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Genesis MilamDeclaration of Candidacy I, the undersigned, affirm that I am a qualified elector of the City of ME t i d (a lel , 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 C- #4 5 -Yt- iI , it oJV L I Seaffor a term of — years, to be voted for at the election to be held on the 1— day of November, ao 13, and certify that I possess the legal qualifications to fill said office, and that my residence address is Candidate's Signature fore me this day of \ \-a Signed ua_. )a h p V Notary Public in and for the State of Idaho residing at L uXrdLWx :\S My Commission expires CN (Wa ao %s OFFICIAL USE ONLY CITY CLERK Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify: This declaration is accompanied by: The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification from the county clerk, M-0 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 address on the individual's voter registration. I 11 II17) This declaration was accepted by c / A U ee_ '/Y tt.ril I i lam' ICK Name, Title on at 3©. Dat6 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 ofYT oLa, ss. City of / / !?iri Db t at 1 PETITION OF CANDIDACY OF e4'1 S / / / I' I,Y LY7 JName of Candidate FOR OFFICE OF -/- 4 h r 'r JS This petition must be filed in the office of the City •Clerk not earlier than 8:00 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 / V \ e r-, at l Gf n 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 7i rW,5I S !21AAila , a candidate for the office of l i4 -U r oUtIC i I to be voted at the election to be held on the _51 day of November, 2_0 0. Signature of Petitioner Printed Name Residence Address Date Signed STATE OF IDAHO County of , q at6L c I, C et 1 es S Mi ( a kyg being first duly sworn, say: That I am a resident of the State of Idaho and at least eighteen (18) years of age; that every person who signed this sheet of the foregoing petition signed his or her name thereto in my presence; I believ at each has stated is or her name and residence address correctly, and that each signer is a qualified elect th a e lit , e City of KA-ei ' Gt t C? Signed Address Signature Collector Address of Signature Collector Subscribed and sworn to before me this 2 6111 - day of aNaNpy Signed Notary PubliAtcResidingat • O 1 y Commissionexpires asa x (Notary Seal) AI W PETITION FOR CANDIDACY OF CCyn e.s S IiYI 1 a Name of Candidate) FOR OFFICE OF i,> -P- Vy b I i C_a.#q PARTY This petition must be filed with declaration of candidacy in the office of the County Clerk during the time prescribed by law prior to the Primary Election by candidates for all political parties for all county offices. The statutory minimum number of signatures must be verified by the county clerks prior to filing. The submitted petition must have affixed thereto the names of at least five (5) but no more than ten (10) qualified electors which reside within the appropriate county or commissioner's district. t I, the undersigned, being a qualified elector of '70 6L County in the State of Idaho, do hereby certify and declare that I join in the petition of - e n ' S %S' i'i'I i Ig sal , a resldent ofA-ai A- County, State of Idaho, a candidate for the f Loo -6 )1 C.a An Party for the office of t ; C. P h C , , t9- yb(- voteaii " _ 'vrarmcrririi at'y-EIeEFt9A49 1E how -0941444- // _j Cn n10 i v " 1 t_Z 2-12 c --k-, CY\ O k, S+~ VT N`J J2m fir. v2. 01-2. v, , SS. AA - County of I, aatyt_.5; 5 /yl i 0tk-A being first duly sworn, say: That I am a resident of the State of Idaho and at least eighteen (18) years of age: that every person who signed this sheet of t e foregoing petition signed his or her name thereto in my presence: I believe that each has stated his or her name, p office address an residence correctly, that each signer is a qualified elector of the State of Idaho, and the Co9CA, Signed unty Post Office Address ?0 304. 1}'Lr$ ffUriof i ots 003GBo ore me this // ' day of/3 . Signed _&OWyvtG 4 A Notary Public in and for the state of Idaho Residing At My Commission expires on/ 302 o / County Offices —Approved by the Secretary of State, December 2011 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 S signatures on this petition are those of qualified electors. Christopher D. Rich "'F yo .off y b, BSI 4 j as OHv By C:) oF, 30 Deputy Clerk• 9 j S C..II. a;05, 11T xYp;O kFj wool P x• i 4rr -`0 4rnea t,i iasx '-x' 1?ECEIVEDto , APPOINTMENTAND CERTIFICATION OF POLITICAL TREASUR R291 I H ae)iffo7 FOR CANDIDATES AND COMMITTEES Please Print or Type) CITY OFt~&ERZ__ - e e Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or expenditure qUX Rl4rrMUVAP9 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): 1/ CANDIDATE: COMMITTEE: Miscellaneous: Measure: Candidate/Measure: Name of Candidate: is %ll Home Phone: Z g -) 3( a 11LS Home Phone: Work CellSaaa Phone: 37 i- &007 Phone: 3 7/- 6 0 b Office Sought: Seal (if C 1 co"^C- t 1 applicable) Candidate Mailing address: PO (J Q K /79G f j d Candidate email address: eAeS it 2-000 f2 Yet -Loo . CDryy Name of Committee: Name of Committee Chairman: Home Work Cell Phone: Phone: Phone: Committee Mailing address: Chairman email address: CERTIFICATION AND APPOINTMENT I, GR,n '5- aN't do hereby certify and appoint the following individual who is a registered elector ofNameofCandidateorCommitteeChairman the State of Idaho as the political treasurer for the above named candidate or committee: Name of Political Treasurer: S fYy I Home Phone: Z g -) 3( Work O O Cell 65c)--7 3 % 7Phone: y p I- 0 2, 3 Phone: Treasurer / Mailing address: 131p E• n ? r "LO .eri of (Qn 3(vC/ y Treasurer email address: ,S fM 1 N @ ' 1 V n7 '2 pt -1 OL C O 4!7 L dSignature of Candidate or Committee Cllairman do hereby accept the appointment as political treasurer for me of Political Treasurer the above named candidate or committee. ignature of Political Treasurer CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEIVEDC-2 SUMMARY PAGE OCT 10 2013 Rey. 10107 Please Print orType) CITY OF 0314purr LAV CITY CLERKS OFFICE Name of Candidate or Political Commillee and Chairperson Office Sought if candidate) Seal (tt any) - enesis Mdam City Council OS - f mg ress PO Box 428 f an p. - Meridian 83680-0428 ome one 208-371-6009 or one ameo of a masurer - Corey Smith ress tyand fp _. Homo tone Work Phone 136 E Idaho Ave. Ste. 200 Meridian 83642 968.62 208-489-0123 I —„mmu.nee u rollucai treasurer Section II TYPE OF REPORT This filing is an: 9 Original - Amendment'. This report is for the period from01 !01 12013 through D9 !30 !2013 0 October 10 Pre -General Report 7 bayPre -General Report 30 Day Post -General Report Annual Report Is this a Termination Report: El Yes '- 0 No Section III STATEMENT OF NO CONTRIBUI Directions: If you had no contributions or expenditures during this reporting Be sure to carry forward the appropriate "Calendar' I hereby certify that I have received no contributions and he SUM To reach your Calendar Year to Date figure: Add this reports Column I figures to the Column II figures of your previous report (except on tine 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 B:. Enter Ending Cash Balance (Subtract line 5 from line 4) Line ?: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 c This is the figure on line 6 of the last Campaign Financial Disclosure Corey Smith Name of report is a true, complete RECEIVED CITY OFGEC rquz CITY CLERKS OFFICE IS OR EXPENDITURES d, check the box next to the statement below and sign this report, to Date" figures in Column tl, Section IV. fade no expenditures during this reporting period. COLUMN I COLUMN II This Period Calendar Year to Date XXXXXX 0.00 0.00 XXXXXX 795.00 795.00 795,00 795.00 1,763.62 _ 1,763.62 968.62 968.62 1,094,38 year. t filed. If this is your first report, this amount is 0. ie next report as the beginning cash on hand. that the information in this Report as required by law. DETAILED SUMMARY Name of Candidate or Committee:GeneSIS Mllam 0 0 12 13 14 16 0 18 j Contributions I Urniemized Expenditures ($25 and less) # of Expenditures Zee Total This period j Unitemized Contributions ($50 and less) # of Contributors 1200 1,579.88 445.00 25.00 l Itemized Contributions (Total of all Schedule A sheets) - 350.00- j In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) n TI 0.00 1,763.62 Loans (Total of all New Loan amounts from Schedule D sheets) I Totalntributions (Transfer this Figure to page 1, Section IV Line 3) _ — 795.00T Expenditures I Urniemized Expenditures ($25 and less) # of Expenditures Zee 158.74 1 I Itemized Expenditures (Total of all Schedule B sheets) 1,579.88 In Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) 25.00 lLoanRepayments (Total of all Loan Repayment amounts from Schedule D sheets) L _Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) i 1 Total Expenditu es (Transferthls figure to page 1 Section IV, Line 5) n TI 0.00 1,763.62 Loans Credit Cards and Debt I Outstanding Balance from previous reporting period* 0.00 j New Loans received during this reporting period Total New Loan 094.38 lofallamountsplusAccruedInlerestfromScheduleDsheets) e New Credit Card and Debt incurred this reporting period Total of all New Incurred Debt amounts from Schedule sheets) 0.00 Subtotal I = $1,094.38_ 1 Repayments of Loans made during this reporting period Total of all Loan Repayment amounts from Schedule Dsheets) _ n TI 0.00 Repayments of Credit Card and Debt this reporting period Total of Debt Repayment amounts 00allfromScheduleEsheets) I Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section I LineVLne71,094.38 I Pledged Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges + $ 1 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributons this pedodLi $ 0.00 Page 2 SCHEDULEA ITEMIZED CONTRIBUTIONS of more than.Flfty Dollars 360.001 [his period Page o 1 1 Name of Candidate or Committee; Genesis Mllafn Date Received I Full Name, Mailing Address and Zip Code ofComfibptor Cash or Check 08!06Ll 3 Susan2313E Robinson E - veer Dr Meridian, ID 83642 OO.00 B General Calendar Year -To -Date 09/01 13 2- Rocky Mountain Collision Auto TruckRVRepair 225 E Fairview Ave Meridian, ID 83642 1 3. 250.00 H General Calendar Year -To -Date General Calendar Year -To Date General Calendar Year -To -Dale J 5. --- L— General Calendar Year-TPDate 6. General calendarvear-To-Dare L—L— 7. 11 General CalaadarYear-To-Dale i-/_ a: cakndaiYear-To-Dale11General L—k-- 9. 11 General calends Yeai-To-pale Calendar Year -To -Date General Total This Page: 350.00 I Iauslerme comomeo total of all Schedule A pages to the Detailed Summary on page 2line 2. SCHEDULE B Paga ITEMIZED EXPENDITURES T ron6,_d— D II $25 AA om_ Nf Candidate or Committee: Genes! Purpose Codes - A All Travel Expenses (Airfare, Fuel, Lodgirn B BroadcastAdvedising(Radio,TV&Intern' C Contributions to Candidates & PAC's D Donations & Gifts E Event Expenses F Food & Refreshments G General Operational Expenses L Literature,: Brochures, Printing M Management Services o ars ( ) r ame oore this period Full Name, Mailing Address and Zip Code of Recipient 1 Cash or Check 09 07f13 1. Big Lots 100 E Fairview Ave Meridian, ID 83642E 25.14 I N Newspaper & Other Periodical Advertising `. 0 OtherAdvertising (Yard Signs, Buttons, etc.) P Postage: S Surveys & Polls T Tickets (Events) '. U Utilities - W Wages, Salaries, Benefits & Bonuses Y Petition Circulators Z Prpnarahnn R Prndi inhnn nr AAJeAivi- Daie Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 09 07f13 1. Big Lots 100 E Fairview Ave Meridian, ID 83642E 25.14 09 12 13 r_ z. Meridian Parks and Rec 33 E Broadway Ave. Ste. 206 Meridian ID 83642 E 100.00 I3 09 10 13L-L- Modern Printers 714 N Main PO Box 556 Meridan, ID 83680 L 106.00 08 04r13 4. PS Prints psprints.com 115.54 5 09 06f13 Vista Prints 95 Hayden Ave Lexington, MA 02421 0 142.00 09 10 13 s. Black Signs of Idaho 7512 Lemhi #1 Boise, ID 83709 O 984.10 09 19 13 7. Marketing Goddess 1400 Shiloh Dr Nampa, ID 83687 0 47.70 09 26 13 s. US Post Office 1200 Main St Meridian, ID 83642-9998 P 27.60 12Ll 3 9. Melissa K Design 1932 E Challis Dr Meridian, ID 83646 O 31.80 10— F . 