Palmer, Monte (7 Day Pre General)_IvED
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6 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 121-2
SUMMARY PAGE
14
(Please Print or Type) C1 t Y fit; `r7 ` ra
G2P)
CITY CLERKS OFFICE
Section I
Name of Candidate or Poliffcal Committee and Chairperson '
Office Sought (if candidate)
District (if any)
Monte Palmer
Mayor
ai mg ress
i y an ip
HornO 'one
or ne
6128 Spurwing Way
83646
208-407-5575
'Name of PoINtalreasVer "
Dale Olsen
Mailing ress
Cityan ip
Home Phone
Work Phone
132 SW 5th Ave Suite 100
Meridian, 83642
208-484-8211
208-888-1595
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: 1 .Original ❑ Amendment
This report is for the period from 10/01/2015 through 10/1812015
Q October 10 Pre -General Report
p 7 Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: ❑ Yes 10 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,
Q 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**
$ 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)
$ 1,56 217.
$ 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 correct Campaign Financial Dis ure po required by law.
Suite 104
Meridian, ID 83642
(208) 886.4433
S Signature of f'9lik l Treasurer
Page 1
DETAILED SUMMARY
Name of Candidate or Committee: Monte Palmer
Contributions
Q= Unitemized Contributions ($50 and less) # of Contributors
2� Itemized Contributions (Total of all Schedule A sheets)
.........- - -... - .....
3 In -Kind Contributions Total of all Contribution amounts from Schedule C sheets
® Loans (Total of all New Loan amounts from Schedule D sheets) —
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
12
13
14
15
16
17
18
Total This Period
+ $ 2,100.00
$ 2,100.00
Expenditures
__.___.._..._..._.__._.—._____..._...__._.._.__..---.....-----..._..---._.___.......__...___-..... ... ................ __.._..-._...__...__—_.—_..___..._._-__..___...._.._..._.__
Unitemized Expenditures (Less than $25) # of Expenditures
�—
......___..._..__.----_.._...-_-.__;
+ $
-
Itemized Expenditures (Total of all Schedule B sheets)
f
_ —
+ $1,492.51
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
f + $
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) —
- $1,492.51
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
.___.._._..._.._.-......_._._.-.__.___..__._..__.-_......._-._.-_._....__.__._____._-_.._-_..-._..-_.__.____._-__.__..._..__...._..._.....__.__._.__...___...-_._.__--...._
+
f.__-._..._
j New Loans received during this reporting period
.....__....._._..._.----____.._.___---
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
j + $
r-._....__...........__......_.__.....__ _ _.. - -- - --,- _ ----- -...--------...... - --- ._.....------.._._.. __
i New Credit Card and Debt incurred this reporting period
_
T
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $
___....... ...._-.__.___.__--
Subtotal
_..-.$--_.._.
Repayments of Loans made during this reporting period
!
(Total of all Loan Repayment amounts from Schedule D sheets)
j 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)
Pledged Contributions
........... _._____.—__........___..__.._.....__.....___.__.___._-......___..__..—._.__---.___._..._.._..___..__....;
1 g Unitemized Pledged Contributions ($50 and less) # of Pledges + $
Itemized Pledged Contributions this Period Total of all Schedule F sheets -- -- +
Q� g ( ) $
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
9 5
//15
1 • Monte Palmer
6128 Spurwing Way
Meridian, ID 83642
$ 200.00
0 Primary
❑ General
$ 200.00
Calendar Year -To -Date
9 /21 /15
Z. Monte Palmer
6128 Spurwing Way
Meridian, ID 83642
300.00
$
❑ Primary
❑ General
$ 500.00
Calendar Year -To -Date
10 / 1 / 15
3. Monte Palmer
6128 Spurwing Way
Meridian, ID 83642
1,200.00
$
$ 1,700.00
Calendar Year -To -Date
10 / 8 / 15
4. Monte Palmer
6128 Spurwing Way
Meridian, ID 83642
400.00
$
$ 2,100.00
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:
$ 2,100.00
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 (Enter up to 3 purpose coaes 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 bpent
Fullame, Mailing Address and Zip Code ol-Recipbrit
Purpose Code(s)
Cas or Check
1 Vista Print $117,95
L
9
14
15
2. Facebook ADS $49.93
B
9
09
15
3. Facebook ADS $107.07
B
9
30
15
4. The Home Depot $157.62
O
10
7
15
5, Lowe's $6.81
0
10
7
15
�+
6. Lowe's $53.04
0
10
8
15
r-
7. The Home Depot $40.25
O
10/9
i
/15
8, MY DEALS L.L.C. $941.83
B
10/2
L?L
/15
$ 4K
9. Staples $18.01
0
10
10
15
/
I
$
10,
Total This Page:
Is 1,492.51
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7
SCHEDULE C Page o
IN -KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or Committee:
Purpose Codes (Enter up to 3 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 Expenditure
Y
Petition Circulators
L
Literature, Brochures, Printing
Z
Preparation & Production of Advertising
M
Management Services
1.
