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30 Day Post General Warren12/04/2013 14:12 2083225949 OFFICE PAGE 02/06 This Period ECETVED CAMPAIGN FINANCIAL DISCLOSURE REPORT DEC 0 4 2013 c 2 Re -10107 SUMMARY PAGE $ X)OOtXX (Please Print or Type) GI I Y OF 0 Ckmr,ux $ xXXXxx CITY CLERKS OFFICE Section I $oma Nage at Candidate or orPo I` n Sought candidate) Seat (if any) moping Morass [�Ity ano ZIP rionne Phone one 313 Sls�tPs�f l� alp g 103 c�,l'�� tr,�1 �oritic�reasure ��- �I�YYII✓� n9 rasa atip ffvw Phone Work Phone Change of address for: Candidate or Political Committee ❑ Political Treasurer F] Section II TYPE OF REPORT This filing Is an: '-4111 Original ❑ Amendment This report is for the period from1f)l�( /1�through)t1 ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report - -'Td 30 Day Post -General Report ❑ Annual Report Is this a Termination Report: -12� Yes [] No Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: fi 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 figures to the Column II figures of your previous report (except on line 6). Line 1: Cash on Wand January 1, This Calendar Year* Line 2: Enter Beginning Cash Balanoe" 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 amountfrom line 11, page 2) Line 6; Enter Ending Cash Balance (Subtract line 5 from line 4) Una 7: Outstanding Debt to Date (Enter amount him line 18, page 2) COLUMN I COLUMN II This Period CalendarYear to Date $ X)OOtXX $ $ �'] $ xXXXxx $ �o $ $oma $ $ cg-IylSn $��OD $ 53faa.�s' *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 hereby certify that the information In this Name of Pollecal Treasurer report is a hue, complete and correct Campaign Financial Disclosure Report as required by law. Signature of Political Treasurer Page 1 12/04/2013 14:12 2083225949 OFFICE PAGE 03/06 DETAILED SUMMARY lame of Candidate or Committee:�� Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + Itemized Pledged Contdbutions this Period (Total of all Schedule F sheets) ; + $ Total Pledged Contributions this period $ 0.00 Page 2 Total This Period i Contributions_ Q i Unitemized Contributions ($R --an d less) # of Contributors I + $ 01 Itemized Contributions (Total of all Schedule A sheets) '+ --- -- --- - -- -- --- -- -- -- — ---------- 30 i In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) j + ® Loans (Total of all New Loan amounts from Schedule D sheets) + i Total Contributions (Transfer this figure to page 1, Seaton IV, Line 3) j Expenditures i -------------- — -- ..._....__.... ,.. ©! Unitemized Expenditures ($25 and less) # of Expenditures ....__. ;._...------------------ ;+ .: $ ------- ....... - Itemized Expenditures (Total of all Schedule B sheets) i+ $ I In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) ® + $ gO Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + ._._............. _ $ I 10 i Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)i + $ 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) I_ Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + Itemized Pledged Contdbutions this Period (Total of all Schedule F sheets) ; + $ Total Pledged Contributions this period $ 0.00 Page 2 12/04/2013 14:12 2083225949 OFFICE SCHEDULEA ITEMIZED CONTRIBUTIONS of more then Fifty Dollars ($50.00) this period PAGE 04/06 ri, 1 Warne of Candidate or Committee:_�TGOJ 1,z . r ln,,D pS A� I Date Received Full Name, Mailing Address and Zlp Code of Contributor Cash or Check Transfer the combined total of all Schedule pages to the Detailed Summary an page 2line 2. to I - A pec> u , \5o0E,� lam t� ctrat-) =D`opd� $ lou 00 —>�I Cahrdar Year-To-Dats 2. Calendar Year -To -Dale 3. $ Calendar Year -Ta -Date A. Calendar Year -To -Date 5, Calendar Year -To -Date 6. $ Calendar Year -Ta -Dela 7. $ CalendarYear-To-Date 8• • Calendar Year -To -Date 9. $ Calendar Year-ToDaoa 1 D. Calendar Year -To -Date Total This Page. $ I00(�g Transfer the combined total of all Schedule pages to the Detailed Summary an page 2line 2. SCHEDULE C IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: c% 1 i, v c- .oma --) r'Hbt VO/bb Purpose Codes Contribptor Name, Mailing Address and Zip Code A All Travel Expenses (Aidan, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc-) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polis 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 1. Contribptor Name, Mailing Address and Zip Code Cso ❑ General j�Qa AI40 — gab +� $ •I Oma Calendar Year-io-Date Expenplture Name, Mailing Address and Zip Code Purpose Cade SSS P.A. $Stao 2. Contributor Name, Mailing Address and Zip Code ❑ General $ Calendar Year -To -Dale Expenditure Name, Mailing Address and Zip Code Purpose Code $ 3. Contributor Name, Mailing Address and Zip Code ❑ General $ Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code $ Contributor Name, Mailing Address and Zip Code 4. ❑ General $ Calendar Year -Te -Dale Expenditure Name, Mailing Address and Zip Code Purpose Code $ 0-00 Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $� to the Detailed Summary, page 2line 8) ContributorTotal: SDS (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2line 3 SCHEDULE D LOANS Name of Candidate or Political Committee: Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once. Except for a candidate making a loan to his or her own campaign; loans from any Lender cannot exceed contribution limits laid out in Section 67-6610A, Idaho Code, even if it is repaid in full, 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 loan amounts should be lisled in the New Loan column. Any interest accrued should be listed in the InterestAccrued 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 Previous Balance New 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 1, —4VrVeA3 Date: Data. Amount: � A Amount: tat��'P 53�L $ -� $ 53�a 2, Date: Date: Amount: Amount: 3. Dale: Date: Amount: Amount: $ $ 4, Dale: Date: Amount: Amount; 5. Date: Date: Amount: Amounl: 6, Date: Date: Amount: Amount: $ $ 7, Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total eceived Told: (Transfer the combined total of all received loans to the $ Detailed Summary, page 2line 4) Interest Total: $ Repayments Total: (Transferthe combined total of all loan repayments to th $ E - Detailed Summary, page 2line 9 & 16) Ending Balance Total: $rJ��`� (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13)