CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE. Please Print or Type) STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

Similar documents
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)

APPENDIX A BLANK DISCLOSURE REPORTS

FOR CANDIDATES AND COMMITTEES (Please Print or Type)

Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No=

DETAILED SUMMARY. Total This Period Contributions 1. In-Kind Contributions (Total of all Contribution amounts from Schedule C sheets)

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

2017 Campaign Finance Reporting Workshop. Betsie Kimbrough, State Election Director, Idaho Secretary of State s Office Justin Ruen, AIC

0 Political Party/ Central Committee

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Type or print in ink. (Month, Day, Year) from 10/18/2015. termination 11/03/2015. Treasurer(s) I NAME OF TREASURER Diet Stroeh MAILING ADDRESS

Use the Form 460 to file any of the following:

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

2010 Campaign Disclosure Manual

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following:

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS

Welcome to the IECDB Web Reporting System's Help Site. Statement of Organization (DR-1) Disclosure Summary Report (DR-2)

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7)

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;

Candidates and Treasurers

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee.

2. 11 F) r ~;t,z:, r (t;

o Sponsored Small Contributor Committee

2018 Campaign Disclosure Manual For County Candidates And Political Committees

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) State Representative Multiple Dist th day after general

E-412. Candidate s Return of Election Expenses. Form VV. The Election Act, 1996 Section 261 (Forms E-413 and E-414) (Mar 2017) Name of Candidate

Type or print in ink. Date of election if applicable: (Month, Day, Yegp.q vill. Jun 30, Treasurer(s) NAME OF TREASURER David Whittum

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY

Finance Checklist and GAB - Campaign Finance Overview Local Candidates

I 1 Filer ID (Ethics Commission Fliers) Elexis. Grimes

Instructions - Form R-1

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

Recipient Committee Campaign Statement (Government Code Sections )

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1

State of Rhode Island and Providence Plantations

State of Rhode Island and Providence Plantations

Campaign Finance Reports Handbook of Instructions

Community Music School of Ann Arbor

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

Community Music School of Ann Arbor

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

TEXAS ETHICS COMMISSION

State of Rhode Island and Providence Plantations

Workshop for Candidates and Treasurers

State of Rhode Island and Providence Plantations

D Change of Address Austin, TX 78704

State of Rhode Island and Providence Plantations

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination)

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT


Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

MusicaNova, Inc. CDP Data Profile for the Fiscal Year Ending 06/30/2012. Notes Included. Printed 03/15/2015, 11:12 PM

INSTRUCTIONS FOR COMPLETING THE CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT COUNTY, MUNICIPAL AND SCHOOL BOARD CANDIDATES

Type or print In Ink. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS

1/74

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN

P ( )

2016 Instructions for Campaign Financial Disclosure Reporting. Metro Township and Millcreek City Candidates

1/76

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

1/66

CAMPAIGN TREASURER'S REPORT SUMMARY

1/71

Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE

CAMPAIGN FINANCE FORMS MANUAL. You will need a minimum of Adobe Reader 9 in order to access the online forms.

1 of 75 1/11/2017 1:22 PM

State of Rhode Island and Providence Plantations

CAMPAIGN TREASURER'S REPORT SUMMARY


State of Rhode Island and Providence Plantations

o Amendment (Explain below)

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE

BUDGET PACKET Student Organization President or Advisor

2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I

Transcription:

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE Please Print or Type) C-2 Rev. 12/ 14 Name of Candidate or Political Committee and Chairperson Office Sought (d candidate) District (d any) Brian C. Raybon City Council Mailing Address City and tip ome e H= e 518 S Valley Dr Nampa 83686 208) 360 3855 Name of Political Treasurer Theresa Flannery Mailing Address dyaridl Zip _ TF15 mephorie Work Phone 28 N Yellowstone Hwy Idaho Falls 83442 1( 520) 401-9647 208) 523-5953 nange of aaaress for. 1 analaate or voinical committee u Political Treasurer O Section II TYPE OF REPORT This filing is an: Original Amendment This report is for the period from 06/01/ 2017 through 09/302017 / o October 10 Pre -General Report 7 Day Pre -General Report 30 Day Post -General Report Annual Report Is this a Termination Report: Yes m No Section III 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 cavy forward the appropriate "Calendar Year to Date" figures in Column II, Section IV. Section IV 1 hereby certify that I have received no contributions and have made no expenditures during this reporting period. SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I COLUMN I COLUMN II figures to the Column II figures of your previous report (except on line 6). This Period Calendar Year to Date Line 1: Cash on Hand January 1, This Calendar Year' $ XX MX $ Line 2: Enter Beginning Cash Balance" $ $ XXXXXX Line 3: Total Contributions ( Enter amount from line 5, page 2) $ 6,02 $ 6,02 Line 4: Subtotal (Add lines 1, 2 and 3) $ 6,02 $ 6,02 Line 5: Total Expenditures (Enter amount from line 11, page 2) $ 4,346. 15 $ 4,346.15 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) $ 1, 673.85 $ 1, 673.85 This same figure should be entered on line 1 of all reports filed this calendar year. This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0. Note: The dosing cash balance for the current reporting period appears on the next report as the beginning cash on hand. City Clerk Contact Info Section V City of Nampa Deborah Bishop Clerk' s Office 411 Third Street South Nampa, ID 83651 208) 468-5426 208) 465-2314 Fax bishopd@cityofnampa. us I Theresa Flannery hereby certify that the information in this Name of Political Treasurer report is a true, complete and cofrect Campaign Financial Disclosure Report as required by law. Page 1 of Political Treasurer

DETAILED SUMMARY Name of Candidate or Committee: Brian C. Raybon Total This Period Contributions Unitemized Contributions ($50 and less) # of Contributors 4 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) 1 + 20 4,750. 00 1, 07 Total Contributions (Transfer this figure to page 1, Section IV, Line 3) 6,020. 00 Expenditures Expenditures Unitemized Unitemized Expenditures Expenditures ( ( Less Less than than $ $ 25) 25) # # of of Expenditures Expenditures 77 58.08 Itemized Expenditures (Total of all Schedule B sheets) 3, 3, 218. 218. 07 07 In In - - Kind Kind Expenditures Expenditures ( ( Total Total of of all all Expenditure Expenditure amounts amounts from from Schedule Schedule CC sheets) sheets) 1, 1, 070. 070. 00 00 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) 0. 0. 00 00 0. 0. 00 00 Total Expenditures (Transfer this figure to page 1, Section IV, Line 5) 4, 346. 15 Loans, Credit Cards and Debt - 12 13 14 16 0 18 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 OutstandingBalance at dose of this nod Transfer this figure to page 1, Section IV, Line 7 period ( 9 P 9 L ) j 0. 0. 00 00 Pledged Contributions Unitemized Pledged Contributions ($50 and less) # of Pledges 0 Itemized Pledged Contributions this Period (Total of all Schedule F sheets) Total Pledged Contributions this period Page 2

SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($5) this period 1 2 Name of Candidate or Committee: Brian C. Raybon Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check 8 28 17 1- Brian & Pamela Hardy 50 14034 N. 20th Street Phoenix, AZ 85022 50 6 12 17 2. Charles L Raybon 50 11760 Dalehurt Rd. Moreno Valley, CA 92555 1, 000. 00 7 21 17 3 Christina Cane 8118 E. 011a Avenue Mesa, AZ 85212 Calendar Year-ToOate 6 4 Courtney A Lehosit 15 17 3517 S Ashbury Way Boise, ID 83706 5. Doug Pallesen 6 22 17 10060 Mallard Drive 1, 00 1, 000. 00 9 8 17 6 James Hughes 17168 McCauley Way Nampa, ID 83687 7 6 17 7- Layne Bangerter 3007 Can -Ada Road Melba, ID 83641 Calender Year -To -Dale 8. Michael Whipple 30 9 14 17 2810 Bayhill Court 30 Calendar Year -Tb- to 7 10 17 9- Mitch Silvers 934 Grelle Avenue Lewiston, ID 83501 9 6 17 10- Saitofi Anne Deem 20 4273 Brentwood Riverside, CA 92506 20 Total This Page: 3,000. 00 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.

SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($5) this period 2 z Name of Candidate or Committee: Brian C. Raybon Date Received Full Name, Mailirg Address and Zip Code of Contributor Cash or Check 7 7 17 1 Charles L Raybon$ 50 11760 Dalehurt Rd. Moreno Valley, CA 92555 1, 000. 00 8 20 17 1 Roy Hansen$ 5 4173 E. Arch Drive Meridian, ID 83646 47 8 12 17 20 743 W. Clark Avenue 20 1 Tamara Raybon 6 9 17 4- Brian C. Raybon 20 1, 00 6 23 17 5- Brian C. Raybon 300. 00 1, 00 Calendar Year-T" ate 7 21 17 6 Brian C. Raybon 30 1, 00 Calendar Year-T" ate 8 25 17 7. Brian C. Raybon 20 1, 00 8. 9. 10. Calendar Year-T" ale Total This Page: 1, 75 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.

