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October 10 Pre GeneralCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12/14 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Jeffrey Miller City Council 5 W455 Mdr6ss Gity an ipome one orPhone 3561 N Etta Way Meridian 83646 208.800.1527 $ Name of PoliticalTreasurer Jeffrey Miller Mailing Address City and Zip Home Phone ork Phone 3561 N Etta Way Meridian 83646 208.800.1527 0.00 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 10 Original ❑ Amendment This report is for the period from 09/05/2019 through 09/30/2019 ❑■ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column Il, Section IV. ❑ 1 hereby certify that I have received no contributions and have made no expenditures during this reporting period, Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I figures to the Column II figures of your previous report (except on line 6). Line 1: Cash on Hand January 1, This Calendar Year* Line 2: Enter Beginning Cash Balance** Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) COLUMN I COLUMN II This Period Calendar Year to Date $ XXXXXX $ 0.00 $ 0.00 $ XXXXXX $ 400.00 $ 400.00 $ 400.00 $ 400.00 $ 0.00 $ 0.00 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 400.00 $ 400.00 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 371.51 *This same figure should be entered on line 1 of all reports filed this calendar year. **This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0, Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Please remit to: Y cern City Clerk's Office Jeffrey Miller hereby that the information in this (� certify City of Meridian Name of Political Treasurer 33 E. Broadway Ave. report is a true, complete and correct Campaign Financial Disclosure port as required by law. Suite 104 Meridian, ID 83642 '1 (208) 888-4433 °t ,.. '� ' cityclerk@meridiancity.org S' n t r of Political Treasurer Page 1 LO T 12 13 14 15 16 1-1 18 DETAILED SUMMARY Name of Candidate or Committee: Jeff Miller for City Council Expenditures Total This Period Uniternized Expenditures (Less than $25) #of Expenditures 0 + $0.00 -Contributions-__ Uniternized Contributions ($50 and less) #of Contributors 0 + $0,00 Itemized Contributions (Total of all Schedule A sheets) . ..... ------ In-Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $400.00 + $0.00 --__._..........._._.__--_—._—_.._..___.._-..-- ..................Loans (Total of all New Loan amounts from Schedule D sheets) Loans + $0.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) . .... . . ...... $400.00 Expenditures ........... . . ...... ...... .. Uniternized Expenditures (Less than $25) #of Expenditures 0 + $0.00 Itemized Expenditures (Total of all Schedule B sheets) — - - --- - ------------- — --- — ------------- In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $0.00 + $0.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $0.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 . . ..... . . ..... Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) $0.00 . ......... Loans, Credit Cards and Debt ........... . . ...... ...... .. Outstanding Balance from previous reporting period + $0.00 ....... . . .. . ...... . . . . ...... . ...... . . .... ....... . . . . . ........ . ........ New Loans received during this reporting period ....... + $0.00 (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) = $0.00 New Credit Card and Debt incurred this reporting period + $371.51 (Total of all New Incurred Debt, amounts from Schedule E sheets) Subtotal $371.51 Repayments of Loans made during this reporting period $0.00 (Total of all Loan Repayment amounts from Schedule D sheets) Repayments of Credit Card and Debt this reporting period $0.00 (Total of all Debt Repayment amounts from Schedule E sheets) Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $371.51 Contributions .............. . ........... . . ...... ...... .. -Pledged . . ........ . . .... . . . . . . ..... .... ....... . Uniternized Pledged Contributions ($50 and less) # of Pledges 0 . + $0.00 Itemized Pledged Contributions- this Period (Total of all Schedule F sheets) + $0.00 Total Pledged Contributions this period . . ............................ . .. . . . . . . ................. .... ......... . . ...... . . . . .. ...... = $0.00 Page 2 SCHEDULE A Hage o 1 1 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Name of Candidate or Committee: Jeff Miller for City Council Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 9 / 06 / 19 1• Jeffrey Miller 3561 N Etta Way Meridian, ID 83646 100.00 $ $ 100.00 Calendar Year -To -Date 9 /20 /19 2• Lon Taitz 210 W. 103rd St New York, NY 10025 200.00 $ $ 200.00 Calendar Year -To -Date 9 / 25 / 19 3• Jeffrey Miller 3561 N Etta Way Meridian, ID 83646 100.00 $ $ 200.00 Calendar Year -To -Date 4. $ Calendar Year -To -Date 5, Calendar Year -To -Date 6, $ Calendar Year -To -Date 7, Calendar Year -To -Date 8. $ $ Calendar Year -To -Date 9, $ Calendar Year -To -Date 10, $ Calendar ea ate Total This Page; $ 400.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2, SCHEDULE E - CREDIT CARDS and DEBT Name of Candidate or Committee: Jeff Miller for City Council 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 a payment was made on the debt, list it in the Repayments column. Note: Any debt that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus New Debt less any Repayments of Debt. Name, Mailing Address and Zip Code of Previous Balance of New Debt amount Repayments of Debt Balance outstanding Creditor debt at the end of the incurred during this during this reporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1. Chase Date: Date: PO Box 6294 9 /30 /19 Carol Stream, IL 60197 0.00 Amount: Amount: 371.51 $ 371.51 $ 2. Date: Date: Amount: Amount: 3. Date: Date: Amount: Amount: 4, Date: Date: Amount: Amount: 5. Date: Date: Amount: Amount: 6, Date: Date: Amount: Amount: $ $ Previous Incurred Repayments Ending Balance Previous Total: $ 0.00 Incurred Total: (Transfer the combined total of all incurred debt to the $ 371.51 Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ 0.00 Detailed Summary, page 2 line 10 & 17) Ending Balance Total: $ 371.51 SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Name of Candidate or Committee: Jeff Miller for City Council Page o 1 2 [Name of Creditor from Schedule E: Chase Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when the debt was incurred. Purpose Codes (Enter up to 3 purpose codes per Expenditure.) a e Incurred FullName, Mailing Address and Zip Code ot Expenditure A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, TV, Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC's 0 Other Advertising (Yard Signs, Buttons, eta) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising The total of itemization for this creditor should equal the new loan amount listed on Schedule E forthis creditor. a e Incurred FullName, Mailing Address and Zip Code ot Expenditure Flurpose o e s moun 1. Vista Print Corp 9 09 19 275 Wyman St L 50.87 Waltham, MA 02451 2. Vista Print Corp 9 14 19 275 Wyman St L 25.13 Waltham, MA 02451 $ 3. victory Store, com 9 20 19 5200 SW 30th Street o 175.16 Davenport, Iowa 52802 $ 4. Google* Google Services 9 19 1600 Amphitheatre Parkway Z 12.00 /27 / Mountain View, CA 94043 $ 5. Wix.com, Inc 9 27 19 225 W 39th St Z 17.00 New York, NY 10018 $ 6, Facebook 9 19 1 Hacker Way g 2.00 /29 / Menlo Park, CA 94025 $ 7, Facebook 9 29 19 1 Hacker Way B 2.00 Menlo Park, CA 94025 8, Facebook 9 29 19 1 Hacker Way B 2.00 Menlo Park, CA 94025 $ 9• Facebook 9 29 19 1 Hacker Way B 3.00 Menlo Park, CA 94025 $ Total This Page: $ 289.16 The total of itemization for this creditor should equal the new loan amount listed on Schedule E forthis creditor. SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Name of Candidate or Committee: Jeff Millet' for City Council Page o 2 2 Name of Creditor from Schedule E: Chase Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it, The Schedule E-1 lists where and when the debt was incurred. Purpose Codes (Enter up to 3 purpose codes per Expenditure.) a e Incurred FullName, Mailing Address and Zip Code ot Expenditure A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, TV, Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC's 0 Other Advertising (Yard Signs, Buttons, etc.) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. a e Incurred FullName, Mailing Address and Zip Code ot Expenditure urpose o e s moun 1, Facebook 9 19 1 Hacker Way B 10.00 /29 / Menlo Park, CA 94025 $ 2, Facebook 9 29 19 1 Hacker Way B 7.00 Menlo Park, CA 94025 $ 3. Facebook 9 29 19 1 Hacker Way B 5.00 Menlo Park, CA 94025 $ 4. Facebook 9 29 19 1 Hacker Way B 3.00 / / Menlo Park, CA 94025 $ 5, Wix.com, Inc 9 29 19 225 W 39th St Z 14.95 New York, NY 10018 $ 6. Wix.com, Inc 9 29 19 225 W 39th St Z 6.50 / / New York, NY 10018 $ 7. Facebook 9 30 19 1 Hacker Way B 15.00 Menlo Park, CA 94025 $ 8, Facebook 9 30 19 1 Hacker Way B 15.00 Menlo Park, CA 94025 $ 9, Facebook 9 30 19 1 Hacker Way B 5.90 Menlo Park, CA 94025 $ Total This Page: $ 82.35 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.