Oct 10 Pre General Benson Clerks Edits10-10-13:04:24PM;
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE CITY Uruna npnN
a (Please Print orType)
v CITYCLERKS OFFICE,
section)
Change of address for: Candida or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing Is an: Orfglnal ❑ Amendment
Thisrepo is for the period from _ q /may I '3'3 through � (D _ l-.
ctober 10 Pre -General Report ❑ 7 DayPre•General Report )] 30 Day Post -General Report
❑ Annual Report
Is this a Termination Report: ❑ Yes A No
rla Q!K 7
C-2
Rev. 10107
Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Direcfions: If you had no contributions or expenditures during (his reporting period, check the box next to the statement below and sign this report,
Be sure to carry forward the appropriate "CalendarYear to Date" figures In Column II, Section IV.
❑ I hereby certify that I have received no contribulfons 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 If
figures to Iha Column II figures of your previous report (except on line 6). This Period CalendarYear
to Dale
Line 1: Cash on Hand January 1, This Calendar Year' $ XXXXXX $
Line 2: Enter Beginning Cash Balance" $ --U— $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ 3'5c�.•"C', s
Line 4: Sublola 1. (Add lines 1, 2 an d 3) $ 3Zb-$
Line 5: Total Expenditures (En ter amount from line 11, page 2) I ( $
Line 6: Enter Ending Cash Balance (Subtract lino 5 from line 4) ��t 1 ( $
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) Cc ✓���
eO&k �,ahv_ -4c `-TW CID
'This same figureshould be entered on line 1 of all reports fled this calendar year. CL
This Is the figure on One 6 of the last Campaign Financial Drsclosure Report filed, If this Is your first report, this amount Is 0. Lr �
Note: The closing cash balance for the curren t reporting period appears on the next report as the beginning cash on hand. Q,-+ S'CkLd.,,U 1C
Jaye Holman
City Clerk
Cily of Meddian
33 E BroadwayAve.
Meridlan ID 83642
(208)888.4433
Far: (280) 8884218
)holmangmeddiandlyorg
,tf 44k -t ( CV -1/1 1/)
94 hereby certify that file information in this
Name of Pal"Treawrer
reportis a (rue, completeand c./ofrepct Ca%mpafgn Fln�ancia�l Disclosure Report as required by taw.
Signature of Political Treasurer
Page 1
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10-10-13;04:24PM;
DETAILED SUMMARY
Name of Candidate or Committee:
# 3/ 5
Expenditures
Total This Period
Contributions
Untlemlzed Expenditures ($25 and less) #of Expenditures
Unitemized Contributions ($50 and less) # of Contributors _�
+ .
IlemizedContributions (Totalofall ScheduleAsheets)
+ $ ,CO
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $ p
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $ O
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
= $ oO
Expenditures
Unitemized Pledged Contributions ($50 and less) # of Pledges
Untlemlzed Expenditures ($25 and less) #of Expenditures
+ $
-b
Itemized Expenditures (Total of all Schedule a sheets)
+ $
'531.0
In -Kind Expenditures (Total of all Expendi(ure 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)
+ $
--e'
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
= $
s 3) , r
Loans, Credit Cards and Debt
Unitemized Pledged Contributions ($50 and less) # of Pledges
Outstanding Balance from previous repoding period
+ $
$
Is
New Loans received during [his reporting period
(Total of all New Loan amounts plusAccrued Interest from Schedule D sheets)
+ $
New Credit Card and Debt incurred this repoding 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)
$
(e>'
Repayments of Credi( Card and Debt (his 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, Una 7)
_ $
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges
$ i
Itemized Pledged Contributions this Period (Total of all Schedule Fsheets)
$
Is
Total Pledged Contributions this period
Page 2
10-10-13;04:24PM; # 4/ 5
SCHEDULEA �e °
ITEMIZED CONTRIBUTIONS
of more than Filly Dollars ($50.00) this period
Name of Candidate or Committee: ' ,ew/ J °j am
Transfer the omrMed (dal of all Schedule A pages to the Detailed Summary on page 2 rine 2-
Date Received
Full Name, Ma Address and Zip Code of Contributor
Cash or Check
—1 L
VA �'`' 2 1 n
9 J\V
2
§
CalendarYeaf.To-Dale
2.
'CalendarYear-TW
L is i () f4—Pc�v
a.
LIV��1�
y
�o(9q77I/k-�l i f &L—At.,C,/
J--
$�
CalendarYear-To-Wle
5.e�3
SS
(Jo
$
CaWarYear-To-Dala
3, 6.
--�LJ�
` o cCS VV
I'CarendarYw-Wato
$ ,�
7.
�1� `�, Sc \ f yv/
93"' Y7
$CalandarYar-Walla
fi.
-
$
$
CalendarYeer-To-Dare
9.
Ca1vMarYear-To-Date
10.
—j—j—$
S
Cele°darY9r-T%D*
Total This Page: $
Transfer the omrMed (dal of all Schedule A pages to the Detailed Summary on page 2 rine 2-
10-10-13;04:24PM;
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee: —� p ,nn q S{ n ,A ",VV
ego 0
# 5/ 5
Purpose Codes
,
Data Spent Full Name, MaifingAddress and Zip Code
A
All Travel Expenses (Alrfare,Fuel, Lodging&Mileage)
N
Newspaper& Other PedodicalAdverllsing
B
Broadcast Advertising (Radio, TV & Internet)
0
OtherAdvertlsing (Yard Signs, Buttons, etc.)
C
Contributions to Candidates & PACs
P
Postage
D
Donations&Gifts
S
Surveys & Polls
E
Event Expenses
T
Tickets (Events)
F
Food & Refreshments
U
Utilities
G
General Operational Expenses
W
Wages, Salaries, Benefils & Bonuses
L
Lilershue, Brochures, Printing
Y
Pelidon Circulators
M
Management Services
Z
Preparation&Production of Advertising
Transfer Me combined total of all Schedule B pages to the Detailed Summary on page 2 fie 7.
Data Spent Full Name, MaifingAddress and Zip Code
or Check
`ofReclplenl
�P,urp)osoCode
/Crash
,
2.t
ZS/—ts
3,
4,
5,
—1_!
$
6.
17.
8.
9.
10,
—j—j—$
Total This Page:
$7T,—
Transfer Me combined total of all Schedule B pages to the Detailed Summary on page 2 fie 7.