HomeMy WebLinkAbout30 Day Post General PalmerD/1J U3:01LIP7 11z)T -J Jaycee noinrian LU0t5054L1b 6+g 1/*
RECEIVED
CAMPAIGN_ FINANCIALDISCLOSURE.REPORT DEC 0 5 2013 Ca
SUMMAf2Y PAGEclrr of Rev. 10/07
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(Please Print orType) CITY CLERKS 0FFICE
Section I
Name of Candidate or Poetical Com Atee and Chairperym
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Change of address for: Candidate or Political Committee. ❑ Political Treasurer ❑
Section II Y TYPE OF REPORT
This filing is, an: A Original ❑ Amendment
This report is for (he.pariod from R0 /21 through __Ix (_S�_/A�
❑ October 10 Pre-Geneml Report ❑ 7 Day Pm -General Report X 30 Day Post -General Report
❑ Annual Report
Is ttfis a Termination Report; Yes ❑ No
Section III STATEMENTOF 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" figuresin Column II, Section IV.
❑ 1 hereby cettilythat I have receivod no contribufions and have made no expenditures during this reporting period.
Section IV SUMMARY -
To reach your Calenda-YeartaDatefigure: Add this reports Column I COLUMN I COLUMN 11
figures to the Column 11 figures ofyour previous report (except on line 6). This Period. Calendat-Year
to Date
Line 1: Cash on Hand January 1, This Calendar Year` $ XXXXXX $
Line 2: Enter Beginning Cash Balance" $ i)t ), 5 $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5,L'-3qpage 2) $ym $ .VJ
Line4: Subtotal (Add lines 1, 2 and 3) $ s (!,(n �7 00
Lines: Total Expendlures (Enter amount from line 11, page 2) $ .. � $ 1'r7 `'��•
Une 6: Enter Ending Cash Balance (Subtract line 5from line 4) $
r
L11ne7: Outstanding Debt to Date (Enter amount from fine 18, page 2) $
-This same:figute should beentersd'on line 1 of all reports filed this calendaryear.
Tliis is the -figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is yourfirstreport, this amount is 0.
Note: The closing cash balance forthe current reporting period appears.on the next report as the beginning cash on hand.
Section V
I, €�
! �iE k.hereby certify that the information in this
Name of Political Treasurer
report is a true c�mplwand.cdrrect Campy gwl ifiane el B selosur OW as required -bylaw,
Page 1
DETAILED SUMMARY
Name of" Candidate or Committee::
�— —
Total This Period
Contributions
Unitemized Expenditures ($25 and less) # of Expenditures —
Unitemized Contributions ($50 and less) # of Contributors !
+ $ PC>
Itemized Contributions (Total ofall Schedule Asheels) —
--
+ $ �,I S (0. Co
�+
In -Kind Contributions (Total of all'Confribution amounts from Schedule C:sheets)
$
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
Total Contributions (Transfer -this figure to page 1, Section IV, Line 3)
+ $
Expenditures
Unitemized Expenditures ($25 and less) # of Expenditures —
+ $
��
'A A 3 _r
Itemized Expenditures (Total of all Schedule B sheets)
+ $
2y v;C,2(
In -Kind Expenditures (Total of all Expenditure amounfs from Schedule C:sheets) —
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule Dsheets)
+ $
kw
Credit Card and Debt Repayments (Total of all Repayment amountsfrom Schedule E sheets)
+ $
�
Val Expenditures (Transfer this figure to page 1, .Section IV, Line 6)
- $
Loans, CreditCards 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)
+ $
—
N_ew Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
Subtotal — -
�- �$Q60t
LOQ).
Repayments of Loans made during.thls reporting period
(Totai ofall Loan Repayment amounts from Schedule ➢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 fhisfigure to page 1, Section IV, 'Line 7)i{,C.
Pledged ConWbutions
Unitemized Pledged Contributions _($50 and less) # of Pledges + $
Itemized Pledged Contributions this Period (Total of all Schedule Fsheets) + $
Total Pledged Contributions this period — — ),00 -
Page 2'
i waw— uv a,,,waa —v v v—v au a—
SCHEDULEA
ITEMIZED CONTRIBUTIONS
of mote than Fifty Dollars ($50.00) this period
Rage o
Name of Candidate or Committee:
Date Received
FullNerne, Mailing Address and Zip Code of Contributor
Cash or Cherie
ib).//
e'
tail
CalerrderYear•To-Rale
2.
CalendarYear-T6.1)ate
1/i/ i
3.E1_6
a ...
�k` xkrat
$ t a4G)
Calender Year-To•Defe
4.'
+G,srttet ��t(� a�\1� r tjt t-.1
GSCt Lr e t€ Es A
l s...
�` ''^�5� �����
$
/ /
$ rye
CalendarYear To-Defe
Lot 1./
V Orz.x vo�i u �.� (Pv
�CelendarYear-To-Date
L/ 13
-r.
