30 Day Post-General Report - Pike, Brad - 11/14/2019Section
Name of Cpferat+i)vor Politica mmittee and Chairperson Office Sought (if candidate)
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Mailing Address City and Zip Home Phone
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Name of Political Treasurer j
Mailing Address City and Zip
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Change of address for: Candidate or Political Committee 0 Political Treasurer 0
Section II TYPE OF REPORT
This filing is an: Original 0 Amendment
This report is for the period from ,.V1\ k() through \i, / t t / (t' .
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
NOV 1 2L19
File:Route to: _..
k
C-2
Flee. 12/14
District (if any)
Work Phone
:WAS'
Home Phone Work Phone
0 7 Day Pre -General Report
1 0-')c Uon,_
0 October 10 Pre -General Report
›ti30 Day Post -General Report ❑ Annual Report
Is this a Termination Report: Yes 0 No
Section 111 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
$ XXXXXX $
xxxxxx
$
073 rs y
y"=
$ off?co„,..s
•
k)
t
$ $ '
*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
\11 V ---k
Name of Political Treasurer
hereby certify that the information in this
report is a true, complete and correct CFinancial Disclosure Report as required by law.
Page 1
ignature of Political Treasurer
DETAILED SUMMARY
Name of Candidate or Committee: \ z A
I A t\, r \IVA...
Contributions
0 Unitemized Contributions ($50 and less) # of Contributors A.
2O Itemized Contributions (Total of all Schedule A sheets)
CD In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
CDLoans (Total of all New Loan amounts from Schedule D sheets)
0 Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
Expenditures �
OUnitemized Expenditures (Less than $25) # of Expenditures
Itemized Expenditures (Total of all Schedule B sheets)
O In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
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)
12
13
(Di
15
16
17
18
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
0 Unitemized Pledged Contributions ($50 and less) # of Pledges
DO Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
Total Pledged Contributions this period
Page 2
Total This Period
+ $ t4:e
+ 19c2e
510 %10
= $ AILL&; CjtO
o
• $
• $ i
= $ L A
- gtol-k.09
SCH EDULE A
..EM`.'. CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
r-' N```,`..,A,,..`'`''m`^ 'reja'`~�
Date Received
Full NameMailing Address and Zip Code of Contributor
il) I) -
.^.
/17-S.� ' / . Lialm
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3.
4.
5.
6.
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9.
10.
Page of
Cash or Check
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t
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c0.0
u
k -s -s
Calendar Year -To -Date
$
%c, �$ ^�.Calendar Year -To -Date
^'
$ Soo
Calendar Year -To -Date
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Calendar Year -To -Date
101.:10$1.0
Calendar Year -To -Date
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s
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'
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.
•
SCHEJULE B
ITEMIZE) EXPE 'JDITUR ES
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 TraveExpenses (Airfare, FueI, Lodging & Mileage)
B Broadcast Advertising (Radio, TV, Interne & Telephone)
C Contributions to Candidates & PAC's
D Donations & Gifts
E Event Expenses
F Food & Refreshments
G General OperationaExpenses
H Independent Expenditures
L Literature, Brochures, Printing
M Management Services
uate Spent
3.
4
5.
' /
8.
10.
N Newspaper & OthePeriodical Advertising
o Other Advertising (Yard SigrisButtons, etc.)
P Postage
S ''o,,./.o.
T Tickets (Events)
U Utilities
W Wages, Salaries, Benefits & Bonuses
Y Petition Circulators
Z Preparation & Production ofAdvertising
Full Name, Mailing Address and Lip Code ot Recipient
cu, -)11) *.eS iokb
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ria
lk
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Z1W1/4.
Page of
- �
Purpose Code(s) Cash or Check
L
1
.!�
'
Total This Page: $ COO
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
�
G
Y.
Y
n
A
Rev. 1/18
SCHEDULE C
IN-KIND CONTRIBUTIONS AND EXPENDITURES
(Name of Candidate or Committee 1 1:31\j10
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
Page of
A
B
C
D
E
1A11 Travel Expenses (Airfare, Fuel, Lodging & Mileage)
Broadcast Advertising (Radio, TV, Internet & Telephone)
Contributions to Candidates & PACs
Donations & Gifts
� Event Expenses j
N
0
P
S
T
Newspaper & Other Periodical Advertising
Other Advertising (Yard Signs, Buttons, etc.)
Postage
Surveys & Polls
Tickets (Events)
F
Food & Refreshments
U
Utilities
G
H
General Operational Expenses
Independent Expenditures
W
Y
Wages, Salaries, Benefits & Bonuses
Petition Circulators
L �
Literature, Brochures, Printing
Z
Preparation & Production of Advertising
M
Management Services
Date Received
�.$LL
Primary
General
Full Name, Mailing Address and Zip Code of Contributor/Expenditure
Contributor Name 1) t � a,�
Mailing Address c A��� VJAksi
City, State Zip (),Lk- 'kt,k (o
Expenditure Name
Mailing Address
City, State Zip
Cash or Check Amount
Amount
Calendar Year to Date
Purpose Code(s)
Contributor Name
tckor k
Oo4�j
_
Primary
Mailing Address
-Mt Q `4,-ry,vZ,,)4.4/, Lit t -f -C.
$ ()0 . A
`
General
City, State ZIP
-,0
Calendar Year to Date
Expenditure Name
Mailing Address
City, State Zip
� c:V'LA Contributor Name
rimary Mailing Address
General City, State Zip
Expenditure Name
Mailing Address
City, State Zip
Purpose Code(s)
3) MVLIfl.
So
11% SO
Calendar Year to Date
Amount
Primary
General
Calendar Year to Date
Mailing Address
City, State Zip
Expenditure Total
(Transfer the combined total of all Expenditures on Schedule C
pages to the Detailed Summary, page 2 line 8)
$0.00
Contributor Total
Note: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed
Summary, page 2, line 3)
tow
Rev. 1/18 SCHEDULE C Page of
IN-KIND CONTRIBUTIONS AND EXPENDITURES
( Name of Candidate or Committee I
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
A
B
C
D
E
F
G
H
L
M
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
Broadcast Advertising (Radio, TV, Internet & Telephone
Contributions to Candidates & PACs
Donations & Gifts
Event Expenses
Food & Refreshments
General Operational Expenses
Independent Expenditures
Literature, Brochures, Printing
Management Services
N
O
P
S
T
U
W
Y
Z
Newspaper & Other Periodical Advertising
Other Advertising (Yard Signs, Buttons, etc.)
Postage
Surveys & Polls
Tickets (Events)
Utilities
Wages, Salaries, Benefits & Bonuses
Petition Circulators
Preparation & Production of Advertising
Date Received Full Name, Mailing Address and Zip Code of Contributor/Expenditure
Contributor Name 1
Primary Mailing Address
General City, State Zip
Expenditure Name
Mailing Address
City, State Zip
Contributor Name
i h4j o✓
LauLb
Cash or Check Amount
kcNi
$ 6X334
Calendar Year to Date
Amount
un
2.o�t
Expenditure Name
Mailing Address
City, State Zip
Contributor Name 3
Primary Mailing Address
General City, State Zip
Expenditure Name
Mailing Address
City, State Zip
Contributor Name
4)
Purpose Code(s)
Amount
S
Calendar Year to Date
Purpose Code(s)
Amount
Primary Mailing Address
1 0 _
j�y� _ S 'Nue`
$
�
$
_- _ �3 L �,
Calendar Year to Date
General City, State Zip
I �� i4
l � �11p1�
Calendar Year to Date
Expenditure Name
Mailing Address
City, State Zip
Contributor Name 3
Primary Mailing Address
General City, State Zip
Expenditure Name
Mailing Address
City, State Zip
Contributor Name
4)
Purpose Code(s)
Amount
S
Calendar Year to Date
Purpose Code(s)
Amount
Expenditure Name
Mailing Address
City, State Zip
Purpose Code(s)
Expenditure Total
(Transfer the combined total of all Expenditures on Schedule C
pages to the Detailed Summary, page 2 line 8)
S1/4.)
simuz.
Contributor Total
Note: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed
Summary, page 2, line 3)
kclio
Primary
General
Mailing Address
$
City, State Zip
Calendar Year to Date
Expenditure Name
Mailing Address
City, State Zip
Purpose Code(s)
Expenditure Total
(Transfer the combined total of all Expenditures on Schedule C
pages to the Detailed Summary, page 2 line 8)
S1/4.)
simuz.
Contributor Total
Note: (Transfer the combined total of all Contributors on Schedule C pages to the Detailed
Summary, page 2, line 3)
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SC-IEJUE E-CEJTCAJSand JE3T
Name of Candidate or Committee:
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. C (—
r) ,ro (0°)
?ocA-v \ 7 nbto
2.
3.
4.
5.
6.
Previous Balance of
debt at the end of the
last reporting period
)%ri4'• '6)
New Debt amount
incurred during this
reporting period
Date:
Amount:
Date:
Amount:
Date:
/
Amount:
Date:
/
Amount:
Date:
/
Amount:
Date:
/ /
Amount:
Repayments of Debt
during this reporting
period
Date:
/2k.J1)
Amount:
0-3t k bc)
Date:
/ /
Amount:
Date:
/
Amount:
Date:
/ /
Amount:
Date:
/
Amount:
Date:
Amount:
Balance outstanding
at the end of this
reporting period
-0
Previous
Previous Total: $ OEQQ[i) 0.,tY5
Incurred
Repayments
Incurred Total:
(Transfer the combined total of all incurred debt to the $ 0.00
Detailed Summary, page 2 line 14)
Repayments Total:
(Transfer the combined total of all debt repayments to the $ PQQ 2/01-k, b`)
Detailed Summary, page 2 line 10 & 17)
Ending Balance Total:
Ending Balance
$0.00