _ _J—_t $ 9. 1 / � 90. 1 I � Total This Page: "76t Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. g�Ar CAMPAIGN FINANCIAL DISCLOSURE REPORT r � t --C-2 oDev. 12/14 r SUMMARY PAGE (Please Print or Type) OCT 2 7 4 " ofd CITY ur Section I r`BTV ^, Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) i t (if any) Anne Little Roberts City Council seat 1 Mailing Address City and Zip Home Fhone ------- FW-orTFnone 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of PoliticalTreasurer Clarence Jones Mailing Address City an Zip Home Phone ork Phone 736 E. Trinidad Dr. Meridian 83642 208-258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original ❑ Amendment This report is for the period from 10/01/2015 through 10/10,2015 / ❑ October 10 Pre -General Report ® 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN[ COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ 349.90 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 0.00 $ 1,931.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 349.90 $ 1,931.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 0.00 $ 1,581.10 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 349.90 $ 349.90 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,181.00 *This same figure should be entered on line 1 of all reports filed this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V City Clerk Contact Info l Clarence Jones hereby certify that the information in this Name of Political Treasurer report is a true, complete and rre t&mpaign Financial sclosure Report as required by law. Signature of litical Treasurer Page 1 0 0 0 12 13 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Anne Little Roberts Expenditures Total This Period Contributions + $ Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $ 0.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $0.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $0.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $ In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $ 0.00 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $1,181.00 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal = $1,181.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) - $ Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $1,181.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period = $ 0.00 Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 1. $ Calendar Year -To -Date 2. $ Calendar Year -To -Date 3. Calendar Year -To -Date 4. Calendar Year -To -Date 5. Calendar Year -To -Date 6. Calendar Year -To -Date 7. Calendar Year -To -Date 8. $ $ Calendar Year -To -Date 9. Calendar Year -To -Date I I 10. $ Calendar Year -To -Date Total This Page: $ 0.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page 10, :1 I Name of Candidate or Committee: Anne Little Roberts I A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Date spent W1 Name, Mailing Address and Zip Code ot Recipienturpose o e s) Cash or GhecK 1. I I $ 2. I I $ 3. / I $ 4. I / $ 5. I I $ 6. 1 I $ 7. I 1 $ 8. i I $ 9. 1 I $ 10. I I $ Total This Page: $ 0.00 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) Dlstdct (it any) Anne Little Roberts City Council seat 1 a ing ress City and Lip Homo Phone o one 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of POUcal TreMurar Clarence Jones MallingAddress City end Zip Home Phone wa Phone 736 E. Trinidad Dr. Meridian 83642 208258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original ❑ Amendment This report is for the period from 10/10/2015 through 12/03/2015 ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report W 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: m Yes ❑ No Section Ill STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date' figures In Column Il, Section IV, L1 1 hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN i COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period CalendarYear to Date Line 1: Cash on Hand January 1, This CalendarYear# Line 2: Enter Beginning Cash Balance** Line 3: Total Contributions (Enter amount from line 6, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ XXXXXX $ $ 349.90 $ XXXXXX $ 500.00 $ 2,431.00 $ 849.90 $v 2,431.00 $ 20.00 $ 1,581.10 $ 829.90 $ 829.90 $ 361.00 *This same figure should be entered on line 1 of all reports filed this calendar year. **This Is the figure on line 6 of the last Campaign Financial Disclosure Report filed, if this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Otty Cleik Contact info Clarence Jones hereby certify that the information in this Name of Political Treasurer report is a true, complete and correc4,p�ign Financia�sclosure Report as required by law. � r� Signature Wolitical Treasurer Page 1 12 13 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee; Anne Little Roberts Expenditures Total This Period Contributions + $20.00 Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $ 500.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 0.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $500.