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Rountree - 7 Day Pre General-sr- CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE DECEIVED c-2 Rev. 10107 w (Please Print or Type) NOV 2011 mr r�oz C I'TY O F NGC KkpF":sf' Name of Candidate or Political Committee and Chairperson Office Sought i (if any) Charles M. Rountree City Council Mailing Address i an ip ome one o one 2696 N. Greenbelt Place Meridian 83646 888-2731 ame of ce measurer Terry C. Amos Mailing Address i an Zip ome one o one 3580 Sugar Creek Drive Meridian 83646 8881613 861-6540 Change of address for: Candidate or Political Committee u l'olltical treasurer Lj Section II TYPE OF REPORT This filing is an: 8 Original ❑ Amendment This report is for the period from 10 I 1 l 11 through 10 f 23 11 ❑ October 10 Pre -General Report ❑ Annual Report Is this a Termination Report: ❑ Yes M 7 Day Pre -General Report ❑r 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 11, 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 reporfs 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* $ XXXXXX $ 0.00 Line 2: Enter Beginning Cash Balance** $ 3,801.08 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1,450.00 $ 6,970.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 5,252.08 $ 6,970.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,674.73 $ 3,393.65 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 3,576.35 $ 3,576.35 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 4,708.66 *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 Terry C. Autos , hereby certify that the information in this Name of Political Treasurer report is a true, complete and cor,4ct Campaig^nay4al Disclosure Rep9rt as required by law. ,12gnrure of Political Treasurer 1 (T DETAILED SUMMARY Name of Candidate or Committee: Charles Rountree for Council Total This Period Contributions 1O Unitemized Contributions ($50 and less) # of Contributors 1.ee + $ 50.00 2� Itemized Contributions (Total of all Schedule A sheets) + $1,400.00 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 50 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $1,450.00 Expenditures © Unitemized Expenditures ($25 and less) # of Expenditures o.00 + $ 0.00 7O Itemized Expenditures (Total of all Schedule B sheets) + $1,674.73 ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 0.00 gO Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 0.00 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ 0.00 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ $1,674.73 Page 2 Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $4,488.66 13 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $0.00 14 New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ 220.00 Subtotal = $4,708.66 16 S 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) $ 0.00 1 g Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $ 4,708.66 Pledged Contributions 1g Unitemized Pledged Contributions ($50 and less) # of Pledges 0.00 + $0.00 ®0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributions this period + $ 0.00 = $0.00 Page 2 SCHEDULER Page ° ITEMIZED CONTRIBUTIONS 1 1 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Charles Rountree for Council Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 7 11 10/ / 1. Lori Jones 3499 E. Quin Drive Meridian, ID 83642 $ 100.00 $ 100.00 9 General Calendar Year -To -Date 10/8 11 2. Prinneland Dev. Co. 3120 W. Belltower Suite 100 Meridian, ID 83646 $ 100.00 $ 100.00 —/ B General Calendar Year -To -Date 10/14/11 3. Sherrie & John Ewing 2934 E. Lake Hazel Road Meridian, ID 83642 $ 100.00 $ 100.00 ❑ General CalendarYear-To-Date 10114/ 11 4. Idaho Assoc. of Realtors 301 S. Capitol Blvd. Boise, ID 83702 $ 500,00 $ 500.00 8 General Calendar Year -To -Date 10/14/ 11 /—/ 5. Brian Ballard 1203 N. 25th St. Boise, ID 83702 $ 250.00 8 General $ 250.00 Calendar Year -To -Date 10 21 11 6. Shaun & Nikki Wardle 2239 E. Greiner St. Meridian, ID 83642 $ 250.00 —/—/ 9 General $ 250.00 Calendar Year -To -Date 10 21 11 ! 7' Chuck Winder for Senate 5528 N. Ebbetts Ave Boise, ID 83713 $ 100.00 —� 8 General $ 100.00 Calendar Year -To -Date 8. ❑ General Calendar Year -To -Date / / 9. $ ❑ General $ Calendar Year -To -Date 10. ❑ General $ Calendar Year -To -Date Total This Page: $1,400.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Charles Rountree for Council Page 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 1. O 10/3/11 Veritas Advisors, 802 W. Bannock St. Suite401, Boise, ID 83702 $ 495.00 2. O 10/7/11 Charles Rountree/Artech Screen Printing, 520 E. Franklin, Meridian, ID 83642 $ 318.35 3. O 10/8/11 Options Print Sense, 1530 E. Commercial #109, Meridian, ID 83642 $ 861.38 4. 5. 6. 7. I-1 $ 8. —/—/ $ 9. 10. $ Total This Page: $1,674.73 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. 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 reporting period reporting period 1. Charles M. Rountree 2696 N. Greenbelt PI 4,00�.0� Date: 10 X13 /08 0.00 Date: 10 113 f11 4,000.00 Amount: Amount: Meridian, ID 83646 $0.00 $ 0.00 2 Date: Date: Amount: Amount: 3. Date: Date: Amount: Amount: q Date: Date: Amount: Amount: g Date: Date: Amount: Amount: 6. Date: Date: Amount: Amount: 7. Date: Date: Amount: Amount: $ $ Previous Received Interest Repayments Ending Balance Previous Total $4,000.00 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 ail loan repayments to the $ 0.00 Detailed Summary, page 2line 9 $16) Ending Balance Total: $4,000.00 (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 Creditor (Candidate, Individual or Business) 1. 2. Ba 4. 5. 6. C*WIONeY y.0. mMW. CiWd lMushy.0 M716 9 Previous Balance of debt at the end of the last reportinq period Previous Previous Total: l $488.66 Incurred Total: (Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line 14) New Debt amount incurred during this Date: 10 /19 /11 Amount: $ 220.00 Date: Amount: Date: I I Amount: Date: Amount: Date: Amount: Date: Amount: Incurred $220.00 Repayments of Debt during this reporting Date: 10 /19 /11 Amount: $ 0.00 Date: Amount: Date: Amount: Date: I I Amount: Date: I _1 Amount: Date: Amount Repayments Total: (Transfer the combined total of all debt repayments to the $ 0.00 Detailed Summary, page 2 line 10 & 17) Balance outstanding at the end of this Balance Ending Balance Total: 1$708.66 SCHEDULE E-1 page of CREDIT CARD and DEBT ITEMIZATION Name of Creditor from Schedule E: Capital One VISA r=ncn uewrul osteo on z=eauie t wim a new ueat 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 Address 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 of Advertising M Management Services Dale Incuaed Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Amount 1. N 10 19 11 —� �— Idaho Senior News, P.O.Box 44508, Boise, ID 83711-0508 $ 220.00 2. $ 3. 4. 5. 6. 7. 8. I— $ 9. —�—�— $ Total This Page: $ 220.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.