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Milam, Genesis (30 Day Post General) Amendment 1CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev.12/14 F r Y 0 v . R x CITYCLERKS OFFICE2 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) jYstrict (if any) GENESIS MILAM CITY COUNCIL 105 Mailing Address Uty and Zip Home Phone o one PO BOX 428 MERIDIAN 83642 208-371-6009 Name of PoliticalTreasurer MICHELE HINDERER, EA Mailing Address CO and Zip Home Phone Work Phone PO BOX 592 EAGLE 83616 208-275-8877 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 10 Amendment This report is for the period from 10/19/2015 through 11/13/2015 / ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ® 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes E 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 COLUMN II figures to the Column 11 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' $ )()() XXX $ 241.50 Line 2: Enter Beginning Cash Balance" $ 1,799.75 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 500,00 $ 2,560.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 2,299.75 $ 2,801.50 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 175.16 $ 676.91 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 2,124.59 $ 2,124.59 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,311.34 '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 I MICHELE HINDERER, EA hereby certify that the information in this City of Meridian Name of Political Treasurer 33 E. Broadway Ave. report is a true, complete and c re mpaign Financial Disclosure Report as required by law, Suite 104 Meridian, ID 83642 (208) 8884433 Signature of Political Treasurer Page 1 DETAILED SUMMARY Jame of Candidate or Committee: GENESIS MILAM Total This Period T I 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) Loans (Total of all New Loan amounts from Schedule D sheets) i- + $0,00 + $500.00 + $ -- I------ — ---- I— __ ____ - __ - -- -_ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) $500.00 Expenditures + $38.05 Unitemized Expenditures (Less than $25) #of Expenditures 2 Itemized Expenditures (Total of all Schedule B sheets) + $137.11 0) 10 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) 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) $175.16 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period 9New Loans received during this reporting period 1 (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) New Credit Card and Debt incurred this reporting period 14 (Total of all New Incurred Debt amounts from Schedule E sheets) 15 Subtotal 16 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) 18 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) Pledged Contributions 19 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 1 1 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee; Clelne'5i5 Mt l a'm Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 /22 / 15 1- BUILDING CONTRACTORS ASSOC OF SOUTHWESTERN IDAHO 6206 N DISCOVERY WAY, STE A BOISE, ID 83713 $ 250.00 $ 250.00 ❑ Primary ❑ General Calendar Year -To -Date 11 / 11 15 _ 2- ADA COUNTY REALTORS 9550 W BETHEL CT BOISE, ID 83709 $ 250.00 $ 250.00 ❑ Primary ❑ General Calendar Year -To -Data / 1 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; $ 500.00 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 Name of Candidate or Committee: (_" e VA @ S 15 M I I Q/K Page, o 1 rurpose uoaes (tnter up to S 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 Date Spent FullName, Mailing Address and Zip Code ot Recipienturpose GodW Cash or GhecK 1 - CLEGG FOR COUNCIL C 10 26 15 1011 N 12TH ST BOISE, ID 83702 Sb ®b $ 2. ALBERSTONS E 10 27 15 3301 W CHERRY LN MERIDIAN, ID 83642 $�-, 3. MELISSA KAY DESIGN O 10 26 15 1932 E Challis Dr. Meridian, ID 83646 $ 4. PROJECT KIDS D 11 06 15 PO Box 36 d,S - nv Meridian, ID 83680 $ 5. —� �— $ 6. 7. 8. 9. 10, —1— $ Total This Page: $ 137.11 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE D - LOANS Name of Candidate or Committee: 6 2 v '5 S Vvl t l A wt Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once, Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67-6610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new loan amounts should be listed in the New Loan column. Any interest accrued should be listed in the Interest Accrued column. If a payment was made on the loan, list it in the Repayments column. Note: Any loan that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus new loans and accrued interest less any repayments. Name, Mailing Address and Zip Previous Balance New Loan amount Interest accrued Repayments of Loan Balance Code of Lender (Candidate, Individual or Business) of loan at the end of the last received during this reporting period during this reporting period during this reporting period outstanding at the end of this reporting period reporting period 1' GENESIS MILAM- Date: Date:�—�— PO BOX BOX 428 MERIDIAN, ID 83642 1,311.34 Amount: Amount: $ 1,311.34 2. Date: Date: Amount: Amount: 3. Date: Date: Amount: Amount: 4. Date: Date: Amount: Amount: 5. Date: Date: Amount: Amount: 6. Date: Date: Amount: Amount: 7. Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $ 1,311.34 Receive Total: (Transfer the combined total of all received loans to the $ 0.00 Detailed Summary, page 2 line 4) Interest Total: $ 0.00 Repayments Total: (Transfer the combined total of all loan repayments to the $ 0.00 Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $1,311.34 (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)