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 2 + $20.00 Itemized Expenditures (Total of all Schedule B sheets) + $ In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 820.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ $ 840.00 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $1,181.00 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal $1,181.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) - $ 840.00 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $ 341.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of pledges + $ Itemized pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period = $ 0.00 Page 2 SCHEDULE A Page ° ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Name of Candidate or Committee: Date Received Full name, Mailing Address and zip Code of Contributor Cash or Check 10 19 201! 10 j 1, Building Contractors Association of Southwest Idaho 6206 N Discovery Way, Suite A Boise, ID 83713 $ 250.00 $ 250.00 Calendar Year-To•Date (( 2. Idaho Association of Realtors, Inc The Realtors Political Action Comm. 10116 W. Overland Rd. Boise, ID 83709 $ 250.00 $ 250.00 Calendar Year-To•Dale ( i 3. $ $ Calendar Year -To -Date 4. $ Calendar Year -To -Date r j 5. � Calendar Year-To•Date 6. Calendar Year -To -Date j j 7, $ $ Calendar Year -To -Date j -J% 8. $ Calendar Yoar-To-Date 9, $ Calendar Year -To -Date 1 I 10. $ Calendar Year -To -Dale Total This Page: $ 500.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE Q - LOANS Name of Candidate or Committee: Anne Little Roberts Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any tender must be listed as a new item from that Lender. You may have the some Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67.6610A, Idaho Code, even if it is repaid In full. Any loan(s) with a balances) appearing on the last report must be listed belowwlth the amount In the Previous Balance column. Any newloan amounts should be listed In the New Loan column. Any interest accrued should be listed in the interestAccrued column. if a payment was made on the loan, list It In the Repayments column. Note: Any loan that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column Is the Previous Balance plus new loans and accrued interest less any repayments. Name, Mailing Address and Zip Code of Lender (Candidate, Individual or Business) Previous Balance of loan at the end of the last New Loan amount received during this reporting period Interest accrued during this reporting period Repayments of Loan during this reporting period Balance outstanding at the end of this reporting period reporting period 1. Anne Little Roberts 2031 S. Elkhound Ave. Meridian, Idaho 83642 1,181.00 Date: Date: 12//03 /20 341.00 Amount: Amount: $ 840.00 2, Date: Date: Amount: Amount: 3. Date: Date: 1 I l i Amount: Amount: 4. Date: Date: Amount: Amount: 6. Date: I 1 Date: I_J Amount: Amount: 6. Date: Date: Amount: Amount: �a 7. Date: Date: 1 1 1 I Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $ 1,181.00 Received Total: (Transfer the combined total of all received loans to the $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $ 840.00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $34 1.00 (NOTE: Transfer the combined total of all Accrued interest and Received Loans to the Detailed Summary, page 2 line 13) a Sarrinn I CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson Office Sought fif candidate) Disldct (if any) Anne Little Roberts City Council seat 1 Mailing Address City and Zip Home Phone one 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Nameoll3ofilicai treasurer Clarence Jones MailmilAddress City and Zip Home Phone P one 736 E. Trinidad Dr. Meridian 83642 208-258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original to Amendment This report is for the period from 10/10/2015 through 12103L2015 / ❑ 7 Day Pre -General Report Is this a Termination Report: ❑ Yes ® 30 Day Post -General Report ❑ October 10 Pre -General Report ❑ Annual Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period Section IV SUMMARY To reach your Calendar Year to Dale figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Dale Line 1: Cash on Nand January 1, This Calendar Year` Line 2: Enter Beginning Cash Balance" g XXXXXX 349.90 III Line 3: Total Contributions (Enter amount from line 5, page 2) $ 500.00 $ 2,431.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 849.90 $ 2,431.