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Home My WebLink About7 Day Pre General PalmerCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) RECEIVED OCT 2 9 1013 Rev. 1 of CITYOFCfT ;av CITY CLERKS OFFICE Name of�fdale eroGBc C llearrperson� O�IIr$BoTRhl seastpm7 �/Cjt_ r anne 1\:• rg3�li i�rA1 S(ilVsn-di�dale")i3 Phone. Home oy\SZ4 43 amen of ca reasurer �p,rrtv�5 'ic • i��vJ�L,� e mg ress 10 fo-890-ZI>y liomaPhona WorkPlione ZdS-890-Zl7y Change of address for: Candidate or Political Committee ❑ Political Treasurer I7 Section II TYPE OF REPORT This filing is an: P<0rfglnal ❑ Amendment This report Is for the period from 101-1 through ) 0 / _24) /_a. ❑ October 10 Pre -General Report ❑ Annual Report Is this a Terminatlon Report: ❑ 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 IU ❑ I hereby certify that I have receNed no contributions and have made no expenditures during this reporting period. Secgon IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column llfiguresofyour previous report (except online 6). This Period CalendarYear to Dale Line 1: Cash on Nand 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 6: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 6 from line 4) Line 7: Outslandlog Debt to Dale (Enter amount from line 16, page 2) $ XXXXXX $ ^y -6 7 . J S XXXXXX $ 17 (J� $ s $ 1�co - S $ goy-�3 g (C)SO,00 `This same figure should be entered on lino 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, [his amount Is 0. Note; The closing cash balance for [he current reporting period appears on the next report as the beginning cash on hand. a urn I his HAnnrf In- Secgon V Jaycee Holman�ff — Lc J City Clark I, t b ir1T1l.S r J �'( r , hereby certify that the information In this City of Meridian Name of Political Treasurer 33 E. Broadway Ave. Meridian ID 03642 report Is a true, complete and correct Campaign I sure sport as required by law. (208)088-4433 Fax: (208)888.4218 ihoiman@merldfadcilyorg Signature of Political Treasurer Page 1 m Y� DETAILED SUMMARY Name of Candidate or Committee; —T-4 Pfl t Ml el, Expenditures Total This Period Contributions _ Unitemized Expenditures ($25 and less) # of Expenditures + $ Unllemlzed Contributions ($50 and less) # of Contributors + $ /as • 00 Itemized Contributions (Total of all Schedule sheets) + $ loco 60 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ b Loans (Total of all New Loan amounts from Schedule D sheets) + $ + $ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ 77_-S• 00 Expenditures Unitemlzed Pledged Contributions ($50 and less) # of Pledges Unitemized Expenditures ($25 and less) # of Expenditures + $ Z% • c09 Ilemlzed Expenditures (Total of all Schedule B sheets) + $ Wo) . $3 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ L tz • G 0 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) _ $ G 31 - S Z Loans, Credit Cards and Debt Unitemlzed Pledged Contributions ($50 and less) # of Pledges Outstanding Balance from previous reporting period + $ + $ C? New Loans received during (his 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 _ _ $ L tz • G 0 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) $ Q _ Total Outstanding Balance at close of this period (Transfer [his figure to page 1, Section IV, Line 7) Pledged Contributions Unitemlzed Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ C? Total Pledged Contributions this period = $ 0 Page 2 SCHEDULE A aye 1 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Narrieofcandidate orCommittee: Dale Recelved Full Name, Mailing Address and Zip Code of Contributor Cash or Check l01 -3i \3 �. W -A &1+^c QO QiDx $10 �pq S."Q o3vcJ�� $ 1 D rz $ loo • d o CelendarYear•To-Dale f CJ/ j 13 2 Z�iAltO P.SSa: rte✓\ Fw ( ( TnrG kTuoq Scy—�i c c W �y z'1 I `, Q10ST(li 20 g�B�-1 $ 1 b6 • CX) $ LUCI.LD CnlendarYear-To Dale l �3 3. r'Tcxe -( l au 3-) U- quo'fr�c QD'x $ 1oo•Oo $ 00 CelendarYear-To-Date G, Cv\w f1 2 A91 S. Sl �Puun� L Oc>o�Sc-- yJ 'C6370 V $ l W ` U) 1,o(i -- 00 Calendar Year-TWale \-e Po Q-Yk a'\ -k 1�1 '33 10 $�R) I ef) $ SU • oU Calendar Year -To Dale 1� 1� 6. k'�\c ZSz53 W;\ V7 $ VOL), po $ �Co.bU Calendar Year -To -Dale ltp l3 7. �;S 94E� G 25 ( S. 9u QcC L $ UJ $ Sz -co Calendar Year -To Data 8. $ Calendar Yeor-To-Dole 9. $ Calendar Year -To -Dale Calendar Year -To -Dale Total This Page: $ (000 - U Transfer the combined total of all Schedulepages to the Detailed Summary on page 2line 2. Date Spent SCHEDULE B ageo ( ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period dame of Candidate or Committee: TV 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 Preparelion&Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Cede Cash or Check 1. G,ny- <;L ,to Siovj s to a 13 �snu Garr GIA, 2. Ttc) .g+tk5qSMLt to SF - 3. / $ 4. J $ 6, _l J— $ 6. 7. 6. 0. 10, $ Total This Page: $ �� •g� Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7. E Name of Candidate or Political Committee:` 1 L% X1(\U*\C/ Each Lender to your campaign should be listed separalely. E h 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 belowwith 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 paymentwas 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 Code of Lender (Candidate, Individual or Business) Previous Balance of loan at Ilia end of the last New Loan amount received during this reporting period Interest accrued during this repodfng period Repayments of Loan during this repairing period Balance outstanding at the and of this reporting period reporting period 1. rrMGr— Z`f f 'C- �,jr, c�sJ– S M �U � Dale: _lam � Dale: _I_I Amount: $SOU Amount: M';'A� $ $ 2. Q ALX, � (zbnax St' `go Dale: � Dale: Amounlr � `�o Amount: V c�rvnu 3P g�bV( $ $ 3 Date: Dale: Amounl: Amount: 4, _ Dale: Data, Amount: Amount: 5, _ Dale: -1-! Dale: _J -J - Amount: Amount: $ $ 6, Dale: _I__ I Dale: —1—j— Amount: Amount: $ $ 7. Date: Dale: Amount; Amount: $ 1 $ Previous Received Interest RepaymentsEnding Balance PrevlousTotal $ `000 Received We (Transfer (he combined total ofall received loans tothe $ Detailed Summary, page 2line 4) Interest Total: $ Repayments Total: (Transfer the combined total of all loan repayments to the $ Detailed Summary, page 2line g & 16) _ Ending Balance Total: (NOTE: Transfer the combined fetal of all Accrued Interest and Received Loans to ilia Detailed Summary, page 2line 13)