Little Roberts, Anne (7 Day Pre General)g�Ar CAMPAIGN FINANCIAL DISCLOSURE REPORT r � t--C-2
oDev. 12/14
r SUMMARY PAGE
(Please Print or Type) OCT 2 7
4
" off CITY ur
Section I r`BTV ^,
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
i t (if any)
Anne Little Roberts
City Council
seat 1
Mailing Address
City and Zip
Home Fhone -------
FW-orTFnone
2031 S. Elkhound Ave
Meridian 83642
208-861-4799
208-888-2817
Name of PoliticalTreasurer
Clarence Jones
Mailing Address
City an Zip
Home Phone
ork Phone
736 E. Trinidad Dr.
Meridian 83642
208-258-2033
208-871-5533
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 10/01/2015 through 10/10/2015 /
❑ 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 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[ 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 $
Line 2: Enter Beginning Cash Balance** $ 349.90 $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ 0.00 $ 1,931.00
Line 4: Subtotal (Add lines 1, 2 and 3) $ 349.90 $ 1,931.00
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 0.00 $ 1,581.10
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 349.90 $ 349.90
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,181.00
*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
City Clerk Contact Info
l Clarence Jones hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and rre t&mpaign Financial sclosure Report as required by law.
Signature of litical Treasurer
Page 1
0
0
0
12
13
14
15
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18
DETAILED SUMMARY
Name of Candidate or Committee: Anne Little Roberts
Total This Period
Contributions
Unitemized Contributions ($50 and less) # of Contributors
+ $
Itemized Contributions (Total of all Schedule A sheets)
+ $ 0.00
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)
+ $
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
= $0.00
Expenditures
Unitemized Expenditures (Less than $25) # of Expenditures
+ $
Itemized Expenditures (Total of all Schedule B sheets)
+ $
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)
= $ 0.00
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
+ $1,181.00
New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $
Subtotal
= $1,181.00
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
- $
Repayments of Credit Card and Debt this reporting period
(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)
_ $1,181.00
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges
+ $
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $
Total Pledged Contributions this period
= $ 0.00
Page 2
SCHEDULE A Page o
ITEMIZED CONTRIBUTIONS
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
1.
$
Calendar Year -To -Date
2.
$
Calendar Year -To -Date
3.
Calendar Year -To -Date
4.
Calendar Year -To -Date
5.
Calendar Year -To -Date
6.
Calendar Year -To -Date
7.
Calendar Year -To -Date
8.
$
$
Calendar Year -To -Date
9.
Calendar Year -To -Date
I I
10.
$
Calendar Year -To -Date
Total This Page:
$ 0.00
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 10, :1
I Name of Candidate or Committee: Anne Little Roberts I
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
Date spent
W1 Name, Mailing Address and Zip Code ot Recipienturpose
o e s)
Cash or GhecK
1.
I I
$
2.
I I
$
3.
/ I
$
4.
I /
$
5.
I I
$
6.
1 I
$
7.
I 1
$
8.
i I
$
9.
1 I
$
10.
I I
$
Total This Page:
$ 0.00
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.