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11/14/2005 13 :51 SKOGMAN REALTY WEST 4 15152813701 NO .

502 D05
P,05
NOV-14-2005 0852 IA ETHICS CAMPAIGN DISCLO 15152813701

FOR INSTRUCT)ONS. SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 oiSCLOSORE
(Rev. 07.12004) REPORT
CQmur"EE NAME (Must be same as on Stalemenl of Organization)
Egg calls-Ueg 2nft
Committee to Elect Kenny Srulz Comm. K
IMPORTANT: INICale oY a type of cam mlueo you era reportlno ton, b~- Logged In
I 1 )Stataw10e1LaghlallveiJudge SUadlng for Ret60en CandIdehe 12 )Stale PAC ( 3 )State Parry scanned
(a )Gcuney Central Comm' Ilea ( 5 )County Candloam (0 )City Candidate (7 )School Board or Other Political
SubdiulaIon Cendtdate (8 )County PAC (9 )City PAC ( 10 }School Board or Other Political %bcMs1orv PAC Compwar
111 ) Local eellot leaue Audited -
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party of applicable)
Kenny S tuli

Office Sought DISIfICt (If Senate or House)


Alderman
NOV 1 4 2005

subject to possible civil and criminal penalties .

TELEPHONE DATE SIGNE

I AM FILING A F inal Report REPORT FOR (1) ELECTION 1(;)NON-EELECTION YEAR .


reeport dale) Indicate oy 12
©fJ

- CHECK IF AMENDMENT TO REPORT DATED LDWI Committees . sneer Date of EIOWon


11/0812005
VI Check if this is final (termination) report and art= Notice of D16solutlon Form DR-3 . County a Local Commldae9. enter Caungr in
wwh Cfectlon is held
(You must ContInJ6 to ills reports until e DR-3 is filed.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reponing period, (Total of all funds held by the
commitise . This amount MUST be the Same ac the cash on hand at the end 0.00
o(the lest tepoRing period or must be zero if thin Is first report filed,) . . ., . . . . . . .. . . . . . . .... . . .. . . . . . . . . . . . ., .. $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
500.00
Schedule A : Cash Contributions total (Attach Schedule A) ( * also see in-kind below) . . . . . . . . . . . . ., . .
Schedule F; Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . , ..  , ., ., . ., ... ., ., ., . .. ., . . ., . . . . . .,
Schedule H. Total Sales of Campaign Property (Attach Schedule H) , . . . .. .  . . . . . . . ... .. . . . . . . ... . . . ... . . . . .
1Sgheau1P li applle11 to Candldatee' CofrotZeee Onlyl
SUB-TOTAL . . . . .. . . . . . . . . . . i
SUBTRACT TOTAL MONEY SPENT THIB PERIOD
500.00
Schedule B : Expenditures total (Attach Schedule 8) ("also see debts and loans below) . . . . . . . ... . .
Schedule F : Loon Repayments total (Attach Schedule F) ., ., . . . .. ., . . . . . . . . . .  . .  .  .., ..  ., . .. . .. . .  , . .. ., . .. . 
CASH ON HAND at the and of this reporting period (/(final report balance muel
0.00
be zero) (Attach DR-3) . . . . . . . . . . .. . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . ., ., . ..,.. . . , . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. . . . . ., . . . . . . . . . . . .. . . . .. .$

"'UNPAID BILLS (From Schedule 0 - Attach Schedule 0) ., ., . . . . ., .,. . . . . . ... . . . . . . . . . . . . ... . . .... . . . . . .. . . . . . .. ..... . .. . . ... . U.uo
'1N KIND CONTRIBUTIONS (From Schoduto E -Altacn Schedule E)-- . .. . . ., . . . . . . . . . . . . . . . .  ., . . ., ., .... . . . . ... . . , . . . 8 36 .88

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F). . . . . . . . . . . . . . . . . . . . . .. . . . .... . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . g


CONSULTANT BREAKDOWN (Schedule G Attached?) YES rNO

CARDIPATF COMMITT§E,9 o ~! . Y".


VALUE OF CAMPAIGN PROPERYY (From Schedule H-Attach Schedule H) S
8 AT INITTE " Submit a reconciled campaign account bank statement In January of cacn year .
11/14/2005 13 :51 SKOGMAN REALTY WEST 4 15152813701 HO . 5122
NCU-14-2915 08 :59 IA ETHICS CAMPAIGN DISCLO 15152813701 P .06

For Instrudlons, See Back of Form ,. . ..;._ ;fir-,^'.


'~7C y ." t ~.'."
`".

CONTRISUTION6 ." MONEY TAKEN IN


(IncNding ewdidte'G personal funds)

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


0 CHECK THIS BOX IF
AMENDING FORM
Committee to Elect Kenny Stulz

STATE CANDIDATES NOTE : IF A CONTRIBLl710N IS RECEIVED FROM a STATE PAC (POLITICAL ACTION COMMtrree), LIST THE aAC 10ENTIFICATION
HUMBER AND THE PAC CMFCK NUMBER IN THE DLSIGNATED COLUMN . A UST OF 10 NUMBERS 19 AVAILABLE FROM TKE IOWA ETHICS AND CANPAION
DISCL0SURE BOARD.

