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De Weerd - 30 Day Post GeneralDEC-05-2011(MON) 11:40 OLSEN AND COMPANY CPA -S (FAX)2089392350 P.002/006 CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) RECEIVE C-2 DEC 0 5 2011 tolo7 t+„ , IC CITY CLERKS OFFICE Name of Candidate or Polilical Committee and Cheirpomon DMen Saeght (if oendidaro) District plany) Mayor I Meridian Tammy DeWeerd This Period MEM -O regia 2621 Miranda .try and Zip Meridian 83642 oma one 205-888-3747 WorX Prone 208-888-4433 ame of PoliQ01raasurer Glen Olsen Glen rens iryon p area one or ono 131 SW 5th Ave Suite B Meridian 83642 208-888-1595 Change of address for. Candidate or Polillcal Committee ❑ Political Treasurer U Section II TYPE OF REPORT This filing is an: 0 Original ❑ Amondment This report is for the period from 10 l,_Za_I? 11 through 11 1 18 I 11 . ❑ 7 Day Pre -Primary Report ❑ 30 Day Post -Primary Roporl ❑ October 10 Pre -General Report ❑ 7 Day Pro -General Report © 30 Day Post-Genaral Report ❑ Annual Roport ❑ Semi -Annual Report (Statewide Candidates Only) 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, chock the box next to the statement bolow and sign this report. Be sure to carry forward the approprlate'CalendarYear to Dale" figures In Column II, Section IV. ❑ I hereby certify that I have received no contribtilions and have made no expenditures during this reporting period. Soction IV SUMMARY To reach your Calendar Year to Date figure: Add this roporl's Column I figures to the Column II figures of your previous report (except online 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) COLUMNI COLUMNII This Period CalendarYear to Date $ XXXXXX $ 3,529.38 $ 4,690.53 $ XXXXXX $ 6,208.86 $ 29,647.86 $ 11,099.39 $ 33,177.24 $ 9,102.73 $ 31,180.58 $ 1,996.66 $ 1,996.66 $ 'This same figure should be entered on line 1 of all reports filed this calendar your, "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 Ban Ysursa Secretary of State PO Box 83720 Bolsa ID 83720-00((0 Phone: (2011) 334.2052 Fax: (208) 334.2202 I, c_�bereby certify that the information In this Ndme alPafillral Tmasurer _ report is a lruo. Report as requirod by law. DEC-05-2011(MON) 11:40 OLSEN AND COMPANY CPA -S DETAILED SUMMARY Name of Candidate or Committee: Mayor Tammy DeWeerd (FAX)2089392350 P.003/006 Contributions 1 Unitemized Contributions ($50 and less) # of Contributors 59 2 Itemized Contributions (Total of all Schedule A sheets) 3 In -Kind Contributions Total of ail Contribution amounts from Schedule C sheets) l� Loans (Total of all New Loan amounts from Schedule D sheets) rTotal Contributions (Transfer this figure to page 1, Section IV, Line 3) 12 13 14 Q 16 18 1 Total This Period + $ 1,868.00 + $ 2,230.00 + $ 2,110.86 = $ 6,208.86 ----------- -.,....------..._u.,,.,__._ —...... ...--- ._._._.....,...— Expenditures_ ——._.._......_. --.._.... i Unitemized Expenditures (less than $25) # of Expenditures + $ 3,310.06 Itemized Expenditures (Total of all Schedule B sheets) — + $ 6,991.87 _ In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + _$ + $ 2,110.86 m _ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + _$ 3,310.06 Total Expenditures (Transfer this figure to page 1. Section IV, Line 5) --- _ $ 12,41279^ J Loans, Credit Cards and Debt Outstanding Balance from previous reporting period___ + $ 3,310.06 W V 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 = $ 3,310.06 �— Repayments of Loans made during this reporting period (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) $ 3,310.06 Total Outstanding Balance at close of this period (Transfer this figure to page 1, SectionIV, Line 7)7) — "^ _ $ 0.00 —_ 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 DEC-05-2011(MON) 11:40 OLSEN AND COMPANY CPA -3 (FAX)2089392350 SCHEDULEA ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period age a 1 1 Name of Candidate or Committee: Mayor Tammy DeWeerd Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 11 104 11 Primary X General 1 Paul Davis Restoration 7109 N Ralstin Street Meridian, ID 83642 $ 250.00 $ CalondarYear-To-Dale 07 1� 11 Rrimary eneralCalendar 2. White -Leasure Development C P.O.Box 1277 Boise, ID 83701 $ 100.00 $ Year-Tc-Dala 3. David Holman 4350 Green Meadow Dr Meridian, ID 83642 $ 300.00 $ Calendar Year-To-Deloo RX Primary General 11 a• Anna Canning 3084 W. Hillcrest Lane Boise, ID 83705 $ 80.00 $ P/ )( Primary General CalendarYaar•To•Dale Primary X General . 5. L.A.F.F. Local No 4627 PAC Fund P.O. Box 456 Meridian, ID 83642-2940 $ 1,000.00 $ Calendar Year-To•Dole 11 / 18 /-!1 Primary X General a Boise Firefighters PAC 2608 W. Divide Creek St. Meridian, ID 83646 $ 500.00 $ calendar Year -To -Dale _/ Primary General 7. $ $ CalondarYear-To-Dela l l Primary General 8. $ $ CalendsrYesr-Th-Dale 9. $ Primary General Calends Year -Te -Dale 10. $ $ Tl—j— Primary General Calendar Year -To -Dula Total This Page: $ 2.230.