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Oct 10 Pre General MilamCAMPAIGN FINANCIAL DISCLOSURE REPORTRECEIVE c-2 SUMMARY PAGE OCT 10 2013 Rev. 10107 (PleasePrinto-Type) CITY OFC>vrar ?_.,AN CITY CLERKS OFFICE Name or Candidate or Political Committee am Chairperson Section 1v' SUMMARY office Sought (if candidate) . Seal (if any) Genesis Warn City Council 05 al ing ress PO Box 428 an iD Meridian 83680-0428 me one 208-371-6009 or one ameo of ca reasurer - .Line 3:. Total Contributions (Enter amount from line 5, page 2) $ 795.00 $ 795.00 Line 4: Subtotal (Add lines 1, 2 and 3) Corey Smith Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,763.62 $ 1,763.62 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) ins ress _ ity and ip - ome one Wok P one 136 E Idaho Ave. Ste. 200 Meridian 83642 Section V 208-489-0123 - I Corey Smith Name of Political Treasurer a by certify that the information in this -. ,".mmnnuee ,u ronucal Treasurer U Section II TYPE OF REPORT - This riling is an: 9 Original ❑ Amendment'.` This report is for the period from W_f01 (2013 through 09 f30_.. X2013 * October 10 Pre General Report ❑ 7 Day Pre General Report ❑ 30 Day Post General Report ❑ Annual Report Is this a Termination Report: [-] Yes ❑✓ 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 Be sure to carry forward the appropriate `Calendar Year to Date' figures In Colur statement below and sign this report. II, Section IV. El I hereby cerfify, that I have received no contributions and have made no expenditures during this reporting period. Section 1v' SUMMARY - To reach your Calendar Year to Dale figure: Add this reports Column I figures to the Column II figures of your previous report (except online 5). COLUMN I COLUMN II This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar. Year $ XXXXXX... $ 0.00 Line 2: Enter Beginning Cash Balance" $ 0.00 $ pyx. .Line 3:. Total Contributions (Enter amount from line 5, page 2) $ 795.00 $ 795.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 795.00 $ 795,00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,763.62 $ 1,763.62 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ -968.62 $ -968.62 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,094,38 `This same figure should be entered online 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. Section V - I Corey Smith Name of Political Treasurer a by certify that the information in this report is a We, complete a rrect Ca patgii-Fine" ` I Disclosure Report as required by law. Sign re of Political Treasurer RECEIVE gel CITY OFC�f vnw — — CITY CLERKS OFFICE DETAILED SUMMARY IName ofCandidate orCommittee:Genesis Mllam _ Total This Period Contributions I + $ 445.00 T 1 Unitemized Contributions ($50 and less) # of Contributors 12.00 Itemized Contributions (Total of all Schedule A sheets) ) 0�_In Kind $ 350.00 ) Contributions (Total of all Contribution amounts fmm Schedule C sheets) + $ l ®I Loans (Total of all New Loan amounts from Schedule bsheets) -- � i + $ I — Total Contributions (Transfer this figure to page 1, Section IV, Line 3) $ 795.00 --- Expenditures !- T —� - — --r- --- ©d Unitemized Expenditures ($25 and less) ---# —of Expenditures zoo + $ 158.74 d1 7O� Itemized Expenditures (Total of all Schedule B sheets) + $1,579.88 O i _ In Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) 25.00 d Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) Credit Card Tj 1p and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ 11 Total Expenditures (Transferthis figure to page 1 Section IV, Line 5) ! T d�$1 763.62 Loa ns Credit Cards and Debt j 12 �_ Outstanding Balance from previous reporting period d — + $ 0.00 —+ 13 I New Loans received during this reporting period (Total of New Loan Q94.3$ all amounts plus Accrued Interest from Schedule D sheets) + $ r , -- g I Now Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) ; + $ 0.00 "I Subtotal I= $1,094.38 16 ` Repayments of Loans made during this reporting period _ (Total of all Loan Repayment amounts from Schedule D sheets) _ — $ Q.00_ �j Repayments of Credit Card and Debt this reporting period — r _ (Total of all Debt Repayment amounts from Schedule E sheets) Total $0.00 18 I Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, 7) _ $111694 .38 d — Pledged Contributions --— — _— 19 Unitemized Pledged Contributions ($50 and less) # of Pledges — -- — -- ----- -- — ------------$ IItemized ! + - -- ...... - --- Pledged Contributions this Period (Total of all Schedule F sheets) - + 1-- ®1T (_Total Pledged Contributions this period — — � ---- - --d $ 0.00 Page 2 SCHEDULEA ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period ;I Name of Candidate orCommiftee'Genesis Mllam Date Received I Full Name, Mailing Address and Zip Code of Contnbulor Cash or Check 08 06 13 _/_! 