J uk"mum
*%Cf Z—
$ 1> f i
$ ?
Calendar Year4biData
7.
$
$
Calendar Year-TowDate
�1
8.
$
Caleirdaf Year -To -bate
9.
$
CalendarYear-To-Dale
10.
CalendarYear-To-Date
Total This Page:
$ �-�S0460.
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.-
/V.-)/10 V0;%51Y17 1101 —) Vdl.,YL;UU 17Vl111411 LV(St50C5%/10 1-g q/z3
Date Spent
Full Name, Mail Address and Zip Code o(Recipient
SCHEDULE Bage, o
ITEMIZED EXPENDITURES
Twenty, Five Dollars ($25:00) or more (his pzsdod
Name
of Candidate or Committee:
t SMAe5 C%' VAU r` t
Purpose Codes
1,ZC
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
Newspaper.& Other Periodical Advertising
B
BfoadcastAdvertising (Radio, N & Internet) 0
Other Advertising (Yard Signs, Buttons, etc.)
C
ContrlbultonstoCandidates &PACs
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
Literaturo, Brochures, Printing
Y
PetitiohCirculators
M
Management Sefalces
Z
Preparation' -9 Production otAdvnrt(sing
Date Spent
Full Name, Mail Address and Zip Code o(Recipient
Purpose Code
Cash or -Check
t SMAe5 C%' VAU r` t
1,ZC
_lam_
AW'3.2.
$
tczs5 G>as �`E' E t_
Q
3 C.-0sVc�)
W"70 d t;J..
4.
oCw�uC10
_lam_
{`<t�,fc41r�, �'3r�,+d?�-
lta.
�`✓"`x �., �"a4c tlLt �" 1ti`�
1.
k'I3 '.• 50
Imo_
t{� r V CAC+� .•'
s. \ss
7. �2 SCY
p Y y
I'I
GSE k?:i 10
$
�'.�'
�
`'f 2 .��� �%f'u{ -
�:(��• rte'
g.+
1 t 11Y\ ��rc t Sit Z
L i° i Q
10.
$J c'
Total This Page:
Transfer the combined total of all Schedules pages to the Detailed Summary on page 2 line 7.
Name of Candidate or Political
Each Lender loyow campaign shot
separate Ilom..Each new IoanTrom a
EHcept lora cendfdato making a
Section 67•1161M,Idaho Code; even
ciao r6 .,, v
SCHEDULE D
lmiftee: -Pq a.'
listed separately. Each Ilme oloan is received or you loan money to thebampalgn, fl must be listed as a
rider must be listed as snow Itern from that Lender. You may have the same Landerlisted more Than once,
to his or her own oampakgn, loans from any Candor cannot exceed contribution lihiiis.lald out in
r repald In fad,
Any loan(i) With balance(s).appeadng on the last report must belisled betowwllh the amount in the Previous'6alance colunm.Any new loan amounts
should boklod In iheNaw Loan column: Any interest accrued should be llstad In the Ifilerest Accrued column. If a paymentWasrnade'ofithe loan, list
I
t in fire Repayments column. Note: Any loan fired was repaid in fill In a previous reporthig period does Trot need to be listbd. The Outstanding
Balance column i's the Previous 9alance plus newloans and.accmed intere0less any repayments.
Name, Mailing Address and Zip
Prev lofts Balance
New Loan amount
Imerestaccrued
Repayments of Loan
Balance
Cod of Lender
of loan a(Ilie.
received during (his
dudog this
during this ropoiiing.
outstanding at
(Candldate;IndlvlilealOrBusiness)
end of (he last.
reporting period
reporifingpallodparted.
the and of this
reporting period
reporlingperiod
�• .� �*���.�^
Dale:
Amount:
Deis
Amount:_
2,
Dale:
Dale:
°R� 't.,1�c �...'L^ai.J
Amounl:l
Amount.
44•
g
Dale:
Dale:
Amounl:.
Amount
,L
Date;
Dale:
-
Amount
Amount:
5.
Dais:.
Dale:
Amount:
Amount:
$
$
6,.
Date:
Date:
_/_/
/ 1
Amount:
Amount:
$
$
7,
Data.,
-
Dale:
—j—j—
—j—j—
Amount:
Amount:
Previous Received Interest Repayments Endlogl3alance
ProvlousTolal $
Received Total:
(Transfer the combinedfololofall received loans to(he $
De(alled Summary, page 21ine 9)
InlereslTotal $
RepaymentsTotal:
jfrArsfer.1he combiner) total of all loan repayments to the $ ( b, { jlj
Detailed Summary, page2line 9 & 1fi)
Ending Balance Total:
(NOTE:TYansterihe combinedlolal of all Accrued inletestand Recalved)_oansto1he Delalled50mmary page2line 13)