Malloy - Oct 10 Pre General Clerk EditsName of Candidate or Polidcal Committee and Chairperson
RF CH I v FT
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CAMPAIGN FINANCIAL DISCLOSURE REPORT C-2
OCT p 6 2p'l Rev. 10/07;g
Lt3
SUMMARY PAGE
t ?}r(Please
apl
Print or Type) CITY Ur �r ruonJ
IT
CITY CLERKS OFFICE
Section I
Meridian 83646
Name of Candidate or Polidcal Committee and Chairperson
Office Sought (if candidate)
Seat (if any)
Patrick Malloy
City Council
3
MalfingAddress
ity and Lip
Home Phone
or one
4446 North Abruzzo Avenue
Meridian 83646
559-2631
559-2631
Name of Political Treasurer
Dale H. Bracken
MailingAddressCity
and Zip
Home Phone
TMFpone
712 E. Kaibab Trail Dr.
Meridian 83646
818-378-6871
818-378-6871
Change of address for: Candidate or Political Committee ❑ Political Treasurer F1
Section II TYPE OF REPORT
This filing is an: B Original ❑ Amendment
This report is for the period from 09 /09 /2011 through 10 /06 /2011
❑ October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: ❑ Yes
❑ 7 Day Pre -General Report
0✓ 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 COLUMN I COLUMN II
figures to the Column I I 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*
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)
$ XXXXXX $
$ 0.00
$ XXXXXX
$ 2;883.58
$ 2"883.58
$ 2,883.58
$ 2,883.58
$ 2,189.87
$ 2,189.87
$ 693.71
$ 693.71
$ 1,583.58
"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 and correct Campaign Financial Disclosure Report as required by law.
It -
Signature of Political Treasurer
Page 1
DETAILED SUMMARY
Name of Candidate or Committee: Patrick Malloy
Loans, Credit Cards and Debt
------- ---- -
----- - . .......
Outstanding Balance from previous reporting period + $0.00
New Loans received during this reporting period
13
+ $1,583.58
(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) + $0.00
15 Subtotal $1,583.58
----------
16
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets) $0.00
17 Repayments of Credit Card and Debt this reporting period
$
(Total of all Debt Repayment amounts from Schedule E sheets)
18- Total Outstanding Balance at close of this period (Transferthis figure to page 1, Section IV, Line 7)
$1,583.58
Pledged Contributions
Unitemized Pledged $0.00
S Uted Contributions ($50 and less) #of Pledges 0.00
Itemized Pledged Contributions this Period (Total of all Schedule IF sheets) + $0.00
0" Total Pledged -Contributions this period ----- - _$0.00
Page 2
Unitemized Expenditures ($25 and less) #of Expenditures 1 .00
j +
Total This Period
70
Contributions
+
$1,919.87
TE
Unitemized Contributions ($50 and less) #of Contributors 1 .00
+
$50.00
gO
— ------ — ----- --
Itemized Contributions (Total of all ScheduleA sheets)
+
$1,000.00
0
In Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+
$250.00
11
Loans (Total of all New Loan amounts from Schedule D sheets)
+
$1,583.58
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
f =
$2,883.58
Loans, Credit Cards and Debt
------- ---- -
----- - . .......
Outstanding Balance from previous reporting period + $0.00
New Loans received during this reporting period
13
+ $1,583.58
(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) + $0.00
15 Subtotal $1,583.58
----------
16
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets) $0.00
17 Repayments of Credit Card and Debt this reporting period
$
(Total of all Debt Repayment amounts from Schedule E sheets)
18- Total Outstanding Balance at close of this period (Transferthis figure to page 1, Section IV, Line 7)
$1,583.58
Pledged Contributions
Unitemized Pledged $0.00
S Uted Contributions ($50 and less) #of Pledges 0.00
Itemized Pledged Contributions this Period (Total of all Schedule IF sheets) + $0.00
0" Total Pledged -Contributions this period ----- - _$0.00
Page 2
Unitemized Expenditures ($25 and less) #of Expenditures 1 .00
j +
$20.00
70
Itemized Expenditures (Total of all Schedule B sheets)
— ------------
+
$1,919.87
- --_ - -----
In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+
$250.00
gO
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
11
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
1
$2,189.87
Loans, Credit Cards and Debt
------- ---- -
----- - . .......