CAUTION: Section SAB.32A(6). Iowa Code, prohibits the use of Information cooic4 from rapons and etetements for sorcitlng contribution; or
for any commerelal purposes by any perron other then statutory Dolitlcal rommltteas .

DATE PAC ID NUMBER NAME AND ADtMESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RHCENEO (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMIODIYR) AND PAC CHECK (it 81)06c RAISER
NUMBER INCOME
IDS 6125 Iowa Realtors PAC
11/092005 None $500.00
CK# 250 . 12th Avenue, Ste I50
Coralv ;lle, 1A 52341
ID# r

CK# I

I osr

CK#

1D#

CK#

ID'P

CK#

IQ#

CK#

IDO

CK#

It7ft

CK#

ID#

CKtt!

100

CK#

SUB-TOTAL.

TOTAL fit fast none of this schedufe)


5 590.00
F
Disdoeure law repulrae oandldete o0MMltteda to 41 :M18 the reutionchlp of any reladve making a conlURwtion to ono
f0Inm11t9e. R81811on3hlp TUBS be SPwwn to the thlfd degre4 Of Consanguinity (blood relativGL) and efNty (reletNea by I I
marriage) If surname of contributor ie the same eo gondl0ete : but Lhere iS no Page of -
f®mlllal re1slior19hlp, enter 'not applicable' In the relellonship mtumn. (for Schedule A)
11/1 4/2005 13-51 SKOGMAN REALTY WEST i 15152813701 N0 .502 D07
NOU-14-2005 08 :59 IA ETHICS CAMPAIGN DISCLO 15152813?01 R .0? II

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


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

5TATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE


CANDIDATES LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECKTHIS BOX 1F
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUM8ER6 16 AVAILABLE FROU THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCL06VRE BOARD.

COMMITTEE NAME (Musr be same as on Statement of Orpni=a(lon)


Committec to Elect Kenny Stutz
CANDIDATE NAME ANDADOR S TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (0ESGRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) 0szuroentenq WAS MADE
(MMIDDNR) AND PAC
CHECK
NUMBER
ID#
Kenny SwIz, Cmtdidate Payment of debt, close comttunec
11/10/2005 300.00
CKt! $

ID#

CK#

ID#

CK#

ID#

CK#

I p#

CK#

loft

CK#

IO#

CIC#

ID#

CKip

TUB-TOTAL

TOTAL (if fasf page of fhls schvsfule) $ 500.00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY .,


Purchases of certaln campaign property tooting S1500 or more must also be inventoried an Schedule H. (Refer to Schedule H inshuetiona )

Exponditures to poroons/entities providing cansulGnq advertising . fund-raising, polling, man111glfte, Ory8Nzlng 6erviCes must i190 be dateil itemtxed on
Sahedula G by the amount . pUrpose. end dab of oeeh type of expenditure made by the pereonlentlq an behalf of the candioawo cornmidee. (Relay to
Schedule G instructicni and Iowa COCe 88A,402(3)(i).)

(for Seheduto 8)
11%14."2005 13 :51 SKOGMAN REALTY WEST 3 15152813701 NO .502 D08
NDU-14-2005 08 :55 IA ETHICS CAMPAIGN DISCLO 151,5 2913701 P .08

FOR INSTRUCTIONS. SEE BACK OF FORM SCHEDULE


E TN-KING
COMMITTEE NAME (Must besame as on Sralemenc of OManueWn) (Rev . 06187) CONTRIBUTIONS
Committee to Elect Kcnny Stulz
CHECK THIS BOX IF
AMENDING FORM

A RELATIONSHIP DE9CR P D IMATEO J IF FOR


RECEIVED NAME A140 ADDRESS TO CANUIDATE OF IN KIND FAIR MARKET FUND-RIU8ER
M . DDIVR OF CONTRIBUTOR ' Gr a plicebie CONTRI®UTION VALUE CONTRIBUTION

Kcn n5' Stutz~ Candidate Self Forgiveness of 36 .88


W 1012005 debt L]

El

F-7

E .

~0
3

ca

SUBTOTAL

TOTAL (If last


page of thts
scho4vts)

'Disclosure low requires candidates to diSfse the roiationtiNp of any Mlalive making or In kind contribution to the Page I or (
committee . Relationship must to 0own to the third dogree of concenguinity, (bkrod relative$) And affinity (rotalives (for Schedule E)
by marriapa) . (Sao Page 2 of forms packet.) if surname of contributor I :Iho same as condidoto, out there is no
faMIU01 ralatIonship, enter'ndt appdcablA' in the relstionship column .

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