1 Total This Page x,579.$8 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. A All Trav, B Broada C Contrlbi D Donatioi E Event E F Food & G General L Literatur M Manage SCHEDULE C rage I1IN-KIND CONTRIBUTIONSand EXPENDITURES 30mmittee Genesis Milarn ses (Airfare Fuel, Lodging & Mileage) N Newspaper & Other Periodical AdvertisingUsing (Radia, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.)' Candidates & PAC's P Postage s 8 Surveys & Polls r T Tickets (Events) lents' U Utilities Incl Expenses W Wages, Salaries, Benefits & Bonuses ures,Printing tY Petition Circulators Was a.cnoroHn R D_An H__..cnd..,.a:..:.._ 1, 08 12 13 ConlributorName, Mailing Address and Zip Code a Melissa K Design 25.00 M General 1932 E Challis Dr Meridian, ID 83646 25.OQ CalendarYear-To-Date Purpose Code O Expenditure Name, MailingAddress and Zip Code Melissa K Design 1932 EChallis Dr Meridian, ID 83646 $ 25.00 2. Contributor Name, Mailing Address and Zip Code General Expenditure Name, Mailing Address and Zip Code CalendarYear-To-balePurposeCode 3. Contribulor Name, Mailing Address and Zip Code 11 General Expenditure Name; Mailing Address and Zip Code 3 CaYoTo-Dale Purposrpo CPurposeCode 4. Contributor No Mailing Address and Zip Code General calendar Year To -Date Purpose CodeExpenditureName, Mailing Address and Zip Code ExpenditureTold Transfer the combined total of all Expenditures on Schedule C pages $25.00 to the Detailed Summary, page 21Contine 8) 25.00 uTotal: Transfer the combined total of all Contributors on SchedcheduleleCC pages to the Detailed Summary, page 2line 3) Each Lender to your campaign should be list separate item. Each new loan from. any Lendi Except for a candidate making a loan to Section 67-661 DA, Idaho Code, even If it is re Any loan(s) with a balance(s) appearing on th( should be listed in the New Loan column. Any It in the Repayments column. Note: Any Joe Balance column is the Previous Balance plus SCHEDULE D LOANS separately, Each time a load is received or you loan money to the campaign, it must be listed as a lust be listed as a new Item from that Lender. You may have the same Lender listed more than once. or her own campaign, loans from any Lender cannot exceed contribution limits laid out in d in hill. St report must be listed below with the amount in the Previous Balance column. Any new loan amounts rest accrued should be listed In the Interest Accrued column. If a payment was made on the loan; list Tat was repaid in full in a previous reporting period does not need to be listed. The Outstanding N loans and accrued interest less any repayments Name, Mailing Address and Zip T previous Balance New Loan amount Interest accrued Repayments of Loan BalanceCodeofLenderofloanatthereceivedduringthisduring [his during this reporting outstanding atCandidate, Individual or Business( end of the last reporting period reporting period period the end of this reporting period reporting period 1. Genesis Mila_m 0.00 Dale: ' Date PO Box 428 ds /09 /13 0.00 4.00 Amount Amount: Meridian, ID 83.680-0428 Candidate A.00 2. Date: Date: 06 127 /13 0.00 100.00 Gemla Mbm PoBm 390.4iI6ai,lu 9Y¢UNIDfsNGk Amount Amount 100.00 3. Dale; oe /08 /13 17.48 AmountG„MNmPoPo.]BMeM14en.I 6M&Me}BeN.la.,. Amount: 17Ae 4. Date: Date: 08 /12 13 10.88 cw.,w.a,vom.da u.a .lo uae axecamaaa. Amount: Amount 10.88 5. Date: Date: oa /z7 /13 ri_ 900.00 Ga w uomPoam.ma.,„oea.ar,... Amount Amount: 900.00 6. - Dale: Date: os 107 113 L_ 25.14 Ami Amount: 25.14 7.. Datei Date: 09 LOB / 13 36.88 Amour]:. Amount. 36.88... Previous Received Interest .Repayments Ending Balance Previous Total $0.00 Received Total: Transferthe combined total of all received loans to the $1,094.38 Detailed Summary, page 2 line 4) - Interest Total: $0... Repayments Total Transfer the combined total of all loan repayments to the $ 0.00 Detailed Summary, page 2 line & 16) Ending Balance Total: $ 1,094.38 NOTE ransfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13) SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (Le 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 thedebtwasincurred. Credit Cards are considered debt to the campaign Regardless of whether the credit card is repaid when the statement is received, all credit cardtransactionswillappearonSchedule.E and E-1. However, only. Repayments of Debt during this reporting period appear In the Expenditure Section oftheDetailedSummaryPage. - - - Any creditor(s) with a balance(s) appearing on the last report must be listed below with theamountin the Previous Balance column. Any new debtshouldbelistedintheNewDebtcolumn, 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 BalancecolumnIs the PreviousBalanceplusNewDebtlessanyRepaymentsofDebt. Name Mailing Address and Zip Code of Creditor - Previous Balance of New Debt amount Repayments of Debt Balance outstanding_, Candidate, Individual or Business) debt at the end of the incurred during this during this reporting at the end of this last reporting period reporting period period reporting period1. Date: Date J1 Amount Amount: 2. Date: Date: 1— J— Amount Amount It 3. Date: Date: 1_J— L-1— Amount Amount 4. Date: Date: -- l—J— 1—j— Amount: Amount 5. - Dale: Date: Amount Amount: 6. - Dale: Dale: Amount: Amount: 5 Previous Incurred Repayments Ending Balance Previous Total: $ o o o Incurred Total: Transfer the combined total of all incurred debt to the $ 0.00DetailedSummary, page 2 line 14) Repayments Total: Transfer the combined total of all debt repayments to the $ 0.00DetailedSummary, page 2line 10 & 17) Ending Balance Total:$ 0.00 SCHEDULE E-1 CREDIT CARD and DEBT ITEMIZATION Name of Credltorfrom Schedule E• Each Creditor listed on Schedule E wth a New Debt amount -must a Suhedule E-1 accompanying i[. The Schedulethedebtwasincurred. Purpose Code Amount Purpose Codes r A All Travel Expenses (Airfare, fuel, Lodging & Mileage) N Newspaper & Other Periodical AdvertisingBBroadcastAdvertising (Radio, TV .& Internet) 0 Other Advertising Nrd 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 I InterestAccrued & Finance Charges Y Petition Circulators - L Literature, Brochures, Printing - Z Preparation & Production of AdvertisingMManagementServices - Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Amount 2 3. 5, 6. 7. -- — c B. Total This Page: 0.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. Name of Candidate or Com Directions Completolhisschaule goods or services offered before It PLEDGE iitlee: f you were prom end of the repo cr 1LE F age BUT NOT YET RECEIVED 1 ibullon during this reporting period but have not actually received the money_, entries on Schedule A until you actually receive the contribution, ess and Zip Cgdeof ConUibulor Amount Pledged Total Amount of Pledged Contributions: $ 0.00 Transfer the combined total of all Schedule Fpages to the Detailed Summary on page 2 line 20. Dale Pledged Full Name, Maial 7PIadd(ged_ 2. 11 General 11 GeneralEl44, General/ 5 General 6. 11 General O General 7. El General 1 / 9. General 10. General O General 1L Total Amount of Pledged Contributions: $ 0.00 Transfer the combined total of all Schedule Fpages to the Detailed Summary on page 2 line 20. Page 2 Susah Robinson ` 13T3E1-type Dr '-i 5 10 Q Meudian ID 83842. • _ r, ,... , RoCky;Mounlain akaOerYear761je1e Ealll9ien Auto Trugk RVRa salr 250,00 125 ENI f Ave,_ tyleridlan ID 83642 j 3n t 4 CuiegderYom-Ta•pa}z , rendzrYCaz 7Pna e S t u ,---,.' ;• Z• H \, LS iAddfB!TTanata i M GalenFarY[arT6i lm - S x. „ t ..• .. CB nUBrYeM-TP6ale s PurposoCode@ y A :911 TfaVel Expenses (Aldare Fue(Ludglgfj&71 U9ega N MewaPapar&OlharYailudloWArl atllsMySBroarkraslAdver6sinfl (Red lo, TV6lnlarr t) 0 OYn t/sdvP.dlCOuntnhpyans .GelididalosdPAC's sl(YarJSipnn Bullone;_etgy U, ob alions&G,Rsa P PosiRJe .. . E:EVentExpenses--_ S Sdrveye6Polls T itikeG4.(EVentQF _ Faod & Wefreshhun(a U llhlihes - General Operahottal Ex7mn5es W Wat-!Te2tare, BracLares f9lnling Y ---PelillniiM eS: Salddrts, Bello.....Bonuses Clrculafars'. Maiagemenf5eaduee -- • Z PrepAieaon ii Praduown efAdvedift - Dale Spent FWI P1amA, Afa dingAtl&ess and Zp Codsa Rsoplent : MrpaseDoee1. c95irwcheA rE0907f13BtgLots100EF61mowA0Mii3lan, iD 83642 z 4- 09 12/13 Moddlan Parks and Ree3$ E Broadway Adn Ste 50f1 Me idian, Id Ba642 E I r 09 10 'y8 WdOfn Printers 774 N 'Maki. Pb Y3ox 55B N1erldan, ID 89660 L- M 106 004 0864" 0 n 91.54. A Wom an A iv AT: Y. A Wom an A CAMPAIGN FINANCIAL DISCLOSURE REPOfRE C E T V En G2 SUMMARY PAGE L Rev. 10/07 P(easepr[otorType) OCT 2 9 2013 CITY Ur inrrt° N__ameal,CanditWtea_Peitical Canm9lee and Cha4person ' ` _-e Olfice( ) IVany) OR615 Mllam Cily:Coundl 05 pPOBox428Meridian83680-0428 ' 208-371-60.09 0.00 Line 2: Enter Beginning cash Balance" Corey Smith . .. rens ....... .... LP -- was -. -... neva .. ..-_. 136 E Idaho Ave. 846..200..::. Meridian 8.3642_ 5,859.38 208-489-,0123 vnanye or auurass wr.-uanalaate or roli8_cal committee LJ -- Political Treasurer 0 Section II TYPE_ OF REPORT This filing is On: ' • -'19,. original. Amendment - This report lsfor the period from ' 9 -_!0, 1 /2013 through -10 October 10 Pre-Geneml_Report 0 7DayPro-GeneralRepod 36 pay Post -General Report Annual Repod Is this aTerminalion Report., El Yes Q 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 10 the statement below and sign this report. Be sure to carry forward the appropriate 'Calender Year to Data.' figures in Column II, Section IV. I hereby certilly lbat lhave (ecolved no contributions and kqVo Made no.experditures during this reporting period. aumrvwrcT_ To reach your Calendar Year to Date flguro;.A40 this report's Column I COLUMN 1 COLUMN II figures to the Column 11fguresofyour previous ie_p-da(except online 6). This Period CalendarYear to Date Line 1: Cash on Hand January 1, This CalendarYear' XXXXXX 0.00 Line 2: Enter Beginning cash Balance" 1.25.76 XXXXXX Line 3: Total Conhibutiods (Enter mount _from. line 5, page 2) 070.00 Line 4: Subtotal (Add lines 1, 2 and 3) . .. 4,095.76 5,859.38 Line 5: Total Expeadlures (Enter amounllrom line 11, page 2) 2,V7,92 4,641.54 Line 6: Enter Ending Cash Balance (Subbqctline 5from line 4) 1;217.84 1,217.84 Line 7: Outstanding Debt to pate (Enter amount from line 18, page 2) g 1,094.38 This same figure should be entered on line 1. Q all reports filed this calendaryear. This Is the figure on line 6 of the lastCm-palgn Financial Disclosure Report filed„ tf this is your firstreport, [his amount Is 0. Note: The closing cash balance for thecurientreporting period appears on the Iiext report as the beginning cash on hand. hereby certify that line information in. I* Disclosure Report as required by law. 0 01 POIAMI IreaSaref DETAILED.SUMMARY Name of0andidateorCommlllee:Genesis Mllarn Tolal7hls Perrod ---{ Contributions, D UmternVed Nhibutions ($50 and less) # of Contributors 15-00 00 towed _Conblbulions (Total ofall SchoduleAsheels) + $1,470,00OInKindContobullorrs (Total ofall Conlnbuffon amounts from Schedule C sheele) 41. $201000 TOLoans.(Total of all New loan amounts from Schedule b Sheets) + $ O.OD Total dontnbulions (Transfer this figure to page t, Section IU Line 3) T ' a $ 3,970.00-- Expenditures T _ I I Unilemlzed Expenditures ($25 and less) — # of Expendllu_ r_os 6.00 _ — T $44 24 i F - - -- - 0 Itemrced Expenditures (Total or all Schedule B sheets) + $823.68 In Klnd Expandilures.(Total or all Expenditure amounts from Schedule C sheets) + $2,010.00 O ( Loa0 Npaymenis.