October 10 Pre General4 G4't o+
r
Sectional
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
C-2
Rev. 12/14
' s
Name of Candidate or Political Committee and Chairperson
Office Sought (if c an 6 ida
District (if any)
Treg Bernt
City Council4
$ 9,750.00
Mailing Address
i an ipome
one
or e
531 S. Tiburon
Meridian, ID 83642
208-409-7400
$ 0.00
Name of PoliticalTreasurer
Brad Hoaglun
Mailing Address
City and Zip
Home Phone
Work Phone
2470 W. Trestle Drive
Meridian, ID 83646
208870-8237
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: 2 Original ❑ Amendment
This report is for the period from 0610112017 through 09/30//2017
® October 10 Pre -General Report
❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: ❑ Yes 2 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 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*
$ XXXX X
Line 2: Enter Beginning Cash Balance**
$ 0.00
Line 3: Total Contributions (Enter amount from line 5, page 2)
$ 9,750.00
Line 4: Subtotal (Add lines 1, 2 and 3)
$ 9,750.00
Line 5: Total Expenditures (Enter amount from line 11, page 2)
$ 8,783.06
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
$ 966.94
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2)
$ 0.00
$ 0.00
$ XXXXXX
$ 9,750.00
$ 9,750.00
$ 8,783.06
$ 966.94
*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 83842
(208) 888.4433
clerk@meridlancity.org
Brad Hoaglun
Name of Political Treasurer
report is a true, complete and correct Campaign
Page 1
Signature
hereby certify that the information in this
Report as required by law.
Treasurer
0
0
10
11
12
13
14
15
16
0
18
DETAILED SUMMARY
Name of Candidate or Committee: Treg Bernt
Expenditures
�Total This Period
Contributions
+ $64.09
Unitemized Contributions ($50 and less) # of Contributors 0
+ $0.00
Itemized Contributions (Total of all Schedule A sheets)
+ $9,750.00
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $0.00
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)
_ $9,750.00
Expenditures
_
Unitemized Expenditures (Less than $25) # of Expenditures 4
+ $64.09
Itemized Expenditures (Total of all Schedule B sheets)
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $8,718.97
+ $0.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $0.00
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)
_ $8,783.06
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
+ $0.00
New Loans received during this reporting period
+ $ 0.00
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
New Credit Card and Debt incurred this reporting period
+ $0.00
Total of all New Incurred Debt amounts from Schedule E sheets
Subtotal �^
_ $0.00
Repayments of Loans made during this reporting period
- $0.00
(Total of all Loan Repayment amounts from Schedule D sheets)
Repayments of Credit Card and Debt this reporting period
$0.00
(Total of all Debt Repayment amounts from Schedule E sheets)
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
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $0.00
+ $0.00
Total Pledged Contributions this period
= $0.00
Page 2
SCHEDULE A Page o
1 2
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:Treg Bernt
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
06
/15
/17
1.Treg Bernt 531 S. Tiburon, Meridian, ID 83642
$ 100.00
$ 100.00
Calendar Year -To -Date
06
/19
/17
2. Promising Horizons 403 W. Cherry Lane, Meridian, ID 83642
100.00
$,
$ 100.00
Calendar Year -To -Date
06
/19
/17
3. Vintage Road Photographers 731 S. Thornwood Way, Meridian, ID 83642
500.00
$
500.00
Calendar Year -To -Date
06
21
17
4. Brighton Corporation 12601 W. Explorers Drive #200, Boise, ID 83709
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
07
26
17
5.ALIC Properties 4195 W. Chinden Blvd, Garden City, ID 83714
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
07
26
17
6.Ozzy's Car Company 4195 W. Chinden Blvd, Garden City, ID 83714
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
