Escolar Documentos
Profissional Documentos
Cultura Documentos
- . q~ s 2
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e .: 4 :yi . Comm. #
I Indexed
Audited
IMPORTANT: Indicate type of committee you are reportingfor FZI Computer
( 1 )Statewide/L"islative Candidate ( 2 )Statewide PAC ( 73 )CountylCity
)State Party (4 )CountyJLocai Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( Central Committee
(a )Support Slate of Candidates
SIGNATURE OF TREASURER (or person filing tbt report) TELEPHONE DATE SIGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County 3 Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissokidon is tiled.)
CASH ON HAND at the end of this reporting period {if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . .. .. . . .. . . . . . . . . . . . .. . . . . . . . . . .. .. $ 97 3
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 political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~utiHj le en .Ca u.~
' l09o G1~~aG ~fYPe~ $
CK# 146-go Des /Y1o% nes ~r`1 S031 ~--
i- .Z 3 - pro mPrr~6,er h," (is) rnert~(arsk Is 3v. go
ID#
.Jo5 e t'. e.
bu"r"
CK#
l~.'IS Ur
ID#
cK#
Af s lZ
ID# /
lee 16"r neG "no Y7,0 c1
~- a 3- o6P / 00. p0
[DO
MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA 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 political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DO/YR) AND PAC CHECK (if applicable) RAISER
w
NUMBER INCOME
ID# 's a ra h l7/o r7
i9 " 3 ~vst /s6 S~re.at
3-l3- &'4, CK#
13 kV it kac~c-` .Z R- SOc~.tl
ID#
eat ",y°P l; as
CK# .zot used
ID# e ~e de4 It 10'9 -0-M Al 01 eY
1
SUB-TOTA!
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA 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 political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
TQ Lo A12al- '
CK# ~0 7 a 8' A St
4/_,z4-0(. j4oia- w W-) -ZJ 4 5-o a ~.S 15 00 r/
IN bon n i e- S'¢ GI In efft
CK# S-4110 /ol ~/ .'~ ooh ~vv
IN
CK#
-a _o ~ Clash /oa .o0 1/
IN rc(--
CK# ~i,~8' o?eZ~er
f6cY~
&J c'>>» 9- A SOa& S
IN ~edara/h hP 7"sf-
CK# g';' aS sk r~ Ar-
-a ~- o(0 9a9s m sue- .s03 r- .~ ~s.oo
. IN
CK#
ID#
CK#
ID#
CK#
IN
CK#
SUB-TOTAL
$ 1h0-560
TOTAL (if last page of this
schedule) S .2,149. 17S
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
manage) (See Page 2 of forms packet.) . If sumarne of contributor is the same as candidate, but there is no Page _ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
L=L,~
COMMITTEE NAME (Must be same as on Statement of Organization)
&,aU AqMe~~
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# '
Cv f f ~~Z~ 2aC'
4. 4l.
CK#
11044- ,tom ~'lZ.a. ~ .. S`03 l,S /oO. D
1D#
~l a -Q2-c-r d 'Q7~
/ CK# /loS
`~~ldlo ~'~ r
1D#
c#
r lSDl+v ll0(A "UL~ ~~
n .S a9~~
ID#
CK#
0~ 42x, YhA 4~ pQv 4-.`2-~ v70 . a C~
ID#
CK# l1eC-
%~ ll08 yYt .a.-":- "gaso,3 300 . oo
cK#
ID#
~loq ka ZA-, w .t~ Ids
CK#
l001 '18-c~ou .L4A;0-,
'S~7vzc~-
3 r0 a &
SUB-TOTAL $ 6, S
41, 2-3
TOTAL (if last page of this schedule) $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1).)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETAR'.
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97) EXPENDITURES
ID#
CK#
1D#
~/ryo(o CK#
1D#
3 / 9o i0o .tA_ "
CK#
3/~~0 6
lJ `~+503~.: X75. ~O
1D#
z F &,.J
.37i7 igo~c. Q&.ee*
CK#
3 ~a I lcy, I7a . ~
ID#
CK# rlr 7
.~ i ~0 3 ~o ,trc. CGee.d~
-caa '35 .049
SUB-TOTAL
$ ..53 (1 .Slc
TOTAL (iflast page of this schedule)
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
4 CK#
//fat ,(a,,,
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
a3~ .5'd
oZ 39
TOTAL (if last page of this schedule) $ ~~O .
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1).)
of Page _5 - 3
(for Schedule B)