Monks - 7 Day Pre General Amend 1a CAMPAIGN FINANCIAL DISCLOSURE REPORT RECEIVED C-2
' SUMMARYPAGE NOV 2 3 2011 Rev. 10107
b (Please Print or Type) CITYurvn qur
CITY CLERKS OFFICE
Section I
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
Seat (if any)
Jason Monks
Mayor
N/A
acing ess
Cityan p
Home Phone
Work Phone
1002 W. Washington
Meridian 83642
871-7127
871-7127
Name of Political Treasurer
Keith Thurgood
ailing ess
yand p
Home hone
Work Phone
1233 W. 7th St.
Meridian 83642
888-5236
887-5300
Change of address for: Candidate or Political Committee ❑ Political Treasurer
Section II TYPE OF REPORT
This filing is an: ❑ Original 13 Amendment
This report is for the period from 10 /01 72011 through 10 123 12011
❑ October 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: ❑ 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 SUP
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
COLUMN II
This Period
Calendar Year
to Date
$ XXXXXX
$ 0.00
$ 610.50
$ XXXXXX
$ 8,185.00
$ 12,285.00
$ 8,795.50
$ 12 89556 /2� ZP5 6V
$ 2,925.36
$ 6,414.86
$ 5,870.14
$ 8 r44 ::W70.1'4
$ 4,200.79
*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
Keith Thurgood 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.
SigrinTure of Political Treasurer
Page 1
T
0
14
15
16
17
18
W
r�i
ro
DETAILED SUMMARY
Name of Candidate or Committee: Jason Monks
Contributions
Unitemized Contributions ($50 and less) # of Contributors 3-00
1
Total This Period
+ $85.00
+ $15.00
+ $1,452.86
Itemized Contributions (Total of all Schedule A sheets)
+ $1,000.00
+ $7,100.00
+ $ 0.00
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $457.50
+ $1,000.00
_ $2,925.36
Loans (Total of all New Loan amounts from Schedule D sheets)
$'457.50
+ $0.00
_ $4,200.79
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $8,185.00
Expenditures
1
Unitemized Expenditures ($25 and less) # of Expenditures 1 00
Itemized Expenditures (Total of all Schedule B sheets)
+ $15.00
+ $1,452.86
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $1,000.00
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $ 0.00
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+ $457.50
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
_ $2,925.36
Loans, Credit Cards and Debt
+ $0.00
+ $0.00
Outstanding Balance from previous reporting period
+ $4,557.50
New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $ 0.00
_
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ s100.79
Subtotal -- --— --- --
=-$4,658.29
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$0.00
Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets)
$'457.50
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
_ $4,200.79
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges 0.00
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $0.00
+ $0.00
Total Pledged Contributions this period
--—-- -- _
_ $0.00
Page 2
'i
0
SCHEDULE A
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:, Jason Monks
Date Received
Full Name, Mailing Address and Zip Code of Cont ibutor
Cash or Check
10/03/11
1 Deborah Monks
3548 E. Grandview St.
Mesa, AZ 85213
$1,000-00
$ 1,000.00
Calendar Year -To -Dale
9 General
1011031' 11
2. Jon Monks
3548 E. Grandview St.
Mesa, AZ 85213
$ 1,000.00
$ 1,000.00
Calendar Year-To-Dala
—!
9 General
10103111
3. Madisen Monks
3548 E. Grandview St.
Mesa, AZ 85213
$ 1,000.00
$ 1,000.00
CalendarYear-TaDate
9 General
10/04 11
/�
4. Leslie Palmer
1524 N. Meridian Rd.
Meridian, ID 83642
$ 200.00
$ 200.00
9 General
Calendar Year -To -Date
10 07 11
1—
5. Cathie Thurgood
1233 W. 7th St.
Meridian, ID 83642
$ 200.00
$ 200.00
—/
9 General
Calendar Year -To -Dale
10 09 11
�!—
6. Chandler R. Monks
3548 E. Grandview St.
Mesta, AZ 85213
$ 1,000,00
$ 1,000.00
Calendar -Year-To Dale
IN General
10 09 11
L
7. Sharia M. Monks
3548 E. Grandview St.
Mesa, AZ 85213
$ 1,000.00
$ 1,000.00
Calendar Yew -To -Date
9 General
10119 Ll 1
8-TheBlind Gallery
2053 E. Fairview Ave. Suite 109
Meridian, ID 83642
$1,000-00
$ 1,000.00
Calendar Year -To -Date
13 General
10 19 11
9, Southern Nevada Oxygen
187 N. Gibson Rd.
Henderson, NV 89014
$ 500.00
$ 500.00
9 General
Calendar Year -To -Dale
10/19 11
�—
10. Marshall K. Coryell Trust
2133 SE 3rd Way
Meridian, ID 83642
$ 100.00
$ 100.00
R General
Calendar Year -lb -Dale
Total This Page:
$7,000.00
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
FIA
SCHEDULEA
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or committee: Jason Monks
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
10120 111
1
Cole Clifford
613 W. Cagney St.
Meridian, ID 83646
$100.00
$ 100,00
BGeneral
Calendar Year -To -Dale
2.
$
$
❑ General
Calendar Year -To -Date
/ I
3.
$
❑ General
Calendar Year -To -Dale
4.
$
❑ General
Calendar Year -To -Dale
/ !
5.
$
❑ General
Calendar Year -To -Date
I !
6.
$
$
❑ General
Calendar -Year -To -Date
I /
7.
$
$
❑ General
Calendar Year -To -Date
8.
