Malloy - 30 Day Post General Clerks EditsRECETVE
C-2
Rev. 10/07
Name of Candidate or Political Committee and Chairperson
DEC 0 S 20WPAIGN FINANCIAL DISCLOSURE REPORT
fis).
SUMMARY PAGE
CITY t]FCC! r (Please Print or Type)
'
CITY CLERKS OFFICE
tea= sr
City and Zip
Section I
Work Phone
C-2
Rev. 10/07
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
Seat (if any)
Pick Malloy
Mailing Address
City and Zip
ome Fnono
Work Phone
4446 North Abruzzo Avenue
Meridian 83646
559-2631
559-2631
Name of Political Treasurer
Dale H. Bracken
ai ing ress
City an Zip
Home Phone
or one
712 E. Kaibab Trail Drive
Meridian 83646
818-378-6871
818-387-6871
Change of address for: Candidate or Political Committee ❑ Political Treasurer F1
Section II TYPE OF REPORT
This filing is an: 9 Original ❑ Amendment
This report is for the period from 10 124 12011 through -L108 2011
❑ October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: 0 Yes
❑ 7 Day Pre -General Report
F1 No
0 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 COLUMN I
figures to the Column II figures of your previous report (except on line 6). This Period
Line 1: Cash on Hand January 1, This Calendar Year' I / p $ XXXXXX
Line 2: Enter Beginning Cash Balance"* L , �-7 $
Line 3: Total Contributions (Enter amount from line 5, page 2) 10.00
Line 4: Subtotal (Add lines 1, 2 and 3) AL - �),— 74i"��
Line 5: Total Expenditures (Enter amount from line 11, page 2) g L10 d�q $,840.24
/
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) `7 T 6. 0_3
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 1,516.75
COLUMN II
Calendar Year
to Date
$ 0.00
t XXXXXX
$ 3,089.00
a 3,089.00
$ 2,642.97
$_L2ea'2dr y00. v3
'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 Political Treasurer
report is a true, complete
Jand
Jc'orrrere7cctt Campaign Financial Disclosure Report as required by law.
Signature of Political Treasurer
Page 1
DETAILED SUMMARY
Name of Candidate orCommiftee: Patrick Malloy
Contributions
T! Uniternized Contributions ($50 and less) # of Contributors
..... .... .
Itemized Contributions (Total of all Schedule A sheets)
.... .. ......
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
-------
--
Loans (Total of all New Loan amounts from Schedule D sheets)
It Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
Expenditures
Uniternized Expenditures ($25 and less) # of Expenditures 6.00
- -------- -
Itemized Expenditures (Total of all Schedule B sheets)
------ _-_-
n8! In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
.... ......
O Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
W Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
---------- --- ----
11
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
Total This Period
Repayments 01 Loans made during this repoi Ling penod
16 $-285.80
(Total of all Loan Repayment amounts from Schedule D sheets)
17 Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets) ... -$
..... ------ --
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $ 1,51.6.75
Contributions
Ing ;T Uniternized 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
Loans, Credit Cards-- and Debt
- -- ------- - -------_-- -- -_-_ - - . .... .. ___ — -------
Outstanding Balance from previous reporting period
1 + $1,802.55
13
New Loans received during this reporting period
1+ $0.00
(Total of all Now Loan amounts plus Accrued Interest from Schedule D sheets)
--_T ---- - - --
------ 1-1 ------
i
New Credit Card and Debt incurred this reporting period
+ $0.00
(Total of all New Incurred Debt amounts from Schedule E sheets)
----------
Subtotal
$1,802.55
. . ...................
Repayments 01 Loans made during this repoi Ling penod
16 $-285.80
(Total of all Loan Repayment amounts from Schedule D sheets)
17 Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets) ... -$
..... ------ --
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) $ 1,51.6.75
Contributions
Ing ;T Uniternized 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 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
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
1.
Date:
Date:
Amount:
Amount:
2
Date:
Date:
Amount:
Amount:
3
Date:
Date:
Amount:
Amount:
$
$
4
Date:
Date:
Amount:
Amount:
5
Date:
Date:
Amount:
Amount:
$
$
6
Dale:
Date:
Amount:
Amount:
7
Dale:
Date:
Amount:
Amount:
$
$
Previous Received Interest Repayments Ending Balance
Previous Total
Received Total:
(Transfer the combined total of all received loans to the $ 0, 00
Detailed Summary, page 2line 4)
Interest Total: $ 0
Repayments Total: $ O oO
(Transfer the combined total of all loan repayments to the
Detailed Summary, page 2line 9 & 16)
Ending Balance Total: $ Q, 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.Date:
C/c- N'�Oc
Date:
Amount:
Amount:
2.
Date:
Date:
Amount:
Amount:
1
Date:
Date:
Amount:
Amount:
4,
Date:
Date:
Amount:
Amount:
5.
Data.
Date:
Amount:
Amount:
6.
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 2 line 10 & 17)
Ending Balance Total: $ 0.00
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Commiftee: Patrick Malloy
age o
1 I 1
Purpose Codes
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
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
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cash or Check
10 /26/ 11
1.
Bridgetower CPU, 3120 W. Belltower Dr. Ste 175, Meridian, ID 83646
P
$ 88C7.00
0
2.
P
10 /27/ 11
Bridgetower CPU, 3120 W. Belltower Dr. Ste 175, Meridian, ID 83646
$ 88.00
10 27 11
3.
Staples, 6299 Eagle Road, Boise, ID 83713
L
32.59
4.
L
1028/11
/
Office Depot, 3545 E. Fairview Ave., Meridian, ID 83642
97.32
$
5.
F
10 / 31 / 11
Kahootz Steak and Ale House, 1603 N. Main Street, Meridian, ID 83642
$ 42.73
11/04/11
6.
Winco Foods, Meridian, ID #0048
F
$54.46
7'
L
11 04/11
Modern Printers, 714 N. Main, Meridian, ID 8368080.00
$
s.
9.
10.
//—
$
Total This Page:
$ 483.10
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.