SCHEDULE B ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period page 1 of 2 I Name of Candidate or Committee: Brian C. Raybon rurpose woes ttnter up to s purpose coxes per txpenaiture.) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising ( Radio, TV, Internet & Telephone) 0 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, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services aa ee spent spent ame, Mailing Address and Lip Code of Recipienturpose s) Cash or Check I 6 16 17 1 Vista Print L 217 Westminster Street Providence, RI 02903 236. 64 6 20 17 6 22 17 6 23 17 2. Winco F 2020 Caldwell Blvd Nampa, ID 83651 3. Vista Print L 217 Westminster Street Providence, RI 02903 4. Customink 0 2910 District Avenue Fairfax, VA 22031 113.34 291. 65 429.66 6 24 17 5. Walmart E 103.73 6 30 17 7 8 17 6 Walmart G, E 1796 7. GoDaddy.com B 14455 N. Hayden Road Scottsdale, AZ 85260 92.32 8 FaceBook B 7 17 17 Menlo Park, CA 94025 15.00 8 26 17 9 Creative Key 0 336 W Sheridan Avenue 777.30 8 29 17 10 Walmart 0 21. 75 Total This Page: 2,099.35 Transfer Transfer the the combined combined total total of of all all Schedule Schedule 88 pages pages to to the the Detailed Detailed Summary Summary on on page page 22 line line 7. 7.

Name of Candidate or Committee: Brian C. Raybon SCHEDULE B2 2 ITEMIZED EXPENDITURES Twenty -Five Dollars ($25.00) or more this period A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 Other Advertising (Yard Signs, Buttons, etc.) C Contributions to Candidates & PAC's P Postage D Donations & Gifts S Surveys & Polls E Event Expenses T Tickets ( Events) F Food & Refreshments U Utilities G General Operational Expenses W Wages, Salaries, Benefits & Bonuses H Independent Expenditures Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services Date spent F-UllName, Mailing Address and Zip Code ot Recipienturpose s) Cash or 9 1 17 9 2 17 1 Thorne Printing 0 62312th Avenue Road 2. Walmart 0 1, 030. 64 9.37 I FaceBook 9 4 17 Menlo Park, CA 94025 B 25.01 4. FaceBook B 9 15 17 Menlo Park, CA 94025 5. 81 9 16 17 5. Walmart 0 2100 12th Avenue Road 14. 12 6. FaceBook B 9 19 17 Menlo Park, CA 94025 33.77 7. 8. 9. 10. Total This Page: 1$ 1, 118.72 Transfer Transfer the the combined combined total total of of all all Schedule Schedule BB pages pages to to the the Detailed Detailed Summary Summary on on page page 22 line line 7. 7.

SCHEDULE C IN- KIND CONTRIBUTIONS and EXPENDITURES jpage 1 1 Name of Candidate or Committee: Brian C Raybon Purpose Codes (Enter up to 3 purpose codes per Expenditure.) A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, TV, Internet & Telephone) 0 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, Benefits & Bonuses H Independent Expenditure Y Petition Circulators L Literature, Brochures, Printing Z Preparation & Production of Advertising M Management Services 1. Contributor Contributor Name, Name, Mailing Mailing Address Address and and Zip Zip Code Code 500. 500. 00 00 6 15 / 17 Creative Creative Key Key 336 W. Sheridan Avenue Design and Print Services same 500. 00 500 Calendar Year-To-Dste L, O 2. Contributor Name, Mailing Address and Zip Code 6 15 17 Mitch Silvers Photography 934 Grelle Avenue Lewiston, ID 83501 Professional photos same 3. Contributor Name, Mailing Address and Zip Code 8 23 17 Roy Hansen 4173 E. Arch Dr. Meridian, ID 83646 Website Design same 4. Contributor Name, Mailing Address and Zip Code 15 42 15 150 Calendar Calendar Year Year - - To To - -DaleDale Z 42 470 B G Expenditure Total: Transfer the combined total of all Expenditures on Schedule C pages $ 1, 07 to the Detailed Summary, page 2 line 8) Contributor Total: Transfer the combined total of all Contributors on Schedule C pages to the Detailed Summary, page 2 line 3 1, 07