Palmer, Ty (Oct 10 Clerk Edits)y z•� �= o
Section I
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
REC_ETv_-F,D_
C-2
OCT , 9 2015
Rev 12114
CITY ot-
CITY CLERKS OFFICE
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Elect Ty Palmer
City Council (Seat 3)
Mailing ress
i an q
ome one
VVOrK Phone
653 Fulmer Ct
Meridian 83642
208-954-6432
208-321-3629
Name of PoliticalTreasurer
Jason Monks
Mailing ress
City and Zip
me one
Work one
1280 W Clarinda St
Meridian 83642
r2O8-870-7127
Change of address for: Candidate or Political Committee ❑ Political Treasurer L
Section II TYPE OF REPORT
This filing is an: ® Original ID Amendment
This report Is for the period from 3 ( through 0 1
IN October 10 Pre -General Report
❑ 7 Day Pre -General Report (] 30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: ❑ Yes 2 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 l 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 it
figures to the Column 11 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 $ 0.00
Line 2: Enter Beginning Cash Balance* $ 0.00 $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ f
Line 4: Subtotal (Add lines 1, 2 and 3) $
Line 5: Total Expenditures (Enter amount from line 11, page 2)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
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 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 Info
Jason Monks hereby certify that the information in this
Name of Polificsi Treasurer
report is a true, complete an rre�t�Campaigr n Financial Dls st,�e Report as required by law.
_.r it /�
Signature of
DETAILED SUMMARY
Name of Candidate or Committee: Elect Ty Palmer
Total This Period
j Contributions
Unitemized Contributions ($50 and less) # of Contributors + $118.00
Itemized Contributions (Total of all Schedule A shoots) + $3,350.00
In -Kind Contributions it of all Contribution amounts from Schedule C sheets) + $100.00
Loans (Total of all New Loan amounts from Schedule D sheets)
i Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
$3,568.00
--- - ----- --- ----- --- -_
Expenditures
-------- ----
UnIternized Expenditures (Less than $25) #of Expenditures $8,77
Itemized Expenditures (Total of all Schedule B sheets) + $3,040.67
— ---------- - - ------ ---
In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) $100.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $0.00
0
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
$3,149.44
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 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) + $0.00
........ ---
15 Subtotal
$0.00
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets) $0.00
(01 Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets0.00)
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $0.00
--- -_ ----------
I Pledged Contributions
Uniternized Pledged Contributions ($50 and less) # of Pledges 0 + $0.00
Itemized Pledged Contributions this Period (Total of all Schedule P shoots)
t
--- ----------
Total Pledged Contributions this period
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