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30 Day Post-General Report - Conservative Citizens, for Thoughtful Growth - 12/5/2019 •F CAMPAIGN FINANCIAL DISCLOSURE REPORT . G2 .; Rev.12114 SUMMARY PAGE (Please Print or Type) File. Rout to: .. Section Name of Candidate or Political Committee and Chairperson Office Sought(if candidate) District(if any) Conservative Citizens for Thoughtful Growth Mailing Address City and Lip Home Phone Work Phone 363 E. Riversedge Dr. Eagle ID 83616 208-854-1888 Name of Political Treasurer Douglas E. Black Mailing Address City and Zip Home Phone Work Phone 605 E. River Quarry Ct. Eagle, ID 83616 208-344-2666 Change of address for: Candidate or Political Committee 0 Political Treasurer 0 Section II TYPE OF REPORT This filing is an: [7 Original 0 Amendment This report is for the period from 10/28/2019 through 12/05/2019 / 0 October 10 Pre-General Report • 7 Day Pre-General Report El 30 Day Post-General Report 0 Annual Report Is this a Termination Report: 0 Yes LNo 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. � 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 COLUMN II figures to the Column II figures of your previous report(except on line 6). This Period Calendar Year to Date Line 1:Cash on Hand January 1,This Calendar Year* so XXXXXX $ 0.00 Line 2:Enter Beginning Cash Balance"* $500 $ XXXXXX Line 3:Total Contributions(Enter amount from line 5,page 2) $Q $ 15,500.00 Line 4:Subtotal(Add lines 1,2 and 3) $0 $ 15,500.00 Line 5:Total Expenditures(Enter amount from line 11,page 2) $0 $ 15,000.00 Line 6:Enter Ending Cash Balance(Subtract line 5 from line 4) $0500.00 $ 500.00 Line 7:Outstanding Debt to Date(Enter amount from line 18,page 2) $0 *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: Douglas E. Black cfr@cityofeagle.org OR I, ,hereby certify that the information in this Name of Political Treasurer Eagle City Clerk 660 E.Civic Ln. report is a true,complete and correct Campaign Financial Disclosure Report as required by law. Eagle,ID 83616 Phone:208-939-6813 Z7e9Uq&Z4.- Fax: 208-939-6827 cSignature of Political Treasurer Page 1