(Total of all Loan Repayment amounts from Sohodule D sheets) r _$0.00 10 I _Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule Esheets) + $0.00 MA Total Expenditures (Transfer tries figure io page 1 Section IV, Line b) l fer _ $ 2,877.92 Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting pedod + $1,094.38 13 New Loaiis-received during this reporting pedod Toraf of all New Loan_amounts plus Accrued Interest from schedule D sheets) + $ New Qr$dil Card E incurred this repoping period _- — - - --- Total of all New Incurred Debt amounts from Schedule E sheets) + $ 15 Subtotal 094.38 ; 16 epaymeuts of Loans made during this reporting period — Tolal of all Lopn. Repayment amounts from Schedule D sheets) $ 17 Repayments of Credh Card and Debt this reporting period _ — - Total of all Debt Repayment amounts from Schedule E sheets) — $ 18 TotalOulsw ding Balance at close of this. nod (Transfer this figure to page 1, Section IV, Line 7)— - 1,094.38 Pledged Contribut ons 19 ; Unilemlzed pledged Contributions ($50 and less) # of Pledges__ + $ 0 I Itemized Pledged Conblbulions (his Period (Total of all Schedule F sheets) + r Total Pledged Conblbulions this period _ $0.00 Page 2 - I Meter the combined lofal of aU Schedule A pages to the Detailed Summary on pege 2Into 2. fameofCandidate orpgrn"leo G8116SIS Mllam Date ReceN.ed rUlI Name, MailingAddfess and Zip Code ofConlnbulor Cash or J r -IDAHO INDEPENDENT BANK E IDAHO AVERIDIAN, ID 83642250.00 CaCnd rYear-TaDale 10 13 13 2' CHARLIE & NANCY ROUNTREE 100.00 2696 N GREENBELT PL General MERIDIAN, ID 83646 100.00 fakrMazYeu-Ta-Dale - 10 13 13J— 3, CODY REYNOLDS 2529 W SHERMAN AVE 50.00 General NAMPA, ID 83686 90.00 CaleMarYear-To-Date 104. 1013 131.3 AMY & ROGER WILSON 10 10.001364EBRUSHGULCHAVE I7 General KUNA, ID 83634 110.00 1011313 CRAIG REICH 60.00 3783 NW DUTTON WY 60.00HGenefal , MT HOME, ID 83647 rYear-ToUare 8 __ 60.00- 515.E PARKWYMCT 60.00ligGeneral. : BOISE; .ID 83706 10. 13 13 TABBY BEARD 8 MISTYGLEN AVE 60.00 General.; BOISEjD.83709 6Q.00 CaeadarYear-To-Dara_ e KIMBERLY VANDEWAY 10 13 13j 13$63 W BUNKERHILL CT 60 00 BOISE, ID 83713 660:00 Generai . Ca!eiMuYear-To-Oale 10 13 13 9 LAREE &. GREG GOODMAN 230.00 992 E SWITCHBACK DR General MERIDIAN, ID 83646 280.00 Ce'andmYear-TaDale 10 13 13 to JASON RUTHERFORD 1510 W STOREY.ST 150.00 IN General MERIDIAN, 10..83646 150.00 Csendarft. o -Date Total This Page: 1,130.00. I Meter the combined lofal of aU Schedule A pages to the Detailed Summary on pege 2Into 2. m mote man Filty Dollars ($.50,00) this poria General j 5. General 6. LI General 7. General 8, a General 10. S CaendwYear- To4hto S CaleadarYear-To-Nt, S Ca!enderY¢az-TaOaf¢ S CaendarYear TO -Date Total This Page: $.346.00 TfanSfer the combined total of all ScheduleA pages to Ute pela7ed Summary op page 2 INeme,diCandidaleorCominjtfee GENESIS MILAM - Dale Received.;. Full Name, Mailhrp gddfess and Zip Code o(gonldbutoi 13 3. 1 BRETT & KRIS NOLTE - 665 W SUNWOOD CT IN General KUNA, ID 83634 10 8 13 MALISA LANDALUCE 2271 NW 11TH AVE General MERIDIAN, .ID 83.646. 101413 3. ROCCO VORAZfO 20f32 N DUCKHAWK AVE General KUNA, ID 8363.4 4. General j 5. General 6. LI General 7. General 8, a General 10. S CaendwYear- To4hto S CaleadarYear-To-Nt, S Ca!enderY¢az-TaOaf¢ S CaendarYear TO -Date Total This Page: $.346.00 TfanSfer the combined total of all ScheduleA pages to Ute pela7ed Summary op page 2 Purpose A All B. Bri 10 Q7 13< r D Do E EY F Vo G Ge L Llls M Ms s 46.00 Using (Radia TV & internal) 0 Other Advertising (Yard Slgns, Buttons, etc.) Cendidates&PACs.. P Postage 8 Surveys & Polls T Tlekels (Even_ L ienls .. - U Utilities - mal Expenses W Wages, Salaries; BeneGls & Bonuses ares, Printing Y Petition Circulators vices 7 Promote &ProductionofAdvedising Full Name. Pda7igq Address and Lp Code of Regpienl. ;'Purpose God@' ::;Cesh or Cheri( 1 O r13 13 LAI(EVIEW GOLF COURSE 4200 W TALAMORE BLVD MERIDIAN, ID 83H46 E 682M 10 Q7 13< r 2. POST OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 F 6.00 10.17 13 POU OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 P 49,68 10.18 13.:.POST 4. OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 P s 46.00 7 Total ThlsPago; 13823.6$-'- 7Yansfet01e.09mbli ed tolal of all Schedule B pages to the Deladed Summary on page 2line .7. 1. Contributor Name Malting Address and Zip Code1D01. 13 MELISSA K DESIGN SCHEDULE C pie 1 700,00 IN-KIND. CONTRIBUTIONS and EXPENDITURES 1932 E CHALIS. DR. MERIDIAN -IDg3C46 Namao(CandldafeorCemmi a G411eSIS Mllam 1 Egpenditure Name,:Matling Address and Zip Code Purpose Codes - 1 A All Travel Expengeg (Aldaie, Fuel, Lodging & Mileage) _-N Newspaper Other PedodlealAdvertisingBBroadcastAdvedle1ng(Radfo,TV&Inl9rne() 0 OlherAdverlising (Yard Signs, Buttons, etc.). C Contributions to Candidates & PAC's P poetage.$ . D Donations & Gifts Surveys&PollsE F Event Expenses T Food &Reheshments U Tlckets(Events) O L General Operational Expenses W Utiligas Wages, Salaries, Benefits & Bonuses M Literature, Brochures, printing YPoulton Manatiemenl Services - " Z Circulators Preparation & Production Mchrortising 1. Contributor Name Malting Address and Zip Code1D01. 13 MELISSA K DESIGN 700,00 IR General 1932 E CHALIS. DR. MERIDIAN -IDg3C46 S 725 00 Egpenditure Name,:Matling Address and Zip Code Ca a aarYea ivoate PurposeCode. _. MELISSA K DESIGN Z1932ECHAUS_DR MERIDIAN, ID 63846. 700.00 2. 10/08/13 Corildhutor Name,.Malling Address_ and Zip CodeTRIBUTEMEDIA,INC. 925.00 General UO EAST IDAHO .` MERIDIAN, ID 83.64219 - 925.00. CaleadarYear•To-0ale Purpose CodeExpenditureName, Mailing Address and Zip -Code TRIBUTE MEDIA, INC Z136EASTIDAHO MERIDIAN, ID 83642 925.00 . - 3. Contributor Name, Mailing Address arld Zip10/ 0 13 Code HINDERER TAX &ACCOUNTING 385.00 385.0010General PO BOX 592 EAGLE, ID 83616 CzlendarYear•To-Dare Purpose CodeExpenditureName,Mailinygddress,Md Zip Code HINDERER TAX&ACCOUNTING .; GPOBOX692 EAGLE, ID 83616 _ q ContribulorName,Mailing Adclmssepd.Zfp.Code El General ar-Tanate PurposePurpose CotleExpenditureName, Malling Address and Zip Code 0.00 Expenditure Total: Transferthe combined total ofall ExpendituresonScheduleCpages 2r010.00 to the Detailed Summary. page 2line 8) 2r:O O.nn00 ConhibutorTolal: transfer the combined lolal of all Contributors on Schedule C pages to the Detailed Summa , page 2line 3 r.... SCHEDULE D LOANS `< EachLender to your campaign should be listed separately. Each time a ban is received or you loan more y te. the campaign, it must be listed as a _- separaleIlam Each nely lea i Froin ahy Lender mus[ be listed as'a new its from that Lender. You may have the same Lender listed more than once, Excep( for a seridnlale making a loan to his or he[ own. -campaign,_ loans from any Lender cannot exceed contribution -itmiis,told out in5ecbonBT6610A, Idaho Coda, even i(it is repaid In full Any loans) wlih.abalances) appearing on the last report OWN listed belowvrith the amount in (he Previous Balance column. Anynew loan amountsshouldij,altP( in IhOew loan column.Apy Interosla(#10d should be listed In the! lntorostkiadcolumnIto payment wasmade ontheloan, list it in the Repayments column. Note: Moon glat, lips repaid in full in A previous reporting. period does not need to ba fisted. The OutstandingB2181100columnisthePreviousBalanceplusnewloansandaccruedfnlerestlessany (epaygiettts. Name, Mailing Address and Zip Code of Lender <- Cann date, Individual or Buslaess) 1. ....-.-:.,: previous BalanceNevi of roan at the and of the Iasi reporting period Loan amount received during gtis reporting period Dale: to- to /ea Inlerestaccrued during lois reporilng period Repayments of Lean. during {his repo t ng period .. Date:. •....__.. . yam Balance outstanding at the and of this reporli99 period. 2. ... Date: Date:-: .. Amount: Amount 3. .......,. Dare: Date: Anmunl: Amount .. 4. Dale: Dale: - Amounl: Amount 5. Dale: Dele: Amount AmountT. B• Date: J Amount: Dale; J—. Amount/-- J— 7. Dale: Dole: Amount Dale: j Amount• previous Received Interest Repayments Ending Balance 0,00PreviousTotal Transfer the combined Iola) of all received loans to the^ Q, QQ Delalled Summary, page 2line 4) Repayments the oombfned total of all loan repayments to [he 0:00 Detailed Summary page 2line 9 & 16) - - -' -- Ending Balance NOTE: Tranafor IhQ combraed.total of all Accrued Interest and Received loans to the Detailed Summary, page -2line 13) 0.00 SCHEDULE E CREDIT CARDS,and DEBT Each incurred expense net yet pad (r,e, credit card purchases a0d debl) should be listed on a separate line Each time y0q make purchases vnthhecreditcardorincurdebt, it is considered to boa.. separate item. lb, oweverryouw 11 maintain a single Hem foreach credal card and aAd purchases to thatHemEach .redjt -fisted 6elovr with a New Debt amount must have a Schedule E-1 accompanying it. Thedebtwas Schedule E-1 lists where and when the Credit Cards are considered debt to the campaign Regardless of whether the credit card Is repaid when the statement is recelved,all credit card0216eh6swillappearonScheduleEand &1: However, onlyRepayments of Debt dugng thistheDetailedSummarypage, reporting period appear in the ExpendlNre Secllon of Any credilor(s) with a balance(j) eppgaring on the last report must be listed below yglh-the amount in the Previous Balance column. Any new debtshouldbelistedintheNewDebtcolumn, Including any accrued Interest. If a payment wag Inade on the debt, list it in the Repayments column. Note: Any d@ht that was repaid In Luh In a previous reporting period does not need to bd;listed. The Outstanding Balance column is the PreviousBalanceplusNewDebtless _any Repayments of 0ebl. wame,h7mnngAddressandZip Codeol Creditor '- " PreviousBalance of NowOebtant0un[ RepaymentsoFDebl,r Balance outstanding Candidate, Individual of Bustne33) debt at the end of the incurred during [his during this reporting at the end of this . jost reporting period reporting period period reportingpadod. 1• Dale: Data: Aroeenli -...... Amaunt . 2. - .. Dare: _ - Dale: Amour Amount: 3' Data. .. .. Date: Amour Amount 4. Date: Dale: Amount Amount 6' Dela Date: Amount Amount 6' Dale: - - Dale:. Amouml: Annunl: s Previous Incurred I RepaymentsEnding Balance PreviousTolal: I $ Incurred Total: Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line i4) --. Repayments Total: Transfer the combined total of all debt repayments to the Detailed Summary, page 2line 10&17) 0.00 Ending Balance Total: X0.00 SCHEDULE E-1 Fie CREDIT CARD and DEBT ITEMIZATION 3chAdule E: laduleEwithallowDebtamountmusthaveaScheduleElaccompofiftil;TheScheduleE-1 lists whore and when - es(Aidare,-Fuel,.kodgmg&Mileage) N Newspaper flOther Periodical Marllsingiging (Radio,TV & Int_efnel) - 0 01_herAdverlis ng (Yard Signs, Buttons, etc.) - antlidates &PAC's P Pestatie S 'Surveys&polls .--. T-Inc-kols (Events) - @p(S.. :lf Utilities nal Expenses . W Wages, Salado, Benefits & Bonuses lnanca Charges Y <PofNon circulators ikiis nl ng Z. =..Preparation & Production ofAdVodising Full(Janie, Mailing Address end zip code ofExpeedaune Purpose -e _ -Amount Total This Page: I $0,00 The total of Itemization for this creditor should equal the now loan amount .listed on Schedule. E for this creditor. SCHEDULE E PLEDGED CONTRIBUTIONS Page a BUT NOT YET RECEIVED Name of Qandidale or Committee: DireCUons Comp'ele this schedus If you %veto promised and agreed to except a congibution during this repodirg perlpd but hove trot eprually (eceived the money, goods orseMcoso_?faredberoreIheendoftheropodingpedod. DpgolUidudelhe5eenhlesanScheduleA nGl y thet!-- you`a@luall r"Ney Whibution. Pledged Fw Full Name MANNAddress and Zlpcnde of CDelnbulpt - Aewunt Pledged CJ Genera! M General 0 General iJ 4. 0 General General General 7. -- . 0 General 8. 