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De Weerd - Oct 10 Pre General Amend 2
NOV-01-2011(TUE) 13:50 OLSEN AND COMPANY CPA"S (FAX)2089392350 P.002/023 CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEIVED C-2 SUMMARY PAGE NOV O 2011 Rov.lalo7 (Please PrintorTypa) CITY OFC tWErtQ� - CITY CLERKS OFFICE Name of Candidate or Porinral CommIgae end ChelrperaCn Once Bought Of candldele) DIeWm (If any) Tammy DeWeerd Mayor Meridian Nalling reteyen p, ume sono w o 2621 Miranda Merldlan 83642 206-888-3747 208-888-4433 IM—ma Mollilual Ireosurur ' Glen Olsen a e 7ity A nal Zip Hama Phone or lane 131 SW 5th Ave Suite B I Meridian 83642 208888-5073 2D8-888-1595 Change of address for: Candidate or Polltltwl Comml4oe E] Political Treasurer section 11 TYPE OF REPORT This filingisan: ❑ Original ❑X Amendment �k This report 18 for Die period from 01 1 11 Through 09 1 11 © 7 Day Pre-Prlmory Report . ❑ 30 Day Post -Primary Report 7 7 Day Pre -General Report F1 30 Day Post -General Report F1 Semi -Annual Report (Sratewlde Candidates Only) Is this a Termination Report [] Yes ❑X No ® October 10 Pre -General Report Annual Report SocUon 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 stalamant below and sign this report. Be sure to carry forward the appropriate "CalendarYoar to Delo" 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 CalendarYoar to Date figure: Add this reports Column I COLUMN I COLUMN It figures to the Column II figures of your previous report (except on line 6). This Period CalendarYear to Date . . tine9: 6eshvn•Hand danuoryl; Thls•GalandarYaar'- -- -__.__ Line 2: Enter Beginning Cash Balance" Line 3: Total Contributions (Einer amount from Ilno 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Una 5: Total Expenditures (Enter emountfmm line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Lino 7: Outstanding Debt to Date (Enter amount from line 16, page 2) $ 6,198.48 $ 6,198,48 $ 3,310.06 'This same figure should be entered on line 1 of all reports filed this catendaryear. "This Is the figure on line 5 of the last Campaign Financial Disclosure Report filed. If this (s your Oral roped, this amount is 0. Note: The closing cash balance for the current reporting poriod appears on the next report as the beginning cash an hand, Section V Ban Ysursa Secretary of State PO Box 83720 BalsoID 83720.0080 Phone: (288) 334.2852 Fax: (2081 334.2282 I. Q. 4 �_ O 1s -'Q W , hereby certify that the Information in this Nemo of Porltkar rremurer report is a true, compo, an =1 n ina ai sclosure Report as required bylaw. Signature of Political7masuror Page 1 — $ 3,529.38 $ XXXXXX $ 16,754.00 $ 16,754.00 $ 20,283.38 $ 20,283.38 c 14,084.90 14,084.90 $ 6,198.48 $ 6,198,48 $ 3,310.06 'This same figure should be entered on line 1 of all reports filed this catendaryear. "This Is the figure on line 5 of the last Campaign Financial Disclosure Report filed. If this (s your Oral roped, this amount is 0. Note: The closing cash balance for the current reporting poriod appears on the next report as the beginning cash an hand, Section V Ban Ysursa Secretary of State PO Box 83720 BalsoID 83720.0080 Phone: (288) 334.2852 Fax: (2081 334.2282 I. Q. 4 �_ O 1s -'Q W , hereby certify that the Information in this Nemo of Porltkar rremurer report is a true, compo, an =1 n ina ai sclosure Report as required bylaw. Signature of Political7masuror Page 1 NOV-01-2011(TUE) 13:50 OLSEN AND COMPANY CPA"S DETAILED SUMMARY Name of Candidate or Committee: Mayor Tammy DeWeerd (FAX)2089392350 P.003/023 Credit Cards and Debt Q I New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule 