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Annual Report - Reynolds, James D. - 12/1/2011UEU-01-dull 1y:00 rrom:Kathleen Koma Hssoc 10:y.S13688( CITY OF EAGLE DEC 0 1 2011 CAMPAIGN FINANCIAL DISCLOSURE REPORT I File: C-2 SUMMARY PAGE tete to'_ 10/07 (Please Print or Type) Name of Cand' a or Political Committee and Chairperson Office Sought (if candidate) Seat rd any) A AAA 5 to Dale ng ID�}6 S 5;y_ (�i Ciry anU Lip W G RomR545eone ZoY-q39-$D S% 208.96/- q14r e oBMW Tff&jrer 'pyo a a ressr 5 S. 50 an p le. T3191(o ome one I lot. 316-165 one Z- 888-1934 Change of address for; Candidate or Political Committee ❑ Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: Original ❑ Amendment This report is for the period from 11 lI_I 11 through 11 1 � 0 I_1. ❑ October 10 Pre -General Report Annual Report Is this a Termination Report: * Yes ❑ 7 Day Pro -General Report O No ❑ 30 Day Post -General 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 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 Figures to the Column II figures of your previous report (except on line 6). 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 I COLUMN II This Period Calendar Year to Dale $ X) XM $ $ 16el is $ XXXXXX $ M,21. $ $ 3.33 $ 3 $ 3 $ '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; Sharon Bergmann City Clerk City of Eagle PO Box 1520 Eagle, ID 83616 (208) 939.6813 Fax: (208) 939.6827 I,/J-)_11JA 1lez&n D nm hereby certify that the information in this Name or PoliticalTreasurer report is a true, complete and rrect Campaign Finan c losure Report as required by law. Signatu itical Treasurer P el DEC -01-i011 19:01 From:Kathleen Roma Assoc To:9396827 Pa9e:11,'18 DETAILED SUMMARY Name of Candidate or Committee: it%A.,, zv r, �s, --T - _ 1 /i c I Total This Period Outstanding Balance from previous reporting period Unitemized Expenditures ($25 and less) # of Expenditures _ + $ Contributions — — W + $ Unilemized Contributions ($50 and less) Y # of Contributors $ i3�. Itemized Contributions (Total of all Schedule A sheets) + $ DD { In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ + $ Loans (Total of all New Loan amounts from Schedule D sheets) + $ + $ Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ Vq. al 14 0 16 OD 18 I j Expenditures � Outstanding Balance from previous reporting period Unitemized Expenditures ($25 and less) # of Expenditures _ + $ d't.pb — — W + $ New Credit Card and Debt incurred this reporting period { Itemized Expenditures (Total of all Schedule B sheets) + $ f I In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Repayments of Loans made during this reporting period Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ I Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ - �jK!X. I Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) _ _ $ 3 3 i { Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ - — i 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)Y�— ' $ ' 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 I { (Total of all Debt Repayment amounts from Schedule Esheets) - -$ j Total standing Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) _ $ a Page 2 Ut(,—bl—eb11 11j:01 1-rom:Kathleen Roma Assoc 10:939882.7 SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50,00) this period Page Name of Candidate or Committee: &C5 hpt j Date Received Full Name, Mailing Address and Zip Code of Yntributor Cash or Check Ali rl 1' �luv►�es '� •h o I d s$ 160 - 00 $o• Calendar Year -To -Date 2. $ Calendar Year -To -Date 3. $ Calendar Year -To -Date 4. $ Calendar Year -To -Date 5. Calendar Year -To -Date 6. _J 1 $ $ Calendar Year -To -Date 7. $ Calendar Year -To -Date 8. $ 1 1 Calendar Year -To -Date 9. / 1 $ $ Calendar Year -To -Date 10. / 1 $ $ Calendar Year -To -Date Total This Page: Is /SO -00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. 1JBC:-01-eb11 11z):01 From:Kathleen Roma Hssoc Io:J.iJ U-2( Pa®e:13,'18 Date Spent Full Name, Mailing Address and Zip Code of Recipient SCHEDULE B Pagel o ) ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: SVIA5 '. Val IV81-PIVMS Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, N & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check '. Val IV81-PIVMS ?,7>cp16- $ 3oo.00 z. 3. 4, 5. 6. $ 7. 8, $ 9. I I $ 10. Total This Page: $ A5 1.33 Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. UtC—b1—�b11 11j:01 1-rom:Kathleen Homa Hssoc 10:939682( SCHEDULE C IN-KIND CONTRIBUTIONS and EXPENDITURES Page:14,118 age 01 1 I � Name of Candidate or Committee: '1a�l�i�s , Contributor Name, Mailing Address and Zip Code �t-U�t,/�D d 5 Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses L Literature, Brochures, Printing Y Petition Circulators M Management Services Z Preparation & Production of Advertising 1, Contributor Name, Mailing Address and Zip Code Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code 2. Contributor Name, Mailing Address and Zip Code Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code 3. Contributor Name, Mailing Address and