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Zaremba - Oct 10 Pre General.1L' C E D CAMPAIGN FINANCIAL DISCLOSURE REPORT OCT 10 2011 C-2 SUMMARY PAGE City Of Meridian Rev. 110107 (Please Print or Type) City Clerk Office Name of Candidate a Political Comy�e and Charpeman �C.:ua,l MiiTtr TJd c--cZ re:;—, L14 I-1 Z /) r2t✓•i�A is A Office Sought td candidate) sealfdany) (f,-rq QowCIL i a4M01 AJ i NiailingAddress P�, 13�X ��a en UJ3Ef�'0--Cv MnRID)Are (!7 anewom la00368 143s eal)Id)at3f 2935 Name Political yy�� reaveer 7 cNcre mytyb�n.-(7 70, 15rj< 012,2 Mt ao7fAu, j P ane ewodcphone jL0V);Lee--x435 e:W6)20G--;135 Change of address for: Candidate or PoMical Committee ❑ Political Treasurer ❑ Section 11 TYPE OF REPORT This filing is an: ,wOriginal ❑ Amendment This re'19-0 f report for the period from fthrough 9 J 301 1 ( ea . t7October 10 Pre -General Report ❑ 7 Day Pre -General Report /❑ Annual Report Is this a Termination Report: ❑ Yes j$ 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. ❑ 1 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 Dale 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 i, 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 This Period $ XXXXXX $ —4� $ ;l_ 00, 00 $ ;Lof), 00 $ a5,95 $ 174.c -S $ COLUMN II Calendar Year to Date $ —63— $ XXXXXX It $ 00, Co $ a5,95 $ 1 -7`i.a5 '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 dosing cash balance for the anent reporting period appears on the next report as the beginning cash on hand, Section V Jaycee Holman City Clads I, 2ery C� G A l - i" bt0( hereby certify, that the information in this City of Meridian Name of Political Tivasaa 33 E. Broadway Avenue reportis a true, com le and coned Campaign Financial Disclosure Report as required bylaw. Meridian. ID 83642 (208) 8684433 , Fax: (208) 8884218 4 (OCT,O10y Page 1 Si na re o olitical Treasurer �D f � DETAILED SUMMARY Vame of Candidate or Committee: C0 MM Cr i Lei `fib Pig - E7- GZi 'IDA v I V Zq fW-M 13 A Contributions (D Unitemized Contributions ($50 and less) # of Contributors -�- 20 Itemized Contributions (Total of all Schedule A sheets) 30I In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) r--- - -- ----.— _ __�,_ 4 I Loans (Total of all New Loan amounts from Schedule D sheets) 5Q Total Contributions (Transfer this figure to page 1, Section IV, Line 3) Total This Period + $_ + $ �o0<vo + $ f3 © — Unitemized Expenditures ($25 and less) # of Expenditures— + $ -- Q7 Itemized Expenditures (Total of all Schedule B sheets) + $ ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ - gO Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ $- 10 ' Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + O11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) - $ a 6,y 5� _ ...�_ - -- --- - -�' —_.- Loans, Credit Cards and Debt Q Outstanding Balance from previous reporting period + $ 13 New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ 14 ; New Credit Card and Debt incurred this reporting period Qr__(Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal - $ 16 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) $ Q Repayments of Credit Card and Debt this reporting period _ (Total of all Debt Repayment amounts from Schedule E sheets) _ _ $ 18 Total Outstanding Balance at dose of this period (Transfer this figure to page 1, Section IV, Line 7) $ _�- Pledged Contributions 10 Unitemized Pledged Contributions ($50 and less) # of Pledges + $ ®0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period _ — _ $ -6*;� (C C -r. 10 1 3, 0 1 Page 2 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee; 60.mITTe-z TO (2�-tZ�ZT�Au1D�f}2�"M3A Date Received Full Name, Mailing Address and Zip Cade or Conhlbutor Cash or Check R /5 // l�l_ f' -DAuk D -7gfZL M 3 A �LANDibAT&) P, 0, -E!> ox 8 0 MEd21771FlN (i7 IF3660 - 0&191X $ szw,ao $ ;;t©0,00 General CaleedarYear-To-Dale 2. $ ❑ General CalendarYear-To-eate —J� ❑ General 3. $ - �-- $ CalmdarYOar-To-Dale 4. $ ❑ General $ CalmdalYear-To-Dale —/--1 ❑ General 5. $ $ CalendarYear-To-Dale 6. $ $ ❑ General Cal dar Year -To -Dale —/—j— ❑ General 7. du 8. ❑ General LYear-T�DaMte 9. ❑ General �0._/� ❑ General CalendarYear-To-Dale Total This Page: $ CiC, gyp COc 7 r f p I a D 1 1)Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Cary, nn t z T E -e To Pc- a -Le -r -T 'DA v 10 2 A f2 c ln4 6 A A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B BroadrastAdverlising (Radio, TV & Internet) 0 OtherAdver6sing (Yard Signs, Buttons, etc.) C Contributions to Candidates & PACs P Postage D Donations & Gifts S Surveys & Palls 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 1poge of / I / Date Spenl Full Name, Marling Address and Zip Code of Redpienl Purpose Code Cash or Check P,(-', uox fee)o C? SA1Al7"j'AUc,ASS(c7(-c��3o£� a5a�15 $ 2. $ 3. $ 4. —/� $ 5. $ —L 6. $ 7. $ 8. 9. $ 10. Total This Page: $ ;5.9 5 / Oc T , f U 1 ;� 0 I I > Transfer the combined total of all Schedule B pages to the Detailed Summary on page 21ine 7.