0 sheets) g New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) 1® Subtotal Repayments of Loans made during this reporting period - (-Total of all Loan Repayment amounts from Schedule D sheets) - QRepayments of Credit Card and Debt this reporting period - ---� - (Total of all Debt Repayment amounts from Schedule E sheets)- - 1$ Tetal outstanding Balance at close of this period (Transfer this figure to page 1, Section rV Llne 7) + $ 3,310.06 + $ $ 3,310.06 Pledged Contributions ig Unl(omlzed Pledged Contribugons ($50 and less) # of Pledges + $ Q Itemized Pledged Contributions this Period (Total of all Schedule E sheets) + $ Total Pledged Contributlons this period $ 0.00 Page 2 • •-. ------_____ Total This Period • ---------� Contributions Unitemlzed Expenditures (less than $25) # of Expenditures 2 Q _temiieRont&gons ($50 and less) ft of Contributors 40 Unl + $ 1,800.00 20 Itemized Contributions (Total of all Schedule A sheets) + $ 14,710.00 3Q In -Kind Contributions (Total cf all Contribution amounts from Schedule C shaats) + $ 244.00 ® Loans (Total of all New Loan amounts from Schedule D sheets) ' + $ 05 -- ..,_..o------------ ----_,,.,., ...... --- - - ---- ........ Tdtal Contributions (Transfer this figure to page 1, Section IV, Line 3) _ ----------- -------...---- c $ 16,754.00 Credit Cards and Debt Q I New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule 0 sheets) g New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) 1® Subtotal Repayments of Loans made during this reporting period - (-Total of all Loan Repayment amounts from Schedule D sheets) - QRepayments of Credit Card and Debt this reporting period - ---� - (Total of all Debt Repayment amounts from Schedule E sheets)- - 1$ Tetal outstanding Balance at close of this period (Transfer this figure to page 1, Section rV Llne 7) + $ 3,310.06 + $ $ 3,310.06 Pledged Contributions ig Unl(omlzed Pledged Contribugons ($50 and less) # of Pledges + $ Q Itemized Pledged Contributions this Period (Total of all Schedule E sheets) + $ Total Pledged Contributlons this period $ 0.00 Page 2 ......... ---------- --...------- - -- ........ - — ... ---- --....,.,,__..._ . Expenditures .. Q Unitemlzed Expenditures (less than $25) # of Expenditures 2 + $ 31.30 7 Itemized Expenditures (Total of all Schedule 8 sheets) + $ 13,809.60 Q In -Kind Expenditures (Total of all Expenditure amounts from Schedule C shoats) + $ 244.00 gQ -- Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $_T 1p _ Credit Card and Debt Repayments (Total of all Repaymsnt amounts from Schedule E sheets) + $ -— 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) T $ 14,084.90 Credit Cards and Debt Q I New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule 0 sheets) g New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) 1® Subtotal Repayments of Loans made during this reporting period - (-Total of all Loan Repayment amounts from Schedule D sheets) - QRepayments of Credit Card and Debt this reporting period - ---� - (Total of all Debt Repayment amounts from Schedule E sheets)- - 1$ Tetal outstanding Balance at close of this period (Transfer this figure to page 1, Section rV Llne 7) + $ 3,310.06 + $ $ 3,310.06 Pledged Contributions ig Unl(omlzed Pledged Contribugons ($50 and less) # of Pledges + $ Q Itemized Pledged Contributions this Period (Total of all Schedule E sheets) + $ Total Pledged Contributlons this period $ 0.00 Page 2 NOV-01-2011(TUE) 1350 OLSEN AND COMPANY CPA"S (FAX)2089392350 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Page 1 7 Name of Candidete