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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 Anne Zabala City Council 2-year 323 S Asbury St Moscow 83843 208/874-3756 Nils Peterson 841 Travois Way Moscow 83843 208/882-4620 509/336-1664 ✔ 10/01/2017 10/22/2017 ■ ✔ ■ 4,375.00 3,910.00 8,285.00 5,410.22 2,874.78 315.45 0.00 10,315.00 10,315.00 7,440.22 2,874.78 Nils Peterson City Clerk Contact Info Laurie M. Hopkins Moscow City Hall 206 E 3rd St Moscow ID 83843 [PHONE REDACTED] [EMAIL REDACTED] Received 11/2/2017 lmh AMENDED ---PAGE BREAK--- DETAILED SUMMARY Name of Candidate or Committee: Total This Period Contributions Unitemized Contributions ($50 and less) # of Contributors + $ Itemized Contributions (Total of all Schedule A sheets) + $ In-Kind Contributions (Total of all Contribution amounts from Schedule C sheets) + $ Loans (Total of all New Loan amounts from Schedule D sheets) + $ Total Contributions (Transfer this fi gure to page 1, Section IV, Line 3) = $ 1 2 3 4 5 Expenditures Unitemized Expenditures (Less than $25) # of Expenditures + $ Itemized Expenditures (Total of all Schedule B sheets) + $ In-Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + $ Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + $ Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + $ Total Expenditures (Transfer this fi gure to page 1, Section IV, Line 5) = $ 6 7 8 9 10 11 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges + $ Itemized Pledged Contributions this Period (Total of all Schedule F sheets) + $ Total Pledged Contributions this period = $ 19 20 21 Page 2 Loans, Credit Cards and Debt Outstanding Balance from previous reporting period + $ New Loans received during this reporting period (Total of all New Loan amounts plus Accrued Interest from Schedule D sheets) + $ New Credit Card and Debt incurred this reporting period (Total of all New Incurred Debt amounts from Schedule E sheets) + $ Subtotal = $ 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 (Total of all Debt Repayment amounts from Schedule E sheets) - $ Total Outstanding Balance at close of this period (Transfer this fi gure to page 1, Section IV, Line 7) = $ 12 13 14 15 16 17 18 Anne Zabala 41 1,460.00 2,450.00 0.00 0.00 3,910.00 9 115.05 1,295.17 0.00 0.00 4,000.00 5,410.22 4,289.27 0.00 26.18 4,315.45 0.00 4,000.00 315.45 0 0.00 0.00 0.00 ---PAGE BREAK--- SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check $ $ Calendar Year-To-Date " Primary " General 9. $ $ Calendar Year-To-Date " Primary " General 8. $ $ Calendar Year-To-Date " Primary " General 1. $ $ Calendar Year-To-Date " Primary " General 2. $ $ Calendar Year-To-Date " Primary " General 3. $ $ Calendar Year-To-Date " Primary " General 4. $ $ Calendar Year-To-Date " Primary " General 5. $ $ Calendar Year-To-Date " Primary " General 6. $ $ Calendar Year-To-Date " Primary " General 7. $ $ Calendar Year-To-Date " Primary " General 10. Total This Page: $ Page of Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. 1 2 Anne Zabala 10 1 17 Leroy Hayes 1401 Poplar Avenue Twin Falls ID 83301 150.00 150.00 10 3 17 Greg Geanne 2835 Tarragon Court Fullerton CA 92835 1,000.00 1,000.00 10 6 17 Kristin Henrich 110 W 1st St, Apt. 4 Moscow ID 83843 100.00 250.00 10 8 17 John Holup 534 N Eisenhower Moscow ID 83843 100.00 100.00 10 15 17 Mary Jo Hamilton 1102 Orchard Ave Moscow ID 83843 100.00 100.00 10 15 17 Joanne Reece 1400 Orchard Ave Moscow ID 83843 500.00 500.00 10 15 17 David Vollmer 520 W 1st St Moscow ID 83843 100.00 100.00 10 15 17 Steffen Werner 407 N Polk St Moscow ID 83843 100.00 100.00 10 16 17 David Nelson 804 East E Street Moscow ID 83843 100.00 100.00 10 15 17 Thomas Newhof 1699 Appaloosa Rd. Moscow ID 83843 100.00 100.00 2,350.00 ---PAGE BREAK--- SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check $ $ Calendar Year-To-Date " Primary " General 9. $ $ Calendar Year-To-Date " Primary " General 8. $ $ Calendar Year-To-Date " Primary " General 1. $ $ Calendar Year-To-Date " Primary " General 2. $ $ Calendar Year-To-Date " Primary " General 3. $ $ Calendar Year-To-Date " Primary " General 4. $ $ Calendar Year-To-Date " Primary " General 5. $ $ Calendar Year-To-Date " Primary " General 6. $ $ Calendar Year-To-Date " Primary " General 7. $ $ Calendar Year-To-Date " Primary " General 10. Total This Page: $ Page of Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. 2 2 Anne Zabala 10 18 17 Stephanie Borders 7518 Lanktree Lane Middleton ID 83644 100.00 200.00 100.00 ---PAGE BREAK--- SCHEDULE B ITEMIZED EXPENDITURES Twenty-Five Dollars ($25.00) or more this period Total This Page: $ Page of Date Spent Full Name, Mailing Address and Zip Code of Recipient Cash or Check Purpose Code(s) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) O Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC’s P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets (Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefi ts & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Purpose Codes (Enter up to 3 purpose codes per Expenditure.) 1. $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ 10. $ Name of Candidate or Committee: Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7. 