CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE

(Please Print or Type)

Change of address for: Candidate or Political Committee 0 Polltical Treasurer

Section II TYPE OF REPORT This flllng Is an: )i( Original 0 Amendment This ~eport is for the period from ..a£....1~...LL through O 9 /..:J...gj 16

D 7 Day Pre-Primary Report

D 7 Day Pre-General Report

0 30 Day Post-Primary Report

D 30 Day Post-General Report

0 Semi·Annual Report (S1atewlde candidates Only) Is this a Termination Report: D Yes J( No

J&f October 10 Pre-General aport

tJ Annual Report

Section Ill STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

C·2 Rev.12/14

Directions: If you had no oontributions or expenditures during this reporting period, check the box next to the statement below and . ign this report. Be sure to carry forward the appropriate "calendar Year to Date• figures in Column II, Section IV.

D I hereby certify that I have received no contributions and have made no expenditures during this reporting period.

Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I figures to the Column II figures of your previous report (except on line 0).

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 end 3)

Line 5: Total Expenditures (Enter amount from llne 11, page 2)

Line 6; Enter Ending Cash Balance (Subtract line 5 from line 4)

Line 7: Outstanding Debt to Date (Enter amount from llne 18, page 2)

COLUMN I This Period

$ xxxxxx $ 0 s:lrCf.~1- '7~ $ 7, 95 /. '}3.,.

• $ 6. 6&'!. g6

I

$ /, ;;l. 83- fl6 .. $ ~//¥ ... ?..s-

7

"'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 O. Note: The closing cash balance for the current reporting period appears on the next report as th& beginning cash on hand.

Return This Report To; Secretary of State

POBox83720 Boise ID 83720-()080

Phone: (208) 334-2852 Fax: (208) 334-2282

SectiOn V

I, --=-J\j-"""a._.r-_,1..,.· a~t-~b~._c ..... g,.._.m~""'"' .... n~--'' hereby certify that the information n this Name of Political Treasurer

cial Disclosure Report as required b law.

6119 3:JU..:l0 X3G3..:l E9E9-E88--80C:

CD ® ® © ®

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DETAILED SUMMARY

Name of Candidate or Committee: Dr.IN ;::-o R IZ /VI 19 ~

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 figure to page 1, Section IV, Line 3)

Expenditures Unitemized Expenditures {Less than $25} #of Expenditures 'I 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 0 sheets)

Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)

Total Expenditures {Transfer this figure to page 1, Section IV, Line 5)

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 figure to page 1, Section IV1 line 7)

Pledged Contributions Unitemized Pledged Contributions ($50 and less) #of Pledges 0

Itemized Pledged Contributions this Period (Total of all 'Schedule F sheets)

Total Pladged Contributions this period

Page2

£0 39\td 6H9 3:JI.:L:IO X303.:I £9£9-£88--802'.:

Too I This Period

+ $ .~qo .. oo + $ ~ ~.,s-Gl .. O O

+ $ ..5'61. ?:A + $ 2.00.00

= $ 17. 9S/.. 'lJ.. .

+ $ /If.If·~

+ $~ i--~~7.?~ + $ .S-61- ?1 + $ -:Joo.oo + $ .S-oo .. oo

= $ ~. 6 67 .. ~6

+ $ 0

+ $ 2.00.00

+ $ ' ~ 61 !./. 'ls-' = $I ~ /t/. 7.s-'

- $ 200-00

. $ ...s-Oo. oo ::: $/ /I!/. ~...5 ,,

+ $ 0

+ $ 0 ;;; $ 0

SCHEDULE A r~ b I (02 I ITEMIZED CONTRIBUTIONS of more than Fifty Dollars {$50.00) this pertod

I Name of Candidate or Committee: Dr1r.l r-~rceM~~ I Date Received Full Name. Mailing Address and Zip Code of Contributor Cash or Checl<