Zip Code I I $ Calendar Year -To -Date Expenditure Name, Mailing Address and Zip Code Purpose Code 4. Contributor Name, Mailing Address and Zip Code / I $ Calendar Year-To-oate Expenditure Name, Mailing Address and Zip Code Purpose Code $ Expenditure Total: (Transfer the combined total of all Expenditures on Schedule C pages $ to the Detailed Summary, page 2 line 8) Contributor Total: $ (Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, PaM2 2 line 3 ULU-01-1:1-uil ly:bl rrom:Kathleen Noma Hssoc Io:'J'5ybbc�l Hase:15/18 SCHEDULE D LOANS Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, it must be listed as a separate item. Each new loan from any Lender must be listed as a new item from that Lender. You may have the same Lender listed more than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution limits laid out in Section 67-6610A, Idaho Code, even if it is repaid in full. Any loan(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new loan amounts should be listed in the New Loan column. Any interest accrued should be listed in the Interest Accrued column. If a payment was made on the loan, list it in the Repayments column. Note: Any loan 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 loans and accrued interest less any repayments. Name, Mailing Address and Zip Previous Balance New Loan amount Interest accrued Repayments of Loan Balance Code of Lender of loan at the received during this during this during this reporting outstanding at (Candidate, Individual or Business) end of the last reporting period reporting period period the end of this reporting period reporting period 1. Date: Date: Amount: Amount: $ 2. Dale; ate: Amount Amount 3 Date: Date: Amount: Amount: 4 Date: Date: Amount: Amount: 5 Date: Date: Amount: Amount: 6. Date: Date: Amount: Amount; 7. Date: Date; Amount Amount: $ $ Previous Received Interest Repayments Ending Balance Previous Total $ Received Total, (Transfer the combined total of all received loans to the $ Detailed Summary, page 2 line 4) Interest Total: $ RepaymentsTotal; (Transfer the combined total of all loan repayments to the $ Detailed Summary, page 2 line 9 816) Ending Balance Total: $ (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) Uck- U.L C-Jll 17-YJl rr'um-hal.nleen muma rossou to®'JJJbbr_( 1'a9e:lb/ltd SCHEDULE E CREDIT CARDS and DEBT 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 transactlons 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 creditors) 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 Previous Balance of New Debt amount Repayments of Debt Balance outstanding Creditor debt at the end of the incurred during this during this reporting at the end of this (Candidate, Individual or Business) last reporting period reporting period period reporting period 1, Date: Date: Amount, Amount: 2, Date: Date: Amount: Amount: 3, Date: Date: Amount: Amount 4_ Date: Date: Amount: Amount: 5. Date: Date: Amount Amount: $ $ 6. Date: Date: Amount: Amount $ $ Previous Incurred Repayments Ending Balance Previous Total: $ Incurred Total: (Transfer the combined total of all incurred debt to the $ Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the $ Detailed Summary, page 2 line 10 & 17) Ending Balance Total: $ LJCI..-YJl-'GCJ11 17-Ul rr'um-rhdviieen mama HSSOC 10. 7J7bdC( SCHEDULE E-1 CREDIT CARD and DEBT ITEMIZATION Wage®1 r/'lb Page of �] lame of Creditor from Schedule E: eS - I �S sch Creditor listed on Schedule E with a New bt amount must have a Schedule - ccompanying it, The Schedule E-1 lists where and when the debt was incurred, Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B Broadcast Advertising (Radio, TV & Internet) C Contributions to Candidates & PAC's D Donations & Gifts E Event Expenses F Food & Refreshments G General Operational Expenses I Interest Accrued & Finance Charges L Literature, Brochures, Printing M Management Services N Newspaper & Other Periodical Advertising O OtherAdvertising (Yard Signs, Buttons, etc.) P Postage S Surveys & Polls T Tickets (Events) U Utilities W Wages, Salaries, Benefits & Bonuses Y Petition Circulators Z Preparation & Production of Advertising Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Amount 1. 2, 3. 4. 5. 6, 7. 8. I I $ 9. $ Total This Page: $ The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. VGL.-NJ1'CVj11 ID-ul I'r'UIII•KaCnleen KOrna HSSOC I0;J3JbbCr SCHEDULE F PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED Name of Candidate or Committee: Nage:'18/1b Page Directions; Complete this schedule if you were promised and agreed to accept a contribution dt D94his reporting period but have not actually received the money, goods or services offered before the end of the reporting period. Do not include these entries on Schedule A until you actually receive the contribution. Date Pledged Full Name, Mailing Address and Zip Code of Contributor Amount Pledged 1, 2. 3. 4. ^I / 5. 6. 7. 8. 9. 10. 11. Total Amount of Pledged Contributions: $ 1 - Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20.