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CAMPAIGN FINANCIAL DISCLOSURE REPORT 5 o2 SUUNARY PASE NT 40 JAN 2B AM 850 ay, or (Please Print or Type) SeghE TARY OF STATE Section | STATE OF IDAHO |News of anda Pata! Cie and Chinen oe Soa enna | Devan) My Qe 5 Diabet Sac Pe) 22 Pah fay 20 Te + Sars Lowmev. vvied 289-2345 les 259-2344 | | 2 ws2~ | bh wai yan Wa Ps OF ¢ Fey Al | Leama sg 37 yy lesr339% ‘Change of address for: Candidate or Political Committee EJ. Political Treasurer} Section TYPE OF REPORT This filing is an: B Original DB Amendment This report is forthe period trom_/ 1 ft a) through (2 13% 1 oF 1 Tay Pre-Pay Report 1 30Day Post Primary Report 12. Oitoner 10 Pe-ceneal Repo 1 7 ay Pr- General Repot 1 50Day Post eneral Report EF Annual Report 7 Semi-Annual Report (Statewide Candidates Only) Isthis@ Termination Repo: C1 Yes 4 No Section i ‘STATEMENT OF NO CONTRIBUTIONS OR EXPENOITURES Directions: I you had no contributions or expenditures dung this reporting period, check the box next fo the statement below and sign ths report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column Il, Section IV. TI hereby cerify that have received no contributions and have made no expenditures during this tepoting period. ‘Section IV ‘SUMMARY To reach your Calendar Year to Date figure: Add this report's Column | COLUMNS COLUMN I! figures tothe Golurn I igures of your previous report (except online 6. This Period Calendar Year toDate Line 1: Cash on Hand January 1, This Calendar Year* $5_XOOXK $ _ Line 2: Enter Beginning Cash Baiance”* $s § __XXXXXX Line 3: Total Contributions (Enter amount from ne 6, page 2) $ s_Zoooe Line 4: Subtotal (Add fines 1, 2 and 3) 8 s_€ 03,20 Line 5: Total Expenditures (Enter amount from line 11, page 2) s 200 s_ 222. p0 Line 6: Enter Ending Cash Balance (Subtract ine § fom ine 4) s_o See Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) s_260 °2 “This same figure should be entered online + of al reports fled tis calendar year. “This isthe gure on jne 6 ofthe last Campaign Financial Disclosure Repor filed. I this is your frst eport, this amount is 0. Note: The closing cash batance forthe cutent ceparting period appears onthe next report as the beginning cash on hand, Section V ‘Raa The Repo To] ‘en Yoursa secretary of tte | Pr EO LAC SOC rarer cotyvarte'tomatonin tis Boise ID 83720-0080 seport is a true, complete and correct Campaign Financial Disclosure Report as required by law. | PO Box 83720 "Teno Suan 20% ee Signature of Poltital Treasurer Page 1 DETAILED SUMMARY [sane of Candidate or Comtize: In-Kind Expenditures (Total of al Expenditure emaunts from Schedule C sheets) Loan Repayments (Total of ll Loan Repayment amounts from Schedule D sheets) ‘New Loans received during this reporting period ___ (Total ofall New Loan amounts plus Accrued Interest om Schedule D sheets) ‘New Credit Card and Debt incurred ths reporting period {Total of i New incurred Debt amounts ffom Schedule E sheets) "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 edule E sheets) (@ Teal Outstanding Balance at close of this period (Transfer tis figure to page 1, Section IV, Line 7) SCHEOULEB (hee? a a ITEMIZED EXPENDITURES Lt Twenty-Five Dolars (625.00) or moe this period | name of Canddat or Commitee: “Purpose Codes ‘A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) © N Newspaper & Other Periodical Advertising B Broadcast Advertsing (Rado, TV & tenet) © Otner Advertsing Yard Signs, Batons, ec.) Contributors to Candas & PACs P Posage D Donatos & its 3 Suveye 8 Pots E Event Expenses 1 Tekets (Eve's) F Food & Refreshments U_ Utilities: Geral Operational Expenses W. Wages, Sears, nets & Bonuses Ltrs, Brochures, Printing Y Pettion Crulators ‘M Management Services Z Preparation & Production of Advertising rn ae Full Name, | ng Address and Zip Gode of Recipient ~~ | Purpose Code} Cash or Check) 1 im. Lem BURLAG Federer ren \ | } G00 thay, ara Ave Sal { G , |Woseisgte. De, Zoey 7 |s.zer-2o | } { \ | 4 ee eee eee eee os eee Total This Page “js 2a ‘Transfer the combined total ofall Schedule B pages to the Detailed Summary on page 2 I SCHEOULE O LOANS Each Lender to your campaign should be listed separately. Each time a joan is received or you loan money tothe campaign, it must be ited as 2 separate item, Each new joan rom any Lender mast be listed 38 a new tem from that Lender. You may have the same Lander listed more than once, EE. (etieiniettieyeniaeememnsiemmememniintiniatiay 2x09! '0r 2 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 fits tepid in fll ‘Any loans) wih abalance(s) appearing on te last report must be fisted below wih the amoutin the Previous Balance column Any new oan amounts shouldbe listed inthe Now Loan colurin. Any interest accrued shouldbe ised inthe Interest Accrued or, fa payment was Made an the fan, fst iia the Repayments column. Note: Any lan 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, Maiing Address and Z'p } Previous Balance | New Loan amount | interest accrues | Repayments oftoan] — alance Cid of Lente ctlan athe. | eeened dung ts | eunrg ths | aur thsrepetng | outendng at (Candidate, Individual or Business) } end ofthe last} reporting period reporting period period the end ofthis reporting pe reporting peo ALLA Couty ee Dike 1212 7°77 hey 27 fon ened) 200-02 4 Levww Fbones 200-20 z bo ~—/ voit z ba = —. si iS = a _ nit ‘ ——_ 4 oa scout fe a 20a00 = cece ele [caer leew ex ml Previous Total§ = Received Total | (Transfer the combined total of all received loans tothe! $ 220.2, Detaled Summary, page 2 fine 4) —— + = Inerest Totat|$ 2 Repayeients Tol] >) {Transfer the combined total af al loan repayments tothe, $ Detailed Summary, page 2line 9 & 16) ‘ I, | —_ ging Ralence etl § Jeol, a7 ~~ _-eombined tot ot Accrued interest and Resived Loan othe Deal Summary page 2 ne 13)

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