Monks 2012 annual report - termination01/25/2013 14:42 FAX 2088874646
J & K INSURANCE, INC. 80002/0010
CAMPAIGN FINANCIAL ISCLOSURE REPORT C-2
SUMMA Y PAGE
Rev, 10/07
(Please Pri t or Type)
oecuuni
Name of candidate or Political Committee and Chairperson
COLUMN II
This Period
OfficefSmght didate)
Seat(it any)
ason Monks
$ XXXXXX
$ 0.00
Maat
$ XXXXXX
ng rens
1002 W Washington
t an p
Meridian
3642
om
87
or one
871-7127
arae o ca reasurerKeith
$ 0.00
$ 0.00
Thurgood
ity an p
Ho
Wo hone
at mg fess
PO Box 914
Meridian
3680
888-5236
887-5300
Change of address for: Candidate or Political Committee U
Section II TYPE
This filing is an: 8 Original ❑ Amendment
This report is for the period from 0� 01 f 12 through 12
❑ October 10 Pre -General Report ❑ 7 Day Pre -C
M Annual Report
Is this a Termination Report Q✓ Yes ❑ No
Section III STATEMENT OF NO C(
Directions: If you had no contributions or expenditures during this
Be sure to carry forward the appropriate '
❑ I hereby certify that I have received no contributions and
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)
'This same figure should be entered on line 1 of all reports filed this cat(
"This is the figure on line 6 of the last Campaign Financial Disclosure F
Note: The closing cash balance for the current reporting period appears
Political Treasurer U
12
Report ❑ 30 Day Post -General Report
Section V
Keith Thurgood
Name of Political Reset
report is a true, complete and cc Tec
Pace 1
OR EXPENDITURES
check the box next to the statement below and sign this report.
Date° figures in Column II, Section IV.
made no expenditures during this reporting period.
COLUMN I
COLUMN II
This Period
CalendarYear
to Date
$ XXXXXX
$ 0.00
$ 10.00
$ XXXXXX
$ 0.00
$ 0.00
$ 10.00
$ 10.00
$ 10.00
$ 10.00
$ 0.00
$ 0.00
led. If this is your first report, this amount is 0.
next report as the beginning cash on hand.
hereby certify that the information in this
Campaign Financial Disclosure Report as required by law.
01/25/2013 14:43 FAX 2088874646
C5
C6
00
Cl
J & K INSURANCE, INC.
DETAILED 3UMMARY
Q0003/0010
Name of Candidate or Commilee:Jason Monks
Total This Period
Contributions
UnIternized Contributions ($50 and less) # o
Contributors 0-00
+
$0.00
Itemized Contributions (Total of all Schedule A sheets)
+ $0.00
In -Kind Contributions (Total of all Contribution amounts from
Schedule C sheets)
+
$0.00
Loans (Total of all New Loan amounts from Schedule D sheets)
+
$0.00
Total Contributions (Transfer this figure to page 1, Section IV, Line �
1)
$0.00
L— -----------
Expenditures
Uniternized Expenditures less) #ol
------------
Expenditures i-00
T
($25 and
Itemized Expenditures (Total of all Schedule B sheets)
In -Kind Expenditures (Total of all Expenditure amounts from
Schedule C sheets)
+
$0.00
Loan Repayments (Total of all Loan Repayment amounts frc
m Schedule D sheets)
+ $0.00
Credit Card and Debt Repayments (Total of all Repayment c
mounts from Schedule E sheets) +
$0.00
I Total Expenditures (Transfer this figure to page 1, Section IV, Line)
$10.00
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
+
$3,404.28
New Loans received during this reporting period
+
$0.00
(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 Schedu
',e E sheets)
Subtotal
$3,404.28
Repayments of Loans made during this reporting period
$0.00
(Total of all Loan Repayment amounts from SchedulE
D sheets)
-4 !
I Repayments of Credit Card and Debt this reporting period
$0.00
(Total of all Debt Repayment amounts from Schedule
E sheets)
Total Outstanding Balance atclose of this period (Transfer this figu
. ............ .
-e to page 1, Section IV, Line 7)
$3,404.28
......
Pledged Contributions
I
L+�
$0.00
19 i Uniternized Pledged Contributions ($50 and less)
@0):
Itemized Pledged Contributions this Period (Total of all
@ Total Pledged Contributions this period
PA
F sheets)
n
= $0.00
01/25/2013 14:45 FAX 2088874646 J & R INSURANCE, INC. IA0007/0010
Each Lender to your campaign should be listed separately. Each time a
separate item. Each new loan from any Lender must be listed as a new ilt
Except for a candidate making a loan to his or her own campaign,
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 br
should be listed in the New Loan column. Any interest accrued should be I
it in the Repayments column. Note: Any loan that was repaid in full in
Balance column is the Previous Balance plus new loans and accrued inte
C
n is received or you loan money to the campaign, it must be listed as a
from that Lender. You may have the same Lender listed more than once.
ans from any Lender cannot exceed contribution limits laid out in
ri with the amount in the Previous Balance column. Any new loan amounts
;d in the Interest Accrued column. If a payment was made on the loan, list
previous reporting period does not need to be listed. The Outstanding
A less any repayments.
Name, Mailing Address and Zip
Previous Balance
New Loan a
nount
Interest accrued
Repayments of Loan
Balance
Code of Lender
of loan at the
received dud
ig this
during this
during this reporting
outstanding at
(Candidate, Individual or Business)
end of the last
reporting p
riod
reporting period
period
the end of this
reporting period
reporting period
1 Jason MonksDale:
3,404.28
0.00
Date:
��_
3,404.28
1002 W Washington
_r__
Amount
Amount:
Meridian, ID 83642
0.00
$ 0.00
2.
Date:
Dale:
Amount
Amount
3
Date:
Dale:
Amount:
Amount
$
$
q
Dale:
Date:
Amount:
Amount:
6
Date:
Date:
Amount:
Amount:
$
$
6,
Dale:
Date:
/
—/--
Amount
Amount:
7.
Date:
Date:
Amount
Amount:
$
$
Previous Receiv
d
Interest
Repayments
Ending Balance
Previous Total $3,404.28
Receive Total:
(Transfer the combined total of all received loans to the $ 0, 00
Detailed Summary, page 2 line 4)
Inter
stTotal: $0
Repayments Total:
(Transfer the combined total
of all loan repayments to the $ 0.00
Detailed E
ummary, page 2 line 9 & 16)
Ending Balance Total: $ 3,404.28
(NUjt: t: ranter the combined total orae Accrued Interest and Received Lans to the Detailed Summary, page 2line 13)