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Little Roberts, Anne (Oct 10 Clerk Edits)CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev.12114 Name of Candidate or political C Imiltee and Chairperson Office Soughl Of candidate) p iDIOM (if any) CC,, ��, o r a Mailing Addrm f �r ` / GI N) V� i w zip iil�t +� ome one ane Name Of itrca remurer a ng W a ress t �ty1 IC��C Cityan Ip home Phone Phone <,X2 Change of address for: Candidate or Political Committee © Political Treasurer ❑ Section 11 TYPE OF REPORT This filing is an: Iq Original ❑ Amendment This report is for the period from through l �v 1 October 10 Pre -General Report Day Pre -General Report j] 30 Day Post -General Report ❑ Annual Report is this a Termination Report: ❑ Yes X 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 11, 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 figures to the Column 11 figures of your previous report (except on line 6). This Period Line 1: Cash on Hand January 1, This Calendar Year* g XXXYXCX Line 2: Enter Beginning Cash Balance** $ � Line 3; Total Contributions (Enter amount from line 5, page 2) ,3 ct-1' Line 4: Subtotal (Add lines 1, 2 and 3) $ Line 5: Total Expenditures (Enter amount from line 11, page 2) s _ )gym 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) $ COLUMN 11 Calendar Year to Date *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 offloe City of Meridian 33 E. Broadway Ave, Suite 104 Meridian, ID 83042 (208) 88"33 hereby certify that the information in this Name of political Treasurer report is a true, complete and correct �pqnFinanc` Disclosure Report as required by law. Signature of Political Treasurer Page 1 Q 0 Q 14 15 16 17 18 DETAILED SUMMARY Name of Candidate or Committee: Total This Period Contributions Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $.� In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ c. Loans (Total of all New Loan amounts from Schedule D sheets) + $ ( c-- Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $ 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 S) $ Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ , j (fi) New Credit Card and Debt Incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal $ _ I W 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) r $ 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 = $ 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 ❑ Primary General 1. 11 (,Q- - ` , 52 Calendar Year -To -Date I t 2. p�1V ► d 12� )Y�� g . - Calendar Year -To -Date Ci Primary EJ General / I 3. $ $ Calendar Yaar•To-Dale 4. $ CatendarYear-To-Date J. Calendar Year -To -Date 6. $ Calendar Year -To -Date 7. $ Calendar Year -To -Data 1 1 $ $ Calendar Year -To -Date 9. $ Calendar Year -To -Date $ Calendar Year -To -Date Total This Page: . 0 y �p Transfer the combined total of all Schedule Apages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period age o (Name of Candidate or Committee: I A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 OtherAdvertising (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 Fullama, Mailing Address and Zip Code of Keapjenturposa e s) Cash or Check Al !S 3,3 645f 81�> cG, n _DD LA -,- � 2. AI qv�' , t . �- 14 3. ►etc �e✓1 17� e` 00 t, A 4.<�GL1tj UcuV 6Ae to b Ill' 5. 6. 7. 1 / � _ _J—_t $ 9. 1 / � 10. 1 I � Total This Page: "76t Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.