48-Hour Notice 2019-10-23r �q� 48 HOUR NOTICE c-5
OF CONTRIBUTIONS / LOANS REC IV D Rev. 01/15
of $1,000 or moreCET`%E
OCT 2 3 2019
Directions: Use this form to report any contribution of one thousand dollars .(6c ��arygor `A Q D1 ived after
the sixteenth (16) day before, but more than forty-eight (48) hours before, any prime'�R election.
Notification must be made within forty-eight (48) hours after receipt of such contribution. (Sec. 67-6607(c), I,C)
2019 Elections
48 Hour Notice required for
contributions:
Cash or
In -Kind
General
Election
October 21, 2019 through
November 2, 2019
This requirement applies to all types of
contributions, including but not limited to:
• cash contributions
• in-kind contributions
• loans
contributions or personal loans made
by the candidate
Name of Candidate or Committee:I District (if applicable)
Palmer for Meridian
Mailing Address:
1524 N. Meridian Rd
City and Zip Code:
Meridian, ID 83642
Date
Full Name, Mailing Address and Zip Code
Cash or
In -Kind
Received
of Contributor/Lender
Check
(non -monetary)
Loan
Shaun Fickes
1.6554 N. Fox Run
10/22/19
Meridian, ID 83642
1,000.00
$
$
$
2.
3.
$
$
$
City Clerk Contact Info ,Jeff C. Black
I, ,hereby certify that the information in this
Name of Political Treasurer
report is true, complete and correct.
Signature of Political Treasurer