Malloy - 7 Day Pre General Clerk Edits,a� o CAMPAIGN FINANCIAL DISCLOSURE REPORT E CPt' T ✓ E� Rev.10/o7
SUMMARY PAGE OCT 3 1 2011
to jr (Please Print or Type)
`�'1, a ; CITY0F0e
Section I CITY CLERKS OFFICE
Name of Candidate or Political Committee and Chairperson
Of o Sought (if candidate)
Seat (if any)
Patrick Malloy
City Council
3
MailingAddress
Gity and zip
name Rune
Work Phone
4446 North Abruzzo Avenue
Meridian 83646
559-2631
559-2631
ome Fo ittical Treasurer
Dale H. Bracken
ai nigress
City and Zip
omaP one
P one
712 E. Kaibab Trail Drive
Meridian 83646
818-378-6871
818-378-6871
Change of address for: Candidate or Political Committee ❑ Political Treasurer E]
Section II TYPE OF REPORT
This filing is an: 9 Original ❑ Amendment
This report is for the period from 10 101 /2011 through 10 122011
❑ October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: n Yes
❑i 7 Day Pre -General Report
[✓ 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 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 report's Column I
figures to the 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)
COLUMNI
This Period
$ XXXXXX
840.24
a5ou1 • a'i $ 2r484-.4
$ 1,217.97
COLUMN II
Calendar Year
to Date
$ 0.00
$ XXXXXX
$ 3,Dr�a-ee
306, vo
i
oyn$.3P&R-
30j-7 CFO
$ 1,802.73
$
-�-77
17Jt
*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
Dale H. Bracken , hereby certify that the information in this
Name of Po cal Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Signature f Political
asurer
Page 1
DETAILED SUMMARY
Name of Candidate orCommitlee: Patrick Malloy
Loans, Credit Cards and Debt ------ ---
12 Outstanding Balance from previous reporting period $ 1667. 551
13 New Loans received during this reporting period dV
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
14 New Credit Card and Debt incurred this reporting period + $
(Total of all New Incurred Debt amounts from Schedule E sheets) i
15 1 Subtotal
16 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 $
hedule E sheets)
(Total of all Debt Repayment amounts from Sc
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) >9
Pledged Contributions - -- --------- - ------------- - - ----
1g I Unitemized Pledged Contributions ($50 and less) # of Pledges + $
. . .. .............. - __ .... ......
-- --------
Itemized Pledged Contributions this Period (Total of all Schedule F sheets) $ -
1 Total Pledged Contributions this period = $0.00
Page 2
- --------- — ----- — - - -- ------ -
Total This Period
Contributions
Uniternized Contributions ($50 and less) # of Contributors 1.00
+
$25.00
Itemized Contributions (Total of all Schedule A sheets)
+
$919.00
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+
$585M
Loans (Total of all New Loan amounts from Schedule D sheets)
+
$135.00
('
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
$1,664.00
i
Expenditures - - - ------
Unitemized Expenditures ($25 and less) # of Expenditures 6.00
--- - - - - --- -__ -
+
$95.31
Itemized Expenditures (Total of all Schedule B sheets)
----------
+
$537.66
In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
- -------- -
.+
$585.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
$
10
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
1 +
$
11
Total Expenditures (Transfer this figure to -page -1,_ Section IV, U-ne-5)
$1,217.97
Loans, Credit Cards and Debt ------ ---
12 Outstanding Balance from previous reporting period $ 1667. 551
13 New Loans received during this reporting period dV
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
14 New Credit Card and Debt incurred this reporting period + $
(Total of all New Incurred Debt amounts from Schedule E sheets) i
15 1 Subtotal
16 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 $
hedule E sheets)
(Total of all Debt Repayment amounts from Sc
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) >9
Pledged Contributions - -- --------- - ------------- - - ----
1g I Unitemized Pledged Contributions ($50 and less) # of Pledges + $
. . .. .............. - __ .... ......
