Loading...
2017 Annual Report - United, Eagle - 1/30/20188 o CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) 9 � Section I RECEIVED & FILED CITY OF EAGLE c - JAN 3 0 2018e v.10/0" Flle: Route to: Nameof Ca didate or Political Committee an Chairperson Office Sought ('d candidate) Seat (d any) at �n9 Address an p Homo Phone Work Phone ame ot Politicalre u Qq aai mg s iry anpome P on"a one aQD 0 'C' 1'9� " 15 .1 _ 102ges !4()l - scis - !ta Change of address for. Candidate or Political mittee ❑ 11Political Treasurer 1-A Section II TYPE OF REPORT This filing is an: Original ❑ Amendment This report is for the period from 01 / 0 111:1 through ❑ October 10 Pre -General Report ❑ 7 Day Pre -General Report ❑ 30 Day Post -General Report jIkAnnual Report Is this a Termination Report: 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 If, Section IV. ❑ 1 hereby certify that 1 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 II 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 $ Line 2: Enter Beginning Cash Balance"` P5 • QA4 $ XXXXXX Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ Q� Line 4: Subtotal (Add lines 1, 2 and 3) $ $ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 0 Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ L $ 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. 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, I�I QTN-e- hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Campaign Financial Disclosure Report as required by law. vy— . DETAILED SUMMARY Name of Candidate or Committee: EA(& L91 K� N L77E RN Contributions Unitemized Contributions ($50 and less) # of Contributors Itemized Contributions (Total of all Schedule A sheets) — ^— Total This Period + $ i 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 ($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 13 14 15 16 17 18 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period — New Loans received during this reporting period — — — — — (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Cana and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) Subtotal = $ 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) _ _ -_ $ 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) — -- + g - ---�- - Total Pledged Contributions this period _ $ Page 2 age SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period .Full Cash or Check Date Received Name, Mailing Address and Zip Code of Contributor CalendarYear To -Date 2. 1 / calendar Year -To -Date 1 I 3. S Calendar Year -To -Dale I / 4. Calendar Year -To -Dale 1 / 5. Calendar Year -To -Date 6. Calendar Year -To -Date 7. Calendar Year -To -Date 1 / 8. $ Calendar Year -To -Dave 9. $ Calendar Year -To -Date / / 10. $ Calendar Yea -To -Date Total This Pag C) -, Transfer the combined total of all 5cheoule A pages to the uetaneo aummary vn paye L 111 It: t- SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period Name of Candidate or Committee: �AG L Purpose Codes A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N B Broadcast Advertising (Radio, TV & Internet) 0 C Contributions to Candidates & PAC's P D Donations & Gifts S E Event Expenses T F Food & Refreshments U G General Operational Expenses W L Literature, Brochures, Printing Y M Management Services Z Newspaper & Other Periodical Advertising Other Advertising (Yard Signs, Buttons, etc.) Postage Surveys & Polls Tickets (Events) Utilities Wages, Salaries, Benefits & Bonuses Petition Circulators Preparation & Production of Advertising Page o Date Spent Full Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. 2. I I $ 3. 4. 5. 6. $ 7. 8. I / $ 9. $ 10. / / S Total This Page: $ —6—� Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. SCHEDULE C age o IN-KIND CONTRIBUTIONS and EXPENDITURES Name of Candidate or Committee: I rz I'A t� I TK� Purpose Codes A B C D E F G L M All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising Broadcast Advertising (Radio, TV & Internet) 0 Other Advertising (Yard Signs, Buttons, etc.) Contributions to Candidates & PAC's P Postage Donations & Gifts S Surveys & Polls Event Expenses T Tickets (Events) Food & Refreshments U Utilities General Operational Expenses W Wages, Salaries, Benefits & Bonuses Literature, Brochures, Printing Y Petition Circulators Management Services Z Preparation & Production of Advertising Contributor Name, Mailing Address and Zip Code $ Expenditure Name, Mailing Address and Zip Code Calendar Year -To -Date 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 $ Expenditure Name, Mailing Address and Zip Code Calendar Year To -Date Purpose Code 4• Contributor Name, Mailing Address and Zip Code Expenditure Name, Mailing Address and Zip Code Calendar Tapate Purpose Purpose C 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 Summ age 2 line 3 — SCHEDULE D LOANS Name of Candidate or Political Committee: Each Lender to your campaign should be listed separately. Each time a loan is received 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 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 listed. The Outstanding Balance column is the Previous Balance plus new loans and accrued interest less any repayments. Name, Flailing Address and Zip I Previous Balance New Loan amount Code of Lender of loan at the received during this (Candidate, Individual or Business) end of the last I reporting period I 1 Amount Interest accrued during this reporting period Repayments of Loan during this reporting period Amount Balance outstanding at the end of this 2. �.. 1 1 1--j Amount Amount Date: Date: Amount: Amount � 5 Date: Date: 4. —J--L-- J1Amount Amount Amount $ S Date: Date: / I Amount Amount Date: Date: 6. I 1 I 1 Amount Amount: S S Date: Date: 7. I ! I 1 Amount Amount e $ Previous Previous Totals $ (Transfer the combined total of all received loans to thel $ Detailed Summary, page 2 line 4) Received Interest E Interest (Transfer the combined total of all loan repayments to Detailed Summary, page 2 line 9 & R Ending Balance (NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary, page 2 line 13) Balance $--0- (NOTE: --0- SCHEDULE E T CARDS and DEBT Name of Candidate or Political Committee: Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed 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: _j__j_ 1__J Amount Amount S � 2. pate: Date: Amount Amount s $ 3 Date: Date: Amount: Amount 4 Date: Date: _J___j_ I— I Amount Amount 5 Date: Date: Amount Amount S 6 Date: Date: 1 I ! 1 Amount: Amount Previous Incurred Repayments Ending Balance Previous Total: f $ 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: 1 $ SCHEDULE E-1 CREDIT CARD and DEBT ITEMIZATION y�g 0 Name of Creditor from Schedule E: 'F=:'A G LE UNIT -em n L J l L A 1 f N � ii , limn Each Creditor listed on Schedule E with a New Debt amount must nave a acneoure t- r al.VUmvCUlyllly 11. 1116 vl llowlc • „mow ••••�• �•• -•••- the debt was incurred. Purpose Codes Full Name, Mailing Address and Zap Code of Expenditure Purpose Code A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, N & 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 Zap Code of Expenditure Purpose Code Amount 1. � f S 2. l ! � 3. 4. 1 I $ 5. 6. 7. i r � s. i r � 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 PI FnrFn CONTRIBUTIONS BUT NOT YET RECEIVED Name of Candidate or Committee: E - U 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 coninbution. Date Pledged Full Name, Mailing address and Zip Code of Contributor Amount Pledged 1. 2. 3. 1 I 4. r ! 5. I I 6. 7. 8. ! I 9. 10. —j- 1 / 11. Total Amount of Pledged Contributions: $--0— Transfer -0 Transfer the combined total of all Schedule F pages to the Detailed Summary on page 2 line 20.