30 Day post General Clerks EditsCAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
C-2
Rev, 10/07
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
Seat (if any)
Stephen Warren
City Council
6
Mailing Address
City and Zip
Home Phone
worK From
3137 S. Meridian Rd. #100
Meridian, ID 83642
208-703-0271
208-887-1071
Name of oiticaTreasurer
Rona Clement
MailingAddress
City and Zip
Home Phone
Work Phone
same
208-989-7505
208-887-1071
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: ❑ Original 9 Amendment
This report is for the period from 10 / 21 / 2013 through 11 /15 /2013.
❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report 0 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 the statement below and sign this report.
Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV.
❑ 1 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 COLUMN I COLUMN II
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** $ 872.00 $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ 660.00 $ 8,354.85
Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,532.00 $ 8,354.85
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,532.00 $ 8,354.85
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ 0.00
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 4,390.85
*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
I, , hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Signature of Political Treasurer
Page 1
T
0
T
12
13
14
16
18
DETAILED SUMMARY
Name of Candidate or Committee:Stephen Warren
Expenditures
Total This Period
Contributions
+ $
Unitemized Contributions ($50 and less) # of Contributors
+ $
Itemized Contributions (Total of all Schedule A sheets)
+ $100.00
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $ 560.00
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $ 660.00
Expenditures
Unitemized Expenditures ($25 and less) # of Expenditures
+ $
Itemized Expenditures (Total of all Schedule B sheets)
+ $
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $560.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $972.00
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)
_ $1,532.00
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
+ $5,362.85
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
= $5,362.85
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$ -972.00
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)
_ $ 4,390.85
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
= $ 0.00
Page 2
SCHEDULE A age
ITEMIZED CONTRIBUTIONS 1 1
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: Stephen Warren
Dale Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
10 /23 / 13
1• Harold Lennon
1500 E. Drucker Ln.
Meridian, ID 83642
$ 100.00
El General
$ 100.00
CalendarYear-To-Date
/ /
2.
$
❑ General
$
Calendar Year -To -Date
3.
$
❑ General
CalendarYear-To-Date
4.
$
❑ General
Calendar Year -To -Date
/ I
5.
$
$
❑ General
Calendar Year -To -Dale
6.
❑ General
$
Calendar Year -To -Date
7.
❑ General
$
Calendar Year -To -Date
8.
$
$
❑ General
Calendar Year -To -Date
9.
❑ General
$
CalendarYear-To-Date
10.
$
❑ General
Calendar Year -To -Date
Total This Page:
$100.00
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2line 2.
SCHEDULE C
IN-KIND CONTRIBUTIONS and EXPENDITURES
age o
1 1
Name of Candidate or Committee: Stephen Warren
Contributor Name, Mailing Address and Zip Code
S & S Restaurants
$ 560.00
Purpose Codes
3137 S. Meridian Rd., #100
A
All Travel Expenses (Airfare, 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 & 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
1.
10/30/13
Contributor Name, Mailing Address and Zip Code
S & S Restaurants
$ 560.00
1,000.00
3137 S. Meridian Rd., #100
1-1GeneralMeridian,
ID 83642
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
S & S Restaurants
3137 S. Meridian Rd., #100
Meridian, ID 83642
$ 560.00
O
2.
Contributor Name, Mailing Address and Zip Code
I /
$
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
3.
Contributor Name, Mailing Address and Zip Code
I I
$
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
4.
Contributor Name, Mailing Address and Zip Code
I I
$
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$ 0.00
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages $ 560.00
to the Detailed Summary, page 2 line 8)
Contributor Cpages
$ `60.00
(Transfer the combined total of all Contributors on Schedule C pages J
to the Detailed Summary, page 2line 3)
SCHEDULE D
LOANS
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 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
Previous Balance
New Loan amount
Interest accrued
Repayments of Loan
Balance
Code of Lender
(Candidate, Individual or Business)
of loan at the
end of the last
received during this
reporting period
during this
reporting period
during this reporting
period
outstanding at
the end of this
reporting period
reporting period
1. Stephen Warren5
3137 S. Meridian
Meridian, ID 83642
362.85
Date:
//
Date:
10 /31 /13
4,390.85
Amount:
$
Amount:
$ 972.00
2.
Date:
Date:
Amount:
Amount:
3.
Date:
Dale:
Amount:
Amount:
4,
Date:
Date:
Amount:
Amount:
5.
Dale:
Date:
Amount:
Amount:
6.
Date:
Dale:
Amount:
Amount
7.
Dale:
Date:
Amount:
Amount:
Previous Received Interest Repayments Ending Balance
Previous Total $ 5, 362.85
Received Total:
(Transfer the combined total of all received loans to the $ 0.00
Detailed Summary, page 2line 4)
Interest Total: $ 0
Repayments Total:
(Transfer the combined total of all loan repayments to the $ 972.00
Detailed Summary, page 2 line 9 & 16)
Ending Balance Total: $4,390.85
(NU I t: I ranster the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)