or Committee: Mayor Tammy DeWeerd onto Recelvod Full Name, Mailing Address and Zip Coda of Coaldbutor Cash or Check 1, Robert Phillips $ 100.00 025 11 5576 N Chopin Ave Primary X General Meridian, ID 83646 $ CalandnrYenr-To-pnlo 2. Meuleman Mollerup $ 300.00 �� 11 755 W Front St Ste 200 Solse, ID 83702 $ RPrimary )( General CalendsrYear70,13ara 3. William Beck $ 100.00 R 950 W Bannock Ste 270 Boise, ID 83702 $CelandarYeer-7bQele Primary RP X General 4. KeyCorp Advocates Fund $ 100.00 C5 f1 11 127 Public Square Ej Primary >( General H 44114 l Cleveland, l Ceveand, O CelenderVoar•1b•DeW S. J. Lamont Keen $ 250.00 2� 11 481 N Strata Via Way Primary General Bose, ID 83712i $ Calendar Yeer•1b•Date 5' Kenneth Howell $ 100.00 JP 7109 EI Cabello Dr - rj man ry 7. Scott Peyron $ 100.00 05 25 11 209 Main Ste 200 Boise, ID 83702 $ CelendarveardMDnle �( Primary General 8. Michael Mooney 100.00 $ 2� 111 534 Hearthstone Dr Boise, ID 83702 $ CalendarYear•TPDplo j< Pdmary General g Michael Fery $ 100.00 �� 11 2700 W Airport Way Primary Genami BOISe, ID 83715 $ ColundarWarlb•Dale 10. Upson Company $ 100.00 -L5 I L5 -J 11 4.512 E Ustick Rd Caldwell, ID 83605 $ calaedarYesr-7o•Dela )( Primary General Total This Page: $ 1.350.00 Transfer the oombined total of all Schedule pages to the Detailed Summary on page 2 line 2. NOV-01-2011(TUE) 13:50 OLSEN AND COMPANY CPA -S (FAX)2089392350 , SCHEDULEA ITEMIZED CONTRIBUTIONS of more than Filly Dollars ($50,00) this period P. 005/023 Name of Candidate or Committee: Mayor Tammy DeWeerd Dole Received Full Name, MailingAddroas and Zip Code of Contrlbalor Cash or Chock J z� 111 1• Turn -Key Medical, Inc P. O_ Box 1180 Meridian ID 83680 9 200.00 $ X Prlmary General CnlendarYo*TaaDlo �� 11 2, Gary Raney 1480 S Rolling Hill Dr Meridian, ID 83642 $ 100.00 $ coimdarYmr-To-oam }( Prlmary General Jz 3, Gary Allen 1601 Garfield StPrima Boise, ID 83706 $ 100,00 $ Colo �erroa Te•Dala ry RX General J 211 Primary )( General 4, Jim Kissler 1591 Sendero Lane Boise, ID 83712 $ 500,00 S Delaaaarrea,-Ta.Da�e L5 -J-11 5• Christopher Beeson 84.0 E Curling Dr Boise, ID 83702 $ 10D•00 CdlenderYeor•To-Dale )( Primary General 2z ]T1 $• L. Edward Miller 2038 Bluestein Lane -- Boise; -IID •837-06 - - -- -- - -- • • -- -- - . _ _ _ _......,.,,_ .. _ - __ _ _ ..._..__ .e.._ _ $ 100.00 CalandarYear•To•DoW - X'Generar- Primary 05X11 7• Deborah Nelson 1600 Promontory Rd Boise, ID 83702 $ 100.00 $ ColandarYwrvTo•Dule )( Primary General 25 / 11 5• Tamara Thompson 2462 Sunshine Dr Boise ID 8712 $ 100.00 $ CabndarYearTa•Dale _LGJ X RPrimary General 05 F 9. Cornerstone Interior Design, Inc 1006 E Park Blvd Boise, ID 83712 $ 100.00 $ CelonderYear•To•Dem ry General 2 11 10, Bradley Barker 500 East Shore Dr Eagle, ID 83616 $ 250.00 $ CdandarYen ToAae X Primary General Total This Page: $ 1,650,00 Transfer the combined total of all Sehddulo A pages to the Detailed summary an page 21Ine 2. NOV-01-2011(TUE) 13:50 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) Ihls period • 44e G F-298 o 3 '1 Name ofcandldoteorCommittee: Mayor Tammy DeWeerd Dote Received Full Name, Melling Address and Zlp Code of Contributor cash or Check Steln Distributing Company Inc $ 100.00 601 North Phillippi Street X Primary General Boise, ID 83707 3 CalenderYaarTo•Dole Z' Gary Fletcher $ 200.00 190 East Bannock Street Boise, ID 83712 $ ColenderYeePl'a•Dele )( Primary General 3. Christine Neuhoff 3 100.00 1595 N Sundown Way Primary RX General Ea le ID 83616 g ' $ CelandarYear-TbDoW 4, Jeff Cllek $ 100.00 -L5 JL'A1 1189 Shaw Mountain Rd Boise, ID 83712 $CaInn dar Year-To-DaIa [D X Primary General 8' Clearvlew Cleaning Services, Inc $ 200.00 J 2� 17 6190 S Settlement Way Boise ID 83716 ' $ RPrimary XISX General CatondarYeer-76.0* 6.100.00 Oliver $ 100.00 -LJ Anglevl6w Lane --- X Primary2393'N -Ueneraf — --- Boise; CalandarYeoaTcDale 7' Chuck Winder for Senate $ 200.00 N Ebbetts Ave Boise, ID 83713 $ elendarYou.1e•Dnre RCPrimary5528 X General 8' ESI $ 100,00 05 zJ 11 12400 W Overland Rd Boise, ID 83709 $ 1XI Primary General Calendarraanre•Daa 9' Richard Goodson 3 100.00 2769 N EI Rancho PI Boise, ID 83704 3 CelondarYaarTo•Dele Primary X General 10. Bessie Katsilometes $ 60.00 25 111 1311 E Central Or Meridian, ID 83642 3celoMarYearlb X Primary General Daa Total This Page: $ 1,260.00 Transfer the combined total of all Schedule pages to the petalled summary on page a ane z. NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULE A ITEMIZED CONTRIBUTIONS of more then Fifty Dollars ($60.00) this period P. 007/023 Name ofCandidate orCommittee: Mayor Tommy DeWeerd Date Rocalved cull Noma, Mailing Address and 23p Code of Contributor Cash or Chock 1, Douglas Oppenheimer 2912 Gekeler Ln Boise, ID 83706 $ 100,00 $ ColondarYour•TaDalo Primary )(General -LB J L8 -J 11 2. Roaring Springs Water Park 400 W Overland Road Meridian, ID 83642 $ 250.00 $ ColendarYear•76-Delo XGeneral Ja J 11 3' BlackMor LLC 400 W Overland Rd Meridian, ID 83642 $ 250.00 CalondurYear-To-Dole X Generalal JLo J 111 4. Perrin Robinson 5426 School Ridge Rd Boise ID 83714 $ 100.00 $ Primary RX General CaPondnrlbaM1Ta•Delo �11 � 5, Mark Bowen 3067 Autumn Way Meridian, ID 83642 200.00 $ $ X Primary General CalondarYesr•To•Dsle 8• John Wlskus 850 E St. Martin Or -' Meridian; ID -83642 - -- - _ - -- 7. David Bennion 2212 Ridge Point Way Boise ID 83712 ' $ 100.00 $CalondorYear-7o•Data �Primary �anaral -' Ds ao 1� $ 75.00 $ ColohdarYoapllrbala RPrimary X General a� 11 0. Syringe Networks LLC 3795 s Development Ave Boise, ID 83716 $ 500.00 $ ColondorYrar-TaDob Primary General " 111 9' Whit -Leasure Development Co P. O. Box 1277 Boise, ID 83701 $ 200.00 $ ElPrimaX Ga eralal DWandarYma lh-bola 1,J 11 X General 10. W.H. Moore Company P. O. Bax 82D4 DOISe, ID 83707 $ 1,000.00 $ ColondarYaar•7oAols Tatai Thls Page: $ 2,775.00 Transfer the combined total of all Schedule A pages to tile Detailed Summary on pago 2line z NOV-01-201.1(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULEA ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) Oils pedod V10017M age 5 17_ Name of Candidate or Committee: Mayor Tammy DeWeerd Date Received Full Noma, MailingAddress and Zip Code of Cantdbulor Cash or Check " Micron Technology, Inc $ 1,000.00 X25 /11 P, 0. Box 6 Prima ry X Ganeral Boise, ID 83707 $ cakndarYear•To•Dole Z. Neal Russell $ 250.00 11 1940 S Bonito Way Suite 150 Meridian, ID 83642 $ Primary ColcndarYeor Io -Dale 3• HDR Engineering, Inc $ 500.00 $ CalsnderYew To-Dala -2�J2LJ11 8404 Indlna Hills Or Omaha, NE 68114 X Gem ray 4. Christine Dixon $ 100.00 0i 11 1100 W Amity Rd Meridian, ID 83642 $ CalendarYearlb-Dole X Primary General 5. Sullivan & Renberg JV $ 1,000.00 0�/ 11 P. 0. Box 1703 Boise, ID 83701 $ Primary General Cale darYearTo•neo B. WH Moseley $ 150.00 09 _3430 N' Plahtaflo River Or -- Bolse $ am ry -- X 6enerar' 7. William Bach $ 100.00 -0 J-��J11 3999 W Columbia Rd Meridian, ID 83642 $GalanderYoervTaDee General e• Brighton Corporation $ 500.00 -2-9J2LJ 11 12601 W Explorer Or Suite 200 $ RCPrlmary Bolse, ID 83713 alamlar YoarrDDale X General S. Brian Simer $ 100.00 -9J2--- 1i 5116 E Cherry Lane Nam a, ID 83687 p Primary General CalenderYoar-Th