$
❑ General
Calendar Year -To -Date
1 1
9.
$
$
❑ General
Calendar Year -To -Dole
! /
10.
$
$
❑ General
Calendar Year -To -Date
Total This Page:
$100.00
Transfer the combined total of all ScheduleA pages to the Detailed Summary on page 2line 2.
Date Spent
SCHEDULE B age o
ITEMIZED EXPENDITURES 1 1
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee:,Jason Monks
Cashor Check
Purpose Codes
1.
Wright Signs, 145 W. 14th St., Ogden, UT 84404
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
Manaaement Services
Z Preparation & Production of Advertising
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cashor Check
10103/11
—
1.
Wright Signs, 145 W. 14th St., Ogden, UT 84404
o
$ 480.87
100711
—
2.
KPG LithoGraphics, 106 W. 32nd St., Garden City, ID 83714
L
$ 270.51
10 11 11
/
3
Home Depot, 1100 So. Progress, Meridian, ID 83642
O
$ 87.98
10113/11
4.
Wright Signs, 145 W. 14th St., Ogden, UT 84404
O
$ 613.50
5.
6.
$
7.
--
$
8
——
9.
10.
1
1$
Total This Page:
$ 1 ,452.86
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2line 7.
SCHEDULE C
IN-KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or committee:, Jason Monks
age o
1 1
Purpose Codes
Contributor Name, Mailing Address and Zip Code
1,000.00
A
All Tmvel Expenses (Airfare, Fuel, Lodging & Mileage)
N
Newspaper & Other Periodical Advertising
B
Broadcast Advertising (Radio, TV & 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 ofAdvertising
1.
10/06/ 11
Contributor Name, Mailing Address and Zip Code
1,000.00
Ty Palmer
$
1524 N. Meridian Rd.
1,000.00
19 General
Meridian, ID 83642
$
Calendar Year-To-0ale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
Zibz.Biz - Ty Palmer
Z
1524 N. Meridian Rd.
Meridian, ID 83842
$ 1,000.00
2.
Contributor Name, Mailing Address and Zip Code
_//_
$
❑ General
$
Calendar Year -To -Dale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$
3.
Contributor Name, Mailing Address and Zip Code
! !
$
❑ General
$
Calendar Year -To -Dale
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$
4.
Contributor Name, Mailing Address and Zip Code
/ !
$
❑ General
$
Calendar Year -Mate
Expenditure Name, Mailing Address and Zip Code
Purpose Code
$ 0.00
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages $ 000 00
to the Detailed Summary, page 2 line 8)
$1000'00
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages
,
to the Detailed Summary, page 2 line 31
SCHEDULE D
• IL
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 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
(Candidate, Individual or Business)
of loan at the
end of the last
received during this
reporting period
during this
reporting period
during this reporting
period
outstanding at
the end of this
reporting period
reporting period
1- Jason MonksDate:
1002 W. Washington
Meridian, ID 83642
100.00
Date:
100.00
Amount
amount
$
2.
2,000.00
Date: ! !
Date. ! !
2,000.00
amount:
Amount.
A,o Wm .lmw.wasag .Wmm. 10e 2
$
$
3.
2,000.00
Date! !
Date! !
2,000.00
Amount
amount
,mni Manka, 1W2w.wR &e ..&11l .ID& 2
4.
Date:
Date:
Amount
Amount
5.
Date:
Date:
Amount
amount
6.
Date:
Date:
Amount
amount
7.
Date:
Date:
1 !
L !
Amount:
Amount
Previous Received Interest Repayments Ending Balance
Previous Total $ 4,100.00
Received Total:
(Transfer the combined total of all received loans to the $0.00
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: $4,100.00
(No I t: 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
reporgng period
period
reporfing period
1"
457.50
D
is
10 , 1t
M10 aw.
19 tt
100.79
Meat Td, a of q 280 s. capW Blue., fti . le 83)02
Amount
Amount
$ too.79
$ as7.so
2.
Date:
Date:
l 1
I l
Amount
Amount
3.
Date:
Date:
Amount
Amount
4.
Date:
Date:
l 1
l 1
Amount
Amount
$
$
5.
Data.
Date:
Amount
Amount
0_
Date:
Date:
Amount
Amount
$
$
Previous Incurred Repayments Ending Balance
Previous Total: $457.50
Incurred Total:
(Transfer the combined total of all incurred debt to the $100.79
Detailed Summary, page line 14)
Repayments Total:
(Transfer the combined total of all debt repayments to the $ 457.50
Detailed Summary, page 2line 10 & 17)
Ending Balance Total: $100.79
SCHEDULE E-1
CREDIT CARD and DEBT ITEMIZATION
ge o
1 1
Name of Creditor from Schedule E: Mastercard
C..,.6 r•...Af-1 dnd — Qn]%.A. do F vAf, . KI.. n>hf am. mf mnsf have a Schedule F-1 arsamnanvinn it The Schedule E4 lists where and when
the debt was incurred.
Purpose Codes
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
B BroadcastAcivertising (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
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 Incurred
Full Name, Mailing Address and Zip Code of Expenditure
Purpose Code
Amount
1.
0
10 18/ 11
Home Depot, 1100 So. Progress, Meridian, ID 83642
100.79_
1
$
2.
—
3.
I /
---
$
4.
$
5.
$
6.
7.
$
8.
9.
$
Total This Page:
$100.79
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.
SCHEDULE F Fage °
PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED 1
Name of Candidate or Committee:JaSOn Monks
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 before the 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
1.
❑ General
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 2 line 20.