7 Day Pre-General Report Amendment - Pike, Brad - 11/7/2019CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
Section 1
Name of ate or Poli ' «: I Committee and Chairperson
Mailing Addre s
‘30c
Name<jPobtical'Ireasurer
MahngAddress�
"ft'A* c-34-11"; fi-41E4e)
Change of address for. Candidate or Political Committee
Section 11 TYPE OF REPORT
This filing is an: j� Original 0 Amendment
This report is for the period from kb() 1.° � through tc /(b) I 'Lon
b
Gity and Lip
CI:13U
90tip
upas ECE1a
CI F EAG7 2019
File:.
Route to: _.
•
Rev.
Office Sought (if candidate) District (if any)
CA40) C4.416, \ kg..4!)
Home PhPhotie work Phone
3
City and Zip Home Phone
C-Afkikki nicm)
❑ Political Treasurer 0
tit;
'7 Day Pre -General Report
Is this a Termination Report: 0 Yes
C-2
12/14
Work Phone
CM1 ()51:14M
0 October 10 Pre -General Report
❑ 30 Day Post -General Report 0 Annual Report
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.
El I hereby certify that 1 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 COLUMN 1
figures to the Column 11 figures of your previous report (except on line 6). This Period
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 1 1, page 2)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Date (Enter amount from line 1 8, 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
COLUMN 11
Calendar Year
to Date
$ XXXXXX $ t�
$ 4,`335.b) )(XXXXX
$ /In S
1-(1)1014
4.41144, ce) $1 Ai 4c, 01.)
$3,002. p‘3 e"3 t.Q.,113
‘. tic\
Submit to:
,,cfr@cityofeagle.org OR
sagle City Clerk
660 E. Civic Ln.
Eagle, ID 83616
Phone: 208-939-6813
Fax: 208-939-6827
I , UAL 11
Name of Political Treasurer
report is a true, complete and corr
Page 1
, hereby certify that the information in this
n Financial Disclosure Report as required by law.
gnature of Political Treasurer
)ETAILED SUMMARY
Name of Candidate or Committee: Cu r.km,..4tA) CLA j �.�f?` ki-t _ G - 0 `� •Z �
Total This Period
Contributions
10 Unitemized Contributions ($50 and less) # of Contributor + $ ::1-cA5.7cco
0 Itemized Contributions (Total of all Schedule A sheets) + $ 14,00. 60
0
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ p ,0v
0 Loans (Total of all New Loan amounts from Schedule D sheets) + $ 0 ti.,%0
50 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ °�f 9 1 SI 0 0
Expenditures
O Unitemized Expenditures (Less than $25) # of Expenditures kia. + $ - . S174S
0 Itemized Expenditures (Total of all Schedule B sheets) + $ ittku \
g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ 0
gO Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Q
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ 6
11 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) = $ 41 � 4,94z,
i
Loans, Credit Cards and Debt
� 2 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)
Q Subtotal
16 Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
0 Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets)
® Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
Pledged Contributions
6-1%, Unitemized Pledged Contributions ($50 and less) # of Pledges
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
Total Pledged Contributions this period
Page 2
1/c$,%
: :
p4A, ot
$ 0
= 7,15110
= 0
SCHEDULE A
-..M.'- ) CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this peod
Name ...././.. orCommittee:~' '`-```` Co .'
Date Received
Page of
. .`
Full Name, Mailing Addresand Zip Code of Contributor Cash or Check
` ```
1 .',Vek
_.`. ~^
/ / / `^.
(t kG
2.-kx,
//.eL
,-. q1.40 Wtv,.ti
..`
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cAii-V 6-4(`_`..
164Vok
5./' S.. ...,`'`.,``- '.`'`.`'/.-
144A �
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k 114'")
6. .. ' ``.
/ -
`'.` .'`'-
CcksLi.'^VSLk-6
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9. c
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V*.\:k.7 _-'� C":44,1c' ..._. .'`-`'^.``` OT.
8.
/ / \c‘.
