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30-Day Post-General
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Section I (c Ott : C-2 Rev. 12/14 ®J Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Palmer for Meridian Mayor Mailing Address ian p Home Phone Work Phone 1524 N. Meridian Rd Meridian 83642 208 941 2039 208 941 2039 Name of PoliticalTreasurer Jeff Black Mailing Address Gty an Zip Home Phone Work Phone 482 W. Davenport St. Meridian 83646 208 599 1346 208 363 4702 Change of address for: Candidate or Political Committee ❑ Political Treasurer 0 Section II TYPE OF REPORT This filing is an: © Original ❑ Amendment This report is for the period from 11/21/2019 through 11/159019 / []October 10 Pre -General Report ❑ 7 Day Pre -General Report ® 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes 0 No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. ❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN 11 figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ 0.00 Line 2: Enter Beginning Cash Balance** $ 25,059.20 $ XXXXXX 00 895. Line 3: Total Contributions (Enter amount from line 5, page 2) $ 6, $ 87,500.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 31,954.20 $ 87,500.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 31,299.13 $ 86,844.93 07 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 655. $ 655.07 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 0.00 *This same figure should be entered on line 1 of all reports filed this calendar year. **This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V Please remit to: City Clerks office I, Jeff Black hereby certify that the information in this City of Meridian Name of Political Treasurer 33 E. Broadway Ave. report is a true, complete and orrect Campaign Financi Disclosure Report as required by law. Suite 104 Meridian, ID 83642 (208) 888-4433 cityclerk@meridiancity.org Signature of Political Treasurer Paqe 1 T 12 13 14 15 16 0 18 DETAILED SUMMARY Name of Candidate or Committee; Palmer for Meridian Expenditures Total This Period Contributions + $13.00 Unitemized Contributions ($50 and less) # of Contributors 2 + $95.00 Itemized Contributions (Total of all Schedule A sheets) + $6,800.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $0.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $0.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $6,895.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $13.00 Itemized Expenditures (Total of all Schedule B sheets) + $31,286.13 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $0.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $0.00 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ $31,299.13 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $0.00 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ 0.00 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + 0.00 $ Subtotal = $0.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) - $ 0.00 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - $ 0.00 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $0.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $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 Page ° ITEMIZED CONTRIBUTIONS 1 2 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Palmer for Meridian Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 1. Dennis Butterfield 100.00 10 9251 S. Perfect Lane $ 100.00 /21 /19 Kuna, ID 83634 $ Calendar Year -To -Date 2. Bayer for Idaho 500.00 10 19 265 E. Calderwood Dr. $ 500.00 X21 Meridian, ID 83642 $ Calendar Year -To -Date 3, John and Judy Vanderwoude 250.00 10 5311 S. Ridgewood Rd $ X22 X19 Nampa, ID 83687 250.00 $ Calendar Year -To -Date 4, Shaun Fickes 1,000.00 10 6554 N. Fox Run Ave $ X22 X19 Meridian, ID 83646 1,000.00 $ Calendar Year -To -Date 5. UP Railroad Company 500.00 10 19 599 W. Bannock St. Suite B $ X22 Boise, ID 83702 500.00 $ Calendar Year -To -Date 6. ESI 1,000.00 10 3330 E. Louise Dr. Suite 300 $ X25 X19 Meridian, ID 83642 1,000.00 $ Calendar Year -To -Date 7, Louis and Kay McGinley 100.00 10 19 3548 N, Heritage View Ave $ 100.00 X28 Meridian, ID 83646 Calendar Year -To -Date g, Skip and Melinda Smyser 400.00 10 26298 Lee Lane $ 400.00 X30 X19 Parma, ID 83660 Calendar Year -To -Date 9, M.M. Demolition 500.00 10 19 7695 S. Locust Grove Rd. $ X30 Meridian, ID 83642 500.00 $ Calendar Year -To -Date 10. Jordan and Rebecca Moorhouse 250.00 10 2549 W. Tango Creek Dr. $ 250.00 X30 X19 Meridian, ID 83466 Calendar Year -To -Date Total This Page: $4,600.