Dnla 10, William Russell $ 100.00 -LIJ2-2J 11 1899 W Stafford St Primary X neral Eagle, ID 83616-6573 $ CalendarYear•NDale Total This Page: $ 3,800.00 na__n 11'anriferthe combined total of all tdonoduio A pages [o Ino wvialwu aUuw.'arj z;. Piz > •^.z NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULEA ITEMIZED CONTRIBUTIONS nF mnrp Ihpn Flfly Dollars (550.001 this Dedod • ig m Name of Candidate or Commute. Mayor Tammy DeWeerd Date Received Full Name, Mailing Address and Zlp Code of CohlrlCulor Cash or Check 1' Nancy Russell a 100.00 J 1899 W Stafford St Eagle, ID 83616 $ HXGeneMl FMmary CalendarYaar-7o-Dino 2' Jeffery Del -app $ 125.00 $ Cale ndarYeor-(o Vale -R-9J-92J 11 480 Luguna Shore Drive Eagle, ID 83616 X General 3• Delia DeLapp 125.00 $CalandarYoar•1ADakl Pnm ry 480 Luguna Shore Drive Eagle, ID 8361 OX General 4' Shauna Lee Bach $ 100,00 J -12-J 1 3999 W Columbia Rd Meridian, ID 83642 Primary General ralanaarYaar-TaDale 5' Travis Hawkes $ 250.00 $ColondarYoar.o-Dole -L-J aL11 1898 W Whitestone Ct Meridian, ID 83646 X ra Primary Geneial 6. Robert Taunton $ 100,00 J 25 1 1596 S Lakerrioor --Eagle-,-ID - Primary �o0srsl 7' Mark Branson $ 100.00 os 1 ao 11 3095 S Longleaf Ave $ Primary RX General Bolse, ID 83716 CelendarYaar-'NAole 8. Les Whom $ 100.00 06 19� 11 10150 Nickolas Avenue Highlands Ranch, CO 80130 $ RCPrlmary alendarYwr-Wine X General 9. Brian Henman $ 100.00 -21J?-2J-L'-- 483 E St Kitts Meridian, ID 83642 $ X Primary General CalendarYoar-7c-DeW % J. L. Boyd S 100.00 Ds L3J 11 P. O. Box 8105 Penaral rlmary Boise, I D 83707. X G $ Caladar eer .0416 Total This Page: $ 1,200.0071 Transfer the combined total of all 5cne0ulo w pages re me uumileu eu umm, y -,' v -sem - "I" NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA"S (FAX)2089392350 SCHEDULEA ITEMIZED CONTRIBUTIONS of more then Fifty Dollars ($50.00) this period P. 010/023 ega o 7 7 Name of Candidate or Committee: Mayor Tammy DeWeerd Dale Recolvad Full Name, MallIng Address and 4p Code of Contributor Cash or Cheep 1, Kathy Johnson $ 100.00 L9 /22 1� 926 Oakhampton Dr. Primary XGeneral Eagle, ID 83616 $ Colandar rdar.Tb.Dalo z' Brad Hoaglun $ 100.00 �z�T1 2740 W Trestle Or Primary X General Meridian, ID 63646 $ ColandarYeaNTo-Dole 3. J. Nall Jr $ 100.00 -L9 J L2J 11 3862 sugar Creek Or Primary 1XI General Meridian, ID 83646-1042 $ CalandarYaar•TbDala 4' David Butzier $ 100.00 1684 E Stonybrok Ct Pmary X General Eagle, ID 83616 $ Calendar Ydar•Ta•Delc S. Donald Stensaas $ 75.00 2101 Independence Or DPrimary X General Boise, ID 83706 $ CalenderYmr-T60ow e. Dennis Johnson $ 250.00 -�u-L6j.11 926 Oaklii"mpton Or Primary General---C-agle-ID 83616- _......-.. - - - CalendarYaar•ToAala — 7. Tom Nicholson $ 500.00 10330 Stardust Drive Boise, ID 83708 $ Celondar`ra' eelss mary eneml 0. UHFG Insurance Political Action $ 1,000,00 z� �? P. O. Box 7777 Meridian, ID 83680-7777 $ RPrimary }< General CalandarvaarTo-Dalo g' United Heritage Co $ 450.00 707 East United Heritage Court Jam ry X P2 General Meridian, ID 83642-8407 $ ColanddrYmr-Ta-bala 10, $ Primary General ColanderYdor•To-Dalo Total This Page., $ 2,675.