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2016 Annual Report - Bastian, Stanley J. - 1/30/2017G2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 12/15 SUMMARY PAGE (Please print or type) Sadion I File: ECEIVED & FILE CITY OF EAGLE JAN 3 U 2017 Name of candidate or Political Comm tee and Cl airperson trice Sought andidate) District (if any) Q. �—. Mailing Address JCity and Zip ml Pho Work Phone $ )00000( Name of Political Treasurer Mailing Addressand ity Zip Home Phone ork Phone 4.5 ---% )0000(X Line 3. Total Contributions (Enter amount on line 5, Page 2) Change of address for: Candidate or Political Committee 0 Political Treasurer D Section I I -le TYPE OF REPORT This filing is an: Xriginal Amendment this report is for the period from _/ +f /through � 6 D Day Pre -Primary Report 13 Day Pre -General Report 0 Day Post -Primary Report �0 Day Post -General Report DSemi Annual report (Statewide Candidates�ly) Is this a Termination Report? Dyes V o Ebctober 10 Pre -General Report 41,__,nual Report Section I I I STATEMENT OF NO CONTRI BUT[ONS OR EXPENDITURES Directions: If you have no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report. Besureto carry forward the appropriate" Calendar Year to Date" figures in Column 11, Section IV DI 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 Col umn I figures o the Column II figures of your previous report (except on line 6). COLUMN I This Period COLUMN II Calendar Year To Date Line 1. Cash on Hand January 1. This Year* $ )00000( $ 500 Line 2. Lnter Cash Balance ** $ ` * $ )0000(X Line 3. Total Contributions (Enter amount on line 5, Page 2) $ $ -p- Line 4. Subtotal (Add lines 1, 2 and 3) $ 40 *JVF $ zJ%^ 4116 Line 5. Total Expenditures (Enter amount from line 11, Page 2) $-4 AO$' Line 6. Cash Balance at Close of Period (Subtract Line 5 from Line 4)** Is $ Line 7. Outstanding Debt to Date (Enter amount from line 18, page 2) Is $ * This same figure should be entered on Line I of all reports filed this calendar year. ** This is the figure on line 6 ofthe last Campaign Financial Disclosure Report filed. If this is )-our first report, this amount is 0. Note: The closing cash balance 1'or the current reporting period appears on the next report as beginning cash on hand. Return This Report to: Section V CERTIFICATION Ada County Elections I, JtM 4;AS 1142 , hereby certify that the information in this 400 N Benjamin Ln, Ste #100 report is a true, complete and correct Campaign Finance Disclosure Report as required Boise ID 83704 by law. Phone # (208) 287-6860 Fax # (208) 287-6939 f Signanire ojPolrrical Treasurer SCHEDULE A - T Pose of ITEMIZED CONTRIBUTIONS a, Of more than fifty dollars ($50.00) this period ame of Candidate or Committee: k Date Received Full Name, Mailing Address and Zip Code of Contributor/Lender Cash or Check �1. 1 / ❑ Primary' ❑General Calendar Year To Date ❑Primary j ❑General Calendar Year To Date / ! 3. ❑Primary ❑General Calendar Year To Date / / 4. ❑Primary ❑General Calendar Year To Date / / 5. ❑Primary ❑General Calendar Year To Date / 1 ❑Primary ❑General Calendar Year To Date I / ❑Primary ❑General Calendar Year To Date 1 1 8. ❑ Primary :]General Calendar Year To Date ❑Primary F ❑General Calendar Year To Date 10. ll rCJ ❑Primary ❑General Calendar Year To Date Total This Page: �— Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2. SCHEDULE B Page of ITEMIZED EXPENDITURES * Itv-Five Dollars ($25.00) or more this period of Candidate or Committee: Purpose Codes Name, Maailiinn_g,A[ddress andCZiipp Code of Recipient Purpose Code A. All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N. Newspaper & Other Periodical Advertising B. Broadcast Advertising (Radio, TV & Internet) O. 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, Maailiinn_g,A[ddress andCZiipp Code of Recipient Purpose Code Cash or Check %Full �_ fi» IL CL�j�fG�76KIdr% r"'�O(C�.�%'i!� iS�V ! v r D �O ' Nort,04',..-.daho IVWA 87 -ag 3. 4. _.�.. 6. 7. '—'— -8— 10. Total This Pa e: vldJo Transfer the combined total of all Schedule 8 pages to the Detailed Summary on page 2, line 7. DETAILED SUMMARY PAGE 47 of y ame of Candidate or Committee: S f �� � o Expenditures Total This Period Contributions $ (1) Un -itemized 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) $ (4) Loans (Total of all New Loan amounts from Schedule D sheets) $ (5) Total Contributions (Transfer this figure to page 1, Section IV, Line 3) = $ Expenditures (6) Un -itemized Expenditures ($25 and less) # of Expenditures $ (7) Itemized Expenditures (Total of all Schedule B sheets) $ • (8) In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) $ (9) 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) $ PA 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 sheet) $ (14) New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) $ (15) Subtotal $ (16) Repayments of Loans made during this reporting period (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) $ $ (18) Total Outstanding Balance at close of this period (Transfer this figure to page I, Section IV, Line 7 Pledged Contributions (19) Un -itemized Pledged Contributions ($50 and less) # of Pledges $ (20) Itemized Pledged Contributions (Total of all Schedule F sheets) $ (21) Total Pledged Contributions this period $