Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Ty Palmer
Declaration of Candidacy 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 —3 be a candidate for the office of t ! C, , , for a term of years, to be voted for at the i election to be held on the 3rd day of November, 2015, and certify that I possess the legal qualifications to fill said otiice, and that my residence address is (A73 -,s C4iia. ✓'Cscwn .1) nn 11,, �n/ Candidate's Signature Subscribed and sworn tette this ay day of i'rU.�1�,4-t , ZOOS Signed, A. y ' 4 Y Notary Public in and for the State of Idaho > G * ,ted '�t Atjc residing at O� N••• CdA N9 My Commission expires %ftmusWo OFFICIAL USE ONLY CITY CLERK Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify: This declaration is accompanied by: V The attached Petition of Candidacy signed by at least rive qualified city electors with the attached verification from the county clerk, OR A nonrefundable Oiling fee of $40. The City Clerk (or designee) must verify that the person submitting this declaration is a qualified city elector as defined In Idaho Code 50.402(c) and that the residence address provided above matches the address on the individual's voter 1 , registration. A- C � Q. L. it This declaration was accepted by O ✓K-�'� Name, Title on g- ay'/S at Date Time After the close of the candidate filing period, a copy of this form must be transmitted immediately to the County Clerk to assist in ballot preparation. COUNTY CLERK Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the front of this document. This document is to be used for ballot preparation. Petition of Candidacy State of Idaho County of Ada ss. City of Meridian PETITION OF CANDIDACY OF A Pal r 8, r' Name of Candidate FOR OFFICE OF M2 P; k of P' G 1 4 Lo wAG M This petition must be filed in the office of the City Clerk not earlier than 5:00 a.m. on the eleventh Monday nor later than 5:00 p.m. on the ninth Friday immediately preceding Election Day. The submitted petition must have affixed thereto the names of at least five (5) qualified electors who reside within the appropriate city. I, the undersigned, being a qualified elector of the City of Meridian, in the State of Idaho, do hereby certify and declare that I reside at the place set opposite my name and that I do hereby join in the petition of J -f—'-" i 1 e / , a candidate for the office of _I 4 Erir� n t i 4 C oti c, i to be voted at the election to be held on the 3rd day of November, 2015. Signature of Petitioner Printed Name , Residence Address Date Signed Co`c'2$ �1 �ry sC6 V( VLC-gWM ���io(/C y 5S 3 A K Rw�n. 6 I J 953 ixim-Q/ L4- S36.t+� -li-ly 0�3 &Lft L C+ 9',tog2- R I I S Q: p-hcls A& Myq)- thco/ s STATE OF IDAHO County of AAr, I, El H" I M z / , being first duly sworn, say: That I am a resident of the State of Idaho and at least eighteen (15) years of age; that every person who signed this sheet of the foregoing petition signed his or her name thereto in my presence; I believe that each has stated his or her name and residence address correctly, and that each signer is a qualified elector of the Stat of Idaho, and the City of Meridian. Signed Address 7 J l� l fns( LE i ! 12�p1 `r ( o �3Ca i Signature Collector Address of Signature Collector Subscribed and day of LaryPublic Usiding at C24/� y Commission expires % % Z 7-0 (Notary Seal) ADA COUNTY AFFIDAVIT OF CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION State of Idaho, ) ) ss. County of ADA) To the Clerk of Meridian City, for the State of Idaho: I, Christopher D. Rich County Clerk of Ada County hereby certify that ( signatures on this petition are those of qualified'electors. Hm s APPOINTMENT AND CERTIFICATION OF POLITICAL TREASU T v� •n r ftp 115 =, FOR CANDIDATES AND COMMITTEES (Please Print or Type)MAR 12F ' Ir f ti4 Pursuant to Section 67-6603 c1 Idaho Code. No contribution shall be received or ex enditur r� candidate or political committee until he or she appoints a political treasurer and certifies the namEq! f r a to the Secretary of State. � Certification is for (check appropriate box below): f Name of ❑ CANDIDATE: 1Candidate: Home Work Cell Phone: Phone: Phone: Office District Sought. Number: Party. Candidate Mailing address: Candidate email address: Name of Elect Ty Palmer ❑✓ COMMITTEE: Committee: Party: Name of Committee Ty Palmer Party Y ❑ Chairman: Affiliation (if any): Miscellaneous: ❑ Home Work Cell (208) 954-6432 Phone: Phone: Phone: Measure: Committee 653 Fulmer Ct, Meridian, ID 83642 Mailing address: Candidate/Measure: -- -— ----- - — -- Chairman ty@typaimer.com remail address:ty@typaimer.com AND APPOINTMENT Ty Palmer , 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: RETURN THIS FORM TO: Lawerence Denney Secretary of State Elections Division PO Box 83720 Boise, ID 83720-0080 (208) 334-2852 Fax: (208) 334-2282 Name of Political Treasurer: Jason Monks Home Work Cell Phone: Phone: Phone: rj Treasurer Mailing address:OL Treasurer Residence address: Treasurer email address: 1, Jason Monks , do hereby Name of Political Treasurer the above named candidate or committee. Signature of or Committee Chairman as political treasurer for CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) q� Section I RECETVIET-I C-2 OCT 0 9 2015 Rev. 12/14 CITY C CITY CLERK OFFK' Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council (Seat 3) $ 3,468.00 Malling Address Uty and TFO—m—epTo—ne Work Phone 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 ame of PoliticalTreasurer Jason Monks MailingAddress ity an zip Home P oneor one 1280 W Clarinda St Meridian 83642 208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer CI Section II TYPE OF REPORT This filing is an: 10 Original ❑ Amendment This report is for the period from through ! 1 October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes 2 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 11 figures to the Column li 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' 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) $ XXXXXX $ 0.00 $ 0.00 $ XXXXXX $ 3,468.00 $ 3,468.00 $ 3,468.00 $ 3,468.00 $ 3,049.44 $ 3,049.44 $ 418.56 418,56 =1 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 Jason Monks hereby certify that the information in this Name of Political Treasurer report is a true, complete arrf"Gampaign I ctannFt ctannF al Dts stye Report as required bylaw. Signature of DETAILED SUMMARY Name of Candidate mCommittee: Elect TyPalmer Total This Period F-------------- ------------------ ----' '---- --------- ---�--'�---------------- |CVUtribUti0Us /��----------'-- -----�------�--- -'-'--------- -- ------�-�----'---------- Unitemized Contributions ($50 and less) # of Contributors 1P $118.00 /+ $uuoouu In -Kind Contributions (Total mall Contribution amounts from Schedule Csheets) | $10008 /�� -------------�--------'' - '--- -� ' '---- - -------------'----r''-------- � Loans (Total of all New Loan amounts from Schedule Dsheets) |+ $0.00 /��-------------'--�--- ------'---------�-----�---------'-----'--------------'--1 �OTotal Contributions (Transfer this figure topage i.