48-Hour Notice 2019-10-2848 HOUR NOTICE C-5
v4 °� OF CONTRIBUTIONS / LOANS RECEIVED Rev. 01115
of $1,000 or more
7
Directions: Use this form to report any contribution of one thousand dollars ($1,000) or more, received after
the sixteenth (16) day before, but more than forty-eight (48) hours before, any primary or general 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
ES
U �uu`{. Z_---
$ 1,000.00
$
$
2.
3.
$
$
$
City Clerk Contact Info .teff C. Black
I, ,hereby certify that the information in this
Name of Political Treasurer
report is true, complete and correct.
N
Signature of Political Treasurer