CAMPAIGN FINANCIAL DISCLOSURE REPORT

SUMI'ARY PAGE(Pbase Print or TYPe)

Change of addess for: Candidate or Political Commitbe E Political Treasuer trSeclion ll TYPE OF REPORT

Rev.5/'11

Thb f,ino b an: tr Oidnd E Amendnmt

nis cp; is mhe pedod **t-11 -|7---112

_trrargh 12 131 112

El.7$ey+eBimaffR€pod-

0 7 Day Re€eneral Report

El-3aw?rftryR€rtE 3OOaye6-** **,,

fl October 10 PreGeneral Report

I Annud Report

Wly)fs tris a Temination ReDort E Yes g No

Sedion lll STATEMENT 0F NO CoNTRIBLTflONS OR EXPENDITURESDirections: lf you had no contibutbns or eponditjres du,ing hb raporling period, drocl he box next b h6 statem€nt below and sign his rwort

Be sure to cany forrard he flpropdate "Cdendar Year to Datd fuures in Column ll, Seclion lV

tr | har€by cedify frat I hav€ receiv€d no contibulbns and have mde no eryendifur€s dudng $b rpoding p€riod.

Seciion lV SUMMARY

To madl your Calendar Year to Dab figure: Add his reporfs Column I

figurcs b fie Cdumn ll figures of your previds rEpdt (except on line 6).

Line 1: C6h on Hand January 1, This Cdendar Yeaf

Une 2: Enbr Beginning C6h Balance*

Une 3: Tobl Contributions (Enbr amount from line 5, page 2)

Line 4: glbbhl (Add lines 1, 2 dd 3)

Line 5: Tobl Expenditures (Ent6r amount from line 11, page 2)

Une 6: Enbr Ending C6h Balance (Sobfact line 5 fton line 4)

Line 7: Oubhnding Deb! b Dab (Enbr amount fiom line 1 I, pag€ 2)

$2775.9411521.63

3913.O1 11521.69

$ 3913.01 11521.63

0l

U$_

COLUMN I

this Psdod

$ /OOCXXX

$ 1137.07

co{_uMN ilCalendar Year

b Dab.00

mcofi

This sane fuure strculd be enbEd on line 1 of dl reporb fied bb cdendar yed.*This is tle &ure m line 6 of he l6t Camp4tn FinaEid Dbdo6rrr6 Repdt fl6d. f his b lour fist eport, fib anount is 0.Note: The closing cash balance for he curent reporling p€rbd epears on he next report a6 fle boginning cash on hand.

arp ot Cadkt& q Poffil C tlf08eed Ck*perso.lJohn Carver milB{t{(ilca'ffit

Distki (it ary)

MarrB AddcrF730 W. Claire St.

Lry aE z!Meridian. E3&2

t|(nB ttrtt968-4097

w('|( rl|ql€90&3320

Nrne ot lt Ea |lgluf€fDiane Westerberg

llai[E Add€ss

7175 Delwood Dr.uv am 4pBoise. 83709

HOnE HnB362-25G)

w(fx|.tEne88&6667

Socton V

"'8efl.\rsurg-.,S..rsbCd€tate-PoBoret?2o-

3obe.l+83720{080PheRcre6FS+2852FuJf;81ffi82

Diane Westerberol, - . he@by oertify fiat fie inbrmation in his

Na||E d Pdthal Trcasu€r

hS;{

DETAILED SUMMARY

Name of Cardirlate or ComII*[ee.John Carver, ACHD

.t

+

+

t

6)@ac\

@/F\

@@@@@@

@

@

@

@

@

@

@

@@@

Confibutiqs

Unitemized Contributions ($50 ard less) # of Contributors

Itemized Contihttorns (lbtal of all Schedule A steeb)

ln-Kind Contributions (Tobl of all Confibution amounb frcm Schedule C sheets)

Loans (Total of all New Loan amounts from Sciedule D sheels)

Total Contibutions (Transfer this figurc to page 1, S€ction lV Line 3)

Exoendifures

Unitemized Experditues (Less than $25) # of Exoendihres

Itemized Expenditures (Total of all Schedule B sheets)

In-Kind Expenditures (Total of atl Expenditure amounts fiom Schedule C sheets)