1. /f C> IZ f7-l AJ ..>1 r-:o~e~!V 061~16 /t>6B. D/(, I)(~ r.; .b. $ <oo .oc

D Primary l/ ;c e:.-/1) ~»:.. {?.S g '> ;i. ..5. (y.? •00 IZ!J.General $

Cale1 kfarYear-To-oate 2. ~A...J rolC'IE~')41\J

ot1~011r- po.. ~ox ~;i.ri $ L/G>o.oc~

D Primary /U AS GOLA// --:r-A . ~~'fl $ 4bo.oo

IZf-General Cale dar Year-To-Date

3. DA~ Per?e.~/\/ 0(1J.011t p..o~ frt>)( ~~r'f $ /G/o~oc

[J Primary /VJ-t:;:S. 1:-- o....u --:CA. £7..l'~cf~ $ .<LIP. ot:> ,ra:..General

,.. Cale1 dar Year· To-Date

4. DAN fr-.~R,G:~.r.J :~110, oo f!.2J1S/?f. p. o... re o -¥ rs~ .J._, ':(_ $

D Primary ,/'1A t:1:t C .. u:? vv J ~ ~ g °.:t 5? '-t2 ~ &' f"t> .. 06

Jtt,.General Cale1 ldar Year-. To.Date

s. ~ /-4~ v e J... G' A LL G ,-..;7},.JtZ

0 7t /..Sf/{; f?~& /V, (;'?'CA.NI> VI~ t.AJ $ /r>D .. C(!J

D Primary ~rt y 'l'b,.JA ae )( ~fi. " .r: '- .:s;;. 11 'S1 $ vl)"'. ao

~eneral Caler! tlar Year· To-Date

of>,1s.//6 6. ..S-o )cl.,...; Fe~ a~ ...sc,,oo ~j~A}' ,Ar?A-t..J ~ ~ $

[J Primary er. ~A,e1 a...e....i ~ .2..S~6 .J $ ~-o.oo

~eneral Cslen liar Yaar-To-Dale

7. DAJ'l f:.-o Te G l"V'tr Fl~ ~/OJ/"h p.o .. (.?c .X. ;;; ;;.rr..( $ ~0~60

D Primary rtA 'C).:t Go ...-.' ~ ~ 23~ L.f) $ q rio .. cc

.,2F6eneral Galen ar Year-To-Date

8. bAt0 aarc_e_~,.J 0 ?1J..s/16 ~D' ($r:,~ g ~.S-.'f

$ ~ .. fo, cei

D Primary /VI d-=S: ·~en,-i,,.1 Cl::. Si~H'LQ $ /. Jo-o J;?l\General can ar Year-To-Date

9. t~l'l.JV rd t- ~t::JR e l"--e ,,q tJ SR. CJ /1.l!l.J I -6 ~p;z..g" CX:J,..,JrJ1.t-J6 l'o.,..J e J?ee;~e. $ /, l-:-' bC>. ri.r

D Primary c;,q_rrt,,t:(/ZOO/~..J 00 $0~0¥ $ /, ~JY..,60

aGeneral ~enc ar Year-To-Oate

t>C/ I cSf t' .(;. 10 . .::ro~J Vo6T . llati.do ~6~~ V"-..1. a~o.-0 .J...;€~( ~ ... $

D Primary L31(€CI€.) ;C4 ~6J6 $ ,/t:sC>-6P ,2FGeneral Calern ar Year-To-Data

Total This Page: $ 2 ~ao Transfer the combined total of all Schedule A pages to the Detailed Summar[i n page 2 line 2.

