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Section I
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
C-2
Rev, 12/14
Name �of Candidate or Political Co ittee and Chairperson
-I t -S& A'-' r, l
Office Sought (if candidate)
District (if any)
Mailing Address
S. l 6i/"/\j �,.
City and Zip
(M riv
Home Phone
Vy)
or one
01�- �Yo�
ame of PoliticalI reasurer
ailing ress
City and Zip
Home Phone
Work Phone
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section IITYPE OF REPORT
This filing is an: Original ❑ Amendment
This report is for the period from Z�_ throughll��.
❑ October 10 Pre -General Report
❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report Annual Report
Is this a Termination Report: ❑ Yes X( No
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.
P/'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 II 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 $ Z ( (48 - (So
Line 2: Enter Beginning Cash Balance** $ $ XXXXXX
Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ _
Line 4: Subtotal (Add lines 1, 2 and 3) $ $ lob
Line 5: Total Expenditures (Enter amount from line 11, page 2) $ $
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ $ /0� • (o
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 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
Please remit to: ��
City Clerk's office I, l ►vii F / • 6 b/ 1 , hereby certify that the information in this
City of Meridian Name of Political Treasurer
33 E. Broadway Ave. report is a true, complete and c ct Campaign Financial Disc sure Report as required by law.
Suite 104
/�,
Meridian, ID 83642
(208)888-4433
cityclerk@merldiancity.org Signature of Political Treasurer
Paae 1