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA"S (FAX)2089392350 P. 0111023 bate spent I Full Name, Molting Address and Zip Coda of Recipient SCHEDULE B T ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Mayor Tammy DeWeerd Purpose Codes 1, C. Jay Coles A All Travel Expenses (Ali fare, Fuel, Lodging & Mlloage) N Newspaper & Other PododicalAdver6Sing B Broadcast Advertising (Radio, TV & Internal) 0 OlherAdverllsing (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gills S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments u Illlllfies G General Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Manenement Services Z Preparation & Production of Advergsing bate spent I Full Name, Molting Address and Zip Coda of Recipient Purpose Code Cash or Check 1, C. Jay Coles 6780 N Casa Real M 750.00 ___12 11 Bolse, ID 83714 $ 2. C. Jay Coles 6780 N Casa Real M 400.00 ,j� 11 Boise, ID 83714 $ 3. C. Jay Coles 6780 N Casa Real M 600.00 �� 11 Boise, ID 83714 $ 4. City of Meridian 33 E Broadway Ave E 360.00 0414 11 Meridian, ID 83842 $ 6. Indian Greek Winery 1000 North McDermott Road C 9957 ��11----Kuna;ID-83634- .._..._......_..... - - $ ...___.. - 6. Ada County Republlcan Women 9175 Holt Street C 62.00 05 L211-11 Boise, ID 83704 $ 7. Ada County 200 W Front E 100.00 _R5j 3j 11 Boise, ID 83702 $ 9. Meridian Chamber 215 E Franklin Road E 250.00 �� 11 Meridian, ID 83660 $ g' Mosaic Advisors 1048 W State St M 682.00 013 11 Meridian, ID 83642 $ 10. Bryant Ideas 1600 North Locust Grove Road G 125.00 �3j 11 Meridian, ID 83642 $ Total This Page: I g 3,428.57 Transfor the combined total of all Schedule 3 pages to the Detailed Summary on page 2 line 7. NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 P. 012/023 Dam $pont Full Name, MallingAddrees and Zip Code of R°ciplanl SCHEDULE B a ,, ° ITEMIZED EXPENDITURES 2 Twenty -Five Dollen ($25.00) or more tills pedad Name of Candidate or Committee: Mayor Tammy DeWeerd Purpose Codes 1 Mosaic Advisors A All Travel Expenses (Airfare, Fuel, Lodging a Mileage) N Newspaper & Other Periodical Advertising B BroadoeslAdvedising (Radio, TV & Internet) 0 OlhorAdvodlsing (Yard Signs, Buttons, eta.) C Contributions to Candidates & PACs P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T - Tickets (Events) F Food & Refreshments U UBllties G General Operations[ Expenses W Wages, Salaries, Benefits & Bonuses L Uleralure, Brochures, Pdndng Y Petition Circulators M Menscemont Services Z Preparation & Production of Advertising Dam $pont Full Name, MallingAddrees and Zip Code of R°ciplanl Purpose code cash or Cheek 1 Mosaic Advisors 1048 W State St M 735.26 Meridian, ID 83642 $ 2• The Grotto 112 E Idaho Ave F 750.00 �� 11 Meridian, ID 83642 $ 3• Tribute Media 136 East Idaho Ave Ste 200 N 500.00 _�7j_21j 11 Meridian, ID 83642 $ 4, C Jay Coles 8760 N Casa Real M 272.00 J_ 11 Boise, ID 83714 $ 5 Bach Studios 397 W State Street #8 O 95.00 -07 06 -h4 ----Ea e, -ID -036.1.6_..-------------._..__.,.._..--- _.. ,,....,..,..., ,5.._.,_..- 6, Mosaic Advisors 1048 W State St M 550.00 �� 17 Meridian, ID 83642 $ 7. Mosaic Advisors 1048 W State St M 520.00 Meridian, ID 83642 3 8, IPromoteU 321 Commonwealth Rd., Suite 303 M 1,046.87 _LBJ� 11 Wayland, MA 01778 $ 9. Fraser Marketing Group 2103 S Deborah P. M 477.00 _LBJBoise, ID 83709 $ 10. City of Merldlsn 33 E Broadway Ave r= 150.00 26 ) 11 Meridian, ID 83642 Is Total This Page: 1 $ 5.096.13 Transfer the combined total of all Schedule 0 pages to the Detailed Summary on page 2 line 7. NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or committee: Mayor Tammy DeWeerd A All Travel Expenses (Alrfaro, Fuol, Lodging & Mileage) N Newspaper & Othor Pododlcol Advertising B BroadcestAdvarbing (Radia, N & Intemel) 0 Other Advertising (Yard Signs, Buttons, etc) C Conlrlbullons to Candidates & PAC's P ,Postage D Donatlane & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operallonal Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Cliculators M Management Services Z Preparation & Production ofAdverlieing P. 013/023 806 0 3 Date Spent Full Name, Mailing Address and Zip Codo of Roclplant Purposo Code Cash or Check 1' City of Meridien 11 33 E Broadway Ave M 40.00 �� Meridien, ID 63642 5 2. Mosaic Advisors 1048 W Slate St M 300.00 09 � 11 Meridian, ID 63642 $ 3. Meridian Parks and Rec 33 E Broadway Ave E 250.00 �� 11 Meridian, ID 63642 $ 4. Intemrational Minute Press 6980 Overland 0 157.40 �� 11 Boise, ID 83709 5 5. MosalcAdvlsors 1048 W State St --------- .,_-�� M ..