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CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Name of Candidate or Political Committee and Chairperson Mailing Address Name of Political Treasurer Mailing Address City and Zip City and Zip Home Phone Home Phone Work Phone Work Phone Offi ce Sought (if candidate) District (if any) Section I Section II Section III TYPE OF REPORT This fi ling is an: Original Amendment 7 Day Pre-Primary Report 30 Day Post-Primary Report October 10 Pre-General Report 7 Day Pre-General Report 30 Day Post-General Report Annual Report Semi-Annual Report (Statewide Candidates Only) Is this a Termination Report: Yes No Section IV 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” fi gures in Column II, Section IV. I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section V SUMMARY To reach your Calendar Year to Date fi gure: Add this report’s Column I COLUMN I COLUMN II fi gures to the Column II fi gures of your previous report (except on line This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year* $ $ Line 2: Enter Beginning Cash Balance** $ $ Line 3: Total Contributions (Enter amount from line 5, page 2) $ $ Line 4: Subtotal (Add lines 1, 2 and 3) $ $ Line 5: Total Expenditures (Enter amount from line 11, page 2) $ $ Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) $ $ Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) $ *This same fi gure should be entered on line 1 of all reports fi led this calendar year. **This is the fi gure on line 6 of the last Campaign Financial Disclosure Report fi led. If this is your fi rst 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. Return This Report To: Lawerence Denney Secretary of State PO Box 83720 Boise ID 83720-0080 Phone: (208) 334-2852 Fax: (208) 334-2282 I, hereby certify that the information in this report is a true, complete and correct Campaign Financial Disclosure Report as required by law. Name of Political Treasurer Signature of Political Treasurer This report is for the period from through Change of address for: Candidate or Political Committee Political Treasurer C-2 Rev. 12/14 Page 1 Click here to clear form. ELECTRONIC SUBMITAL REQUIRED Submit to: [EMAIL REDACTED] [PHONE REDACTED] FAX Eagle City Clerk 660 E. Civic Ln. Eagle, ID 83616 [PHONE REDACTED]