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. ULU—CD—ZO IIIMUN) 11:41 ULSLN ANU CUMF'ANY CNA S (FAX)2089392350 SCHEDULE B ITEMIZED EXPENDITURES TwonlyFive Dollars ($25.00) or more this period Name of Candidate or Committee: Mayor Tammy DeWeerd -29 / 1N Page 61 1 11. Purpose Codes Full Name, Mailing Address and Zip Code of Reclplant Purpose Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 0 OtherAdvenising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Evonl 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 ManaaementServices Z Preparation & Production of Advertising Dote Spent Full Name, Mailing Address and Zip Code of Reclplant Purpose Code Cash or chock 1 • Meridian Development Corporation 33 E Broadway Ave E $ 50.00 10 f 26 1_11 Meridian, ID 83642 2. Capital One Bank Credit Card P. O. Box 30285 N 3,310.06 10 / 26 f 11 Salt Lake City, UT 84130 $ I ESP Mailing 317 E 37th St L 2,383,43 04 / 11 Boise, ID 83714 $ 4• Flatbread Community Oven 830 N Main St E 500.00 $ 11 / 07 / 11 Meridian, ID 83642 5. Flatbread Community Oven 830 N Main St E 748.38 11 / 09/11 Meridian, ID 83642 $ 6. —J—/— $ 7. —/— $ B. $ 9. —j— $ 10. Total This Page: $ 6,991.87 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. FLIT-13-2012(MUN) 1b:43 SCHEDULE C IN-KIND CONTRIBUTIONS and EXPENDITURES F. 0021002 age o 1 1 IName ofCandidate orCommittee: Mayor Tammy DeWeerd Contributor Name, Mailing Address and Zip Code Purpose Codes 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. Contributor Name, Mailing Address and Zip Code $ 873.25 11 /08 /11 Eastway Video Productions Primary 1728 East Edison, PO Box 30, Sunnyside, WA 98944 $ Calondar Year•To•Dale X General Expenditure Name, Mailing Address and Zip Code Purpose Code Eastway Video Productions Z 1728 East Edison, PO Box 30, Sunnyside, WA 98944 873.25 2. Contributor Name, Mailing Address and Zip Code 837.61 11 108 /11 Eastway Video Productions $ Primary 1728 East Edison, PO Box $0, Sunnyside, WA 98944 $ 1,710.86 Calondar Year -To -Date General Expenditure Name, Mailing Address and Zip Code Purpose Cade Eastwey Video Productions z 1728 East Edison, PO Box 30, Sunnyslde, WA 98944 $ 837.61 3, Contributor Name, Mailing Address and Zip Code 400.00 Kent F Goldthorpe, Konica Minolta Business Solutions U.S.A., Inc. $ ary TXGeneral 1300 S. Maple Grove, Boise, ID 63709 $ Calondar Yoar.To•Dale Expenditure Name, Mailing Address and Zip Code Purpose Code Kent F Goldthorpe, Konica Minolta Business Solutions U.S.A. P 1300 S, Maple Grove, Boise, ID 83709 $ 400.00 4. Contributor Name, Mailing Address and Zip Code $ /Primary $ Calendar Year -70-0010 General Expenditure Name, Mailing Address and Zip Code Purpose Code Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $ 2,110.86 to the Detailed Summary, page 2line 8) Contributor Total, $ 2110.86 (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary. page 2 line 3 ✓�.. ..v w, , �nivn/ , , -r, vwliv ,nvv uviol nevi vi n v ll nn/LCIVVVVLVVCI f. DCIV/CICJV SCHEDULE E CREDIT CARDS and DEBT Each incurred expense not yet paid (i.e. crodit mrd purchases and debt) should be listed on a separate line. Each time you make purohasos with a credilcard or incur debt, it is considered to be a separate item. Howevor, you will maintain a singlo Itom for each credit card and add purchases to that item. Each Creditor listod below with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when the debt was incurred. Credit Cards are considered debt to the campaign. Regardless of whether the credit card is repaid when Iho statement Is received, all credit card transactions will appear on Schedulo E and E-1. However, only Repaymonls of Debt during this roporting period appear in the Expenditure Section of the Detailed Summary Pago• Any creditor(s) with a belanco(s) appearing on the last report must be listed below with lho amount in the Previous Balance column. Any new debt should be listed in the New Debt column, including any accrued interest. If a paymonl was made on the debt, list it In the Repayments column. Note: Any debt that was repaid In full in a previous reporting period doos not need to be listed. Tho Outstanding Balance column Is the Previous Balance plus New Debt less any Repayments of Debt. Namo, Mailing Address and Zip Coda of previous Balanco of New Debt amount Repayments of Debt Balance outstanding Creditor debt at the end or the incurred during this during this roporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1. Tammy DeWeerd Dale: Oslo: 10/26/11 Capital One Bank Credit Card 2,559.90 Amount: Amount: 0.00 2621 Miranda © $ $ 2,559.90 Z• Tammy DeWeerd Dale: Dale: 10/26/11 Capital One Bank Credit Card 750.16 Amount: Amount: 0.00 2621 Miranda d $ $ 750.16 3• Date: Date: Amount: Amount: $ $ q• Data: Dale: Amount: Amount: 5, Dale: Dale: Amount: Amount: $ $ g• Data: Date! Amount Amount: $ $ Previous Incurred Repayments Ending Balance Previous Total: $ 3,310.06 Incurred Total: (Transfer the combined total of all Incurred debt to the $ 0-00 Detailed Summary, page 2line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ 3,310.06 Detailed Summary, page 2line 10 817) Ending Balance Total: