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7 Day Pre General BirdCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARYPAGE (Please Print or Type) RECEIVE, C2 Rev.10107 CITY OF C((Ymm�txN CITYCLERKSO=1C;_ Nameaf ndidaleor Polifical,gpmmineeand Chairperson ' 6 Office Sought (if candidate) Seat if any) ,i� o r G 7' ai in cess E= i an p r 'di 8J Home one -ol /08 o one amen Poi cal ireasurer A lid,lam/" ai ng re's Gity and Zip Home Phone m one x r n W 9 -Slgy9 Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 6 Original ❑ Amendment This report is for the period from /rf (��._!through/� 1okxlam. ❑ October 10 Pre -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes Pg 7 Day Pre -General Report 14 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 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) COLUMNI This Period $ XXXXXX $?5orao $ AW,10 $ /-595r, qU COLUMN II CalendarYear to Date $ XXXXXX $ yo50, 00 $;A.H55,lo $ )..51 V, 9a '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 dosing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Jaycee Holman � City Clerk 1 �� a O I D 1/ 51ACL hereby certify that the information in this City of Meridian 33 E. Broadway Ave. Name of Political Treasurer Meridian ID 83642 report is a true, complete and correct Campaign Financial Disclosure Report as required by law. (208) 88BA433 � Fax: (208) 8884218 O `-'IL��r4rwi jholman@meridiancRyorg V Signature of Political Treasurer Page t 0 T 12 13 14 15 16 0 18 DETAILED SUMMARY Name of Candidate or Committee: L r; r Expenditures Total This Period Contributions + $ a Unitemized Contributions ($50 and less) # of Contributors _� + $ 61 "00 Itemized Contributions (Total of all Schedule A sheets) + $ 0 o v In -Kind Contributions (total of all Contribution amounts from Schedule C sheets) + $ _ Loans (Total of all New Loan amounts from Schedule D sheets) + $ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ 5� Expenditures Unitemized Expenditures ($25 and less) # of Expenditures / + $ a Itemized Expenditures (Total of all Schedule B sheets) + $ /D 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 Debi Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ $y�� o Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D 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 at close of this period (Transfer this figure to page 1, Section IV, Line 7) - $ 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 SCHEDULER Page ° ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: N G Dale Received Full Name, Mailing Address and Zip Code of Conbibulor Cash or Check �i�lL f panieL aSaCo/7� �� s� Z , Pa/�r 9 >L mlendra.n,'9d r636y6 65,09 $ 1400 e $ lee Calendar Year -To -DM ate ��r 2. l�Ye. %� P ©fax g A6 y 401,6t-, Jd $ $ / DGS— Calen ar /o lel /3 3. Jdo-/u /7-ssll oeod-6rs, xe ?/+e. 46"Ps O /,'ficaL '1161-1oA (OO"XA /o//b W. DUerGr iso/ A/ c $ $ v /5 E - Calendar Year -To Dale 10f-1-114 4. /& tZ he&) Sc hc+fZ PO .fox ///5 )Oeriaii'trti, 9J s'�6� - ///s $ a3 all $ Calendar Year -To -Date JZl1/�ll.� — 5. a?a.G fl'' Russe u /9 yo S. &,7; 044 , (5� M&-r;diceh � B�6 y� t $ /o el $ /Or7del GalendarYear-To-Da[e /1) 8/ 6• LV47p�u b//c Services, FrL//ied fe �erv�"ees /85�v it/, 14-1[1'e,.1 aL�i o $ 5a9 $ Soo 60 Calendar Year -To -Date J0 P©Brx is39 Aoise, 2d $ /oc�°B Calendar Year -To -Date J1Ll�l 8. 5 e-- 'AXU e-6 -f mvwt E 17� Cy. P O i3o X to --".v �eH; d;a�n, dd 836 $ Loo `n Calendar Year -To -Date 9. $ —/�— $ Calendar Year -To -nate 10. $ Calendar Year -Male Total This Page: $ '� Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2line 2. Dale Spent Full Name, Mailing Address and Zip Code of Recipient SCHEDULE B page at ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: . 1' 4 k -f ech Ni/I-' &/h L Purpose Codes 58,0 6, 1-rn A K /i x. A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 0 OtherAdvertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Dale Spent Full Name, Mailing Address and Zip Code of Recipient Cash or Check 1' 4 k -f ech Ni/I-' 58,0 6, 1-rn A K /i x. ; a F7$ 9 /9,21 2. /nadr:rn �Y'1n�feNs 4v /&1 L hyy P. /??a x, $ .5'u, 9G 3. —J $ 4. $ 5. I I $ 6. —1 /— $ 7. —�— $ 8. 9. $ 10. Total This Page: $ 5 < to Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.