17 General _ 9 0 General lam` 10. General 0 General Total Amount of Pledged Contributions: $0.00 Transfer the combined total of all Schedule F pages to the Detailed Summaryon p@ge 21in020. c s€ CAMPAIGN FINANCIAL DISCLOSURE REPO_ RTRE SUMMARY PAGEI NI Please Print or Type) CIT) Si6tion1 I- _ .CITY 7T WED C;2 115 2013 Rev. 10167 71-. wtulilUTAN6. Nerveof Candidate ar Pd_itlraf COMOR a and ch*erwn Idole) enesis Milam Olece 3ovghl ("d Sear (dany) `- a ress -- City Council 05 PO.Bou 428 p..... - Meridian 83680-0428 ome__ a 208`371-600 one ameo o .. reaslirer Corey Smith a Ing- rws - ..... .............. 136 E Idaho Ave Ste 200 h ae p Meridian 83642 Dore Phona Pane • - - 208-489.0 . 123Chnnnnofaddrpecrn,- :1. wi ..v.n..... u F'eaecin treasurer : (_( Section 11 This filing is an: 0 Original ® Amendment TYPE OF REPORT This report is for the period from 10 L01 (2013 through 120 2013. October 10 Pre -General Report Q 7 Day Pre-Genera[Report I] Annual Report Is RAS a Termination Repprl: D Yes R No 5 Q 30 bay Post-Genaral Report Section 111 STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, checklhe box nextto the statement below and sign this report. Be sure to carry fonvard the appropriate "Calendar Year to Date figures in Column II, Secllon IV. El I herebycorfify that I have received no contributions and have made no expenditures during thls reporting period. Section IV SUMMARY To reach your Calendar Year to Data figure; Add this report's Column I COLUMN I COLUMN IIfigurestotheColumnII. figurespf your previous report (except on line 6), Thlp period Calendar Year toDate Line 1: Cash on Hatid January 1, This Calendaryear` g XxX $ 6.00 Line 2: Enter Beginning Cash, Balance" 125:76 XXXXXX Line 3: Total Contributions (Enteramount from line 6,page 2) 3,970.00 3 5,859,38 Line 4: Subtotal (Add lines 1, 2 and 3) $ 4,095.76 $ 5,859,38 Line 5: Total Expenditures (Enter amount from line 11, page 2) $2,877.92 $ 4,641,54 Line 6: Enter Ending Cash Balance (Subtract line 6 from line 4) $ 1,217.84 $ 1,217.84 Line 7: Outstanding Debt to Dale (Enter amount from line 16, page 2) $ 1,091.38 This same figure should be entered on line 1 of all reports filed this calendar year. This is the figure on line 6 ohthe 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 --ginning cash on hand. Section V wr.ey omlrn erebycertilythWhelnformationfnihisNameorPORkalTreasurer - report Is a true, complete and correct camp I n cTa 'sclosure Report as required by law. QQ / Signal re yf political Treasu er age 1 _ DETAILED SUMMM Name of Candidate orGommittee Genesis miam Contributions I Unitanked Contributions ($50 and less) # of Contributor Itemized Contributions (Total of all Scheddle A sheets) - In -Kind ContrUtilons (Total of all Contribution amounts from Schedule C Loans (Total of all New Loan amounts from Schedule D sheets) total Contributions (Transfer this figure to page 1, Section IV, Line 3) Urntemized Expenditures ($25 and tens) # of Expenditun Itemized Expenditures (Total of all Schedule B sheets) In -Kind Expenditures (Total of all Expenditure amounts from Schedule C Loan Repayments (Total of all Loan Repayment amounts from Schedule 10 Credit Card and Debt Repayments (Total of all Repayment amounts fron 11 [Total Expenditures (Transferthis figure to page 1; Secfion IV, Line 5 Loans, Credit Cards and Debt_ _ 12 Outstanding Balance from prevlous reporting period – 13 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 r ril eta) o ts) e ts) edule E sheets) j4 epo ng period Total of all New IncurredDebt amounts from Schedule E sheets) 1 Subtotal --•- 16 Repayments of Loans made during this reporting period Total of all Loan Repayment amounts from schedule D sheets) _ 17 Repayments ofreditCCard and Debt this reporting period Total of all Deb! Repayment amounts from Schedule E sheets) 18 Total Outstanding Balance at close of fhiS period (Transfer This figure to page 1, Section IV, Line 7) Pledged Contributions_ 9 Unitemized Pledged Contributions ($50 and less) # of Pledges Itemized Pledged Contributions this Period (Total of all Schedule F sheets)` VTotal Pledged Contributions this period Page 2. - s. Period v4yu.u0 1,470.00 2,010.00 0.00 v– 3,970.00 44.24... 823.08 2,010.00 0.00 –_ 0.00 2,877.92 3 1,094.38 1 SCHEDULER ITEMIZED CONTRoUT.IONS of more than FiJh Dollars.($50 OU}_t_h1s period age 1 12 Transfer Ute combined total ofall SchedulT pages to the Dgtalled Summary on page 2line 2. I , Name of Candidate or Committee: GeneSIS mllaM Dale Received Full Name FlailingAddr*and . Zip Code ofContdbulgr I Cash erCheck 10 10 13 IDAHO INDEPENDENT BANK 118 E IDAHOAVE MERIDIAN, ID 93642.: } 250.00 d.General 250.90 CAkndar Yeor:7o.Date 102'CHARLIE.& NANCY ROUNTREE 2.696 N GREENBELT PL 100.00 19 General MERIDIAN, .ID 83646 100.0.0 calenduYea To -bale 10 13 3' _CODY REYNOLDS 2529 W SHERMAN AVE 50. Q0 C3 General NAM PA ID 83686 90.00- Calendar Year -To Wle 10 13t13 4 AMY &ROGER WILSON i 364'E BRUSHGULCH AVE 110.00 A General KU NA ID 8363410.00 Caendar Year -To -Dale 0113.113 5' CRAIG REICH3783NWDUTTON WY 60;00 B General MT HOME, ID 83647 60.00 CaferMazYear-7o-Aala 1:0 13 MAGGIEWILLIAMS 16 515 PARKWAY CT 60,00 R.Gen3ral- BOISE 7D 83706 60.00 CafendarYear7o-Date 10 13 13J ABBY BEARD 6374 S MI$TYGLEN AVE 60.00 General BOISE; ID 83709 60.00 CalendarYear4o-9ale 13 9 KIMBERLY VANDEWAY 60.00. 110 13 13863 W BUNKERHILL CT BOISE, ID 83713 60.00 w General . calgnda Yea -7o -Date 1 O 13 13 9. LAREE & GREG GOODMAN 2.30:00 992 E SWITCHBACK DR General MERIDIAN, ID 83646 j 2$0,00 CaWdarYear-To-Dale 10 10,13,13 JASON 1510 W STORER RUTHERFORD 150.00 r ®,General - MERIDIAN, Iq _83646 S 150.00 CelendarYear-To-Dale Total This ,P ge:..: 31,130.00 Transfer Ute combined total ofall SchedulT pages to the Dgtalled Summary on page 2line 2. I , SCHEDULEA ITEMIZED CONTRIBUTION of more than Fifty Dollars.($50.00) this pe 93 General CalondarYeorb-Dala 6. Q General $ 7 _ CaleodarYearwb-Data General 5 Ca!eodar YearTo-Date 8. P General CalendarYaaaro Date 9. q General 5 10, CaendarYear-To-pale General WendxYear-To-nala Total This P ge: $ 340.00 Transfer the comhmad local otall $CheduleA pages to=the Delailed Summary on page 2line 2. I I 1013 13 r,. tlrett & Kris NolteJ -_.J_ 665 W Sunwood Ct. Kung, ID 83634 Q General 10/15/13 2' Nanay&.ChrtsRoundlree 2696 N Preeftbelt:.Pl. Meridian; ID__63646General 10 18 13 3' Mallm Landaluce . 1 227:1 NW 11th Ave. Meridian, ID.83646General 4 93 General CalondarYeorb-Dala 6. Q General $ 7 _ CaleodarYearwb-Data General 5 Ca!eodar YearTo-Date 8. P General CalendarYaaaro Date 9. q General 5 10, CaendarYear-To-pale General WendxYear-To-nala Total This P ge: $ 340.00 Transfer the comhmad local otall $CheduleA pages to=the Delailed Summary on page 2line 2. I I I , SCHEDULE -B Pie ITEMIZED EXPENDITURES TweRly-Flve Dollars ($26.00) or more this period NameofCandidateorCominitleo:Genesis Mllam IPurposeCodes A All Travel Expenses (Alrfere, Fuel, Lodging & Mileage) N Newspaper & Other PeriodicalAdverhlSingBBroadcastAdvarlising (Radio, TV&.Internet) 0 OtherAdverhsing(Yd.Slgns; Bulton5, etc.) C Contributions to Candidates & PAQs P Postage -- -' sD Dopptlons&Gifts.. $ Surveys &PollsEEventExpenses ! T Tickets (Events) FoodF & Refreshments U UtilitiesG 'General Operabogal Expenses W Wages, Salaries, Ber efils & bonuses iL._ (Iterature; Brochp(as, Ptiinting -_ Y Petition Circulators M 'Managemen[Senc es Z Preparation & Production ofAdverbsm Dale:Spent full Name, MailingAftess and Ztp Code of Recipient pulse Cade Cash oi.Check t E 10. 1.313 LAKFVIEW. GOLF COURSE 4200 W TALAMORE BLVD MERIDIAN, ID 83646 682.00 07 13 2. POST OFFICE 1200N MAIN ST MERIDIAN, ID 83.642 P tj 6.005 3. 10 17 13 PO$T OFFICE 1200.N MAIN ST MERIDIAN, ID 83642 P ; 49,6$ 1.0 18 13 POST:OFFICE 1200 N .MAIN ST MERIDIAN, ID 83642 P . 46.:00 S Tota] This Ppge: g 823y6 Transfer the comgined total ofall Schedulefl pages to the Dstailed Summary onpa9e.2 iipe 7. 1. 01 13 i i SCHEDULE C 700.00 IN-IQND CONTRIBUTIONS and -EXPENDITURES Naive of Candidate or Committee: Genesis Mjlam General CalendarYear-To Data Purpose —Code Purpose Godes A All. Travel Expenses (Aldan, Fuel, Lodging & Mileage) N_ Newspzper.& Other Parlodical Advert sing66roadcaslAdvertising (Radio, TV & Internet) 0 OlherAdyerlising (YBrd Signs, Bptlon5, etc.) C Cordrlbulions t0 0andidates &.P, . P Postage D Donations &:Gifts:.., : Event Expenses S Surveys &Polls F Food & Refreshments T U Tickets (Events) r Utilities G L General9perahonafExpenses Lltetature, 8(ochures, Printing W Y Wages, Salaries, BenBlits & Bonuses .: Petition Circulators ; M Management Seryires Pranmm n R Pr A. bF t AA,. dh b 1. 01 13 Contributor Name, Mailing Address and Zip CodeMELISSAKDESIGN 700.00 1932 E CHALIS DR. MERIDIAN, 725.00GeneralID83646 CalendarYear-To Data Purpose —CodeExpenditureName, Mailing Address and Zip Code MELISSA IC DESIGN Z1932ECHALISDR MERIDIAN, ID 83646 $ MOM. M 2, 10 08 13 Contributor Name, Mailing Address and Zip Code TRIBUTE MEDIA, INC, 925.00 136 EAST IDAHO IN General MERIDIAN, ID 83642 925.00 Calendar Year -To DatePurposeCodeEkpondilureName, Mailing Address and Zip Code TRIBUTE MEDIA, INC z136EASTIDgHO MERIDIAN, ID 83642 9.25.:0.0.. 3. 10 20 13: L20 Ll Cohtributor Name, Mailing Address and Tip Code HINDERER TAX &ACCOUNTING 385.00 General PO BDx 592 EAGLE, ID 83616 385.00 CalendarYear-To Date Purpose CodeExpenditureName, Mailing Address and Zip Code HINDERER TAX & ACCOUNTING PO BOX 592 EAGLE, ID 83616 $ 385.00 d. Contributor Name, Mailing Address and Zip Code L1 General Ca!eedarYea`To-6ale Purpose CodeExpenditureName, Mailing Address and Zip Code 0.00 Expenditure Total: Trartsler the combined total of ag Expenditures on Schedule C pages $2,01Q.00totheDetailedSummary, page 21ihe 8) - Contributor Total: fran*r die combined total of all ConUiqutors. on 5cbedule C pad.. 2, D 1 Q. QQ to the Delaited Summary. pale 2line 3) i I E SCHEDULED LOANS ( Each Lender to your campaign should be listed separately. Each time a lean is received or you loan money tollhe campaign, it must; ho Listed as aseparateItem. Each. now ban front any Lender must be listed as a now Item from that Lender you irtay Nye lhe;same Lender listed mor@ than once. Except .for p candidate making :a .loan to his or her own campaign, loans from any Lgnder cannot eXceed co idb-uliop _hint s laid out InSection67-:661' 9A.ldahv Code, even it is repaid in full. Any loan(s) with a bnlance(s) appearing on the last report must be listed belowwdh tho amount in the Previous Balance cotump. Any neviloon amountsshouldbelistedhIhe,New Loan column. Any Interest accrued should ba Ifsled In the InterestAccrued column, If $payment was made on the loan, list It In the Repaymenls.column. Note: Any loan that was repaid in full Inst previous-repoiling period does nollneed.to f?e'Listed. The OutstandingBalancecolumnisthePreviousBalanceplusnewloansandaccruedinterestlessanyrepayments. Name, Malting Address -and Zlp Cade vi ual 6Lend Candidate, Individual or Business) Previous. Balance.- of loan at the end of the last reporting period Dale: New Loanamount received during this repotling period io 13 /ea Into accrued during this _ reppdmg (ierioti Rea eots of Loan during wits reporting pefiod Date, :. _ Balance outstanding at the end of this reporting period Amount: E AmovnL' T— Date: 2, Amount: Amount. 3, Date: I Date: .- Amount• Amount: 4. Dale: r Date: -i Amount: Amount:, 5. - - Date: Amount Amount;' - 6• Dale: bate: Amount Amount:: 7• bale: Dale: Amount: Amount Previous Received Intefest Repayments End..ing Balance Previous Total $0.00 Received To Transfer the combined total of all received loans to th6$0.00 Detailed. Summary, page 2 tine A) ` InterestTolal: $0 Repaymenl@ Total: . 