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Palmer, Ty (Oct 10 Pre General) Amendment 12nL CAMPAIGN FINANCIAL DISCLOSURE REPORT � D C 2 _r Rev.12/14 SUMMARY PAGE I r xt' (Please Print or Type) OCT rt Cl f r tit s ...., r� Section I CITY CI_ r?V­q r`t:p= rr- Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Elect Ty Palmer City Council Seat 3 Mailing Address Uty and Zip ome one o one 653 Fulmer Ct Meridian 83642 208-954-6432 208-321-3629 Name of Political Treasurer Jason Monks Mailing Address City and Zip Home Phone ork Phone 1280 W Clarinda St Meridian 83642 208-870-7127 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 10 Amendment This report is for the period from `:13' 11..- IS through ©_/ 3t1 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 © 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 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 $ 0.00 Line 2: Enter Beginning Cash Balance** $ 0.00 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 3,568.00 $ 3,568.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 3,568.00 $ 3,568.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 3,149.44 $ 3,149.44 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 418.56 $ 418.56 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 Political Treasurer report is a true, complete and cgEglat-Campaigafinancial Disclosure Report as required by law. Signaturecal Treasurer