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Robert SimisonAPPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c -t FOR CANDIDATES AND COMMITTEES Rev. 1/15 (Please Print or Type) p44 Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer to the Secretary of State. Certification is for (check appropriate box below): Name of RV CANDIDATE: Simison CANDIDATE: Candidate: Home 208 376-7735 Work (208) 888-4433 Cell(208) 891-7873 Phone: ( ) Phone: Phone: Office --------- -- -- ---- -- Sought: Mayor or Meridian City Candidate PO Box 971 Meridian, ID 83680 Mailing address � Candidate emailaddress: robert@simisonformeridlan.com r 0. F-1Name of (_ COMMITTEE: Committee: Name of Committee ° Chairman: Miscellaneous: Miscellaneous: ❑ Home Work Cell Phone: Phone: Phone: Measure: ❑ Committee Candidate/Measure: Mailing address: ❑ -Chairman-------__ ---- - -- email address: CERTIFICATION AND APPOINTMENT Robert Simison , do hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: Name of - _ 1 I Political Treasurer: Gary Raney Home (208) 870-8400 Work (208) 870-8400 Cell (208) 870-8400 Phone: Phone: Phone: Treasurer — - -------------___. Mailing address: 1480 Rolling Hill Dr. Meridian, ID 83642 Treasurer 1480 Rolling Hill Dr. Meridian, ID 83642 Residence address: Please remit to: a Treasurer g ry@ga ryrane y .com email address: City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Signature of Ca idate or Committee Chairman Meridian, ID 83642 I Gary Raney (208) 8884433 do hereby accept the appointment as political treasurer for cityclerk@meridiancity. Name of Political Treasurer org the above named candidate or committee. Sig ature t Political Treasurer Tse APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C-1 4�fl'° zo Rev. 1M5 FOR CANDIDATES AND COMMITTEES t (Please Print or Type) �� p4ti4 Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer to the Secretary of State, Certification is for (check appropriate box below): Name of ® CANDIDATE: �Canclidate:,�e ori Work Phone: CERTIFICATION AND APPOINTMENT ss i r„ Cell Phone: - - -0,- I, ,(-k StoAdo hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: Name of Political Treasurer: Home j Work 11 r Cell Phone:` jJPhone: J S Phone: E Treasurer Mailing address:,t °j\ + Treasurer Residence address: fY1GC A kj ver 06 r;8 r 6 8 3 (o 4/A Please remit to: Treasurer emailaddress:) t �� City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Meridian, ID 83642 I, (208) 888-4433 cityclerk@meridiancity. t org Signature of CandidatOor Committee Chairman ober- r t , do hereby accept the appointment as political treasurer for Name of Political Treasurer he above named candidate or committee. p- Signaturef Poli ical Treasurer Name of COMMITTEE: Committee: Name of Committee Chairman: Miscellaneous: F-] Home Phone: Measure: n Committee Mailing address: Candidate/Measure: Chairman email address: Work Phone: CERTIFICATION AND APPOINTMENT ss i r„ Cell Phone: - - -0,- I, ,(-k StoAdo hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: Name of Political Treasurer: Home j Work 11 r Cell Phone:` jJPhone: J S Phone: E Treasurer Mailing address:,t °j\ + Treasurer Residence address: fY1GC A kj ver 06 r;8 r 6 8 3 (o 4/A Please remit to: Treasurer emailaddress:) t �� City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Meridian, ID 83642 I, (208) 888-4433 cityclerk@meridiancity. t org Signature of CandidatOor Committee Chairman ober- r t , do hereby accept the appointment as political treasurer for Name of Political Treasurer he above named candidate or committee. p- Signaturef Poli ical Treasurer CAMPAIGN FINANCIAL DISCLOSURE REPORT C-2 SUMMARY PAGE Rev. 12/14 (Please Print or Type) Section I Name of Candidate or Political Committee and Chairperson I Office Sought (if candidate) District (if any) ROBERT SIMISON MAYOR OF MERIDIAN ailing ress 7iry andZip dome one orK none 4363 S. Marsala Ave. Meridian 83642 (208)891-7873 (208)888-4433 Gary Raney 1480 Rolling Hill Dr. IMeridian 83642 Change of address for: Candidate or Political Committee ❑ Political Treasurer Section II TYPE OF REPORT This filing is an: ❑ Original ❑ Amendment This report is for the period from 11/16/2019 through 12/31/2019 ❑ 7 Day Pre -General Report [❑ 30 Day Post -General Report Is this a Termination Report: ❑ Yes 2 No Home P3 one or one (208)870-8400 (208)870-8400 ❑ October 10 Pre -General Report [■ Annual 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 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 $ 0.00 82 525. Line 2: Enter Beginning Cash Balance** $ 1 $ XXXXXX 00 611. Line 3: Total Contributions (Enter amount from line 5, page 2) $ 6, $ 114,363.98 Line 4: Subtotal (Add lines 1, 2 and 3) $ 8,136.82 $ 114,363.98 50 468. Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 5, $ 111,695.66 32 668. Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 2, $ 2,668.32 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 4,000.00 *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 Gary Raney hereby certify that the information in this City of Meridian Name of Political Treasurer 33 E. Broadway Ave. report is a true, complete and correct Campaign Financial Disclosure Report as required by law. Suite 104 Meridian, 83642 (208)888-44 433 cityclerk@meridiancity.org ---S-idnature df Politi al Treasurer Page 1 Name of Candidate or Committee: DETAILED SUMMARY ROBERT SIMISON Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 1 Itemized Expenditures (Total of all Schedule B sheets) Total This Period Contributions + $11.00 Unitemized Contributions ($50 and less) # of Contributors + $0.00 Itemized Contributions (Total of all Schedule A sheets) + $6,600.00 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $11.00 Loans (Total of all New Loan amounts from Schedule D sheets) Total Contributions (Transfer this figure to page 1, Section IV, Line 3) + $0.00 _ $6,611.00 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures 1 Itemized Expenditures (Total of all Schedule B sheets) + $7.44 + $5,450.06 In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $11.00 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) + $0.00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $5,468.50 Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $0:00 13 New Loans received during this reporting period + $ 0.00 (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) ONew Credit Card and Debt incurred this reporting period 14 + $4,000.00 (Total of all New Incurred Debt amounts from Schedule E sheets) 15 Subtotal $4,000.00 16 Repayments of Loans made during this reporting period $ 0.00 (Total of all Loan Repayment amounts from Schedule D sheets) Repayments of Credit Card and Debt this reporting period $ 0.00 (Total of all Debt Repayment amounts from Schedule E sheets) 1g Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $4,000.00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributions this period Page 2 + $0.00 + $0.00 $0.00 SCHEDULE A Page o 1 1 ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: ROBERT SIMISON Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 11 1.Agribusiness Solutions Inc. 2621 N. Miranda Ave. 1,000.00 $ $ 1,000.00 /25 /19 Meridian, ID 83646 2. S & C Production North America LLC 2621 N. Miranda Ave. Calendar Year -To -Date 11 1,000.00 $ /25 /19 Meridian, ID 83646 $ 1,000.00 Calendar Year -To -Date 11 /26 /19 3. Jason Kreizenbeck 1418 E. Holly St. 250.00 $ $ 250.00 Boise, ID 83712 Calendar Year -To -Date 12 10 19 4.American Legion Auxiliary 532 Lakes Rd. 250.00 $ 250.00 / / Monroe, NY 10950 Calendar Year -To -Date 12 12 19 5. Citizens for Responsible Growth 1301 S. Teare Ave. 1,000.00 $ $ 1,000.00 / / Meridian, ID 83642 Calendar Year -To -Date 12 6. Four Leaf Concepts LLC 7051 N. Sunset Maple Way 500.00 $ /12 /19 Meridian, ID 83646 500.00 $ Calendar Year -To -Date 12 7. Kenneth Christensen 2275 E. Mozart Ct. 500.00 $ /26 /19 Meridian, ID 83646 $ 500.00 Calendar Year -To -Date 12 /30 119 8. Robert & Michelle Phillips 5576 N. Chopin Ave. Meridian, ID 83646 1,000.00 $ $ 1,000.00 Calendar Year -To -Date 12 /30 /19 9. Michael & Jan Hall 2249 E. Mozart Ct. 500.00 $ Meridian, ID 83646 $ 2,000.00 Calendar Year -To -Date 12 10. Correction of 2 accounting errors: a. Duplicate expenditure for Facebook charge on 10/18/19 for $200.00. 600.00 $ $ 600.00 /31 /19 b. Duplicate expenditure for Facebook charge on 11/1/19 for $400.00. Calendar Year -To -Date Total This Page: $6,600.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Name of Candidate or Committee: SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period ROBERT SIMISON Nurpose Looes anter up to s purpose cones per txpenaaure.j Uwe apent u ame, ai ing Address an ip o eo Recipient A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 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 H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services _ 2. Joe Anderson Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. Uwe apent u ame, ai ing Address an ip o eo Recipient urposeo e s Cash or Cliec 1. Matthew Clemence W 1011 S. La Pointe St., Apt. 422-2 11 20 19 Boise, ID 83706 250.00 1 I $ _ 2. Joe Anderson F 1844 W. Claire Dr. 11 20 19 Meridian, ID 83646 200.06 / / $ 3, Tovuti LLC M 201 N. Maple Grove, Ste. 110 11 27 19 Boise, ID 83704 00.00 2,000.00 0, I I $ 4. Small Business Marketing W 3800 W. Perugia St., #B204 12 26 19 Meridian, ID 83642 3,000.00 / / $ 5. I I $ 6. I 1 $ 7. r i $ 8. 