s. blaclq...sectlon i s. blaclq c-2 rev. 1/18 change of address for: section ll this filing is for...

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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 during this reporting period. Sec{ ion lV SUMiIARY tThis is 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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  • 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

  • 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 $

  • 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.)

  • 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

  • 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.)

  • 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

  • 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)

  • 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,

  • 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

  • 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