Annual Report - Bastain, Stanley J. - 1/22/2016,�-Or
CAMPAIGN FINANCIAL DISCLOSURE REPORT
SUMMARY PAGE
(Please Pri nt or Type)
CITY OF I AOLE
C -2
.IAN 2 2 2ft. 10/07
File:
Aoute to'
Name of Candidate or Political Comm. i tee and Chairperson ,
Office Sough t ('rf_candidate)A
Seat (if any)
ai mg ress
l36 Yew
City and lip
Ho one
WOrK Phone
e
951zi
Name of o itica reasurer
Q d
mailing Address
iry and p
Home Phone
o rk Phone
6a-o� guS Qaz/ L
r—
Change of address for: Candidate or Political Committee ❑ Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: ❑ Original q Amendment
This report is for the period from __& through
❑ October 10 Pre - General Report
[!34nnual Report
Is this a Termination Report: ❑ Yes
❑ 7 Day Pre - General Report
Lti( No
❑ 30 Day Post - General Report
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 Il, 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
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 amoun t 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
This Period
$ Mxm
$ 1 3��c���yy��.
$ �LIl-0
$ .?
COLUMN II
Calendar Year
to Date
$ —7&
$ xxxxxx
$ ,1
$�' 7 -
$
$1
*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 I his ReDort o' iSection V
Sharon Bergmann
Clerk- Treasurer
City of Eagle
PO Box 1520
Eagle ID 83616
(208) 939-6813
Fax: (208) 939-6827
sharon@cityofeagle.org
I, Q / , hereby certify that the information in this
Na a of Political Treasurer
report is a true, complete aW gerrect Campaign Financial D!Aclosure Report as required by law.
Page 1
of Political Treasurer
0
0
0
C
C
10
11
DETAILED SUMMARY
lame of Candidate or Committee:
r 5.-
Expenditures
Total This Period
Contributions
+ $
Unitemized Contributions ($50 and less) # of Contributors---D-
+ $
Itemized Contributions (Total of all Schedule A sheets)
+ $ ,
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $ a�
Expenditures
Unitemized Expenditures ($25 and less) # of Expenditures
+ $
Itemized Expenditures (Total of all Schedule B sheets)
+ $
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+ $
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)
14 New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
15 Subtotal
Repayments of Loans made during this reporting period
16 (Total of all Loan Repayment amounts from Schedule D sheets)
17 ! Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets)
1 g Total Ou Outstanding t ding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
19
+ $
+ $
+ $
$
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 of
ITEMIZED CONTRIBUTIONS 3 3
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:
Date Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
1. Qa- c san-9
3q.fo J�
ran
$
Calendar Year-To-Date
2.
$
Calendar Year - To-Date
3.
Calendar Year - To-Date
4.
Calendar Year - To-Date
I I
5.
$
Calendar Year - To-Date
I I
6.
�
Calendar Year - To-Date
I I
7.
$
Calendar Year - To-Date
8.
Calendar Year - To-Date
I I
9.
$
Calendar Year - To-Date
10.
Calendar Year - To-Date
Total This Page:
$ 40,0 : w
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.