P0 39\td 6HS 38 I . .:L:lO X303..:I ESES-£88--802':

SCHEOULEA n:> OT

ITEMIZED CONTRIBUTIONS ~lo~

of more than Fifty Dollars ($50.00) this period

Name of Candidate or Committee: .Drf t-J 1-~~ e /t"VA rJ l Date Received Full Name, Mailing Address and Zip Code of Contnbutor COi lsh or Check

1. -rJ.(o~ J-.lv ~ P t..,,.J &;:r ~Jf1/-b P,.eJ ~ ~o)r 9€-()jo $ .I :.! ~ 'c:x::;J

CJ Primary c; Ar c....,Y a:rJJJ ~,,... vvy ~;;. eie> _) $ / i,s--'o.66

J;ZfGeneral Cale!ll Jar Year· To-Dale

0T1oc.11b 2. ·~t<R /::: '!~~~~/:.-

$ /,< !>a::?.O~ J.....s. .... aS"' .t;;. 4 ~ ....t"! -CJ Primary ~ ~ 0 t,µJ ";/::"..)::i. &'~ ~ ~ $~1'. dOl.C..O

;6.General Calanj Jar Ye.ar-io-Oatt 3 ~ ~ - / -_,.,..~/'Y? Y?~· ""'-·""u f+Gf(fl-fA-~

~r.sf/e • ,,,,,__, ~, "" -- - J ......... ,

$ /, ( 1700.,c;o P.0 ~ ~)\, L/8 1(8' I •

~ >..r n (?)?_,,~ ·v-~.s- rA 1 ~1 v~ -CJ Primary $~~ t!JO-c:x:::> ~eneral f?i,·-o r:t~Ul> ~ £f>. 9_}~ ~--·-·-- tafern arYear-To-Oate

01 t)J..1 ('--h 4. 4/J ~TO ri C -" l G f 13 ~ 6- /l_

r..s: 0 ' <'.)0 _?6".l-_$ ~. C R<Z12k ,,..._,crei_b ~;Qr $ .I

0 Primary !Rt>r~t:;.> ':CA <;;_:i >o<f $ / ~-o.c::so ~eneral Calel'I ar Year-Te>-Oate

s. 1~~1 r).J. 12... a.Arce,,> .1~ J'C>.00

OCf 1:l~ I /C:, p. o . 150)( LI /" ;i. $

0 Primary ~J.;' f"1-t~I e-~ / ~ ;j~'36 I $ .) tt<">• 00 ~eneral C;lel'I ar Year-'lb-Oate

6 . ..S-Ol.!N r~l'Ct~ ls:?).00

~1 ~//b ?~ 0 '1 kl /rJ 0 A4U- Ff<'<..S .s ;<,A. $

0 Primary .s.t: /Lt' ;:t-,e ,a~ J -::r::-6:. .$?}~!' $ / c; o-eo J1!f. General Ca!en ar Year· To-Date

7. Ct!?.~ ~if .l2~o e-~,oA ttJ P)f.{·c. $/.I'. f"Y") .. (JC;:,

'9:!:LJ ?--'C1£' r-:.o .. ~k I _;s D Primary

&·r..Set~ -;1::.A, ri.1 >c. r $ft,... ,~,o{) ~eneral Cillen1 arYear-To-Date

8. /f'1~Y_A,,,.JJA L-oyJ> J::::.n-&N~ ~ ..N $ ~oo...oo

dJ 120 (/b Ao .. 1£e.)t( .2il ~ V ~

D Primary Cc:JlG,fC D 1 Av.a.JJ~ 1 ~A ~;l~/{;: $ ·~n .. Cc:> IZfGeneral Calem lar Year-To-Date

9. _f._J_

$

0 Primary $ D General Calan iar Year-To-Data

10. _l_I_

$

o Primary $ 0 General Calen 181' Year-To-Date

Total This Page: $_? q.s,:---o Transfer the combined total of all Schedule A pages to the Detailed Summa,.Y: ~n page 2 line 2.

S0 39'i;ld 6HS 38 I..:l..:10 X3G3..:I ESES-E88--80G

SCHEDULE B In~ or

ITEMIZED EXPENDITURES I I O...l Twenty-Five Dollars ($25.00) or more this period

Name of Candidate or Committee: DAN ~RL:/Vlnr./ Purpose l.iOOes {t::nter up to 3 purpose cocas per t:xpenarture.)

I A All Travel Expenses (Airfare. Fuel, Lodging & Miieage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, lV, lntemet & 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 Tlckets (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 uate :::>pem i-uu Name, Ma ress ana LIP ~ or rreCipiern lnlrpo&e U>Qe(SJ \JH ~11or 1.JneCI'\

1. r:;~.s-7" Sr6;:::. fAJT"G:;?µt:r /G/;l.O .r. a L.,;q I /U t:;. ..c- .,..._ . d:&'/o

.B t:J61201/6 I""'? o Seo l.>-J .J r D ~P¥J $ 4'so.oo 2. (/ . .r .. ti!'ii!~AJ/( ('Da~ux& Cd'J"~e>f'?A 7",0..0)

L ~-~//6

/~/Y. .s.... 0£..l'l:l;A.Je, .r-r. ..l 6 .. o_:i ,,,.no ~ ~6 lA..) -2:" A ~J S) ')/_\> $

3. ,C-p~ IE~ I

/Y-2.o ..r~ ~,£A.IA)~ .s:rR L

OG/3ot/6 ~c:;i..S:Co"'-~ ..:Z--0 8.J ? 1./..3 $ ~ ~~ .. 69

4. IA.lrU •. A?;/'//i.? r ;lo/~O kJ. ~~L.~..qN ~~.

~ c>''71til1 /6 /'V1o.SCo~ T~ H-1'~'1'.S $ ~-.: 9.1..

5. P/C 1S.c:.,1..r.,of".J £.,,..,S~,,qv1>J G--67:< /,AJ. /='v ~ &.. ,,.-.. ,qA..) ~-b.

0 O~JO(i'J/6 /'Ad-t" Cr:!> v-' J. :t::~ ~..)-~ l/--i" ~~.r:.Ji,...? $

6. tN!iL""7.;t:J~ I ;;t. 'I '7 0 lA./. /~(J c... ~/Vl /C? It-) ~ ~ - F

o'?Jo~/6 /t?D..("C,~u->..) X".A €>-< 5?~ $ ~-8 .. b6

7, A~ c./G c~ :r,vc_ .. ':;/~ li'y~~ r1va.

0 0'1'?, 1 g-, / {, /V c tG /fJ t'9H J IAJ..C .... f"" .y' 9..s-6' $

1'f1;J...t • .] 'f 8. ,,q~r ael'ir .Z:NC~

1./2 ~ w. 7]-1.)H L> ST'. 0 L(~ .. /0

0?1:J..Jf/6 /1'70..S c:o I.A_} 1 ..Z:-p ~_i.p~j $

9. ti 1..s-r~ PrRh.rl u..r-PI c;..s.- 1-l":k~G AJ 19 V6- •

L ;i o7 .. 9g oY1 ~~//l. L.fiX.J c;; ro.l\J,... /VC~ eJ :t '11.:2. I $

10. vr..srt=1-~;,v7 us~

'1-S Hl'9yA~rJ ,.que ... L

0 'l (7...5/ / 6 ~G)( /,..JG. ro /rJ .J /14111 0~¥:;1.J $ G>L/ .. 9C/

Total This Page: $ /. : ~6.J- o'f Transfer the combined total of all Schedule B pages to the Detailed Summary c n page 2 line 7.

