Annual Report Jan 2014A=e CAMPAIGN FINANCIAL DISCLOSURE REPO aECEIVED SUMMARY PAGE JAN -7 20% Rev. 1007
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Section I
CITY CLERKS OFFICE
Name of andidate or Political Commitleeand Chairyerson
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Chanae of address for:
Candidate or Political Committee ❑ Political Treasurer
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Section II TYPE OF REPORT
This filing is an: IR Original ❑ Amendment
This report is for the period from �LI1�J� 3— through-L,14LlL3o.
❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report
0 Annual Report
Is this a Termination Report: ❑ Yes W No
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 CalendarYear to Date figure: Add this report's Column I COLUMN[ COLUMN 11
figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year
to Date
Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $
Line 2: Enter Beginning Cash Balance"* $ $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ T5 99.09
Line 4: Subtotal (Add lines 1, 2 and 3) $ $ '7599, 00
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ $ 79
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) $
*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.
elurn This Report o: Section V
Jaycee Holman
City ClerkI
City of Meridian I, J ra I 1,(L o I S hereby rzdify that the information in this
33 E. Broadway Ave. Name of Polifical Treasurer
Meridian ID 83642 report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
(208) 888-0433
Fax; (208) 888-4218
jholman@meridiancityorg - Signature of Political Treasurer
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