Beruflich Dokumente
Kultur Dokumente
uv~
Audited
IMPORTANT: Indicate type of committee you are reporting for: Lo Computer L L/ -V
( 1 )Statewide/Legislative 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
Routine Penalties Due For Late Filed Reports Range from $20 to $800
I AM FILING A 3-AnuaY'h Z ZZ i -), PQ --SPO RT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) .......... . . .. ... .. . . .... .. .. ... ........... .. .. .. .. ... .... ........ ..... .. .. .. ..... .. . .... ................. $ 35! l . 33
UNPAID BILLS (From Schedule D - Attach Schedule D) .... ........... .. ........ .. ... .. .. .... ... .. ... .. ... .. .... .. ..... .. .$ 6-00
,~
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. ..... .. ... ........... .. ... .. ................... $ 14 9o- 44
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . .. ........ ..... ....... .. .... ... .. ........... ..... .. . $ 0 .00
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES \NJ NO
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICALISACTION COMMITTEE), LIST THE PAC IDENTIFICATION
THE IOWA ETHICS AND CAMPAIGN
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS AVAILABLE FROM
DISCLOSURE BOARD .
statements for soliciting contributions or
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and
for any commercial purpose by any person other than statutory political committees .
sr
ID# 12arVae ~ -l2lfe1r~
'117-1101 CK#
3 I s s~- I 7- ¬>a >7~~ 7s. 00
Olzs Momeq -Ch 5031(4
I D# kadj= ( tAja1 }ie rS
W21-1101 CK#
713 / -7 4i gIrc4t flArcc 500b,(30
Det Moly)eC 5031q
ID# M44MkrC09
112-1101
5
2-%-00
CK#
~N»ot he 03 ? 1
ID# kt3yr)e Terry
K-O ZZ-aone Qrim br her- 50.00
10///0J CK#
I4urn e 34
ID#
batu4ne McAs1r=1,V
4800 GatA Ortue - Sfie. ~'ZSo .oo
015101 CK# 1Z5
Wegf . h _
-
ID# IZArdt,~ U1a i t s
S SO
1117 101 CK# 2-171 Grand Aue " b .6 o
oines =ft OZ 5
Wev~
ID# Llkl4ne Irry
1 eOZZ Tcrne Si S6,00
1111-5/01 . CK# orcst br,ue b -h~n
ITf"Til16 le _c> S 7734
ID# TOhj Ll1Q j`fbn
CK# 145 /4 Al pn7c pr. S a. o a
111 61 01
Urhord~ le,,o~ .SO3aa
SUB-TOTAL
003 10
5
TOTAL (if last page of this
schedule) r
disclose the relationship of any relative malting a contribution to the
Disclosure law requires candidate committees to and affinity (relatives by
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) candidate, but there is no Page of
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as
relationship column. (for Schedule A)
familial relationship, enter "not applicable" in the
For Iristiructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF I
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
helda+izo} -~- Y)')irJl~/e
l1IL510 I CK# 71 1 1voO0LANO Z S .dD
5 ,0 1 0
ID#
Sow +-2044i
f 15/01
1-4k-arc1
CK# 3116 So1Mm r k Ulst'vk Dr. s30-00
s ,»eS 503a 1
Harp-Y A. /wrtl S
ID#
~1 al CK#
211 W. matadowlA»c s lob-ao V
MOVKhq (1 +OW y1 ZA 50/5 ,P
ID#
27n Gram i40
IZl ~1~ 1 CK# . ~.
" +_ 0" rnoyes _Zk
ID# -rereso. MCC ornrne
I I jZc Jo r CK#
I IOy Crn~t-is Ave. S 160 .00
Des Monnes ?A 50V 5
! D#
CK#
ID#
CK#
ID#
CK#
I D#
CK#
I D#
CK#
SUB-TOTAL
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09197) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .
ID# Tcrry
I'Y) .~ho~ 2e ir" burc r:4
7i3 I? si- 1*fL S E'~~rsOr~- .Tackson nl»nC1Y 5' ZOO .Od
CK#2 .015 Ocs Mo)»es, ate. 5,03114 TirlcZ1s
(,Parl-y Fon~~)oh
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
-
loj q101 z ~MI e
C~'tpho4rcp ) pins
$ ~3. 53
cK#Z,c~18
yes IT01beS ~ Svs/~ ~Y c1~r kn n
10 19 01
CK#ZbII
ID# RQ .'.'
QS>~E Web gi 4,-- Y~2U ~h~¢»~'
S 25V
o~sr'1~ios
StC 9S6
/ 1 cK#~ZO
oe' Y y)4Q-,TA 5036
00
))Z
ID#
4hs~»~ firms .s /_/ 5U
101Z3 cK#ZtJ2.1
~~
Oes MorneS, ZA S03oq
ID# ~~ ~~
S~mQs
~ S 35. aO
1012-3 ]b I CK#2-p
22 Des " bw,es, ~ So3Dc,
ID# Pa9f
y'00 L
p~ZlaI01 CK# Z-OZ5 -rerry
ces bl`(Y?S .S 503
SUB-TOTAL $
d
TOTAL (if last page of this schedule) $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
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 56.6(3)(1).)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
e, hb ors
CANDIDATE
~- o~- 'm I' C69, 1l--_Rrr \J
NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# kin k_03 Phbk ezpnm OP
400 Loe os-I- s fie 1_<.0
YY" $ 3 .-
101 z.8~ o I cK#Zoz(D Des vY)ol~as ,fit 5031
rZV5+V,k+ .
SJ
cK#Zo,>31
~I I I I ~ol C->
bes Y'UTgs , _em SD3a
ID# ck:e6ls >=cr-~lralser ~od. s
34016 Zrlweml) AK C~S.Sa
It 15 dot CK# Z03a
DO& mdv=,Z sa3),:~
ID# E+C.r1419LUE Dell phone r~bvr~
550 11 ~ S~ --5fc acs
cK#?o33 Des rno, y)M TA 61 3P
IzJ3 ~o~
SUB-TOTAL $ a T~
TOTAL (if lastpage of this schedule) $
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
CK#
ID#
CK#
CK#
ID#
CK#
SUB-TOTAL $'P-7' 09
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personslentifles 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .) -
(for Schedule B)
'FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97)1 CONTRIBUTIONS
I I ~ ~ 1
SUB-TOTAL
I4go, 44
`Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page ~- of
(for Schedule E)
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage) . (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .