48 Hour Notice of contributions/loans received - Semanko, Norm - 11/4/201148 HOUR I -
rEAGLE
TICE
OF CONTRIBUTIONS NLCOANS RECEI ED 4t, ��' Rev.
6
a 4 of $1,000 or more
f�toote to: ... .......... .„„ ,.,,,,.,... .................... ............
........,-..w
Directions: Use this form to report any contribution of one thousand dollars ($1,e e, received aft CtF6 _
sixteenth (16) day before, but more than forty-eight (48) hours before, any [... ] general election. Notification must
be made within forty-eight (48) hours after receipt of such contribution. (Sec. 67-6607(c), I.C.)
2011 Elections
48 Hour Notice required for
contributions:
Cash or
In -Kind
General
Election
October 24, 2011 through
November 5, 2011
This requirement applies to all types of
contributions, including but not limited to:
• cash contributions
• in-kind contributions
• loans
• contributions or personal loans made
by the candidate
Name of Candidate or Committee: Seat (if applicable)
ko Ma Y0
Mailing Address:
City and Zip Code:
C-5
Date
Full Name, Mailing Address and Zip Code
Cash or
In -Kind
Received
of Contributor/Lender
Check
(non -monetary)
Loan
a 0 0 v, -r I o �
1
1 011 'fv l c-b%AL
L � f
$
2.
3.
$
$
$
RETURN THIS FORM TO:
Sharon Bergmann
City Clerk
City of Eagle
PO Box 1520
Eagle, ID 83616
(208) 939-6813
Fax: (208) 939-6827
I, '. 1 ko hereby certify that the information in this
Name of Folibcal Nreasurer
report is a true, complete and correct.
rer