It,irm'`.
k-0 .l ' ..
10.
�`
.
Vkoz,
'^''.,-,`^..'
. .`^
Calendar Year -To -Date
Ct)
' COO
Calendar Year -To -Date
$ b
$too
Calendar
.;
$ .`0
Calendar Year -To -Date
\bo'
.
Calendar Year -To -Date
1. -CD
'"'^..'',-.``
'SC3')
Calendar Year -To -Date
1.-Co-7t.sc)
',`'',`'`'^`
'''`'`.._`
..'.��
Calendar Year-ToDate
Total This Page: $ gta0
Transfer the combined total af all Schedule A pages to the Detailed Summary on page 2 line 2.
Name of Candidate or Committee:
SCHEDULE A
ITEMIZED CONTRI 3UTIONS
of more than Fifty Dollars ($50.00) this period
(13e-• 1,43, PAt;-
Date Received Full Name, Mailing Address and Zip Code of Contributor
10,18.
AT\ %Sn \(\O¼JcJ—
kCaL ine., � ‘&1(1i,k (,,Ac -L.
“.
CV2‘70/� �� � j[� I ` kAA �nk
\044:
vAL
D
4.
1
5.
6.
1
7.
8.
9.
10.
/
Page
2
Cash or Check
t)
Calendar Year -To -Date
$ °
$ Zoe
CaIendarYearToDate
CaIendarYearTo4Date
W
Calendar Year -To -Date
Calendar Year -To -Date
W
Calendar Year -To -Date
Calendar Year -To -Date
CaIendarYearToOate
Calendar Year -To -Date
Calendar Year -Ta -Date
Total This Page: $0781)(1%
�
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE B
ITEMIZED EXPE 'IDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee:
Purpose Lodes (inter up to 3 purpose codes per txpenthture.)
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
L)ate Spent
Cgtrai mt-vc -1
4 --CkpArellr 8,„jaV,
N Newspaper & Other Periodical Advertising
0 .OtherAdvertising (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
Full Name, Mailing Address and Lip code ot Kecipient
1. tkvAlri 6.sie
1
" SnItcA
C-,1...1 tri in‘ t to
r"tr, AL.?
(cps,o, s��LJ�,��
\19) S3b�
We.) (.0 tko,ti-t-4
t;s sot &,„,ALAliqova Am-
563i.Z
a. 171-
toScs
casA
0 ittel‘ v1/4.
5.
S'a Calk. “4,,ik_
Eases 1 p (Z1361 to
6.
7.
8.
9
10.
Page of
iurpose UOd(S) Cash or (:heck
D
5-6
ofd � \LLS
1 -*(2).
0 ;LAIL So
Total This Page: $ -e-Re 41\`0,,t,),\
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
Name of Candidate or Committee:
1
SC-IEDUE C
'J-KNJ CO\1T R 3UTOJS and EXPE\JJITURES
(.-tAt.,,\k-u, fkrak
Purpose Codes (Enter 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 Expenditure
L Literature, Brochures, Printing
M Management Services
/
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
Contributor Name, Mailing Address and Zip Code
xpenditure Name, Mailing Address and Zip Code
Contribu Name, Mailing Address and Zip Code
Expenditure Name, M. ing Address and Zip Code
3. Contributor Name, Mailing Address
/ /
d Zip Code
Expenditure Name, Mailing Address and Zip Code
4. Contributor Name, Mailing Address and Zip Code
I
Expenditure Name, Mailing Address and Zip Code
Page of
Calendar Year -To -Date
Purpose Code(s)
Calendar Year -To -Date
Purpose Code(s)
Calendar Year -To -Date
Purpose Code(s)
Calendar YearToDate
Purpose Code(s)
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages
to the Detailed Summary, page 2 line 8)
So.00
Contributor Total:
(Transfer the combined total of all Contributors on Schedule C pages $ 0.00
to the Detailed Summary, page 2 line 3)
1
SCHEJU.. = J - _OANS
Name of Candidate or Committee: La,'
i"• � (�
ch 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
sep. ate 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 .r a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in
Section 6 -. •10A, Idaho Code, even if it is repaid in full.
