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Little Roberts, Anne (Oct 10 Pre General) Amendment 1CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEIVED C-2 SUMMARY PAGE Rev.12/14 x (Please Print or Type) CITY OF CM-rjqLyN Section I CiTY CLERKS OFFICE Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Anne Little Roberts City Council seal Mailing Address ulty and zip Home Phone Work hone 2031 S. Elkhound Ave Meridian 83642 208-861-4799 208-888-2817 Name of PoliticalTreasurer Clarence Jones Mailing Address City and Zip Home Phone Work Phone 736 E. Trinidad Dr. Meridian 83642 208-258-2033 1208-871-5533 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an:Amendment This report is for the period from 08/24/2015 through 09/30/2015 / ❑ 7 Day Pre -General Report Is this a Termination Report: ❑ Yes ❑ 30 Day Post -General Report • ❑i October 10 Pre -General Report ❑ Annual Report 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* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ $ XXXXXX 00 931. Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1,$ 1,931.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,931.00 $ 1,931.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,581.10 $ 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 Clarence Jones Name of Political report is a true, complete and hereby certify that the information in this n Finqpr�al Disclosure Report as required by law. Signa ure of Political Treasurer Page 1 14 15 16 17 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) + $ 350.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 400.00 Loans (Total of all New Loan amounts from Schedule D sheets) + $1,181.00 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $1,931.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $1,181.10 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 400.00 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) = $1,581.10 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) + $1,181.00 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 8 30 201! 1. Ray Stark 3358 W. Agate Ct. Boise, Idaho 83705 $ 250.00 $ 250.00 Calendar Year -To -Date 9 10 201! 2. David Zaremba 100.00 $ 100.00 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 10. Calendar Year -To -Date Total This Page: $ 350.00 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 I Name of Candidate or Committee: I Purpose uoaes ttnter up to s purpose codes per txpenaiture.) 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 , Mailing Address and Zip Code of RecipientPurpose Code(s) Cas or Check 1 - City of Meridian - filing fee G 08 24 201 33 East Broadway 40.00 p Meridian, Idaho 83642 $ 2. US Government - Tax ID Number G 09 14 201 IRS Office, 1905 Woods Dr 120.00 © Beavercreek, OH 43432 $ I Graphic ZEN O 09 14 201 1788 E. Summer Place 250.00 / / © Meridian, Idaho 83642 $ 4. Bryant Ideas 09 01 201 1500 N. Locust Grove, Suite 100 771.10 / / 0 Meridian, Idaho 83642 $ 5. J J $ 6. J / $ 7. 8, 9. 10. Total This Page: $ 1,181.10 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.