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 849.90 $ 1,581.10 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ 829.90 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 331.10 "This same figure should be entered on line 1 of all reports fled this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V City Clerk Contact Info Clarence Jones , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Ca inancia Dis osure Report as required by law. Signature of Pofit!Gzifrreasufer Pagel CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) t C-2 Rev. 12114 Name of Candidate or Political Committee and Chairperson Oftioe Sought (if candidate) District (d any) Anne Little Roberts City Council seat 1 hiallingAddrM Qity an p ome one o one 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of Politicalreasurer Clarence Jones ai ing rens city and zip Home Phone o Pone 736 E. Trinidad Dr. Meridian 83642 208258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section 11 TYPE OF REPORT This tiling Is an: 0 Original ❑ Amendment This report is for the period from 10/10/2015 through 12103/2015 1 ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report M 30 bay Post -General Report ❑ Annual Report Is this a Termination Report: [7) Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column Il, Section IV. ❑ 1 hereby certify that 1 have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN i COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period CalendarYear to Date Line 1: Cash on Hand January 1, This Calendar Year' Line 2: Enter Beginning Cash Balance" Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 6 from line 4) Line 7: Outstanding Debt to bate (Enter amount from line 18, page 2) $ XXXXXX $ 349.90 $ )=XXX 500.00 $ 2,431.00 $ 849.90 $ 2,431.00 This same figure should be entered on line 1 of all reports filed this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Otty Clerk Contact info Clarence Jones , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correc ppign Financla"closure Report as required by taw. Signature 60olitical Treasurer Page 1 E2 13 14 15 18 T7 18 19 Q DETAILED SUMMARY Name of Candidate or Committee: Anne Little Roberts Expenditures Total This Period Contributions + $20.00 Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $ 500.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 0.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $ Total Contributions (Transfer this figure to page 1, Section iV, Line 3) _ $500.00 Expenditures Unitemized Expenditures (Loss than $25) # of Expenditures 2 + $20.00 Itemized Expenditures (Total of all Schedule B sheets) + $ In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $820.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ $ 840.00 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $1,981.00 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal = $1,181.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) _ $ 840.00 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - $ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $ 341.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule P sheets) + $ Total Pledged Contributions this period M $ 0.00 Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Name of Candidate or Committee: Date Received Full Mame, Mailing Address and zip Code of Contributor Cash or Check 10 19 201; / 1' Building Contractors Association of Southwest Idaho 6206 N Discovery Way, Suite A Boise, ID 83713 260.00 � 250.00 Calendar Year-To•Date 2, Idaho Association of Realtors, Inc The Realtors Political Action Comm. 10116 W. Overland Rd. Boise, ID 83709 ' 250.00 250.00 Calendar Year -lb -Date 1 I � CalendarYear•TaDate 4. Calendar Year-To•Date Calendar Year-To•Date 6. Calendar Year -To -Dale I I 7, � Calendar Year -To -Date 8. Calendar Year -Tb -Date 9 ` Calendar Year -To -Date 10. Calendar Year -To -Date Total This Page: $ 500.00 Transfer the combined total of all Schedule pages to the Detailed Summary on page 2 line 2. SCHEDULE D - LOANS Name of Candidate or Committee.Anne Little Roberts Each Lender to your campaign should be listed separately, Each time a loan is received or you loan money to the campaign, it must be listed as a separate Item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the some Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67.6610A, Idaho Code, even if It is repaid in full, Any loan(s) with a balance(s) appearing on the last report must be listed belowwlth the amount in the Previous Balance column. Any new loan amounts should be listed In the New Loan column, Any interest accrued should be listed In the interestAccrued column. If a payment was made on the loan, list It in the Repayments column. Note: Any loan that was repaid' in full in a previous reporting period does not need to be listed. The Outstanding Balance column Is the Previous Balance plus now loans and accrued Interest less any repayments. Name, Mailing Address and Zip1, Code of Lender (Candidate, Individual or Business) Previous Balance of loan at the end of the last New Loan amount received during this reporting period interest accrued during this reporting period Repayments of Loan during this reporting period Balance outstanding at the end of this reporting period reporting period 1' Anne Little Roberts 2031 S. Elkhound Ave. Meridian, Idaho 83642 1,181.00 Date: J Dale: 12/20 341.00 Amount: Amount; Amount:: $ 840A0 2, Date: Date: Amount: Amount: 3, Date; Date: I 1 I 1 Amount: Amount; 4. Dale: Date: Amount: Amount: g, Date: Date: 1 1 I i Amount: Amount: 6, Dale: Date: Amount: Amount: 7 Dale: Date: 1 1 1 1 Amount: Amount: Previous Received Interest