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    Ve N R T (I"Dar LT H FL.R: Disclosure DR.2

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    Zach Edwards
    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.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Ve N R T (I"Dar LT H FL.R: Disclosure DR.2

    Uploaded by

    Zach Edwards
    12 views3 pages
    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.

    Original Title

    2009-12-14

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    © Attribution Non-Commercial (BY-NC)

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    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views3 pages

    Ve N R T (I"Dar LT H FL.R: Disclosure DR.2

    Uploaded by

    Zach Edwards
    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    , rcR NSTRUCTIONS,SEEBACKOF

    FORM FQRM
    DISCLOSURE
    SUMMARY
    PAGE DR.2 DISCLOSURE
    NAME(Must0e sameas on Slatement
    COMMfTIEE of Organlzailon)i,q EIH I 0 S A pJl_l (Rev.12/2005) REPORT
    . r IiiiP,AlGlc glt
    DlsILi:5tinE For Offlce U8o Onlv
    Comm.#
    IMPORTANT:Indlcateby # type of commltteeyou dre reportlngfor! LoggedIn
    ( 1 )Statewlde/Legislative/Judge
    Standlngfor RetentlonCandldate ( 2 )State PAC ( 3 )State Party
    (4 )CountyCentralCommlttee( 5 )CountyCandldate( 6 )Clty Candldate(7 )SchoolBoardorOther Scanned
    PolltlcalSubdlvlslonCandldate ( I )CountyPAC ( I )Clty PAC ( 10 )SchoolBoardor OtherPolltlcal Computer
    Audlted

    Candidab Name ,\ r, ) PoliticalParty(ifppplicable) Filewith:


    Ve^n<rt{I"Dar^;lt h^fl.r }ynp,zvT( lowa EthiceandCampaign
    DisclosureBoard
    District(if Senateor House) 510E. 12$',sts. 1A
    DesMoines,lowa50319
    Fax:515-281-3701
    Latereportsare subjedto possiblecMl and criminalpenalties.Pursuantto lowaCodeseclion68B.32AC|)
    for any othergpe of committee,is the
    the candidate,for a candidate'scommittes,andthe chairperson,

    7/J-?8/->F<
    TEI..EFHONE

    IATUFIUNGA Ful,ot- REPORTFOR(1) ET.ECION(2)NOI$ETECTONYEAR.


    (reporl date) Indicate
    ov* E
    E cnecr r nUENDMENT
    ro REPoRT
    DATED Local Committees,enter Date of Election

    Checkif this is final(termination)


    repoiland attachNoticeof Dissolution
    FormDR-3.
    (Youmustcontinueto file reporbuntila DR-3is filed.) County & Local Commlttees,enter County in
    whlch Electlonls held

    STATEMENTOF CASH ON HAND


    GASHON]IANDatthe beginningof the reportingperiod. (Totalof all tundsheldby the
    commitbe.ThisamountMUSTbe the sameas the cashon handat the end
    periodor mustbe zeroif thisis firstreportfiled.)...............
    of the lastreporting ...........$ d.z7
    ADDTOTALMONEYTAKEN
    IN TI{ISPERIOD
    Schedule totral(AttachSchedule
    A: GashContributions A) ('alsosee in-kindbelow)............ 60.Jb
    total(AttachScheduleF),................,..
    ScheduleF: LoansReceived
    H: TotalSalesof Campaign
    Schedule (AttachSchedule
    Properly H) ...............
    (ScheduleH aoolleeto Candldates'GommltteesOnlvl
    st 8ToTAL.......................$ 63.t3
    SUBTRACTTOTALMONEYSPENTTHISPERIOD
    total(AttachScheduleB) (**alsoseedebtsandloansbelow)..................
    ScheduleB: Expenditures 43 t3
    Schedule total(AttachSchedule
    F: LoanRepayments F)....,.,,............
    GASHONHANDat the end of this reportingperiod(if final reportbalancemusl
    be zero)(AttachDR-3). ..............................$ o