-- --------
Itemized Pledged Contributions this Period (Total of all Schedule F sheets) $ -
1 Total Pledged Contributions this period = $0.00
Page 2
SCHEDULER
1010=01
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: Patrick Malloy
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
10 07 11
1. Austin Nimocks
5343 Cristfield CT.
Fairfax, VA 22032
$ 110.00
$
—�—
IN General
Calendar Year -Te -Date
10 18 11
2. Ida Sweet, 3001 N. Meridian Road, Meridian, ID 83646
$ 100.00
$
8 General
Calendar Year -To -Date
1012201
3. Katherine Frazier, 8757 Midland Drive, Boise, ID 83704
$ 659.00
9 General
Calendar Year -To -Date
10 05 11
4. Ruth Ruiz
5529 Ben Alder Ave.
Whittier, CA 90601
$ 50.00
$
_L05
B General
Calendar Year -To -Dale
5.
$
❑ General
Calendar Year -To -Date
/ I—
6.
$
$
❑ General
Calendar Year -To -Dale
7.
❑ General
Calendar Year -To -Date
8.
$
❑ General
Calendar Year -TO -Date
9.
$
❑ General
Calendar Year -To -Dale
1—/
10.
$
❑ General
Calendar Year -To -Date
Total This Page:
$ 919.00
Transfer the combined total of all Schedule pages to the Detailed summary on page 2line 2.
Page o
SCHEDULE B 1 1
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee: Patrick Malloy
1.
Staples, 6299 Eagle Road, Boise, ID 83713
2.
Meridian Chamber of Commerce, PO Box 7, Meridian, ID 83680
3.
Bridgetower CPU, 3120 W. Belltower Dr., Ste 175, Meridian, ID 83646
4.
Idaho Blueprint & Supply, Po Box 109, Boise, ID 83702
5 WCp Solutions, PO Box 84145, Seattle, WA 98124
6.
Winco Foods, Store 43, Meridian, ID
�
E
L
�
L
F
O
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
T
Surveys & Polls
Tickets (Events)
E
F
Event Expenses
Food & Refreshments
U
W
Utilities
Wages, Salaries, Benefits & Bonuses
G
General Operational Expenses
Y
Petition Circulators
L
Literature, Brochures, Printing
Z
Preparation & Production of Advertising
M
Management Services
Durnnen I
10 03 11
�—
1.
Staples, 6299 Eagle Road, Boise, ID 83713
2.
Meridian Chamber of Commerce, PO Box 7, Meridian, ID 83680
3.
Bridgetower CPU, 3120 W. Belltower Dr., Ste 175, Meridian, ID 83646
4.
Idaho Blueprint & Supply, Po Box 109, Boise, ID 83702
5 WCp Solutions, PO Box 84145, Seattle, WA 98124
6.
Winco Foods, Store 43, Meridian, ID
�
E
L
�
L
F
O
$ 47.32
$30.00
10 04 11
$ 132.00
L10 � 5 11
$ 67.32
$135.00
10I�11
10 18 11
$ 53.21
10 18 11
$
8. P
10 ,14 ,11 Bridgetower CPU, 3120 W. Belltower Dr., Ste 175, Meridian, ID 83646 $ 44.00
$
10. F
10 21 11 Kahootz Steak & Ale House, 1603 N. Main Street, Meridian, ID 83642 $ 28.81
Total This Page: $ 537.66
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7.
SCHEDULE C Page
°
IN-KIND CONTRIBUTIONS and EXPENDITURES 1
Name of Candidate or Committee: Patrick Malloy
Purpose Codes
Contributor Name, Mailing Address and Zip Code
Steve Cox
$ 250.00
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 & Palls
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 / 15 / 11
Contributor Name, Mailing Address and Zip Code
Steve Cox
$ 250.00
2430 French Street
$ 500.00
9 General
Santa Ana, CA 92706
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
Steve Cox
L
2430 French Street
Santa Ana, CA 92706
$ 250.00
2.
122 / 11
IN General
Contributor Name; Mailing Address and Zip Code
Kent Goldthorpe
1355 S. Blackcat Rd.
Meridian, ID 83642
335.00
$
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
Kent Goldthorpe
L
1355 S. Blackcat Rd.
Meridian, ID 83642
$ 335.00
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 /
$
❑ 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 $ 585.00
to the Detailed Summary, page 2line 8)
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages
5 p 5.00
58
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 belowwith 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
Code of Lender
(Candidate, Individual or Business)
Previous Balance
of loan at the
end of the last
reporting period
New Loan amount
received during this
reporting period
Interest accrued
during this
reporting period
Repayments of Loan
during this reporting
period
Balance
outstanding at
the end of this
reporting period
I. Patrick Malloy
4446 N. Meridian, ID
125.00
Date:
,o/sz /,
0.00
Date:
—1-1-
260.00
Amount:
Amount:
83646
$ 1as.co
$ 0.00
2.