90 39\,;ld 6t1S 3:JI.::l.::!O X3G3.::l ESES-£88--802':

SCHEDULE B Ip~ Of

ITEMIZED EXPENDITURES ~ I o.:i Twenty-Five Dollars ($25.00) or rnore this period

Name of Candidate or Committee: DAN ro~/£.A?/.1/tl Purpose c.;oaes (enter up to 3 purpose codes per Expena1ture.J

A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Adver1islng B Broadcast Advertising (Radio, lV, 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 (Evenls) 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 uatespern ruu Name, M11111ng l\aaress ana ~p YOQ8 or rreap1em rP"urpose l,;Ode(s, {;;a1 n otL11eC11

1. FGAl:X /'l~O S' .. ~~~,.VG. .r-r.

L ~1.A91/' /1'7t:>~ Ce>l;LJ,, ~.¢. ~~~"CJ

$ K' ~..s:-s>? 2. r:-L), b ('E ,)(

/~;l.C> s .. ~ 4;q,. ,()6 .s;r... L 0'71~'1/6 1"-?o.St::.ow :Z:-D ".$[;>~~ $

~0-00 J

3. ~G/V G e,;vl'f.f/ Rapv/SLh::,rt.tU 1Jl£WSf>A/'6:f?. (No .srnaa('..vu~aa;f ~1..rraoJ A/ t/i:t I o'8'l / 6. ..$" T:. Ar.>,-,."'( I a .S " ...Z-....C Sl..18'6 I $ 'IS: oo

4. r-/~s r .sre P .z:-,.._, rG: ~ N 6. T"' /¥;l.O s. /.S &.r'U /V~ ..r T: 'i'F'/e;J e

o"l11 :i.1 J~ /V'J~ e:.o w.,.., ·~:r::-t~ ~.,19-l,14 $ fl '/..5-: 00

5. S'r/!1p(_6 .s :z~~ wA~t:roffJAJIE..T rJ~.

0 :S'I. ¥.:< 0'<11..S//6 /140.ICc:::>~,... r..o 8".J-~~_s $

6. f-J~.sr .r~ ~ .::c,,vre:~AJa r /~;;LC:> ..s. a'L./1/ Ne! ..s:r .. ~/O B ~o .. oo o<;1.:i.$1 /6 <""14 o_r e obV,... ~.6 ?..}-g ¥---? $

.

7. IA/ I /c.J C. o 1>0~ VU· /~V~t..~~...V RA~ ;::

~'1..16 0°/10t./j/~ /t1 a-C <' d) vV,... Z-..o ?..:JB¥J' $

8. ~~~€)( /1,/:2. 0 .s. puq1,,va. .£"'r', p

~~..so o91:J.J1/6 /f'7CJ...!"C o uu_, ~a ~~Si? 41...t $

9. Vl.Sf*A Ml.VT l/-"A qrJ-fAYt:>C:.A.J rlV~.

Q .2. I../ :J... ) L &'C.99 (JC/ I ;l.$1_4 ~6X I rJ& 'To tJ.) /2.-1 A $ I

1 o. fo~'..:t '"T ..r 'IE .r:a .:C"~ :rr:; n-,µ s r

cff I). ..:t I /G /'?20 ..S: • /'3c.A /,-J6, ~7. "H'/O B L?o .. oa ,A/? «='J c 0 t,,;..-) ::ZA f?~ c;-'I~ $. -

-Total This Page: $/ .. ' ~;;.I. II/ ,,

Transfer the combined total of all Schedule B pages to the Detailed Summary 1p n page 2 line 7.

Lia 391;;1d 6119 38!..:L:!O X303.:I E9E9-E88--802':

SCHEDULE B rage l? (o~ I ITEMIZED EXPENDITURES Q.

Twenty-Five Dollars ($25.00) or more this period

Name of Candidate or Committee: D/Iµ roJ? c/'?~ ,.A/ l"Urpose t,;oaes (t:nter up to 3 purpose oooes per cxpenc1ture.)

A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N Newspaper & Other Periodical Advertising B Broadcast Advertising (Radio, 1V, 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 Servi<:es Uateopem 1-u11 Name, 1v1a111ng ~ress aoo Lip LOOe m t(ecJptem • r-Urpo'8 IJO<le1s. (,i~ 1n ori.;necK

1. J<q>ct> cp ~A z,.v,..-.:J "'-'A....::Z:- R.b. //o/ Ot..,D LS

CJ91?-611 {:. p"'~~~-r:JtU J (,,n..J,q 9 'J76..:i' $ ~' 1/..z~ 8~ 2. WI /V C. C>

I >c:> o t-V. Put.. L""7 ~/Li ~~ .- F i!!!/J ,10 I /{;,. /170.S c o\A./.J r.c::. ~..rS?'I...$ $ /. -66 '-S -

3.

