FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2005) REPORT

For Office Use Only

T. K. Philips for Supervisor
Comm . #
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 Political
Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Terry Philips

Office Sought District (if Senate or House)

Supervisor

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee,
and the chairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports.

SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #

anuary 19, 2003 Local Committees, enter Date of Election

OCHECK IF AMENDMENT TO REPORT DATED J

County & Local Committees, enter County in

0 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 DR-3 is filed .)
Washington

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 794.28
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
870.00
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300.00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . . . . . . . . . .$ 1,964.28
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
1,667.03
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297.25

CASH ON HAND at the end of this reporting period (if final report balance must
0 .00
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

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

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 2 .75
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES V NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
FROM PHONE NO .

" GN D 130 0
DEC-15-2005 16 :12 I R ETH C5

FORM I
FOR INSTRUCTIONS, SaE BACK
OF FORM
DR-2 ' 01MOSURE

oISCLBSUO SUMMARY PAGE tRav.12005) ) REPORT

of Orpanfza6'on)
COMMfTTBE NAME (Moat be Sam ea on Statement
11or 01H0 liar Onlr
T . LC . Philips for S7.sporviaor Gaern. 0
Lopped Ir
stltPOaTWr[", l ld~catr- yy r vpe of rammhtee YOU arerewrwo tar: ~_- j
(25Me PAC (a )SMM Peny sunned
( t )Statowasll .aplalatlvetJucge SWaIng far ft~an Cand=s Candtdere : 7 )SCnool (cord cr diner Pdltkai
(ocaunty DerAm Corn- (1 )County Catsdldal8 ( a ;UN nr Oiher poll',ICar Suadlvieion PAC
C'ornputar
Subdl~lalen Candldasa (E )County PAZ (0 )City PA;. ( 10 )'cnool moab Audited
1 f ) Local B911ot Ilt us
CANDIDATE COMMITTERS ONLY :
G~nokWoName political party (If applicable)
Terry Philips

OfFfoo 8ougtst
District (0 Senate or Mouse)
Supervisor D EC 1 5 2005
J

fm r:rienthal oenames . 7ursuant to tows case section be8 .9ZA(7) the oandldw
.e . fcr a candidzts's committee
cornoilte9, Is Use inrbvaaai responlIM14 far 1Ang IIMely and accuaa rep0Re .

319 Y 36 q'~;-3 , _
TELEPHONE DATE SIONbO

I AM I'ILINO A REPORT FOR (1) ELECTION I(Z)NOW-ELECTION YEAR .

(spande's) Indicate by #

January 19, 2003 Local Conrmtlwaee, enter Date of Eleclion

®CHECK IF AMENDMENT TO REPORT DATED

CD Check ir tats is Mel (Itrmlnntion) report and attlah Notke of D"reaolutlon Form DR-3 . -mm eLee& Cwnmptm, enter County in
(You mute continue to A!e reports until a OR-3 is filed.) wnlon Elactlon Is hold
Washington

STATEMENT OF CASH ON HAND

CA8W ON WAND ol the botisinlng of the "sporting Period . (Total of all funds held by Ina
committee. This amount MUST be the game as the cash an hand at the end 794 26
of the leaf "porting period of muet be zero IthIg b Ilnt report filed .) . .. . . . ., . . . . . . .. . . . . . . . . .. .. . . . . . . . . . . . ..S
AOD TOTAL MONEY TAKEN IN THIS PERIOD
870,00
t'+ed.ile A: Gash CCntrIbAlbru; total (Attach Schedule A) ('also too ir~-k`nd below) . . . . .. . . . . . . . ., .., .
8ehadAe F; Loans RoCetvec total (Attach Seiredulo F)  , . . . . ., . . . . . . . . . . . . . . . ., . . . .... .. . . . . . . . . . . . .. ., .  110000

Schedule H: Total Sales of Campaign Property 'Attaoh Schedule H) .-_. . . . . . . ., .  ., ....,. . .. .,. . ., ., . . . . . ..
(Seb®riwk H aoailes to Candidutes' Committees On v)
sue-T0TAL . . ..,., ., . . .,t i,96~.28
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Sohedute 8: 69pondburst total (Mach Scnedwe ti) (-also see debts and loans below) . ..., . . . . . ., ) ,667 .03
Senedutt F: Loan Repayments total (Attach Schedule h) . . . . . . ., . . . . .. . . . . . . .. . . . . . . . . .. . . . . . . . ., . . . . . ., ., . 297.25

CASH ON HAND M the end of this reporting period (d final rooo^t bat&MC6 Meet
0.00
be nrol (Mach DR-3) .. .. .. . . . . . . . . . . . . . . . . . . . . . . . ... . _ . . . . . .. . . . . . . . .. . . . . . . . . . .. . . . .  . , . . . . . . . .. . . . . . . . . . . . .. .. .. _ ... .S

"UNPAID SILLS (From Schedule D-A12ECn Snnedule 0) . . . . .. . . . . . . . . . . . . . . . . . . . ., . . ., , . . .,. .,  . . . . ., . . . .,...., . . ., . . . .3

'tN KIND CONTRJBUTIONS (From Schedule E -Attach Schodum E) . . . .. . . . . . . . . .. .. . . . . . . , . . . . . . . .. . . . . . . . . . . . .8 2,15
-OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . .,. . . . ., ., ., . . . .. ., ., .  ., . ., . . . ., .3
CONSULTANT BREAKDOWN (Schedule GAttWad7)
CANOiDATg COMMTTm ONLY :
VALUE OF CAMPAIGN PROPERTY (Prom Schedule H - Attach Sche000 H)
1TATI1 CCIMITTEESc Submit 2 reconciled campaign aacounl sank Satemem to January of each yea,.
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
T. K. Philips for Supervisor
® CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR " (if applicable) CONTRIBUTION VALUE CONTRIBUTION

F
Forgive balance 2.75
12/31/2002
2/31!2002 Terry Philips, Candidate Self of loan

F1 -

F1 -

71
F1 -

F 1 -

F1 -

71

TOTAL (if last

page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of 1
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
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 .
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
COMMITTEE NAME(Must be same as on Statement of Organization) F LOANS
(Rev. 07/03) RECEIVED
T. K. Philips for Supervisor & REPAID

NOTE : This schedule reports money loaned to the committee which is deposited in the committee account. QCHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a third party is (Loans forgiven must be reported on Schedule E - In-kind Contributions.)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
MMIDD/YR If A licable' If A licable

Terry Philips, Candidate Terry Philips, Candidate

12/5/2002 Self 12/31/2002 Self 297.25
300 .00

TOTAL (PART I) $300 .00 TOTAL CASH REPAYMENTS (PART ll) $ 297 .25

From Schedule E - TOTAL LOANS FORGIVEN $ 2.75

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ -0-

'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 familial relationship, enter "not applicable" in the
relationship column when it applies. Page 1 of 1
(for Schedule F)