Local Union No 347 IBEW PAC Fund - 9716 - Scanned

FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organizatio*v -
For Office Use Only
Local Union No . 347 IBEW PAC Fund
IMPORTANT : Indicate by # type of committee you are reporting for: Logged In _

( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
(4 )County Central Committee ( 5 )County Candidate (6 )City Candidate ( 7 )School Board or Other
Computer
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political
Subdivision PAC ( 11 ) Local Ballot Issue
CANDIDATE COMMITTEES ONLY :
Audited 10
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .
7a- 9, i-N 6-
TELEPHONE DATE SIGNED
SIGNATURE OF PERSON FILING RT
October 19, 2004

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #
10/19/2004 Local Committees, enter Date of Election

CCHECK IF AMENDMENT TO REPORT DATED
C Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)
STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end 0
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) . . . . . . . . . . 2811 .27
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Onlyl
SUB-TOTAL . . . . . $ 2811 .27
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 0
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must 2811 .27
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
**OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
CANDIDATE COMMITTEES ONLY :

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
01% CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Local Union No. 347 IBEW PAC Fund
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ~l IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Members of Local Union 347
July-Oct 2004 CK# 850 18th Street, Des Moines, IA 50314 I N/A $2153 .16
ID#
Employees of Local Union 347
658.11
July-Oct 2004 CK# 850 18th Street, Des Moines, IA 50314 N/A
E]
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 2811,27
TOTAL (iflast page of this schedule) $ 2811,27
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 1 1
marriage) . If sumame of contributor is the same as candidate, but there is no Page Of _
familial relationship, enter"not applicable" in the relationship column . (for Schedule A)
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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2
(Rev . I REPORT
COMMITTEE (Must be same as on Statement of Organization)
For .
Ro . 3147 .3 ?,Ac- FL,.n d Comm. i
IMPORTANT: . Logged
(1 Scanned
(4 Computer
Political
Subdivision Audited
CANDIDATE :
Candidate Political
Late
possible
Office District penalties .
515"t43'I9L`t
SIGNATURE TELEPHONE DATE
I REPORT .
(report Indicate
Local
CHECK
. County
r-1 which
(You .)
STATEMENT
CASH .
committee .
of . $
ADD
Schedule : ....... ...
Schedule : . ..................... ... .......... . ....... .. . . . ... ... .
Schedule : ........ ......... ....... ..... .....
(Schedule
SUB-TOTAL ...
SUBTRACT
Schedule : .... d
Schedule : .... ............. ..................... .. ........ ....
CASH
........... . ....... ................................ ..... .......... ................. ............... ... . . .. .$ ,Z 81I Z
be
*"UNPAID ......................... ............... .. . .. . ...... .......... ...$
"IN ....... .. ... .... ...... ...................... ...$
For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)

O CHECK THIS BOX IF
AMENDING FORM
Lo, c m_Q- Un ; o ., No . 3 4"7 ) .i3 I` CJ AC 17"d
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Se. a axt o- cRAot rn errs
A4acl,4 CK# c.nntribu -f'a-qtr .