/__} $ 4.

__J_J $

5.

__J__J $

6.

__J__J $

7.

I__/ $

8.

__J_J $

9.

__} I $

10.

I__/ $

Total This Page: $ ~' ~03 . ..S-f/

Transfer the combined total of all Schedule B pages to the Detailed Summary >n page 2 line 7.

80 3!9\;;ld 6119 3:J I..:1..:10 X303..:l £9£9-£88--802: 0E:P! 9!02:/P0/0!

.. SCHEDULE C r~

of

IN .. KIND CONTRIBUTIONS and EXPENDITURES t I 01

Name of Candidate or Committee: DAtV Fol'?t£M~/IJ 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, lntemet & 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, Salar1es, Benefits & Bonuses H Independent Expenditure y Petition Circulators L Literature, Brochures, Printing z Preparation & Production of Advertising M Management Services

1. Contributor Name, Mailing Address and Zip Code L/9.J.~:{

Qg_J;<~/G D/~IU.NF't t£. . ~tr""~~/9N $

D PriJT!ary /06 ;l. Dlft.h-S ab.l'JL> $ V9s ... .s~

!&General l/.IOL-4 I :Z:-,D fi',.SQ-'7~ Csla hdar Yctar-To-Date

Expenditure Name, Mailing Address and Zip Code Pur l>ose Code(s) v I .S //'! f>f< / ,._) 'T u ~!CJ 9S rV<yt:>e,,..; /-J v tii. •

~q~~..s.~-- 0 ,4/Sk//\JG 'T0~1 .rl'?/9 o~ t/;?./ $

2. Contributor Name, Malling Address and Zip Code (;t;? ... If)

Q.2.j~/b Pll'1.NA1/-/ e. ~~~t'lN $

D Primary /o 6 ;(!.. ~vr...r o..>fA $ ~ ,-~/. 7~

l!:General I/ /0 L.,rf.J :z: 6 It.} r; 9 :<.. Cale hrlar Yi-· To-Date Expenditure Name, Malling Address and Zip Code Pur base Code(s)

~t./ -Hoof"< W/<Jsle;tt/JA.>. Co/-1 14)..s:s.-o ~6>&CHAJv7 ~--r ....

6~ .. l"'l 0 Nou~ 7b..A.J T.J( 7'>o~.J $

3. Contributor Name, Mailing Address and Zip Code

_j___J_ $

D Primary $ D General c .. i. l'ld:ar Vear·To-Oate

Expenditure Name, Mailing Address and Zip Code Pur lose Code(s)

$

4. Contributor Name, Mailing Address and Zip Code $

-'~-D Primary $ D General Cal IMar Year-To-Date

Expenditure Name, Mailing Address and Zip Code Pu1 oose Code{s)

$ Expenditure Tomi:

$ ~6. I. ·7;J. (Transfer the combined total of all Expenditures on Schedule C pages to the Detailed Summary, page 2 line 8)

Contributor Total: $ ~6 I~ !>.;t (Transfer the combined total of all Gontrlbutors on Schedule C pages -..S

to the Detalled Summary, page 2 line 3)

60 39\;;'d 6HS 3:) I..:l..:10 X3G3..:l ESES-EBB--802:

SCHEDULE D - LOANS Name of Candidate or Committee: D,qA) Fo ~ tr.M AN

Each Lender to your campaign should be listed separately. Each time a loan is received or you loan money to the campaign, It mus be listed as a separate item. Each new loan from any lender must be listed as a new item from that Lender. You may have the same Lender listed n ore than once. Except for a candidate making a loan to his or her own campaign, loans from any Lender cannot exceed contribution lln Its !aid out in Section 67..S610A, ldaho Code. even if it is repaid in full.