9. l I $ 10. 1 I $ Total This Page: $ 5,450.06 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C � IN-KIND CONTRIBUTIONS and EXPENDITURES 1 1 Name of Candidate or Committee: ROBERT SIMISON J Purpose Codes (Enter up to 3 purpose codes per Expenditure.) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 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 H Independent Expenditure Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 1. Corilxibutor Name, Mailing Address and Zip Code 11 X25 X19 Robb -rt Simison 4363 S. Marsala Ave. Meridian, ID 83642 Expenditure Name, Mailing Address and Zip Code USPS 1200 N. Main St. Meridian, ID 83642 11.00 2. Contributor Name, Mailing Address and Zip Code I I Expenditure Name, Mailing Address and Zip Code 3. 4. $ Contributor Name, Mailing Address and Zip Code _[Ifi-penditum Name, Mailing Address and Zip Code $ Contributor Name, Mailing Address and Zip Code Expenditure Name, Mailing Address and Zip Code $ 11.00 $ 321.48 Calendar Year -To -Date Purpose Code(s) P Calendar Year -To -Date Purpose Code(s) $ Calendar Year -To -Date Purpose Code(s) $ Calendar Year -To -Date Purpose Code(s) Expenditure Total: is (Transfer the combined total of all Expenditures on Schedule C pages $11.00 to the Detailed Summary, page 2 line 8) Contributor Total: (Transfer the combined total of all Contributors on Schedule C pages $11.00 to the Detailed Summarv, page 2 line 3) SCHEDULE E - CREDIT CARDS and DEBT Name of Candidate or Committee: ROBERT SIMISON 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 reporting period period reporting period 1. ITK Communications Date: Date: 5700 S. Partridge Peak Ave. 11 116 119 Caldwell, ID 83607 0.00 Amount: Amount: 2,000.00 $ 2,000.00 $ 2. Tovuti LLC Date: Date: 201 N. Maple Grove 11 116 119 Boise, ID 83704 0.00 Amount: Amount: 2,000.00 $ 2,000.00 $ 3. Date: Date: l 1 I l Amount: Amount: 4. Date: Date: I l I I Amount: Amount: 5. 6. Previous Previous Total: 1 $ 0.00 Incurred Total: (Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line 14) Date. Amount: Date: Amount: Incurred $4,000.00 Repayments Total: (Transfer the combined total of all debt repayments to the Detailed Summary, page 2 line 10 & 17) Date: Amount: Date: I / Amount: Ending Balance $ 0.00 Ending Balance Total: $4,000.00 SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Name of Candidate or Committee: ROBERT SIMISON 1 2 Name of Creditor from Schedule E: ITK Communications .5 Each Creditor listed on Schedule E 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. Purpose Codes (Enter up to 3 purpose codes per Expenditure.) t-ullName, Mailing Address and Zip (;ode ot txpendiFure Purpose Code(s) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, N; Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC's 0 Other Advertising (Yard Signs, Buttons, etc.) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising Date InGurred t-ullName, Mailing Address and Zip (;ode ot txpendiFure Purpose Code(s) Amount ITK Communications 5700 S. Partridge Peak Ave. W 11 16 19 Caldwell, ID 83607 2,000.00 i*� $ 2. $ 3. _ 1 I $ 4. 5. I I $ 6. 7. 8. 1 1 9. $ Total This Page: ls2,000.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor, SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION aye of fName of Candidate or Committee: ROBERT SIMISON 2 12 Name of Creditor from Schedule E: Tovuti LLC Each Creditor listed on Schedule E 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. Purpose Codes (Enter up to 3 purpose codes per Expenditure.) Fuil Name, Mailing Address and Lip c6de oTExpendfture Purpose Code(s) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, TV, Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC's 0 Other Advertising (Yard Signs, Buttons, etc.) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising Date—Incurred Fuil Name, Mailing Address and Lip c6de oTExpendfture Purpose Code(s) Amoun 1. Tovuti LLC 201 N. Maple Grove W 11 16 19 Boise, ID 83704 2,000.00 1 ! 2. $ 3. ! 1 $ 4. 5. I I $ 6. 7. I I 8. $ r r 9. $ I I $ Total This Page:_ 1$2,000.00 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.