��O|�UD8� |� $3'568.00 | �D 1 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $8,77 Itemized Expenditures (Total of all Schedule B sheets) + $3,040.67 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $100.00 $0.00 Credit Card and Debt Repayments (Total Repayment from "Schedule sheets) ' '+. -$v^�v L_ - Total Expenditures(Transfer this figure hnpage 1 Section IV, Line 8 -'--- --- --' - `=$3,149.44 -� Loans, Credit Cards and Debt Outstanding Balance from previous reporting period $0.00New Loans received during this reporting period(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) ` ~' amounts from Schedule E sheets)i+ �VJ�U ' L � ' Subtotal x�k � «�(Total of all Loan Repayment amounts from Schedule D sheets) Repayments of Credit Card and Debt this reporting period .. $ouo (Total of all Debt Repayment amounts from Schedule E sheets) /�6--'--�--'�----�---------- ---- � Total Outstanding Balance mclose mthis period (Transfer this figure to page l,Section IV, Line 7) $0.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges 0 + $0.00 Itemized Pledged Contributions this Period (Total of all Schedule P sheets) t $0.00 SCHEDULE A page of 3 9 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Elect Ty Palmer Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 3 114 115 Ty Palmer 653 Fulmer Court Meridian, ID 83642 100.00 $ 100.00 Calendar Year-TaDate 3 18 15 2 Inside Baseball Public Affairs-, LLC 2457 S. Swallowtail Lane Boise, ID 83706 100.00 $ 100.00 Calendar Yeaf To -Date 3 123 115 3Joe & Leslie Palmer 5710 N Parchment Boise, ID 83713 150.00 $ 150-00 Calendar Year -To -Date 6 120 115 4 Rich Fairbanks 4553 N Annata Ave Meridian, ID 83646 100.00 $ 100.00 Calendar Year -To -Date 6 29 15 ! ! 5. Reed DeMourdant 1017 Arbor Island Way Eagle; tD 83616 300.00 300.00 $ Calendar Year -To -Date 7 /2 115 6. Cherry's Consignment Home Furnishings 1524 N. Meridian Road Meridian, ID 83642 500.00 $ 500.00 Calendar Year -To -Date —1 7, Michael & CardPalmer Eagle, ID 83616 50.00 50.00 Ca(endarYear-To Date 7 130 15 8 Keith Thurgood P.O. Box 914 Meridian, ID 83680 50.00 5Q.OQ Calendar Year -To -Date ---� l g, Gary &Sheila Mohler Las Vegas, NV 89131 500.00 500-00 Calendar Year-To-Date 100.00 8 15 115 10, Pat Palmer Construction 593 S. Charlie Horse Lane Eagle, ID 83616 IGO.00 Calendar Year--To-Date Total This Page: J$1050.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE A Page4 9 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Elect Ty Palmer Date Received Full Name, Malling Address and Zip Code of Contributor Cash or Check 8 6 15 9 Travis & Abbee Hawkes 6828 N. Sunset Maple Way Meridian, ID 83646 250.00 $ 250.00 Calendar Year -To -Date 8 8 15 2, Sarah & William Tilman 4672 Whitmore Way Boise, ID 83709 50.00 $ 50.00 Calendar Year -To -Date 8 ' 22 / 15 3. Jolene & Timothy Taylor 1488 E Blue Tick St Meridian, ID 83642 25.00 $ 25.00 Calendar Year -To -Date 8 / 29 / 15 4. Cherry's Consignment Home Furnishings 1524 N Meridian RD Meridian, ID 83642 500.00 $ 1000.00 Calendar Year -To -Date 8 30 � 15 5, Gregory D Chaney 11968 Colony Dr Caldwell, ID 83605 $ 50.00 50.00 Calendar Year -To -Date 09 �l 26 15 6. Rodney & Barbara McCoy 1692 S Sportsman Way Meridian, ID 83642 25.00 $ 25.00 Calendar Year -To -Date 9 26 / 15 7. Committee to Elect Jason Monks 1280 W Clarinda St Meridian, ID 83642 250.00 $ 250.00 Calendar Year -To -Date 8 30 15 g Ken Andrus 6948 E. Old Oregon Trail Rd Lava Hot springs, ID 83246 $ 50 50 Calendar Year -To -Date 9 j30 Jis 9 Dan Hollowell 2910 E Victory nd Nampa, ID 83687 200 $ 200 Calendar Year -To -Date 10. — - - - Calendar Year -To -Date Total This Page: $1400 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Name of Candidate or Committee: SCHEDULE E ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Palmer aged o g7-1 rurpose iooes anter up to s purpose codes per Expenditure.) Date Spent Fullame, ai mg Address an ip Code ot RecipientPurpose 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 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent Fullame, ai mg Address an ip Code ot RecipientPurpose Code(s) Cas or Check Meridian Dairy & Stock Show 1892 Hendricks E 5 27 15 Meridian, ID 83646 50.00 I I $ 2. o a y.com 14455 N Hayden Rd, Ste 226 7 19 15 Scottsdale, AZ 85260 56.23 1 I $ 3. ns e a es Postal Service 1200 N Main St 8 4 15 Meridian, ID 823642 49.00 / I $ 4, on Phe ps 851 E Boise Ave 8 8 15 Kuna, ID 83634 100.00 I $ 5en ian arks and Recreation 33 E Braodway Ave 8 10 15 Meridian, ID 83642 500.00 I $ o s 6' 3275 N Eagle Rd 8 11 15 Meridian, ID 83646 27.02 I 1 � 7 a martGPZ 4051 E Fairview Ave 7 18 15 Meridian, ID 83642 140.47 I I $ g Walmart etz 795 W Overland Rd 8 8 15 Meridian, ID 83642 71.93 tarme is Promotions Q� 199 N Linder Rd 6 17 15 Meridian, ID 83642 231.93 I / $ 1 �' lg Lots 100 E Fairview Ave 6 19 15 Meridian, ID 83642 42.40 $ Text Total This Page: $ 1268.98 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Name of Candidate or Committee: SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Palmer aged 10''97 trurpose coaes (triter up to o purpose coaes per rxpenaiture,t 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 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2 line 7. Date Spent f ull Name, Mailing MOress aril Zip Goae ot KeciplehtPurpose o e s) Uash or Deck 1. Walmart 795 W Overland Rd 7 18 15 Meridian, ID 83642 25.00 / I $ 2, Walmart 4051 E Fairview Ave 9 16 15 Meridian, ID 83642 3.44 ! / $ Inco Foods 3. 1050 8 Progress Ave 9 12 15 Meridian, ID 83642 78.36 4. a mart E 4051 E Fairview Ave 9 16 15 Meridian, ID 83642 29.89 5 a mart UP 795 W Overland Rd 7 23 15 Meridian, ID 83642 34.97 I / $ ore 6' 10400 Overland Rd 6 24 15 Boise, ID 83709 145.75 Kohis 7. 