Beruflich Dokumente
Kultur Dokumente
SUB-TOTAL . . . .. $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 85 .00
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Unitemized Contributions
09-10/2004 $ 85.00
CK#
El-
I D#
CK#
E]
ID#
CK#
1D#
CK#
1D#
C K#
ID#
C K#
ID#
CK#
ID#
CK#
ID#
CK#
I D#
CK#
SUB-TOTAL
' 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 ] j
marriage) . If surname of contributor is the same as candidate, but there is no Page of -__--
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Ru~rt Forn' I SCHEDULE
ID#
C K#
ID#
C K#
ID#
CK#
ID#
CK#
ID#
C K#
I D#
C K#
I D#
C K#
SUB-TOTAL $
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 68A .402(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
Stephen G Suiter for School Board
F
Stephen G Suiter, Candidate Midwest 400 .00
9/3/2004 Mailworks,
mailino
F 1
Stephen G Suiter, Candidate Victory 358 .45
9/7/2004 Enterprises, yard -
cionc
F~
Stephen G Suiter, Candidate U S Post Office, 23 .00
9/13/2004 stamps
F 1
Stephen G Suiter, Candidate Scott Co Auditor, 10 .00
9/15/2004 CD of presinct -
artrlrPCCrc
F 1
Stephen G Suiter, Candidate Northwest 156.69
9/20/2004 Printing, postcards -
fnr mailino
F 1
Stephen G Suiter, Candidate North Scott Press, 134.40
9/20/2004 advertising -
F1
Stephen G Suitor, Candidate Midwest 131 .56
9/21/2004 Mailworks,
halanr.P mzrPri
F1
Stephen G Suiter, Candidate Victory 8.40
10/6/2004 Enterprises, -
halanre rnarerl
F1 -
F1 -
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of I
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 .