1 • Susan Robinson .2313 E. Hyper Dr Meridian, ID 83642 $ 100.00 8 General - $ Calendaz YearTo-Dile 09 'D1 3 1—!_— 2- Rocky Mountain Collision Auto Truck & RV Repair -225 E Fairview Ave_ < Meridian, 1D 83642 - 1 3. $ 250.0 9 General —!—/— $ Calendar Yee, - To Date $ General $ CaleodarYear-To-Dale ` _/—!— 4. $ 0 General $ Calendar Year -To -bate 1^I_ 5. -- $ ❑ General $ Calendar Year-io.nale 8. $ '.❑ General $ CalendarYear-To-Date —!_I $ General $ CalendarYear-To-bale 8. ❑ General $ capndarrear--To Dale 9. ❑General $ Calend&Year-Ta Date —1 _ 10. $ $ Calendar Year -To -pale 13 General — Total This Page: $ 350.00 transfer the combined total of all Schedule pages to the Detailed Summary on page 2line 2. A All B Arc C Goi D Doi E Evf F For G Gei L Lite M Mai IEDULE B EXPENDITURES ($25.00) or more this period :nses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising ertising (Radio, TV $, Internet) 0 OtherAdvertising (Yard Signs, Buttons, etc,) o Candidates & PAC's P Postage ifts S Surveys & Polls 'S T Tickets (Events) hments U Utilities dional Expenses W Wages, Salaries, Benefits & Bonuses :lures, Printing Y Petition Circulators iervices Z Prenaralinn A Prndnrlinn nr Ad,,Mwi— 1 �J Daie Spent _ Full Name, Mailing Address and Zip Code of Recipient 'Purpose Code Cash or Check 09 07 13 Big Lots 100 E Fairview Ave Meridian, ID 83642 E $ 25.14 09 / 12 / 13 2: Meridian Parks and Reo 33 E Broadway Ave. Ste. 206 Meridian ID 63642 E 100.00 $ 3. 09 10 13 Modern Printers 714 N Main PO Box 556 Meridan, ID 83680 L 106.00 —/ —/ 4. 08,413 PS Prints psprints.com ° X115.54 5, 0906 13 _r / Vista Prints 95 Hayden Ave Lexington, MA 02421 O $ 42.00 09/0 1/ 13 s. Black Signs of Idaho 7512 Lemhi #1 Boise, ID 83709 O 984.10 09/ 19/ 13 7. Marketing Goddess 1400 Shiloh Dr Nampa, ID 83687 0 $ 47.70 09 26 13 -�- US Post Office 1200 Main St Meridian, ID 83642-9998 P $ 27.60 08112 / 1_3 9. Melissa K Design 1932 E Challis Dr Meridian, ID 83646 O 31.80 $ 10. Total This Page: $ 1 ,579.88 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C age ° IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee Genesis Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV& Internet 0 OlherAdvedising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts - 8 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 ofAdvedising �• 082 13 Contributor Name, Mailing Address and Zip Code Melissa K Design $25.0 25.00 $ 9 General 1932 E`Challis Dr Meridian, ID 83646 _ Calendar Year -To -vale Expenditure Name, Mailing Address and Zip Code Melissa K Design 1932.E Challis Dr Meridian, ID 83646 $ 255,00 Purpose Code O 2. Contributor Name, Mailing Address and Zip Code fI $ ❑ General $ _ Calendar Year -To -bare Expenditure Name, Mailing Address and Zip Code Purpose Code 3. Contributor Name; Mailing Address and Zip Code $ ❑ General Expendilure Name, Mailing Address and Zip Code $ calendar Year -To -pale Purpose Code 4. Contributor Name, Mailing Address and Zip Code -- _I_I $— ❑ General Expenditure Name, Mailing Address and Tip Code $ Calendar Year -To uaie Purpose Code $ 0.00 Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages to the Detailed Summary, page 2line 8) Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages $ 25.00 to the Detailed Summary.. page 2line 3) Each lender to your campaign: should separate Item Each: new loan from any. Ih a balance(s) appy d in the Now Loan 'i ymenls column. Ni 1n is the Previous E SCHEDULE D LOANS separately. Each time a loan is received or you loan money to the campaign, it must be listed as a ust be listed as a new item from that Lender. You may have the same Lender listed more than once. or her own campaign, loans from any Lender cannot exceed contribution limits laid out in I In fulk t report must be listed below with the amount in the Previous Balance column. Any new loan amounts rest accrued should be listed in the IntereslAccrued column. If a payment was made on the loan, list at was repaid in full in a previous repoding period does not need to be listed. The Outstanding I loans and accrued interest less any repayments. Name, Wring Address and Zip previous Balance New Loan amount Interest accrued Repayments of Loan Balance Cade 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 and of this reporting period - reporting period . 