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2019 Annual Report (Termination)WcETvED 4 �L. CAMPAIGN FINANCIAL DISCLOSURE REPO C-2 SUMMARY PAGE DEC 2019 Rev, 12/14 (Please Print or Type) CITY 0-i- � 4� c ep CITY CLEPIKS OF-FICE Section I Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Donna Lusignan City Council COLUMN II Mailing Address ulty and zip Home Phone rk Hnone 1033 W. Verbana Meridian 83642 619-922-3851 $ XXXXXX Name of PoliticalTreasurer Fay Clare Mailing Address Cily and Zip Home Phone ork Phone 723 W Redwood Ln Nampa 83651 208-230-0611 $ Change of address for Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 10 Original ❑ Amendment This report is for the period from 11/15/2019 through 12/31/2019 / ❑ 7 Day Pre -General Report Is this a Termination Report: m Yes 10 , 30 Day Post -General Report ❑ No ❑ October 10 Pre -General Report j� 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. ❑ 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* $ XXXXXX $ 1,315.80 Line 2: Enter Beginning Cash Balance** $ 386.58 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 302.59 $ Line 4: Subtotal (Add lines 1, 2 and 3) $ 689.17 $ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 689.17 $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) 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 Please remit to: City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Meridian, ID 83642 (208) 888.4433 cityclerk@meridiancity.org Fay Clare hereby certify that the information in this Name of Political Treasurer report is a true, complete and c,grrect Campaign Financial Disclosure Report as required by law. Page 1 Signature of Political Treasurer 0 0 10 11 12 13 14 - 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Donna Lusignan Expenditures Total This Period Contributions + $ 318.37 Unitemized Contributions ($50 and less) # of Contributors 4 + $152.59 Itemized Contributions (Total of all Schedule A sheets) + $100.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 50.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $ 0.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $302.59 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 14 + $ 318.37 Itemized Expenditures (Total of all Schedule B sheets) + $ 0.00 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 50.00 Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 320.80 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ 0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $689.17 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ 320.80 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ 0.00 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ 0.00 Subtotal = $ 320.80 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) _ $ 320.80 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) _ $ 0.00 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $ 0.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges 0 + $ 0.00 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ 0.00 Total Pledged Contributions this period = $ 0.00 Page 2 SCHEDULE A Page e ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Name of Candidate or Committee; Donna Lusignan Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 11 /04 /19 1 • Linda J, Speer 17257 Rockhouse Road Ramona California 92065 100.00 $ l $ /Oo , & U Calendar Year -To -Date 2. $ $ Calendar Year -To -Date 3, Calendar Year -To -Date I I 4, $ $ Calendar Year -To -Date / I 5. $ $ Calendar Year -To -Date I I 6. $ $ Calendar Year -To -Date 7. Calendar Year -To -Date 8. $ $ Calendar Year -To -Date 9. Calendar Year -To -Date 10. Calendar Year -To -Date Total This Page; $100.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. [Nam &of, Candidate. or Comm, itte Purpose Codes (Eritu upto3purpose. codes per L Wor Name, Maiting'Address and Zip Code 1:795, VV. Piazza St Meridian Idaho, 83646 50.00 A All Travel Expenses (Airfaxe.Foo[Lodging & Mileage) N Newspaper & Other Periodical Advertising 8 Bmudm,tAdvertisinA(Radio,TV,/ntemwL&Telephone) {J 'OithorAdvertising (-Yard Signs, BuUom�etcj `C ContribuWona4oCandidates &RAC's `P Postage D 0omdUunu/&,G0m S Surveys &Polls E Evan\Expenoos T 3ickntsJEvaAbA F Food'&Refreshments `'U /U(||Neu ,S Genera|,0penaUmnal`6xpmnses BV VVmges.Salohem.BenefilsA-Eonuneo 'H independent Expenditure Y Petition Circulators L Literature, Brochures, Printing Z Preparation 8Production oyAdvertising M k8onagemewt89n4coa L Wor Name, Maiting'Address and Zip Code 1:795, VV. Piazza St Meridian Idaho, 83646 50.00 CalendarYear- To -Date nendliture Name Mailing Addiress andZip Gode e Urge )Meridianildaho83646 50.00 Purpose code(s�' 2. Contributor �Name,)Mall ing Address and ZpCode Calendar Year -To -Date Expenditure- Name, Mailing AddTesB and Zip Code 3. Contributor Name,, Mailing Address, and Zip Code Expenditure Name, Wiling Address and Zip 'Code Purpose i0ode(s) 4. Contributor Name, Mailing Address and ZipCode Calendar YearTb,Date Expenditure Name,, Mailing Address and Zip, Code Purpose Code(s), Expenditure Total: ,(Transfer the,combined total ofall Expenditures on'Schedul&C pages Contnbutor Total, jransfer the combined total of all Contributorson SchedYle C pages to the Detailed Summary, page 2.1ine 3) SCHEDULE D - LOANS Name of Candidate or Committee: Donna Lusignan 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. 00()nc� LvsI nA J D R ,�; W, V& -b o,A r. Vl-,r,dA J�Q 936 V 320,3-0 Date: / / Amount: $ �/ Date: Ll Zai Jy 3P, g--© Amo -1- $_ ZD, g -o 2 Date: Date: Amount: Amount: 3 Date: Date: Amount: Amount: 4 Date: Date: Amount: Amount: 5 Date: Date: Amount: Amount: 6 Date: Date: Amount: Amount: 7 Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $,9700- 3 V'I Received Total: (Transfer the combined total of all received loans to the $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $`0�0- 2 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ O-00, Zb , (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)