Loan Repaymenb (Total of all Loan Repayrnent amounb fiom Scheduh D sheeb)

Credit Card and Debt Repaynenb (Total of all Repayment amounts from Schedule E sheeb)

Total Expenditures (Transbr this figure to page 1, Section lV Line 5)

Loans, Credit Cards and Debt

Oubtanding Balance fiom previous r€porling period

New Loans received during this reporting perM(Total of all New Loan amounb plus Accrued Interest from Scfedule D sheets)

New Credit Cafd and Debt incuned tiris reporting period(Total of all New lncuned Debt amounb from &hedule E sheeb)

Subtotal

Repaymenb of Loans made during this reporting period

(Total of all Loan Repayment amounts ftom Schedule D sheeb)

Repayrnenb of Crcdit Card and Debt this reporting period

(Total of all Debt Repayment amolnts from Sc*ndule E sheets)

Total Outstanding Balance at close of this period (Transfer his figure to page 1, Section IV, Line 7)

Pledged Confibutions

Unitemized Pledged Contributions ($50 and less) # of Ptedges

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

Total Pledged Contibutions fris period

+

+

+

Total lhis Period

$

92000,00

9775,9ac

92775.94

0

g 190.07

E Z/5.9a

g 2197.0o

9750.0o

93913.01

93722.94

^0

^-775.94o

92947.00

-2197.N

^ 750.00

QU

+u+$

Paqre 2

SCHEDULEA

ITEMIZED CONTRIBUTIONSof more han Fifty Dolhrs ($50.00) his pefiod

Name of Candidate or Corm'rtbe. John Carver, AGHD

he Receircd Fd Nfl€, l,lailing Add€66 .rS Zp Coft of Cotfibdor Cadr a Ch€ck

12512II

r Jes€e TaYor" 851 W. Frofi rf809

Bois€. lD 88702

2000.00$

$C€hndarYs-Tooab

tr Primary

E GerBral

IIz.

$

$C*rFY€ar-ToIh

tr Primary

trGerBal

II1

$

$CffiY€r-ToIh

B Pdmarytr Genexal

tt4.

$

$Csl€||d{ Y€a.-To{}ab

tr Prknary

tr General

II $

$CC€ndar Y€sr-ToOab

tr ftimarytr General

ttb.

$

$Cdefih Ye6.-Tolale

tr PrimaryEGerual

ttI.

$

$Cahndar Y€{-To{ab

tr Ptimary

tr Gercnal

tt8.

$

$CahodaYs-ToOab

tr Primary

tr General

II9.

$

$CMYs-IoDab

tr ftimarytr Gercral

tt10.

$

$CMYs-IoOab

tr Primarytr Gereral

Tobllhb Page: $20m.00Transfu he aombined toH of dl Sdledule A pages to he DetaiM Summsy on page 2 line 2.

SCHEDULE B

ITEM]ZED EXPENDITURESTwenty-Five Dollae ($25.00) or morc his pedod

Narne of Cand6ab ff Commilee'John Carver, ACHD

Pumose Codes

A AllTrav€l Exponses (Aiftrs, Fuel, LoQkE & Mileags)

B BoadcastAdvertising (Radio, TV & Intemet)

C Confibutions to CandkJabs & PAC'S

D Donalions & Gifrs

E Event FreensesF Food & RefeshmenbG General Qorational Exp€nses

L Librature, Brochutes, ftinlingM ManagffiFnt SE vites

N Newspapor & Otrer P€riodicalAdvertishg

O OherMveflising (Yard Sigs, Buttons, etc.)

P Po6hgeS Surveys & Polls

T Trckeb (Ev€nb)

U Utilities

W Wages, Saltries, Benefib & Bonusss

Y Petilion CirdrlabrsZ PFpratbn & Prcdudir of Adroiliting

0ate Spent Fufi Nane, Me*ling Address and Zp Code d Redpiern Rrpce Code C6h or Chect

12 28 12

1. Diane Westerberg7175 Delwood Dr.Boise. lD 88709

w

190.07I

2.

$2

$

4.

$

$

o.

$

_J_!_ $

8.

s

J___t_

o

$

10.

$

Td This Page: $190.07

Transftr fie cor ined bbl of dl Sdledule B pa9s6 b he Dehiled Summfly on page 2 line 7.