Any loan( a) with a balanc:e(s) appearing on the fast report must be listed below with the amount in the Previous Balance column. Any ne\w loan amounts should be listed In the New Loan column. Any Interest accrued should be listed in the Interest Accrued column. If a payment was made t>n the loan, llst it in the Repayments column. Note: My loan that was repaid in full in a previous reporting period does not need to be listed. Tl e Outstanding Balance column is the Previous Balance plus new loans and accrued Interest less any repayments.

Name, Mailing Address and Zip Code of Lender

(Candidate. Individual or Business)

Previous Balance of loan at the end of the last

reporting period

0

0

0

0

Previous

New Loan amount received during this

reporting period ·

Date: o7 10 CJ1 /6

Amount _,, $ -4 '5/ .. 6'€

Date: f!.Z__t .J2!f/. ~'6

Amount s /i'./'? Date:

o_'i.J. ;i.l f tG Amount: $ 1...?. ?~

Received

Interest accrued Repayments of Loan during this during this reporting

reporting period period

0

0

0

0

Interest

Date: o9 1!!.LJ /i!.

Amount s 1.:t. 19 Date: oq 107116

Amount: ~t $ ~ 't <j'I._ Date:

<>9 10?11~ Amount u -t>'

$ /7.-S I)

Oete: 091 o?t/6

Amount: $ /'it',(<'/ -Date:

act I o/1 /6 Amount

$ .2l. ~i. Repayments

Previous Total $ 0 .__,R~1ece~w~roo~~11ma~1:~-------,

(Transfer the combined total of all received loans to the $ '2 0 o .. 0 e:> Detailed Summary, page 2 line 4)i........-----+------,

Interest Total: $ 0 ~-~ ....... ....,....,,+----~~-, Repayments Total:

(Transfer the combined total of all loan repayments to the $ :lo o ... o o

Balance ou standing at the end of this

rep 1rtin9 pe~od

0

0

0

0

0

E"4~ing Balance

Detailed Summary, page 2 line 9 & 16)''--------+--+-----. . Ending Balance Total: $ 0

(NOTE: Transfer the combined total of all Accrued Interest and Received Loans to the Detalled Summary, page 2 llne 13)

01 38\;Jd 5119 3::n.:L:IO X303.:l E9E9-E88--80C:

SCHEDULE E - CREDIT CARDS and DEBT Name of Candidate or Committee: /:JAN Fo I( e M'""}'C/ rJ

Each incurred expense not yet paid (I.e. cred~ card purchases and debt) should be listed on a separate line. Each time you make pt rchases 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 pL rctmses to that item. Each Creditor listed below with a New Debt amount must have a Schedule E-1 accompanying it. The sChedule E-1 llsts when 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 oard transactions will appear an Schedule E and E-1. However, only Repayments of Debt during this reporting period appear in the Expend ture 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 Repayment: COiumn. 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, Maillng Address and Zip Code of Previous Balance of New Debt amount Repayments of Debt Batanc e outstanding Creditor debt at the end of the incurred during this during this reporting at th~ ~end of this

(Candidate, Individual or Business) last reporting period reporting period period repc lting period

1. CJ~ ~ S G: Date: Dato: Ao. (So)( JS"/ 23 Cj o9 1t7..11 /6 q:J /,).)I /6

"'f, 7~-~JL-/VJ )rv ~ 'f"o,.)J CJ£ Amount ~ /. - Amount: ~/. Jt:f'il.~-o $ ~ 61 - 0 $ S-oCJ ... c;t?