1. Genesis Milam PO Box 428 0.00 Date: 06 (oa / 13, 0.00 Dale: / / 4.00 Amount Amount -' Meridian, ID 83680-0428 Candidate $ 4.0$ 2. Date: Date: 06 / 27 / 13-_, 0.00 / / 100.00.: Amount: Amount 3. Date: Dale: oe /ofi ,/1e 17.48 o�,a,..�Po°,.,aaar.��,, o aaaearvnw�rar. Amount: t _ __I_L_ t Amount, 17.48: $ 4. Dale: Date: as ,/ 12 113 !`I_ 10.88 cnaaamvom.�na ua,aavrovs°nwzecwim. Amount Amount $ 10.68 $ . 5. Date: - Dale:. 08.../27 /13 J_/ 900.00 Amount Amount e0000 $ 6. - ' Date;- -Dale: ori /a7 /ia_ _//__ 25.14 Amount. Amount $ 25.14 $... 7, Date: _ Date; as /oa /13 /—/ 36.88 Amount. Amount: - $. 36.88 $ _. Previous Received Interest :Repayments Ending Balance Previous Total $0,00 Received Tota: (Transfer the combined total of all received loans to the $ 094.38 Detailed Summary, page 2line 4) Interest Total: so Repayments Total (Transfer the combined total of all loan repayments to the $000 - Detailed Summary, page 2line 9 B 16) Ending Balance Total: $1,094.38 v, . 161FQ 1r 10 bor„pmCe wrai m dp Nccmen interest ana necelveo Loans to the uelanea summary, page 2line! 3) SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (ie, credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a 'credit card or incur debt it Is considered to be a separate item However, you will maintain a single item for each credit card and add purchases to that item. Each Creditor listed below will a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and When the debt was incurred. Credit Cards are considered debt to the campaign. Regardless of whether the credit card Is repaid when the statement is received, all credit card transactions will appear on Schedule E and E-1. However, only Repayments of Debt during this reporting period appear In the Expenditure Section of the Detailed Summary Page, Any creditor(s) with a balances) appearing on the last report must be listed below with the amount In the Previous Balance column. Any new debt should be listed in the New Debt column, including any accrued interest. If a payment was made on the debt, list it In the Repayments column. Note Any debt that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus New Debt less any Repayments of Debt. - Name Mailing Address and Zip Code of Creditor Previous Balance of New Debt amount Repayments of Debt Balance outstanding (Candidate, Individual or Business) debt at the: end of the incurred during this during this reporting at the end of this last reporting period reporting period ..period reporting period 1. Date: Date. -. Amount: Amount 2. Dale: Date Amount Amount: 3, Dale: Date: Amount Amount - 4. Dater - Dater Amount Amount 5. Date: Date: -. Amount .Amount 6. Date: Date Amount Amount $ $ - Previous Incurred Repayments Ending Balance Previous Total:- $ 0.00 Incurred Total: (Transfer the combined total of all incurred debt to the $ 0.00 Detailed Summary, page 2line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $0.00 Detailed Summary, page 2line 10 8 17) ,- Ending Balance Total:FOO 0 of E-1 age Datelncurred CREDIT CARD and DEBT ITEMIZATION-- Purpose Code Amount [Name of Creditor from Schedule E: Each Creditor listed on Schedule E -with a New Debt amount must have a Schedule E-1 accompanying ft. The Schedule E-1 lists where and when the debt was incurred - Purpose Codes $ — A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV& Internet) 0 OtherAdverfising (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 -I General Operational Expenses W Wages, Salaries, Benefits & Bonuses ----... InlerestAccrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing - Z Preparation & Production of Advertising M Management Services $ Datelncurred Full Name;Malling Address and Zap Code of Expenditure Purpose Code Amount 2. $ — 3. — 4. $ 5. — B. ----... $ — ------ 7. - -/ I $ 8. $ Total This Page. $ 0.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for (his creditor. SCHEDULE F PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED 1 1 Name of Candidate or Committee: Directions Complete this schedule if you were promised and agreed to accept a contribution during this reporting period but have not actually received the money, goods or services offered before the and of the reporting period Do not Include these entries on Schedule until you actually receive the conblbution. Pledged For Date -Pledged " Full Name; Mailing Address and Zip Code of Contributor I Amount Pledgetl 1. El General 11 General 3. 0 General / / - 4.- 11 General 5, 11 General I I 6. - D General 7. - p General 8. 11 General 9. D General 10. O General D General 11. Total Amount of Pledged Contributions: $ 0.00 Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2line 20.