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30 Day PostT dtq r � t Section I CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) -aC-2 ev.12/14 <. F CLEF' err `^ Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Jordan Moorhouse City Council Seat #4 1,000.00 $ Mailing Address Ulty and Lip Home Phone TWo-rR Friona 3536 W Ryder Cup Dr. Meridian 83646 208-761-7227 208-761-7227 Name of PoliticalTreasurer Stephen Pugmire ailing ress ity an ip Home one or one 2247 W Santa Clara Meridian 83642 208-554-1695 ]208-888-5112 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ® Original ❑ Amendment This report is for the period from 10/23/2017 through 1-1/17/2017 / ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ® No 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 1 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 figures to the Column II figures of your previous report (except on line 6). This Period Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX Line 2: Enter Beginning Cash Balance"* 802.29 $ Line 3: Total Contributions (Enter amount from line 5, page 2) 1,000.00 $ Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,802.29 Line 5: Total Expenditures (Enter amount from line 11, page 2) 1,511.57 $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) 290.72 $ Line 7: Outstanding .Debt to Date (Enter amount from line 18, page 2) 0.00 $ COLUMN II Calendar Year to Date $ 0.00 $ XXXXXX $ 5,530.00 $ 5,530.00 $ 5,239.28 $ 290.72 *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: amity Cierk's -Office City of Meridian 33 E. Broadway Ave. Suits 1i)4 Meridian, ID 83642 (208)888-4433 clerk@merldiancity.org Stephen Pugmire Name of Political Treasurer report is a true, complete and correct C Page 1 hereby certify that the information in this Financial Disclosure Report as required by law. of Political Treasurer DETAILED SUMMARY Name of Candidate or Committee: Jordan Moorhouse Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $1,000.00 Total This Period Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) Contributions + $0.00 0 14 f New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) _ Unitemized Contributions ($50 and less) # of Contributors 15 + $0.00 20 Itemized Contributions (Total of all Schedule A sheets) Repayments of Loans made during this reporting period _ (Total of all Loan Repayment amounts from Schedule_D sheets) + $1,000.00 30 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $0.00 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) Loans (Total of all New Loan amounts from Schedule D sheets) _ $0.00 P + $0.00 5� Total Contributions (Transfer this figure to,page 1, Section IV, Line 3) _ $1,000.00 Expenditures © Unitemized Expenditures (Less than $25) # of Expenditures + $0.00 Itemized Expenditures {Total of all Schedule B sheets) + $511.57 ® In Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $1,000.00 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) I = $1,511.57 i Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $1,000.00 ONew 13 Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $0.00 0 14 f New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) _ + $0.00 15 Subtotal _ $1,000.00 46 Repayments of Loans made during this reporting period _ (Total of all Loan Repayment amounts from Schedule_D sheets) i _ $1,000:00 17 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) - I o.OG 1 g Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $0.00 -Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS 1 1 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 11 / 1 / 17 1. Pioneer Family Medicine500.00 13150 Persimmon Ln Boise, ID 83713 $ Calendar Year -To -Date 11 /8 /17 2.Jake Jones 2404 S Orchard St #1000 Boise, ID 83705 500.00 $ Calendar Year -To -Date 1 I 3. $ Calendar Year -To -Date 1 I 4. � $ Calendar Year -To -Date I I 5. $ $ Calendar Year -To -Date I I 6. $ $ Calendar Year -To -Date I I 7. $ $ Calendar Year -To -Date 8. $ $ Calendar Year -To -Date I I 9. $ $ Calendar Year -To -Date I I 10, $ $ Calendar Year -To -Date Total This Page: $1,000.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page o 1 I Name of Candidate or Committee: Jordan Moorhouse I rurpose t;oaes (tmer up to 6 purpose coaes per txpenaaure.) ame, Mailing Address and Zip Code of Recipienturpose o e s) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 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 H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 1 Hacker Way Date Spentu ame, Mailing Address and Zip Code of Recipienturpose o e s) Cash or Check 1. D & B Supply Co. O 1725 E Fairview Ave 10 27 17 Meridian, *ID 83642 211.57 2, Facebook O 1 Hacker Way 11 3 17 Menlo Park, CA 94025 25.64 / / $ 3. Facebook O 1 Hacker Way 11 4 17 Menlo Park, CA 94025 50.19 / / $ 4. F-acebook O 1 Hacker Way 11 10 17 Menlo Park, CA 94025 224.17 / / $ 5. 6. I $ 7. 8. l I $ 9. 1 $ 10. � r $ Total This Page: $ 511.57 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE D - LOANS Name of Candidate or Committee: Jordan Moorhouse 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. Jordan Moorhouse Date: Date: 2505 N Old Stone Way / / 11 /8 /17 Meridian ID 83646 1,000.00 Amount: 0.00 Amount: 0.00 $ 0.00 $ 1,000.00 2. Date: Date: Amount: Amount: 3 Date: Date: Amount: Amount: 4. Date: l I Date: I I -Amount: Amount: $ $ 5. Date: Date: Amount: Amount: 6. Date: I 1 Date: I 1 Amount: Amount: 7. Date: I l Date: l I Amount: Amount: $ $ Previous Received Interest Repayments Ending Balance Previous Total $1,000.OQ Received Total: (Transfer the combined total of all received loans to thei $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $1,000.00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ 0.00 (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)