October 10 Pre General1st sEq'
Section I
NameQf Candidate os
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CAMPAIGN FINANCIAL DISCLOSURE REPORT �
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SUMMARY PAGE Rev. 12/14
(Please Print or Type)
t � C ter.
olitical Committee and Cha0person
Change of address for:
Uouyut pi eanmua[e) District (if any)
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�iry an ip ome one
Pia� ffa
Candidate or Political Committee ® Political Treasurer
Section II TYPE OF REPORT
This filing is an:Original ® Amendment
This report is for the period from d / ,, / ( through to / to /
❑ 7 Day Pre -Primary Report ❑ 30 Day Post -Primary Report
❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report
L
❑ October 10 Pre -General Report
❑ Annual Report
❑ Semi -Annual Report (Statewide Candidates Only)
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,
IV
I hereby certify that I have received no contributions and have made no expenditures during this reporting period.
To reach your Calendar Year to Date figure: Add this report's Column IV
figures to the Column II figures of your previous report (except on line 6).
Line 1: Cash on Hand January 1, This Calendar Year
Line 2: Enter Beginning Cash Balance's
Line 3: Total Contributions (Enter amount from line 5, page 2)
Line 4: Subtotal (Add lines 1, 2 and 3)
Line 5: Total Expenditures (Enter amount from line 11, page 2)
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)
COLUMNI
COLUMN II
This Period
Calendar Year
to Date
S XXXXXX
S
S
g
XXXXXX
S
S
S
S
S
S
s
s
S
*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:
Lawerence Denney
Secretary of State
PO Box 83720
Boise ID 83720-0080
Phone: (208) 334-2852
Fax: (208) 334-2282
Name of
report is a true, complete
Page 1
hereby certify that the information in this
Disclosure Report as required by law.
Political Treasurer