VIA 2153 . y
ID# sae q~l~ed ~e. toyee
CK# N~^ Gsg .r~
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
I D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
$ 28rf.z7
TOTAL (if last page of this schedule) $ ZS I I, 21
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of _
familial relationship, enter"not applicable" in the relationship column . (for Schedule A)
LastName FirstName DeliveryAddress StreetAddress City State Zip Payment Amount
Abuhl Anthony 2911-1/2 East Grand Des Moines IA 50317 $ 9.90
Abuhl Anthony 2911-1/2 East Grand Des Moines IA 50317 $ 7 .57
Anderson Karl 6584 NE Rising Sun Des Moines IA 50317 $ 5.87
Anthony Lawrence 10102 Carson Spring Hill IA 50125 $ 5.77
Anthony Lawrence 10102 Carson Spring Hill IA 50125 $ 10 .25
Bemrich J . Matt 2766-18th Ave North Ft Dodge IA 50501 $ 9.57
Bemrich J . Matt 2766-18th Ave North Ft Dodge IA 50501 $ 5 .85
Bemrich J. Matt 2766-18th Ave North Ft Dodge IA 50501 $ 7.15
Bemrich J. Matt 2766-18th Ave North Ft Dodge IA 50501 $ 0.60
Bryan James 1223 Clinton Ave Des Moines IA 50313 $ 7 .52
Devin David 1132 Vividel Lane West Des Moines IA 50266 $ 7.47
Devin David 1132 Vividel Lane West Des Moines IA 50266 $ 9 .20
Devin David 1132 Vividel Lane West Des Moines IA 50266 $ 3 .85
Druart Paul 6201 Cedarcrest Drive Apt 202 Johnston IA 50131 $ 7 .60
Druart Paul 6201 Cedarcrest Drive Apt 202 Johnston IA 50131 $ 7.20
Evans Monty 2489 NW 70th Ave . Ankeny IA 50021 $ 6 .65
Evans Monty 2489 NW 70th Ave . Ankeny IA 50021 $ 7.27
Freeman, Leon 1647 NW 97th St Clive IA 50325 $ 9 .52
Freeman, Leon 1647 NW 97th St Clive IA 50325 $ 9.77
Hanson Gary 4678 West 48th St.,n . Newton IA 50208 $ 7.77
Hanson Gary 4678 West 48th St.,n . Newton IA 50208 $ 6 .80
Hanson Gary 4678 West 48th St .,n . Newton IA 50208 $ 8.52
Hanson Gary 4678 West 48th St .,n . Newton IA 50208 $ 4.00
Harvey Craig 1112 Aldrich Boone IA 50036 $ 7.55
Harvey Craig 1112 Aldrich Boone IA 50036 $ 0 .60
Hoskins Cathryn 8011 Warren Drive Des Moines IA 50320 $ 8 .75
Jordan Dan 2913 92nd Street Urbandle IA 50322 $ 5.90
Jordan Dan 2913 92nd Street Urbandle IA 50322 $ 9 .50
Kruse Merlin 304 12th Ave SW Altoona IA 50009 $ 10.27
Kruse Merlin 304 12th Ave SW Altoona IA 50009 $ 9 .75
Kruse Merlin 304 12th Ave SW Altoona IA 50009 $ 10 .20
Mentzer Scott 21063 Erbe Street Carlisle IA 50047 $ 4.95
Mentzer Barbara 21063 Erbe Street Carlisle IA 50047 $ 2 .00
Mentzer Barbara 21063 Erbe Street Carlisle IA 50047 $ 7.55
Mentzer Scott 21063 Erbe Street Carlisle IA 50047 $ 8 .02
Merrick John 242 Bass St Carroll IA 51401 $ 6 .42
Merrick John 242 Bass St Carroll IA 51401 $ 7.60
Miller Timothy 1402 Upland Lane Van Meter IA 50261 $ 7.40
Miller Timothy 1402 Upland Lane Van Meter IA 50261 $ 6 .95
Mingus Steven 2638 Xavier Ave Duncombe IA 50532 $ 9.20
Mingus Steven 2638 Xavier Ave Duncombe IA 50532 $ 7 .20
Moren J. Brad 120 Hickory Blvd, #120 Altoona IA 50009 $ 8.85
North Brandon 3304 Southwest 35th Street Ankeny IA 50021 $ 14.22
North Brandon 3304 Southwest 35th Street Ankeny IA 50021 $ 7.20
Nowell Tyler 2551 284th Street Lehigh IA 50557 $ 6.80
Nowell Tyler 2551 284th Street Lehigh IA 50557 $ 6 .90
Nowell Tyler 2551 284th Street Lehigh IA 50557 $ 1 .85
O'Brien Michael 1300 SW Emma Des Moines IA 50315 $ 9.91
Olson Roderick 2405 Marion St . Des Moines IA 50321-2373 $ 0 .22
Olson Roderick 2405 Marion St. Des Moines IA 50321-2373 $ 2.90
Olson Roderick 2405 Marion St . Des Moines IA 50321-2373 $ 1 .22
Ostring Paul 10513 NW 106th Ave . Granger IA 50109-9774 $ 4.00
Ostring Paul 10513 NW 106th Ave . Granger IA 50109-9774 $ 1 .92
Richardson Chris 417 East Webster St Osceola IA 50213-1360 $ 10 .65
Richardson Chris 417 East Webster St Osceola IA 50213-1360 $ 3.25
Richardson Chris 417 East Webster St Osceola IA 50213-1360 $ 5.30
Richt Robert 1681 730th Avenue Albia IA 52531 $ 8 .40
Richt Robert 1681 730th Avenue Albia IA 52531 $ 9.90
Richt Robert 1681 730th Avenue Albia IA 52531 $ 6 .00
Rivera Frank 211 N . m" Street' Indianola IA 50125 $ 5.22
Rivera Frank 211 N . m" Street' Indianola IA 50125 $ 7 .20
Rivera Frank 211 N . m" Street' Indianola IA 50125 $ 2 .00
Rivera Frank 211 N. m" Street' Indianola IA 50125 $ 8.25
Robertson David PO Box 592 Waukee IA 50263-0592 $ 10.00
Robertson David PO Box 592 Waukee IA 50263-0592 $ 8 .15
Schoolen John 6717 NE Berwick Drive Ankeny IA 50021 $ 8.85
Stagg John P .O. Box 755 Boone IA 50036 $ 4 .65
Stagg John P .O. Box 755 Boone IA 50036 $ 9.45
Stagg John P.O. Box 755 Boone IA 50036 $ 6.87
Stagg John P.O. Box 755 Boone IA 50036 $ (2.00)
Stagg John P.O. Box 755 Boone IA 50036 $ 3.47
Stagg John P.O. Box 755 Boone IA 50036 $ 11 .45
Stagg John P .O . Box 755 Boone IA 50036 $ 8.05
Stahowick John 5172 East Oakwood Dr Pleasant Hill IA 50327-7120 $ 8 .00
Stahowick John 5172 East Oakwood Dr Pleasant Hill IA 50327-7120 $ 10.15
Striegel Raymond 6628 168th Avenue Indianola IA 50125 $ 8.10
Striegel Raymond 6628 168th Avenue Indianola IA 50125 $ 7 .85
Swanson Michael 1124 South 21 st Street Fort Dodge IA 50501 $ 5.90
Swanson Michael 1124 South 21st Street Fort Dodge IA 50501 $ 4.57
Swanson Michael 1124 South 21st Street Fort Dodge IA 50501 $ 13.45
Swanson Michael 1124 South 21 st Street Fort Dodge IA 50501 $ 7 .90
Swanson Michael 1124 South 21st Street Fort Dodge IA 50501 $ 1 .02
Swanson Michael 1124 South 21st Street Fort Dodge IA 50501 $ 10 .00
Tallman Matthew 514 4th Street, Norwest Altoona IA 50009 $ 6.55
Tallman Matthew 514 4th Street, Norwest Altoona IA 50009 $ 6 .22
Tallman Matthew 514 4th Street, Norwest Altoona IA 50009 $ 7 .97
Thompson Caroll P O Box 171 Kellogg IA 50135 $ 7 .62
Thompson Caroll P O Box 171 Kellogg IA 50135 $ 9.20
Wade Terrell 220 North Hickory Boulevard Pleasant Hill IA 50327 $ 8.67
Walker Charles 2017 N 4th Avenue E Newton IA 50208 $ 7.95
Walker Charles 2017 N 4th Avenue E Newton IA 50208 $ 6.37
Weese Bronson 2413 48th Place Des Moines IA 50310 $ 9.05
Weese Bronson 2413 48th Place Des Moines IA 50310 $ 8.00
Wells Patrick 5432 SE 30th Street Des Moines IA 50320 $ 6.62
$ 2,153 .16
I.B.E.W. LOCAL 347 GENERAL ACCOUNT
Payroll Item Detail
September 3, 2003 through October 18, 2004
Date Source Name Name Address Payroll Item Type Amount