Repayments landing Balance Previous Total $ 1,181.00 Received Total: (Transfer the combined total of ail received loans to the $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $ 840.00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ 341.00 (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) R sY'jt 4 Section I CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Anne Little Roberts City Council seat 1 Mailing Address City and Zip ome one W0rK Phone 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of PoliticalTreasurer Clarence Jones Mailing Address City and Zip Home Phone Work Phone 736 E. Trinidad Dr. Meridian 83642 208-258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 0 Amendment This report is for the period from 10/10/2015 through 12/031.2015 / ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ® 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report, Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ 349.90 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 500.00 $ 2,431.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 849.90 $ 2,431.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) 849.90 $ 1,581.10 $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ 829.90 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 331.10 *This same figure should be entered on line 1 of all reports filed this calendar year. **This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V City Clerk Contact Info Clarence Jones hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Carlxj*grrt/FinanciaDisc osure Report as required by law. — Signature of Politi Page 1 CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Section I C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Anne Little Roberts City Council seat 1 Mailing Address City and Zip Home Friona Work 11rione 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of PoliticalTreasurer Clarence Jones Mailing Address City and Zip Home Phone rk Phone 736 E. Trinidad Dr. Meridian 83642 208-258-2033 208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 0 Amendment This report is for the period from 08/24/2015 through 12/3112015 / ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report p Annual Report Is this a Termination Report: ❑ Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report, Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ 349.90 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 500.00 $ 2,431.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 849.90 $ 2,431.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 849.90 $ 1,581.10 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ 829.90 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 331.10 *This same figure should be entered on line 1 of all reports filed this calendar year. **This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V City Clerk Contact Info Clarence Jones , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct C, n Financi*Doclosure Report as required by law. Signature Page 1 RF,CETvED JAN 3 0 2017 CAMPAIGN FINANCIAL DISCLOSURE; REPORT i `' Y ` C"2 °8 SUMMARY PAGE CITY CLERKS 0FHC----Rov 10107 (Please Print or Typo) Section I Norno of Candidate or PoGrral Co, 000 and Chatuparson Ofrxe Sooghl (ff candidate) Seat iif any) Anne Little Roberts 1,01 N ross Ono zjp Hoftlemona o 20318 PIkhound Ave Meridian 83642 208-861.4799 1208-888-2817 ameo i4ca measurer Clarence Jones MoRtOKOfm Cdyan .ip omo one ona 736 E Trinidad Dr. Meridian 83642 208-258-2038 1208-871-5533 Change of address for: Candidate or Political Committee 1:1 Political Treasurer [] Section II TYPE OF REPORT This filing is an: » Original ❑ Amendment This roport Is for the period from 1 1.1 /.2016 through1, 2 131 12016 Lj October 10 Pre -General Report L] 7 Day Pre -General Report p 30 Day Post -General Report p Annual Report Is this a "termination Report: Cj Yes d No Section til STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the lox next to tite statement below and sign this report. Be sure to oany fonvard fire appropriate "Calendar Year to Date' figures in Column II, Section IU ECJ I hereby cerilfy chat l have received no contrlbutions and have made no expendituros during lids reporting period, Soction Iv SUMMARY To reach your CalendarYear to pate figure: Add this raporPs Column I COLUMN i COLUMN if figures to the Column II figures of your previous report (except on line 6). This Period CatendarYear to Date Line 1: Cash on Hand January 1, This CalendarYeW Line 2: Enter Beginning Cash Balance" Line 3: Total Contribultons (Enter amount frons line 5, page 2) Line d: Subtotal (Add lines 1, 2 and 3) Lino 5: Total Expenditures (Enter amount from line 11, page 2) Line 6, Enter Ending Cash Balance (Subtract line 5 from line A) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ XXXXXX $ $ C XXXXXX S $ $� 3 � 3 $ 331.10 'This some figure should be entered on line 1 of all reports filed tins calendar year, "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed, if this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on (he next report as the beginning cash on hand, Section V I, e—�>: , hereby certify that the information in tins arse of Pofidcat Treasurer report is a true, complete and correct 1 ign FlnanCla) DISC 9St1 a Repot as required by law, • Signature of Poliltcal asurer Page 1 CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE Please Print or Type) C-2 Rev. 12/14 Name of Candidate or Political Committe and Chairperson I 1 Office Sought (if candidate) District (if any) a ing ress oa1 5. 