Any loan(s) with alance(s) 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 th - ew 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 c mn. 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 Previ s Balance plus new loans and accrued interest less any repayments.
Name, Mailing Address and Zip
Code of Lender
(Candidate, Individual or Business)
1.
2.
3.
4.
5.
6.
7.
Previous Balance New Loan amount Interest accrued Repayments of Loan Balance
of loan at the received during this during this during this reporting outstanding at
e of the last reporting period reporting period period the end of this
repo period reporting period
Date: Date:
/ / /
Amount: Amount:
Date: Date:
/ /
Amount: Amount:
Date: Date:
1 I
/ l
Amount: Amount:
Date: Date:
/ /
Amount:
Date:
/ /
Amount:
ate:
/ /l l
Amount: Am. t:
Date: Date:
/ /
Amount: Amount:
Date: Date:
/ / l l
Amount: Amount:
•
Previous
Received
Previous Total $ 0.00
Received Total:
(Transfer the combined total of all received loans to the $ 0.00
Detailed Summary, page 2 line 4)
Interest
Repayments
Ending Balance
Interest Total: $ 0.00
Repayments Total:
(Transfer the combined total of all loan repayments to the $ 0.00
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)
SCEJUE E-CRE)TCARDSand J
Name of Candidate or Committee: 6j M„,,4,2%„ Aca CL.4.4 fk�'�
Each incurred expense not yet paid (i.e. 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 E-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 E-1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of
the Detailed Summary Page.
Any creditor(s) with a balance(s) 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)
1. ak,
914ria-k
mA-cc-iu,,Q 1
_0
2
3.
4.
5.
6.
Previous Balance of New Debt amount Repayments of Debt Balance outstanding
debt at the end of the incurred during this during this reporting at the end of this
last reporting period reporting period period reporting period
Date: Date:
t /ID kf) t 11,4 I ( el_
711) 9 Amont: Amount:
� $ I Alii. t i $ v
Date: Date:
I
/ I I
Amount: Amount:
Date: Date:
/ / I I
Amount: Amount:
Date: Date:
/ 1 / /
Amount: Amount:
Date: Date:
/ I I I
Amount: Amount:
Date: Date:
l / 1 I
Amount: Amount:
Previous Incurred Repayments Ending Balance
Previous Total: $eoqlijq, G(t)
Incurred Total \
(Transfer the combined total of all incurred debt to the $4A.440
Detailed Summary, page 2 line 14)
Repayments Total:
(Transfer the combined total of all debt repayments to the $ 0.00
Detailed Summary, page 2 line 10 & 17)
Ending Balance Tota
20-11, 01
SCI-fEJUE E-1- CEJITCM) and JE3T TEV1 ZAT 0\1
Name of Candidate or Committee: Corlr,,x1_,,,, ct.triV...1?,
Name of Creditor from Schedule E:
Each Creditor fisted on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when
the debt was incurred.
Page
1
of
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
A
B
C
D
E
F
G
H
L
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
Broadcast Advertising (Radio, N, Internet & Telephone)
Contributions to Candidates & PAC's
Donations & Gifts
Event Expenses
Food & Refreshments
General Operational Expenses
Independent Expenditure
Interest Accrued & Finance Charges
Literature, Brochures, Printing
nate incurred
r �
1.
2.
3.
5
6
7
8
9
M Management Services
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
Full Name, Mailing Address and Lip rode of Expenditure
6,:2)
ce,L, tt)s(..1/4k,
\Y‘s".1\f,lotil tS (*(v1Civn
‘S.0 Sk-c-Ist-Sk
Cie+-, I nL\
ic,so ee,14
'64'kok‘.
Nurpose Uocie(s)
Amount
$ 2 o
ldtsk.9e1
Total This Page: $ ‘1e3Aik,k
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.