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De Weerd - Oct 10 Pre General Clerk Edits
Oct 10 2011 5:03PM sj Section l Olsen & Company (208) 888-1596 P.1 CAMPAIGN FINANCIAL DISCLOSURE REPORT RECETvFD C-2 SUMMARYPAGE OCT 10 2011 Rev. 11117 (Please Print or Type) CITY OFL%vtm oe rnJ CITY CLERKS OFFICE Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (If any) Mayor Tammy :AeWeerd I Mayor Meridian ngm. roes iyen p ome ne a one 2621 Z.9,omca",n t AVe. Meridian 8364b 208-(pOz 3379 208-888-4433 Nameo o ca reasurer Glen Olsen 131 SW 5th Ave Suite E Meridian 83642 206-888-5073 208-888-1595 Change of address for: Candidate or Political Committee F-1 PolucalTreasurer M Section II This filing is an: Q Original This report is for the period from- 01 7 Day Pro -Primary Report 7 Day Pre -General Report TYPE OF REPORT rl Amendment )1 f I I through _09_/ 30 1_11 30 Day Post -Primary Report 30 Day Post -General Report Semi -Annual Report (Statewide Candidates Only) Is this a Termination Report: Ej Yes Q No 0 October 10 Pre -General Report ❑ Annual 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. 0 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 II figures to the Column 11 figures of your previous report (except on line 6). This Period Calendar Year Line 1: Cash on Hand January 1, This Calendar Year` Line 2: Enter Beginning Cash Balance" Line 3: Total Contributions (Enteramount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) 9 p Line 5: Total Expenditures (Enleramount front line 11, page 2) � 3 7'13 �6 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) "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. It 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 Return This Report To: Ben Ysursa Secretary of State PO Box 83720 Boise 10 83728.0080 Phonic, (2013) 334.2852 Fax: (208) 3342282 Glen Olsen ^„- Nemo o(Politicol Treason report is a true, complete jnrf,CBRPct Campaign ar that the information in this Report as required by law. to Date $ XXXXXX $ 3,529.38 $ 3,529-38 $ XXXXXX — $ 12,079.00 $ 12,079_00 $ 15,608.38 $ 15,608.38 $ 13,846.60 $ 13,843.60 $ 1,761.78 $ 1,764.78 $ 3,310.06 ,/ / "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. It 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 Return This Report To: Ben Ysursa Secretary of State PO Box 83720 Boise 10 83728.0080 Phonic, (2013) 334.2852 Fax: (208) 3342282 Glen Olsen ^„- Nemo o(Politicol Treason report is a true, complete jnrf,CBRPct Campaign ar that the information in this Report as required by law. Oct 12 2011 4:59PM Olsen & Company DETAILED SUMMARY Name of Candidate or Committee: Mayor Tammy Devveerd Contributions ---- __.............. ........_ 10; Unitemized Contributions ($50 and less) # of Contributors F__._._.....-._.._,__.__....______..___..._...._.___-_....._.............___.._.____.___.__-....-_.____............_..........-______ mized Contributions l Schedule A 3 In Kind Contributions(Total Isheets) (Total Contribution of all Conbution amounts from Schedule C sheets) ® Loans (Total of all New Loan amounts from Schedule D sheets) 50 Total Contrbutions (Transfer this figure lc page 1, Section IV, Line 3) 12 (208) 888-1596 p.2 - __........... ....... ....._------ __........:.....__--------- ---- ---- e mized Expenditures (less than $25) # of Expenditures - ..._..._..,..._._..----...... ---............ ...-------- _---------- -- ----..._.___......... ..... .... .._..- ....._ ....._.. Itemized Expenditures (Total of all Schedule B sheets) ............ -1-1- _...... _..---.....