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Palmer, Ty (7 Day Pre General)REcFTvED CAMPAIGN FINANCIAL DISCLOSURE REPORT ` SUMMARY PAGE Ct I 7 �✓tdtag: -e. (Please Print or Type) CITY CLERKSOF- ICE Section I C-2 Rev.12/14 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 Mailing Address Gity and Lip Home Phone ------ FWOTR Phone 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 Name of PoliticalTreasurer Jason Monks Mailing Address City and Zip me Phone or Phone 1280 W Clarinda Meridian 83642 7208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ® Original ❑ Amendment This report is for the period from / Q 01 15 through f® / If / f S ❑ October 10 Pre -General Report 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 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 If figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year Line 1: Cash on Hand January 1, This Calendar Year* Line 2: Enter Beginning Cash Balance** Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) to Date $ XXXXXX $ 0.00 $ 418.56 $ XXXXXX $ 3,050.00 $ 6,618.00 $ 3,468.56 $ 6,618,00 $ 151.69 $ 3,301,13 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 3,316.87 $ 3,316.87 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 0.00 *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 O. Note: The closing cash balance for the current repotting period appears on the next report as the beginning cash on hand. City Clerk Contact Into Section V Jason Monks Name of Political Treasurer report is a true, complete a.Ltd-corract O hereby certify that the information in this Disclosure Report as required by law. game of Candidate or Committee: Elect Ty Palmer Total This Period Contributions 1� Unitemized Contributions ($50 and less) # of Contributors 0 1 + $0.00 2O Itemized Contributions (Total of all Schedule A sheets) - - - - —--- -- - - _. - ------------ - - - + $3,050.00 I- - -- - -- + $0.00 3�, In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) --- — -- --- ®I-----— - - - ----- --- ----- — ( Loans (Total of all New Loan amounts from Schedule D sheets) l+ $0.00 5Li Total Contributions (Transfer this figure to page 1, Section IV, Line 3) j = $3,050.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 0 + $0.00 Itemized Expenditures (Total of all Schedule B sheets) g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) --- --- - --- g i Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) (ID I Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 14 15 16 17 18 + $151.69 + $0.00 + $0.00 + $0.00 $151.69 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $0.00 ring this ng period New Loans (Total of all New uLoan amounts p'pllus Accrued Interest from Schedule D sheets) New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) i + + $0.00 $o.00 Subtotal f - $0.00 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) $o.00 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 _ $0.00 I j _ $0.00 j Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges 0 ---------------------- -- DO Itemized Pledged Contributions this Period (Total of all Schedule F sheets) 1 Total Pledged Contributions this period + $0.00— + $0.00 $0.00 f Page 2 SCHEDULE A age o [i ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Elect Ty Palmer Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 10 �07 115 1, Dave Evans Construction DBA Zach Evans Construction 7761 W Riverside Dr Ste 100 Boise, ID 83714 1,000.00 $ $ 1,000.00 Calendar Year -To -Date 10 �07 f15 2. Skyland Boise LLC PO BOX 546 Meridian, ID 83680 1,000.00 $ ' $ 1,000.00 — Calendar Year -To -Date 10 /07 115 3.Clyde Development Inc 3225 W Bavaria St Ste 131 Eagle, ID 83616 1,000.00 $ 1 000.00 — Calendar Year -To -Date 10 17 /'15 4 14 Helen D Luker 5El Blanco D Boise, ID 83709 50.00 $ 50.00 Calendar Year -To -Date 5, $ Calendar Year -To -bate 6. Calendar Year -To -Date 7. Calendar Year -To -Date I I 8. $ Calendar Year -To -Date 9. $ Calendar Year -To -Date 10. $ Calendar Year -To -Dale Total This Page: $3,050.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE D ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page o Name of Candidate or Committee: Elect Ty Palmer I Purpose Codes (triter up to 3 purpose codes per txpenditure.) 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 of Recipienturpose o e s) Cash or Check 1, Stinker Store Eagle #83 A 4744 N Eagle Rd 10 08 15 Boise, ID 83713 39,40 2, Johnny's Pizza DF 1526 N Main St 10 08 15 Meridian, ID 83642 59.90 3. Costco Wholesale D 16700 N Marketplace BLVD 10 17 15 Nampa, ID 83687 17.39 4, Association of Idaho Cities G 3100 S Vista Ave #310 10 18 15 Boise, ID 83705 35.00 5. 6. 1 I $ 7. / ! $ 8. 9. i ! $ 10, Total This Page: $151.69 Transfer the combined total of all Schedule 6 pages to the Detailed Summary on page 2 line 7.