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FR.-r,l : CAP I TOL --- H I HDEPY FAX NO . :402 342 5511 Ju 1 .

18 2©©3 08 : 54AM P1
.

FOR INSTRUCTIONS, SEE BACK OF FORM


DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)
Citizens for Kevin Brown School Board
For Offlcs Uas Only

IMPORTANT: Indicate type of committee you are reporting for : 4 Comm, # - ~~~
Logged In
( I )StalewidelLegialatlve Candidate (2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
Scanned
(5 )County PAC ( 6 )Ballot laeue/Franctuse Commidea (7 )County/City Central Committee
(8 )suopon slate or (:3ndideles Computer
Audited
Candidate Name
Kevin R Brown
Office Sought JU L 1 8 2003 District (if senate or House)
School BoArd
1

1 7/Z 32Z 1,067


f1G ATURVOPTRE~'CSU ER (or person filing this report) TELEPHONE DAVE 81011E

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ti3A AN MP T9 T - N NF NT %;E
I AM FILING A REPORT FOR ANNA (1) ELECTION /(2)NON-ELECTION YEAR.
(report date)
Indicate one
Local Committees, enter Date of Election
[]CHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County In


which Election is held
Check if this Is final (termination) report and attach Notice of Dissolution Form DR-3.
(You must continue to file reports until a Notloe of Dissolution is flied.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period. (This Is the total of all monies held
by the committee . This amount MUST be the same as the cash on hand at the end 310 .57/
of the last reporting period, or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . S
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) ('also see In-klnd below) . . . . . .. . . .
Schedule F . Loans Received total (Attach Schedule F) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ~~--
Schedule H : Total Sates of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . 0
/Schedule H applies to Candidates' Commlttanl:Onlv)
SU13-TOTAL .. . ..a 310.57
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . 310 .57
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . S 0


-IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . S 0 --
- OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . .. . ., . . . . . .  . ., . .  , .  .  , .  , .$
9ANQIQATE COMMTTEE3ONLY :
CONSULTANT BREAKDOWN (Schedule G Attacked?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
FPLr1 :CAPITOL --- H I tJDERY FAX N0 . :402 342 5511 Jul . 19 2003 08 : 55AN P2

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev, 07/03) 1 EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE


CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX IF
AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Citizens for Kevin Brown School Board


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (d applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
Ahraham Lincoln High School To purchase stadium seats to raise
CK# 12- ° 5 1;~la wt 1~ v E money for heart monitors or health $ 310 .
Council Bluffs, (A 51503 equipment for P.E. Dept .
ID#

CK#

ID#

CK#

ID#

CK#

loft

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL ' S 310 .57

TOTAL (ff last page of this schodulo) 1 $ 310,57 Z

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be Inventoried on Schedule H. (Refer to Schedule H Instructions.)

Expenditures to Pemonslenblies providing consul", advertising, fund-raising, polling, rnaneglng, organizing servICea must also be detail Itemized on
Schedule G by theamount purpose. and date of each type of expenditure made by the personienfty on behalf of the
candidate's Committee. (Refer to
Schedule G Instrucbom and Iowa Code 68A.6(3)(i) )

Pene

(for Schedule B)