Martin M.

Fisher 319-422 - 5394

NoV 16 04 10 :00p
Ln nvo r 7cru r rvlva, Jtt &AUK OF FORM
DISCLOSURE SUMMARY PAGE-
COMMITTEE NAME (Must be-same as on Statement of Organa*ion)

Fisher for Sheriff

IMPORTANT: Indicate by # type of committee you-ars-reporting1eF-

( i JStatewide/Legisrativekrudge Sranding for Rerent~an C-
andidafa-(7 WB PAC-(!QState Pa- 15L .
(4 )County Central CommitteetS e&unty Candidate-F6-)6ty-Candidate f 7)Sch
Political'SubdNmion Candidate4e jCaunty PAC (ATfAy PAa-( -~ol hoard o[-fltherPolamat
Subdivision PAC t11; ) Local-80o1 iaaae i - _
_
GAIWlDATE COro1M1TTE8SbiWY- -
Canddate Name-
arty Fisher
- _ Political- Party fee_ Late-reports are suhjed to
NOV 1 6 2uJ14 possft"hdi andeinrfinal _
Office sought _ enztejD)- . peral~ es .
heriff Fayettir COUMT

lSio3 - ~~ ~ -,.5395 /,.0-/6 - :200y

SIGNATURE O"ERSON FILING REPORT TELEPHONE DATE SIGNED

October 19th, 200

I AM FILING A _ N/
_ -
(mod date) Infate-by#

Local Commi teES,-enter Dint- nf Election.

OCHECK IF AM _
. November 2nd-Z004

Check if this is final (termina#orq report and 'Courtly & LocarCommittees, enter Cidu* in
(You must continue to ate reports , whichftection is- held
Fay=

D
CASH ON HAND at the beginning of the reporting
the period. (Total of all hand
funds held by the
committee. This anwant'W&T be same as the cash an at the end
0
of the-last reporting jedod-or must be-2we- f ftia' ... ._-_____ ._~__.. .... ;

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cas 97342-

Schedule F: Loans Received total (Attach Schedule F) . .. ... ..... .. ... ..... .. ..... ..... .. ..... ... .. ........ .. 0
Schedule H: TotaCSBI'es ofiCampaig~Prop ,_._ ._ ._.. Q
(Schedule H applies to Candidates' Committees Only

S A1=.....r - 9`)3-.92
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
.
Schedule B: Expenditures tatal.l .. 973
Schedule F: Loan Repayments total (Attach Schedule F) . .. ..... ... .. .. ... ..... .. ... .. .. ... ........ .. ... .. .. 0
CASH ONHAND attheend- _ . .
be zero ch DR-3 0

-UNPAID BILLS (From Schedule D - Attach Schedule D) ... ..... .. .... . ..... .. .. ..... ..., . ... ... .... .. ... ..... .. ........ . $ Q
'IN KIND CONTR1BUTI rom ...... . ...._ ..~._ ._ .... .. .
'"OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . ........... ... ....... ... ....... .......... ..... ....$
CANDIDATE C
CONSULTANT ?--
VALUE OF CAMPAIGN PROPSRTY (From Sa4eduY" S- Q-
 319-422-5394 p" 3
10-OOp Martin M. Fisher
Noer 16 04
I US It MLIUGuOtis, bee track of Form

CONTft1BUTiM - MONEY TAKEN IN

(including candidates parsonAtfundsl

COMMITTEE NAME (Must be same as on Statement of fa4zaWn)

Fisher for Shcriff~

STATE CANDIDATES NOTE IF A CONTRI BUTTON IS RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Secron (M,Towa b - cre, profiib?Cs tITe use ofinformatian eopiedTmm reportsanfistitemerds tbr soliciting confributfotls or
for any commercial purpose by any person other than statutory political committees.

DATE PAC4D NUMBER NAME AND UTOR Ti IAT1DNSk4W AMOUNT . d IF FOR 1

RECEIVED (tfwpphcable) TOCANDOAT& RECEIVED FUND- I
jMIWDDIYR) ARID PAC CHECK (0appiicable) RAISER I
NUMBER INCOME I
belt MatsX Fisher
07-25-200+3 153 HNW 150 South (Caadidaw} -551 .53
CIC West Union, Iowa 52175
IE# Thomas 1. Duman
07-26-2004 13817 Nazure Rd . N/A 100.00
C
West Union, low-a52175
tD
Hill lI-ouska
07-31-2004 CK# 3M1 HOW- N/A 100:W
West-Union, Iowa Y2 75-
_
IDI# Alas-R- Burkhat-
09-24-2004 166U M- rh-St-. Nt~ 100 .00
CK#
Rawkev InwaA?147_
ID# Danial N-Schmitt
09-26-2004 125 frwaklin St N/A 10.00
West Union, Iowa 521T5-
iD#
09-2T-2004 P.O.- Bok-27 NIX 50:4
Aurom, Iowa-506W
ID# Stephan Roach
09-28-2004 . . 1'O Box 144 NIA- 2&-00
West Union, la 52175
lDt#