----- In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) Loan Repayments(Total of all Loan Repayment amounts from Schedule D sheets) 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) Loans, Credit Cards and Debt: Outstanding Balance from previous reporting period New Loans received during this reporting period (Total of all New Loan amounts plusAccmed Interest from Schedule D s New Credit Card and Debt Incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) tj�o Subtotal -...- ....--- ---.._..... - -- ...:............ .... ...... ... - - - -- - ---- 05� Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) P Repayments ofCredit Card and Debt this reporting period `I/( (Total of all Debt Repayment amounts from Schedule E sheets) 18Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, .._._ .. _.:....-....._..----._..._._._..-- _ .. - ---------- ----- - - ..._....---.:_._._......... .... _.._..._...... _.__.......--------------- - 'Pledged Contributions 19 f Unitemized Pledged Contributions ($50 and less) # of Pledges - ......,----.._...._. ... ...... ._..- - --- ............ ©0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) E._. - ..... __..............._.__.._..__..--------------------- _._,-......._.... Total Pledged Contributions this period Page 2 Total This Period + $ 11,835.00 + $ 244_00 ✓ + $ $ 12,079.00 j + $ 3,310.06 $ 3,310.06 - --- ---- -- 7) L= $ 3,310.06 $ 0.00 Oct 10 2011 5:03PM Olsen & Company SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifiy Dollars ($50.00) this period (208) 888-1596 p.4 nae o NamecfCandidateorCommittee: MAYOR TAMMY DE WEERD Dale Received Furl Name, Malling Address and Zip Code of Contributor Cash or Check 1. Meuleman Mollerup 05/ L2 755 W Front St Ste 200 $ 300.00 -5L' —1 Primary General Boise, ID 83702 CelendarYear-To-Dals 2' William Beck 05 / 25 11 950 W Bannock Ste 270 $ 00.00 Primary Boise, ID 83702 $----- General _ _ _ _ _ 3. KeyCorp Advocates Fund _Calend'arYear-TuDale $ 22� 11 127 Public Square 100.00 Primary Cleveland OH 44114 ' $ C_ alendarYear= o -Date —Generai 4. J. Lamont Keen $ 481 N Strata Via Way 250.00 Primary General Boise, ID 83712 $ CalendarYear-ToAale 5, Kenneth Howell -L5J 25 / 11_ 7108 EI Caballo Dr. $ _ 100.00^ Primary General Boise, ID 83704 $ CalendarYear-TbAato 6. Scott Peyron $ 05 125 / 1 � 209 Main Ste 200 100.00 Primary _ General Boise, ID 83702 $ 7' Michael Fery 100.00 $ 05 f 25 / 11 2700 W Airport Way Primary General Boise ID 83715 Calendar Ywr-7o-Daie 8. Upson Company 100.00 05 125 /111 4512E Ustick Rd — — Primary Caldwell, ID 83605 $ Calendar Tm--rTTM-- . General 9. Ian Atkinson $ 05 / 25 ill P. O. Box 1180 $ 200.00 Primary General Meridian, ID 83680 _ Calend_arYear-7aAele 10. Gary Raney 051 211 1480 S Rolling Hill Dr 100.00 Primary General Meridian, ID 83642 $ CalendarYear- u -Dale Total This Page: $ 1/i�-„x Transferlhe combined total of all Schedule pages to the Detailed Summary on page 2 line 2. Oct 10 2011 5:03PM Olsen & Comran9 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period (2081 888-1596 P.5 NameofCandidate orCommittee: MAYOR TAMMY DEWEERD Date Received Full Name, Mailing Address and Tip Code of Contributor Cash or Check 1. Jim Kissler $ 05 f 2� t 1 1591 Sendero Lane _ — 500.00 Primary General Boise, ID 83712 $ Calendar Year•ToOale 2. Suzie Hall 05 /211 1005 E Park Blvd. $ 100.00 Primary General BID 83712 Boise, $ CalendarYear-Tu-Date s. Bradley Barker ------- ---- -- ---- $— 05 j 11 500 East Shore Dr. $ 250,00 Primary General Eagle, ID 83616 Calendar Year -Ta -Dale 4' Stein Distributing Company Inc T os ! zs / 11 601 North Phillippi Street 100.00 Primary General Boise, ID 83707 $•--- Calendar Year -To -Dale 5. Gary Fletcher $ 200_00 o J z5 / 11 190 East Bannock Street Primary General Boise, ID 83712 $Calendar Year -To -Dale 6. Clearview Cleaning Services, Inc $ 05 / 25 Ill 6190 S Settlement Way $ 200:00 General IT -- ._—.