Palmer, Monte (7 Day Pre General) Amendment 1CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
RECEWED
T 2 8 2015
C-2
it y Rev,12114
CITY CLERKS OFFICE
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Monte Palmer
Mayor
Mailing Address
ully end Lip
Home f1hone
work Fridne
6128 Spurwing Way
83646
208-407-5575
Name of PoliticalTreasurer
Dale Olsen
Mailing Address
City and Zip
ome Phone
Work Phone
132 SW 5th Ave Suite 100
Meridian, 83642
208-484-8211
208-888-1595
Cnange of address tor: 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 10/18/2015
❑ October 10 Pre -General Report
A 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 11, Section IV.
❑ 1 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 11
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" $ 225.05 $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1,600.00 $ 2,100,00
Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,825.05 $ 2,100.00
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,217.56 $ 1,492.51
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 607.49 $ 607.49
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $
'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, Dale Olsen 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 ect Campaign Fina Di r port as required by law.
Suite 104
Meridian, ID 83642 F
(208) 8884433
Signs ure of Political Treasurer
Page 1
14
15
16
17
18
DETAILED SUMMARY
Jame of Candidate or Committee: Monte Palmer
�Contributions
Total This Period
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)
+ $1,600.00 T
+ $
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $1,600.00 3
I Expenditures
�.__..._... __..... ...... _....._..__....._._..........
Unitemized Expenditures (Less than $25) # of Expenditures
+
Itemized Expenditures (Total of all Schedule B sheets)
+ $1,217.56
i In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
i 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) — — ;
- $1,217.56
Loans, Credit Cards and Debt
{
Outstanding Balance from previous reporting period
+ $
-_-....... ..... __.--_..__.__._.___.____._._------____.-_
New Loans received during this reporting period
I
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $ I
_ ..............._..._._.....—_......._._..-.----_..._..._
New Credit Card and Debt incurred this reporting period
........ ..._...-.___._
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $ I
Subtotal
I 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)
_
_ $ _ I
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 I = $
Page 2
SCHEDULER Page 10,
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
10 1 15
/ /
1 • Monte Palmer
6128 Spurwing Way
Meridian, ID 83646
$ 1,200,00
$ 1,700.00
❑ Primary
❑ General
Calendar Year -To -Date
9 21 15
/ /
2, Monte Palmer
6128 Spurwing Way
Meridian, ID 83646
$ 400..00
$ 2,100.00
❑ Primary
❑ General
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
/ l
9.
$
$
Calendar Year -To -Date
10.
$
Calendar Year -To -Date
Total This Page:
$1,600.00
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE B page o
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25,00) or more this period
I Name of Candidate or Committee: I
codes per x en i ure,
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'
1-ull Name, Majljng Address and Zip Code of Recipienturpose
o e s)
Cash or GWk
1. The Home Depot $157.62
O
10
7
15
2, Lowe's $6.81
O
10
7
/—/
15
$
3, Lowe's $53.04
O
10
8
15
t e y
$�
4, The Home Depot $40.25
O
10/9
/15D_
5, MY DEALS LLC $941.83
B
10
2
15
6 , / 1
6, Staples $18.01
O
10
10
15
D
7.
10
9
15
-.
8,
9
9
15
9;
l—I
$
10,
Total This Page:
$ 1,217.56
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.