3275 N Eagle Rd 6 18 15 Meridian, ID 83646 21.97 8. Wialmart 8300 W Overland Rd 6 16 15 Boise, ID 83709 91.92 $ a ma 9' 8300 W Overland Rd 6 16 15 Boise, ID 83709 27.98 -VVa 10. mart EF 785 W Overland Rd & 16 15 Meridian, ID 83642 79.93 Total This Page: $ 539.21 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2 line 7. SCHEDULES ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period age.l o � I Name of Candidate or Committee: "'Iecz I y ratmer I A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B Broadcast Advertising (Radio, TV, Internet & Telephone) C Contributions to Candidates & PAC's D Donations & Gifts E Event Expenses F Food & Refreshments G General Operational Expenses H Independent Expenditures L Literature, Brochures, Printing M Management Services N Newspaper & Other Periodical Advertising 0 Other Advertising (Yard Signs, Buttons, etc.) P Postage S Surveys & Pails T Tickets (Events) U Utilities W Wages, Salaries, Benefits & Bonuses Y Petition Circulators Z Preparation & Production of Advertising - Dae pent_ Full Name, Mailing Address an ip Gode ot RecipientPurpose Code(s) Cas or Check aimart 1 4051 E Fairview Ave 6 17 15 Meridian, ID 83642 47.87 1 1 $ a mart 2' F 795 W Overland Rd 8 15 15 Meridian, ID 83642 31.97 arme is romo ions ' 199 N Linder Rd 8 28 15 Meridian, ID 83642 45.05 4 Wendy McDonough 6253 n Stafford PI 8 13 15 Boise, ID 83713 275.00 5. Kyle Morgan 604 W Franklin 8 12 15 Boise, ID 83702 106.00 6. western Idano air 5610 Glenwood 8 31 15 Boise, ID 83714 9.85 Donuts DK 7' 520 S Meridian Rd #20 9 5 15 Meridian, ID 83642 10,02 8, araoror Idaho P© BOX 1616 9 8 15 Boise, ID 83701 25.00 g Pxpregs a e 400 E Fairview Ave 9 9 15 Meridian, ID 83642 25.66 I / $ 10' Express a e 400 E Fairview Ave 9 9 15 Meridian, ID 83642 24.12 $ Total This Page: $ 600.54 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: ciect , y rammer age$ oi-1 vurpose uoaes anter up to 3 purpose copes per rxpenaiture.) Date pent Full Name, Mailing Address aW Zip e of Recipienturpose 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 2 Ada CoUhty epublicans Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date pent Full Name, Mailing Address aW Zip e of Recipienturpose o e s) Uash or GhecK 1.Bryant Ideas 1500 N Locust Grove Rd #100 9 16 15 Meridian, ID 83642 63.55 2 Ada CoUhty epublicans CT PO BOX 1572 9 24 15 Boise, 1D 83701 185.00 I 1 $ a es en s 8' 203 S Main St, Ste 100 9 26 15 Meridian, ID 83642 22.08 / $ 4 Dirty Harry's Garwash E 1621 N Jericho Rd 9 26 15 Meridian, ID 83642 4.37 1 1 $ 5 Peterson's Clothing nc 7129 Overland Rd 9 28 15 Boise, ID 83709 $406.94 6. I 1 $ 7. 1 / $ $ 9. $ 10. Total This Page: $ 681.94 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE Capse 9 IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: Elect Ty Palmer Purpose Codes (Enter up to 3 purpose codes per Expenditure.) Contributor Name, Mailing Address and Zip Code Joe & Leslie Palmer 1524 N Meridian Rd Meridian, ID 83642 100 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 Expenditure Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 1. 9 26 15 / / Contributor Name, Mailing Address and Zip Code Joe & Leslie Palmer 1524 N Meridian Rd Meridian, ID 83642 100 250 Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code(s) Cash and Carry 1700 Shoreline Dr Boise ID 83702 100 $ EF 2. Contributor Name, Mailing Address and Zip Code $ Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code(s) 3. Contributor Name, Mailing Address and Zip Code $ Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code(s) 4. Contributor Name, Mailing Address and Zip Code I / $ Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Codes) $ Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $ t' a CIO to the Detailed Summary, page 2 line 8) ` I dt. U) Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2 line 3) 2nL CAMPAIGN FINANCIAL DISCLOSURE REPORT � D c 2 _r Rev.12/14 SUMMARY PAGE I r xt' (Please Print or Type) OCT rt Cl 1r tit s ...., r� Section I CITY CI_ r?Vq r`t:p= rr- Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 $ 3,568.00 $ 3,568.00 Mailing Address Uty an ipome one o one 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 Name of Political Treasurer Jason Monks Mailing Address City and Zip Home Phone ork Phone 1280 W Clarinda St Meridian 83642 208-870-7127 Jason Monks Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 10 Amendment This report is for the period from `:13' 11..- IS through ©_/ 3t1 1 IN 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 $ 0.00 Line 2: Enter Beginning Cash Balance** $ 0.00 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 3,568.00 $ 3,568.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 3,568.00 $ 3,568.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 3,149.44 $ 3,149.44 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 418,56 $ 418.56 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 0.00 *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 Jason Monks hereby certify that the information in this Name of Political Treasurer report is a true, complete and cgEglat-Campaigafinancial Disclosure Report as required by law. Signaturecal Treasurer y z•� �= o Section I CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) REC_ETv_-F,D_ C-2 OCT , 9 2015 Rev 12114 CITY Cit-�, w „v CITY CLERKS OFFICE Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council (Seat 3) Mailing ress i an q ome one VVOrK Phone 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 Name of o iticaTreasurer Jason Monks Mailing ress City and Zipome one Work one 1280 W Clarinda St Meridian 88842 208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer L Section II TYPE OF REPORT This filing is an: ® Original ID Amendment This report Is for the period from 3 ( through 0 1 IN October 10 Pre -General Report ❑ 7 Day Pre -General Report (] 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes 2 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, ❑ 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 it figures to the Column 11 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 $ 0.00 Line 2: Enter Beginning Cash Balance* $ 0.00 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ f 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) $ 0.00 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 Jason Monks hereby certify that the information in this Name of Polificsi Treasurer report is a true, complete anrre�t�Campaigr n Financial Dls st,�e Report as required by law. _.r it /� Signature of DETAILED SUMMARY Name of Candidate or Committee: Elect Ty Palmer Total This Period j Contributions Unitemized Contributions ($50 and less) # of Contributors + $118.00 Itemized Contributions (Total of all Schedule A shoots) + $3,350.00 In -Kind Contributions(Total of all Contribution amounts from Schedule C sheets) + $100.00 Loans (Total of all New Loan amounts from Schedule D sheets) i Total Contributions (Transfer this figure to page 1, Section IV, Line 3) $3,568.00 --- - ----- --- ----- --- -_ Expenditures -------- ---- UnIternized Expenditures (Less than $25) #of Expenditures $8,77 Itemized Expenditures (Total of all Schedule B sheets) + $3,040.67 — ---------- - - ------ --- In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) $100.