PAC Contribution
1/7/2004 Granberg, Gerald A 3281 Ashworth Road Waukee,IA 50263 PAC Contrib . . . Paycheck -2 .50
1/7/2004 Rose, Jeffrey L 7328 N .W . 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2.50
1/7/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib . . . Paycheck -2.50
1/14/2004 Granberg, Gerald A 3281 Ashworth Road Waukee,IA 50263 PAC Contrib . . . Paycheck -2.50
1/21/2004 Rose, Jeffrey L 7328 N .W . 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2 .50
1/21/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib . . . Paycheck -2 .50
1/28/2004 Granberg, Gerald A 3281 Ashworth Road Waukee, IA 50263 PAC Contrib . . . Paycheck -2 .50
1/28/2004 Rose, Jeffrey L 7328 N .W. 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2 .50
2/4/2004 Rose, Jeffrey L 7328 N .W . 28th Street Ankeny, IA 50021 PAC Contrib. . . Paycheck -2 .50
2/4/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib. . . Paycheck -2 .50
2/11/2004 Granberg, Gerald A 3281 Ashworth Road Waukee, IA 50263 PAC Contrib. . . Paycheck -2 .50
2/18/2004 Granberg, Gerald A 3281 Ashworth Road Waukee,IA 50263 PAC Contrib. . . Paycheck -2 .50
2/18/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib. . . Paycheck 0 .00
3/3/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib . . . Paycheck 0 .00
3/3/2004 Flaherty, Patrick D 5146 Aspen Circle Pleasant Hill, IA 50327 PAC Contrib . . . Paycheck 0 .00
3/17/2004 Rose, Jeffrey L 7328 N .W. 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2.50
3/17/2004 Granberg, Gerald A 3281 Ashworth Road Waukee, IA 50263 PAC Contrib . . . Paycheck -2.50
3/17/2004 Granberg, Gerald A 3281 Ashworth Road Waukee,IA 50263 PAC Contrib . . . Paycheck -2.50
1 :09 PM I .B .E .W. LOCAL 347 GENERAL ACCOUNT
10/18/04 Payroll Item Detail

