s. blaclq...sectlon i s. blaclq c-2 rev. 1/18 change of address for: section ll this filing is for...
TRANSCRIPT
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sEcTloN I
s. blacLQ
C-2
Rev. 1/18
Change of Address for:
Section ll
This filing is for an:
This report is for the period from:
ls this a Termination Report?
Section lll
YesI ruoEF
STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
RmendmentEl
through
7 Day Pre- Primary ReOortf] 30 Day Post- Primary Reoortfl October 10 Pre- General ReRortf]
7 Day Pre- General Reeortf]] 30 Day Post- General ReportFK AnnualReOort[
Gampaign Financial Disclosure Report
Summary Page
Please print or tyPe
Candidate or PoliticalCommittee E PoliticalTreasurer[
TYPE OF
REPORToriOinal!
Semi-Annual Report ( Statewide Candidates onV) f]
Directions: lf yrou have no contributions or expenditures during this reporting period, check the box next to the statement
below and sign this report. Be sure to carry forurard the appropriate " Galendar Year to Date' figures in Column ll, Section
tv.
l-'ll hereby certify that I have received no contributions and have made no expenditures
duringthis reporting period.
Sec{ ion lV SUMiIARY
tThisis the figure on line 6 of the last Campaign Financial Disclosure Report ftled. lf this is your first report, this amount
is 0.
Note: The closing cash balance for the cunent reporting period appears on the next report as beginning cash on hand.
Return this Form to:
Ada Gounty Elections
400 N Benjamin Ln, Ste # 100
Boise, lD 83704
Phone #: ( 208) 2876860
Fax #: ( 208) 287€939
Lg*Gr"* certiff that the information in this
Year To Date
Narne of Political Treasurer
and conect Campaign Finance Disclosure as
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Rev.1/18 DETAILED SUMMARY PAGE
Name of Candidate or Committee
Contributions fotal this period
1) Unitemized Contributions ($ 50 and less) | # of Contributions $
2) ltemized Contributions ( Total of all Schedule A sheets)$ rooo3) In-Kind Contributions ( Total of all Contribution amounts from Schedule C sheets)$
4) Loans ffotalof all New Loan amounts trom Schedule D sheets)$
5) Total Gontributions ( Transfer this fisure to pase 1, Section lV, Line 3)$ tooo
Expenditures fotal this oeriod
6) Unitemized Expenditures ( Less than $ 25) | # of Expendituresl \ )-$ l-7 A(7) ltemized Expenditures ( Total of allSchedule B sheets)$ goD c
t8) ln-Kind Expenditures ffotal of all Expenditure amounts from Schedule C sheets)$
9) Loan Repayrnents ( Total of all Loan Repayment amounts from Schedule D sheets)$
10) Credit Card and Debt Reoawrents ffotal of all Reoavment amounts from Schedule E Sheets)$
11) Total Expenditures ( Transfer this fisure to pase 1, Section lV, Line 5)$ qn,? -g't
Loans. Credit Cards and Debt Total This period
12) Outstanding Balance from previous reportinq period $ \ 2-2ff'a t-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 Incuned Debt
lmounts from Schedule E sheets)$ \ q 13, \ 315) Subtotal $ Stgzs16) Repayments of Loans made during this reporting period ( fotal of all Loan Repayrnent
rmounts from the Schedule D sheets, input as n'eqative value) sF117) Repayments of Credit Card and Debt this reporting period ( Total of all Debt Repayment
rmounts from Schedule E sheets. inout as neoative value)$
18) Total Outstanding Balance at close of this period ( Transfer this figure to page 1 , Section lV,
Line 7) s 3tEz, s?-
Pledged Gontibutions Totalthis period
19) Unitemized Pledged Contributions ($ 50 and less) # of Pledges
