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Generated On: 10/18/2010 11:15:04 PM

DR-2 Disclosure Summary Page DR-2


Dave Selmon for State Rep Status: Amended
Committee Type: State House Statutory Due Date 10/19/2010

County: Des Moines Adjusted Due Date

District: 88 Filed Date 10/18/2010 9:52:17 PM

Committee Code: 1947 Postmark Date

Political Party: Republican Amendment Date 10/18/2010 10:20:19 PM

Report Date: 2010 Candidate Name: Selmon, David W

Treasurer
Last Name: Brockett First Name: Travis MI: J
Address: 5672 Summer St
City: Burlington State: IA Zip Code: 52601 Phone: 319-850-1994
E-Mail: saetjb268262@yahoo.com

Chairperson

Statement of Cash On Hand


Cash on Hand at Start of Period $0.00
Schedule A: Cash Contributions Total $1,095.00
Schedule F1: Loans Received Total $0.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $1,095.00

Schedule B: Expenditure Total $838.00


Schedule F2: Cash Loan Repayments $0.00
Cash on Hand at End of Period $257.00

Additional Assets and Liabilities


Loans in Place at Start of Period $0.00
Schedule D: Unpaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F2: Forgiven Loans $0.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown No
Schedule H1: Campaign Property Value $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1

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