7 Day Pre-General Report Amended - Pike, Brad - 11/15/2019Section
Name of
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
idate or Political Committee and Chairperson
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Mailing Ad ress
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Name of Politicll Treasurer
Mailing Address
Change of address for:
Section II
This filing is an: Original ( lAmendment
This report is for the period from ‘L ' \' 5 through \v / L / h \ G,
❑ October 10 Pre -General Report
Day Pre -General Report ❑ 30 Day Post -General Report ❑ Annual Report
RECE VP .
c ze: EAGLE
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NOV 142019 Rev 1/14
File:
Route to:
Office Sought (if candidate) District (if any)
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City and Zip Home Phe Work Phone
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City
and Zip
Home Phone
Candidate or Political Committee 0 Political Treasurer 0
�-- TYPE OF REPORT
Work Phone
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 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
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)
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COLUMN II
Calendar Year
to Date
*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
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Name of Political Treasurer
report is a true, complete and yrec
, hereby certify that the information in this
aign Financial Disclosure Report as required by law.
Page 1
ignature of Political Treasurer
Name of Candidate or Committee:
DETAILED SUMMARY
‘L -
Total This Period
Contributions
El) Unitemized Contributions ($50 and less) # of Contributors + $
2O Itemized Contributions (Total of all Schedule A sheets) + $
30 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
O Unitemized Expenditures (Less than $25) # of Expenditures \--1-' + $ c k ,'}C--
7O Itemized Expenditures (Total of all Schedule B sheets) + $ 4,0tk..,,,
CDIn -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $
C_C 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) = $,�',
4 ;11'6 S t,,,,
Loans, Credit Cards and Debt
12 Outstanding Balance from previous reporting period + $
New Loans received during this reporting period
13 (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $
New Credit Card and Debt incurred this reporting period
14 (Total of all New Incurred Debt amounts from Schedule E sheets) + $
15 Subtotal = $
Repayments of Loans made during this reporting period
16 (Total of all Loan Repayment amounts from Schedule D sheets) - $
Repayments of Credit Card and Debt this reporting period
17 (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
Unitemized Pledged Contributions ($50 and less) # of Pledges + $
Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $
IID Total Pledged Contributions this period = $
Page 2