—_ Boise, ID 83716 __ __ --'---------------�------- --- .T Calendar Year- o -nate ---------.—_ Dennis Johnson- $- 05/25/11 P. O. Box 7777 -- 250.00 $ Primary General Meridian, ID 83630 Calendar Year -To -Dain B' Chuck Winder for Senate $_ 200.00 $------- 05 25 /11 5528 N Ebbetts Ave Primary Boise, ID 83713 oale Calendar YearT-0 ---- General -- -- 9. ESI —..-------.._--------- ------ $ 05 J 11 12400 W Overland Rd 100.00 Pr Primary General Boise, ID 83709 $ CatendarYcar-To-Dale 10' Bessie Katsilometes 60 00 1311 E Central Or Meridian, ID 83642 $---- Primary General Calendar Year -To -Dale 5-0, ct Total This Page: is u c) , l9f�o- vz� 215• oa 375c� /900. vo r35, (TO Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Oct 10 2011 5:03PM Olsen & Company SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period (208) 888-1596 P.6 age Of — 3 Name of Candidate or Committee: MAYOR TAMMY DE WEERD Dale Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 1. Douglas Oppenheimer $ _ 05 25 f 2912 Gekeler Ln 100 00 Primary General Boise, ID 83706 $Caendervear-To D& 2. Roaring Springs Water Park $ os 126 / t i400 Primar W Overland Road 250.00 y Meridian, ID 83642 $— —— General Cal¢ndarYear-TraOale 3. Black Mor LLC $ 06 l z� 400 W Overland Road 250.00 Primary$ General Meridian, ID 83642 -------------_ �._ --- -_ CalandarYaar-To-Date ------- ----- 4; Perrin Robinson os 3a 111 5426 School Ridge Rd $ 100.00 — Primary General Boise, ID 83714 $---- Calendar Yeaz•To•Dala 5. Mark Bowen $_—__— D6 /3ri 01— 3067 Autumn Way 200.00 Primary General Meridian, ID 83642 $--'-- Cal endar -Date Year -To- 6' John Wiskus $ os 130 850 E St. Martin Dr. 100.00 Primaryary General Meridian, ID 83642 -- - - $ Calundar Year -To -Hale - ------- 7. David Bennion ------------- $--- 06 130 111 2212 ridge Point Way 75.00 Primary General Boise, ID 83712 Calendar Yeaa7o-Dato S. Syringa Networks, LLC $ — 500.00 $- - 06 130_1 11 3795 S Development Ave. Primary General Boise, ID 83715 CalendarYear-Tu-Oele 9' White -Leasure Development Co $ 07 / 19 / 11 P. O. Box 1277 $ 200.00 Primary General Boise ID 83701 CalendarYear-To- Dale ------- 10. W.H. Moore Gompany------------------- $.------- 07 /19 111 P. O. Box 8204 1,000,00 Prima General BOISe, ID 83707 $Calendar Year -To -Dale Total This Page; $'-71115. 6b Transfer the combined total of all Schedule Apages to the Detailed Summary on page 2 line 2. Oct 10 2011 5:03PM Olsen & Company SCHEDULE A - ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period (208) 888-1596 p.7 a9eof4 Name of Candidate or Committee: MAYOR TAMMY DE WEERD Date Received Full Name, Mailing Address and Zip Coda of Contributor Cash or check os J 25 / 11 t. Micron Technology, Inc P.O. Box 6 Boise, ID 83707 1,000.00 $--- Primary General CalendarYear-To,Dale os 125 111_ Primar y General 2. Neal Russell 1940 S Bonito Way Suite 150 Meridian, ID 83642 $ 250.00 $ -- — Calendar Year -To -Dale _08J25 / 11 s. HDR Engineering, Inc 8404 Indian Hills Drive 8404 Omaha, NE 68114 $ 500.00 Primary General .Calendar Year -To -Date 09 ( 07 / 11 4 Christine Dixon 1100 W Amity Rd Meridian, ID 83642 $ _ 100.00 $ Primary General Calendar Year -To -Date 09/ o� 1 1 — 5. Colleen Braga 1150 W Greenhead St Meridian, ID 83642 $ T $ 50.00 Calendar Year -To- Date Primary General 0� 1 6. Sullivan & Renberg JV P_ O. Box 1703 Boise, ID 83701 ----------- $ $ 1,000.00 Primary General Calendar Year -To -Dade - ---- os 122 111 Primary General 7 W H Moseley——_—_----- — 3430 N Plantation River Dr Boise, ID 83703-3002 $------ $ 150.00 Calendar Yaar-To-Date , U-2? 