Loading...
October 10 Pre-General Report-Amended - Bastian, Stan - 10/21/2019CAMPAIGN FINANCIAL DISCLOSURE REPOR SUMMARY PAGE (Please Print or Type) Section 1 Name of Candidate or Political Committee and Chairperson 05/Zii ,134,4"" Mailing Address &1l 3303 tt) &Valet Name of PoIiticaI Treasurer Mailing Address 33cg 1.4) ChoSsLn Change of address for: Candidate or Political Committee ❑ Political Treasurer El Section 11 TYPE OF REPORT This filing is an: 0 Original � ' Amendment This report is for the period from q f 3 J.ZO/7through R i.c ic.wf 6 ;aj'f�L}lig"-i�•J.)�.V•t'.r.�!�..iiT". 'ITV OF ile: Rue to: Office Sought (if candidate) 4a1 e City and Lip � HomJ'hone &We L34Jt 28%2/.-38qq 1 City and Zip C-2 ev. 12/14 District (if any) tL N) or c one Home Phone Work Phone egtik!3ha:__I T...."... 0 7 Day Pre -General Report [October 1 0 Pre -General Report 0 30 Day Post -General Report Annual Report Is this a Termination Report: 0 Yes 0 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 11, Section IV. 0 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 1 figures to the Column 11 figures of your previous report (except on line 6). COLUMN 1 This Period COLUMN 11 Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ )(X)O(XX $ Line 2: Enter Beginning Cash Balance** $ % 3d0. XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ 0 .64 $ Line 4: Subtotal (Add lines 1, 2 and 3) $ � ,300 Line 5: Total Expenditures (Enter amount from line 1 1, page 2) $ 31. $ 7 $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ _41/42 • 9 1 $ Line 7: Outstanding Debt to Date (Enter amount from line 1 8, page 2) $ *This same figure should be entered online 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 Submit to: cfr@cityofeagle.org OR Eagle City Clerk 660 E. Civic Ln. Eagle, ID 83616 Phone: 208-939-6813 Fax: 208-939-6827 I, Skpi , 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. Page 1 Ttature of Political Treasurer DETAILED SUMMARY Name of Candidate or Committee: 5ta L,/7tn Total This Period Contributions 10 Unitemized Contributions ($50 and less) # of Contributors 2O Itemized Contributions (Total of all Schedule A sheets) + $ In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ 40 Loans (Total of all New Loan amounts from Schedule D sheets) + $ 50 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ ,66 Expenditures O Unitemized Expenditures (Less than $25) # of Expenditures + $ 7O Itemized Expenditures (Total of all Schedule B sheets) + $ 31. gO In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ gO 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) + $ 11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $ 31.61 Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $ © 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) + $ Subtotal = $ 16 Repayments of Loans made during this reporting period (Total of all Loan Repayment amounts from Schedule D sheets) $ Repayments of Credit Card and Debt this reporting period (Total of all Debt Repayment amounts from Schedule E sheets) $ 0 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) = $ Pledged Contributions � g Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period $ 37.57 Page 2 Name of Candidate or Committee: Date Received DPrimary DGeneral CI Pri mary DGeneral DP' mary DGeneral / / DPrimary DGerieral / / OPrimary DGeneral DPrimary DGeneral DPrimary DGeneral OPrimary DGeneral / L7Primary DGeneral DPrimary DGeneral 3. 4. SCHEDULE A ITEMIZED CONTRIBUTIONS Of more than fifty dollars ($50.00) this period Satiut.154t5-fm-i7 Full Name, Mailing Address and Zip Code of Contributor/Lender S S S 5, $ S 6. 7. 8. 9. 1 0. S S S S S S Page of Cash or Check Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Calendar Year To Date Total This Page:$ Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2. SCHE)ULE B ITEMIZED EX DE J )ITUR ES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: Purpose Godes (inter up to 3 purpose codes per Expenditure.) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B Broadcast Advertising (Radio, TV, Internet & Telephone) C Contributions to Candidates & PAC's D Donations & Gifts E Event Expenses F Food & Refreshments G General Operational Expenses H Independent Expenditures L Literature, Brochures, Printing M Management Services Date Spent N Newspaper & Other Periodical Advertising 0 Other Advertising (Yard Signs, Buttons, etc.) P Postage S Surveys & Polls T Tickets (Events) U Utilities W Wages, Salaries, Benefits & Bonuses Y Petition Circulators Z Preparation & Production of Advertising Fuli Name, Mailing Address and Lip Code ot Fecipient 1. tri Khris &j64iq 4,5o tif S�tat� S*ee4, &.0 -�'e A 9 L/6/01011 e4/_k_r 2. Ma, Cz boa Np"aifl q 427 �q017--LS-e-t ", 3 g34L 4. 5. 6. I / 7. 8. 9. r / 10. / Page of F'urpose Uocle(s) Lash or (;heck $ 17. 57 v.?)&66 Total This Page: $ :9;819 31• 57 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.