1 1 Anne Zabala 10 1 17 ActBlue PO Box 441146 Somerville MA 02144-0031 M 36.26 10 14 17 Walmart 2470 W Pullman Rd Moscow ID 83843 E 27.40 10 18 17 Harrison Anthony 240 Baker St Moscow ID 83843 W W 1,030.00 10 20 17 Idaho Liquor Store 872 Troy Highway #110 Moscow ID 83843 E 27.51 10 21 17 Hunga Dunga Brewing Co. 333 N Jackson St Moscow ID 83843 E 174.00 E 1,295.17 ---PAGE BREAK--- SCHEDULE E - CREDIT CARDS and DEBT Previous Incurred Repayments Ending Balance Previous Total: Each incurred 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 Creditor 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. If 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 Repayments of Debt. Name, Mailing Address and Zip Code of Creditor (Candidate, Individual or Business) Previous Balance of debt at the end of the last reporting period New Debt amount incurred during this reporting period Repayments of Debt during this reporting period Balance outstanding at the end of this reporting period 1. 2. 3. 4. 5. 6. $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: Incurred Total: (Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the Detailed Summary, page 2 line 10 & 17) Ending Balance Total: $ $ $ $ Name of Candidate or Committee:Anne Zabala Anne Zabala 323 S Asbury St Moscow ID 83843 392.88 10 6 17 392.88 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 7.93 10 6 17 7.93 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 1.04 10 6 17 1.04 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 6.35 10 6 17 6.35 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 126.11 10 6 17 126.11 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 18.32 10 6 17 18.32 0.00 552.63 0.00 552.63 0.00 ---PAGE BREAK--- SCHEDULE E - CREDIT CARDS and DEBT Previous Incurred Repayments Ending Balance Previous Total: Each incurred 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 Creditor 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. If 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 Repayments of Debt. Name, Mailing Address and Zip Code of Creditor (Candidate, Individual or Business) Previous Balance of debt at the end of the last reporting period New Debt amount incurred during this reporting period Repayments of Debt during this reporting period Balance outstanding at the end of this reporting period 1. 2. 3. 4. 5. 6. $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: Incurred Total: (Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the Detailed Summary, page 2 line 10 & 17) Ending Balance Total: $ $ $ $ Name of Candidate or Committee:Anne Zabala Anne Zabala 323 S Asbury St Moscow ID 83843 98.00 10 6 17 98.00 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 475.00 10 6 17 475.00 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 29.37 10 6 17 29.37 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 815.51 10 6 17 815.51 0.00 Anne Zabala 323 S Asbury St Moscow ID 83843 2,179.96 10 6 17 2,029.49 150.47 Anne Zabala 323 S Asbury St Moscow ID 83843 95.38 95.38 3,693.22 0.00 3,447.37 245.85 ---PAGE BREAK--- SCHEDULE E - CREDIT CARDS and DEBT Previous Incurred Repayments Ending Balance Previous Total: Each incurred 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 Creditor 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. If 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 Repayments of Debt. Name, Mailing Address and Zip Code of Creditor (Candidate, Individual or Business) Previous Balance of debt at the end of the last reporting period New Debt amount incurred during this reporting period Repayments of Debt during this reporting period Balance outstanding at the end of this reporting period 1. 2. 3. 4. 5. 6. $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: $ Date: Amount: Incurred Total: (Transfer the combined total of all incurred debt to the Detailed Summary, page 2 line 14) Repayments Total: (Transfer the combined total of all debt repayments to the Detailed Summary, page 2 line 10 & 17) Ending Balance Total: $ $ $ $ Name of Candidate or Committee:Anne Zabala Anne Zabala 323 S Asbury St Moscow ID 83843 0.00 9 23 17 43.42 43.42 Anne Zabala 323 S Asbury St Moscow ID 83843 0.00 10 1 17 26.18 26.18 0.00 69.60 0.00 69.60 ---PAGE BREAK--- SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION Name of Creditor from Schedule E: Total This Page: $ Page of Purpose Codes (Enter up to 3 purpose codes per Expenditure.) Date Incurred Full Name, Mailing Address and Zip Code of Expenditure Amount Purpose Code(s) 1. $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ Each Creditor listed on Schedule E 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. A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Management Services B Broadcast Advertising (Radio, TV, Internet & Telephone) N Newspaper & Other Periodical Advertising C Contributions to Candidates & PAC’s O Other Advertising (Yard Signs, Buttons, etc.) D Donations & Gifts P Postage E Event Expenses S Surveys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses U Utilities H Independent Expenditure W Wages, Salaries, Benefi ts & Bonuses I Interest Accrued & Finance Charges Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor. Name of Candidate or Committee: 1 1 Anne Zabala Anne Zabala 10 1 17 Walgreens 414 N Main st Moscow ID 83843 5.60 10 1 17 One World Cafe 533 S Main St Moscow ID 83843 20.58 26.18