111 8. William Bach 3999 W Columbia Rd Meridian, ID 83642 $ _—_- 100.00 $ —Vaar-- Primary General laroDae canda os 12z Ill 9. Brighton Corporation 12601 W Explorer Dr Suite 200 Boise, ID 83713 '----- -- $ 500.00 $ RG Primary eneral Calendarvaar-m-Dale — -----10. 09 122 111 Brian Simer------------- 5116 E Cherry Lane Nampa, ID 83687 p $_ 100.00 $ Primary General Calendar Year-io-Hale Total This Page: $ 7!50 Oy") Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Oct lU 2Ull 5:04PM Olsen & Company SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period (208) 888-1596 P.8 M I_ —I 5 Name ofCandldateorCommittee: MAYOR TAMMY DE WEERD i Date Received Full Name, MallingAddress and Zip Code of Contributor Cash orCheck 09 /22 Ll 1' Frank Morehouse 6263 W Longbranch Ln Boise, ID 83714 $— — 50.00 $Calendar Year -Ta -Dale Primary General 09 / �� 111 []Primary General 2. Kari Morehouse 6263 W Longbranch Ln 6263 Boise, ID 83714 $ 50.00 $ CalendarYesr-Tc-Date 09 / L2 -J 1- 3. William Russell _ 1899 W Stafford St Eagle, ID 83616-6573 —--- -- $ $ 100.00 Primary General CalendarYear4o-Date z2 / 11 4 Nancy Russell .:.. �.. -- — — -- 1899 W Stafford St. Eagle ID 83616-6573 $-- -- 100.00 $ CelendarYeardo-Date Primary General 09 /22 I'll 5' Jeffery Del -app 480 Laguna Shore Drive Eagle, ID 83616 g $ ___ 125.00 $ Primary General CelendarYear-To-Date 6. Delia DeLapp 480 Laguna Shore Drive Eagle, ID 83616 9 $ 125.00 $ Primary General CalendarYear-To-Dara 09 122 111 7 Shauna Lee Bach 3999 W. Columbia Rd$ Meridian, ID 83642 g __ 100.00 Primary G..neral CalentlarYear-To-Date -9-9-19-2-0 —1 Primary B. Travis Hawkes 1898 W Whitestone Ct. Meridian, ID 83646 $Ca endarYear-To-Dae os /z2 / s' UHFG Insurance Political Action P. O. Box 7777 Meridian, ID 83680-7777 $ 1 00000 LjGenaral Primary al Gene CelendarYear-To-Date �i 10. $ Primary General CalendarYear-To-Dale Total This Page: $ ()t7 ( 0 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2line 2. Oct 10 2011 5:04PM Olsen & Company (208) 888-1595 p.10 FI -- ---. Data Spent Full Name, Mailing Address and Zip Code of Recipient ----_------ SCHEDULE B Cash or Check _ . -- ITEMIZED EXPENDITURES Twenly-Five Dollars ($25.00) or more this period Jame of Candidate or Committee: Mayor Tammy Deweerd -.. Purpose Codes------------------------------- 750.00 $ A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) O 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 Manaonmenl sewires Z Preparation & Production of Advertising FI -- ---. Data Spent Full Name, Mailing Address and Zip Code of Recipient ----_------ Purpose Code ------- Cash or Check _ . -- 1. C.J. Coles '---------------• 6780 N Casa Real M 750.00 $ 01j 12 111 Boise, ID 83714 ---- 2. C. J. Coles 6780 N Casa Real 400.00 02 24 ! 11 Boise, ID 83714 © $ 3. C. J. Coles 6780 N Casa Real M 600.00 $—_--.___.—_ 04 / 0l Ll Boise, ID 83714 4. City of Meridian 33 E Broadway Ave E 360.00 04 L04 i11 Meridian, ID 83642 $---.-----------.- 5, Indian Creek Winery 1000 North McDermott Road C 99.75 18 !11l Kuna, ID 83634 $ _0508 6. Ada County Republican Women 9175 Holt Street C 62.00 _/_21 11 Boise, ID 83704 -_ --__ $- --. ---- — — 7. Meridian Chamber 215 E Franklin Road E 250.00 $ 06 j 1� 11 Meridian, ID 83680 - _ _ _- — 8• Meridian Dairy Board 6627 Airport Road E 25.00 _O6_ 13J 11 Nampa, ID 83687 9. Mosaic Advisors M 1048 W State St 682.00 06 1_13 ) 11 Meridian, ID 83642 $ 10. Brant Ideas 1500 North Locust Grove Road G 125.00 06 13) 11 Meridian, ID 83642 $---- Page:_— $ 3,353.75 ✓ Total This So3(� 13 4y3N,5o l 3'1", -7 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. .,11 1. cull O:u-rrri ui.sen u, uompan9 SCHEDULE 6 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Mayor Tammy Deweerd t208J 888-1596 P.11 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, elc.) 