-----$--- 300.00 • '1 11-----MUrtdIMr,ID-83842'----------------. 6' Greg Smith and Associated 662 Nlckelaus Ln E 1,200.00 �� 11 Eagle, ID 83616 $ 7• Foster Thinking 5243rd Street South #162 r' 1,500.00 �� 11 Nampa, ID 63651 5 8. Tribute Media 163 East Idaho Ave. Ste 200 0 337.50 09 1_L 11 Meridian, ID 83642 5 8' Rocky Mountain Football Association 3912 W Moon Lake N 325.00 OB !_ L8 J 11 Meridian, ID 83846 $ 10. Mosaic Advisors 1048 W State St M 675.00 _29J� 11 Meridian, ID 83642 $ Total This Page: $ 5,084.90 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7. NOV-01-2011(TUE) 13:51 OLSEN AND COMPANY CPA -S (FAX)2089392350 SCHEDULES ITEMIZED EXPENDITURES 1Wenty-Flue Dollars (525.00) or more this per od P. 014/023 age c 4 4 Name of Candidate or Committee: Mayor Tammy DeWeerd I A All Travel Expenses (Alriare, Fuel, Lodging & Mlleaga) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio,lV & Internet) 0 allarAdveriising (Yard Signs, Bultons, otc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts 5 Surveys & Polls E Event Expense$ T rickets (Events) F Food & Refreshments G General Operational Expenses U w Utilities wages, salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators 2. Ada County Republican Party 7 Omnnnllnn R Pmduallnn afAdvartiStee Irl IVIGlnlau, Spoilt ..1Onto Full Hamo,Mallln9Addrass addTlpCode ofReelplend arpeecCode Cash or Chock 1. Meridian Dalry Board 6627 Alrport Road $ 25.00 Nampa, ID 83687 2. Ada County Republican Party C P. O. Box 1572 $ 25.00 09 j 11 Bolse, ID 83701 3. Meridian Chamber of Commerce 215 E Franklin Rd 0 50.00 �_L1 j 11 Meridian, ID 83642 tz $ 4, Chuck Winder for senate O 5528 N Ebbetts Ave $ 100.00 071 GJ11 Boise, ID 83713 5. 6. 7. B. J_ $ 9. I --I 10. $ -r $ Total This Page: $ 200.00' Transfer the combined total of all Schedule B pages to the Detallaa Summary on page z line i. 131$09.60 NOV-01-2011(TUE) 13:52 OLSEN AND COMPANY CPA_S (FAX)2089392350 P. 015/023 SCHEDULE C op 1 1 IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: Mayor Tammy Deweerd 1, Purpose Codas A All Travel Expenses (Alrlare, Fuel, Lodging & Mileage) N Newspaper& Other Periodical Advertising B BroadcastAdvedlsing (Radio, TV & Internal) 0 OlherAdvertlsing (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gina S Surveys & Polls E Event Expenses T Tickets (Events) F G Food & Refreshments U General Operational Expenses w 1.111111106 Wages, Solades, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators , ee a.ee z Protestation & Production of Advertising 1, Contributor Name, Malting Address and Zip Code 244.00 08 r 30 11 Olsen & Company CPA's Primary 131 SE 5th Ave Suite 8 Melldlan,IO 63642 $ 244.00 X General CekndarYeor•Tnaole Expenditure Name, Mailing Address and ZIP Code Purpose Code Olsen & Company CPA'$ M 131 SW Sth Ave suite B Meridian, ID 03642 $ 244,00 2_ Contributor Name, Melling Address and Zip Code $ r Primary $ General calendar YBBM1To-pots Expenditure Name, Mating Address and Zip Code Purpose Code $ 3. --------- Conldbutar Name, Meiling Address and Zip Code ... ------ --- ---- -- --- -- ----- _,.... - --- — Primary $ General