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C-5 Rev. 01/15 48 HOUR NOTICE OF CONTRIBUTIONS / LOANS RECEIVED of $1,000 or more Directions: Use this form to report any contribution of one thousand dollars ($1,000) or more, received after the sixteenth (16) day before, but more than forty-eight (48) hours before, any primary or general election. Notifi cation must be made within forty-eight (48) hours after receipt of such contribution. (Sec. 67-6607(c), I.C.) Name of Candidate or Committee: District (if applicable) Mailing Address: City and Zip Code: Date Received Full Name, Mailing Address and Zip Code of Contributor/Lender Loan Cash or Check In-Kind (non-monetary) 1. $ $ $ 2. $ $ $ 3. $ $ $ Signature of Political Treasurer I, hereby certify that the information in this report is true, complete and correct. Name of Political Treasurer This requirement applies to all types of contributions, including but not limited to: • cash contributions • in-kind contributions • loans • contributions or personal loans made by the candidate 2019 Elections 48 Hour Notice required for contributions: General October 21, 2019 through Election November 2, 2019 Submit to: [EMAIL REDACTED] OR Eagle City Clerk 660 E. Civic Ln. Eagle, ID 83616 Phone: [PHONE REDACTED] Fax: [PHONE REDACTED]