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE A Page o ITEMIZED CONTRIBUTIONS 2 2 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Palmer for Meridian Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 /31 /19 1.Centurylink ID Political Action Comm 999 Main St. 11th Floor Boise, ID 83702 1,000.00 $ $ 1,000.00 Calendar Year -To -Date 11 /03 /19 2. Doug and Ranae Mellor 4374 N. Rosepoint Ave Meridian, ID 83646 100.00 $ $ 100.00 Calendar Year -To -Date 11 /04 /19 3, US Ecology Inc. 101 S. Capitol Blvd Suite 1000 Boise, ID 83702 $ 750.00 $ 750.00 Calendar Year -To -Date 11 /04 /19 4. Mike Reynoldson 2025 Warm Spring Ave Boise, ID 83712 250.00 $ $ 250.00 Calendar Year -To -Date 11 /04 / 19 5. Lance and DeeDee Clow 2170 Bitterroot Dr. Twin Falls, ID 83301 100.00 $ $ 100.00 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 Year -To -Date Total This Page: $2,200.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B Page1 ° 3 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of candidate or Committee: Palmer for Meridian urpose Codes (Enter up to 3 purpose codes per Expenditure. Cash or Check A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surreys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent FullName, Mailing Address and Zip Code ot Keapienturpose o e s) Cash or Check 1. Dylan Doan 2706 S. Kimball M 10 21 19 Caldwell, ID 83605 500.00 2, Harris Rebar 2161 E. Lanark St. O 10 22 19 Meridian, ID 83642 121.14 3, Home Depot 1100 S. Progress O 10 22 19 Meridian, ID 83642 33.98 4. Johnny's Pizza 1526 N. Main St. F 10 22 19 Meridian, ID 83642 69.90 5. Meridian Resources PO Box 1671 M 10 24 19 Boise, ID 83701 9,600.00 6. Agency Creative Network 121 N. 9th St. Suite 101 B 10 28 19 Boise, ID 83702 2,000.00 7 Agency Creative Network 121 N. 9th St. Suite 101 B 10 28 19 Boise, ID 83702 950.00 8. Krispy Kreme 1525 N. Eagle Rd. F 10 28 19 Meridian, ID 83642 32.84 I I $ 9, Tractor Supply 979 N. Meridian Rd E 10 29 19 Kuna, ID 83634 164.29 10, Agency Creative Network 121 N. 9th St. Suite 101 B 10 30 19 Boise, ID 83702 1,250.00 I / $ Total This Page: Is 14,722.15 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE B age2 0 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Palmer for Meridian Purpose Codes (Enter up to 3 purpose codes per Expenditure. A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date Spent FullName, Mailing Address and Zip Code ot Kecipienturpose o e s) Cash or Check 1 Meridian Resources PO Box 1671 B 10 30 19 Boise, ID 83701 5,950.00 2, Auto Sort 7289 W. Airway Ct. L 10 31 19 Boise, ID 83709 1,403.77 I / $ 3, Syline Consulting 3050 Syline Dr. M 11 01 19 Schenectady, NY 12306 1,190.00 4. Dylan Doan 2706 S. Kimball F 11 02 19 Caldwell, ID 83605 400.00 5. Mark Belluzzo 620 Brookdale Dr. F 11 02 19 Boise, ID 83712 400.00 g. Pastry Perfection 5855 N. Glenwood St. 0 11 02 19 Boise, ID 83714 27.04 I I $ 7 Bryant 149 S. Adkins Way STE 101 0 11 02 19 Meridian, ID 83642 185.50 $, Shari 895 S. Progress Ave F 11 04 19 Meridian, ID 83642 55.08 g, Victory Phones 2900 Wilson Av SW #101 B 11 04 19 Grandville, MI 49418 2,000.00 10. Dylan Doan 2706 S. Kimball M 11 04 19 Caldwell, ID 83605 1,047.00 $ Total This Page: $ 12,658.39 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Date SCHEDULE B Page3 o 3 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Palmer for Meridian FullName, Mailing Address and Zip Code ot Recipienturpose urpose`odes (Enter up to 3 purpose codes per Expenditure. Cash or ec A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Date Spent FullName, Mailing Address and Zip Code ot Recipienturpose o e s) Cash or ec 1 Athena Strategy 5832 N. Black Sand Ave O 11 11 19 Meridian, ID 83646 1,305.59 2. Meridian Resources PO Box 1671 M 11 11 19 Boise, ID 83701 1,650.00 3. Piper Emory 1012 Augusta Dr. G 11 11 19 Nampa, ID 83686 950.00 4. 5. 6. 7. 8. 9. 10, Total This Page: $ 3,905.59 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.