51KhbvXAd City end zip Home Phone ork Phone Name o y ` PoliticalTreasurer b iiv--P—YU'.e S ai ing ress 1316 E -rvyl s'dc-d DF i and Zip Home Phone Work Phone Change of address for: Candidate or Political Committee Political Treasurer Section II TYPE OF REPORT This filing is an: Bo" Original Amendment This report Is for the period from ]_l_l 2ZO through 31 / abZZ 7 Day Pre -Primary Report 30 Day Post -Primary Report October 10 Pre -General Report 7 Day Pre -General Report 30 Day Post -General Report Annual Report Semi -Annual Report (Statewide Candidates Only) Is this a Termination Report: Yes R" No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. el hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ _ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $_- T $ Line 4: Subtotal (Add lines 1, 2 and 3) $ $ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 6 $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0 $ Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 33 l-. 10 This same figure should be entered on line 1 of all reports filed this calendar year. This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Return This Report To: Lawerence Denney Secretary of State PO Box 83720 Boise ID 83720-0080 Phone: (208) 334-2852 Fax: (208) 334-2282 I QQ JO Vle-5 hereby certify that the information in this Name of Political Treasurer report is a true, complete and corr Campaign Fin=ReportIDisclosureReport as required by law. 6426,-C--13 — Signature of Po " aI Treasurer Page 1 SCHEDULE D - LOANS Name of Candidate or Committee: Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67-6610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new loan amounts should be listed in the New Loan column. Any interest accrued should be listed in the Interest Accrued column. If a payment was made on the loan, list it in the Repayments column. Note: Any loan that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus new loans and accrued interest less any repayments. Name, Mailing Address and Zip Previous Balance New Loan amount Interest accrued Repayments of Loan Balance Code of Lender of loan at the received during this during this during this reporting outstanding at Candidate, Individual or Business) end of the last reporting period reporting period period the end of this reporting period reporting period 1•Anne Little Roberts Date: Date: 2031 S. Elkhound Ave. Meridian, ID 83642 331.10 Amount: 0 Amount: 331.10 0 0 2 Date: I I Date: I l Amount: Amount: 3 Date: I I Date: I I Amount: Amount: 4• Date: Date: Amount: Amount: 5• Date: I I Date: I I Amount: Amount: 6 • Date: Date: Amount: Amount: 7. Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $ 331.10 Received Total: Transfer the combined total of all received loans to the $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: Transfer the combined total of all loan repayments to the $ 0.00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ 331.10 NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) I Rev. 10 Name of Candidat of Political Committeee and Chairperson Oe)ffice Sought (if candidate) Seat (if any) nnc L. �ert�5 l acing Address � 1 5. E 1 Kit w� and lip g3L q;? ome one Work 1`110-6 ame of P01010Mtreasurer JDri acing Address City, and Zip liome Phone Work Phone E bili dAd Zt a ,z 33 VS --T71- 5533 Change of address for: Candidate or Political Committee 0 Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: LT'Original ❑ Amendment This report is for the period from l a01g through r a / 31 /X8. ❑ October 10 Pee -General Report E Annual Report Is this a Termination Report: E] Yes ❑ 7 Day Pre -General Report No ❑ 30 Day Post -General Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this repor Be sure to carry forward the appropriate 'Calendar Year to Date" figures in Column II, Section IV. El'I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I figures to the Column II figures of your previous report (except on line 6). Line 1: Cash on Hand January 1, This Calendar Year` Line 2: Enter Beginning Cash Balance" Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) COLUMN I COLUMN II This Period Calendar Year to Date g XXXXXX s 33l,1D XXXXXX 'This same figure should be entered on line 1 of all reports filed this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this Is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V 1, a4Rer'%-�-- J p r9 3 , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Campaign Financial Disclosure Report as required by law. Page 1