2004-11-22 DR2 Summary
Uploaded by
Zach Edwards2004-11-22 DR2 Summary
Uploaded by
Zach EdwardsFOP, ,'NSTRUCTIONS .
SEE BACK OF FORM Reset Form
DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)
c lfl7~l~'s rlF' ' `%7 r~L, "C%1"' ~ ~ % A4a' //--
IMPORTANT: Indicate type of committee you are reporting for:
( 1 )StatewideiLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates
CANDIDATE COMMITTEES ONLY :
Candjdate Name
260'a'# ~ j
Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS Ott, BACK AND_ COMPLETE THE FOLLOWING_ SENTENCE:
I AM FILING A ~~ RE°CRT FOR ANIA (1) ELECTION I(2)NON-ELECTION YEAR
.
(report date)
Indicate one 1-1 L:,-cal Committees enter Date of Election
LJCHECK IF AMENDMENT TO REPORT DATED
f
Coun & Lo 1 Committees, enter County in
' Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed .)
STATEMENT OF CASH ON HAND
CASH ON HAND at the beginning of the reporting period . (This is the total of all movies held
by the committee . This amount MUST be the same as the cash on hand at the end
of the last reporting period, or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Orty)
" SUB-TOTAL . . . . .$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) D YES ~NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
FOR INSTRUCTIONS . SEE SACK OF FORM Reset Fotirt SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 07,'03) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, UST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .
COMMITTEE NAME (Must b same as on Statement of Organization)
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
L
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
_
ID# i
CK#
ID#
C K-"
ID#
CK#
ID#
CK#
ID#
CK#
CK#
SUB-TOTAL
TOTAL (if last page of this schedule) $
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY : V_
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to personsientities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .6(3)(i) .)
(for Schedule B)