SCHEDULE C

IN-KIND CONTRIBUTIONS and EXPENDITURES'l

Nanre of Candidab 61 e6ppi6es. Jottn Carver, ACHD

Pumoso Codes

A AllTravel Expenses (Airfane, Fuel, Lodging & Mileage) N NetYspaper & Ohet PedodicalAdtnrlising

B Broa@Adwli*ng (Radio, TV & lntwrEt) O OfiterAdvedk*E {Ydd S|SF, tulbns' eb.)C Contihitions b Candidabs & PAC'S P P06tage

D Donatims & Giifu S Surveys & Pdls

E Errent E)Oense6 T I'€keb (Ev€nb)

F Food&Refi€shrEnb U Utilities

G Generd Operational Expenses W Wag€s, Sdaiu, Benefib & Bonuses

L Ubrature, B.od|ures, Printing Y Petilitn Ci]urhb|sM Man4emont Servicss Z Preparation & Prcduclion of Ad\crlising

1' ,, u i2

tr Primary

E Genenal

ffiwal9ff' M"ling Addr€Gs atd 4 code

400 Fairway Dr.Pocatello. lD 8:!201

775.94$

$775.94

C*darY€ar-TeDaG

$ffFrqp$pg iilailing Addrs ad Zp Code

730 W. Claire St.MerHian.8642 775.94

$

Purpose Code

_t__J_tr Primary

tr General

Confibubr Nare, tUailing Addrcss and Zp Code$

$Cal€ndar Y€€r-To{h

Expenditue Name, lvlafling Addrcss ad Zp Code

$

Purpose Code

J.

tr Pdmary

tr General

Contibubr Narc, lvhiling Addrcss ard Zp Code$

$C*rbr Yer-To{}rte

Expenditue Name, irailing Address atd Zp Code

$

Pupose Code

tr Pdmarytr GerBral

Contibubr Name, l&iling Addrcss and Zp Codel

$C€lendar Y€r-To{hb

ExpendituG Narne, ti{ailing AddFss and Zp Code

$

Purpose Code

E)@enditure Total:

Fransfer tlF combin€d btd of dl beendiures on Sdedule C page6lo lhe Defihd Srmm*v ne.tc ? line 8l

$z/s.94

Oransbr fie @mHned toH of all Conbibuhs r

b tn6 DeHed &Il

Contitubr Tobl:m Sd€dule C pages

nmay, page 2 Sne 3)

$ 775.94

SCHEDULE D - LOAIIS

Any loar(s) witr a bdarce(s) 4peairg m he hd |€F.l rrK be fisbd bdor rih t|e dnolr h tle Reyi(||s Bdanog cotnn. Any mw loat dnolnb

$6ufO d f'bed h fr6 em t-oer otrmn.lny hbr€gi dtred dnid be ISd h t|e Inbr€dlocrued cofism. f a p4fli€nt was made on he loal' li6t

it in fre Repaynsrb colnrn. tlob: Ary br hat E Ggrid h ftl in 8 ploriflls tapoling pe$.d th nd md b be hbd. fhe Chb8tdng

Bdance coflrls| b tE Pt€viotNt Bdare pla oeu 1d|5 ad eued hged less aty rcpafgrb.

e*r fJ|ta* U yo.,t.tteuigt shcffi be bbd sqarabry. Edr lhc a loar b received er' yil lodl rmey b $e caflry{n, it mlst be |isbd 6 a

,.p*.eie*. fi*,r,*narmrnarytenCamuiUntOaanewibmfiuntatl-6nrler.Yor.lttElEIfteangf5"ye,Y-11-:gi,rn m a 6666* rukirg a 6at b hb or h6r orn carryign, loorrs frlm aty t€nG caild ocoed cmttolin f,dib lai, out in

Sedbn 67S610A, ld*o cod6, e{en if it b r€Pd h tt.

