Anne Little Roberts CC (Termination)..:° eA
CAMPAIGN FINANCIAL DISCLOSURE REPORT
JAN
SUMMARY PAGE
(Please Print or Type) CITY OF G�ff� ���
I_ERK0EEsGE,
Section I
C-2
Rev. 12114
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
District (if any)
Anne Little Roberts
City Council
Mailing Address
i y an ip
Home Phone
ork Phone
2031 S Elkhound
Meridian 83642
208-8614799
Name of PoliticalTreasurer
Clarence Jones
Mailing Address
City and Zip
Home Phone
Work Phone
736 E Trinidad
Meridian 83642
208-288-0033
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 I � II through / !
❑ 7 Day Pre -General Report
Is this a Termination Report: � Yes ❑
❑ 30 Day Post -General Report
❑ October 10Pve-General Report
❑i 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.
p 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: AN 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 $
Line 2: Enter Beginning Cash Balance** $ $ XXXXXX
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 T Outstanding Debt to Date (Enter amount from line 18, page 2) $
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)8884433
cityclerk@meridiancity.org
I Clarence Jones
Name of Political Treasurer
report is a true, complete and
hereby certify that the information in this
Financial Di
Signature of
as required bylaw.
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