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Oct 10 Pre General Warren2083225949 OFFICE PAGE 01/06 CAMPAIGN FINANCIAL DISCLOSURE REPORTRE CE T Y 1,71 C-2 SUMMARY PAGE OCT O 7 1013 Rev. 10107 (Please Print or Typa) CITY OFCp1 rer�o,,ra;al- CITY CLERKS OFFICE; Name of Candidate aPuli6calCommiFeeand Chairperson ought(Ifrdidate) Seat (if any) majungAddrew 3� �m ��o � ufrj ang � ome Pnons �� • ome„ 0 one �� - �� , eo of re^%sm19r r' g —� S XXXXXX malangiviorep ryas Lp $—Ibg .$S ome one ane ,tom, S•�D $ - gQ9 •ISoS 6�1-�+D19 Change of address for. Candidate or Political Committee 13 Political Treasurer . fa Section II TYPE OF REPORT This filing is on: Original ❑ Amendment Q This report is for the period from �_! through '1& October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes No ❑ 30 Day Post -General Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions; if you had no contributions or expenditures during this reporting pariod, Chsck the box next to the statement below and sign this report. Be sure to carry forward the approprrato 'Calendar Year to Date" figures In Column II, Section IV. ❑ I hereby certify, that 1 have received no oonbibutions and have made no expenditures during this reporting period, Section IV SUMIro1gRY To reach your Calendar Year to Date figure: Add this report's Column I figures to tha 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) 'This same figure should be entered on tine 1 of all reports "This is the figure on line 6 of the last Campaign Financial Note: The closing cash P. balance nfor the current reporting pe ren A iv nn n-. Section V Jaycee Holman City Clerk City af.Mertdiao 33 E Broedway,Ave. Marldian ID 63642 (208) 888-4433 FW (208) 8884218 jholman@merldiancity.org COLUMNI COLUMN II This Period CalendarYear to Date $ XXXXXX g —� S XXXXXX $ $—Ibg .$S $ S•�D $ - g first report, this amount is 0. beginning cash on hand. I, lwlJP�- M EES hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Campaign Financial Disclosure Reportas required by law. Page 1 Treasurer 10/07/2013 13:58 2083225949 OFFICE PAGE 02/06 T 12 13 6 16 0 18 1om 0, DETAILED SUMMARY Name of Candidate or Committee: U34 e4, w. -Ek-__) Expenditures Total This Period Contributions + Unitemized Contributions ($50 and less) # of Contributors $ b Itemized Contributions (Total of all Schedule A sheets) + $ In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ tXD Loans (Total of all New Loan amounts from Schedule D sheets) + $� g Total Contributions (Transfer this figure to page t, Section IV, Line 3) = $ --1 ?-S— Expenditures Unitemized Expenditures ($25 and less) # of Expenditures 73= + Itemized Expenditures (Total of all Schedule B sheets) + $'a3 b� - In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $) Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 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) W $ g Loans, Credit Cards and Debt I Outstanding Balance from previous reporting period + $ —6E�b New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interestfrom Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from SctiedulB.E sheets) + $ Subtotal = $ Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D,sfieets) $ 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) $ 53bs 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 = $ Page 2 10/07/2013 13:58 2083225949 OFFICE SCHEDULEA ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period PAGE 03/06 age, o� Name of Candidate or Committee; Date Reohred Full Name, Mailing Address and Zip Code of Contributor Cash or Check ��((�� I—IL041� t.OE- �bj"-vLr VJ V E" D1Q 3 $ISp�° $ Ca1sodarY�ear-To Date al 2. ?J Caleoaa(Yeer-To-Date 3.c�C)C�. W ��C>Q Calendar Year -To -Date CalendarYear-To-Date 5. Calendar Year -To -Date 6. $ CalendarYear-To-Date 7. $ CalmderYeai,-TaDate i r 8. $ CaleadwYear-To-Dala 9. Calender Year -To -Dale 70. $ Calendar YearTo-Date Total This Page: $ b6 d Transfer the combined total of all ScheduleA pages to the Detailed Summary on page 2 line 2. 10/07/2013 13:58 2083225949 OFFICE PAGE 04/06 Date Spent Full Name, Mailing Address and Tip Code of Recipient SCHEDULE B d9� ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee; LS �-4Usc�� NVE Purpose Codes �1L A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) O 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 & Reifeshments 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 Date Spent Full Name, Mailing Address and Tip Code of Recipient Purpose Code Gash or Check LS �-4Usc�� NVE �1L $ 5,b©o 00 4. 75_Lkt 't�,, A,- . lbrJ kk ��,'\iP- ��+�c �a.o�.o>�J�- � lib p O 6. r� W 7. Ct�t� Pes �5 �Ln rLbg -94tlEr a5�°c 8. 9, $ 10. Total This Page: $ rJ 3l Transfer the combined total of all Schedule 8 pages to the Detailed Summary on page 2line 7. 10/07/2013 13:58 2083225949 OFFICE PAGE 05/06 SCHEDULE C L IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: Purpose C00% CoMnntrib_uto�r Name, Mailing Address and Zip Code S A All Travel Expenses (Alrfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising 8 BroadoastAdvertising (Radio, N & Internet) 0 OtherAdvertising (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. �� CoMnntrib_uto�r Name, Mailing Address and Zip Code S CalendarYeae-7o-Date Expenditure Name, MAIN CAddresssss and Zip Code oIJuPO%Z) Purpose Code I+. ocr--- 0')a $ 2, � Contrikutor Nag , Mai -ling Address and Zip Code SE Ss-T':� o�� i ' , t, )p0, 3\31 S 1�C�1AIA�J ��1Dci 1`cQaAlta7J 4b $_— CalendarYearvTo-Dale ESddltture Name, Mailing Address and Zip Zip CCod_e Purpose Code P� bt Atm 3b $ 3. Contributor Name, Mailing Address and Zip Code $ I' Calender Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code 3 4. Contributor Name, Mailing Address and Zip Code CalandarYear-To-Date Expenditure Name, Mailing Address and Zip Code Purpose Code Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages Fs to the Detailed Summary, page 21fne 8) $ Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2 line 3) 10/07/2013 13:58 2083225949 OFFICE PAGE 06/06 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 now 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) vdth 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 InterestAccmed 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 �� Date: Date: Amoun �- MY�IC-\a1Pw7 _42:r Amount: 2. Date ate: Amount Amount 3. Date; Date: —/_/ Amount Amount. a, Date: Date: Amount: Amount: 5. Date: Dale; Amount: Amount., 6. Dater Date: _/� Amount: Amount: 7.Date: Daie: Amount: Amount: _ $ I I $ Previous Received Interest Repayments Ending Balance Previous Total $ Receive oa: (Transfer the combined total of all received loans to the $ Detailed Summary, page 2line 4) IntereatTotai. $ Repayments Total: (transfer the combined total of all loan repayments to the $ Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ (NOTE. Transfer the .v= vall nv luzu uncresr anu neceivea Loans io uie ueiauea Summary, page 2 line 13)