FOR INSTRUCTIONS, SEE BACK OF FORM re ea DISCLOSURE SUMMARY PAGE OCT - 2 2002 [COMMITTEE NAME (Must be same as on Statement of Organization) DR-2 DISCLOSURE Rev. 05/2002)| REPORT American Freedom Trust - PAC ae IMPORTANT: inaeate typeof commits you ae reporting for: [2] besa noes 4 - (+ StatewselLegisintve Cansnte (2 )Statewde PAG (3)State Party (4 )CounhyLocel Cenccate (5 Jcouny PAC {8 Bolt IeselFranchize Commie {7 Counc Gental Commies Auited —_ - (8 Supper Slate of Candidates Computer WPS ‘CANDIDATE COMMITTEES ONLY: Candidate Name Political Party Office Sought District (i Senate or House) 913 ory 4 563-260-C008 September 30, 2002 JRER (or person hing 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: JAMFILINGA_ONE TIME ONLY ___ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR. (report date) Indicate one [1] COCHECK IF AMENDMENT TO REPORT DATED. Tocal Commies, enter Dale of Election {E] Check i this is final (termination) report and attach Notice of Dissolution Form DRS. (You must cortinue to fle reports unti a Notice af Dissolution is fled) Geant Local Commis, enter Conny in otic Election is hel ‘STATEMENT OF CASH ON HAND CASH ON HAND at the beginning ofthe reporting period. (This isthe total of all monies held by the committee. This amount MUST be the same as the cash on hand at the end ofthe last reporting period, or must be zaro if this i rst report filed.) ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) "also see in-kind below) Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) Sel ‘SUB-TOTAL., 25,000.00 SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule B) (“also see debts and loans below)... 25,000.00. ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the end ofthis reporting period (if final pot, balance must be zero) (Attach DR-3) “UNPAID BILLS (From Schedule D - Atach Schedule D) “IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E). “OUTSTANDING LOANS (From Schedule F - Attach Schedule F). CANDIDATE COMMITTEES ONLY: ‘CONSULTANT BREAKDOWN (Schedule G Attached”) Yes __No \VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) sFor Instructions, See Back of Form SCHEDULE A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN poten | cece (insu cardate's personal ures) CO creck Tis 80x iF [COMMITTEE NAME (ust be same as on Statement of Organization) AMENDING FORM (American Freedom Trust - PAC | ‘STATE CANDIDATES NOTE: iF A CONTRIBUTION § RECENED FROM A STATE PAC (POLTICAL ACTION COMMITTEE), IST THE PAC IOENTIECATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 0 NUMBERS Is AVAILABLE PROM THE OWA ETHICS AND CAWDNEN Discvasume soar. CAUTION: Section 688.324(6), lowa Code, prohibits the use of information coped from reports and statements for soliciting contbutlons oF for any commercial purpose by any person other than statutory polical comtees, TATE PRCTO NUMBER THAME AND ADURESS OF CONTRIBUTOR RELATIONSHIP | AMOUNT] VIFFOR RECEIVED (applica) Tocanoipare: | Receiven | ‘FUND. saaoore) | aNd Bac CHECK (@ appicabie) RAISER ‘NUMBER. INCOME 9-30-02 | '* | American Freedom Trust 25,000 xe 303 Wood Creek Lane Muscatine, Iowa 52761 oF cx oF cKe oF Ke kit oF cK oF ck | | TF cke OF Ke oF oxi ‘SUBTOTAL TOTAL (if last page of this schedule) + Ozclosure tw requires candidate commitoes to gies the clatonship of any relative making cctbution othe commie. Felatonshp must be shown Io the tid degre af consangumty (ood rites) an ai (ative by ‘marcage) (See Page 2ofoms packot). If surname of connbutor ete same 88 cance, but here No Page__1_ot_1. Familalrlaborship, enter “not appicabe”in the realonsnp column, Tes Sereaus AyFOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES. LIST THE GANOIOATE IDENTIFICATION NUNGER IN THE DESIGNATED COLUMN ANO THE Pat CHECK NuMBER FOR EACH EXPENDITURE. AIST OF 19 NUMBERS IS AVAILAGLE FROM THE IOWA Etnics & CAMPAIGN DISCLOSURE BOARD, [SCHEDULE B MONETARY (Rev.0697) | EXPENDITURES cHeck THIS 80x IF AMENDING FORM [COMMITTEE NAME (Must be same as on Statement of Organization) American Freedom Trust = PAC CANDIDATE "NAME AND ADDRESS TO WHOM IDNUMBER EXPENDITURE (iappteabie) (Disbursement) WAS MADE AND PAC CHECK NUMBER oats, EXPENDED (wwo0rrR) ANOUNT, EXPENDED PURPOSE (OESCRIBE TRANSACTION) 1OF 6155 oC 9-30-02] ‘Taxpayers United PO Box 209 Muscatine, Iowa 52761 | Contribution 25,000 1o# Ke oF cK oF cK TOF Kit 1o# cK oe Ke be cK SUBTOTAL] S5, 000 TOTAL (if ast page of this schedule) 15900 | THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purcnases of certain campaign property costing $500 or more must also be inversred on Schedule (Refer to Schedule H nsinuctons,) Expencies to persons Schedule G structions and iowa Cose $6.8(31)), ies providing consulting, advertising, fundraising, poling, managing, organizing savices Schedule G by the amour. purpose, ad date of each type af expenture made bythe persorvantty on Dena ofthe candidate's commitee. (R ust algo be cota temized on Page ot tor Senaaue 8)