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Termination Report - Ridgeway, Stan - 1/11/2016CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) CITY OF EAGLE G2 FEB 11 1016ev.10107 File: Route to' Na Candidate or Political Co ttee a d 0 ought (if candidate) Seat (if any) 17, tperson a�Wo," Mailing Address city and Zip Home FnonLj Work Phone j,_j , L, D - �41 CA Political re sure n, \ij S CWL Mailing Address dy an one o one `p,, TZ Change of address for: Candida or Political Committee W Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: Original ❑ Amendment This report is for the period from — I / 1 /141 through Z/ �P / 1 U . ❑ October 10 Pre - General Report ❑ 7 Day Pre - General Report ❑ 30 Day Post - General Report ❑ Annual Report Is this a Termination Report: X Yes ❑ 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 COLUMN I COLUMN 11 figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ XXXXXX $ Q Line 2: Enter Beginning Cash Balance** $ �-? $ %XX)= Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ 0� Line 4: Subtotal (Add lines 1, 2 and 3) $ "Z O IfZ $ O`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) $ *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. e um This Re oo o: ection V Sharon Bergmann Clerk- Treasurer C�1 kJU� l�l/W City of Eagle 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 Qx Fax: (208) 939 -6827 sharon@cityofeagle.org Signature f o Itical Treasurer DETAILED SUMMARY Vame of Candidate or Committee: Contributions 1� Unitemized Contributions ($50 and less) # of Contributors 2� 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) 5� Total Contributions (Transfer this figure to page 1, Section IV, Line 3) Total This Period - 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 ♦• 07 Expenditures _ �^ © Unitemized Expenditures ($25 and less) # of Expenditures + $ 7O Itemized Expenditures (Total of all Schedule B sheets) + $ ® In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ g0 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) + $ 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) _ $ - 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 ♦• 07 Date Spent Name, Mailing Address and Zip Code of Recipient SCHEDULE B Page of ITEMIZED EXPENDITURES Twenty-Five Dollars ($25.00) or more this period Name of Candidate or Committee: Vt PW 1 0 Purpose Codes i/�au 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 Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check "Full i/�au �9Nt 13 $ HO"� t,� e- +nmc/- 1� $ 10 61 3. 4. 5. 6. 7. 8. 9. 10. Total This Page: Is 3LA % Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.