FOR INSTRUCTIONS, SEE BACK OF FORM FORM DR-2 (Rev, 01/98) Disclosure | REPORT DISCLOSURE SUMMARY PAGE [COMMITTEE NAME “Amnerivan Federation of Sate, Couny, Mericpa Employees Local 1868 Polk County IMPORTANT: indicate type of committee you ae reporting for: [2 (+ )Statewie/Legistaive Cenciate (2 Statewide PAC (3 State Party (4 }CountyiLocal Candidate {(5 County PAC {6 Balt Issue/Franchise Committee {7 )Couny/Cy Certral Cammittee (8 )Suppor State of Candigates Y (1526-366) jO-1Y-OF SIGNATURE OF {URER (or person filing this report) TELEPHONE DATE SIGNED Routine Penalties Due For Late Filed Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: ianeinca O6TOBER 19 ZO rePoRT FOR ANA 1) ELECTION (2)NON-ELECTION YEAR, (report date) Indicate one [22 [cHECK IF AMENDMENT TO REPORT DATED [Local Commitees, enter Date of Election County & Local Committees, enter County in 1 Check if this is final termination) report and attach Notice of Dissolution Form DR. y & Local Com (You must continue to file reports until a Notice of Dissolution is fled.) ‘STATEMENT OF CASH ON HAND CASH ON HAND al he begining ofthe reporting ped. (Ti theta tat meres heldby te commit. Teoma MUST be he Same autho cash nan athe ond fe mat repaing pod, 134.00 ormustbe sro is att report fed) . : [ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contributions total (Attach Schedule A) 168.13 Schedule F: Loans Received total (Atach Schedule F).. Schedule H: Total Sales of Campaign Property (Attach Schedule H) ule H aplleto Cancdatsa! Commies suerora...s 1502.1 H20. Ue ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expencitures total (Attach Schedule 8). ‘Schedule F: Loan Repayments total (Attach Schedule F).. CASH ON HAND at th eof he reporting pad (ir raport, balance mut bbe zero) (Attach DR-3) nnn 1081.17 UNPAID BILLS (From Schedule D ~ Attach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E), OUTSTANDING LOANS (From Schedule F - Attach Schedule F)... CONSULTANT BREAKDOWN (Schedule G Attached?) YES ___NO VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) eeeFor Instructions, See Back of Form ‘SCHEDULE A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN (Rev. 06/97) | RECEIPTS (inevsng candidate's personal unc) : 1 check THis 80x iF COMMITTEE NAME | Anetian Federation of State, Couniy, Munisipal [AMENDING FORM Employees Loca! 1668 Potk County [STATE CANDIOATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION. NUMBEA AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DIgCLOSURE BOARD. CAUTION: Section 688.32A(6), lowa Code, prohibits the use of information copied from reports and statements for solicting contributions or {for any commercial purpose by any person other than statutory pottcal committees. DATE] PAC TO NUWGER NAME AND ADDRESS OF CONTRIBUTOR TECATIONSHP | ANOUNT | VF Fon receiveo | (applicable) TOCANDIOATE” | RECENED quwoorre) | AND PAC CHECK ‘applicbie) PASER NUMBER INCOME AFSCME tocol 1868 0d 8-41-03 | oxy U1 Court Ave. Room 100 $29b5 Des moines , (A 50309 Tr, 73103, | 1D GARY J A1tH 1403, 42403, 4oow nRoADWay ZI,e° 9/1103, 972503 | CK# COLFAX, [A 50054 ‘ sey 103 Gd BARBARA POST-ALTHAUS: a iSloonowreon 3,50 ct DES MOINES, IA 50312 7 BF JAMES APPLERY Saree 26,00 cxs ‘DES MOINES 14 30313 oF GARY ASH oxe 23s Hem STREET 17,60 DES MOINES, 1450317 cd ANGELA BARNES: owe swesesr 7,00 Des MOINES, Ia 50310 5 oo FRED BEATTIE, Ke 507 BROWN St "7,00 RUNNELLS, 1450297 oF ‘WILLIAM BERNARD 1531 SEARLE "7,20 ke DES MOINES. 1A 50317 oF ROBERT E CONLEY IR 340 WALNUT 79-1203 Z\ °° CkKt DES MOINES, 1A 50309 ‘ ioe PAM CONNER miseam Lie okt DES MOINES, La 50317 SUBTOTAL TOTAL (if last page of this ‘schedulo) + Diedocur aw requires candidate committees to ccloe the relatonehip of any reaive making contain othe commit. Raltionship must be shown to tho third degree of consangursy loo relatives) and aly (rlatives by ! 3 ‘mariage (Soe Page 2 of forms packet). surname of contibutor ls the same as candidal, but there is no Page! _ot {ami relationship, ertr “not applicabio"n the relationship column, ier Schedule A)For Instructions, See Back of Form ‘SCHEDULE A MONETARY CONTRIBUTIONS — MONEY TAKEN IN (Rov. 06/97) | AECEIPTS (ecuding candidate's personal funds) D0 cueck mis 20x iF (COMMITTEE NAME , American Federation of State, County, Munisipal AMENDING FORM Employees Lacal 1868 Polk County [STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION. NUMGES AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN, A UIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD, CAUTION: Section 688.32A(6), Iowa Cade, prohibits the use of information