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October 10 Pre General - Soelberg, Craig - 10/9/2015CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) r o Section I CITY OF EAGLE OCT 0 9 2015 C-2 Rev.10 /07 File: Route to- Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) Seat (if y) Y a Sow b ai Council n 0. Mailing an p ome o 0 one $ $ XXX)((X sharon @cityofeagle.org Signature of PoliticalTteasurer Ot MIMI reasu --r_ be 1 Jiel ro Mailing Address City and Zip Home Phone o one al ra,-►_ 1'eaAle- I �! 1a� tai -vt� Cam 4RL11-5A Change of address for:) Candidate or Political Committee ❑ " Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: 91"'Original ❑ Amendment This report is for the period from V /a L /through / 10015- ctober 10 Pre - General Report ❑ 7 Day Pre - General Report ❑ 30 Day Post - General Report ❑ Annual Report Is this a Termination Report: ❑ Yes IIa­�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 cant' forward the appropriate "Calendar Year to Date" figures in Column 11, Section IV. ❑ 1 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 reports 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 PO Box 1520 to Date $ XXXXXX $ )P� $ $ XXX)((X sharon @cityofeagle.org Signature of PoliticalTteasurer $ DD 12L�' $ '7U1),`� $ r-10 $ Sr-71, �D $ lag,' $ 198" $ *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. Rptimn This R_nn_n _ffT(-r----1Section V Sharon Bergmann Clerk-Treasurer City of Eagle —T 6? i� hereby certify that the information in this PO Box 1520 Name of Political Treasurer Eagle ID 83616 report is a true, complete and correct Campaign Financial Disclosure Report as required by law. (208) 939-6813 Fax: (208) 939 -6827 sharon @cityofeagle.org Signature of PoliticalTteasurer Page 1 DETAILED SUMMARY Name of Candidate or Committee: Cra i SD 16cIr!� Total This Period Contributions 1Q Unitemized Contributions ($50 and less) # of Contributors + $ 2Q Itemized Contributions (Total of all Schedule A sheets) + $ r700 O° 30 In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ ® Loans (Total of all New Loan amounts from Schedule D sheets) + $ 5� Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ m Expenditures © Unitemized Expenditures ($25 and less) # of Expenditures + $ 7O Itemized Expenditures (Total of all Schedule B sheets) + $ 5 '1 ( Ro ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ `"C gO Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ 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) _ $ Jq 1, Page 2 Loans, Credit Cards and Debt 12 Outstanding Balance from previous reporting period + $ 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) + $ Subtotal = $ 16 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 (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) _ $ 1 g ©0 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges_ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributions this period + $ + $ - $ Page 2 SCHEDULE A Page o ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Cra i Date Received Full Na 4, Mailing Address and Zip C f Contributor Cash or Check C /cR ID1 S 1 �i'X Ir I 5020 be�i .1 � 'sa I Farrno+c> , �Dr , �a & I $ "100, Q9 $ ��� o0 J Calendar Year - To-Date 2. $ Calendar Year - To-Date 3. Calendar Year - To-Date I / 4. $ Calendar Year - To-Date I I 5. $ Calendar Year - To-Date I / 6. $ Calendar Year - To-Date 7. $ Calendar Year - To-Date 8. $ $ Calendar Year - To-Date I / 9. $ Calendar Year - To-Date 10. Calendar Year - To-Date Total This Page: $ r7co,Q,�, Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Date Spent Full Name, Mailing Address and Zip Code of Recipient SCHEDULE B Page o ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: C 1. S}-ci (e.5 Purpose Codes �idto/1� 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. S}-ci (e.5 �idto/1� (P-31 q eagle, 124. 2-,0 L- ipll $ - 2. C-40 mdd 1'+465- 1. Qck Su lte- 0.19 B 14 �9 z $ - 3. /�/a Ql KI 1�, I ►mew A Ve • -P $ 14 a, 4. {- i ri -kADL- rk; Com pa mi � s+ s4 S � � u i � D S 3 (n ., L , f 5. 6. 7. 8. 9. I I $ 10. Total This Page: I $ Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C IN -KIND CONTRIBUTIONS and EXPENDITURES Page o Name of Candidate or Committee: (XQ f A SD bra Purpose Codes 16 per- i cxj 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 16 per- i cxj $ 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 Calendar Year - To-Date Expenditure Name, Mailing Address and Zip Code Purpose Code 4. Contributor Name, Mailing Address and Zip Code I I $ Calendar Year - To-Date 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, page 2 line 3 SCHEDULE D Name of Candidate or Political Committee: o Each Lender to your campaign should be listed separately. Each brad a loan is received or you loan oney 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 InterestAccrued 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 l � 1. non QiT ki 5 Date: I l Date: _/ l C� 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: 7. Date: Date: Amount: Amount: Previous Received Interest Repayments Ending Balance Previous Total $ Rece ived Total: (Transfer the combined total of all received loans to the $ Detailed Summary, page 2 line 4) Interest Total: $ Repayments Total: (Transfer the combined total of all loan repayments to the $ Detailed Summary, page 2 line 9 & 16) Ending Balance Total: $ (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) SCHEDULE E DIT CARDS and DEBT Name of Candidate or Political Committee: Each incurred expense not yet paid (i.e. credit card purchases an bt) should be listed on a rate 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 transactions 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 creditor(s) 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 Date: Date: I l Amount 1 I 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: $ )l 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: I $ SCHEDULE E -1 CREDIT CARD and DEBT ITEMIZATION Page of Name of Creditor from Schedule E: C ►tea i 1) 1—; (2 E, I ba" Each Creditor listed on Schedule E with a New Debt amebt must have a Schedule - accompanying it. The Schedule E -1 lists where and when the debt was incurred. Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Purpose Codes Q�ri c� 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 I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 6. Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Purpose Code Amount Q�ri c� 2. 3. 4. 5. 1 / $ 6. 7. 8. 9. Total This Page: is The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. SCHEDULE F PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED Name of Candidate or Committee: Page of Directions: Complete this schedule if you were promised and agreed to accept a contribution dLWg this 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. rlotne. -�'G�i s peri•rx� 2. 3. 4. / I 5. 6. / I 7. 8. 9. / I 10. 11. / I Total Amount of Pledged Contributions: $ Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20. A= S 48 HOUR NOTICE C-5 OF CONTRIBUTIONS / LOANS RECEIVED Rev. 08/07 - 4 of $1,000 or more Directions: Use this form to report any contribution of one thousand dollars ($1,000) or more, received after the 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.) 1 2013 Elections I 48 Hour Notice required for contributions: Election November 2, 2013 Name of Candidate or Committee: Mailing Address: City and Zip Code: CY3 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 District (if applicable) Date Received Full Name, Mailing Address and Zip Code of ContributorlLender Cash or Check In -Kind (non - monetary) Loan Gna t S owl �o� q 1. gal et n _66 D /-, e7 C) co $ $ $ 2. Graz Sae, [� `6a I -rarrl n -ln Dr. e_a e $ $ $ 3. $ $ $ RETURN THIS FORM TO: Sharon Bergmann Clerk- Treasurer City of Eagle PO Box 1520 Eagle ID 83616 (208) 939 -6813 Fax: (208) 939 -6827 sharon @cityofeagle.org I, �P.tr ✓ i sc'� t ?,✓G1 , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct statement in accordance with Section 67 -6607, Idaho Code. Signature of Polito I Treasurer