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $0.00 0 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)+ $0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) $3,149.44 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $0.00 New Loans received during this reporting period 0.00 (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) i+ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $0M ........ --- 15 Subtotal $0.00 Repayments of Loans made during this reporting period 16 (Total of all Loan Repayment amounts from Schedule D sheets) $0.00 (01 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets0.00) Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $0.00 --- -_ ---------- I Pledged Contributions Uniternized Pledged Contributions ($50 and less) # of Pledges 0 + $0.00 Itemized Pledged Contributions this Period (Total of all Schedule P shoots) t --- ---------- Total Pledged Contributions this period Page 2 C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson REcFTvED District (if any) CAMPAIGN FINANCIAL DISCLOSURE REPORTOCT 26 2015 ` SUMMARY PAGE Ct I 7 �✓tdtai: -e. (Please Print or Type) CITY CLERKSOF- Home Phone ------ ICE 653 Fulmer Ct Meridian 83642 Section I 208-321-3629 C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 Mailing Address Gity and Lip Home Phone ------ FWOTR Phone 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 Name of PoliticalTreasurer Jason Monks Mailing Address City and Zip me Phone or Phone 1280 W Clarinda Meridian 83642 7208-870-7127 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 / Q 01 15 through f® / If LIS S ❑ 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 If figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year 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) to Date $ XXXXXX $ 0.00 $ 418.56 $ XXXXXX $ 3,050.00 $ 6,618.00 $ 3,468.56 $ 6,618.00 $ 151.69 $ 3,301.13 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 3,316.87 $ 3,316.87 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 0.00 *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 O. Note: The closing cash balance for the current repotting period appears on the next report as the beginning cash on hand. City Clerk Contact Into Section V Jason Monks Name of Political Treasurer report is a true, complete a.Ltd-corract O hereby certify that the information in this Disclosure Report as required by law. game of Candidate or Committee: Elect Ty Palmer Total This Period Itemized Expenditures (Total of all Schedule B sheets) g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) --- --- - --- g i Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) (ID I Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 14 15 16 17 18 + $151.69 + $0.00 + $0.00 + $0.00 $151.69 Loans, Credit Cards and Debt Contributions 1� Unitemized Contributions ($50 and less) # of Contributors 0 f + $0.00 2O Itemized Contributions (Total of all Schedule A sheets) - - - - —--- -- - - _. - ------------ - - - + $3,050.00 I- - -- - -- + $0.00 3�, In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) --- — -- --- ®I-----— - - - ----- --- ----- — ( Loans (Total of all New Loan amounts from Schedule D sheets) l+ $0.00 5Li Total Contributions (Transfer this figure to page 1, Section IV, Line 3) j = $3,050.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 0 + $0.00 Itemized Expenditures (Total of all Schedule B sheets) g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) --- --- - --- g i Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) (ID I Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 14 15 16 17 18 + $151.69 + $0.00 + $0.00 + $0.00 $151.69 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $0.00 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) + $o.00 Subtotal f Repayments of Loans made during this reporting period - $0.00 $o.00 (Total of all Loan Repayment amounts from Schedule D sheets) Repayments of Credit Card and Debt this reporting period ! $0.00 j (Total of all Debt Repayment amounts from Schedule E sheets) _ — ------ ---------- ---- ------ ---- -- --- --- -- ----- --- - i _ I - _ ----...— - $0.00 j Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges 0 ---------------------- -- DO Itemized Pledged Contributions this Period (Total of all Schedule F sheets) 1 Total Pledged Contributions this period Page 2 + $0.00— + $0.00 $0.00 f SCHEDULE A age o [i ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Elect Ty Palmer Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 107 115 1, Dave Evans Construction DBA Zach Evans Construction 7761 W Riverside Dr Ste 100 Boise, ID 83714 1,000.00 $ $ 1,000.00 Calendar Year -To -Date 10 107 115 2. Skyland Boise LLC PO BOX 546 Meridian, ID 83680 1,000.00 $ ' $ 1,000.00 — Calendar Year -To -Date 10 107 115 3. Clyde Development Inc 3225 W Bavaria St Ste 131 Eagle, ID 83616 1,000.00 $ i'000.00 — Calendar Year -To -Date 10 17 1 115 4 14 Helen D Luker 5El Blanco D Boise, ID 83709 50.00 $ 50.00 Calendar Year -To -Date 5, $ Calendar Year -To -bate 6. Calendar Year -To -Date 7. Calendar Year -To -Date I I 8. $ Calendar Year -To -Date 9. $ Calendar Year -To -Date 10. $ Calendar Year -To -Dale Total This Page: $3,050.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE D ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page o Name of Candidate or Committee: Elect Ty Palmer I Purpose Codes (triter up to 3 purpose codes per txpenditure.) FullName, Mailing Address and Zip Code of Recipienturpose 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 2, Johnny's Pizza Date Spent FullName, Mailing Address and Zip Code of Recipienturpose o e s) Cash or Check 1, Stinker Store Eagle #83 A 4744 N Eagle Rd 10 08 15 Boise, ID 83713 39.40 2, Johnny's Pizza DF 1526 N Main St 10 08 15 Meridian, ID 83642 59.90 3. Costco Wholesale D 16700 N Marketplace BLVD 10 17 15 Nampa, ID 83687 17.39 4. Association of Idaho Cities G 3100 S Vista Ave #310 10 18 15 Boise, ID 83705 35.00 5. 6. 1 I $ 7. / ! $ 8. 