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30 Day Post General Termination
OCT -26-2013 11:51 From:MERIDIAN-HIGH SCHOOL 2083504178 To:98884218 Paee:2�10 CAMPAIGN FINANCIAL DISCLOSURE REPORT RE C T ''' "1 C-2 LL �r Rev. 10107 SUMMARY PAGE (Please Print or Type) NOV 21.2013 CITY ui-vl�a opax CITY CI FizieQ nrcinr- Section 1 _-. Name of Candidate or Political Committee and Chairperson --' " Sought Candidate) �eot (if any) MeOffr City Council 5 Jeff HoseleyMeridian y an ip oma one or one ai�ng ress 1076 N Casa Loma Meridian 83642 855-0251 350-4160 emeo el Ce o—asuref Jeffrey Hoseley wnyamuLlp Kome Mile o one al ng rosy 1076 N Casa Loma Meridian 83642 855-0251 350-4160 Change of address for. Candidate or Political Committee u rolirlcai i ieasuicr L__I Section II TYPE OF REPORT This riling is on: 8 Original 0 Amendment This report is for the period from j 0 121 12013 through 11 15 2013 ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑i 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑✓ Yes ❑ No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures d mithis Calendar Year period, Date" figures ethe s in Colunext omo IIS staSectement t below and sign this report. Be sure to carry forward the appropriate9 © 1 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 CalendarDateear Line 1: Cash on Hand January 1, This Calendar Year' $ XXXXXX $ Line 2: Enter Beginning Cash Balance" $ 0'00 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 0_00 $ 109.19 Line 4: Subtotal (Add lines 1, 2 and 3) $ 0.00 $ 109.19 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 0.00 $ 109.19 Line 6: Enter Ending Cash Balance (Subtract lino 5 from line 4) $ 0.00 _ $ 0.00 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 calendaryear. 'This is the figure on line 6 0l 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 Jeff Hoseleyce tify, that the information in this Name of Political Treasurer report is a trate, complete and correct campaign Financial ' closure Report as required by law. Page 1 OCT -2G-2013 11:51 From:NERIDIRN-HIGH SCHOOL 2083504178 To:98884218 Paee:3i10 DETAILED SUMMARY Name of Candidate or Committee: Jeff HOSeley _ -- Total This Period Contributions OIItemized Contributions (Total of all Schedule A sheets) --- - +—$0.00 1 Unitemized Contributions $50 and less # of Contributors + — — 3Q; In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 4 Loans Total of all New Loan amounts from Schedule D sheets) + 5Q j Total Contributions (Transfer this figure to page 1, Section IV, Line 3) —�^— $ 0.00 ©' Unitemized Expenditures ($25 and less) # of Expenditures 6-0U + $0.0_0_ _ 7 j Itemized Expenditures (Total of all Schedule B sheets) + $ g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ ® Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ — — 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ I Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ — _ $ 0.00 — — Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) New Credit Card and Debt incurred this reporting period ` $ l (Total of all New Incurred Debt amounts from Schedule E sheets) + $ — Subtotal... .._ --- -- -- -- _ _ $ 0.00— ----- Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets)w $ 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) i Pledged Contributions @)i Unitemized Pledged Contributions ($50 and less) �# of Pledges ®0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributions this period Page 2 4 $ $ 0-00 OCT -26-2013 11:51 From:MERIDIRN-HIGH SCHOOL 2083504178 To:98884218 Paee:4�10 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period ago 0 Name of Candidate or Committee: Jeff HOSeley Full Name. Mailing Address and Zip Code of Contributor Cash or Check Dale Received 0 General 1. $ $ Calondar Year-To-oate 2. $ $ ❑ General Calender rear -TO -Dare !j— _ 3. $ ❑ General Calondar Year -To -Dale O General 4. $ Calendar rear -To -Date 5. $ __...... ....- Calendar Year _To-Dato 0 General 6. $— - ❑ General Calendar Year -To -Date -J—j_. 7. $ IJ General CalendarYeor-T"ate B. $ ❑ General Calendar Year -To -Date 9. $ $ 0 General Calendar Year -To -Dula Q General 10. $ $ CelendarYear-To-Dalo Total This Page: $ 0.00 Transfer the combined total of all Schedule A pages to the Detailed summary on page 2 Ilne z. OCT -26-2013 11:51 From:MERIDIAN-HIGH SCHOOL 2083504178 To:98884218 Paae:5�10 SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period IName ofCandidate orCommittee; Jeff Hoseley Purpose Codes Full Name, Mailing Address and Zip Code of Recipient Purpose Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 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, Salorios, Benefits & Bonuses L Literature, Brochures, Prinling Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 2. lam— $ 3. I I $ 4. $ 5. $ 6. 7. —/J $ 8. 