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Oct 10 Pre General AmendmentCAMPAIGN FINANCIAL DISCLOSURE REPQRFf)��T�T�T.% Rev. 10/07 SUMMARY PAGE AKS 1 V L (Please Print or Type) OCT 2 4 2013 CITY OF CHH .IffJ- Name of Candidate or Political Committee and Chairperson TQ ��nSOYI Office Sought (i can ale `Seat (if any) OLI,✓t_LIl S Mailing Address t l l lrr r« 69, I an �q� a r/l t D ome o e 32)ao or one p 8 �-f�/O Name o o it ca reas — ai mg fess - 5U_*10 ity and Zip 9-3 (P `/,), I Home Phone Work Phone ,,zoo(, UJ, sloe totodxa-w f D alp- aSo(- Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: ❑ Original 12f Amendment This report is for the period from 9 15 I 13 through 9—L-5-0 I 13 . ( October 10 Pre -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ❑ 7 Day Pre -General Report am ❑ 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 Date (Enter amount from line 18, page 2) COLUMN I COLUMN II This Period Calendar Year to Date $ XXXXXX $ $�V $ XXXXXX a 531.11 a *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. Jaycee Holman City Clerk City of Meridian 33 E. Broadway Ave. Meridian ID 83642 (208)888-4433 Fax: (208) 888-4218 jholman@meridiancily.org I, 6 44 , 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 T Q 0 C Q 13 DETAILED SUMMARY Name of Candidate or Committee: j Q,rr� 6 -WS o n _ Total This Period Contributions + $ Unhemlzed Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule sheets) + $ 3 S 0 00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ Loans (Total of all New loan amounts from Schedule D sheets) + $ I LCI l Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $ 'E;3 f. 11 Expenditures V Unhemlzed Expenditures ($25 and less) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $ 53 I I I In•Klnd Expenditures (Total of all Expenditure amounts from Schedule C sheets) T + $ 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) _ $ 531.1 Loans, Credit Cards and Debt ( Outstanding Balance from previous reporting period + $ New Loans received during this reporling period (Total of all New Loan amounts plus Accrued Interest from Schedule sheets) +_ $ 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 al close of this period (Transfer this figure to page 1, Section IV, Line 7) R $ Pledged Contributions Unitemlzed Pledged Conidbutions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period $ Page 2 10-10-13;04;24PM; # 4/ 5 SCHEDULE A ITEMIZED CONTRIBUTIONS olmore than Filly Dollars ($50.00) Ihis pedod Transferthe combined lolal of all Schedule A pages to the Detailed Summary on page 2 fee 2 Name of Candidate or Commlllee; ' Qw DaleRecelved Full Name. ' Address and Tp Code ofConbibulor CashorCheck �-2- ^sJ c haw ��0' ll,Y1 $ CakaderYear-TaDale ��I 2. 3 l3 C� vIff r +/�11 ��I1� Iy}21 ley/ OU _oma Vl U �l `-� ' $ 5'c $ CekndarAw-To-Dale WE -1 Lz ' -O� -P'-"+ U i of `F' $ CelendarYear To-Da(e 4. 1 9�g/rZ1� ^2ln h �lA � V, CLL^ ✓ ` $ CalendarYear-Wale 1!/13 5 C o £ �pyLCL\� 1G� $ CakndarYaar-To-Dala -13 "Ow1 , st j/�Cjl (OS L $ o $ carelder rear-To-Daw I� 7, YO K �� �� "' �� $ CarendarYear-To-Oale 0. - $ CekndazY�r-To-Oale 9. $ CekndarYear-TaVala 10. $ $ CelendarYearToDate TotalThlsPage: $ Transferthe combined lolal of all Schedule A pages to the Detailed Summary on page 2 fee 2 10-10-13;04:24PM: SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period I Name of Candidate or Committee: I- .n n 1 i SCHEDULE D LOANS Name of Candidate or Political Committee: T e-rrr.t -B -W S o h Each Lender to your campaign should be listed separately. Each limb 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 then 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 11 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 [be 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 lull 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 Now Loan amount Interest accrued Repayments of Loan Balance Code of Lender of loan at the received during this during this during this reporting outstanding at (Candidate. Individual or Business) and of the last reporting period reporting period period the end of this reporting period reporting period L a e r s o v� bq I I r�fa k7 2. V Dale: 13 / (� a19: _I_� Amount:I Amr ount: 2, Dale: Date: —j—/ —j—j— Amount: Amount: 3. Dale. Amount Amount: $ $ q, Dale: Dale: —j—j— —J—j— Amount: Amount: $ $ 6. Dale: ale: Amount: Amount: 6. Dale: a e: Amount: Amount: 7. ate: Data: —j— _/—f— Amount: Amount: $ $ —17 Previous Received Interest Repayments Endi ' Balance Previous Total $ ece ve o a (Transfer the combined total of all received loans to The $ Detailed Summary, pegs 2 line A) Interest Total: $ epaymen s oto: (Transfer the combined total of all loan repayments to the $ Detailed Summary, page 2line g & 16) ry Ending Balance Total: $ O I I (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)