HomeMy WebLinkAboutOctober 10 Pre GeneralCAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE RECETVED Rev 10107
(Please Print or Type) OCT 0 3 2013
Sertinn I CITY OF Citii>.
Name of Candidate or Political Committee and Chairperson
Office Soug t(i Ceat(if any)
Jeff Hoseley
Meridian City Council 5
Mailing Address
uity and Zip
Home Phone
vvorK Frone
1076 N Casa Loma
Meridian, ID, 83642
855-0251
350-4160
Name of PoliticalTreasurer
Jeff Hoseley
Mailing Address
City and Zip
Home Phone
Work Phone
1076 N Casa Loma
Meridian, ID, 83642
855-0251
350-4160
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 9L 3 13 through 9 130 /13
M October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: E] Yes
❑ 7 Day Pre -General Report
No
❑ 30 Day Post -General 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 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*
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 Dale (Enter amount from line 18, page 2)
$ XXXXXX
$
$ 0.00
$
XXXXXX
$ 102.00
$
102.00
$ 102.00
$
102.00
$ 11.09
$
11.09
$ 90.91
$
90.91
$ 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
Jeff Hoseley
report is a true, complete and correct Campaign
Page 1
that the information in this
Report as required by law.
T
0
12
13
14
15
16
(T
0
(9
q0)
DETAILED SUMMARY
lame of Candidate or Committee: Jeff Hoseley
Total This Period
........... ................................ . ......... - --_------------
Expenditures .............
.......
Outstanding Balance from previous reporting period
Uniternized Expenditures ($25 and less) #of Expenditures 1.00
+ $11.09
---
Itemized Expenditures (Total of all Schedule B sheets)
+ $
New Credit Card and Debt incurred this reporting period
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
$
Repayments of Loans made during this reporting period
Credit 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)
$11.09
(Total of all Debt Repayment amounts from Schedule E sheets)
---- ------ -
Loans, Credit Cards andDebt
.... ...... -------- ---- - ------ --------
--T - -- ---- ------
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
(Total of all New Incurred Debt amounts from Schedule E sheets)
- - ----- - - ------- ---- ......... ..... ..... ... ... .... . ...... . -------- ---- ------ -
+ $
Subtotal
........ . . .......... _-.1-1 - -------- ---
= $000
- - _-_---- - -------
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$
Repayments 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)
$0.00
Pledged Contributions
Uniternized Pledged Contributions ($50 and less) # of Pledges
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $
Total Pledged Contributions this period
$0.00
-----
Page 2
SCHEDULE A age o
ITEMIZED CONTRIBUTIONS 1 1
of more than Fifty Dollars ($50.00) this period
Name of Candidate or committee: Jeff Hoseley
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
9 25 13
/—/
1
The Hoseley Family Trust; Ralph & Delores Hoseley
2178 S Crosscreek Lane, Boise ID 86706
$ 100.00
$ 100.00
8 General
Calendar Year -To -Dale
/ I
2.
❑ General
Calendar Year -To -Date
I I
3.
❑ General
Calendar Year -To -Date
4.
❑ General
Calendar Year -To -Date
5.
❑ General
Calendar Year -To -Date
6.
❑ General
Calendar Year -To -Date
I /
7.
❑ General
Calendar Year -To -Date
8.
❑ General
Calendar Year -To -Date
I /
9.
$
$
❑ General
Calendar Year -To -Date
I I
10.
$
❑ General
Calendar Year -To -Dale
Total This Page:
$100.00
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
Dale Spent
SCHEDULE B Page o
ITEMIZED EXPENDITURES 1 1
Twenty-Five Dollars ($25.00) or more this period
Name of Candidate or Committee: Jeff HOSeley
Cash or Check
Purpose Codes
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, Salaries, Benefits & Bonuses
L
Literature, Brochures, Printing
Y
Petition Circulators
M
Management Services
Z
Preparation & Production of Advertising
Dale Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cash or Check
1.
2.
3.
$
4.
$
5.
6.
7.
8.
I I
$
9.
$
10.
I I
$
Total This Page:
$ 0.00
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7.