20) ltemized Pledged Contributions this Period ( Total of all Schedule F sheets)
21) Total Pledged Contributions this period $
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Rev. 1/18 SCHEDULE A
ITEMIZED CONTRIBUTIONS
Page _ of_
50. 00) this period
Name of Candidate or Committee
Date Received Full Full Name, Mailing Address and Zip Godq of Contributor Cash or Check Amount
FullName 1).+s,€ n-ffr,.- \. to A $ rezcrrimary
General
Mailinq Address $
City, State ZipCalendar Year to Date
FsufHre )$
treelr,Geneiat
taffincAdr€ g€ tcity,,Snateai '€
dehd4Y, eail6l@e
FullName 3)$
Primary
General
Mailing Address $
City, State ZipCalendar Year to Date
54Lt{;fne qr.,. s
lffiddftese, iSrdeilp-
gdetidelrY€ dloFq
FullName 5)$
Primary
General
Mailing Address $
Citv. State Zio Calendar Year to Date
Euil. tkiqe: i),.$
ltdHqrgAddr€ ss $
Cftr.SffiZio cd€f*ta Yearlo'Date
FullName 7)$
rrimary
3eneral
Mailinq Address $
City, State Zip Calendar Year to Date
ftill-lCiine' B)$
SfiateZio : 0alexki: Y€a.to e}de'
Full Name l)$rrimary
3eneral
Mailins Address $
City, State Zip Calendar Year to Date
EUtir*a!re 10).$
ertna-iV ,
Sereral :
ailinqiddress $
mv. SfateZio Gds* larYear! 0..Dete
FullName 11)$
rimary
3eneral
Mailinq Address $
Ity, State Zip Calendar Year to Date
Full l{ame 12)$
trimary
3eneral
Mailing Address $
fi, StateZip ea[endar Yearto Date
FullName 13)$
rrimary
3eneral
Mailinq Address $
CiW, State Zip Calendar Year to Date
TotalThis PaEe
Note: ( Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2.)
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Source:
Direct or Date ofName Address Paypal Contribution Amount
185 S State Street,
Salt Lake City, Utah,
Maverik, Inc. 84111 Direct L1/27/ZO1^ 8 51,000.00
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Rev. 1/18 SCHEDULE B
ITEMIZED EXPENDITURES
Twenty-Five Dollars ($ 25.00) or more this period
Page _ of_
Name of Candidate or Commiftee
Codes to 3 purpose codes per Exp
A AllTravel Expenses ( Airfare, Fuel, Lodging & Mileaoe) N Newsoaoer & Other Periodical Advertisinq
B Broadcast Advertising ( Radio, TV, Internet & Telephone o Other Advertisinq ( Yard Signs, Buttons, etc.)
c Contributions to Candidates & PACs P Postage
D Donations & Gifts s Surveys & Polls
E Event Expenses T Tickets (Events)
F Food & Refreshments U Utilities
G General Operational Expenses W Waqes, Salaries, Benefits & Bonuses
H lndependent Expenditures Y Petition Circulators
L Literature, Brochures, Printing z Preparation & Production of Advertisinq
M Management Services
Date Spent FullName. Mailinq Address and Zip Gode of Recipient
Purpose
Code(s)
Gash or Check
Amount
1) € ep- H&*-!rrfi $ qooDatez\lw,,
3)$Date
4)-sDdb
5)$Date
F}sry'7)$
Date
BliiDate
e)$Date
10)$I}ite
TotalThis Page $ qf)?l
Note: ( Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2, line 7.)
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Mary Holmes, M9 SilverTerrace Rd, Meridian,rp _8!912Designs By Panish 9282 W Ullyurood Dr, Boise, lD
837G)
slga
sqlp
S-or9-
s4ga
9!99, 99
s2oo. o0I
I tutel2olg
t." .It,*it----ITOTAT
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Rev. 1/18 SCHEDULE C
IN.KIND CONTRIBUTIONS AND EXPENDITURES
Page _ of_
l{ame of Candidate or Gommittee I Ketn { / OZ / rl*ln e/Ae-
Date Received Full Name, Mailing Address and Zip Code of ContributorlExpenditure Cash or Check Amount
Contributor Name 1 $
rimary
3enera
Mailing Address $
City, State ZipCalendar Year to Date
Expenditure Name Purpose Code(s)
Mailinq Address $
City, State Zip Amount
qp4i| di*t.slame. 4 $..