CelapdorYaer-Th-00 Expenditure Name, Mail ng Address and Zip Code Purpose Code 4, Contributor Name, Melling Address and Zip Code $ 1 _ Primaryeral $Colander Gen Year-To•DaW Expenditure Name, Mailing Address and Zip Code Purpose Cade Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $ 244.00 to the Detailed Summary, page 2line 8) Contributor Total; $ 244.00 (Transfer the combined total of all Contributors on Schedule C pages to the Detailed SummuM page 2line 3 NOV-01-2011(TUE) 13:52 OLSEN AND COMPANY CPA -S (FAX)2089392350 P.016/023 SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (I,o. credit card purchases and debt) should be listed on o separate line. Each time you make purchases with a credit card or Incur debt, It is considered to be a separate Ilam. However, you will maintain a single Ilam for each credit card and add purchases is that Item. Each Creditor listed below with a Now 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. Hewovar, only Repayments of Debi during this reporting period appear in the Expandituro Suction of the Detailed Summery Page. Any creditor(c) with a balances) appealing an the last report must be listed below with the amount In the previous Balance column. Any new debt should be listed In the Now Debt column, Including any accrued interest. It 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 lase any Repayments of Debt. Nome, MallfngAddress and Zip Code of previous Balance of Now Debt amount Repayments of Debt Balance outstanding Creditor debt at the and of the incurred during this during this reporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1. Tammy DeWeerd Dara; D9/22/11 Dale: 2621 Miranda Amount Amount•. 2,558.90 Meridian, ID 83642 '$ 2,559.90 $ 2' Tammy DeWeerd Data: 09/11/11 Dale: 2621 Miranda Amount Amount 750.16 Meridian, ID 83842 $ 750.16 $ 3. Dole: Date: Amount Amount: 4. .Date: Pate: AmounC Amount 5 Dale., Dale: Amount Amount: $ $ 6. Dale: Delo; Amount Amount Previous Incurred Repayments Ending Balance Previous Total: $ 0.00 Incurred Total: (Transfer the combined total of all Incurred debt to the $ 3,310-06 Detailed Summary, page 2 line 14) . Repayments Total: (Transfer the combined total of ail debt repayments to the $ 0.00 DetaflodSummary, page 2line 10 a 17) Ending Balance Total: $ 3,310.06 NOV-01-2011(TUE) 13:52 OLSEN AND COMPANY CPA -S (FAX)2089392350 P.017/023 SCHEDULE E-1i age ° CREDIT CARD and DEBT ITEMIZATION 1 1 Name of creditor from Schedule E: Mayor Tammy Deweerd Each Creditor listed on Schedule E with a Now Debt amount must have a Schedule 64 accompanying iL Tho Schedule E-1 fists where and when the debt was Incurred, Purpose Codes Full Name, MallingAddross and Zip Code of Expenditure Purpose Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other PeriodicalAdvedlsing B Broadcast Advertising (Radio, TV & Internet) 0 ' OlherAdvedising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gills 5 Surveys & Palls E Event Expenses T 'rickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses I Interastkcrued & Finance Charges Y Petition Circulators L literature, Brochures, Printing Z Preparation & Production ofAdvedlsing M Management Services Date Incurred Full Name, MallingAddross and Zip Code of Expenditure Purpose Code Amount 1, Lylte Signs 1925 Kimberly Road - P. 0. tdox 305 09/22/2011 TWIn Falls, ID 83303 L $ 2,559.90 2. Super Cheap Signs 9804 Gray Blvd 09/11/2011 Austin, TX 78758 L s 750AIS 3. 4. 5. 6, 7, $ 8. $ 9, Total This Page: $ 3,31 D.OB The total of Ilomization for this creditor should equal the new loan amount listed on Schedule 2 for this creditor.