9. i ! $ 10. Total This Page: $151.69 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2 line 7. RECEW F- D 4rz Epi.. CAMPAIGN FINANCIAL DISCLOSURE REPORT C-2 DEC 0 8 2015 Rev. 12/14 I bz� SUMMARY PAGE (Please Print or Type) CITY 01- CITY CLERKS OFF r� - Section I Name of Candidate or Political Committee and Chairperson Elect Ty Palmer office Sought (if candidate) District (if any) This Period city Council Seat 3 Calendar Year IVIai mg Address 653 Fulmer Ct i y an ip 83642 Home one 208-954-64-32 or one ___jMeridian ame of Politicalreasurer Jason Monks Malling ress 1280 W. Clarinda - ___ (ty and zip Meridian 83642 ome one 208-870-7127 Work Phone u,aJ.G vi UV UI GJJ IVI. ucillutuCttu ui ruuuc:ai uuminntee u routicai (reasurer Li Section II TYPE OF REPORT This filing is an: 42 Original ❑ Amendment This report is for the period from 10/19/2015 through 111/18015 / ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report IN 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes 2 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. ❑ 1 hereby certify that I have received no contributions and have made no expenditures during this reporting period. oecuon 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 $ XXXXXX $ 0.00 $ 3,316.87 $ )(XX)XX 500.00 7,118.00 $ $ 3,816.87 7,118.00 $ $ 2,115.03 5,416.16 $ $ 1,701.84 1,701.84 $ $ *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 Jason Monks , 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. ti Signature of Political Treasurer Page 1 DETAILED SUMMARY game of Candidate or Committee: Elect Ty Palmer Total This Period Page 2 Contributions 1� Unitemized Contributions ($50 and less) # of Contributors 0 + $ 0.00 2 Itemized Contributions (Total of all Schedule A sheets) + $ 500.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) (+ $ 0.00 4 Loans (Total of all New Loan amounts from Schedule D sheets) + $ 0.00 Q Total Contributions (Transfer this figure to page 1, Section IV, Line 3) 500.00 Expenditures 6 Unitemized Expenditures (Less than $25) # of Expenditures1 -- — .__ -- ; + - $ 20.00 7� Itemized Expenditures (Total of all Schedule B sheets) t $2,095.03 g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) -- - - + $ 0.00 9 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 0.00 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) +$ 0.00 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)i _ $2,115.03 - --- - - --- -------- Loans, Credit Cards and Debt ---- --- 12 Outstanding Balance from previous reporting period+ - - - - - -- $0- 00 13 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + 0.00 $ 1 New Credit Card and Debt incurred this reporting period o.00 (Total of all New Incurred Debt amounts from Schedule E sheets) + $ 15 Subtotal -------_ ----- _ $ 0.00 16 Repayments of Loans made during this reporting period 0.00 --- (Total of all Loan Repayment - amounts from Schedule D sheets) ---------------- -- -- - $ Repayments of Credit Card and Debt this reporting period i 0.00 (Total of all Debt Repayment amounts from Schedule E sheets) I $ 1$ Total Outstantlmg Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $ o.00 Pledged Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges 0 + $0.00 Itemized Pledged Contnbutions this Period (Total of all schedule F sheets) -- 0.00 Total Pledged Contributions this period $0.00 Page 2 SCHEDULE A page 0'—] 3 4 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee; Elect Ty Palmer Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 / 22 115 1. Idaho Association of Realtors, Inc. The Realtors Political Action Comm. 10116 W. Overland Rd Boise, ID 83709 $ 250.00 Calendar Year -To -Date 10 22 15 1 i 2. Building Contractors Association of Southwest Idaho 6206 N. Discovery Way, Suite A Boise, ID 83713 250.00 $ Calendar Year -To -Date 3. $ $ Calendar Year -To -Date 4. $ Calendar Yea r -To -Date 5. $ Calendar Year -To -Date 1 I 6. $ Calendar Year -To -Date 7. $ Calendar Year -To -Date 8. $ $ Calendar Year -To -bate 9. $ $ Calendar Year -To -Date 10. $ Calendar Year -To -Date Total This Page; $500.00 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 Name of Candidate or Committee: Elect Ty Palmer urpose Uodes nter up to 3 purpose codes per Expenditure,) 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 aged lot 41 Date Spent FullName, Mailing Address and Zip Gode ot KecipientPurpose o e s) Gash or Gheck I, Apple Online Store G 10 20 15 350 N. Milwaukee St. 1,959.94 Boise, ID 83704 $ 2. Yen Ching DF 11 4 15 305 N. 9th St. 92.70 Boise, ID 83702 $ 3. Best Buy G 11 11 15 8363 W. Franklin Rd 42.39 Boise, ID 83709 $ 4. 5. 6. i I $ 7. $ 8. 9. 10. Total This Page: $ 2,095.03 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.12/14 CITY CLERKS Ci. iF CE - Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 Mailing Addfess --FU 755-5-d Zip Home 11hone Work Fhone 653 Fulmer Ct Meridian 83642 208-954-64-32 Name of Political reasurer Jason Monks Mailing A ress City and Zip ome one or hone 1280 W. Clarinda Meridian 83642 208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 4a Original ❑ Amendment This report is for the period from 11/14/2015 through 12!31 {2015 ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ® Annual Report Is this a Termination Report: ❑ Yes 12 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. ❑ 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 figures to the Column II figures of your previous report (except on line 6). This Period Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX 1721.84 Line 2: Enter Beginning Cash Balance** $ 0.00 Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1721.84 Line 4: Subtotal (Add lines 1, 2 and 3) $ 65.62 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1656.22 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ COLUMN II Calendar Year to Date $ 0.00 $ XXXXXX $ 7118.00 $ 7118.00 $ 5461.78 $ 1656.22 *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 Into Jason Monks Name of Political Treasurer report is a true, 1 hereby certify that the information in this Disclosure Report as required by law. Treasurer T 6� 12 13 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Elect Ty Palmer F Contributions This Period Uniternized Contributions ($50 and less) #of Contributors 0 + $0.00 Itemized Contributions (Total of all Schedule A sheets) + $0.00 In -Kind Contributions (Total of 211 Contribution amounts from Schedule C sheets) A- $0.00 Loans (Total of all Now Loan amounts from Schedule D sheets) + $0.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $0,00 Expenditures 10 11 Outstanding Balance from previous reporting period Uniternized Expenditures (Loss than $25) # of Expenditures + $20.00 Itemized Expenditures (Total of all Schedule B sheets) I+ $45.62 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $0.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) = $0.00 $0.