Escolar Documentos
Profissional Documentos
Cultura Documentos
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FKOM A STATE PAC (P LIT'ICAL ACTION COMMITTEE-), LASI' THI= PAC IDENTIFICATION
NUMI3(7R ANO TH(= PAC CHECK NUrm3ER IN TH(: OCSIGNATr.D COLUMN . A LIST OF ID NU BERS IS AVAILAULC rROM 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 committe s.
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# Zi 0H Aj Hobs C.l_.!~
1 1/ 0 3105 CK# 50C)4 Cwrur~fl` ~r
RI exor`d r~q VA 2.2-7304 3 UU
l0#
NICK K,0So-rPKrS NMt:_'. Caj .N
IIlU.3/U'~-" ?s131 MohgwK Cr -
CK#
`"~~aux C.~f TA ft a4
ID# BARBARA GRASSLE
31705 Wcs+broo+c s
11 /04/D.J C K# Ce6ar FafIa, :LA .5t)613 -
ID# SV~1t; Ft-AMnI~.RY
N/04/0,5 CK# 1024 2.1~+ S~ 5O
Wes+ pes Mo~nes A 5021.5
Iv# R0SF_RT Hoout HA
Pfer Soff-'r., DIR,,
If ~./OS
I CK#
5,owe C; T-A
:-lc LOO
I 1o
So,
t
ID#
1<A- T-HEKrJ 13ATCH l.LtR-
1110'f /0.,5 CK# 1508 A 2-4-e c C. ro l SO .
S' x Ci" _TA 5 104
ID# CNARt F- LANPP Et,
Ir k 14 /05 CK# 4035 CO V YA-y C bB1-1S
151oug Ci4 /00 .
_TA 1104
ID# BO$ f3Pr_rC-HEtLt_E
( 1 114105 P.O
O .. S" 33 1 1
CK#
C , _-CA 1102 S(7 .
ID# Lt 14DA NOLo$
1218 44,.rn 5*
1 1 11410.5 CK# .
'5110-Ix C4-y, TA 61104
ID# 0015 BATGH ELLEtt_
P. 0 - Hole 331 1
I f I`~ 1 CK#
5 .ovc Gk SA t10 2--
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative m king a contribution t0 the
committee. Relationship must be shown to the. third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page 1 of 3
familial relationship, enter "not applicable" in the relationship column, (for Schedule A)
Jan 11 06 11 :12a Mary Jo and Brent Hoffman 712-252-1772 P .4
I
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED rROM A STATE PAC (PC!UTICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NU1ADEKS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copi~d from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committe s .
DATE PAC ID NUMBER NAME - AND ADDRESS OF CONT IBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 1AARy NYLEn(
I 111-1/05 CK#
440 1 618 La KVFa*r-f 8 25o .
Srowr t^.:+ sa 1 ro
ID#
Disclosure law requires candidate committees to disclose the relationship of any relative m aking a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives~) and affinity (relatives by
marriage) . If surname of Contributor is the same as Candidate, but there is no Page 2- of 3
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
Jan 11 06 11 :12a Mary Jo and Brent Hoffman 712-252-1772 p .5
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (PO LITICAL ACTION COMMITTEE), LIST THE PAC IDENTIrICATION
NUMBER ANO THE PAC CHECK NUMDCR IN THE DESIGNATED COLUMN . A LIST OF ID NUh ABERS IS AVAILABLE FROM THE IOWA rTHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(G), Iowa Code, prohibits the use of information copi ~d from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political commute s.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d 1F FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
S; auA C -! A 511 U
ID# 6F.N E 5FfE~*~M, AIJ r-wre : Cosh
qf4 Fa~fMrT`'~ S't'
-M 1 10105 CK#
5loux C.+y 611016
,, # NW E Nms~
1wAS
08/2e
08/ AS scs SK FP.Q~GN
' 'TOU5` CK# 4+13 Tyler Sfi -.OO
s;oux C. ~A
ID# CrtEGK , N6 it usYn~ -
or/1010(. CK# ROur~ ~lq Gr'riDfS o4/or i n r" CS+ .72
.
ID#
CK#
ID#
CK#
ID#
CK#
]DO
CK#
ID#
CK#
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative aking a contribution to the
s) and affinity (relatives by
committee . Relationship must be shown to the third degree of consanguinity (blood relativ of
marriage) . If surname of contributor is the same as candidate, but there is no Page 3
(for Schedule A)
familial relationship, enter "not applicable" in the relationship column .
Jan 11 06 11 :12a Mary Jo and Brent Hoffman 712-252-1772 P .6
0
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE ,* R LEGISLATIVE
CANDIDATES, LIST THF CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATEC COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILk4ILE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .
I D#
KTIV , V-4
:I35 Floytd Nvc1 - T V Ad
0104105 CK# 2023 22_5 25
s1o"x C ; iy, SA 5mo8
ID# Vic i'OfLy f; -~-bRE .
5200030-Sfi n ~ 1
l00 w5 CK# 2024 Dove-~or},_1A 52-002
flu"10 C.9~ 1 i 273. L, (
1D#
CK#
I D#
CK#
I D#
CK#
10*
CK#
SUB-TOTAL $ 19~-39
OTAL (If last page of this schedule) $ :2 r ,
Iq7 ,3q
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 68A .402(3)(i) .)
Page .1- of _t
(for Schedule B)
Jan 11 06 11 :12a Mary Jo and Hrent Hoffman 712-252-1772 p .7
.- I
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD S /0, DO(:) . OD / ----
PART i - MONETARY LOANS RECEIVED ItJM REPORTING PERIOD PART I- MONETARY LOAN REPAYMENTS MADE TNIS REPORTING PERIOD
(Original source al loan, such as A Dank, must be shown If P third party Is (lnens forgiven must bo repurled un SohddWd E-- In-kind GonInbpfions.)
involved. Include loans from cendldate'e personal npKta,)
DATE NAME AND ADDRESS OF LENDER KfkAtIUN5HiP AMOUNI uATC AID NAME AND ADDKtSSUh'LEND1,-K RELATIONSHIP AMOUNT
R5CFlVCr) (Include Ertdomw s Name, If Applicable) TO CANDIDATE OF LOAN (MM/6 /YR) (Include Endorser's Name, If Appllcataa) TO CANDIDATE' REPAID
MMIpLNYR h A 11CADIe~ 11 A hrnbln
$ a
13REIV i FiOFFMAK
)z/,4 / S 391U,S 1"nn Ave- LANSp#AATC 9,000 .