0, Transfer [he cnfsincombinedtotal . $ Detaiied Summary, page 2 line 9 410)ls Ending Balance total $0,00 NOTE; Transfer (he combined total of allAccrued Interestand Rece yed Loans to the Detailed Summary, page 211ne i CH,ED.ULE E . CREDIT CARDS aid DEBT' Each incurred expense not yet paid (i.e. voit card purchases and debt) should be listed on a separate Ilne Each Umg you maks. purchases with acreditcardorIncur.debf, It is considered LObe,a separate itemHot'reVer, youyell Maintain asingle Item for each creditoard and add purchases to thatItem. Each Creditor Ilslgd below with a Neal Deb_ t amount must have a Schedule E 1. accompanying it.: The Schedule E 1 fists where end when thedebtwasulpfred - Credit Cards are coesidered debt to the campaign. Regardless of whether the cre aar dit card Is repnfd when. the litalemenl is received, all credit cardllraosactiansWilppeonSchedule.E and E -t. However, only Repayments of Debt during this. reporting period appear In the Expenditure SeclionofAlle . e(aited Summary Pago. - Any credilpr(s) With a balances) appearing on the last report must be.lisled below with the arpounl In the Previous Balance column. Any new debtshould.6e listed in the New Debt cohnnn including any accrued Interest If a payment was matte on the debt, list II In the Repayments column. Note: Any debt that was repaid in full'in a previous reporting period does not need to be listed- The Oulstandigg Balance column -is the PreviousBalance. plus New Debt less any Repayments of Debt, t . Name , fviailing Address and lip Code of prevrous BalancTOamount Re a ments of Debtpy Bala ce aulstandinCreditorng Candidate, Indiv dual or Business) debtat the epd ofring this during thl.sleporling. al the end ofthislastreportingperAerialperiodreportingperiod bale: i Amount: Dale: bate: Amount Amount: Date.. bale: Amount: Amount: 5 4' Dale: Dale: i Amount Amount: 5...- Dale: 1 Dale: Amount: Amount: i Dale: -- .. -- _ QafB: Amount: Amount Previous Incurred j, --` Repaymenls Ending Balance Previous Total: $0.00 4 Incurred To II II Transfer the combined total of all incurred debt to theF= Detailed Summary, page 21ine __ Repayments Total, Transfer the combined total of all debt repayments to tile; $000DetailedSummary, page 2line 10 & 17)_ t Ending Balance Total: $ 0.00 I I i i. SCHEDULE E-1 a9B CREDIT CARD and DEBT ITEMIZATION Name of Creditor from Schedule. E., . EachCreddor listed Schedule E Wllh a New DebtamoupJ.must havo aSchedule E,1 accompanying if The SI]edu(e E-7 lists.where and ylne iOedebtwasincurred, rI Purpose Codes - I ' A All Travel Expenses (Airfare, Fuel, Lodging & Mil eaga) N Newspaper & Other Periodical AdvertisingBBroadcaslAdved(sing (Radio, TV &Internet) 0 _OlherAdperiising (Yard Signs, Buttons, etc.jCContributionstoCandidates & PAC's P P islage q :Donations &Gifts, S Surveys & Polls E Event Expenses ; T Tickets (Events) F Food & Refreshments U Utilities 0 General Operaliogal Expenses W Wages, salaries, Benefits & Bonuses1InterestAccrued & Finance Charges Y Petition'Circulators . 1, Llletulure, Brochures, Printing Z Preparation A Produgtion ofAdvertisingMMenegomeo. Services Dale Inclnred Full Name, fAallinggddress and Zip Code of Fxponditure 71= 2. 3 3 l I S Total Thls Page: $ • The total of lleinizatlon for this creditor should equal the neyj loan arnpunt]isRetion Schedule E for this creditor. I ; ComplDlre. s service lelh)sscheduleifyouv{ere promisedand agreed loaoceptaaonlpbuVdndudngfhlsr poNngperiodbutbevenotacluallyrecelvedthemoney, QMO rsorvicesofferedbef Iheendofihorepodingpenod, OonalfncludethesaepVioson5chedulBAunlllyouacluallyYeceivCthe conUi6ulion. IPiedgrdFdrpalePledgedFullNow, Mailing Address end 41pCode o(Contributor AmountPledged Q Geperal 2. Genera( .. 3. El General 4. 0 General 5. Q General 6 General 7. D Genoral 8. 0General; 9 d General p General / Q Goneral J Total Amount of PledgedConlributions: i Transfer the combined lotaLof all Schedule F pages to the Detailed Summary on page 21ine 20. t 0 a CAMPAIGN FINANCIAL DISCLOSURE REPORT 7:7 r-1 T"", 0`2 SUMMARY PAGE .Vev.10107 Please Print or Type) NOV 20 20130 Section I - CITY OF C;WOK.ur r- Name ofCandidate orPolitical Commlieearid Chairyersop Office Sought (it cndAer- y} Genesis Milam City Council 05 WllmgAddrens i are zip ome. one or one PO Box 428 Meridian 83680-0428 208-371-6009 amen Politica Treasurer Corey Smith IVIRMOACMSS Clry and Zip Hame Phone Pilone 136 E_I_d_a_h_o Ave. Ste, 200 Meridian 83642 208-489-0123 Change of address for, Candidate or Political Committee Political Treasurer Section II TYPE OF REPORT This filing is an: Original 9 Amendment This report is for the period from -Lo—i-21-A-013 through-LO—L20 2013 October 10 Pre General Report p 7 Day Pre General Report CI 30 Day Post -General Report Annual Report Is this a Termination Report: El Yes n 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 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 Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ 0.00 Line 2: Enter Beginning Cash Balance" $ 125.76 )OO(XXX Line 3: Total Contributions (Enter amount from line 6, page 2) $ 3,970;00 $ 5,859.38 Line 4: Subtotal (Add lines 1) 2 and 3) $ 4,095.76 $ 5,859.38 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 2,877.92 $ 4,641.54 Line 6: Enter Ending Cash Balance (Subtract line 5from line 4) $ 11217.84 $ '1,217.84 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,094.38 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 fled. If this is your first report,: this amount Is 0 Note: The closing cash balance for the current reporting period appears on the nexf report as the beginning cash on hand, Section V Corey Smith hereby certily that the Information in this Name of Political Treasurer report is a true, complete and correct Cam ign Fin cal Di s required by law. s at (tical Tr urer Page 1 DETAILED SUMMARY NameofCandidate orCommittee:Genesis Mtlam Total This Period Contributions --- - — -- -- I Y . I Unitemized Contributions ($50 and less) # of Contributors 15,00 w. _ __ 490.00 Itemized Contributions (Total of all ScheduleAsheets) 1,470 00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) 2,010.00 i Loans (Total of all New Loan amounts from Schedule D sheets) 0.00 Total Contributions (Transfer this figure to page 1 Section IV, Line 3) j _ $ 3,970.00 Expenditures j L 6 Unitemized Expenditures ($25 and less) #of Expenditures 5.00 44.24 0Itemized Expenditures (Total of all Schedule B sheets) 823.68 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) r - - -- - 2,010.00 0) Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) 0,00 L I Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) 0 00 1J Total Expenditures (Transfer this figure to page 1, Section IV Line 5) 2,877.92 Loans, Credit Cards and Debt 1 12 Outstanding Balance from previous reporting period9PP 1 094.38 a 13 1 New Loans received during this reporting period Total New Loan Accrued Interestofallamountsplus from Schedule Dsheets) I + 04 New Credit Card and Debt incurred this reporting period Total of all New Incurred Debt amounts from Schedule E sheets) 15 i Subtotal —_.. 1 09_4 38 16 Repayments of Loans made during this reporting period f (Total of all Loan Repayment amounts from Schedule D sheets) I $ 17 I Repayments of Credit Card and Debi this reporting period l Total of all Debt Repayment amounts from Schedule E sheets) i 1g Total outstanding Balance at close of this period (Transfer this figure to page 1 Section IV Line 7) 1,094.38 i Pledged Contributions j 19 COi Unitemized Pledged Contributions ($50 and less) # of Pledges Itemized Pledged Contributions IthisPeriod (Total of all Schedule F sheets) g I Total Pledged Contributions this period 1= 0.00 , Page 2 SCHEDULER loge i2 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Genesis Mflam , Date Received Full. Name, Mulling Address and Zip Code of Contributor Cash or Check 10/10 113 1, IDAHO INDEPENDENT BANK113EIDAHOAVE MERIDIAN, ID 83642 250.00 250,00 N General CalendarYear-To-Date 10113/13 19 General 2. CHARLIE & NANCY ROUNTREE 2696 N GREENBELT PL MERIDIAN, ID 83646 100.00 100.00 Calendar Year To -Date 10 13 13 B General 3. CODY REYNOLDS 2529 W SHERMAN AVE NAMPA, ID 83686 50.00 90.00 CalendarYear-To-oate 10 13 13 4'AMY & ROGER WILSON 364 E BRUSHGULCH AVE KUNA, ID 83634 110.00 General 110.00 CalendarYear-7e-Date 10/13/13 B General 5' CRAIG REICH 3783 NW DUTTON WY MT HOME, ID 83647 60.00 60.00 Calendar Year -Ta -Date 1.0 13,131--- — 8 General 6. MAGGIE WILLIAMS 515 E PARKWAY CT BOISE, ID 83706 60.00_ 60.00 CalendarYear-To-Date 10113/13 7. ABBY BEARD6374SMISTYGLEN AVE BOISE, ID 83709 60.00 N General 60.00 Calendar Year- To -Dale 10113 13 8' KIMBERLY VANDEWAY 13863 W BUNKERHILLCT BOISE, ID 83713 60.00 60.00 I IN General CalendarYear-To-oate 10 13 13I_/-- 8 General 9. LAREE &GREG GOODMAN 992 E SWITCHBACK DR MERIDIAN, ID 83646 230.00 280.00 Calendar Year To -Dale 10 13 13J— NGeneral 10 'JASON RUTHERFORD 1510 W STOREY ST MERIDIAN, ID 83646 150.00 150.00 Calendar Year To -Dale Tolal This Page: 1,130.00 Transfer the combined total of all Schedule A pagesto the Detailed Summary on page 2 line 2: i SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Page 2 z Name of Candidate or Committee: GENESIS MILAM Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 13113 1 BRETT & KRIS NOLTE 665 W SUNWOOD CT$ KUNA, ID 83634 110.00 6 General 1 10.00 Calendar Year -To -Dale 10 18 13 2' MALISA LANDALUCE 2271 NW 11TH AVE MERIDIAN, ID 83646 130,00 11 General 130.00 Calendar Year -To -nate 10/03/13 3,WH MOORE COMPANY PO BOX 8204 BOISE, ID 83707 100.00 8 GeneralCalendarYear-To-na[e 100.00 I I 4. General CalendarYear-lb-Date-- 1 1 5. — General CalendarYear-To-Dale 1 ! 6. - 11 General CalentlarYear-To-Date J 7. EI General ' Calendar Year -To -Dale 8. General Calendar Year -To -Date 9. 0 General CalendarYear-To-Dale 10. General Calendar Year- To -Date Total This Page: 340.00 Transfer the combined total of all Schedulg: A pages to the Detailed Summary on page 2 line 2. SCHEDULER ageo i,_ Date Spent ; ITEMIZED EXPENDITURES Purpose Code Twenty Five Dollars ($25.00) or more this peried Name of Candidate or Committee: Genesis MiIaM E Purpose Codes LAKEVIEW GOLF COURSE 4200 W TALAMORE BLVD MERIDIAN, ID 83646 A All Travel Expenses (Airfare; Fuel, Lodging & Mileage) N Newspaper& Other Periodical Adverfisin( B Broadcast Advertising (Radio, TV& Internet) 0 Other Advertising (Yard Signs, Buttons,'e1 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 ol'Advertisinq ageo i,_ Date Spent ; Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. E 10! 13! 13 LAKEVIEW GOLF COURSE 4200 W TALAMORE BLVD MERIDIAN, ID 83646 VU682.00 2 — P 10 07 13 POST OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 46.00 3. P 10 17 13 7—/— POST OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 49.68 4 P 10 18 13 1I POST OFFICE 1200 N MAIN ST MERIDIAN, ID 83642 46.00 5, 6: Il 7: B 9. 1 —! t0. Total This Page: $ 823.68 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C age o IN-KIND CONTRIBUTIONS and EXPENDITURES NamepfCandidateorcommittee. denQs Mllam Purpose Codes J 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 Contributionsto Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls' E Event Expenses T Tickets (E tesvens) 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 ofAdvertising 10 01 13 1. Contributor Name, Mailing Address and Zip Code MELISSA K DESIGN 700.00 1932 E CHALIS DR 725.0019GeneralMERIDIAN, ID 83646 Calendar Year -To -Date' Expenditure Name Mailing Address and Zip Code Purpose Code MELISSA K DESIGN Z1932ECHALISDR MERIDIAN, ID 83645 700.00_ 2. 