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 ofAdvedising rof Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Coda Cash or Check 1 Mosaic Advisors 0629 11 _/—I— 1048 W State St Meridian, ID 83642 M 73526 $__ 2• The Grotto _97/_01 /11 112 E Idaho Ave Meridian, ID 83542 3. Tribute Media F $ 750.00 07/01 136 East Idaho Ave, Ste 200 N 500.00 /11 - Meridian, ID 83642 ----- 4. C. J. Coles `--_-_----------— . - ---- ------ 6780 N Casa Real M j 06 Ll Boise, ID 83714272.00 5. Bach Studios 07/06 397 W State Street #B 0 95.00 Ill l Eagle, ID 83616 $ 6. Mosaic Advisors O6 11 1048 W State St M 550.00 / Meridian, ID 83642 7. Mosaic Advisors 07 11 1048 W State St M 520.00 j_26 / — Meridian, ID 83642$ -- - -- 8. IPromoteU - 321 Commonwealth Rd-, Suite 303 M 1,046.87 OS / 06J 11 Wayland, MA 01778 9. Fraser Marketing Group 08106 11 2103 S Deborah PI M 417.00 / Boise, ID 83709 $ 10. City of Meridian 33 E Broadway Ave E 150.00 08 /26 / 11 Meridian, ID 83642 $__—___ 5,036.13 ✓ Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7, SCHEDULE B age e� ITEMIZED EXPENDITURES 3 4 Twenty -Five Dollars ($25.80) or more this period NameofCandidaleor Commiffee: Mayor Tammy Deweerd _ _I Purpose Codes A All Travel Expenses (Airrare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) O 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 Petilion 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 1' City of Meridian 1 $3 E Broadway Ave M 40.00 � - Meridian, ID 83642 $ 2• Meridian Parks and Rec 33 E Broadway Ave E 250.00 09 113 / 11 Meridian, ID 83642 $ 3. Mosaic Advisors 1048 W State St M DUO 09 13 / 11 Meridian, ID 83642 $ 4. International Minute Press — 6980 Overland O 15740 09 ( 11 Boise, ID 83709 $: 5. Mosaic Advisors 19 1048 W State St M 300.00 /11 Meridian, ID 8364_2___ 6. Greg Smith and Associates 682 Nickalaus Ln E 1,200.00 -09J 27 / 11 Eagle, ID 83616 $--__._.__� 7. Foster Thinking 09 28 524 3rd Street South, # 162 G 1,500.00 / _J_11_ Nampa, ID 83651 $ B. Tribute Media ---- _---- -- --.- 09 28J 11 163 East Idaho Ave, Ste 200 O 337.50 / Meridian, ID 83642 9' Rocky Mountain Football Association 09 28 3912 W Moon Lake N 325.00 / 111 Meridian, ID 83646 $ 10.Ada County Republican Party P. O. Box 1572 C 2500 09 /� 11 Boise, ID 83701 $ _____ Total This Page: $ 4,434.90 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. - -- -- --------... - - -- - --..., SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($26.00) or more this period IName of Candidate or Committee: Mayor Tammy Deweerd aye of - L4 14 Purpose Codes I Full Name, Mailing Address and Zip Code of Recipient - Purpose Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other PeriodicalAcivedising B Broadcast Advertising (Radio, N & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polis E EventExpenses T Tickets (Events) F Food & Refreshmar•ts U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M blanaaement Services Z Preparation & Production oiAdvortising Date Spent I Full Name, Mailing Address and Zip Code of Recipient - Purpose Code Cash or Check 1' Mosaic Advisors 1048 W State St M 675.00 09 1 j 11 Meridian, ID 83642 $.—._ _ 2. 1— - $ --- — ---- --- - -- - -- -- — --- 3. --- —_1—�-- $ ------------ 4. 5. 1 $ — $-- —/---- ----- ---- - 7. - 8. 