ffiad@Ji, f.:?.,':-i
Purpri'se Godllsl
Aqtc[ g|I
Gontributor Name 3)$
rimary Mailinq Address $
City, State ZipCalendar Year to Date
Expenditure Name Purpose Code(s)
Mailinq Address $
Gitv. State Zio Amount
7:.*..'.. 4 -{ r.
n-::=':=:.:. t* ,.:t, :.; q@Uleif f*+ne +) s
EaffiAdfrbt $B,ftr,Stalertp- ca&ti!ar:Y#StE|te
ipendhlre t{aiie PriqiqieGodets)
tlaitir, EAddress $
Citv, Sftaie Zip Amoont
Expenditure Total
Iransfer the combined total of all Expenditures on Schedule G
pages to the Detailed Summary, page 2 line 8)$ 0.00
Gontributor Tota
0.00
Note: ( Transfer the combined total of all Gontributors on Schedule C pages to the Detailed
Summary, page 2, line 3)
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Rev.1/18 SCHEDULE D
LOANS
Page _ of_
Each Lender to your campaign should be listed separately. Each time a loan is '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, ldaho 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 amounts 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. lf a payment was made on the loan, list it in the Repayments column. Note: Any loan that was repaid in fullln 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
Name of Candidate or Gommittee
Address and Zip Code of
Candidate, Individual or
Transfer the combined total of all received loans to
Detailed Summary, page 2 line
Transfer the combined total of all loan repayments to the Detailed Summary page 2, line 9
Ending Balance:
Note: ( Transfer the combined total of all Accrued Interest and Received Loans to the Detailed Summary,
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Rev. 1/18 SCHEDULE E
CREDIT CARDS and DEBT
Page _ of_
Name of Candidate or Committee I Ka,trt 1 / zP Jrl?lu D f A.4Each incuned 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 Greditor 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. lf 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 Repaymenis of Debt.
ame, Marlrng Address and ztp code of
reditor ( Candidate, Individual or Business)
Previous Balance
of debt at the end
of the last reporting
period
New Debt amount
incuned during this
reporting period
Repayments ot
ebt during this
eporting period
Balance Outstanding at
the end of this reporting
period
t)Sae.o lJrno\, anQ
s sDateDateAmount Amount
Amount Amount
5 5Dale'DAF
n(E&t 5. 5 AniourtAllqnr An.rour*
l)
s sDateDateAmount Amount
Amount Amount
sst!'''Dde 9de
Amcirrt 5 5' ArK[n$Amqrnt Anrount
5)
s sDateDateAmount ) Amount
Amount Amount
s sDateDate 'Amourit s 5 fthoatt
Ainount Annount
7l
s sDateDateAmount Amount
Amount Amount
I PreviousIPrevioust",",|@
New Debtl
Transfer the combined total of all inccured debt to thel
Detailed Summary, page 2 line fa)l
Transfer the combined total of all debt repaynnents to the I
pi
Incurred
s \q\3.\asy-
Ending Balance
etailed Summary
rge 2, line 10 & 17)Ending Balance sBr*ie.gA
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Date Spent Full Name, Mailing Address & Zip Code of RecipientLOl27l2OI8 ldaho Pizza Company, 405 E Fairview Ave, Meridian, tD
t0l29l2018lD GOP Banquef Kootenai & Orchard, Boise, tD 8370(
LI/2lzAtB Enriques,428 W Main S! Kuna, tD 83G34
nl4/ 20J3 Parking, Boise, PO Box 2237,Boise, tD 83701
111612018 Facebook, 1 Facebook Way, Menlo Park, CA g4OZl
tLl6/ 2O18 Goodwood BBQ, Meridian, tD
LLlL4lzOtB Go Daddy, 14455 N Hayden Rd, Scottsdale, AZ 8526C
TOTAT
F
F
F
A
B
F
G
Purpose
Code
Cash or Check
Amt.
Szo.e4
5es.oo
522. e7
s6.00
s1,385.35
5uz.se
s29s.s9
S1, 913. 13