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 0.00 $ $65.62 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period $0.00 New Loans received during this reporting period 0.00 (Total of all Now Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period 0.00 (Total of all New Incurred Debtamounts from Schedulesheets) $ _E Subtotal = $0.00 Repayments of Loans made during this reporting period 000 (Total of all Loan Repayment amounts from Schedule D sheets) $ Repayments of Credit Card and Debt this reporting period 0.00 $ (Totalofall Debt Repayment amounts from Schedule E sheets) Total Out -standing Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $0.00 Pledged Contributions Uniternized Pledged Contributions ($50 and less) #of Pledges 0 + $0.00 Itemized Pledged Contributions this Period (Total of -all Schedule F sheets) + $0.00 Total Pledged Contributions this period $0.00 Page 2 SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page 0 3 Name of Candidate or Committee: k1e01 i y rainner I A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 C Contributions to Candidates & PAC's P D Donations & Gifts S E Event Expenses T F Food & Refreshments U G General Operational Expenses W H Independent Expenditures Y L Literature, Brochures, Printing Z M Management Services $11.03 Newspaper & Other Periodical Advertising Other Advertising (Yard Signs, Buttons, etc.) Postage Surveys & Polls Tickets (Events) Utilities Wages, Salaries, Benefits & Bonuses Petition Circulators Preparation & Production of Advertising Date Spent FullName, Mailing Address and zip Uode of RecipientPurpose o e s) Cash or Check 1' Pinnacle Sports Grill F 12 8 15 2902 N. Eagle Road $11.03 Meridian, ID 83646 $ 2. The Habit F 12 19 15 2206 N. Eagle Road 18.23 Meridian, ID 83646 $ 3. San Francisco Sourdough F 12 22 15 2044 S. Eagle Road 16.36 Meridian, ID 83642 $ 4. is 5. I / $ 6. I / $ 7. / 1 $ 8. I I $ R 1 I $ 10. Total This Page; $ 45.62 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. eglo CAMPAIGN FINANCIAL DISCLOSURE REPORT C-2 ;�; r y SUMMARY PAGE Rev. 12/14 #I rz AN 201 (Please Print or Type) ATF M1py _ a �, zr�F Fps I C L KS f , Section I Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 Mailing Address City and Zip Home Phone - Work Phone 1236 E. Pisa Street Meridian 83642 208-954-6432 Name of PoliticalTreasurer Jason Monks Mailing Address City and Zip Home Phoneo P one 3865 S. Black Cat Road Nampa 83687 208-870-7127 Change of address for: Candidate or Political Committee p Political Treasurer 0 Section II TYPE OF REPORT This filing is an: W Original ❑ Amendment This report is for the period from 01 /01 /2016 through 12/31 4201 6 ❑ 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. ❑ 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 Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXX)= $ 1656.22 Line 2: Enter Beginning Cash Balance** $ 1656.22 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 0.00 $ 0.00 1656.22 1656.22 Line 4: Subtotal (Add lines 1, 2 and 3) $ $ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1000.88 $ 1000.88 655.34 655.34 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ $ 0.00 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ *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 Jason Monks I, hereby certify that the information in this Name of Political Treasurer report is a true, comp�adorrect Campaign Finand6tDisclosure Report as required by law. of Political Treasurer 12 13 14 15 16 0 18 DETAILED SUMMARY Name of Candidate or Committee: Elect Ty Palmer ---------------------------------- ---- --- i Expenditures Total This Period j Contributions a Unitemized Contributions ($50 and less) # of Contributors 0 I + $ 0.00 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) + $ o.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) j $ 0.00 ---------------------------------- ---- --- i Expenditures 1 I Unitemized Expenditures (Less than $25) # of Expenditures 0 ' + $0.00 Itemized Expenditures (Total of all Schedule B sheets) ; + $1000.88 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $0.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) ( + $ 0.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ 0.00 { Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) $1000.88 ;Loans, Credit Cards and Debt j Outstanding Balance from previous reporting period + $0.00 New Loans received during this reporting period 0.00 (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 ( + $ 0.00 Subtotal $o.00 Repayments of Loans made during this reporting period 0.00 I (Total of all Loan Repayment amounts from Schedule D sheets) Repayments of Credit Card and Debt this reporting period 0.00 j (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) = $ 0.00 Pledged Contributions _ 1 g Unitemized Pledged Contributions ($50 and less) # of Pledges 0� i + $ 0.00 ®0 ! Itemized Pledged Contributions this Period (Total of all Schedule F sheets) i + $ 0.00 I Total Pledged Contributions this period — $ 0.00 Page 2 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page, 0 ,� Name of Candidate or Committee: tied iy rainner I Hurpose Cows (inter up to J purpose cones per txpenoiture.) FullName, Mailing Address and Zip Code of Recipienturpose Code(s) 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 Wy'\Sty , -1--D QLvLA2 Date Spent FullName, Mailing Address and Zip Code of Recipienturpose Code(s) Cas or Check 2. 'Trbp�1-j ca. (� � c N, Wck,y 3. NotV� kt e, A55c,6 at osn C, 11-,Lc�o WAQVs $\ Wk F -o 01 /11ALD o�tv � VN 2-2-1)3c) $ a5 a 4. Iris 1= me-, 1,1525 N ale . f- 02® Wy'\Sty , -1--D QLvLA2 $ K9 !�)2.0, �,K ((NlA" RC\, �+2� O2/ 1E /o(o �M�r��1'� n, '—T-® 0,/3ULA2.. $ t9, D`)0 ( rA i°-+ , �2 /Ito /Ito G��� ,p Y��1 $ J� qn�OLA 1p $ 2,00 b �,2 Lo 0 $ c667 �Yt� rt tarp , i��(12 $ 5Ub,D 10. �z1 Is F -Com Cw t\r 19cvy- 0= 1Z® 6 . ' \ado twe, tg / /Ire M2Y 1C le�,Y� , -I'D �o'A-2, $ o ` 3 Total This Page: $ V)YOmay Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page . o I Name of Candidate or Committee: "'i y rainner I rurpose uoaes ttnter up to s purpose coaes per txpenarture.) FullName, Mailing Address and zip Code of Re-cipienturpose o e s) 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 gC612. Date bpent FullName, Mailing Address and zip Code of Re-cipienturpose o e s) Cash or Check 1. Ft(k�br . um rizzo, ®ia/ 2_q / �� ,c����n , � 83�y� $ 2. S�-c�.rbuc�ry��s�, �, • l�� F 3.Co-V( ILO�04 _Vj Me- UC lC�1Ca,}rl , T'���'�� $ 4. Lor,&U 8 cc)M Fb ` ax '3 13 i Dl� / D(D/ 1P gC612. $ 21 tq 5.O1l� C) $�- 6. V_'kCte RSSC4o, Lc:,() C, 11155 VN �VV0� KM& 2,2030 $ 3�a�� 7. FC>�-V_ °I N 6y � e, , s3s. � s. 9. 10. / I $ Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. 11111111111, W''111 I Mail III �.