Oct 10 Pre-General - Shoushtarian, Al - 10/14/2011■ ■130410:3
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Shoushtarian
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Print or Type)
#0722 P.001 /001
Ei IED & F—ILBr
CITY OF EAGLE C-2
OCT 14 2011 R .1/07
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 ql / /If through
)' October 10 Pre -General Report ❑ 7 Day Pre -General Report E] 3 Day
❑ Annual Deport
Is this a Termination Report: O Yes )jr No
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 te staternei t below and sign this report.
Be sure to carry forward the appropriate `Calendar Year to Date' figures in Columi 111, Section IV.
j I hereby certify that I have received no contributions and have made no expenditures duri g this repo "ng 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' $ XXXXXX $
Line 2: Enter Beginning Cash Balance` $ $ XXX)UOC
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) $
"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 amoun is 0.
Note: The closing cash balance for the current reporting period appears on the next report as the beginning =h on hai id.
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
—!hereby
MrreolPoRticailrenurw
report is a true, complete and correct Campaign Financial Discl
that thk information in this
Report Ps required by law.
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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 ql / /If through
)' October 10 Pre -General Report ❑ 7 Day Pre -General Report E] 3 Day
❑ Annual Deport
Is this a Termination Report: O Yes )jr No
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 te staternei t below and sign this report.
Be sure to carry forward the appropriate `Calendar Year to Date' figures in Columi 111, Section IV.
j I hereby certify that I have received no contributions and have made no expenditures duri g this repo "ng 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' $ XXXXXX $
Line 2: Enter Beginning Cash Balance` $ $ XXX)UOC
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) $
"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 amoun is 0.
Note: The closing cash balance for the current reporting period appears on the next report as the beginning =h on hai id.
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
—!hereby
MrreolPoRticailrenurw
report is a true, complete and correct Campaign Financial Discl
that thk information in this
Report Ps required by law.