Beruflich Dokumente
Kultur Dokumente
IMPORTANT : Indicate by # type of committee you are reporting for: [ 2 Logged In rA7
( 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 Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE ONLY. I~iN 1,
AZ_Z~I'-,>
SIGNATURE O#PEf" FHING REPORT TELEPHONE
Januar I - May 15th, 2006 REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .
I AM FILING A
(report date) Indicate by #
ay 19th, 2006
AMENDMENT TO REPORT DATED M Local Committees, enter Date of Election
rl 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 unfit a DR-3 is filed .) which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must 1,945.00
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .$
STATE COMMITTEES: Submit a reconciled campaign account bank statement in January of each year.
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2005) REPORT
N
,"/S- 16 Z- Z ?/3 S-/5-o6
FLING REPORT TELEPHONE DATE SIGNED
[] 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
CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
0 .00---------------------
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . . . . . . . . 0 .00
000
ShlFLRtl
cedue : oan epayments ota(acceule
Atth Shd ) ... ... . .... ... . .... .... . ... .... . ... ..... .... . ... .... . ... . ... . .... ... .
CASH ON HAND at the end of this reporting period (if final report balance must
2,288 .51
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
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
ID#
Ginger Soelberg
03/16/06 $100
CK# 5979 Dogwood Circle, Johnston, Iowa 50131
I D#
Charlie Winterwood
03/16/06 $50
CK# 1555 Montrose Terrace, Dubuque, Iowa 52001
ID#
Pam Mackey Taylor and Wally Taylor
03/16/06 $100
CK# 2200 S . 31st Street, Marion, Iowa 52302
ID#
Susan Ekom
03/16/06 CK# $100
4710 Lakeveview Drive, Des Moines, 50311
ID#
Bill Witt
03116/06 $50
CK# 1006 W . 9th St ., Cedar Falls, Iowa 50613
ID#
Phyllis Mains
03/16/06 $50
CK# PO 169, Van Wert, Iowa 50262
ID#
Don Wall
03/16/06 $50
CK# 1004 Kellogg Avenue, Ames, Iowa 50010
ID#
Jim and Nancy Baker
03/16/06 $100
CK# 30 Alder Ct ., Iowa City, Iowa 52246
ID#
Diane Krell
03/16/06 $100
CK# 1620 S . 43rd St ., West Des Moines, Iowa 50285
ID#
Plenny Bates
03/16/06 $200
CK# 2505 White Eagle Trail SE, Cedar Rapids, 52403
SUB-TOTAL
$ 900
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 1 3
Page _ ______ of --------
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Lyle Krewson $50
03/16/06 6403 Aurora Ave ., Des Moines 50322
CK#
ID#
Robert and Billa Darner $20
04/04/06 CK# 721 Crystal Street, Ames, Iowa 50010
I D#
Susan E . Ekstrom $100
04/06/06 CK# 100 Court Avenue, #121, Des Moines 50309
ID#
Maxine R .Furbush $15
04/05/06 CK# 1640 NW 132nd St ., Clive, Iowa 50325
ID#
Glen and Lois Hurley $100
04/08/06 CK# 2000 12th St . NW, Waverly, Iowa 50677
I D#
Donald Kirkpatrick, Sr . and Mary Kirkpatrick $50
04/10/06 CK# 308 Crescent Dr ., Middletown, Iowa 52638
ID#
Mark and Jeanne Lyle $200
04/06/06 CK# 3607 - 131st St ., Urandale, Iowa 50323
ID#
Jerry and Kaye Postma $40
04/06/06 10100 W . 86th St . N, Rhodes, Iowa 50234
CK#
ID#
Alan and Rebecca Taylor $15
04/12/06 CK# 2353 - 280th St., Mount Ayr, Iowa 50854
ID#
Shirley Vorland $10
03/07/06 CK# 203 - 10th Street South, Northwood, Iowa 50459
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
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 SCHEDULE
A
I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (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
Iowa Sierra Club Political Committee #9735
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 ~I IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Jane Wallerstedt $25
04/10/06 710 S . Jefferson Way, #111, Indianola, Iowa 50125
CK#
ID#
David and Gail Weitz $15
04/07/06 CK# 1910 Floraview Dr., Dubuque, Iowa 52001
ID#
Patricia Herbold $25
04/28/06 CK# 2511 S . Newton, Sioux City, Iowa 51106
I D#
Richard Jensen $10
04/17/06 CK# 1358 - 480th St ., Meriden, Iowa 51037
ID#
Neva Lanning $100
04/17/06 CK# 3782 Nelson Drive, Center Point, Iowa 52213
ID#
Thomas Scherer $100
04/17/06 5591 Merideth Dr ., Unit B, Des Moines 50310
CK#
ID#
R .R . Smith $100
04/19/06 5518 Waverly Road, Cedar Falls, Iowa 50613
CK#
ID#
Danielle and Don Wirth $20
04/15/06 CK# 1456 - 334th Road, Woodward, Iowa 50276
ID#
Jani Wren and Gary B . Coleman $50
04/17/06 CK# 509 Norwood Place, Indianola, Iowa 50125
I D#
C K#
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
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 SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97)1 CONTRIBUTIONS
Iowa Sierra Club Political Committee #9735
"Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of
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 .