This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.
This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.
This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.
DR-2 OISCLOSURE
DISCLOSURE SUMMARY PAGE | tn dane | Rome
. For omce use Gray
SSRRRTEE HAVE Wb yao oF Sepang Oa ‘Comm. # 0
ica, Feahenalon of HT16 ACTION PAC. Indeed
f pacts
MPORTANT: inane of sani ou verges on (5) pena
(1 )StatewiderLegisiave Candidate (2 )Statewide PAC (3 Stale Party (4 YCounty/Local Candkdate
(5 }Gounty PAC (@ )Balot Issue/Franchise Commitee (7 }Couny/Cty Cenral Commitee
{3 \Ssppon Sat of Candeaaton
Ss (5,200
RR (or person filing this report) TELEPHONE ATE SIGNI
Penalties Due For Late Filed Reports Range from $10 to $400
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: Y 115
1AM FILING A Lh, 206 REPORT FOR ANA (1) ELECTION /(2)NQN-ELECTION YEAR.
Indleate one
Z (report date)
Tocal Gorimitioes, enter Date of Biecion
(CICHECK IF AMENDMENT TO REPORT DATED
County & Local Commins, enter County in
which Election is hold
Ci Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.
(You must continua to fle reports until a Notice of Dissolution is filed.)
‘STATEMENT OF CASH ON HAND
CASH ON HAND at the beginning of the reporting period. (This is the total
of all monies held by the committee. This amount MUST be the
same asthe cash on hand at the end of ne last reporting perod s 47.07
Cr must be zero if this is first report filed.)
ADD TOTAL MONEY TAKEN IN THIS PERIOD 20 OO
‘Schedule 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
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
‘Schedule 8: Expenditures total (Attach Schedule 6).
Schedule F: Loan Repayments total (Attach Schedule F)..
GASH ON HAND athe end of hie reporting pred (fal ep, belance must
bbe zero) (Attach DR-3) nn
—— eel
UNPAID BILLS (From Schedula 0 - Attach Schedule O) ann om
IN KIND CONTRIBUTIONS (From Schedule E - tach 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)For instructions, See Back of Form SCHEDULE
A MONETARY
‘CONTRIBUTIONS — MONEY TAKEN IN (ev.c2ne) | RECEIPTS
‘Including candidate's personal funds)
DD CHECK THis 80x iF
AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization) ArT ON
American Federation of (acho #716 ~ PAC
‘STATE CANDIDATES NOTE: IF A CONTRIBUTION 1s KECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 1D NUMBERS is AVAILABLE FROM THE OWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory poitical committees.
DATE PACTO NUMBER RELATIONSHIP “AROUNT
RECEIVED (fappicable) ‘TO CANDIDATE RECEIVED
(wMpiyR) | AND PAC CHECK (t applicable)
NUMBER.
SUBTOTAL
TOTAL (if fast page of this schedule)
+ Diedoer nw egures canna commies oat the latent o ny eave making 8 conlon oe