48 Hr Notice of Contribution - Keep, Kevin - 10/22/2015z `$� 48 HOUR NOTICE
Vii; G
OF CONTRIBUTIONS / LOANS RECEIVED
`q= of $1,000 or more
RECEIVED & FILED
CITY OF EAGL�,5
Rev. 08/07
OCT 2 2 2015
File:
Route
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.)
Elections
48 Hour Notice required for
contributions:
General October P), 2013 U
Election Novembef , 2015
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
Name of Candidate or Committee: District (if applicable)
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Mailing Address:
City and Zjp Code:
Date
Received
Full Name, Mailing Address and Zip Code
of Contributor /Lender
Cash or
Check
In -Kind
(non - monetary)
Loan
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=TURN THIS FORM TO:
Sharon Bergmann
Clerk- Treasurer
City of Eagle
PO Box 1520
Eagle ID 83616
(208) 939 -6813
Fax: (208) 939-6827
sharp @cityofeagle.org
I, `r kC'Ca(l 1h to t k%kb�_u hereby certify that the information in this
Name of P01@Ical Treasurer
report is a We, complete and correct statement in accordance with Section 67 -6607, Idaho Code.
SigrIenlitical Treasurer
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