Date:
—j—i—
Date:
/—/—Amount:
--J--L--
Amount:
Amount:
3.
Date:
Date
Amount:
Amount:
4.
Date:
/—/—
Date:
—i--L--
Amount:
Amount:
5.
Date:
Date:
—/__J—
_/—/—
Amount:
Amount:
Date:
Date:
Amount:
Amount:
7.
Date:
_/_l
Date:
—1 --
Amount:
Amount:
$
$
Previous Received Interest Repayments Ending Balance
Previous Total $125.00
Received Total:
(Transfer the combined total of all received loans to the $135.00
Detailed Summary, page 2line 4)
Interest Total: $0
Repayments Total:
(Transfer the combined total of all loan repayments to the $ 0.00
Detailed Summary, page 2 line 9 & 16)
Ending Balance Total: $ 260.00
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)
SCHEDULE E
CREDIT CARDS and DEBT
Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a
credit card or incur debt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to that
item. Each Creditor listed 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 the statement is received, all credit card
transactions will appear on Schedule E and E-1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of
the Detailed Summary Page.
Any creditor(s) with a balance(s) appearing on the last report must be listed below with the amount In the Previous Balance column. Any new debt
should be listed in the New Debt column, including any accrued interest. If a payment was made on the debt, list it in the Repayments column. Note:
Any debt 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 Debt less any Repayments of Debt.
Name, Mailing Address and Zip Code of
Previous Balance of
New Debt amount
Repayments of Debt
Balance outstanding
Creditor.
debt at the end of the
incurred during this
during this reporting
at the end of this
(Candidate, Individual or Business)
last reporting period
reporting period
period
reporting period
1
' / C
Y 91 7�
Date:
Date:
—1—l—
yd• S5
—1—l—
Amount:
Amount:
2
Date:
Data:
Amount:
Amount:
3
Date:
Date:
Amount:
Amount:
4
Date:
Date:
Amount:
Amount:
5
Date:
Dale:
Amount:
Amount
fi
Date:
Date:
Amount
-
Amount:
$
$
Previous Incurred Repayments Ending Balance
Previous Total: $ 0.00
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 $0 00
Detailed Summary, page 2line 10 & 17)
Ending Balance Total: $
SCHEDULE E-1
CREDIT CARD and DEBT ITEMIZATION
Name of Creditor from ScheduleE:Patj1G% Malloy
Page o
1 1
Each Creditor listed on Schedule E 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.
Purpose Codes
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
B Broadcast Advertising (Radio, TV & Internet)
C Contributions to Candidates & PAC's
D Donations & Gifts
E Event Expenses
F Food & Refreshments
G General Operational Expenses
I Interest Accrued & Finance Charges
L Literature, Brochures, Printing
M Management Services
N Newspaper & Other Periodical Advertising
O Other Advertising (Yard Signs, Buttons, etc.)
P Postage
S Surveys & Polls
T .Tickets (Events)
U Utilities
W Wages, Salaries, Benefits & Bonuses
Y Petition Circulators
Z Preparation & Production ofAdvedising
Date Incurred
Full Name, Mailing Address and Zip Code of Expenditure
Purpose Code
Amount
I I
1.
$
2.
$
3.
I /
--
$
4.
1 I
——
$
5.
$
6.
I I
---
$
7.
I I_
$
8.
-1—
$
9.
$
Total This Page:
$0.00
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.
SCHEDULE F Page o
PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED
Name of Candidate or Committee:
Directions: Complete this schedule If you were promised and agreed to accept a contribution during this reporting period but have not actually received the money,
goods or services offered beforethe end of the reporting period. Do not include these entries on Schedule A until you actually receive the contribution.
Pledged For
Date Pledged
Full Name, Mailing Address and Zip Code of Contributor
Amount Pledged
❑ General
1.
2.
❑ General
3.
❑ General
4.
❑ General
5.
❑ General
6.
❑ General
7.
❑ General
8.
❑ General
9.
❑ General
10.
❑ General
—fes
11.
❑ General
J�
Total Amount of Pledged Contributions: $ 0.00
Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20.