Oct 10 Pre-General - Arnall, Jerry - 10/11/2011ECEIVE® & FILE
CITY OF EAGLE
OCT 1 1 2011
CAMPAIGN FINANCIAL DISCLOSURE REPORT File: a
SUMMARY PAGE
(Please Print or Type) Route to:
Name of CaWdate or Political Committee and Chairperson
ST
Officeht (if mandidate) District (f any)
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Change of address for: Candidate or Political Committee ❑' Political Treasurer ❑
Section 11 TYPE OF REPORT
This firing is an: —0" Original ❑ Amendment
This report is for the period from __qlq f4—through 4_q--1,3Q-j_.
❑ 7 Day Pre -Primary Report
❑ 7 Day Pre -General Report
❑ 30 Day Post -Primary Report
❑ 30 Day Post -General Report
❑ Semi -Annual Report (Statewide Candidates Only)
Is this a Termination Report: ❑ Yes No
„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 11, Section IV.
_,,Erl 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 11 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'
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 ti, 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)
$ XXXXXX $
$ -~' $ XXXXXX
$ $
'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
Return This Report To:
Ben Ysursa
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Secretary of State
I, C
r (jr-tq— , hereby certify that the information in this
PO Box 83720
Name of Pordkd Treasurer
Boise ID 83720-0080
report is a true,
complete and correct Campaign Financial Disclosure Report as required by law.
Phone: (208) 3342852
Fax. (208) 3342282
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e— Iec ow sos t eLci_ to
Signa tur f Politica! Treasurer
Page 1
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