Annual -Termination - Ridgeway, Stan - 1/4/2014 'RECEIVELM FILED
CITY OF EAGLE i
Tom CAMPAIGN FINANCIAL DISCLOSURE REPORT JAN t. 2014 C-2
" P °'* Rev.10/07
2 a M SUMMARY PAGE
�,,, y�_ -.., --° (Please Print or Type) File:
Via` , 4 Route to:
Section I
Name of Candidate or Political ymmittee and Chairperso ; l Offi Sought(if candidate) Seat(if any)
r . . LhCO‘Ac'3'i)Maili dress 1 r 1 kj\-4 an i Home Phone Work phone
r13S. VI i 1/\ M
Name_gtfolitical Tre rer —,
� ✓r v,...r xz-D L tv
Mailing Address a r Work City and Zip Home Phone k Phone
3c (Ni Lin' \r-D, - l', -t N (3-7.0b -3 3S--7 c-I 7 < s2_
Change of address for: ;. Candi ate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: )21,.. Original 0 Amendment
This report is for the period from 1 t / I. U/ / 15 through 11 / 3 I / 4,7) .
❑ October 10 Pre-General Report ❑ 7 Day Pre-General Report ❑ 30 Day Post-General Report
XAnnual Report
Is this a Termination Report: -\iitl. Yes ❑ No
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* $ XXXXXX $
Line 2:Enter Beginning Cash Balance** $ 1:-.) $ XXXXXX
Line 3:Total Contributions(Enter amount from line 5,page 2) $ DO-11 � $ (0 1 cn
4)
Line 4:Subtotal(Add lines 1,2 and 3) $ X 7-j?:- $ 62 b M I .4
Line 5:Total Expenditures(Enter amount from line 11,page 2) $ DD.- B 8 2 $ (1 B "l ` - 9
Line 6:Enter Ending Cash Balance(Subtract line 5 from line 4) $ 0 $ 0
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.
Return This Report To: Section V
Sharon Bergmann
Clerk-Treasurer °�'s C
City of Eagle I� �> t ,hereby certify that the information in this
PO Box 1520 Name of Political Treasurer
Eagle ID 83616 repgrtis a true,complete and correct Campaign Financial Disclosure Report as required by law.
(208)939-6813 f
Fax:(208)939-6827 n 4^VP ,
sharon@cityofeagle.org ignature of etieeffr a�surer
Page 1
DETAILED SUMMARY
1 n .
Name of Candidate or Committee: '-----i c�,,��ua')O )J, -W /Voi " "O/ '�.;, °t(
Total This Period
Contributions
1O Unitemized Contributions($50 and less) #of Contributors + $
0 Itemized Contributions(Total of all Schedule A sheets) (-4$ k
30 In-Kind Contributions(Total of all Contribution amounts from Schedule C sheets) + $
0 Loans(Total of all New Loan amounts from Schedule D sheets) + $
50 Total Contributions(Transfer this figure to page 1, Section IV, Line 3) _ $ 1 40
Expenditures
0 Unitemized Expenditures($25 and less) #of Expenditures + $
70 Itemized Expenditures(Total of all Schedule B sheets) + $ H 1.4 t 31
® In-Kind Expenditures(Total of all Expenditure amounts from Schedule C sheets) + $
0 Loan Repayments(Total of all Loan Repayment amounts from Schedule D sheets) + $ (Li /i 1 39
10 Credit Card and Debt Repayments(Total of all Repayment amounts from Schedule E sheets) + $
11 Total Expenditures(Transfer this figure to page 1, Section IV, Line 5) _ $ `� '
Loans, Credit Cards and Debt
12 Outstanding Balance from previous reporting period + $ €�\�-j \ �
i
13 New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $
14 New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets) + $
15 Subtotal = $ I L H ( 3_-''
O Repayments of Loans made during this reporting period
16 (Total of all Loan Repayment amounts from Schedule D sheets) $ 1 b 11 '`'
Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets) $
1 g Total Outstanding Balance at close of this period(Transfer this figure to page 1,Section IV, Line 7) _ $ O
Pledged Contributions
1 g Unitemized Pledged Contributions($50 and less) #of Pledges + $
g0 Itemized Pledged Contributions this Period(Total of all Schedule F sheets) + $
• Total Pledged Contributions this period = $
Page 2
SCHEDULE A Page of
t
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars($50.00)this period
Name of Candidate or Committee: (it ��� , ,),),100J1/4-Vf C ,ZI.JOCULA
Date Received Full Name,Mailing Address art4p Code of Con ributor Cash or Check
1' C'Ttitsrl'‘ „. 0-1 )-10
\--,-,`,7) IC"
- 4
�
1 , C ^ $ d O (
�(
_ - l� �)`5 W 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.
/ /
Calendar Year-To-Date
7.
/ /
$
Calendar Year-To-Date
8.
$
/ /
$
Calendar Year-To-Date
9.
/ /
Calendar Year-To-Date
10.
/ / $
Calendar Year-To-Date
Total This Page: $ 2 A 7 `i9
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
SCHEDULE B Page of
ITEMIZED EXPENDITURES I
Twenty-Five Dollars($25.00)or more this period
Name of Candidate or Committee: `� �,�t ' ���0/1,j30 JJ, /c1J\O)JJ3ÜJJ '7 v ` 1}�i f
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
Date Spent Full Name,Mailing Address and Zip Code of Recipient Purpose Code Cash or Check
1. CI vti `,L.Lf- A23-03)..).\
( 1 / 12413 \a -l> 03LQG) $ L) 1C �
2 cAt)r,,,,, A
3.
/ /—
4.
/ /
5.
/ /
6.
/ /
7.
/ /
8.
/ /
9.
10.
/ /
Total This Page: $ Ili
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
SCHEDULE D
-oANs
( /f
Name of Candidate or Political Committee: -t V \ .■ A ' iC
.', .� 31.1 G 1 _NC
Each Lender to your campaign should be listed separately. Each time a load i• received of ou loan rr n:y to the car paign, it must b- 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 sane 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.`J G �., �\,C\, :!,J.); l Dat . Date:
c Ti IJJ. )v\ 1 LI 9 I ' Amount: 0O /1( $Amount: '3��
2. 1z m\7) ?ZIAU d
Date: Date:
\---/" ?�,-. 1`! 'Y),, tL � .� ` = Amount: �,J 0.9—D Amo�gt:� t�
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 $ CI
I 1 �-
Received Total:
(Transfer the combined total of all received loans to the $ O
Detailed Summary,page 2 line 4)
Interest Total: $ 0
Repayments Total: , l
(Transfer the combined total of all loan repayments to the $ 1 1 ,�-
Detailed Summary,page 2 line 9&16)
Ending Balance Total: $ C)
(NOTE:Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary,page 2 line 13)