DR-z DIScLosuRE DISCLOSURE SUMMARY PAGE (Rev. 02/96) REPORT : comme HOR ‘COMMITTEE NAME (Must be same as on Statement of Organization) American Federtron of leachoat Nb ACTION PAC Indexed Sha) Aude IMPORTANT: Indicate type of committee you are reporting for [2] eee (1 )Statewider ogisiaive Candidate (2 jStatewide PAG (3 State Pary (4 )Countyi.ocal Candidate (5 )Gounty PAC (8 )Balot leauerFranctise Commitee {7 }CountyCty Central Committee (8 }Suppor Slate of Candidates Ye Citeher 2008 TELEPHONE DATE SIGNED [GNATURE OF IRER (or person filing this report) Penalties Due For Late Filed Reports Range from $10 to $400 i SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: i 07 j 7 2093 tam runes _CC¥eder 4, 2003 REPORT FOR ANA (1) ELECTION /(2)NON-ELECTION a Tenet datgy indeate ce Ga]. 27. [Local Commitises, enter Date of Election COCHECK IF AMENDMENT TO REPORT DATED. (Check if this is final (termination) report and attach Notice of Dissolution For OR-3, | County & Local Cortftess, enler County in (You must continue to file reports until a Notice of Dissolution is fled.) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This is the total ‘ofall monies held by the committee. This amount MUST be the fame asthe cash on hand ath ond fh st eporing pero, s 256. O7 (oF must be zero if this is first report fled). ADD TOTAL MONEY TAKEN IN THIS PERIOD 30.00 ‘Schédule A: Cash Contributions total (Attach Schedule A) ~ Schedule C: Fund-raising Events total (Attach Schedule C). ‘Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Atach Schedule H) (Set H applies to Candidates’ Committees Only) 286.07 ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B: Expenditures total (Attach Schedule B). ‘Schedule F: Loan Repayments total (Attach Schedule F). 256.07 GASH ON HAND atthe end of is reporting pod (fal rpor, balance must be zero) (Attach OR-3)... ia TNPAID BILLS (From Schedule D- Atach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E).. OUTSTANDING LOANS (From Schedule F- Atach Schedule F) CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached) ves __NO VALUE OF CAMPAIGN PROPERTY (From Schedule H- Atach Schedula H)For Instructions, See Back of Form [SCHEDULE A MONETARY CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 0286) | RECEIPTS (including candidate's personal funds) CO CHECK THis 80x iF [COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM Aeciran Fédeaton of Teacloo #716 ACTION PAC STATE CANDIDATES NOTE: FA CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLTICAL ACTION COMMITTEE, IST THE PAC IDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN, ALIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD. ° CAUTION: Section 688.32A(6), Iowa 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 potical committees. DATE PAC TD NUMBER THAME AND ADDRESS OF CO RELATIONSHIP RECEIVED GF applicable) ‘TO CANDIDATE" (amDDrvR) | AND PAC CHECK (applicable) Hll/0* qo foz /4(0[03 SUETOTAL TOTAL (if last page of this schedule) “Disclosure law roquies candiéate committees to dlclse the relationship of any relative making a contbuton tothe ‘commit, Relalonship mist be shown tothe tid degree of consanguinity (blood relatives) and affinity (relatives by LZ tL mariage) (See Page 2 of forms packet). If sumame of coniibuter isthe sare as candidate, but there s.n0 Page. of fara relationship, enter not applcable” in the relationship column, or Schecula Ay