copied from reports and statements for soliciting contributions or for any commercial puppose by ny person other than statutory poltcal commits. "PAC TO NUNGER RELATIONSHIP] AMOUNT 7. i TO CANDIDATE’ | RECEIVED | ” FUND- (wapor) | AND PAC CHECK (applicable) RAISER NUMBER. sian Tae | TRGHLA como tienes, “iavoraven $1] 00 9/1103, 972503 | CKE DES MOINES, IA $0310, ' soto ba CONNIE EWING > ey IO BOR SB ,2 LEON IA See oF DAVID HAWKINS : sissenmus Boe oxe : Des MOINES a S313 DAVID HIBBARD on 1042 BADGER CREEK RD YZ 20 ‘VAN METER, IA 50261 wscrwes Perea 28.0% aie on PAUL HOUSTON ‘5644 NORTHVIEW PLACE 3 50 WEST DES MOINES, IA 50266 . ance as neat 35." DES MOINES, 14 50312 JOEL JOHNSON 10398 NW 44" 5G we POLK CITY, 1A $0226 MARK JONES 2 RAR AVE 17,82 Des MOINES In 30315 VAUGHN E Lewis 6569 VISTA DRIVE #9207 yf, &% \WESTDES MOINES. IA 50206, ‘SUB-TOTAL TOTAL (if last page of this ‘schedulo) + Diedosure aw rogues candidate commits 1 disclose the relatonshipof any relative making & contro to the Commitee. Relationship must be shown otha third gegrve of censargurty (ood rellives) ae aay (aves By ‘mamlage) (See Page 2 of rms packet) It eumama of contour isthe same as eandicat, but there isn Page. fama relationship, enter "not applicable” inthe relationship ealumn, 2 4 3 Tor Schedule A)For Instructions, See Back of Form ‘SCHEDULE A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN (Rev. 06/97) | RECEIPTS (Usctuing candidate's personal unc) CO cHeck THis 80x iF [COMMITTEE NAME ; __Anscrizan Federation of State, Coury, Munisipal eee Employees Local 1868 Polk County STATE CANDIDATES NOTE: IF & CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLTICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION, NUMBER ANO THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. AIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND GAMPATGN DISCLOSURE BOARO. CAUTION: Section 688.32A(6), lowa Code, prohibits the use of information copied trom reports and statements for soliciting contributions ot for any commercial purpose by any person other than statutory poftical commities. PAC TD NONEER TAME AND ADDRESS OF CONTRIBUTOR FELATIONSHIP | AWOUNT | TIFFOR ] Received | i applicable) TocANoioATe” | ReceNED | ‘run. qmwpove) | AND PAC CHECK (applicable) RAISER NUMBER Trims, Tarn, | TOE 7313, RUDY LUCIA 493.4240, sans NDIANOLA AVE 5402 1, ks Asa ‘ sas & tones comes Ke MARLINLUING cKe BOX 316 BHO BONDURANT, IA $0035 oF LARRY Nonue - SBI EAURORA 17.6° ke ‘ DES MOINES, 1A 50317 ‘ OF CHARLES RIPLEY = POBOX 27122 7,20 ce ‘WEST DUS MOINES. 1A 0248 7 vod MYNDI SCHARF i 4121 10ST oKe DES MOINES, IA 50313 ‘ OF LARRY THOMSEN Ke “4 GRANTST,N 00 [BONDURANT, IA 50035 oF ‘CHARLES F VERHEUL 1074 STREET, NW oo one MITCHELLVILLE. i 50169 : [= rors Yo |e =o 2° DES MOINES, IASoa10 oF oxy 7 oxe SUBTOTAL $14.50 TOTAL (i last page ofthis ‘sehodule) [$168.3 = Dlr aw res cance commitues osc th rlaonshp of any ela mig a conibuton othe corwnioa.fotsttahp mut be snow athhdSegiv of coeargunty (oes on ary Coltvee Oy 3 rrartae) (See Pago 2 of fms pace). i eumame ceantbuor ste sure as cance, bat ere no Page _F__ot_F ‘eal vlasonap, rt ot appeal’ ne rtontp clare Tor Sanedia A)FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE B MONETARY EXPENDITURES — MONEY SPENT FROM COMMITTEE ACCOUNT revoom | exreNDMines STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANOIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CO 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. COMMITTEE NAME Ancrican Fedcation of State, County, Municipal Employees Local 1868 Polk County CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE DATE IDNUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED | (fappicabie) (Oisbursement) WAS MADE (wwoorvA) | "AND PAC CHECK NUMBER, (De APSCME IOWA PEOPLE “CoD NW 9 AVENUE cK HO] Des MOINES “IA Sts SPECIFIC INTENT DONATIONS, 1De US BANK yh MONTHLY FEE ck DES MOINES, IA 50309 oe 1D# US BANK, MONTHLY FEE 520 WALNUT ST SEPTEMBER 2009, DES MOINES. 1A 50309 AFSCME PEOPLE 1625 L STREET, NW srecinc nerewt WASHINGTON, DC 20036 \ATIONS, meron [s TOTAL (iflast page of this schedule) [5117 ©. 4p [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Reler to Schedule H instructions) Expenditures to persons/entities providing consutng, advertising, fund-raising, pling, managing, organizing services must also be detail Remized on ‘Schedule G by tho amount purpose, and date of each fype of expenditure made by the persowently on beta of the cancidato's cornmitee, (Refer fo Schedule G instuctons and towa Cade 58.66))}) pagel ef toe Schectle BY