Annual Report - Eagle United, Diane McLaughlin - 1/21/2016CITY OF EAGLE C-2
CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 0107
SUMMARY PAGE JAN 2 12016
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Section I Ofllmsought((itcandi O) soOfany)
Nam f Cand►date or Political and Chahpumn
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a ng ress ity and zip Home Phone one
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Change of address for Candidate or Political 6omrnittee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: ❑ Original ❑ Amendment
This report is for the period from I_1 through I I
October 10 Pre - General Report ❑ 7 Day Pre- General Report ❑ 30 Day Post-General Report
j Annual Report
Is this a Termination Report: ❑ Yes la 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 DaW figures in Column II, Section IV.
I hereby certify that I have received no contributions and have made no expenditures during this reporting period.
qar- inn IV SUMMARY
To reach your Calendar Year to Date figure: Add this reports Column I
figures to the Column 11 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 fine 11, page 2)
Line 6: Enter Ending Cash Balance (Subtract fine 5 from line 4)
Line T Outstanding Debt to Date (Enter amount from line 18, page 2)
COLUMN I
COLUMN II
This Period
Calendar Year
to Date
XXXXXX
3
$
$ XX)CX)CX
15�a
$
�5•
$ i5•
� - b
'This same figure should be entered on line 1 of all reports filed this calendar year.
'This is the figure on fine 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0.
hi„ to• -rho Amin rash halance for the current reaorfinq oeriod appears on the next report as the beginning cash on hand.
V
Sharon Bergmann
Cleric Treasurer
City of Eagle
PO Box 1520
Eagle ID 83616
(208) 939 -6813
Fax: (208) 939-6827
shamn@cityofeagle.org
org
I, i �. 1( C 0 1 eby certify that the information in this
Name of Polf6cal TrMurer
report is a true, cornDlete and correct Campaign Financial Disclosure Report as required by law.
Page 1
DETAILED SUMMARY
Name of Candidate or Committee:
Contributions
Q Unitemized Contributions ($50 and less) — # of Contributors
Itemized Contributions (Total of all Schedule A sheets) �-
o - - - -3 In -Kind Contributions Total of all Contribution amounts from Schedule C sheets)
- (Total _ _ _
n . Loans (Total of all New Loan amounts from Schedule D sheets)
50 Total Confibutions (Transfer this figure to page 1, Section IV, Line 3)
Expenditures -- __ - - --
6 Unitemized Expenditures ($25 and less) # of Expenditures ^-
7 Itemized Expenditures (Total of all Schedule B sheets)
g In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) —
g 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) —
12
Loans, Credit Cards and Debt
Outstanding Balance from previous reporting period
iotai E nis venou
+ $
New Loans received during this reporting period
13 , (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
New Credit Card and Debt incurred this reporting period
14 (Total of all New Incurred Debt amounts from Schedule Esheets)
15 -- Subtotal
Repayments of Loans made during this reporting period $
15 (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 i Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7) —_ _ $—
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
SCHEDULE A
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:
Date Received
Full Name, Melling Address and Zip Code of Contributor
Cash or Check
1.
CalendarYear -ToOoa
I I
2.
�
CalendarYwr -W)ate
CalendarYewTo -Date
1 /
4.
�
S
CalendarYear- To-DMe
S
Calendar Year -To -Date
6.
CalendwYear- Date
/ /
7.
S
Calendar Year -To -Date
l /
8.
CalendarYear To -Date
9.
CalendarYear -To -Date
10.
CatendwYeaTo -Date
Total This Page:
$
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 .Tip Code of Recipient
SCHEDULE B fage °
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidate or Committee:
1.
Purpose Codes
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
Newspaper & Other Periodical Advertising
B
BroadcastAdvertissing (Radio, TV & Internet) 0
OtherAdvertising (Yard Signs, Buttons, etc.)
C
Contributions to Candidates & PACs
P
Postage
D
Donations & Gifts
S
Surreys & 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 .Tip Code of Recipient
Purpose Code
Cash or Check
1.
2.
r I
$
3.
I /
g
4.
/ !
$
5.
!
$
6.
7.
8.
9.
I_j
S
10.
/ /
S
Total This Page: Is
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.
SCHEDULE C e
IN -KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or Committee:
Purpose Codes
Contributor Name, Mailing Address and Tip Code
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
N
Newspaper & Other Periodical Advertising
B
Broadcast Advertising (Radio, TV & Internet)
0
OtherAdverfising (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
Manaqement Services
Z
Preparation & Production of Advertising
1.
Contributor Name, Mailing Address and Tip Code
Calendar Year-To-Date
Expenditure Name, Mailing Address and Zip Code
Purpose Code
S
2.
I I
Contributor Name, Mailing Address and Zip Code
�
CalendarYearToDate
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
Caiendar 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)
ContributorTotat: $
(Transfer the combined total of all Contributors on Schedule C pages
to the Detailed Summary, age 2 tine 3
SCHEDULE D
LOANS
Name of Candidate or Political Committee: it must be listed as a
Each Lender to your campaign should be listed separately. Each time a loan is receive or you loan money to the campaig n
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 fisted. 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
during this
Repayments of Loan
during this reporting
Balance
outstanding at
Code of Lender of loan at the
Individual or Business) of the last
received during this
reporting period
reporting period
period
(Candidate, end
rpoeo� a oerioc
Amount Amount
C 1 1 $
2.
Amount: Amount
Date: Date:
Amount Amount
q $
4.
Amount
Amount
Date:
Date:
5.
I I
I 1
Amount
Amount
Date:
Date:
1
Amount
Amount:
$
7.
Amount Amount
$
Previous I Received I interest I Repayments I Ending Balance
Previous Totaii $
(Transfer the combined total of all received loans to the $
Detailed Summary, page 2 line 4)
Interest Total: $
(Transfer the combined total of all loan repayments to the $
Detailed Summary, page 2 fine 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
IT CARDS and DEBT
Name of Candidate or Political Commiftee: t
Each incurred expense not yet paid (i.e. credit card purchases and debt) should be isted on a separate 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
1
Date:
Date:
1 I
1 1
Amount:
Amount:
2.
Date:
Date:
Amount
Amount
$
$
-
3.
Date:
Date:
Amount:
Amount
S
�
4
Date:
Date:
Amount
Amount
5.
Date:
Date:
Amount
Amount
6.
Date.
Date:
Amount
Amount
Previous
Incurred
Repayments
Ending Balance
Previous Total: ] $
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
Name of Creditor from Schedule E: � L� U N t TEL
age o
Each Creditor listed on Schedule E with a New Debt amount must nave a scneaule t- i accompanying K. nC Ow IMUM C-1 uaw Vwl lw, �- a,u ..,, 1
the debt was incurred.
Purpose Codes
Full Name, Mailing Address and Zip Code of Expenditure
Purpose Code
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
Date Incurred
Full Name, Mailing Address and Zip Code of Expenditure
Purpose Code
Amount
1.
/ I
�
2.
3.
4.
1
�
5.
r 1
�
6.
r 1
$
7.
1 1
�
s.
1
�
9.
Page:
$
Total This
The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.
SCHEDULE F age
PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED
Name of Candidate or Committee: E , U N l
Directions: Complete this schedule if you were promised and agreed to accept a contribution during 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.
J
2.
3.
4.
5.
1 I
6.
7.
8.
9.
J I
10.
J /
11.
I I
Total Amount of Pledged Contributions: $
Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 fine 20.