10 08113 Contributor Name Mailing Address and Zip Code TRIBUTE MEDIA INC. 925.00 136 EAST IDAHO MERIDIAN, ID 83642 9`25.00 B General Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code _ Purpose Code TRIBUTE MEDIA, INC Z136EASTIDAHO MERIDIAN, ID 83642 925.00 3. Contributor Name, Mailing Address and Zip Code 10/20/ 13 HINDERER TAX & ACCOUNTING 3$5,00 385.00POBOX592 EAGLE, 19 General ID 83616 Calendar Year To Dale Expenditure Name, Mailing Address ardd Zip Code Purpose Code HINDERER TAX & ACCOUNTING GPOBOX592 EAGLE, ID 83616 385.00 4 Contributor Name, Mailing Address and Zip Code General Calendar Year TODate . Purpose CodeExpenditureName, Mailing Address and Zip Code 0.00 Expenditure Total: Transfer the combined total of all Expenditures on Schedule: C pages1$2,010.00 to the Detailed.Summary, page 2line 8) --__—_ Contributor Total. $ 2,010.00TransferthecombinedtotalofallContributorsomScheduleCpages to the Detailed Summary, page 2line 3 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 inSection67-661 OA, 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 OutstandingBalancecolumnisthePreviousBalanceplusnewloansandaccruedinterestlessanyrepayments Name, Mailing Address and Zip Code of Lender Candidate; Individual or Business) Previous Balance of loan at the end of the last reporting period 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 periodrep L Date: Date. Amount' Amoun[ 2. Date: Date Amount Amount 3. Date: Date Amount Amount 4. Date: Date; Amount Amount 5. Datzi Date' Amount Amount: 6. Date: Date. Amount Amount; 7. Dale: Date; Amount Amount Previous Received Interest Repayments Ending Balance Provious Tolal $0.00 Received Total Transfer the combined total of all received loans to the $ 0. 00 Detailed Summary, page 2line 4) Interest Total: $ 0 Repayments Total: Transfer the combined total of all loan repayments to the $ 0.0 0 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) SCHEDULE E CREDIT CARDS and DEBT 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 balance(s) 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 apayment 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 outstandingCreditor Candidate, Individual or Business) debt at the end of the incurred during this during this reporting at the end of this last reporting period reporting period Date: period reporting period 1 Dale: Amount: Amount: S 2, Date: Date: Amount Amount 3. Date: Date: Amount: Amount '.. 4. Date, Dater Amount Amount S s- 5. Dale ` Date: Amouol Amount '.. S S 6. Dale: Date: Amount. Amount: Previous Incurred Repayments Ending Balance Previous Total: $ 0.00 Incurred Total Transfer (he combined total of all incurred debt to the $ 0.00DetailedSummary, page 2line 14) _ _ -- Repayments Total: Transfer the combined total of all debt repayments to the $0.00 Detailed Summary, page 2line 10 & 17) Ending Balance Total $ 0.00 SCHEDULE E-1 age CREDIT CARD and DEBT ITEMIZATION Namc of Credltor from Schedule E: Pull Name, Mailing Address and Zip Code of Fxpenditure ' Purpose Code 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 whenthedebtwasincurred. Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper &Other Periodical AdvertisingBBroadcastAdvertising (Radio, TV& Internet) 0 Other Advertising (Yard Signs: Buttons; etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls EEvent Expenses T Tickets (Events) F Food & Refreshments , U Utilities G General Operational Expenses W Wages Salaries, Benefits & Bonuses I InterestAccrued & Finance Charges Y Petition Circulators L Literature, Brochures; Printing Z Preparation & Production of AdvertisingMManagementServices Date Incurred Pull Name, Mailing Address and Zip Code of Fxpenditure ' Purpose Code Amount 2. -- s 3. 4, — - — 5. 6. 7 -- 8. 9, -- - - 1-1— Total This Page: 0 The total of itemization for this creditor should equal the flew loan amount listed on Schedule for this creditor. PLEE Name of Candidate or Committee: Directions: Complete this schedule dyou. were SCHEDULE F Paye GED CONTRIBUTIONS BUT NOT YET RECEIVED promised and agreed to accept a contribution during this reporting period but have not actually received the money, reposing period: Do not include these entries on Sotiedule'A until you octuallp receive the contribution Pledged For Dale Pledged Full Name, Mailing Address and Zip Code of Contributor Amount Pledged 11 General I 1 1 2. General I I 3 General 4. 0 General 5, General 6. General I ! 7. E) General 8. General 0 General 10. General 1L General Total Amount of Pledged Contributions: $ 0.00 Transfer the combined total of all Schedule 0 pages to the Detailed Summary on page 2line 20. CAMPAIGN FINANCIAL DISCLOSURE REPORTRE c E rvED Rev 1U -20cr) SUMMARY PAGE DECPleasePrintorType) 5 2013 y rr CITYwrureraNSectionICL or Political Committee and Chai erson C ERKS' Cllice sought(a candidate)'' eat (If any) MILAM CITY COUNCIL OS LCandidateidate s 428 p MERIDIAN 83680-0428 ome one 208-371-6009 ca reasureraMITHeCityaZipomeoneWorkPhone AHO AVE. STE 200 MERIDIAN 83642 208-489-0123 Chan a of address f ` V or. andldate or Political Committee Political Treasurer Section II TYPE OF REPORT This filing is an: 8 Original 11 Amendment This report is for the period fromL0 / 21 ! 73 through 11 j 15 r 13 October 10 Pre General Report 0 7 Day Pre General Report .p >'30 Day Post -General Report Annual Report Is this a Termination Report. E 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 If, Section IV. I hereby certifythat 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 IIfigurestotheColumnIIfiguresofyourpreviousreport (except on line 6). This Period Calendar Year to Date' Line is Cash on Hand January 1, This Calendar Year` $ XXXXXX $ 0.00 Line 2: Enter Beginning Cash Balance*' $ 1,217.84 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2)$ 556.96 $ 6,416,34 brie 4. Subtotal (Add Imes 1, 2 and 3) $ 1,774.80 $ 6,416.34 Line 5, Total Expenditures (Enter amount from line 11, page 2) $ 811.36 $ 5,452.90 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 963.44 $ 963.44 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,311.34 This same figure should be entered on line 1 of all reports filed this calendar year, This Is the figure on fine 6 of the last Campaign Financial Disclosure Report filed If this is your first report, this amount is 0Note; The closing cash balance for the Current reporting period appears on the next report as the beginning cash on hand. Section V I, COREY SMITH hereby certify that the Information in thisNameofPoliticalTreasurer report is a true complete and corresckampallap.Financlil osure rt as required by law. r Is!olitical easuf`er ge 1 DETAILED SUMMARY IName ofCandidate orCommittee"GENESES MILAM Total This Period I I Contributions G Unitemized Contributions ($50 and less) # of Contributors s ee II +_ $ 240.00 0 Itemized Contributions (Total of all Schedule A sheets) I + $190.00 - Q In Kind Contributions (Total of all Contribution amounts from Schedule C sheets) +' $ { of allL— New Loan amounts from Schedule D sheets) + $ 216.96 Total Contributions (Transfer this figure to page 1 Section IV Line 3) - 556_-96J56. Expenditures - -- - -- - ; — 7 Unitemized Expenditures ($25 and less) # 00ofExpendituresn I + 3z .54 0 Itemized Expenditures (Total of all Schedule B sheets) i + $776. , 82 In Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 0.00Il Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 0.00 J10CreditCardandDebtRepayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 6) 811.36 oans, CreditCards and Debt 12 IOutstanding Balance from previous reporting period09 R + $ 1,094.38-- I---- 13 New Loans received during this reporting period +$ 216.96TotalofallNewLoanamounts_plus Accrued Interest from Schedule D sheets) 14 I New Credit Card and Debt incurred this reporting period F_ (Total of all New Incurred Debt amounts from Schedule E sheets) Subtotal + $ . Q 15 _ i :$1,311.34 16 Repayments of Loans made during this reporting period - Total of all Loan Repayment amounts from Schedule D sheets) $ 0.00 17 Repayments of Credit Card and Debt thisQ reporting -period J - (Total of all Debt Repayment amounts from Schedule E sheets) $ QM 18 I Total Outstanding Balance at close of this period (Transfer this figure to page 1 Section IV Line 7) 11 $1,311.34 J Pledged Contributions 19 Unitem¢ed Pledged Contributions ($50 and less) # of Pledges Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + Total Pledged Contnbutions this period I , Page 2 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.P0),thls;period Name Of Candidate Or Committee: GENESIS MILAM bate Received rull Name, Mailing Address and Tip Code of Conhibutor Cash or Check 10 25113 1 ROCCO D-ORAZIO 2082 N DUCKHAWK AVE. KUNA, ID 83634 1.00.00 B General 100.00 Calendar Year -To -Date 0 General CalendarYear-To Data 1-1 3. 4, iGeneral Calendar Year To_Date General Calendar Year To Dale. 1r El General CalendarYear To Date" 1—L— _ 6.' General Calendar YearTdDate General 7 CalendarYear Ta -Date General 5,: Calendar Year To-0ale -' 9 , 10, CalendarYear o Date CalendarYear-To-Dale General 1I1 El General Total This Page: 100.00 Transfer the combined total of all SchedoleA pages to the Detailed Summary on page 2line 2. P p A B' C, D E2- F r, 0 L M SCHEDULE B ITEMIZED EXPENDII es (Airfare, Fuel, Lodging & Mileage_) N ising (Radio. TV & Internet) 0 andidales &PAC's p S T lents nal Expenses W lies, Printing y vices Z age o S period Other Periodical Advertising rtising (Yard Signs, Buttons, etc) olls ants)'' aries, Benefits & Bonuses mlatois Produc)ion ofAdverdsing Recipient Purpose Code Cash or Check Date Spent Full Name,Wailing Address and Zip Code of Recipe 1.: 1024POST OFFICE 1200 N MAIN ST MERIDIAN ID 83642 P 46.00 1025)13 2.' POST OFFICE 1200. N MAIN ST MERIDIAN ID 83642 P 46.00 1027f13 3. '' POST OFFICE 1200 N MAIN ST MERIDIAN ID 83642 P 4.6,00 1031 X13 4. POST OFFICE 1200 N MAIN ST MERIDIAN ID 83642 P L 6.00 1021 13 5. BLACK SIGNS OF IDAHO, INC. 7512 LEMHI #1 BOISE ID 83709 L 344,.00 11)02f13 COSTCO2051 S. Cole Road Boise, ID 83709-2815 F 200,00 11 ) 06.E 13 7. ROBOCALL NGP VAN, INC 48 GROVE ST, STE 202 SOMERVILLE, MA 02144 0 n ^ i 82 B. 1 l 9. 10. f_ Total This Page: 776.82 Transfer the combined total of oil Schedule 0 pages to the Detailed Summary on page 2 line 7, Cmeo Purpose A B C D SCHEDULE C aga IN-KIND CONTRIBUTIONS and EXPENDITURES lenses (Airfare, Fuel, Lodging &,Mileage) N Newspr vertising (Radio, TV & Internet) 0 OtherA to Candidates & PAC's P Postag( E Event Expenses i F food & Refreshments G 'General Operational Expenses W L Literature, Brochures, Printing y M '_ManagementSerwces Z Other Periodical Advertising rtising (Yard Signs, Buttons, etc..) Its s) as, Benefits &bonuses iters Production of Advertising 1 Contributor Name, Mailing Address and Zip Code b General Jl Calendar Year To oat., Purpose CodeExpenditureNameMailingAddressandZi 'Codep S 2, Contributor Name, Mailing Address and Zip Code J—/T 11 General Calendar Year-To-Daie- Purpose CodeExpenditureNameMailingAddressandZipCode 3 Contributor Name, Mailing Address and Zip Code General ' Calenda, vC Tv-Daie Purpose Code ' Expenditure Name, Mailing Address and Zip Code 4 ContributorName,MailingAddressardZipCode' l7 General Expenditure Name Malting Address and Zi CodeP calendar Year -To Date Purpose Code 0.00 Expenditure Total: Transfer the combined total of all Expenditures on Schedule C pages $0.00totheDetailed. Summary, page 2 116e.8); 0.00 ConlributorTotal Transfer the combined total of all Contributors on Schedulo C pages to the Detailed Summary, page 2line 3 Each Lender to your campaign should be listed separa separate Item. Each new loan from any Lender must be Except for a candidate making a +loan to his or he Section 67-661 OA, Idaho Code, even if it Is repaid in full Any loan(s) with a balance(s) appearing on the lastrepol should be listed in the New Loan column. Any interest ar it in the Rebavments column. Nota Any loan that u,, SCHEDULE D LOANS ly. Each time a loan is received or you loan money ted as a new item from that Lender. You may have own campaign loans from any Lender cannot nust be listed below with the amount in the Previous ved should be listed, in the InterestAocrued column to the campaign, it must be listed as A he same tender listed more than once, exceed contribution limits laid out in 3alance column Any new loan amounts If a payment was made on the loan, list 1--,. , —. ....co nv, mcu -w uc „amt. I ne V Balance column is the Previous Balance plus new loans and accrued interest less any repayments. Name; Mailing Address and Zip ed Previous Balance New Loan amount Interest accrued Repayments of Lqan BalanceCodeofLender Candidata, Individual or Business) of loan at the received during this during this during this reporting outstanding at end of the last reporting period reporting period period ° the end of this reporting period reporting period 1. GENESIS MILAM 1,094.38 Date: Date POBOX 428 r—/! 