HomeMy WebLinkAbout30 Day PostCAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
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Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Dom Gelsomino
Meridian City Council Seat 4
Calendar Year
"ai mg rens - --rCT(Fand
Zip
Home Phone
Work Phone
1495 S Tech Lane Apt G 200
Meridian 83642
$ 2,563.37
208-559-3065
Name of o icaTreasurer
Brennan Wurtz
aling rens —T�W`and
Zip
Home Phone
lork Nona
231 Young Ave
I Nampa 83651
208-6977872
Change of address for: Candidate or Political Committee Q Political Treasurer d
Section II TYPE OF REPORT
This filing is an: ® Original 1 d Amendment
This report is for the period from f2. a� 1 through II )`
0 7 Day Pre -General Report
Is this a Termination Report: A Yes
is
30 Day Post -General Report
E] October 10 Pre -General Report
E] Annual Report
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 11, Section IV,
IJ 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 t
figures to the Column Il 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)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2)
COLUMN I
COLUMN II
This Period
Calendar Year
to Date
$ XXXXXX
394.44
$ 2,563.37
$
XXXXXX
220.00
ti
2,957.81
$ 2,783.37
�ry
3,352.25 _
$ 2,783.37
3,352 25LL ___...
$ 0.00
T 0.00
$ 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 Clerk's Office
City of Meridian
33 E. Broadway Ave.
Suite 104
Meridian, 10 83642
(208)888-4433
clerk@,morldiancity.org
Brennan Wurtz hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign ancial Disclosure port as required by law.
Signature of Yolifical Treasurer
Page 1
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0
0
0
0
10
11
12
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DETAILED SUMMARY
Name of Candidate or Committee: Dom G Isom no
Expenditures
Total This Period
Contributions
+ 15.80
nitemized Contributions ($50 and less) of Contributors 2
+ 70.00
temized Contributions (Total of all Schedule A sheets)
+ 150.00
n -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+
cans (Total of all New Loan amounts from Schedule D sheets)
+
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
=220.00
Expenditures
nitemized Expenditures (Less than $25) of Expenditures 2
+ 15.80
temized Expenditures (Total of all Schedule B sheets)
+ 2,767.57
n -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+
can Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+
relit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
= 2,783.37
Loans, Credit Cards and Debt
utstanding Balance from previous reporting period
+
ew Loans received during this reporting period
Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+
ew Credit Card and Debt incurred this reporting period
Total of all New Incurred Debt amounts from Schedule E sheets)
+
ubtotal
-
epayments of Loans made during this reporting period
Total of all Loan Repayment amounts from Schedule D sheets)
epayments of Credit Card and Debt this reporting period
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)
Pledged Contributions
nitemized Pledged Contributions ($50 and less) of Pledges
+
temized Pledged Contributions this Period (Total of all Schedule F sheets)
+
Total Pledged Contributions this period
=
Page 2
SCHEDULE A Page o
3 3
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: Dom G Isom no
Date Received
ull Name, Mailing Address and Zip Code of Contributor
ash or Check
10 / 1 / 7
1. Harm n Avera
947 E Saint M rtin Dr.
M ridian, ID 83642
150.00
$
Calendar Year -To -Date
2.
Calendar Year -To -Date
3.
Calendar Year -To -Date
/ I
4.
$
Calendar Year -To -Date
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:
150.00
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
4 4
I Name of Candidate or Committee: Dom G Isom no I
up to o purpose coaes per
II Travel Expenses (Airfare, Fuel, Lodging & Mileage)
roadcast Advertising (Radio, TV, Internet & Telephone)
ontributions to Candidates & PAC's
onations & Gifts
vent Expenses
ood & Refreshments
eneral Operational Expenses
ndependent Expenditures
iterature, Brochures, Printing
anagement Services
ewspaper & Other Periodical Advertising
ther Advertising (Yard Signs, Buttons, etc.)
ostage
urveys & Polls
ickets (Events)
tilities
ages, Salaries, Benefits & Bonuses
etition Circulators
reparation & Production of Advertising
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 Recipienturpose
o e s
ash or Check
1. ECanvasser
G
Unit 6A, South Ring Business Park, Kinsale Rd, Ballyphehane,
10
4
7
Cork, Ireland
50.98
/ /
$
2. Facebook
O
1 Hacker W y,
11
1
7
M No Park, CA 94025
364.44
/ /
$
3. FLS Connect
O
7300 Hudson Blvd, Suite 270
11
2
7
Saint Paul M , 55128
250.00
/ /
$
4. M jority Strategies
O
12854 Kenan Drive, Suite 145
11
7
7
Jacksonville, Florida 32258
2,102.15
/ /
$
5.
1 i
$
6.
7.
8.
$
9.
10.
$
Total This Page:
2,767.57
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.