9. $ 10. ! I $ ---- Total Tills Page_ $ 675_00 - Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7. uuL lu cull o:u-trm uisen a uompan�j teuai aaa–ioxie p.y SCHEDULE C age of L—L. IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: / X Primary Purpose Codes $ 244.00 General 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 Lilerature, Brochures, Printing Y Petition Circulators M binnnnemanl Semicas Z Preparation & Production of Advertising 1. Contributor Name, Mailing Address and ZIP Code 244.00 09 /30 111 Olsen & Company CPA's / X Primary 131 SW 5th Ave Suite B Meridian, ID 83642 $ 244.00 General Calendar Year -Tb -Dale Expenditure Name, Mailing Address and Zip Code Purpose Code Olsen & Company CPA's M 131 SW 5th Ave Suite B Meridian, ID 83542 $ 244.00 — 2. Contributor Name, Mailing Address and Zip Code ! Pnmary Calendar Year•To-Dale Genera I Expenditure Name, Mailing Address and Zip Code Purpose Code 3 Contributor Name, Mailing Address and Zip Code $ Tary $ Galendar Year -To -Dale eral Expenditure Name, Mailing Address and Zip Code Purpose Code 4, Contributor Name, Mailing Address and Zip Code Primary $ _ —_-___- General Calendar Year -lb -Date Expenditure Name, Mailing Address and Zip Code Purpose Code "---- — — ------- ---------- --------ExpendllureTotal: (Transfer the combined total of all Expenditures on Schedule C pages 244.00 to the Detailed Summary, page 2 line 8) -------- Contributor Total: $ 244.00 (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2line 3) SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (t.e, credit card purchases and debt) should be listed on a separate line. Each time you mak 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 Goland add purchases to that item. Each Creditor listed belowwhh a New Debt amount must have a Schedule E-1' accompanying it. The Schedule E-1 lists whereend 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 receivA all credit card transactions will appear on Schedule E and E-1, However, only Repayments of Debt during this reporting period appear in the Expnditure Section of the Detailed Summary Page. Any credilor(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance calm. 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 Reprients column. Note: Any debt that was repaid in full in a previous reporting period does not need to be Ilsted.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 Debi amount Repayments of Debt Balance outstanding Creditor debt at the and of the incurred during this during thus repoding at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1' Tammy Deweerd Dale: 09/22/11 Date: 2621 Miranda DAO Amount Amount 2,559,90 Meridian, ID 63642 ® $ 2,559.90 $ 2' Tammy Deweerd Date: 09/11111 Date: 2651 Miranda 0.00 Amount Amount 750.16 Meridian, ID 63642 $ 750.16 s- 3. 3 Date: Date: Amount: Amount 4 Date: Date: Amount Amount $ $ 5. Date: Dale: Amoum= Amount: $ $ 6 Date: Date: 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 Dotal led Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ 0.00 Detailed Summary, page 2 line 10 & 17) Ending BalanceTotal ; $ 3,310.706/ SCHEDULE E-1 ape �— CREDIT CARD and DEBT ITEMIZATION 1 1 'Name of Creditor from Schedule E: Mayor Tammy Devveerd Each Creditor listed oW Schedule E with a New Debt amount must have a Schedule E-1 accomoanvinq it. The Schedule E-1 lists where and when the debt was incurred. 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 riicketsi,Events) F Food & Refreshments U Utilities G General Operationai 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 Austin, TX 78758 L Date Incurred Full Name, MallingAddress and Zip Code ofExpenditure Purpose Cada Amount 1 • Lytle Signs 1925 Kimberly Road - P. O. Box 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 $ 750.16 3. 4. 5. 6. -- 7. $ 8. $ 9. $ Total This Page: $ 3,310.O6 The total of itemization for this creditor s h on Id equal the new loan amount Its ted on Schedule E for fhis creditor.