LME
- Ivan & Eleanor Torknser--- .
10-06-2004 _ 445 Mill St- N/A 25-.00
.
CK#
Elgin, Iowa -
IDK -_
Jon Pharrson
10-102004 a`ri- 7tlr. Sr. N/A 25.00-
CK#
mayllin 1owa .58655-
ID# Carroll-Ehrhar& - -
l06 W_Bradford N/A 20{)0
10-10-2(104 elf West Union, Iowa 52t75---
-r P
SUE~TeTAL
506.53

' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must tie shown to too third-d-agree of eonsanguinty~TaWLQSfrerathves) - and affimTy gefatives by 1 2
marriage) . If surname of contributor is the same as candidate, bta there is no Page of
familial relationship, enter'not applicable' in the relationship colwrp.- (forScttodula.4
 M. Fisher 319-422-5394 p .4
Nov 16 04 10 : 00p Martin

For Instructions, See Back of Form 1scHEOUn E

CONTRIBUTIONS - MONEY TAKEN IN

(Inclucfim candidatdspeL-Anatfunds)
A
(Rea:07MB) I K40NETARY
RECEIPT6

Q CHECKTHSBOXTF
COMMITTEE NAME (Must be same as on Statem tafOrgarzafo - AMENDTNGFORW

Fisher- for- Sheriff

PAC IDENTIF1CAllON
STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POUTICALACTION COMMITTEE), UST THEETHICS AND CAMPAIGN
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF lD NUMBERS IS AVAILABLE FROM THE IOWA
DISCLOSURE BOARD.

CAUTION : Section GBB .32A(6), low& Cede-, probibils-th _ ' s or

for any commercial purpose by any person other than statutory poetical committees.

DATE PAC-0 NUMBER- NAME ANDABDR¬ SS®E CONTRIBUTOR R¬6ATIONSMP AMOUNT - . 4_ IF FOR I
RECEIVED (~Tf appfcablel To CANDIDATE' RECEIVED FUND- t
(MANDDIYR) AND PAC CHECK {ifapplicabte) RAISER 1
NUMBER INCOME t
1I Eirner Uandas -_ I
10-11-2004 - 101 Echo Valley Rd. _ NIA
CXF West Union, Iowa 52175 f

100.
DO Marty Fisher
153 Hwy 1505. (Candidate) 9239-
10-11-2004 CK~t
West Union, Iowa52175 --
ID# DttvidgnSOn, Chairman 1RpuhlicanFayyCC _
23YS°adrmnin Sr- NIA 380 :00
10-20-2004 CK#
- Fayettg tawa 521'42
ID# Wilb l -
752A2 11adcy, Sa__ 25 .00
11-02-2004 CKV" - N/A
W attenmra,Tnwa 52=

CK# -
N '0V 1 22'4

El
JD#

CKS

rD#

Cllf# -

I6#

CK#

ID#

CK#

ID# -

CK#-
_
Stfa-TOTAt 4fr--
.39
W

T0 FAt (Wisstpage-of Ods-seheduft) - 973 . 92

Disclosure law requires candidate committoesto disclose the relationship of any relative making a contribution to the
commilTee. Relationship must be shown to the third-dogma of consanguindy jbtand.ielatftasjaudafGn4 .([ekUYes By 2
. If sumame of contributor is the same as candidate, but there is no
marriage) Page of _
familial relationship; enter'notappitcabte'- inthe relationship column . (forr Schedn"
 Martin M . Fisher 319-422 - 5394 p .5
Nov 16 04 10 : 00p

FOR INSTRUCTIONS, SEE BACK OF FORM .SCHEDULE

a- I MONETARY
EXPENDITURES-= MONEYSPENI FRONTCOMMII 1EEACCOUNT . (Rom_D7AB) Ex»aCInINxFs

STATE PAC C0MkNTTEES- NOrT6:FORCONTROUrIONS MAVL~TOSTATEVYRDE OWtEGYStAriV'E

CANDIDATES, LIST THECANDIDATE_IDENTIFICA IIOUNUMBER IN THE-DESIGNATED_C~ AUDTHE _
CHECKTHS WX IE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAIiA13LE FROM THEiOWA AMENDING ¬ORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE- NAME(Must be sa -- -
Fisher for Sheaiff

CANDIDATE - NAMEAND -ADDRESSTOWFtOW - . PURPOSE AMOUNT .

