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CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
C-2
Rev. 12114
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Rudy L. Patrick
City Council
County
Mailing Address
Home Phone
WorK Phone
82 S. Baltic Avenue
Meridian 83642
208-412-5557
888-602-6186
Name of Political Treasurer
Michelle Leverett
ailing ress
City and Zip
Home Phone
Work Phone
215 E. Franklin Road
Meridian 83642
208-577-2443
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: 0 Original ❑ Amendment
This report is for the period from 10/21/2019 through 11/15/2019 /
❑ October 10 Pre -General Report
❑ 7 Day Pre -General Report 0 30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: m 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 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 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 $
Line 2: Enter Beginning Cash Balance** $ $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ 154.75 $
Line 4: Subtotal (Add lines 1, 2 and 3) $ $
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 154.75 $
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $
Line 7: 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 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
City Clerk's Office
Michelle Leverett hereby cern that the information in this
I,
City of Meridian Name of Political Treasurer
33 E. Broadway Ave. report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Suite 104
Meridian, ID 83642 -
(208)888-4433
cityclerk@meridiancity.org Sibr6ture of Political Treasurer
Page 1
SCHEDULE A Page o
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: Rudy L. Patrick
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
11 / 7 / 19
1. Rudy L. Patrick
82 S. Baltic Avenue
Meridian, Idaho
$ 154.75
Calendar Year -To -Date
/ I
2.
$
$
Calendar Year -To -Date
3.
Calendar Year -To -Date
/ I
4.
$
$
Calendar Year -To -Date
I I
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 Year -To -Date
Total This Page:
$154.75
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Page o
Name of Candidate or Committee: Rudy L. Patrick I
trurpose uoaes (tnter up to s purpose coaes per txpenaiture.)
i-ullName, Mailing Address and Zip Code ot Recipienturpose
o e s)
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
i-ullName, Mailing Address and Zip Code ot Recipienturpose
o e s)
Cash or Chec
I. Facebook
N
107 A -C—
11 5 19
455
2• Home Depot
0
47 a -o
10 27 19
3.
4.
5.
6.
7.
8.
9.
10.
Total This Page:
$ 154.75
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
04 -