October 10 Pre-General Amended - Pike, Brad - 11/14/2019CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
Section
Narne of Carfdla:aor Political mmittee and Chairperson
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Mailing Address 4
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Name orPolitic TTreasurer
Mailing Address
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RECEIVED & Ft L.. ..n..�
CITY OF EAGLE
NOV 1 4 2O3 Rev. 1414
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Route to:......�..
Office Sought (if candidate)
City and Zip Home Ph�ne Work Phone
District (if any)
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City and Zip Home Phone
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Change of address for: Candidate or Political Committee 0 Political Treasurer 0
Section II
This filing is an:
Original Amendment
This report is for the period from z A 1.Q‘c) through CI / / tk*-\\4)
TYPE OF REPORT
❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report
Is this a Termination Report: 0 Yes 0 No
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Work Phone
1')-1bC
October 10 Pre -General Report
❑ 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.
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 I COLUMN I
figures to the Column II 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 11, page 2)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2)
COLUMN II
Calendar Year
to Date
g XXXXXX $
$ 0 g xxxxxx
419-1* \C sz.\--('-)1V\C—
s 4,6\1A-6
‘) $_(,%Ce):\
$LV, $ (Qbk.
*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
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,� � , 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
Signature of Political Treasurer
Name of Candidate or Committee:
DETAILED SUMMARY
rci< CL_c
M()
Total This Period
Contributions
CO Unitemized Contributions ($50 and less) # of Contributors + $
Itemized Contributions (Total of all Schedule A sheets) + $
OD In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $
0 Loans (Total of all New Loan amounts from Schedule D sheets) + $
0 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $
Expenditures
Unitemized Expenditures (Less than $25) # of Expenditures 1
Itemized Expenditures (Total of all Schedule B sheets)
gO In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
E_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)
CID Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
12
13
Loans, Credit Cards and Debt
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)
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
Subtotal
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)
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
Pledged Contributions
Unitemized Pledged Contributions ($50 and Tess) # of Pledges
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
gpl Total Pledged Contributions this period
Page 2
SCHEDULE B
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)
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
2.
3.
4.
c) 11\\')
/ /
5.
/
/
6.
7.
8.
9.
10.
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
hull Name, Mailing Address and Zip Code of Recipient
Hurpose Code(s)
Page
of
Cash or Check
(.3
$lclo
c(.16
6 $2
Total This Page:
$ @nee ncs)-1
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.