7 Day Pre General BensonSection I
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
C-2
RECEIVED Rev. 10107
OCT 2 4 2013
CllYUt-L.41 �alAvj.
Name of Candidate or olitical Committee and Chairperson
)e—r1^ _
Office SougkIii1cIrli OFF1Meat(ifany)
6)f Ul I
MallingAddress
bq/b
a �r
Uty and
m )i l;
Home Pho
3Z8�
Work Phone
SH
ome odica reasurer
I Il
M1
ailing ressCity
an
Home Phone
Work Pone
Change of address for: Can idate or P (tical Committee ❑ Political Treasurer X
Section II TYPE OF REPORT
This filing is an: Original ❑ Amendment
This report is for the period from JD _L Ilj through I l 12r� I I3
❑ October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: ❑ Yes
1A 7 Day Pre -General Report
❑ 30 Day Post -General Report
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
figures to the Column II figures of your previous report (except on line 6).
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)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Dale (Enter amount from line 18, page 2)
COLUMN I COLUMN II
This Period Calendar Year
to Date
30MY ON
$ yV
$ ow a
$ 9011/, 0a
$ , 9174 OR
$ /5-0, W
$ KTa., 13
XXXXXX
$ 5�d..1
$ a5-7,13
$ �gn,13
$ /456" 00
*This same figure should be entered on line 1 of all reports fled 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.
V
Jaycee Holman
City Clerk
City of Meridian
33 E. Broadway Ave.
Meridian ID 83642
(208)888-4433
Fax: (208) 888-4218
)holman@meridiandty.org
I, Vv t I I a m / ` 1 16n, , hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Page 1
0
Q
0
T
10
12
13
14
16
18
19
DETAILED SUMMARY
Name of Candidate or Committee: Te✓�'7�
S-
Expenditures
Total This Period
Contributions
+ $
Itemized Expenditures (Total of all Schedule B sheets)
Unitemized Contributions ($50 and less) # of Contributors
+ $
+ $
Itemized Contributions (Total of all Schedule A sheets)
+ $
/5-0. 06
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $
_ $ 101. 0
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
$
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $
$
Expenditures
Unitemized Expenditures ($25 and less) # of Expenditures
+ $
Itemized Expenditures (Total of all Schedule B sheets)
+ $ / Da
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $ —�
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)
_ $ 101. 0
Loans, Credit Cards and Debt
Unitemized Pledged Contributions ($50 and less) # of Pledges
Outstanding Balance from previous reporting period
+ $
W
New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $
S9 �. q
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $
Subtotal
= $
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$
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)
_ $
Oda f
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges
+ $
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $
Total Pledged Contributions this period
= $
Page 2
SCHEDULE A age o
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: e rr, R'rl S (D VX -
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
�l ltd/I�
1
III 1 iSc� �l �t2 rti
m tri cQ,s`eu�
-6,oU
Calendar Year -To -Date
13
2.
QiY
1-7 ?q ��t
$
5v. coo
$
Calendar Year -To -Date
101 i0/ t3
Cz .
s
3 313 . C f-,>k'"-�- FM r3 -# 13
rYl e,4,t d - o,..-., ,
$
50 . c�0
—
$
Calendar Year -To -Date
/ I
4.
$
$
Calendar Year -To -Date
I I
5.
$
$
Calendar Year -To -Date
6.
Calendar Year -To -Date
7.
Calendar Year -To -Date
I I
8.
Calendar Year -To -Date
/ I
9.
$
$
Calendar Year -To -Date
I I
10.
$
$
Calendar Year -To -Date
Total This Page:
$
/5D - OD
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2line 2.
Name of Candidate or Committee: 4
SCHEDULE B
ITEMIZEDEXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
�j P�vL St7 vv
age o
Purpose Codes
Full Name, Mailing Address an Zip ode of Recipient
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
N
Newspaper & Other Periodical Advertising
B
Broadcast Advertising (Radio, TV & Internet)
0
Other Advertising (Yard Signs, Buttons, etc.)
C
Contributions to Candidates & PAC's
P
Postage
D
Donations & Gifts
$
Surveys & Polls
E
Event Expenses
T
Tickets (Events)
F
Food & Refreshments
U
Utilities
G
General Operational Expenses
W
Wages, Salaries, Benefits & Bonuses
L
Literature, Brochures, Printing
Y
Petition Circulators
M
Management Services
Z
Preparation & Production ofAdvertisino
Dale Spent
Full Name, Mailing Address an Zip ode of Recipient
Purpose Code
Cash or Check
1'
���r-♦- �v'DC� u.(�s
15331 c�.rra�vt0.00_ P�tc-mob
I0 3 13
=,-t)j,.- , C79
S
10 15 I I
—
3 3 5 . M.Qx.�
M em' c2 � oma ` {� — , 1 0 V5 (p
$
1500.00
3'
S 1 y
Ig1 E.I Clov�io_
IO � 13
—! �—Oy-IamJ
t_ 331&[:)3$
535. o0
4.
ID II i13
:3 -7q I
3oc�'i�
O
1S z�
�I� e�
$
5.
—�—f—
$
6.
7.
8.
9.
10.
—�—�
$
Total This Page:
$
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
SCHEDULE D
L ANS
Name of Candidate or Political Committee: I rv� "o
Each Lender to your campaign should be listed separately. Each lime 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
(Candidate, Individual or Business)
of loan at the
received during this
during this
during this reporting
outstanding at
end of the last
reporting period
reporting period
period
the end of this
reporting period
re ortin
p 9 period
1. IMgp�
Dale:
Date:
&q ffe e..
83
/ / 11
[ �C
�l : l X 33
Amount:
Amoun�37 78
to O Y1 GCC eL✓t &y(o
$ Z
/
2.
r/
Dale:
31
Dale:
r
Q/ U
lJ
Amount: U6z)
Amount:
3. tl 7
Dal
%3/ 3 / /3
Dale:
AmounS35 '0Amount:
$
$
4.
Date:
Date:
It �c
/0/ /// /3
$Amoun�/�a�
Amount:
5.
Dale:
Date:
Amount:
Amount:
6.
Date:
Date:
Amount:
Amount:
7.
Date:
Date:
Amount:
Amount:
Previous Received Interest Repayments Ending Balance
Previous Total $ o/. I I
Received Total:
(Transfer the combined total of all received loans to the $ I 00a -
Detailed Summary, page 2 line 4)
Interest Total: $
Repayments Total:
(Transfer the combined total of all loan repayments to the $
Detailed Summary, page 2 line 9 & 16)
Ending Balance Total: $ 0101120
tNO i E: i ranter the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)