7 Day Pre General WarrenPT er; CAMPAIGN FINANCIAL DISCLOSURE REPORT RE C E I V EI)Rev 10107
SUMMARY PAGE
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Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: E< Original ❑ Amendment
This report is for the period from _/V I_L_I_L3 through I D c*
❑ October 10 Pre -General Report 7 Day Pre -General Report ❑ 30 Day Post -General Report
❑ Annual Report
Is this a Termination Report: ❑ Yes Ky 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 Calendar Year to Date figure: Add this reports 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" $1� z` $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ 7694. $
Line 4: Subtotal (Add lines 1, 2 and 3) $ % 2 $ %loqA4 - $rj
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ i $ U %2_2- 85
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 72 $ 8-72-
Line
7ZLine 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 5'&W .
'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.
Jaycee Holman
City Clerk I, 5'�XY b eir WA rrI jhereby certify that the information in this
City of Meridian Name of Pol10cal Treasurer
33 E. Broadway Ave.
Meridian ID 83642 report is a true, complete and correct Cam aign Financial Disclosure Report as required by law.
(208)888-4433
Fax: (208) 888 4218
jholman@meridiancily.org - Signature of Poli m�l'heasurer
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