HomeMy WebLinkAbout30 Day PostCAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
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Name of Candidate or Political Committee and Chairperson
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Office Sought (if candidate)
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COLUMN I
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ame of Politicalrer
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ity an Zip
Home Phone
Work Phone
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: ❑ Original ❑ Amendment
This report is for the period from _L0 _93 17 through
[]October 10 Pre -General Report
❑ 7 Day Pre -General Report 9 30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: ❑ Yes t 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 11, 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 11 figures of your previous report (except on line 6).
This Period
Calendar Year
toDate
Line 1: Cash on Hand January 1, This Calendar Year*
$ XXXXXX
$ T7.
Line 2: Enter Beginning Cash Balance*"
$ 3 334•71
$ XXXX X
Line 3: Total Contributions (Enter amount from line 5, page 2)
$ I I 1 ae1r.00
$ 15,: t SQ. 4a
Line 4, Subtotal (Add lines 1, 2 and 3)
$ 414-61-11
$ `J r �J �•%. p �
Line 5: Total Expenditures (Enter amount from line 11, page 2)
$ 0 2 ,1"3
$ t • 67
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
$ f � T.
co�
�j�
$
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:
City Clerk's Office
City of Meridian
33 E. Broadway Ave.
Suite 104
Meridian, ID 83642
(208) 888-4433
clork@moridiancity.org
S�4to
om iii, hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Page 1
of Wbtftical Treasurer
DETAILED SUMMARY
Name of Candidate or Committee:"'p
Contributions
Total This Period
_ _ _
�Unitemized Contributions ($50 and less) # of Contributors
+ $ -—
Itemized Contributions (Total of all Schedule sheets) T
+ $(a QD
UPS
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
In -Kind
$ "'(n)'
Total of all New Loan amounts from Schedule D sheets
Loans ( )
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
+ $
_ $
®
g
Unitemized Expenditures (Less than $25) - _-----# of Expenditures ---_
Itemized Expenditures (Total of all Schedule B sheets)
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $—_
+ $
+ $ -—
g
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $
1 p
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+ $
11
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
12
13
14
15
16
18
Page 2
SCHEDULE A page o %
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: OF 14Y1)
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
'� I\�
0 Prima
0 General�r��y�r�,��/,
1.i
l t'>� ` !1(.i1li)"i
III �VJ(I�Io16 T'(A.i �
�� i J\1 <��
�_.
$ `� 1 ���
$ <
Calendar Year-To-DaFe
4 .�ille-"#, kI)vk'A
)0 o }
/�`,E'11 l��lnl ( 0 �(/l,
$ S6 -
$
0 Primary
General
CalendarYear-To-Date
0 Primary
0 General/�>'`"
1/c,
«
$
CalendarYear-To-Date
0 Primary
0 General
4. l��r�LfJ Ca�!
�� 0 Vie- (� r
$ d t
$ �)
Calendar Year -To -Date
Iv
rl��f1,
I`V���1��y�.• "I ; f�%r�
$ 62)
( S-?-) ,,-
$
Primary
0 General
Calendar Year -To -Date
6, /
I---. "r-
❑ Primary_[���
❑General
Calendar Year -To -Date
0 Primary
0 General
G��< 1 / �� (
-
Calendar Year -To Date
$,0
l,.J�)7?
` Y it t`t'J_�,�()
l
$
Primary
0 General
Calendar Year -To -Date
�l/Y
Primary
0 General
i `�' � `� � � �
�� j,' 17V) "�
CalendarYear-To-Date
0 Primary
0 General
10,
k.)
Calendar Year -To Date
Total This Page:
�"0 ( IBJ j "'
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2,
Date Spent
Fullame, Mailing Address and zip Code ot Recipienturpose
SCHEDULE B Pagej o '
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name
of Candidate or Committee:
:Tdis Rakrow
Purpose Codes n er up to 3 purpose co es per
Expenditure.)
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising
B
Broadcast Advertising (Radio, TV, Internet & Telephone) 0 OtherAdvertising (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
Fullame, Mailing Address and zip Code ot Recipienturpose
o e s)
Cash or CheCK
PQ
ME
p
1D /36/1'!0
�f1�° ruut
olid?
2.
$
3.
/ I
$
4.
I /
$
5.
! J
$
6.
7.
$
8.
1 1
$
9.
1 1
$
10.
Total This Page:
$ 4HO
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.