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DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 12/2005) REPORT
For Office U seOnly
Rice for Council
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)
Dan Rice x
Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section 68B .32A(7) t tee,
and the chairperson, for any other type of committee, is the individual responsible for filing timely and accura
/ z/ Z cs-
_ l
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED
QCHECK IF AMENDMENT TO REPORT DATED 1 0/30/05 Local Committees, enter Date of Election
11/8/05
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held
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"UNPAID BILLS (From Schedule D - Attach Schedule D).. ... ... ... ............ ... ... . .................. ... ... ... ... ...... ... .....$
"IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) .. ... ... ...... ... ... ... ... ... . ... ............ ... ... ... ..$ 944 .55
*"OUTSTANDING LOANS (From Schedule F - Attach Schedule F)......... ... ... .... ... ............ ... ... ... ... ... ... ...... ..$ 0.00
CONSULTANT BREAKDOWN (Schedule G Attached?) YES J NO
CANDIDATE COMMITTEES ONLY:
0.00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
STATE COMMITTEES: Submit a reconciled campaign account bank statement in January of each year.
For Instructions, See Back of Form SCHEDULE
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CONTRIBUTIONS -- MONEY TAKEN IN
A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Rice For Council
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 $30 .00
10/31 - 11/21
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
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 1 1
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 Reset Form SCHEDULE
I D#
Ames Tribune, 317 5th St., Ames, IA Signature Ad and other Ads
11/1 50010 833 .10
CK# 1018
ID#
Copyworks, 105 Welch Ave ., Ames, 1000 Campaign Brochures
11/3 1A 50010 90.84
CK# 1019
ID#
Ames Tribune, 317 5th St., Ames, IA Addition payment not included in
11/4 50010 original bill 35 .00
CK# 1020
ID#
ISU Bookstore, ISU Memorial Union Found receipt for staples for yard
9/1 Ames, IA 50011 signs 3.25
CK#Cash card
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 1387.19
TOTAL (if last page of this schedule) $ 1387.19
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
Rice For Council
CHECK THIS BOX IF
AMENDING FORM
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F~
Ames Citizens for Better Local Government 1012 Voter2Voter 438 .45
11/1
1/1 PAC Mailings
F1
Ames Citizens for Better Local Government 240 targeted 103 .98
11/1 PAC mailings -
F 1-
F 1
-
F1 -
F1 -
F 1-
F1 -
F 1-
*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
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COMMITTEE NAME(Must be same as on Statement of Organization) F LOANS
(Rev . 07/03) RECEIVED
Rice For Council & REPAID
NOTE: This schedule reports money loaned to the committee which is deposited in the committee account . O CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ 1 000 .00
PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART 11- 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
MM/DDIYR If Applicable*) If A (cable
$
Dan Rice, 827 Bumett Ave., Ames 1A
50010 ~
12/29 Self
'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)