1094.38 AmountMERIDIANID83682-0428 Amount:' CANDIDATE Date: Dale: to /29 /13 16.96 Amount Amount: 16.96 3. Date; Date 11 /02 /13.J_ 200.00 Amount Amount 20000 4. Dale: Date: Amount Amount 5, Dale: Date: Amount Amount 6. Date Date , Amount: Amount 7. Date: Date Amount Amount L— I$ Previous Received Interest Repayments Ending Balance ` Previous Tgtal $1, 094.38 '. Received otal. Transfer the combined total of all received loans to the $ 216.96 Detailed Summary, page 2line 4) Interest Total. $ Repayments Total. Transfer the combined total of all loan repayments to the $ 0.00 Detailed Summary, page 2line 9 & 16) Ending Balance Total: $ 1 311.34 NOTE: Transfer the combined total of all Acc I torun rest and Received Loans to the Detailed Summary, page 2line 13) SCHEDULE E CREDIT CARDS and DEBT 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 thedebtwasincurred. 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 oftheDetailedSummaryPage. 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 deptshouldbelistedintheNewDebtcolumn, 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 PreviousBalanceplusNewDebtlessanyRepaymentsofDebE Name, Mailing Address and Tip Code of Creditor Previous Balance of Newbobt amount Repayments of Debt Balance outstanding Candidate, Individual or Business) debt at the and of the last reporting incurred during this during this reporting at the end of this period reporting period period reporting period1' Date: Date: Amount Amount' 2. Date: bate: Amount Aillpunf. 3. Date: Date,. Amount: Amount: 4. Dater Dater Amount Amount. 5. Date Dale: Amount Amount B. Date. Date: " Amount: Amount Previous Incurred Repayments Ending Balance Previous'rotal: $ 0.00 Incurred Total: Transfer the combined total of all Incurred debt to the $ 0.00DetailedSummary, page 2line 14) Repayments Tptal; Transfer the combined total of all debt repayments to the $000DetailedSummary, page 2line 10 & 17) Ending Balance Total: $ 0.00 SCHEDULE E-1 Iq CREDIT CARD and DEBT ITEMIZATION Name of creditor from ScheduleE:GENESIS MILAM Each Creditor listed on Scfiedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E•1 lists where and whenthedebtwasincurred. Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical AdvertisingBBroadcastAdvertising (Radio, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) 0 Contribution's to Candidates & PAC's P Postage D ..Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U utilitie's G General Operational Expenses W Wages Salaries, Benefits & BonusesIInterestAccrued & Finance Charges Y 'Petition Circulators L 'Literature, Brochures, Printing z Preparation & Production of AdvertisingMManagementSer0ces Date Incurred Full Name Mailing Address and Lp Code of Expenditure Purpose Cgde. Amount 4. - $— 5. $ J- 6. $ 7 8; r -r 9 — — ----- $ — — Total This Page. $0•0 The total of itemization for this creditor should equal the new loan amount listed on Schedule for this creditor.' SCHEDULE F age a PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED 1 Name of candidate or committee GENESIS M I LAM 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 8cheduleA until you actually receive the contribution Pledged For Date Pledged Full Name, Marling Address and Zip Code of Contributor Amount Pledged d General I ! El General 3 General 4 General —— 5. General 6. General 7. General 8. General 8. b General 10. — General —/—/— 11. General TotalAmountofPledged Gontributions $0.00` Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20 CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEI Y E C-2 SUMMARY PAGE 10107 Please Print or Type) , .JAN 3 1 2014 CITY VrL%ner`erot. Nameod Candidate or Political Committee and Chai ersonn Ul I Y. CLERK O 01ke Sought (if candidate) Seat (if any) ENESIS MILAM CITY COUNCIL 05win. toss PO BOX 428 I an ip MERIDIAN 83680-0428 ome ane 208-371-6009 w one ame o -0 Fuc—al reasurer COREY SMITH mg "rens ty an P ome one Work Phone 136 EIDAHO AVE. STE. 200 MERIDIAN 83642 208-489-0123 -- Change of address for an Nate 0r Po6tical Committee - Political Treasurer Section II TYPE OF REPORTThisfilingsan. 9 Original Amendment This report Is for the period from l_l through l ////G//,} Z/313J X,fp October 10 Pre General Report 7 Day Pre -General Report 30 Day Post -General Report I@ Annual Report Is this a Termination Report: E] Yes F1 No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions. If you had no contributions or expenditures during this reporting period, check the box nexl to the statement below and sign this report. Be sure to carry forward the appropriate'CalendarYear 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 11figurestotheColumn11figuresofyourpreviousreport (except online 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* $ 963.44 $ XXXXXX Line 3 Total Contributions (Enter amount from line 5, page 2) $ 440.00 $ 6,856,34 Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,403,44 $ 6,856.34 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,161 .94 $. 6,614,84 Line 6. Enter Ending Cash Balance (Subtract fine 5 from line 4) $ 241.50 $ 241.50 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,311.34 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 I COREY SMITH hereby certify that the information in thisNameofPolihcalTreasurer report is a true, complete and correct C ign F tial Dt sure Rep a required bylaw. gnat " oldlcal Tre ter Pag 1 r)CTA 11 C r9 04 1 A A I A nv Total This Period Contributions--- i 1 Unitemized Contributions ($50 and less) # of Contributors : k T. Itemized Contributions (Total of all Schedule A sheets) + $ 0 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) , + $440:00 Loans (Total of all New Loan amounts from Schedule D sheets) L Total Contributions (Transfer this figure to page 1, Section IV Line 3) 440:00 Expenditures Unitemized Expenditures ($25 and less) # of Expenditures — + — O( Expenditures f -ll S — -- + $ I Itemized Expurs (Total oall B sheets) + $ 721.9_4iIn -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 440.00 9 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) T + $ 0.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) j + $ 0.00 11 Total Expenditures (Transfer this figure to p -a -ge 1, Section IV, -L —In 5)^ $1,161 94 1 Loans, Credit Cards and Debt 12 i Outstanding Balance from previous reporting period_ - I l+ $1,311.34 13 i New Loans received during this reporting period Tolal of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $0.00 l 14 ! New Credit Card and Debt -incurred this reporting period f (Total of all New Incurred Debt amounts from Schedule E sheets) i + $ 0.00 t15 Subtotal , 1311.34 J l 16 Repayments of Loans made during this reporting period Total of all Loan Repayment amounts from Schedule D sheets) $ 0.00rRepaymentsofCreditCardandDebtthisreportingperiod Total of all Debt Repayment amounts from Schedule E sheets) - $ 0.00 1$i Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $1,311.34 — rPie dged Contributions 19 ir Unitemized Pledged Contributions ($50 and less) # of Pledges — -I 20 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) — j + $ i Total Pledged Contributions this period — p + 0.00 Page 2 SCHEDULEA age o — 1ITEMIZEDCONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Nam oMatemmittee:GENESIS MILAM MO Received Full Name, Mailing: Address and Zip Code of Contributor 1. Cash or Check General2. Calendar Year4o-Date 0 General 3.,: Calendar Year-Td-Dale 11 General 4." CalendarYaar-To-Dale General Calendar Year-To-Dale General 6. Calendar Year-To-Date 0 General 7. CMendarYear-To-Dale 0 General$ Calendar Yea'-To-Date i 11 General CalandarYear TaDate 0 General 10. Calendar Year To-Date ;. L—L— 0 General CalendarYear 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 a4e e ITEMIZED EXPENDITURES---- — Twenty R* Dollars ($25.00) or more this period Name of Candidate or Committee: GENESIS MILAM Purpose Codes A All Travel Expenses (Airfare, Fuel Lodging & Mileage) N Newspaper & Other Periodical AdvertisingBBroadcastAdvertising (Radio, N & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P PostageDDonations & Gifts S Surveys &PollsEEventExpensesTTickets (Events) F Food& Refreshments U UtilitiesGGeneralOperationalExpensesWWages, Salaries, Benefits & BonusesLLiterature, Brochures, Printing Y Petition CirculatorsMManagementServicesZPreparation & Production of AdvertisingDateSpentFullNameMailingAddressandZipCodeofRecilent aPPurposeCodeCash or Check1. 11 18 13 AutoSort, PO`Box 191025 BoiseID 83719 P 721.94 2. 1-l- 3. $ 7—I- 4. $ 5. $ 6. $ 7. $ i— 8. $ 10 " $ T—I— Total This Page 72 1.94 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2line 7. SCHEDULE C IN-KIND CONTRIBUTIONS Pao_e o 1 1andEXPENDITURES B General Name of Candidateorcommittee.GENESIS 825.00 Year-To-oate PurpoGalendasePurpose Code G , MILAM Expenditure Name; Mailing Address` and Zi CodeA HINDERER TAX & ACCOUNTING PO BOX 592 2. Purpose Cotlas AA All Travel Expenses (Airfare Fuel, Lodging & Mileage) N Newspaper & Other periodical AdvertisingBBroadcastAdvertising (Radio TV & Internet) 0 C Contributions to Candidates & PAC's Other Advertising (Yard Signs, Buttons, etc,) Year-To-0ate PurposePurpose -Code P D Donations & Gifts S Postage Surveys &PollsEEventExpensesT F Tickets (Events) Food & Refreshments U Utilities Expenditure Name, Mailing Address and lip_l G General Operational Expenses W L r Uterature, Brochures, Printing Wages, Salaries, Benefits & Bonuses ca eoaa year ro Dare Purpose Code YMManagementServices7 Petition Circulators o. ,:__ 1 12 15 13 Contributor Name, Mailing Address and Zip CodeHINDERERTAX &ACCOUNTING 440.00 B General PO Box 592 EAGLE, ID 83616 825.00 Year-To-oate PurpoGalendasePurpose Code G , Expenditure Name; Mailing Address` and Zi CodeA HINDERER TAX & ACCOUNTING PO BOX 592 2. EAGLE, ID 83616 440 QQ Contributor Name, Mailing Address and Zip Code General Expenditure Name,, Mailing Address and Zip Code Year-To-0ate PurposePurpose -Code 3 Contributor Name, Mailing Address and Zip Code General Expenditure Name, Mailing Address and lip_l ca eoaa year ro Dare Purpose Code 4 Contributor Name Mailing Address antl Zip Code — 11 General arcalOse Cod Dare Purpose otleExpenditureName, Mailing Address and Zip'Code 0.00 Expenditure Total: Transfer the combined total of all Expenditures on Schedule C pages $ 440.00totheDetailedSummary, page 2line 8) 440.00 Contributor hedule C Tota' Transfer the combined total of all Contributors on Schedule G pages to the Detailed Summary, page 2line 3) 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 aseparateitemEachnewloanfromanyLendermusthelistedasanewitemfromthatLender. 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 but inSection676610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed belowwith the amount in the Previous Balance column. Any new loan amountsshouldhelistedintheNowLoancolumn. Any interest accrued should be listed in the lnterestAccrued column. If a payment was made on the loan, listitintheRepaymentscolumn. Note: Any loan that was repaid in full in a previous reporting period does not need to be listed. The OutstandingBalancecolumnisthePreviousBalanceplusnewloansandaccruedinterestlessanyrepayments. Name, Mailing Address and Zip Code of Lender Candidate, Individual or Business) 1 GENESIS MILAM PO BOX 42,8 MERIDIAN ID 83682-0428 CANDIDATE previous Balance of loan at the end of the last reporting period 1,311.34 New Loan amount received during this reporting period Date: j_ Interest accrued during this reporting periodP9P Repayments of Loan during this reporting period Date, Balance outstanding at the end afthis reporting period 1;311.34 AmountAmount: 2 Dale. WDate: Amount: 3. Date: Amount$ 4. Date: AmountDate::- Amountmount: 6. 