DATE -F13-NUMBER- EXPENDITURE- - (DESI TR~,TI9P+- EXPENOEU
EXPENDED - (if- hle) (DlsbumemenQ 1t1M,_AlADF--
(MMIDDIYR) AND PAC
CHECK
NUMBER
IDS American Legion Post 15 RoorrLAcntaE - _
3 Past Main St formeting-- 35 .00 -
09-12-2004
CK#1016 ost Union, Iowa 52175---

ICf - ewspapers of Fayette County 300 printed-Piers

20-2004 Venw SL 15.00-
C} 1017 , .gun, Iowa

D# _ Post - Office
t Union - Startups furmadbirftiers-
'-24-2004 Vine St 11-1 .00=-
CK#1018 Vest Union, Iowa-52175

ID# _ _ g~acmdSnrsigns
IO-06`2004 oa S-- 142.40
CKi019 Vest Unionjowa 5?175-

]D# - - ~} Hnion PAS . Campaign-Ads in news paper -

10-11-2004 id S0udLV`Inn SL 66 .00 .
CFA 1020 West Union, Iowa 52175 --

ID# spapcrg of Faycttc County - - Camp-,ga-Axlsur-=wWaper -

10-15-2004 'enter 112.0(r
0021 1gin, Town

ID# ' nn Nper _

r
- - - re ~ rtc ;n~y__3_
- South Vinr-Ct
10-20-2004 66.00-
CK# 1022 . est_jjninn,jwa 52176 -

1{3# aye{te County~-- rv gn-Ads-in Newspaper-

10-22-2004 is
South Vine-- - 99 .013-- --
-CX#102A Unions -IowzS2W5

SU&TOTAL
TOTAL (if fart pee af tWs schedule) $--- .
j

THIS BOX APPLIES TO CANUMATW COMMEMMS CM Y,

Purchases of certain sign praperty tosting $5DD-or more musi-alm

Expenditures to po l ling . . . ilso he detail itemized on

Schedule Gby tha pepont oa luuu ot~de~andidete's eornralse~-(J~Sr to
--
Schedule G insructionsand Iowa Code 68A.4Q2L3)RZ -
Nov 16 04 10 :01p Martin M . Fisher 319-422-5394 p .6

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

T -- E- . _ UONETAfiLY .
EXPENDITURES ---MONEY S i(Re,LD7im1- EXPENDITURES
STATE PAC COVMTTEE3.1107Rr FOR CONTRtBtJTtCNSMAMTO-STATEIMDEORtEGISLATIVE
CANDIQATES, L=THE IF1CATlOUNUM ATED- THE - . C,LCfiEOKTt11S 80-)(-if
PAC CHECK NUMBER FOR EACH EXPENOITURE . ALIST OF+DNOVBERS'it3 AVAi-ABCETIRC*rrfE" ~A! ." - - f QIEPXXNG F-O#t ---
ETHICS & CAMPAIGN DISCLOSURE-BOARD.

COMMFTTEE NAME (M

Fisher for Sheriff

CANDIDATE - NA PURPOSE - AMOUNT-

DXTE b NU __ -EXPENDITURE_
EXPENDED (f apf k_r"h-- _ lDichnrct±rrK±nrF $.~ 1)`
(MWDDIYR) AND PAC -
CHECK
NUMBER- - -
ID# lwcin Daily-Rcgistcr- - Camp*n-Axisin Ncwwapcr -

10-28-2004 P25 1st. St S.E. - _ 87 .78-

CK#F1024 lwein, Iowa 50622

1D# _ vein Daily Register - Campaigg Ad,-in Newspaper _

11-09-2004 - -- st St S.E- ... - 56 .48
CK1D25 hvein, lawa50622--

1D# _ - wspaper-o -payectc-eaunty- - Campaign Adsin Newspaper

11-142004 _ er St.
CK#1026 _ gin, 1owa- ._

11 yUnite. Campaign AaSIn N-rTap .-f -

11-14-2004- - South Vriic_ -
66.00
4027 Yesi ~~wa-~f~ --

1D# _r'tcan_Ugi6ttPmt_I3---- -DenatrxfR~~rmntauhi --_ _ _-

0.3 'e SC n
11-16-2004 TA` 61 .26
#1028 West Ufiori; Towa 5217S'..

CK#

CK#

ID# -

ICK#

SL1&-TOTAL 7.52-
TOTAL liflast page afthia whedule) 3973927-

Purchases of certain campaign property costing $5DD ornwre

Expendituresto personslentitiespmvding- moat-also be-deMititemizerten

Schedule-r- by the amount,-purpose cMure-made 's coffee. (Referto
Schedrife G instructions and +owa Code 6aA .402(3j(U