SCHEDULE C
IN-KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or Committee: Jeff Hoseley
Purpose Codes
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
B Broadcast Advertising (Radio, TV & Internet) 0
C Conlribulions to Candidates & PAC's P
D Donations & Gifts S
E Event Expenses
F Food & Refreshments
G General Operational Expenses
L Literature, Brochures, Printing
M Management Services
T
U
Newspaper & Other Periodical Advertising
Other Advertising (Yard Signs, Buttons, etc.)
Postage
Surveys & Polls
Tickets (Events)
Utilities
W Wages, Salaries, Benefits & Bonuses
Y Petition Circulators
Z Preparation & Production of Advertising
Page o
1 1
1.
Contributor Name, Mailing Address and Zip Code
$
❑ General
Calendar Year -To -Dale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
0
$
2.
Contributor Name, Mailing Address and Zip Code
/
$
❑ General
Calendar Year -To -Dale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$
3.
Contributor Name, Mailing Address and Zip Code
❑ General
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
4.
Contributor Name, Mailing Address and Zip Code
I I
$
❑ General
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$ 0.00
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages D.00
to the Detailed Summary, page 2 line 8)
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages
0.00
to the Detailed Summary, page 2line 3)
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. Any new loan amounts
should be listed in the New 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 Balance
New 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 or Business)
end of the last
reporting period
reporting period
period
the end of this
reporting period
reporting period
1
Date:
Date:
10 / 13 / 09
Amount:
Amount:
2
Date:
Date:
Amount:
Amount:
3
Date:
Dale:
Amount:
Amount
4
Dale:
Date:
Amount:
Amount
5
Date:
Dale:
Amount:
Amount:
6
Dale:
Date:
Amount:
Amount:
7
Dale:
Dale:
Amount:
Amount:
$
$
Previous Received Interest Repayments Ending Balance
Previous Total $ 0.00
Received Total:
(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: $Q,OQ
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)
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
the 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.
Q
3
4.
5.
51
Name, Mailing Address and Zip Code of
Creditor
(Candidate, Individual or Business)
Previous Balance of
debt at the end of the
last reoortino period
Previous
Previous Total: 1$0.00
New Debt amount
incurred during this
Date:
Amount:
Date:
Amount:
Date:
_I I
Amount:
Date:
I I
Amount:
Date:
Amount:
Date:
Amount:
Incurred
Repayments of Debt
during this reporting
Dale:
Amount:
Date:
Amount:
Date:
Amount:
Date:
Amount:
Dale:
/ 1
Amount:
Date:
/ 1
Amount:
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 2 line 10 & 17)
Balance outstanding
at the end of this
Ending Balance
Ending Balance Total: 1 $ 0.00
SCHEDULE E-1
CREDIT CARD and DEBT ITEMIZATION
Name of Creditor from Schedule E:
Page o
Each Creditor listed on Schedule E 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.
Purpose Codes
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
B Broadcast Advertising (Radio, TV& Internet) 0
C Contributions to Candidates & PAC's P
D Donations & Gifts
E Event Expenses
F Food & Refreshments
G General Operational Expenses
I Interest Accrued & Finance Charges
L Literature, Brochures, Printing
M Management Services
U
W
Newspaper & Other Periodical Advertising
Other Advertising (Yard Signs, Buttons, etc.)
Postage
Surveys & Polls
Tickets (Events)
Utilities
Wages, Salaries, Benefits & Bonuses
Petition Circulators
Z Preparation & Production ofAdvertising
Date Incurred
Full Name, Mailing Address and Zip Code of Expenditure
Purpose Code
Amount
1.
I !
$
2.
3.
4.
5.
6.
r !
$
7.
8.
! /
$
9.
Total This Page:
$ 0.00
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.
SCHEDULE F Page of
PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED
Name of Candidate or Committee:
Directions: Complete this schedule if you were promised and agreed to accept a contribution during this reporting period but have not actually received the money,
goods or services offered before the end of the reporting period. Do not include these entries on Schedule until you actually receive the contribution.
Pledged For
Date Pledged
Full Name, Mailing Address and Zip Code of Contributor
Amount Pledged
❑ General
1.
2.
❑ General
3.
❑ General
4.
❑ General
5.
❑ General
6.
❑ General
7.
❑ General
8.
❑ General
9.
❑ General
10.
❑ General
f f
❑ General
11.
Total Amount of Pledged Contributions: $ 0'00
Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20.