07
26
I
17
I
7. Bitterroot Holdings LLC 13965 W. Chinden, Boise, ID 83713-1457
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
07
/26
/17
8. L & K Carpet One 129 N. 2nd Avenue, Pocatello, ID 83201
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
07
26
17
9. Ken and Renae Bernt 478 University Drive, Pocatello, ID 83201
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
08
/22
/17
10. Blackrock Homes 1979 N. Locust Grove, Meridian, ID 83646
1,000.00
$
$ 1,000.00
Calendar Year -To -Date
Total This Page:
$7,700.00
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE A Page °
2 2
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
[Name of Candidate or Committee:Treg Bernt
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
08
/22
/17
1. C15 LLC P.O.Box 1610, Eagle, ID 83716
$ 1,000.00
$ 1,000.00
Calendar Year -To -Date
08
/31
/17
2. Matthew Schultz P.O. Box 1115, Meridian, ID 83680
150.00
$
$ 150.00
Calendar Year -To -Date
09
/14
/17
3. Meridian Fire Fighters IAFF Local 4627 P.O.Box 456, Meridian, ID 83680
500.00
$
500.00
Calendar Year -To -Date
09
/18
/17
4. Scott and Tawna Love 2370 Bowstring, Meridian, ID 83642
150.00
$
150.00
Calendar Year -To -Date
09
/18
/17
5. Ann Bowen 3067 Autumn Way, Meridian, ID 83642
150.00
$
$ 150.00
Calendar Year -To -Date
09
/27
/17
6. Winston H. Moore 1940 S. Bonito Way Ste 160, Meridian, ID 83642
100.00
$
$ 100.00
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:
$2,050.00
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 2
Name of Candidate or Committee: Treg Bernt I
Purpose Codes (anter up to ;3 purpose codes per txpenditure.)
Date Spent
FullName, Wiling Address and Zip Code ot Recipienturpose
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
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
Date Spent
FullName, Wiling Address and Zip Code ot Recipienturpose
o e s)
Cash or Check
1. Cash and Carry 1700 W. Shoreline Drive, Boise, ID 83702
E
06
19
17
87.33
2. Cash and Carry 1700 W. Shoreline Drive, Boise, ID 83702
E
06
21
17
266.83
3. Signs Etc. 910 E. Franklin #102, Meridian, ID 83642
O
06
21
17
228.96
4. Salute Apparel 200 N. Maple Grove #224, Boise, ID 83704
O
06
21
17
244.88
5. Bryant Ideas 149 S. Adkins Way #101, Meridian, ID 83642
O
06
21
17
200.00
6, Cash and Carry 1700 W. Shoreline Drive, Boise, ID 83702
E
06
23
17
64.74
7, Rocky Mountain Roll 865 Taylor Avenue, Meridian, ID 83642
E
06
23
17
68.90
8. Dairy Days Parade P.O.Box 862, Meridian, ID 83680
E
06
30
17
75.00
I
I
$
9. Meridian Parks and Recreation 33 East Broadway #206, Meridian,
E
ID 83642
07
26
17
264.20
10. UPS Store 104 E. Fairview Avenue, Meridian, ID 83642
L
08
01
17
291.50
$
Total This Page:
$1,792.34
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 ($25.00) or more this period
Name of Candidate or Committee: Treg Bernt
Purpose Codes (Enter up to 3 purpose codes per Expenditure.
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
Page o
2 2
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
Date Spent
FullName, Mailing Address and Zip Code ot RecipientPurpose
Code(s)
Cas or Check
1, Complete Marketing Solutions 1911 Tracy Court, Meridian, ID
M
83646
08
11
17
837.20
2. UPS Store 104 E. Fairview, Meridian, ID 83642
L
08
15
17
92.75
3. City of Meridian 33 E. Braodway, Meridian, ID 83642
G
08
30
17
40.00
4, Salute Apparel 200 N. Maple Grove #224, Boise, ID 83704
O
08
31
17
190.80
5. Bryant Ideas 149 S. Adkins Way #101, Meridian, ID 83642
O
08
31
17
137.80
6. Eric Cawley 1911 Tracy Court, Meridian, ID 83646
M
09
02
17
896.04
7, Artech Screen Printing 520 E. Franklin, Meridian, ID 83642
O
09
11
17
4,194.42
8. D & B Supply 1725 E. Fairview, Meridian, ID 83642
G
09
22
17
182.66
I
I
$
9. US Post Office 1200 N. Main, Meridian, ID 83642
P
09
27
17
274.40
10, UPS Store 104 E. Fairview, Meridian, ID 83642
L
09
28
17
80.56
/
/
$
Total This Page:
$ 6,926.63
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.