Outstanding Balance from previous reporting period + $0.00
New Loans received during this reporting period
13
+ $1,583.58
(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) + $0.00
15 Subtotal $1,583.58
----------
16
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets) $0.00
17 Repayments of Credit Card and Debt this reporting period
$
(Total of all Debt Repayment amounts from Schedule E sheets)
18- Total Outstanding Balance at close of this period (Transferthis figure to page 1, Section IV, Line 7)
$1,583.58
Pledged Contributions
Unitemized Pledged $0.00
S Uted Contributions ($50 and less) #of Pledges 0.00
Itemized Pledged Contributions this Period (Total of all Schedule IF sheets) + $0.00
0" Total Pledged -Contributions this period ----- - _$0.00
Page 2
SCHEDULE A page
ITEMIZED CONTRIBUTIONS 1 1
of more than Fifty Dollars ($50.00) this period
LName of Candidate or Committee: Patrick Malloy
Date Received
Full Name,.. Mailing Address and Zip Code of Contributor
Cash or Check
09/15/11
' Mavislmmegart
4462 N. Rhodes Ave.
Meridian, ID 83646
$ 1,000.00
$
---
8 General
CalendarYear-To-Date
2.
❑ General
$
Calendar Year -To -Date
3.
$
❑ General
$
Calendar Year -To -Date
4.
❑ General
$
Calendar Year -To -Date
5.
$
❑ General
$
Calendar Year -Ta -Date
/ /
6,
$
❑ General
$
Calendar Year -To -Date
7.
❑ General
$
CalendarYear-To-Date
ii.
❑ General
Calendar Year -To -Date
—J�
9.
$
$
❑ General
Calendar Year -To -Date
10.
$
Calendar Year -To -Date
❑ General
Total This Page:
$1,000.00
Transfer the combined total of all Schedule A pages to the Detailed Summaryon page 2 line 2.
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Page at
1 I 1
Name of Candidate or Committee: Patrick Malloy I
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
Broadcast Advertising (Radio, TV & Internet)
Contributions to Candidates & PAC's
Donations & Gifts
Event Expenses
Food & Refreshments
General Operational Expenses
Literature, Brochures, Printing
Management Services
N Newspaper& Other Periodical Advertising
0 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 of Advertising
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cash or Check
09� 12� 11
-ii
1.
Fed Ex Office 3110 E. Florence St.; Meridian, ID 83642
L
$ 44.94
09/16/11
2.
Zurchers 1330 N. Eagle Rd, Meridian, ID
E
$ 45.53
3.
L
09/16/ 11
Premier Signs, Inc. 2100 E. Fairview Ave, Suite 7, Meridian, ID 83642
$ 91.16
CJ
4.
L
09 3 11
Victory Store.corn 5200 SW 30th St., Davenport, IA 52802
1,363.00
$
09�30f 11
5.
Ada County Republican Party, PO Box 1572 Boise, ID 83701
E
$ 75.00
10/03/11
6.
Staples 6299 Eagle Road, Boise, ID 83713
L
$ 47.32
7•
L
09/03/11
Lowes HIW, Inc, 3400 N. Eagle Rd, Meridian, ID 83642
$ 23.60
8.
E
10/04/ 11
Meridian Chamber of Commerce, PO Box 7, Meridian, ID 83680
$ 30.00
9'
L
1006/ 11
Idaho Blueprint & Supply, PO Box 109, Boise, ID 83702
$ 67.32
10.
L
1005 11
Bridtower CPU, 3120 W. Belltower Dr. Ste 175, Meridian, ID 83646
132.00
$
7 kU-Q-C L- iP- -1 So 6*L t"� Pie — �'-�a-v4�/Total This Page:
$1,919.87
J
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
SCHEDULE C
IN-KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or Committee: Patrick Malloy
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
L Literature, Brochures, Printing
M Management Services
N Newspaper & Other Periodical Advertising
0 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 of Advertising
Page o
1 1
1.
