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30 Day Post General BirdCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARYPAGE (Please Print or Type) -RZC TTT� C-2 i V ,Uev 10107 OTfYCORk-� Name f Candidate or P 'tical Committee and Chai emon COLUMN I COLUMN II Office Sought (if candidate) v t (if any) C i h Arai y to Date Colt of i ressi Line 2: Enter Beginning Cash Balance** an pome ' rhare one & $ 5/ 43 q0 $ 75 99. 00 ) d 8 ya 8 �o Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Name n oitica &surer Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ *This same figure should be entered on line 1 of all reports filed this calendar year. Q. "*This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If et ing ressCity Note: The closing cash balance for the current reporting period appears on the next and ZipHome Phone Work Phone P b 99 -A9y9 Ci. of Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 0 Original ❑ Amendment This report is for the period from 1P l °dr ff 3 through _L_l�_/. ❑ October 10 Pre -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes ❑ 7 Day Pre -General Report IM No ® 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 11, Section IV. ❑ 1 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 reporfs Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period CalendarYear to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Line 2: Enter Beginning Cash Balance** $ 139N- 90 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ g649, W $ 15-9 -7,6V Line 4: Subtotal (Add lines 1, 2 and 3) $ 5/ 43 q0 $ 75 99. 00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 907.67 $ 53,A,R , 'i i Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 9, 3G. $ 013 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ *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. F-111 turn I his Report o: Section V Jaycee Holman City Clerk �G �5 Ci. of ) r a. " I [J W1 herebycertifythat the information in this Broady 33 E. BroadwayAve. ayA Name of Political Treasurer Meridian ID 83642 report is a true, complete and correct Campaign Financial Disclosure Report as required by law. (208) 8884433 Fax: 888-421 p eridiancityorg jholman@m .org Page 1 Signature of Political Treasurer Cl C C C C C C C 10 11 DETAILED SUMMARY Name of Candidate or Committee: 41,r/ , Expenditures Total This Period Contributions + $ 001Itemized + $ 65 + $ Unitemized Contributions ($50 anZiess) # of Contributors Itemized Contributions (Total of alts) In -Kind Contributions (Total of all Counts from Schedule C sheets) $ ,00 + $ 0.00 + $ Loans (Total of all New Loan amouule D sheets) Total Contributions (Transfer this figureton IV, Line 3) + $ = $ 3�y Expenditures I Unitemized Expenditures ($25 and less) # of Expenditures _�_ Expenditures (Total of all Schedule B sheets) In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 001Itemized + $ 65 + $ 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) - $ o Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $ 13 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ 14 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ 0 Subtotal 16 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) $ 1 Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) $ 1g Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) = R Pledged Contributions 19 Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period — It Page 2 SCHEDULE A ase ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: ; rd o r r t Dale Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check lel �Ulrh� Co, geneha-L Qisn/ret��rs /500 9 fdo ra>da r� ' p' 839oy �9©/S=, d{! 4961' $ /Q'1 ' $ Calendar Year -To -Date 10 JAIL 2. �/ff�� , /oot55, 6�hlridyaWaj` �-le �qo pp f .dci 8'3(0/(0 ID�lfl r 46 $ /2o— $ Calendar Year -To -Date -LI)'%—ILs 3. Yltif P p Qb x S( d dyl�hid;alt, �d fS�6TG $moo° $ Calendar Year -To -Date J1�I J 4. Solo ions t; rt q rc r neerin� /0 9 / A066- Y/'0 E , �a l� /,w 171 e r $ Calendar Year -To -Date JrLl 113 5. (? p 1 e- yn 0-n 1'{-0rJl e S, G �e ° /`d 9 'T Pax l t�a5 , me-r4i0,n ,jw oV1 $ /DGY $ Calendar Year -To -Date 5. ;C'haeL M00he /�onjer $ end' Calendar Year -To -Date MO-132--l-LI 7. 2QQ3g_93 IV.00 yXh &/vieul LA $ Calendar Year -To -Date fo IFIL a. 4j"hornfon 01;Ver 1`ells.r$ &m mew¢ JQc. AerLA LLC 9'-= � < ��+d 41dor � d �.� �7a� 01 $ Calendar Year -Ta -Dale J1321A 9 lei 11 Coh4rac+ors ,`jrse°ver x,0.06 N, yl�'se �d �3 13 I � $ ASd 0`0 $ Calendar Year -To -Date 10. $ Calendar Year -To -Dale Total This Page: $ 6 Transfer the combined total of all Schedule A pages to me Detaned oun uoai y La page L SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period ageo I Name of Candidate or Committee: d( o : -L i_ 11 ._,J '2_ r /! ,1, /1 , _ _ a , / I Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B BroadcastAdverfising (Radio, TV & Internet) C Contributions to Candidates & PAC's D Donations & Gifts E Event Expenses F Food & Refreshments G General Operational Expenses L Literature, Brochures, Printing M Management Services N Newspaper& Other Periodical Advertising 0 Other Advertising (Yard Signs, Buttons, etc.) P Postage S Surveys & Polls T Tickets (Events) U Utilities W Wages, Salaries, Benefits & Bonuses Y Petition Circulators Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. 5£ 5 e 5 "P 411 d ba Pap- Jo/, n s 2/:a oeridicer %d,5fe icy J_oJ 113 e v i jd M(10? $ 2.soP/� 172b 15, 4 t-sj)ie,j %1,0 i 6 Ud $ �2 9 Al e 4. l/& //, 1,;, rues LLLL/:5– Po 2x /qW /e Sd v6/d /✓ $ y e, ,Cti 5. ,Zac%er•y ��rd 35 415 'T�rp p 6. —1 I $ 7. $ 8. —/� $ 9. 10. $ Total This Page: $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 fine 7.