9. Total This Page: $ 0.00 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. OCT -26-2013 11:-51 From:MERIDIRN-HIGH SCHOOL 2083504178 To:98884218 SCHEDULE C IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: LL Purpose Codes A All Travel Expenses (Alrrare, Fuel, Lodging & Miloago) B Broadcast Advertising (Radio, TV & Internet) C Contributions to Candidates & PAC's N Newspaper & Other Periodical Advertising 0 OtherAdvertising (Yard Signs, Buttons, etc.) D Donations & Gigs S E Event Expenses T F Food & Refreshments U G General Operational Expenses W L Literature, Brochures, Printing Y M Management Services Z Postage Surveys & Polls Tickets (Events) Utilities Wages, Salaries, Benefits & Bonuses Petition Circulators Preparation & Production of Advertising Paoe:6�10 age o 1. Contributor Name, Mailing Address and Zip Code —1-1 $ ❑ General $ Calendar Year•To-earo Expenditure Name, Mailing Address and Zip Code Purpose Code 2- Contributor Name, Mailing Address and Zip Code ❑ General Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code 3. Contributor Name, Mailing Address and Zip Code __J_j_ $ ❑ General $ Calendar Yeer-To-Date Expenditure Name, Mailing Address and Zip Code Purpose Code $ 4. Contributor Name, Mailing Address and Zip Code ❑ General $ CxlendarYear•To-Dale Expenditure Name, Mailing Address and Zip Code Purpose Code $ 0.00 Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $0.00 to the Detailed Summary, page 2 line 8) $0.00 Contributor Total; (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2line 3 Ul, l-Cb-C✓J1J 11: JC F r'om: I'ItK11J1HN-N1(n i bUhUUL d0d,5S041 (U 10: Fa se: 7�1e SCHEDULE D LOANS Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67.6610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Anynew loan amounts should be listed in the Now Loan column. Any interest accrued should be listed in the Interest Accrued column. If a payment was made on the loan, list it in the Repayments column. Note: Any loan that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus new loans and accrued interest less any repayments, Name, Mailing Address and Zip Previous Bolanoe Now Loan amount Interest accrued Repayments of Loan Balance Code of Lender of loan at the received during this during this during this reporting outstanding at (Candidate, Individual of Business) end of the last reporting period reportng period period the end of this reporting period reporting period 1 Date: Date: 10 13 00 Amount; Amount: 2 Date: ate: Amount: Amount: $ $ 3 ale: Dale: Amount; Amount: q Date: Date. Amount: Amount: y Dale; Dale: Amount: Amount: 6 Date: Date; Amuunl. Amount: 7, Dale: Date: Amount Amount: $ $ Previous Received Interest Repayments Ending Balance Previous Total $0.00 ecelve oa: (Transfer the combined total of all received loans to the $ 0, 00 Detailed Summary, page 2 line 4) Interest Total: $ 0 Repayments Total: (Transfer the combined total of all loan repayments to the $ 0, 00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ 0.00 (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) OCT -26-2013 11:52 From:MERIDIAN-HIGH SCHOOL 2083504178 To:98884218 Paoe:8�10 SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a credit card or incur debt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to that item. Each Creditor listed below with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when the debt was incurred. Credit Cards are considered debt to the campaign. Regardless of whether the credit card is repaid when the statement is received, all credit card transactions will appear on Schedule E and E•1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of [he Detailed Summary Page. Any creditor(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new debt should be listed in the New Debt column, including any accrued interest. If a payment was made on the debt, list it in the Repayments column. Note: Any debt that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus New Debt less any Repayments of Debt - Name, Mailing Address and Zip Code of Previous Balance of New Debt amount Repayments of Debt Balance outstanding Credilor debt at the end of the incurred during [his during this reporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1. Data: Date: Amount: Amount: 2. Date: Date: Amount: Amount: 3. Data: Dato: Amount: Amount: $ $ _ 4. Dale: Date: Amount: Amount, $ $ 5. Data: Date: Amount: Amount: 6. Dale: Date: f, I,J_ Amount: Amount: $ $- Previous Incurred Repayments Ending Balance Previous Total: $ 0.00 Incurred Total: (Transfer the combined total of all incurred debt to the $ 0.00 Detailed Summary, page 2line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ 0.00 Detailed Summary, page 21ine 10 S 17) Ending Balance Total: $ 0.00 DCT -26-2013 11:52 From:NERIDIRN-HIGH SCHOOL 2083504178 To:%884218 SCHEDULE E-1 CREDIT CARD and DEBT ITEMIZATION Paee:9�10 eye o Name of Creditor from ScheduleE:Jeff HOseley Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accomoanvino it The srhadnla PA rom u hara and wh.. the debt was incurred. Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Intemet) 0 OtherAdvertising (Yard Signs, Buttons, e(c.) C Contributions to Candidatcs & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) . F Food & Refroohmonls U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Purposo Codo Amount 1. 2. 3. —1�— $ A. $ S. —1� $ 6. $ 7. 8. 9. $ Tolal This Page: -n • 00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. ui.i -GO-GG1J 11.Jc rromw1'IcrC1G1HV-M1UM nINUUL C:UM)DG41rd 10: Jdbd4,--1C SCHEDULE F PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED 1-'ape:1W1 1W app a Name of Candidate orCommittee:Jeff Howley od but ve not aoods or services Complete this schen the end of r eppponed and periods ed to 9cc not include these ention during uies on Scheldule A until your aauallyreco'welho conlributand the money. 761a)Arnountof Pledged Contributions; $ v.vv Transfer the combined total of all Schedule F pages to the Delailed Summary on page 2line 20.