Contributor Name, Mailing Address and Zip Code
❑ Primary
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code(s)
2.
Contributor Name, Mailing Address and Zip Code
❑ Primary
❑ General
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code(s)
3.
Contributor Name, Mailing Address and Zip Code
❑ Primary
❑ General
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code(s)
4.
Contributor Name, Mailing Address and Zip Code
❑ Primary
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code(s)
Expenditure Total;
(Transfer the combined total of all Expenditures on Schedule C pages $ 0.00
to the Detailed Summary, page 2 line 8)
0.00
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages
to the Detailed Summary, page 2 line 3)
SCHEDULE D - LOANS
I Name of Candidate or Committee: I
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
of loan at the
received during this
during this
during this reporting
outstanding at
(Candidate, Individual or Business)
end of the last
reporting period
reporting period
period
the end of this
reporting period
reporting period
1
Date:
Date:
Amount:
Amount:
$
$
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 $ 0.00
Received 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: $ 0.00
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)
SCHEDULE E - CREDIT CARDS and DEBT
I Name of Candidate or Committee: I
Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a
credit card or incur debt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to that
item. Each Creditor listed below with a New Debt amount must have a Schedule E-1 accompanying it, The Schedule E-1 lists where and when the
debt was Incurred,
Credit Cards are considered debt to the campaign. Regardless of whether the credit card is repaid when the statement is received, all credit card
transactions will appear on Schedule E and E-1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of
the Detailed Summary Page.
Any creditor(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new debt
should be listed in the New Debt column, including any accrued interest. If a payment was made on the debt, list it in the Repayments column. Note:
Any debt 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 Debt less any Repayments of Debt.
Name, Mailing Address and Zip Code of
Creditor
Previous Balance of
debt at the end of the
New Debt amount
incurred during this
Repayments of Debt
during this reporting
Balance outstanding
at the end of this
(Candidate, Individual or Business)
last reporting period
reporting period
period
reporting period
1.
Date:
Date:
Amount:
Amount.
2.
Date:
Date:
Amount:
Amount:
3.
Date:
Date:
Amount:
Amount:
4.
Date:
Date:
Amount:
Amount:
5.
pate:
Date:
ll�
Amount:
l�l
Amount:
6.
Date:
Date:
Amount:
Amount:
$
$
Previous Incurred Repayments Ending Balance
Previous Total: $
Incurred Total:
(Transfer the combined total of all incurred debt to the $
Detailed Summary, page 2 line 14)
Repayments Total:
(Transfer the combined total of all debt repayments to the $
Detailed Summary, page 2 line 10 & 17)
Ending Balance Total: $
age o
SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION
Name of Candidate or Committee:
Name of Creditor from Schedule E:
Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when
the debt was incurred.
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
M
Management Services
B
Broadcast Advertising (Radio, TV, Internet & Telephone)
N
Newspaper & Other Periodical Advertising
C
Contributions to Candidates & PAC's
0
Other Advertising (Yard Signs, Buttons, etc.)
D
Donations & Gifts
P
Postage
E
Event Expenses
S
Surveys & Polls
F
Food & Refreshments
T
Tickets (Events)
G
General Operational Expenses
U
Utilities
H
Independent Expenditure
W
Wages, Salaries, Benefits & Bonuses
1
Interest Accrued & Finance Charges
Y
Petition Circulators
L
Literature, Brochures, Printing
Z
Preparation & Production of Advertising
Date incurred
FullName, Mailing Address and zip Code o xpen i ure
HUrPOSO o e s
moun
1,
2.
3.
4.
5.
6.
7.
8.
9.
Total This Page:
$
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.
SCHEDULE F page °
PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED
Name of Candidate or Committee:
Directions: Complete this schedule if you were promised and agreed to accept a contribution during this reporting period but have not actually received the money,
goods or services offered before the end of the reporting period. Do not include these entries on Schedule A until you actually receive the contribution.
Pledged For - -"
Full Name, Mailing Address and Zip Code of Contributor
Amount Pledged
Date
1.
❑ Primary
❑ General
2.
❑ Primary
❑ General
3.
❑ Primary
❑ General
4.
❑ Primary
❑ General
5.
❑ Primary
❑ General
6.
❑ Primary
❑ General
7.
❑ Primary
❑ General
8.
❑ Primary
❑ General
9.
❑ Primary
❑ General
10.
❑ Primary
❑ General
11.
❑ Primary
❑ General
Total Amount of Pledged Contributions: $ 0.00
Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20.