Beruflich Dokumente
Kultur Dokumente
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SX11lNATURE-0FPERS0N1WJN8-I*P0RT TELEPHONE DATS-SKIED
5-19-06
I AM FILING A- REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #
E] Check if this is final (termination) report and attach Notice of Dissolution Fare DR-3. County 3 Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .)
which Election is held
CASH ON HAIR at the end of this reporting period (If final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . ... . . . . . . . .. . . . . . .$
1
1 (A. 06
"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . . ... . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .$ 6
- IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. .. . . . . . . . . . . . . . . . . . . . . . . .. .$ 0 .00
0 .00
""OUTSTANDING LOANS (From Schedule F - Attach Schedule F) $
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.
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION : Section 688 .32A(6), 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 .
ID#
David Hansen 100.(10
2/11106 CK# 11883 L Ave., Fayette, IA 52142
ID#
Harold Strever 1(10 .00
2/24/06 CK# 2712 Orchard Dr, Suite B, Cedar Falls, IA 50613
ID#
Ken Richards 50.00
2/26/06 CK# 1251 E. 26th Ct., Des Moines, 1A 50317
I D#
Anthony Slinger 100.00
3/2/06 CK# 2987 Chestnut Place, Charles City, IA 50616 Brother
ID#
Joe Wolfe 10 .00
1/12/06 CK# 420 3rd St . NW, Waverly,1A 50677
ID#
Doyle Wegner 25 .00
4/18/06 CK# 713 1st St., Summer, IA 50674
ID# .
,L ' M s~3P oCAnG~1, jrt5 150.00
4/13/06 CK#
ID#
Kasey Wadding 25.00
4/18/06 CK#
ID#
Delos Cox 25.00
5/1/05 CK# 905 S. Main, Janesville, IA 50647
SUB-TOTAL
$ 685.00
TOTAL (If last peps of this schedule)
` 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
. It surname of contributor is the same as candidate, but there is no
marriage) Page of 2-
familial relationship, enter "rot applicable" in the relationship column . (for ScheduleA)
For Instructions, See Back of Form SCHEDULE
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.
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION: Section 68B.32A(8), 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 .
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
C K#
SUB-TOTAL
$ 100.00
I
TOTAL (iffast page of this schedule)
$ 785 .00
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 2
marriage) . If surname of contributor is the same as candidate, but there is no Page Of 2
lamifal relationship, enter"not applicable" in the relationship column. A)
(for Schedule
FOR INSTRUCTIONS, SEE BACK OF FORM I ptew pom SCHEDULE
E
L
E
DATE
EXPENDED
CANDIDATE
ID NUMBER
(d applicable)
AND PAC
CHECK
NAME AND ADDRESS TO WHOM
EXPENDITURE
(Disbursement) WAS MADE
PURPOSE
(DESCRIBE TRANSACTION)
AMOUNT
EXPENDED
NUMBER
ID# Kevin & Pamela Slinger 'Advance for anticipated advertising '
12/28/05 \ CK# 1403 Meadow View Lane expenses ' $ (500.00)
Waverly, IA 50677
ID# Kevin & Pamela Slinger Redeposit of unused advance
1/20/06 CK# 1403 Meadow View Lane 500,00
Waverly, IA 50677
__ ID# WalMart ink cartridges, paper (for flyers)
1/14/06 12014th St. SW 64.67
CK# Waverly, IA 50677
ID#
Iowa Secretary of State voter list
1/27/06 321 E. 12th St. 63.01
CK#
Des Moines, IA 50319
ID# Absorbent Ink Printing pens
2/21/06 CK# 729 1/2 Massachusetts St ., Suite 212 372,92
Lawrence, KS 66044
ID# West Point Junior Farmers pancake breakfast
2/26/06 4-11 Club 20.00
CK# Allison, IA 50602
ID# membership
ISA-ICGA
12/26/06 4554 114th St. 110 .00
CK# Urbandale, IA 50322
ID# Clarksville Ambulance Service waffle breakfast
3/4/06 CK# Clarksville, IA 50619 21.50
Expenditures to persons/entities 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 B11A.402(3)(i) .)
(for Schedule g)
FOR INSTRUCTIONS, SEE BACK OF FORM
ID#
Kevin Slinger reimbursement for professional photos
4/21/06 1403 Meadow View Lane 123.05
CK# Waverly, IA 50677
SUB-TOTAL
TOTAL (Iflast papa of this schedule) $ ~-- ;
4
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, rnanaging, organizing services must also be detail iternized 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.402(3)(Q.)
2 2
Page of
(For Schedule B)