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ii
C-2 Campaign Financial Disclosure Report
Rev. 1/18 Summary Page
Please print or type
SECTION I
Name of Candidate or Political Committee & Chairperson
Office Sought (tl candidate) District (d any)
Line 3. Total Contributions (Enter amount on line 5, page 2)
rd
Line 4. Subtotal (Add lines 1, 2 and 3)
Mailing Atldress
Line 5. Total Expenditures (Enter amount from line 11, page 2)
City and Zip Home Phone Work Ptwne ��
zo -yi2s
Line 6. Cash Balance at Close of Period (Subtract Line 5 from Line 4)"
I%'Qt'ti
,d;P3
Name of Treasurer
This same figure should be entered on Line 1 of all reports filed this calendar
vear
`Political
Mailing Address
City arM Zip Home Phone Work Phone
Change of Address for:
Section II
This filing is for an:
This report is for the period from:
7 Day Pre -Primary Report
7 Day Pre -General Report
Candidate or Political Committee s
TYPE OF REPORT
Original
30 Day Post -Primary Reports
30 Day Post -General Report
Is this a Termination Report? Yes =1
Political Treasurer
Amendments
through 12131 lzo lei
October 10 Pre -General Reports
Annual Report
Semi -Annual Report (Statewide Candidates only)s
No®
Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Directions: If you have 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.
01 hereby certify that I have received no contributions and have made no expenditures
during this reporting period.
Section IV SUMMARY
",, "„� ate„ oa,
I 94 Z. 20
Line 3. Total Contributions (Enter amount on line 5, page 2)
-,
Line 4. Subtotal (Add lines 1, 2 and 3)
,5 LU 15 9 ZO
Line 5. Total Expenditures (Enter amount from line 11, page 2)
OSp.oD
Line 6. Cash Balance at Close of Period (Subtract Line 5 from Line 4)"
O. DO
Z p, ZD` 1
Line 7. Outstanding Debt to Date (Enter amount from line 16, page 2)
12 Ro
This same figure should be entered on Line 1 of all reports filed this calendar
vear
"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 beginning cash on hand.
SECTION V
Return this Form to: ilc �ee(d , hereby certify that the information in this
Name o/ Political Treasurer
Ada County Elections
400 N Benjamin Ln, Ste #100
Boise, ID 83704
Phone #: (208) 287-6860
Fax #: (208) 287-6939
report is a true, complete and correct Campaign Finance Disclosure as
required by law.
Signature of Political Treasurer
Rev 1/18 DETAILED SUMMARY PAGE
Name of Candidate or Committee �a^Y1/il t� Q er
Contribution
Total this period
(1)
Unitemized Contributions ($50 and less) # of ContrinCsheets)
$ -
2
Itemized Contributions Total of all Schedule A sheets
$
3
In -Kind Contributions Total of all Contribution amounts from Sc$(4)
$-
$
Loans (Total of all New Loan amounts from Schedule D sheets$
$
(5)
Total Contribution Transfer this figure to a e 1, Section IV, Line 3
$
Loans, Credit Cards and Debt
Total
this period
Expenditures
(13) New Loans received during this reporting period (Total of all New Loan Amounts plus Accrued
(6) Unitemized Expenditures (Less than $25) # of Expenditures
$
(14) New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt
(7 Itemized Expenditures Total of all Schedule B sheets
$-
$
(B In -Kind Expenditures Total of all Expenditure amounts from Schedule C sheets
$
-
(9) 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
$
(17) Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment
(11) Total Expenditures Transfer this figure to page 1, Section IV, Line 5)
amounts from Schedule E sheets, input as negative value)
3, 060
Loans, Credit Cards and Debt
Total This period
(12) 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 (Total of all New Incurred Debt
$
amounts from Schedule E sheets)
$
(15) Subtotal
$
(16) Repayments of Loans made during this reporting period (Total of all Loan Repayment
amounts from the Schedule D sheets, input as negative value)
$
(17) Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment
amounts from Schedule E sheets, input as negative value)
$
(18) Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV,
Line 7)
$
Pledged Contibutions
Total this period
(19) Unitemized Pledged Contributions ($50 and less) # of Pledges
(20) Itemized Pledged Contributions this Period Total of all Schedule F sheets
(21) Total Pledged Contributions this period
$
Rev.1/18 SCHEDULE B Page _of
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee
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)
O
Other Advertising (Yard Signs, Buttons, etc.)
C
Contributions to Candidates & PACs
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
I Preparation & Production of Advertising
M
Management Services
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose
Code(s)
Cash or Check
Amount
1)
I1,CA*tpo
T-JAO Fed, a ra-n
9
Date
1
2)
lws PYA X05 herr
455J17 Q41400d CNvOb Aa -s+,", -TX iy7p6
j Y1
$
00 '
Date
' Zt7 19T)
Si'h7750n 0Y-
d(3 971 f rYI.Cri d A4i g7Jf0�
$
J8 g0 -
Date
Date
4)
yM�
18�.
o� ¢ 707
i—
$
12-111
5)
-TeriYYlurn`9v+�
$
5 O
Date
Date
6)
$
7)
$
Date
8)
$
Date
g)
$
Date
10)
$
Date
Total This Page
$
S050
Note: (Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2, line 7.)