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Iowa Ethics and Campaign
Disclosure Board
1A ETHMS Ai r
CAM'A1r`°a I
510 E. 12'", Ste. 1 A
Des Moines, Iowa 50319 FOR INSTRUCTIONS S CK OF FOr~qI ld lD
Fax: 515-281-4073
DISCLOSURE OAGE $
COMMITTEE NAME (Must be same as on Statement of Organization)
DR-2 I DISCLOSURE
IMPORTANT: Indicate by # type of committee you are reporting for: 12
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
J (Rev . 12/2005) REPORT
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
For Office Use Only
li-al-5
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political
4iihriivisinn PA('. ( 11 ) I nral RallnT Icci a Comm . #
CA ,
Logged
Candidate Name Political Party (if applicable)
Scanned
Computer
Office Sought District (if Senate or House)
Audited
Late .eposis are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B.32A(7) the candidate, for a candidate's committee,
and the chairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports .
s~sz$3-18a~ 7 a .
SIGNATURE OF ERSON FILING REPORT LEPHONE DATE SIGNED
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a DR-3 is filed.) County & Local Committees, enter County in
which Election is held
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . . . . . . . . 19 .08
CASH ON HAND at the end of this reporting period (if final report balance must be zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,483 .40
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
For Instructions, See Back of Form SCHEDULE
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 .
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .
CAUTION : Section 68B .32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
!D#
Wells Fargo Bank, N .A .
1/31/07 $ .05
CK# 666 Walnut Street
Des Moines, IA 50309
ID#
Wells Fargo Bank, N .A .
2/28/07 .04
CK# 666 Walnut Street
Des Moines IA 50309
ID#
Wells Fargo Bank, N .A .
3/31/07 .05
CK# 666 Walnut Street
Des Moines, IA 50309
ID#
Raymond J . Noonan, Jr.
4/3/07 CK# 500 .00
238 Harrison NW
1640
Cascade, IA 5')033
ID#
William Burress
4/10/07 250 .00
CK# 5306 W. 11th St .
4476
Davenport, IA 52804
ID#
John Sutton
4/10/07 100 .00
CK# 219 SW 8th, P .O . Box 94
7301 O den,IA 50212
ID#
Wells Fargo, N .A .
4/30/07 .09
CK# 666 Walnut Street
Des Moines IA 50309
ID#
Various contributees less than $20 .00
5/29/07 283 .00
CK#
ID#
Wells Fargo, N .A .
5/31/07 .11
CK# 666 Walnut Street
Des Moines, IA 50309
ID#
Ted B . Roberts
6/23/07 800 .00
CK# 5788 Coachlight Ct .
5004 West Des Moines, IA 50266
SUB-TOTAL
1,933 .34
TOTAL (if last page of this schedule)
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 Page 1 of_2
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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.
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION : Section 68B .32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Scott R. Engquist $
6/23/07 200.00 ,/
CK# PO Box 355
4586
Harcourt, IA 50544
ID#
Wells Fargo Bank, N.A . .14
6/30/07 CK# 666 Walnut Street
Des Moines IA 50309
ID#
CK#
ID# -
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
$ 200 .14
D
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
1D#
Wells Fargo Bank, N.A . Checking Account Fee
2/28/07 666 Walnut Street
CK# 3 .18
Des Moines, IA 50309
ID#
Wells Fargo Bank, N.A . Checking Account Fee
3/30/07 CK# 666 Walnut Street 3 .18
Des Moines, IA 50309
I D#
Wells Fargo Bank, N.A . Checking Account Fee
4/30/07 CK# 666 Walnut Street 3 .18
Des Moines, IA 50309
ID#
Wells Fargo Bank, N.A . Checking Account Fee
5/31/07 CK# 666 Walnut Street 3 .18
Des Moines, IA 50309
ID#
Wells Fargo Bank, N.A . Checking Account Fee
6/30/07 CK# 666 Walnut Street 3 .18
Des Moines, IA 50309
ID#
CK#
ID#
CK#
SUB-TOTAL $ 19 .08
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)