30-day Post General October 23, 2017 -- November 17, 2017 - Mitchell, Jill - 12/4/2017RECEIVED & FILED
CITY OF EAGLE
CAMPAIGN FINANCIAL DISCLOSURE REPOR— DEC 0 4 2017
SUMMARY PAGE File•
(Please Print or Type) Route to:
Section I
Name of Candidate or Po1 Che�in:1MM
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Na a bt PoEicalauwref(1�� ')! Y'
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key 12114
Office Sought (if candidate) District (if any)
e1I\KinCA
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lI — el. 3LD 114 310 `t O LI
ees I City and Lp Home PhoneWork Phone
W nOcal 1LAV(Icv 17,ar 1.Q �) 3t 20(8 e5o-r,r 9
Change of address for Can idate or Political Committee 0 -1 Political Treasurer 0
Section II TYPE OF REPORT
This filing is an: Original 0 Amendment
This report is for the period from ILIp`13 / t/ through I l / 17/ 1 `7 .
❑ 7 Day Pre -Primary Report
❑ 7 Day Pre -General Report151,
o 30 Day Post -Primary Report
30 Day Post -General Report
❑ October 10 Pre -General Report
❑ Annual Report
❑ Semi -Annual Report (Statewide Candidates Only)
Is this a Termination Report. 0 Yes )4 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.
❑ 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 reports Column I COLUMN I COLUMN II
figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year
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)
'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 0 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.
Section V •
Retum This Report To
Lawerence Denney
Secretary of State
PO Box 83720
Boise ID 83720-0080
Phone: (208) 334-2852
Fax: (208) 334-2282
I (A1 tt���mee1`jt }S{ L`D;I� , hereby certify that the information in this
of Poirami Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
P
e
t)k r 1r,
Signature of it ip easurer
0
DETAILED SUMMARY
Name of Candidate or Committee: k 11 (. \i&&
Contributions
Unitemized Contributions ($50 and less) # of Contributors
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)
Expenditures
( Unitemized Expenditures (Less than $25) # of Expenditures
C Itemized Expenditures (Total of all Schedule B sheets)
® In-KindWExpenditures (Total of all Expenditure amounts from Schedule C sheets)
® Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
Total This Period 1
�+ $
,+ $
cro
$
• $ L)-?0csv
3 $ 1-1-7
+ $ /.2 l j 83 a
i+ $
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 (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)
18 Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
Pledged Contributions
19 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
• $ 15
SCHEDULE B
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name of Candidata or Committee !! '
Nurpose Codes (tinter up to d purpose coCt's per Dpen re.)�
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
B Broadcast Advertising (Radio. TV, Internet & Telephone)
C Contributions to Candidates & PACs
D Donations & Gifts
E Event Expenses
F Food & Refreshments
G General Operational Expenses
li Independent Expenditures
L Literature, Brochures, Printing
M Management Services
uate spent
Ili/30/11
"ff,d a -J.0
N Newspaper & Other Periodical Advertising
0 Other Advertising (Yard Signs, Buttons, etc )
P Postage
S Surveys & Polls
T Tickets (Events)
U Utilities
W Wages, Salaries, Benefits & Bonuses
Y Petition Circulators
Z Preparation & Production of Advertising
Full Name, Mailing Address ana up t.00e OT Neapient
1. 'JS Px o.-1 ca -)e VI CL
It -4I N Palr\e,k
E0.1.AU -T lr r 3(.) 1 Li
2. 7C0
8i2 W \r1
1:)Y -)1,t. \[�
3. -ias,csOock4.. 04`
4.
5.
7.
8.
9.
10.
Purpose i oaetS)' Bash or UhecK
Total This Page: $ 1, f , 83
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7
SCHEDULE C
IN-KIND CONTRIBUTIONS and EXPENDITURES
Name of Candidate or Committee: 3, \ \ ',r, \ \- ria'
Purpose Codes (Enter up to 3 purpose codes per Expenditure.)
1
2.
