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Palmer for MeridianCAMPAIGN FINANCIAL DISCLOSURE REPORT C-2 SUMMARY PAGE RI CE_ IVED Rev 12114 (Please Print or Type) ADA COU'!-1TY EI ECTMNS Section I 2020 JAN 31 PH 12:0 8 Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) Palmer for Meridian Mayor To reach your Calendar Year to Date figure: Add this report's Column I Mailing Address Qandp me 11none Vm Phone 1524 N. Meridian Rd Meridian 83642 208 941 2039 1208 9412039 Name of P65WWreasum Jeff Black MagingAddress. City am Zjp Home Phone Wik Phone 482 W. Davenport St. Meridian 83646 208 599 1346 208 363 4702 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 12131//2019 1 ❑ 7 Day Pre -General Report Is this a Termination Report: ® Yes [:130 Day Post -General Report ❑ No []October 10 Pre -General Report 0 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 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 11 figures to the Column 11 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 Line 2: I=nter Beginning Cash Balance" $ 655.07 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 1,000.00 $ 88,500.00 Line 4: Subtotal (Add lines 1, 2 and 3) $ 1,655.07 $ 88,500.00 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 1,655.07 $ 88,500.00 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ 0.00 $ 0.00 Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ 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: 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 City of Meridian 33 E. Broadway Ave. suite 104 Meridian, ID 83642 (208) 888-4433 cityclerk@meridiancity.org 1. Jeff Black , hereby certify that the information in this Named Political Treasurer report is a true, complete and Page 1 re Report as required by law. Signature of Political Treasurer DETAILED SUMMARY Name of Candidate or Committee: Palmer for Meridian 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 (Total of all New Incurred Debt amounts from Schedule E sheets) + $0.00 Q Subtotal - $0.00 16 Repayments of Loans made during this reporting period i - 0.00 (Total of all Loan Repayment amounts from Schedule D sheets) $ Q 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) _ $0.00 Pledged Contributions 19 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 Total This Period Contributions Q _ Unitemized Contributions ($50 and less) # of Contributors o + $0.00 Itemized Contributions (Total of all Schedule A sheets) + $1,000.00 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) _ $1,000.00 Expenditures ® Unitemized Expenditures (Less than $25) # of Expenditures 15 _ + $145.40 Itemized Expenditures (Total of all Schedule B sheets) + $1,509.67 ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $0.00 i ® Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $0.00 10 Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $0.00 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $1,655.07 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 (Total of all New Incurred Debt amounts from Schedule E sheets) + $0.00 Q Subtotal - $0.00 16 Repayments of Loans made during this reporting period i - 0.00 (Total of all Loan Repayment amounts from Schedule D sheets) $ Q 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) _ $0.00 Pledged Contributions 19 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 Aase lo ITEMIZED CONTRIBUTIONS 1 1 of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Palmer for Meridian Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 12 19 119 1. Citizens for Responsible Growth 1301 S. Teare Ave Meridian, ID 83642 $ 1,000.00 $ 1,000.00 Calendar Year -To -Date 2, 1 1 $ $ Calendar Year -To -Date 3. I 1 $ $ Calendar Year -To -Date 4. 1 1 $ Calendar Year -To -Date 5. I 1 $ Calendar Year -To -Date 6. 1� $ $ Calendar Year -To -Date 7. 1 r $ $ Calendar Year -To -Date $ $ I 1 Calendar Year -To -Date 9. 1_J $ Calendar Year -To -Dale 10. Calendar Year-T"ate Total This Page: $1,000.00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Page 1 1 of 1 Name of Candidate or Committee: Palmer for Meridian I vurpose t;oaes (inter up to 3 purpose coxes per txpenamire.) I- Ull Name, mailing Address and zip Code of Recipientuipose e s) 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 Dale spent I- Ull Name, mailing Address and zip Code of Recipientuipose e s) UaSh or GhecK Committee to Elect Joe Palmer 1524 N. Meridian, ID 83642 C 12 20 19 1,000.00 ! ! $ 2. Bayer for Idaho 265 E. Calderwood C 12 30 19 Meridian, ID 83642 509.67 I 1 $ 3. 1 1 $ 4. 1 1 $ 5. I I $ 6. ! 1 $ 7. 1 ! $ 8. 1 I $ 9. I 1 $ 10. 1 ! $ Total This Page: $ 1,509.67 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.