Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Amended October 10 Pre General Report - Preston, Naomi - 10/27/2015
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Section I RECEIVED & FILED CITY OF EAGL�2 Rey OCT 2-7 Z01 '?iol Route to: Name of C ' at or Political m' Chairperson Otfrce` if can irte) 1 (� Seat (rf any) MadingAddress City and 4p % Home Phone � Jy7/ 2� Phone / !� ame of ca reasurer -Maling Aaaress Uny and zip Home Phone Work Phone Change of address for. Section 11 This fling is an: This reDor.is.%r the De Candidate or Political Committee ❑ Polifid Treasurer ❑ ' TYPE OF REPORT mendment ❑ October 10 Pre - General Report Annual I eport Is this a Termination Report: ❑ Yes _ through ❑ 30 Day Post-General Report ❑ 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. ❑ 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 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 Date $ XXXXXX $ $ (l ' C>0 $ XXXXXX $r � $ $ 3 $ 377, $ .7 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 dosing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Return is epo o: Section V Sharon Bergmann Ajg—oynl GerlFTr easurer City of Eagle I, hereby certify that the information in this Ck Box ogle Name of Politcal Treasurer Eagle ID 83616 report is a true, complete I nd correct Campaign Financial Di osure eport as ed by law. (208) 939 -6813 Fax: (208) 939-6827 sharon@cityofeagle.org Signature of N liti Treasurer Page 1 DETAILED SUMMARY Name of Candidate or Committee: I �� Total This Period Contributions 10 Unitemized Contributions ($50 and less) # of Contributors + $ C� Itemized Contributions (Total of all Schedule A sheets) + $ 3� In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ ® Loans (Total of all New Loan amounts from Schedule D sheets) + $ t'5 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) _ $ Expenditures _ © Unitemized Expenditures ($25 and less) # of Expenditures 7� Itemized Expenditures (Total of all Schedule B sheets) ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) gQ 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) _ $ 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) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Q _ Subtotal = $ 1 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 dose of this period (Transfer this figure to page 1, Section IV, Line 7) _ $ Pledged Contributions 1 g Unitemized Pledged Contributions ($50 and less) # of Pledges + $ ®0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions :this period Page 2 SCHEDULER ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period O Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 1. /--J $ Calendar Year- To-Date 2. $ Calendar Year- To-Date 3. J--J— $ $ 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. $ -1 $ Calendar Year- To-Date 9. $ $ Calendar Year- To-Date 10. $ Calendar Year- To-date Total This Page: Is Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. SCHEDULE Phi E,I� IN -KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: a� Purpose Codes Contributor Name, Mailing Address and Zip Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV & Internet) 0 OtherAdvertising (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-Tb-DaW 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 CalendarYear- To-Date Expenditure Name, Mailing Address and Zip Code Purpose Code $ 4. Contributor Name, Mailing Address and Zip Code / 1 $ $ 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