Nale, lrdirgMd€ss ad zPCo& of Lqtdet

(Caxid*, hdnidnl or Bu*|ess)

Prsvirrs Eddredbd|at$eed oftF bsrwditg p€*rd

tl6rldrammlGc(nrcd dtiB ttb

r€poritg petud

Etrd *arucdrfniE t*t

r€po.frg pedd

@tm€ntsdL@ldrhg ftb ]€port|g

pedod

B&Feilbtarfig att|e €nd dfib

reoqtim D€tbd

1. John Garver730W. CNaire StMeddian, lD &!642 0

2JtoJ12_Arflqrt! 2197.00

2.

Amrtt_t_t_

Arlurt$

?

Amrt_t_t_

ftIllnt$

4.

Afunt Arunt$

5.

Arrnntt

_J_t_Armnt

$

6.

-J_t_Ann.rtt

kurt$

_J__J_At|Irl|t Amnt

$

ft€vins

ftEvbus Recened tr €€t n+ay|rent En*rg Bdatce

$o

(Trdl€gtl|e ofithed ffi dd €cei!€d lErs b $ 2r97.ooLr9ues ourrrr*ty, [r8e 4 ]t€

hEeS go

$rsFftr$e sntitod bbl dd loe repaynEG b so uq1. qrrErnrr aurlrrrt l'4B a r|, v q

EtcrgBshme 6o(NOTE: TraBtu he codined M of d Acflred hb'Ed $d Receh/ed toaE b f'|e Deded Sor|Insv, paqe 2 |irp i3l

SCHEDULE E - CREDIT CARDS and DEBT

Name of Candilab or Committee:

ea* inarned erye*rse mt yet palt (i.e. creda cdd Fndrases fld d€t{) shorb be lisbd m a s€pamb Sne. Eedl lime yol make pudEs€8 wilh a

ctedit card or incur dabt, it is consldered b be a separate item. Howe\rer, you will rnaintain a single ign fur each credit catd ild add pjrd|ases to hat

ibm. Edr Cr€diw lisbd bolorv wih a Na.y D€bt anuJnl must have a Sdedule E-1 mmpan$ng it. Tte Sdledulo E-l lbts whei€ and h€tr the

debt rY6 incuned.

Credit Cards are cd|sidercd debt to fie canp{*rn. R€gadl€ss of trdr€trF. he ctodit card h rep€*t i$€n the sbboEnt is recdv€d, ail s€dit catd

fansactions will rypsar on Sdredule E and E-1. However, d y Repaymenb of Debt dudng his repofting pedod appear in ho Expenditure Sedion of

tle D,e&iled Summary Page.

Any cr€dib(s) wih a balanoqs) appeadng on he ht repo{t must be lid€d bdow wib the {nount in the Previo$ Balance column. Any new debt

shoutd be listed in he New Debl column, induding any accrued inble3t F a paym€nt was mde on t\e debt list it in tle Repaynenb column. l,lote:

Any debt fiat was repdd in full h a f,rsvius reportiu pedod does not ne€d to be ftsbd. the OubtmdirE Bd ce column is t't€ PEvious

Balanco plus tlew Dobt hs6 any Repayn€nb of Debt

Name, Mailing Address and Zp Code ofCrcdibr

(Candidate, lndivirjual or Business)

Prcvious Bdance ofdebt at he end of hel6t rcporting pedod

New D€bt amount

inomed dudng hisreporting period

Repaynrnb of Debt

du.ing fiis reporling

oelitd

Balance oubt{dingat ho €rd of hisrcporting perbd

.t. UOOTSIeP Ulrecr40o Fairway Dr.Pocatello, lD 83201

'btnLZryii-1'f

Date:12J_\12_Amo0nt:

$ 750.00

z, Date:

Anount

$

m:

AIIEUnl:t

Date:

Amount

$_

he:

Amounl:e

4. Date:

Amo0nt:

$

Dde:

Amounl:

$_Date:

Amount:

$

Dde:

Amount

$

o. Date:

Anoont:

$

he:

&nount:

$

Previo{s ToH:

ftevious Inqtn€d Repayn€nb Ending Balance

$o

(Transfer the mmuned btal (

Dehibd S

lnol]|€d Tobl:f dl inffred debt lo heummaY. Daoe 2lirF 14)

$o 775,qf

0ransftr he c{rnbined toH ofDehiled Suml

Ropayrnsnb ToH:dl debt repaym$b b henanr. oee 2 line 10 & 1n

$75O.0O

Ending Bdance Tobl: $0