Jeff Miller (termination)SUMMARY PAGE
(Please Print or Type)
Section I
C-2
Rev. 12/14
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Jeffrey Miller
City Council
5
ai ing Address
i y an ip
ome one
or one
3561 N Etta Way
Meridian 83646
2084800,1527
Name of PoliticalTreasurer
Jeffrey Miller
Mailing Address
ity an Zip
Home Phone
rk Phone
3561 N Etta Way
Meridian 83646
208.800.1527
Change of address for:
Section II
This filing is an:
Candidate or Political Committee ❑ Political Treasurer
❑ Original ❑
This report is for the period from 11 /16/2019
❑ 7 Day Pre -General Report
TYPE OF REPORT
Amendment
through 12/31/2019 /
❑ 30 Day Post -General Report
❑ October 10Pre-General Report
❑■ Annual Report
Is this a Termination Report: m Yes ❑ 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 II, 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*
Line 2: Enter Beginning Cash Balance"
Line 3: Total Contributions (Enter amount from line 5, page 2)
Line 4: Subtotal (Add lines 1, 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)
g XXXXXX
1,298.01
1,971.33
31269434
3,269.34
0.00
0.00
$ 0.00
XXXXXX
4,871.33
4,871.33
4,871433
0.00
*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: I he 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
City of Meridian
33 E. Broadway Ave.
Suite 104
Meridian, ID 83642
(208) 8884433
cityclerk@meridiancity.org
I Jeffrey Miller ,hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Signature of Political Treasurer
Page 1
0
0
0
12
13
14
15
16
1"r
18
' It I UT :i1
Name of Candidate or Committee; Jeff Miller for City Council
Total This Period
Contributions
Unitemized Contributions ($50 and less)
# of Contributors 0
+
$ 0.00
Itemized Contributions (Total of all Schedule A sheets)
+
$1,971.33
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 ——
Total Contributions (Transfer this figure to page 1, Section IV,
Line 3)
Expenditures
__ _
Unitemized Expenditures (Less than $25) # of Expenditures 0
+
$
0.00
Itemized Expenditures (Total of all Schedule B sheets)
+
$
0.00
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+
0.00
_
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
_$
+
$2,000.00
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+
$1,269.34
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
$
3,269.34
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
+ $2,749.94
�_
New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $
0.00
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+
519.40
_
Subtotal ---�-------_
_$_
$
3,269.34 —
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$
2,000.00
Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets)
$1,269.34
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
_ $
0.00
Pledged Contributions
_
_
Unitemized Pledged Contributions ($50 and less)
# of Pledges 0
+ $
0.00
_
Itemized Pledged Contributions this Period (Total of
all Schedule F sheets)
+ $
0.00
Total Pledged Contributions this period
= $
0.00
SCHEDULE A
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee: Jeff Miller for City Council
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
12 / 20 / 19
Jeffrey Miller
3561 N Etta Way
Meridian, ID 83646
1,971.33
$
$ 21671433
Calendar Year -To -Date
2,
Calendar Year -To -Date
3.
$
Calendar Year -To -Date
4.
$
Calendar Year -To -Date
5,
Calendar Year -To -Date
6.
Calendar Year -To -Date
7.
$
Calendar Year -To -Date
8.
$
$
Calendar YearJo-Date
9.
$
Calendar Year -To -Date
10.
$
Calendar YearJbmDate
Total This Page:
$1,971.33
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE D -LOANS
Name of Candidate or Committee: Jeff Miller for City Council
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 loans) with a balances) 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' JeffreyMiller
Date:
/ /
Date:
12 /20 /19
3561 N Etta Way
Meridian, ID 83646
21000000
0.00
0.o0
Amount:
$
Amount:
$ 21000,00
29
Date:
Date:
Amount:
Amount:
$
$
3o
Date:
Date:
Amount:
Amount:
4o
Date:
l I
Date:
l I
Amount:
Amount:
5s
Date:
Date:
Amount:
Amount:
6a
Date:
Date:
Amount:
Amount:
7
Date:
Date:
Amount:
Amount:
Previous Received Interest Repayments Ending Balance
Previous Total $ 2,000.00
Received Total:
(Transfer the combined total of all received loans to the $ 0.00
Detailed Summary, page 2 line 4)
Interest Total: $ 0.00
Repayments Total:
(Transfer the combined total of all loan repayments to the $ 2,000.00
Detailed Summary, page 2 line 9 & 16)
Ending Balance Total: $ 0.00
(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
Name of Candidate or Committee, Jeff Miller for City Council
Each incurred expense not yet paid (Le. 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 &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 &I. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of
the Detailed Summary Page.
Any creditors) with a balances) 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)
Previous Balance of
debt at the end of the
last reporting period
New Debt amount
incurred during this
reporting period
Repayments of Debt
during this reporting
period
Balance outstanding
at the end of this
reporting period
1. Chase
PO Box 6294
Carol Stream, IL 60197
749.94
Date:
11 / 30 / 19
Date:
12 / 26 / 19
Amount:
$ 1,269.34
0.00
Amount:
$ 519.40
2,
Date:
Date:
Amount:
Amount:
3,
Date:
Date:
Amount:
$
Amount:
$
49
Date:
Date:
Amount:
MINE
Amount:
5.
Date:
Date:
Amount:
$
Amount:
$
6,
Date:
Date:
Amount:
Amount:
Previous Incurred Repayments Ending Balance
Previous Total: $ 749.94
Incurred Total:
(Transfer the combined total of all incurred debt to the $ 519.40
Detailed Summary, page 2 line 14)
Repayments Total:
(Transfer the combined total of all debt repayments to the $1,269.34
Detailed Summary, page 2 line 10 & 17)
Ending Balance Total: $ 0.00
SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION
Name of Candidate or Committee: Jeff Miller for City Council
Name of Creditor from Schedule E: Chase
Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E- I accompanying it. The Schedule E- I lists where and when
the debt was incurred.
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
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
a e ncurre
u ame, ai ing ress an ip o e o xpen i ure
urpose o e s
moun
11 / 30 / 19
1. Facebook
1 Hacker Way
Menlo Park, CA 94025
g
$ 519.40
2,
3,
4,
5.
6.
7,
8,
9,
Total This Page:
$ 519.40
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.