09 / 15 / 11
Contributor Name, Mailing Address and Zip Code
Steve Cox Deisgn
250.00
$
2430 French St.
250.00
11 General
Santa Ana, CA 92706
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
Steve Cox Deisgn
2430 French St.
Santa Ana, CA 92706
$ 250.00
L
2.
Contributor Name, Mailing Address and Zip Code
___L_L_
$
❑ General
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$
3.
Contributor Name, Mailing Address and Zip Code
___L_L_
$
❑ General
-
$
Calendar Year -To -Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
4.
Contributor Name, Mailing Address and Zip Code
❑ General
$
Calendar Year -To -Dale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$ 0.00
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages
to the Detailed Summary, page 2line 8)
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages
$250 00
J
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 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 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
Data:
I_I
reporting period
Amount:
reporting period
1. Patrick MalloyDate:
4446 N. AbruZZo Ave.
0.00
10 /06 /08
0.00
Date:
10 O6 ym11�
��pp ����y
1,538.68
Amount:
Amount:
Meridian, ID 83646
Amount:
$ 1,583.58
$ 0.60
9
3.
4,
5.
7,
Amount:
Amount
I 1
Amount:
Amount:
Amount:
$
_/I_
Amount:
Interest Repayments Ending Balance
(9z2
$ 0
(Transfer the combined total of all loan repayments to the $ �. ��
Detailed Summary, page 2 line 9 & 16)
Ending Balance
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13)
$1,538.58
I I_
Amount:
Date:
Amount:
Data:
I_I
Amount:
Date:
Amount:
$
Date:
Amount:
Dale:
Amount:
Previous
Received
Previous Total
�y
RdloandTot
(Transfer the combined total of all received loans to the he
$ 1,583.5f
Detailed Summary, page 2 line 4)
Amount:
Amount
I 1
Amount:
Amount:
Amount:
$
_/I_
Amount:
Interest Repayments Ending Balance
(9z2
$ 0
(Transfer the combined total of all loan repayments to the $ �. ��
Detailed Summary, page 2 line 9 & 16)
Ending Balance
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2line 13)
$1,538.58
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 apppew Schedule E and E-1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of
the Detailed Summary P p.
Any creditor(s) with a balance(s)�ppearing 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 p%�evous reporting period does not need to be listed. The Outstanding Balance column is the Previous
Balance plus New Debt less any Rai , is`hIs of Debt.
Name, Mailing Address and Zip Code of
Previa s Balance of
New Debt amount
Repayments of Debt
Balance outstanding
Creditor
debt at t end of the
incurred during this
during this reporting
at the end of this
(Candidate, Individual or Business)
last repo ti eriotl
reporting period
period
reporting period
1.
Date:
Date:
Amount:
Amount:
2.
D
Date:
Amoun:
Amount:
3.
Dale:
Date:
Amount:
Amount:
4.
Date:
Date:
Amount:
ount:
g,
Date:
Date:
/
Amount:
Amount:
$
$
6.
Date:
Date:
Amount:
Amount:
$
$—N
—
Previous Incurred Repayments Ending Balance
Previous Total: 1$0.00
Incurred Total:
(Transfer the combined total of all incurred debt to the $ 0.00
Detailed Summary, page 2 line 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 E-1
CREDIT CARD and DEBT ITEMIZATION
Name of Creditor from Schedule E:
Page o
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
Full Name, Mailing A els and Zip Code of Expenditure
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
I
Interest Accrued & Finance Charges
Y
Petition Circulators
L
. Literature, Brochures, Printing
Z
Preparation & Production ofAdvedising
M
Management Services
6.
Date Incurred
Full Name, Mailing A els and Zip Code of Expenditure
Purpose Code
Amount
1.
2.
3.
4.
5.
$
6.
7,
8.
$
9.
/
$
Total This Pa e:
$ 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 171
Name of Candidate or Com ee:
Directions: Complete this schedule If you weromised and agreed to accept a contribution during this reporting period but have not actually received the money,
goods or services offered before the end of the orting period. Do not include these entries on Schedule A until you actually receive the contribution.
A
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
❑ General
11.
Total Amount of Pledged Contributions: $ 0.00
Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2line 20.