A All Travel Expenses (Airfare, Fuel, Lodging & Mileage)
B Broadcast Advertising (Radio, TV, Internet & Telephone)
C Contributions to Candidates & PAC's
D Donations & Gifts
E Event Expenses
F Food & Refreshments
G General Operational Expenses
H Independent Expenditure
L Literature Brochures: Printing
M Management Services
N Newspaper & Other Periodical Advertising
0 Other Advertising (Yard Signs, Buttons, etc )
P Postage
S Surveys & Polls
T Tickets (Events)
U Utilities
W Wages, Salaries, Benefits & Bonuses
Y Petition Circulators
Z Preparation & Production of Advertising
Contributor Name, Mailing Address and ip Code
11 iL117 CANI Adton T
o Primary
❑ General
pU Box 2.5 v2
-�t,ts4. C -7h1
Expenditure Nae, Mailing dressd Zip Code
CGV\ vc ttsA U&
P�bOX 2-80z
T. (W rt, T 93'1(
Contributor Name, Mailing Address and Zip Code
/ /
❑ Primary
❑ General
Expenditure Name, Mailing Address and Zip Code
3. Contributor Name, Mailing Address and Zip Code
/ /
0 Primary
0 General
Expenditure Name, Mailing Address and Zip Code
4. Contributor Name, Mailing Address and Zip Code
/ 1
❑ Primary
❑ General
Expenditure Name, Mailing Address and Zip Code
1""i I
$iZUa°
$ er/L2
Calendar Year -To -Date
Purpose Code(s)
$H?o° 6 I
$
$
Expenditure Total:
(Transfer the combined total of all Expenditures on Schedule C pages $
to the Detailed Summary, page 2 line 8)
$
Calendar Year -To -Date
Purpose Code(s)
$
$
Calendar Year -To -Date
Purpose Code(s)
$
$
Calendar Year -To -Date
Purpose Code(s)
-V-
2
Contributor Total: $
(Transfer the combined total of all Contributors on Schedule C pages j�0
to the Detailed Summary, page 2 line 3)
SCHEDULE 0 - LOANS
1 Name of Candidate or Committee.111\ c\p,A-d \ of C.0 T
Each Lender to your campaign should be listed separately. Each time a loan is revived or you loan money to the campaign, it must be listed as a
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 fisted 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 Interest Accrued column if a payment was made on the loan, Inst
it in the Repayments column Note. Any loan that was repaid in full In a previous reporting period does not neod to be listed. The Outstanding
Balance column is the Previous Balance plus new loans and accrued interest less any repayments.
Name, Mailing Address and Zip
Code of Lender
(Candidate, Individual or Business)
110 \ `(\\ c r\ \\
i•-\ D9 Tl '
c,.c��itZbBSLIl
2.
3.
4
5.
6
7
Previous Balance
of loan at the
end of the last
reporting period
New Loan amount
received during this
reporting penod
Interest accrued
during this
reporting period
Repayments of Loan
during this reporting
period
Balance
outstanding at
the end of this
reporting period
Date Date:
15 — $Amount:O $mount: O 15 CYO
Date: Date:
!/ !!
Amount: Amount:
$ $
Date: Date.
� �— —//
Amount: Amount.
$ $
Date: Date:
— l—l— 1---1—
Amount: Amount:
$ $
Date: Date:
I1 II
Amount Amount:
$ ._ $
Date• Date:
I1 ---11
Amount Amount.
$ $
Date• Date:
I-1—
Amount Amount:
Previous
rSJ
Previous Total $ Ito Uu —
Received Total:
(Transfer the combined total of all received loans to the $
Detailed Summary, page 2 line 4)
Received
U
Interest
Interest Total: $ t�
Repayments Total:
(Transfer the combined total of all loan repayments to the $
Detailed Summary, page 2 line 9 & 16;
Repayments Ending Balance
0
Ending Balance Total: $ 15 ()O cti
(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13)
Tracy Osborn
From: Janet Buschert <janetbuschert@icloud.com>
Sent: Monday, December 04, 2017 1:55 PM
To: Tracy Osborn
Subject: :( Jill Mitchell Form
I neglected to put a date on the in-kind donation from CVFI. It should have been 11/16/17. Shall I re -send it?
Sorry!
Janet Buschert
1