� Section I Name of Candidate or Political Committee and Chairperson Office Sought (if wykWe) Seat (if any) Elect Ty Palmer City Council Seat 3 9,044.09 Mailing Address Zip Home Phone _7" 8,917.91 1236 E. Pisa St Meridian 83642 208-954-6432 126.18 Name of Politicalreasurer Jason Monks Mailing Address City and Zip Home PhonePhone Work 3865 S. Black Cat Road Nampa 83687 208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer Section II TYPE OF REPORT This filing is an: ® Origina I This report is for the period from UU ❑ October 10 Pre -General Report ® Annual Report ❑ Amendment 01 / 17 through 12 1 31 1 17 [] 7 Day Pre -General Report ❑ 30 Day Post -General Report Is this a Termination Report: ❑ Yes 2 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 11 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 $ 655.34 Line 2: Enter Beginning Cash Balance** $ 000.04 Line 3: Total Contributions (Enter amount from line 5, page 2) $ 8,388.75 9,044.09 Line 4: Subtotal (Add lines 1, 2 and 3) $ 8,917.91 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 126.18 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) $ 125.00 $ XXXXXX $ 8,388.75 $ 9,044.09 $ 8,917.91 $ 126.18 *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 Jason Monks Name of Political Treasurer report is a true, hereby certify that the information in this Report as required by law. Treasurer Jame of Candidate or Committee: Elect Ty Palmer Contributions Unitemized Contributions ($50 and less) # of Contributors 2� 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) (5), Total Contributions (Transfer this figure to page 1, Section IV, Line 3) 0 0 0100 0. 0 12 13 1% 1�' �1,- + $ 0.00 + $8,263.75 + $ 0.00 + $125.06— = $8,388.75 Expenditures _ Unitemized Expenditures ($25 and Less) # of Expenditures � + $0.00— Itemized Expenditures (Total of all Schedule B sheets) + s8,9117.911 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 0.00 _ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) "` + $ 0.00 f Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) �------- � �+ $0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) - $8,917.91 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period New Loans received during this reporting period (Tntai of ail Now I nnn mmnuntc Him Annniori Intcrcct frnm Crharlulc n 14 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) 15 Subtotal Q16 ' Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) 17 Repayments of Credit Card and Debt this reporting period — (Total of all Debt Repayment amounts from Schedule E sheets) 1$ Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) + $ 0.00 $125.00 + $ 0.00 _ $125.00 I - $ 0.00 $ 0.00 _ s 125.00 Pledged Contributions�- 19 Unitemized Pledged Contributions ($50 and less) # of Pledges + $ ®` Itemized Pledged Contributions this Period (Total of all Schedule F sheets) ! + $ Total Pledged Contributions this period I = $ , SCHEDULE tp ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: US4, -T-1 yodme_r Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 0 General L—LC Vq. too $ $ Calendar Year -To -Date 0 General 2. -hpI V4 K-10— I $ ao Calendar Year -To -Date 0 General 3. t S LL'C, C�Vo $ toob - — $ 1 bbib , C�t' Calendar Year-To-Da—te 0 General VIOYC"C' VD♦ Calendar Year -To -Date 11 General 5. fy)e'r'lcll'�OX\ 1�3LC `�6 $ $ I 1,000'm Calendar Year -To -Date 0 General 6. up U $ $ G66T Calendar Year -To -Date 0 General "-0 ON)L Q0 ILP $ 100 Calendar Year -To -Date $ 1 Coo, O� $ 0 11 General Calendar Year -To -Date e� $ C; to $ Calendar Year -To -Date 0 General 10. $ 0 General Calendar Year -To -Date Total This Page: $ ;S' 'auz--N Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B age o ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: led Purpose Codes Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 2. ,* Q1S, C?��VG� i L11 \ $ g ' 3. %1'1e�fu(16m 2s('\� c�s l�qS , M &d a\ -N , T.o g � $ a 9 4. �,5 cc- 5.Sl,� .W. IPC. 1G1,0 i 6\jersj .� 6. IAC) Itbl div 7.� CM2 �S 1 gq $. )C,(-cn McffV)W-5-e Ca.M� b)ec k -*1199 '�,35�3U (Zev� >ewe baa 4tax) , �Q �5�lrr`1 l� e�b $ 1 CScY� 9. C -I o D 8 Ccs m I '-i � S � . � den P1 %S2CoO $ I � C�rrZs ��1twti�� 4/6, Ayj Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent SCHEDULE B ages o l l7 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Ele-ut- T GGL` MPurpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, N & Internet) 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 V Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. 12AQe S �.a y 6, , day � v�e. S i �I� (V ,r�d'lan, 83Uq-2 l ;_ >9 '� tol l� et s� ls2 o� 9 / l-� 26��e 3. Zt C o/ 4. A C`f)C_Q►Y) U,qon $ 5. C ebb 's i.2 LO•W� svrt,� s $j2y�t 7. 8. 9.141 --, l914 IP(p Ce,�in ��� MID 10. M I e— CASCis 1; is t� c t�S � 1 q SL i � �&WN (o(� Total This Page: $ ►��� Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B age^ ° ITEMIZED EXPENDITURES lY Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: 6 l2 Ck "T ?6A V� Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check �. Nap Ntt P.H�, 2. Tt re, 15 bo N. C_jrv4e_, Sup k-�e_ ffl kApan v TD S3(DH2_ $ 3 t --t s. $ lt� 4. $ (°;ti ak 1`i Lin 5. MN f. CPNR_ _D $L�©�� 6.� IZ -+ ( oy i �� v rn ex-ja1 o,", � $ 2 s z I. Cj)eN Vz In Edd 's /� / �`mx�d��, �c��2 $ Imo► z99 8. l.� 2t� t l '/ i�(�YIGt l �v��� $ p� �c� ZJ 9. c t c) $ S , �© 10. JY Carat jc� eas 0 �5� I tI kxL&kax� i_�� ` U0 LA, $ Total This Page: $ ! 1' Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE Ba�of l ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: E�� -T-� Aw).e—c Purpose Codes Full Name, Mailing Address and Zip Code of Recipient A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1Tx.j 5 0-51 I ywr u6 V an , $ 2 3. K 1 N\ W, hc--e-k cerci 1,t 1,,560 N. Le�usk C"', �� 5 21p 1 - �d 4. 5. �op, 6. L�'\11(.e� S # 00 .e %-3. C2 $ 11 5U 7. SAGA 8. rAt.6La 1 4- f M"Z- $ t 9. 0 q 10. tau �� ��d cok cA!,, �C-5) 9q 1- Flo 9 3 $ Total This Page: $ %� Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: El -ea Tq Pa 1 me -r Page, o 10 i Purpose Codes W Full Name, Mailing Address and Zip Code of Recipient A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. R? M 1 1kce s qc� Ttv4e, $ 111 LI� 1 2. LX) \n (_0 1DcA.5 -':1-- 4 �- ��\�j`�1 1Z9J�Z $�° 3. LO$ ii l� Heti , T -D 63(D�L � I.& 4.('XE -7-Wr- - c lc;�sb , } ` H l , q 11 6. 199 N 4 -1 %d jr J2cj 7. ��4 \ • �V� Iv\d i V V• �^I d to WJ Pmacc�,pr 91 i2 � 1 ' vd n 1 , MT- $ �� 8. (fib I�G e-.. d -en, 4 I qy SS iV , hfaG, , � 9' 1 �a QC 2(A $ � f aq N; 0 .