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Palmer, Monte (Oct 10 Pre General)CAMPAIGN FINANCIAL DISCLOSURE REPORT ' '` C-2 SUMMARY PAGE Rev.12114 (Please Print or Type) CITY Ut- CITY CLERKS OFFICE Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District ("tf any) Monte Palmer Mayor Mailing Address city and Zip Home Phone o one 6128 Spurwing Way 183646 208 407-5575 Name of Political reasurer Dale Olsen Mailing Address C ty and ip Home Phone Work Phone 132 SW 5th 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: 10 Original ❑ Amendment This report is for the period from 09/04/2015 through 09/30(2015 © October 10 Pre -General Report ❑ 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 Il, 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* $ XYXXYX $ 0.00 Line 2: Enter Beginning Cash Balance** $ $ A" Line 3: Total Contributions (Enter amount from line 5, page 2) $ 500.00 $ 500.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 500.00 $ 500.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 274.95 $ 274.95 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 225.05 $ 225.05 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 rect Campaign Financia iscl e R rt a required by law. Suite 104 Meridian, ID 83642 (208) 888-4433 Signature o o Mica easurer Page 1 DETAILED SUMMARY Name of Candidate or Committee: Monte Palmer Expenditures i i I Unitemized Expenditures (Less than $25) # of Expenditures s + $ { I Itemized Expenditures (Total of all Schedule B sheets) 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) { + $274.95 + $ { + $ -- 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) _ $ 274.95 12 13 14 15 16 0 18 Pledged Contributions 1 g I ^ Unitemized Pledged Contributions ($50 and less) _ # of Pledges j + $ (9{ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) j + $ Total Pledged Contributions this period I = $ Page 2 SCHEDULE A age o ITEMIZED CONTRIBUTIONS of more than Fiftv 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 83646 $ 200.00 $ ❑ Primary 0 General Calendar Year -To -Date 9 /21 /15 2. Monte Palmer 6128 Spurwing Way Meridian, ID 83646 $ 300.00 $ ❑ 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 1 1_ 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 uetaneu owoniniy ul l Nayr, SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Purpose Codes tEnter 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 Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising AA AA + Qn-1... IYI "' luaa a e pen u ame, ai mg ress an ip o e o eapien urpose e o s as or e 4- Vista Print $117.95 L 275 Wayman Street 9 14 15 — -- Waltham, MA 02451 1 G _r -- 2. Facebook ADS $49.93 B 9 09 15 1601 S California Ave CA 94304 Palo Alto, $ 3. Facebook ADS $107.07 B 9 30 15 1601 S California Ave / � 67 !� [� ! Palo Alto, CA 94304 $ 4. 5, $ _/—/— 6. 7. 9. 10. Total This Page: $ 274.95 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C Page of IN -KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: Purpose Codes (Enter up to 3 purpose codes per Expenditure.) e 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 M nt Services anagem 9, 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 Expenditure Name, Mailing Address and Zip Code $ Calendar Year -To -Date Purpose Code(s) $ 3. Contributor Name, Mailing Address and Zip Code $ ❑ Primary ❑ General Expenditure Name, Mailing Address and Zip Code $ Calendar Year -To -Date Purpose Code(s) $ 4. Contributor Name, Mailing Address and Zip Code / /� ❑ Primary ❑ General Expenditure Name, Mailing Address and Zip Code $ Calendar Year -To -Date 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) Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2 line 3) 0.00 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: 1T Date: l Amount: _l 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 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 Previous Balance of New Debt amount Repayments of Debt Balance outstanding Creditor debt at the end of the incurred during this during this reporting at the end of this (Cand.idate, Individual or Business) last reporting period reporting period period reporting period 1 Date: Date: / /—/ Amount: Amount: 2 Date: Date: l— Amount: Amount: 3 Date: Date: l— 1 l— ._—I Amount Amount: 4 Date: Date: Amount: Amount: 5 Date: Date: Amount: 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: $ SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Page 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 H Independent Expenditure U W Utilities -Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising a e ncurre U11 Name, Mailing A00ress an ip uuue o xpen i ure Fu_rp_oSeU5­ffeTsj moun 1. 2. 1 ! 3. $ I 1 4. $ ! 5. $ 1 / 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 age o PI Fnr;Fn 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 1. Date ❑ Primary ❑ General 2. ❑ Primary ❑ General 3. ❑ Primary -❑ General 1 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.