6/9/2004 Rose, Jeffrey L 7328 N .W. 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2 .50
7/28/2004 Rose, Jeffrey L 7328 N.W . 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2 .50
1 :09 PM I .B .E .W. LOCAL 347 GENERAL ACCOUNT
10/18/04 Payroll Item Detail

9/22/2004 Rose, Jeffrey L 7328 N.W . 28th Street Ankeny, IA 50021 PAC Contrib . . . Paycheck -2 .50
Total PAC Contribution -307.50
TOTAL -307 .50

Local Union No 347 IBEW PAC Fund - 9716 - Scanned

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Local Union No 347 IBEW PAC Fund - 9716 - Scanned

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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

IMPORTANT : Indicate by # type of committee you are reporting for: Logged In _

October 19, 2004

10/19/2004 Local Committees, enter Date of Election

STATEMENT OF CASH ON HAND

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

CANDIDATE COMMITTEES ONLY :

Local Union No. 347 IBEW PAC Fund

TOTAL (iflast page of this schedule) $ 2811,27

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

CONTRIBUTIONS -- MONEY TAKEN IN

COMMITTEE NAME (Must be same as on Statement of Organization)

A4acl,4 CK# c.nntribu -f'a-qtr .

Date Source Name Name Address Payroll Item Type Amount

Date Source Name Name Address Payroll Item Type Amount

Date Source Name Name Address Payroll Item Type Amount

TOTAL -307 .50

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