� r✓r �1�aY1 :T-z)�S i{2. $ 22 3& 9 2- r i l / L ML,(L6 Lc'xv -t) gg (D L�-. $ Total This Page: $� Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page _ of 0 1 Name of Candidate or Committee: E \ 1y V(:)A mey^ 1 Purpose Codes IV Cash or Check A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. W OJ YMart 4 SI)93 t`or vs my-\ , $U eA\Jal l2 �l i T 161 RM&P�- -- I -.AAAA 1� qsq I_ $ 3. )c INArn 20 $ 4. C�aCo ` 2 Ct rn ►^� ah i �Z �6 E. 1 vd'Lo-R I ID 93U(4-2$ 5. t2 tilbi ('\r0,caffIfI 1\j 1AYnsmn , iMar141 6. c�-(>bi � �U icl(1CQ. LOi 1 pma C g 1� � 12 R�h�v 1 I �1� lq�9I $ l2 7. �—_QC_e_ 6_b�_- ©n L-) \ - $ 8.V11�e.C"i;7� LoLoslyln A 9. I32ru 5'�i11( -�v Lot 61 _' 10. _1T_ cc— � cc— � aa.ht I �- ISR U� Lakf. cP. , 100 I "LA'la�, Iii 93(LALP $ 1,z l2 %% Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. 10 0r to SCHEDULE D LOANS 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 '��j P0.NM� Date: Date: t 1`f1C �►t�'1c�i1 Amount: Amount:��-� CEAY�C� 1C� L 00 $ t� 2. Date: Date: Amount: Amount: 3 Date: Date: 1 I I l Amount: Amount: 4. Date: Date: Amount: Amount: 5 Date: Date: Amount: Amount: g Date: Date: Amount: Amount: 7. Date: Date: Amount: Amount: $ $ Previous Received Interest Repayments Ending Balance Previous Total $ D , W Received Totai: v® (Transfer the combined total of all received loans to the $ Detailed Summary, page 2 line 4) -- Interest Total: $ d Repayments Total; Q (Transfer the combined total of all loan repayments to the $ Detailed Summary, page 2 line 9 & 16) Up Ending Balance Total: $ (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) x• Section I C-2 Rev. 10/07 Name of Candidate or Political Committee and Chairpersons Office Sought (A candidate) Seat (if any) lett TV Palmer Citv Council Seat 3 MM Address ane Phone Wom Mwe 1236 E Pisa St Meridian 83642 208-954-6432 arae of Political Tremurer Jason Monies Wiling Address city ana tip Horne Phone Phone 3865 S. Black Cat Road Nampa 83687 1208-870-7127 Change of address for: Candidate or Political Committee © Political Treasurer ❑ Section 11 TYPE OF REPORT This filing is an: 8 Original ❑ Amendment This report is for the period from _011,01 118 through 12 131 118 ❑ 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 111 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 I COLUMN I COLUMN II figures to the Column 11 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 $ 126.18 Line 2: Enter Beginning Cash Balance" $ 126.18 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 2,000.00 $ 2,000.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 2,126.18 $ 2,126.1$ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 386.14 $ 386.14 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 1,740.04 $ 1,740.04 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 0.00 '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 rirst reporl, 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 Jason Monies Name of Political treasurer report is a true, complete and garrect G hereby certify that the information in this Disclosure Report as required by law. DETAILED SUMMARY Name of Candidate or Committee: Elect Ty Palmer Contributions 0 Unitemized Contributions ($50 and less) # of Contributors n Q Itemized Contributions (Total of all Schedule A sheets) 30 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) ® Loans (Total of all New Loan amounts from Schedule D sheets) 50 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) Expenditures Q Unitemized Expenditures ($25 and less) # of Expenditures n O Itemized Expenditures (Total of all Schedule B sheets) n In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) ® Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) 1 p Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 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 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) Subtotal_ - 16 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) Q Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) 1 g , Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) Total This Period + $ 0.00 + $ 2,000.00 + $0.00 + $ 50.00 = $ 2,050.00 + $0.00 + $211.14 --� + $ 0.00 + $175.00 + $ 0.00 $ 386.14 + $ 0.00 50.00 + $ + $ 0.00 = $ 50.00 $175.00 $ 0.00 = $ 0.00 Pledged Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges n + $0.00 ® itemized Pledged Contributions this Period (Total of all Schedule F sheets) +�$ 0.00! Total Pledged Contributions this period= $ 0.00 Page 2 SCHEDULE A 3 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Elect Ty Palmer Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Cheek 12 1• Sold Buggy Privately to: Sarah H (Eagle, Idaho) $ 2,000.00 1151118 $ ❑ General CaiendarYearTo-Date 2. 1 1 $ $ ❑ General CaiendarYearTo-Date 3. 1 I $ ❑ General CalendarYear-To-Date 4. 1 I $ $ ❑ General CaiendarYear-To bte 5. I 1 $ $ ❑ General Calendar Year -To -Date 6. 1 f $ ❑ General Calendar Year To -Date 7. 1 1 $ $ ❑ General CalendarYear•To-Date a. 1 1 $ 0 General Calendar Year -To -Date 9. 1 1 $ $ 0 General CalendarYear-To-Dale 10. 1 1 $ $ ❑ General Calendar Year -To -Date Total This Page: $2,000.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Date Spent Full Name, Mailing Address and Zip Code of Recipient SCHEDULE B ase o Purpose Code ITEMIZED EXPENDITURES 4 6 Cash or Check Twenty-Five Dollars ($25.00) or more this period Name of Candidate or Committee: Elect Ty Palmer 1. Auto Owners Insurance - Buggy Insurance Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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 L literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. Auto Owners Insurance - Buggy Insurance G 1 9 18 6101 Anacapri Blvd 82.24 1 I Lansing, MI 48917 $ 2. Kahootz Steak & Ale House F 10 3 18 1603 N Main 5t 38.66 I I Meridian, ID 83642 $ 3. Auto Owners Insurance - Buggy Insurance G 12 31 18 6101 Anacapri Blvd 90.24 1 1 Lansing, MI 48917 $ 4. 5. I I $ 6. 1 ! $ 7. 1 I $ 8. ! 1 $ 9. I 1 $ 10. I 1 $ .4 211.14 Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE D LOANS 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 peaiod period the end of this reporting period reporting period 1. Ty Palmer $125.00 Date: 10102/18 $0.00 Date: 12/31 118 $0.00 1236 E Pisa St Meridian, ID 83642 Amount: 50.00 Amount: 175.00 $ 2 Date: Date: f 1 1 f Amount: Amount: 3 Date: Date: 1 1 1 1 Amount: Amount: $ 4. Date: Date: 1 1 1 f Amount: Amount: S 5 Date: Date: 1 1 I 1 Amount: Amount: 6. Date: Date: I f 1 f Amount: Amount: 7 Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Totat $125.00 Received Total: 50.00 $ (Transfer the combined total of all received loans to the Detailed Summary, page 2 lure 4) Interest Total: $ 0.00 Repayments Total 175.00 $ (Transfer the combined total of all loan repayments to the Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ 0.00 (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)