7 DAy Pre General AmendmentCAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
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Change of address for: Candidate or Political Committee ❑ Political
S tion It TYPE OF REPORT
ec
This filing Is an: ❑ Original Amendment
This report is for the period from _\S2_j o Lj_ S through
❑ October 10 Pre -General Report P 7 Day Pre -General Report
❑ Annual Report
Is this a Termination Report: ❑ Yes 0 No
RECEIVED Rev. 10107
NOV 0 5 2013
Cl I Y ur �Yr11v01.+
❑ 30 Day Post -General Report
STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Section III
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 ]I, Section IV.
❑ I hereby certify that I have received no contributions and have made no expenditures during this reporting period.
To reach your Calendar Year to Dale 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)
COLUMN]
COLUMN II
This Period
CalendarYear
to Date
$ XXXW
$
$ 4.41A.3z
$ XXXXXX
$ 7004.w __
$ -A2gao0
$ 74 —
$
$ 24.0
$
$ D'
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.
Section V
„a ` j hereby certify that the Information in this
�- N or Pditic reasurer `
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
nature of pollfical Tasurer
Page 1
I
DETAILED SUMMARY
Name of Candidate or Commlltee: buv6
Expenditures
Total This Period
Contributions
# Contributors
itemized Expenditures (Total of all Schedule B sheets)
In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
Unitemized Contributions ($50 and less) of
+ $
Itemized Contributions (Total of all Schedule A sheets)
+ $ foo
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $
Loans (Total of all New Loan amounts from Schedule D sheets) _ –
j + $ 024 t�
Total Contributions (Transfer this figure to page 1 Section IV, Line 3)
$ 0.00 2i ,to
Expenditures
+ $ -23(D
Unitem¢ed Expenditures ($25 end less) # of Expenditures _
itemized Expenditures (Total of all Schedule B sheets)
In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $ 41A la�_y2-
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $ q��. to
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) j
= $ 0.00 y
Loans, Credit Cards and Debt
+ $
Outstanding Balance from previous reporting period
+ $ O
— _ _—_
New Loans received during this reporting period
$ 0 00
(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 �—
$0.00vi-am
i -am
Repayments of Loans made during this reporting period
j
(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)
_ $ 0.00
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges
+ $
Pledged Contributions this Period (Total of all Schedule aheets)^—
——ttemized
-- –
Total Pledged Contributions this period
$ 0 00
Page 2
SCHEDULER page °
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Transfer the combined total of all Schedule pages to the Detailed Summary on page 2line 2.
Name of Candidate or Committee:
Dale Received
Full Name, MailingAddressand Zip Code of Contributor
Cash or Check
1. L �, J�los 5les�tw C cs J
$ V
Calendar Year -To -Date
—/—�
2.
$
$
Calendar Year -To -Dale
3.
$
Calendar Year -To -Date
—J—J—
4.
$
Calendar Year -To -Date
5.
Calendar Year -To -Date
! /
6.
$
Calendar Year -To -Dale
7.
Calendar Year-TaDale
8.
Calendar Year -To -Date
9.
/
$
Calendar Year -To -Dale
10.
$
Calendar Year -To -Date
Total This Page: $
Transfer the combined total of all Schedule pages to the Detailed Summary on page 2line 2.
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
SCHEDULE B Fage a
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name
of Candidate or Commlttee:
Cash or Check
Purpose Codes
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
Newspaper & Other Periodical Advertising
B
BroadcastAdvertising (Radio, TV & Internet)
0
Other Advertising (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
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
Dale Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cash or Check
►o Gas l
\q`�i
v3e.�v y� 8\a
$
2.
3.
4.
$
5.
—�—�
$
6.
$
7.
—� �—
$
8.
9.
$
1
D.
Total This Page:
$
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
Name of Candidate or Political Committee: Z
Each Lender to your campaign should be listed separately. E
separate Rem. Each new loan from any Lender most be listed
Except for a candidate making a loan to his or her own
Section 67-6610A, Idaho Code, even if R Is repaid In full.
SCHEDULE D
LOANS
ach time a loan Is received or you loan money to the campaign, It must be listed as a
as a new Item from that Lender. You may have the same Lender listed more than once,
campaign, loans from any Lender cannot exceed contribution limits laid out In
Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount In the Previous Balance column. Any new ban amounts
should be listed In the New Loan column. Any Interest accrued should be listed In the Interest Accrued column. If a payment was made on the loan, list
It In the Repayments column. Note: Any loan 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 loans and accrued Interest less any repayments.
Name, Mailing Address and Zip
R
Previous Balance
Now Loan amount
Interest accrued
Repayments of Loan
Balance
Code of Lender
of loan at the
received during this
during this
during this reporting
outstanding at
(Candidate, Individual or Business)
end of the last
reporting period
reporting period
period
the end of this
reporting period
reporting period
Dale:
Date:
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1
laJu�Jl-k2j-2-Qjk3
C1e�ldSac�L
Amount:
$192A10 _
—
Amount:
$ 1 AU
0
,.,,fumprMAa
2.
ate:
ale:
/—
—/_—
—/
Amount
Amount:
3,
ale:
Date:
Amount:
Amount:
$
$
4.
Date:
ate:
—/—j—
—j—/
Amount:
Amount:
$
$
5.
ale:
ate:
---/
—/—/
Amount:
Amount:
$
$
6,
ale:
Date:
—i --J—
—j--
Amount:
Amount:
$
$
7.
Date:
Date:
Amount:
Amount:
$
$
Previous Received Interest Repayments Ending Balance
Previous Total $
Received Total:
n
(Transfer the combined total of all received loans to the $ 1 N `D
Detailed Summary, page 2 tine 4) r
Interest Total $ -
Repayments Total:
(Transfer the combined total of all loan repayments to the$
D t Ileo S
e a ummary, page 2 ne 9 & 16
Ending Balance Total: $ Q
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13)