2. Date: Date: _ l_I_ ___)__) _

Amount: Amount: $ $

3. Date: Date: _l__J,_ -'-'~ Amount Amount:

$ $

4. Date: Date: __}__)_ _f_j _

Amount Amount: $ $

5. . Date: Date; __J__j_ __J_I _

Amount: Amount $ $

6. Date: Date: _ t__J,_ __J_I _

Amount Amount: $ $

Previous Incurred Repayments Enci ng Balance

Previous Total: $ 0

Incurred Total: ~Gil/./~-(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 $ ~OeOO Detailed Summary, page 2 line 10 & 17)

Ending Balance Total: $ .(, llt/. 7...s,-

11 3Sl!Jd 5119 38!..:L:IO X303.:l E9E9-E88--802:

SCHEDULE E-1 - CREDIT CARD and DEBT ITEMIZATION rb Of

I I o/ Drlµ r,: ort; ..::= ~ rJ Name of Candidate or Committee: I

Name of Creditor from Schedule E: c1-1nsc. I Each Creditor listed on Schedule E with a New Debt amount must have a &hedule E-1 accompanying it. The Schedule E-1 lists whe _,and when the debt was incurred.

Purpose Codes (Enter up to 3 purpose codes per Expenditure.)

A All Travel Expenses (Airfare, Fuel, Lodging & Mileage) M Manageme~t Services B BroadcastAdvertising (Radio, TV, Internet& Telephone) N Newspaper & Other Periodical Advertising c Contributions to Candidates & PAC's 0 Other Advertising (Yard Signs, Buttons, etc.) D Donations & Gifts p Postage E Event Expenses s Sumys & Polls F Food & Refreshments T Tickets (Events) G General Operational Expenses u Utilities H Independent Expenditure w Wages, Salaries, Benefits & Bonuses I Interest Accrued & Finance Charges y Petition Clrculators L Literature, Brochures, Printing z Preparation & Production of Advertising

uare 1ncum:u r-u11 Mime, Malling~ ano LIP 1..oae m CApemmure ir 1.11 tJv.x> \A!lle\S, ~ount

1. JC/ q u LB c. S .,, -:t::',,u c . 9/r; ~Y~D Ave.. ~ CJ

$ ~ t : I 'I. 7..5._, 09 1 ~,/~ /Va.<=.µ~/"'(.> vv...:r '"-'-y9..,s 6

2.

l-J_j $

3.

__J I $ 4.

/_J $

5.

---' I $

6.

/__}, $

7.

__J I $

8.

__J_J $

9.

__} I $

~61o/..7.i I-'

Total This Page: $ .I -The total of itemization for this creditor should equal the new loan amount listed on Schedule E tor this creditor.

Z:1 39'itd 6119 38U.:f0 X303.:f E9E9-E88--80Z:

-SCHEDULE F rage ot

o/ I D) PLEDGED CONTRIBUTIONS BUT NOT YET RECEIVED

Name of Candidate or Committee: DAJJ f-oRc~rJ Dimctiofli: Complete this schedule if you were promised and agreed to accept a oontrlbutlon during this reporting period but have not actually receivl d the money, goods or services offered befora the end of the reporting period. Do not include these entries on Schedule A untH yau actually receive the contribution.

Pledged For Date Pledged Full Name, Mailing Address and Zip Code of Contributor Amo ~nt Pledge<I

1. O Primary o General .._}_/_

. 2. 0 Primary 0 General .._!__}_

3. D Primary 0 General __}__]_

4. D Primary D General L_!_J_

5. D Primary o General _)__}_

6. D Ptimary Cl General ._J_J_

7. D Primary D General LJ. I

8. D Primary 0 General LJ '-

9. D Primary o General __}__}_

10. D Primary o General l_j_ I

11. 0 Primary 0 General /___/_

Total Amount of Pledged Contributions: $ 0

Transfer the combined total of all Schedule F pages to the Detailed Summary o h page 2 line 20.

EI 39tld 6119 3:JI..::l.:l0 X303.:l E9E9-E88--80C: 0E:v1 9!0C:/P0/0!