7 Date. Date. Amount: Amount: Date,' bate. Amount Amount. Previous Received Interest Repayments Ending Balance Previous Total $1 r 3 11 .34 Received Total: Transfer the combined total of all received loans to the $ 0, 0 Detailed Summary, page 2 fine 4) Interest Total. $ o Repayments Total: Transfer the combined total of all loan repayments to the$ o, 00 Detailed Summary, page 2 line u & 16) - En ling Balance Total $ NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13) SCHEDULE'E CREDIT CARDS and DEBT 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 acreditcardorincurdebt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to thatitemEachCreditorlistedbelowwithaNewDebtamountmusthaveaScheduleE-1 accompanying it. The Schedule E-1 lists where and when thedebtwasincurred. Credit Cards are considered debt to the campaign Regardless of whether the credit card is repaid when the statement Is received, all credit cardtransactionswillappearonScheduleEandE-1. However, only Repayments of Debt during this reporting period appear In the Expenditure Section oftheDetailedSummaryPage Any creditor(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new debtshouldbelistedIntheNewDebtcolumn, 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 PreviousBalanceplusNewDebtlessanyRepaymentsofDebt. Name, Mailing Address and Zip Code of Previous Balance of New Debt amount Repayments of Debt Balance outstandingCreditordebtattheendoftheIncurredduringthisduringthisreportingCandidate, Individual or Business) last reporting period reporting at the end of this f . P 9 Period period reporting period Dale: Dale:. Amount: Amount: 2 s- $ Date: Dale: Amount Amount 3. $ $ Date: Dale:' Amount: Amount. 4 $ $ - Date; ` Date:. Amount Amount 5. Date:Date: Amount: P,mdunl ; 6. Date:Date:. Amount Amount Previous Incurred Repayments Ending Balance Previous Total: $0.00 Incurred Totel Transfer the combined total of all Incurred debt to the $0.00DetailedSummary, page 2line 14) Repayments Total: Transfer the combined total of all debt repayments to the 0.00DetailedSummary, page 2line 10 & 17) Ending Balance Total: $ 0.00 SCHEDULE E-1 ragoo CREDIT CARD and DEBT ITEMIZATION 1 1 Name of Creditor from Schedule E: GENESIS M11 AM Each Creditor the debt was it Purpose Coe A All B; Broa C Cont D Don€ E Even F Food G Gene I Inter( L' Liter M Mane Date Incurred Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when enses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertisinglertising (Radio, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc,) to Candidates & PAC's P Postage gifts S Surveys & Polls s T Tickets (Events) hments U Utilities Phonal Expenses; W Wages, Salaries, Benefits & Bonuses A & Finance Charges Y Petition Circulators ehures, Printing Z Preparation & Production ofAdvedisingiervlees 0.00 Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Amount 2. 4. -- --- - 5. -- 6 8. Total This Page: 0.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor, SCHEDULE F ase o PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED 1 Name of Candidate or Committee. GENESIS M I LAM Directions Complete this schedule if you were promised and agreed to accept a contribution during this reporting Pei iod but have not actually received the money, goods or services offered before the and of the reporting period. Do not include these entries on Schedule A unlit you actually receive the contribution Pledged For - ,Date Pledged- Full Name, Mailing Address and Zip Code of Conlributol - Amount Pledged 11 General 2. -- — - General 3. General 4. General 5. General 6. - General 7. General 8. General 9. General 10. General 11. General --/ 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. ale or Polil MILAM PO B.O.X 42.8 eaten. oibca reasurer .. COREY SMITH a ing rens - - 136 E IDAHO AVE STE 200 Ofrioa Sought (if wrid'.dale) CITY COUNCIL oma one _ 83642-0428 28-371-6009 ryB P omo -ne o As MERIDIAN 83642 208-489-0123 Change of address for: Candidate or Political Comminee Political Treasurer Section II TYPE OF REPORT This filing Is an: ® Original Amendment This report Is for the period from 07761 / 2c/Through 1 13 7 Day Pre -Primary Report 30 Day Post -Primary Report October 10 Pre -General Repod 7 Day Pre -General Report 30 Day Post -General Report gr Annual Reporl Semi -Annual Report (Statewide Candidates Only) Is this a Termination Report: Yes ® No Section III STATEMENT OF NO CONTRIBUTIONS OR Directions: If you had no contributions or expenditures during this reporting period, chi Be sure to carry forward the appropriate °Calendar Year to Da 1 hereby certify that I have received no contributions and have made ENDITURES e box next to the statement below and sign this report. lures in Column II, Section IV. endilures during this reporting period. V.Y1 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). COLUMN I Th15 Period, COLUMN II Calendar Year to Dale Line 1: Cash on Hand January 1, This Calendar Year' XXXXXX 241.50 Line 2: Enter Beginning Cash Balance" 241.50 XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) 0.00 Line 4: Subtotal (Add lines 1, 2 and 3) 241.50 241.50 Line 5: Total Expenditures (Enter amount from line 11, page 2) 0.00 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) 241.60 241.50 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) 1,311.34 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 Compalgn Flnanciat 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 Ben Ysursa Secretary of State PO Box 83720 Boise ID 83720-0080 Phone: (208)334.2852 l COREY SMITH reby c e Information in this Name of Polikal Treasurer report is a true, complete and correct Can sign F' isclo s required bylaw. Signature of Political Treasurer Page 1 7 .�a Section I CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10107 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) Seat (if any) GENESIS MILAM _90ang CITY COUNCIL 05 dress PO BOX 428 =MERIDIAN 83642-0428 -Rome one 208-371-6009 or one - Name or Political ireasurer MICHELE HINDERER, EA- HINDERER TAX & ACCOUNTING _ Ing rens Ciand Zi �+ fs Home Phone Werk Phone PO BOX 592 EAGLE 83616 208-275-8877 Vi rVllllUdi UUMINIrree l --I Yowical Ireasurer U Section II TYPE OF REPORT This filing is an: I@ Original 11 Amendment This report is for the period from I 1 through 1 ® October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report 0 Annual Report Is this a Termination Report: [] Yes Q 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 h 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 $ 598,25 Line 2: Enter Beginning Cash Balance** $ 598.25 � XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 639.50 _ 639.50 Line 4: Subtotal (Add lines 1, 2 and 3) $ 698.25 $ 598.25 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 754.50 $ 754.50 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 483.25 483.25 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) S 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 MICHELE HINDERER hereby certify that the information in this Name of Political Treasurer report is a true, complete and c re t Cam=Signaturoof ure Report as required by law. ocaTreasurer Page 1 DETAILED SUMMARY dame of Candidate or Committee: GENESIS M LAM Total This Period I Loans, Credit Cards and Debt - _ 12 ° .... -- ..... -- - - Outstanding Balance from previous reporting period + $ O.00 13 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) ._.......... + $0.00 14 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) t ~ + $ 0.00 15 Subtotal .... . _ _...__.. __ $0.00 1 _.... _ ....._ Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) _..._. ___ _.___..... ........ $0.00 ,� � �J Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) ............... $0.00 1$i Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ 0.00 Pledged Contributions __... ........ 19 Unitemized Pledged Contributions ($50 and less) # of Pledges + $0.00 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ 0.00 1 Total Pledged Contributions this period -- _........... _ — _ $ 0.00 Page 2 SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.01)) or more this period Name of Candidate or Committee: GENESIS M I LAM Page Of 1 1 Purpose Codes Full Name, Mailing Address and Zip Code of Recipient Purpose Code 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 Gash or Check 10j12 17 1 JOE BORTON FOR COUNCIL 50.00 — 10�12�17 2. CAVENER FOR IDAHO _ 50.00 4. -- 5. i 3 f I 6. E -� r $ 7. 8 -- i i�. 1 l I $ Total This Page: 100.00 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2 line 7. SCHEDULE C IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: GENESIS MILAM Contributor Name, Mailing Address and Zip Code HINDERER TAX & ACCOUNTING Purpose Codes 639.50 El General 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 & Polis E Event Expenses T Tickets (Events) F Food & Refreshments U 'Utilities G Generaf Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising I ' 01 ! 17! 17 Contributor Name, Mailing Address and Zip Code HINDERER TAX & ACCOUNTING 639.50 $ 639.50 El General PO BOX 592$ EAGLE, ID 83616 Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code SAME G $ 639.50 2, Contributor Name, Mailing Address and Zip Code 1 ! $ ❑ General _ � Calendar Year -To -Date Calendar Expenditure Name, Mailing Address and Zip Code Purpose Cade 3. Contributor Name; Mailing Address and Zip Code I ! $ 0 General $ Calendar Year -To -Dake Expenditure Name, Mailing Address and Zip Code Purpose Code 4. Contributor Name, Mailing Address and Zip Code I ! $ ❑ General $ Calendar Year -To -hate Expenditure Name, Mailing Address and Zip Code Purpose Code $ 0.00 Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $ 639.50 to the Detailed Summary, page 2 line 8) � 639-50 � � . � O Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2 line 3) CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) Seat (If any) GENESIS MILAM CITY COUNCIL 05 ai Ing Acioressan Ip ome ane or one PO BOX 428 MERIDIAN 83642-0428 208-3716009 ame O p ItiCa rea5[iPer MICHELE HINDERER, EA- HINDERER TAX & ACCOUNTING Flailing Acaress I and Zi �' p ame hone Work one PO BOX 692 EAGLE 83616 208-275-8877 ....„y- — ­­­ ­. �aljuiuc= Vi rVifflu f Vunarnluee La flolltical f reasurer U Section II TYPE OF REPORT This filing is an: 8 Original CI Amendment This report is for the period from I 1 through ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report W Annual Report Is this a Termination Report: El Yes n 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 1V. ❑■ 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 $ 508.25 Line 2: Enter Beginning Cash Balance— $ 508.25 $ XXXXXX Line 3: Total Contributions (Enter amount from fine 5, page 2) $ 0.00 $ 0.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 508.25 S 508.25 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 0.00 $ 0.00 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 508.25 $ 508.25 Line 7: Outstanding Debt to Date (Enter amount from fine 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 fine 6 of the fast 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 MICHELE HINDERER Name of Political Treasurer report is a true, complete augorwks Page 1 hereby certify that the information in this Financial Disclosure Report as required by law. bignature of Nolitical Treasurer