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.