Palmer, Ty (Annual 2015)CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
.. C-2
Rev.12/14
CITY CLERKS Ci. iF CE-
Name of Candidate or Political Committee and Chairperson
Elect Ty Palmer
Office Sought (if candidate)
City Council Seat 3
District (if any)
Mailing Addfess
i anZip
Home 11hone
Work Fhone
653 Fulmer Ct
Meridian 83642
208-954-64-32
Name of Political reasurer
Jason Monks
Mailing A ress
City and Zip
ome one
or hone
1280 W. Clarinda
Meridian 83642
208-870-7127
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: 4a Original ❑ Amendment
This report is for the period from 11 /14/2015 through 12/31 f 2015
❑ October 10 Pre -General Report
❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report ® Annual Report
Is this a Termination Report: ❑ Yes 12 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
figures to the Column II figures of your previous report (except on line 6). This Period
Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX
1721.84
Line 2: Enter Beginning Cash Balance** $
0.00
Line 3: Total Contributions (Enter amount from line 5, page 2) $
1721.84
Line 4: Subtotal (Add lines 1, 2 and 3) $
65.62
Line 5: Total Expenditures (Enter amount from line 11, page 2) $
1656.22
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $
0.00
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $
COLUMN II
Calendar Year
to Date
$ 0.00
$ XXXXXX
$ 7118.00
$ 7118.00
$ 5461.78
$ 1656.22
*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
City Clerk Contact Into
Jason Monks
Name of Political Treasurer
report is a true,
hereby certify that the information in this
Disclosure Report as required by law.
1
Treasurer
T
6�
10
11
12
13
14
15
16
17
18
DETAILED SUMMARY
Name of Candidate or Committee: Elect Ty Palmer
F
Contributions
This Period
Uniternized Contributions ($50 and less) #of Contributors 0
+ $0.00
Itemized Contributions (Total of all Schedule A sheets)
+ $0.00
In -Kind Contributions (Total of 211 Contribution amounts from Schedule C sheets)
A- $0.00
Loans (Total of all Now Loan amounts from Schedule D sheets)
+ $0.00
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
= $0,00
Expenditures
Uniternized Expenditures (Loss than $25) # of Expenditures
+
$20.00
Itemized Expenditures (Total of all Schedule B sheets)
I+
$45.62
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+
$0.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
$0.00
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
$0.00
New Loans received during this reporting period
0.00
(Total of all Now Loan amounts plus Accrued Interest from Schedule D sheets)
+ $
New Credit Card and Debt incurred this reporting period
0.00
(Total of all New Incurred Debtamounts from Schedulesheets)
$
_E
Subtotal
= $0.00
Repayments of Loans made during this reporting period
000
(Total of all Loan Repayment amounts from Schedule D sheets)
$
Repayments of Credit Card and Debt this reporting period
0.00
$
(Totalofall Debt Repayment amounts from Schedule E sheets)
Total Out -standing Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
$0.00
Pledged Contributions
Uniternized Pledged Contributions ($50 and less) #of Pledges 0
+ $0.00
Itemized Pledged Contributions this Period (Total of -all Schedule F sheets)
+ $0.00
Total Pledged Contributions this period
$0.00
Page 2
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Page 0 3
Name of Candidate or Committee: k1e01 i y rainner I
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
B Broadcast Advertising (Radio, TV, Internet & Telephone) 0
C Contributions to Candidates & PAC's
P
D Donations & Gifts
S
E Event Expenses
T
F Food & Refreshments
U
G General Operational Expenses
W
H Independent Expenditures
Y
L Literature, Brochures, Printing
Z
M Management Services
Newspaper & Other Periodical Advertising
Other Advertising (Yard Signs, Buttons, etc.)
Postage
Surveys & Polls
Tickets (Events)
Utilities
Wages, Salaries, Benefits & Bonuses
Petition Circulators
Preparation & Production of Advertising
Date Spent
FullName, Mailing Address and zip Uode of RecipientPurpose
o e s)
Cash or Check
1'
Pinnacle Sports Grill
F
12 8 15
2902 N. Eagle Road
$11,03
Meridian, ID 83646
$
2.
The Habit
F
12 19 15
2206 N. Eagle Road
18.23
Meridian, ID 83646
$
3. San Francisco Sourdough
F
12 22 15
2044 S. Eagle Road
16.36
Meridian, ID 83642
$
4.
is
5.
I /
$
6.
I /
$
7.
/ I
$
8.
I I
$
R
I I
$
10,
Total This Page;
$ 45.62
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.