    BREAICDWN(ScheduleG Attached?)
    CONSULTANT -YES I-nro
    ONLY:
    COMMTTTEES
    GANDIDATE
    ScheduleH - Athch SchedulEH)
    VALUEOF CAMPAIGNPROPERW(From
    STATEGOMMITIEES:Submita reconciledcampaignaccountbankststementin Januaryof eachyear.
    For Instructlons,See Backof Form SCHEDULE
    I
    - MONEYTAKENIN
    CONTRIBUTIONS A |
    (lncludlngcandldate'spersonalfunds)
    (Rev.07/03)| "o***,
    RECEIPTS

    E cnecrrns BoxrF
    COMMrITEENAME(Musfbe sameas on Statementof Organtzation) AMENDINGFORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION


    IS RECEIVEDFROMA STATE PAC (POLITICALACTIONCOMMITTEE),LISTTHE PAC IDENTIFICATIoN
    NUMBERAND THE PAC CHECK NUMBERIN THE DESIGNATEDCOLUMN. A LIST OF ID NUMBERStS AVAILABLEFROMTHE IOWA ETHICSAND CAMPAIGN
    DISCLOSUREBOARD.

    NOTE:ANY PERSON,OTHERTHANAN INDIVIDUAL,


    THATCONTRIBUTESMORETHAN$750TO YOURCAMPAIGN
    I\4AYHAVEFILING
    RESPONSIBILITIES
    ANDSHOULDIMMEDIATELY CONTACTTHEBOARD.

    GAUTION:Section688.324(6),prohibitsthe use of informationcopiedfrom reportsand statementsfor solicitingcontributionsor for any


    commercialpurposeby any personotherthan statutorypoliticalcommitteeE.

    -Kanqer E1
    P-o'{\q1
    7hav.c t{ <)55}

    TOTAL(lf laet page ol thls schedule)

    " Disclosure candldate


    lawrequlres committee8 to dlsclose of anyrelstlvemaklnga contrlbutlon
    therelatlonshlp to the
    commltee.Reletonshlp mustbeshownlo lhethlrddegreeof consangulnlty andaffnity(relaWes
    (bloodrelaflves) by
    manlage). lf sumameof conhibutoris the sameas candidate,butthereis no PageLof /
    enter'notapplieble' in the relationship
    familialrelationship, column. (forSchedule
    A)
    FOR INSTRUCTIONS,
    SEEBACKOF FOHM SCHEDULE
    I
    - MONEYSPENTFROMCOMMITTEE
    EXPENDITURES ACCOUNT B I uonrrnnY
    (Rev.07/03)I DGENDITURES
    STATE PAG COMMFTEES: NOTE: FOR CONTRIBUTIONS MADETO STATBA,IDEOR LEGISIATME
    CANDIDATES,LISTTHE CANDIDATEIDENTIFICATION
    NUMBERIN THE DESIGMTED COLUMNAND THE E cnecrrHrsBoxrF
    PACCHECKNUMBERFOR EACHEXPENDITURE.A LISTOF ID NUMBERSIS AVAILABLEFROMTHE IOWA AMENDING
    FORM
    ETHICS& CAMPAIGNDISCLOSUREBOARD.

    COMMITTEENAME(Mustbe sameas on Statementof Organization)

    PURPOSE
    D(PENDITURE (DESCRTBE
    TMNSACTTON)
    (Disbursement)
    WASMADE

    fu fu'
    6snJv-ft
    l|lon'{'tu t{ €04; nad)K aca"if

    SUB-TOTAL
    TOTAL (lf last page ol thls schedule)

    THIS BOX APPLIESTO CANDIDATES'COMMITTEESONLY:


    on ScheduleH. (Referto ScheduleH instruc{ons,)
    of certalncampaignpropertycostlng$500or moremustalsobe inventorled
    Purchases

    Expendilures providlngconsulting,
    to persons/entities advertising, polling,managing.
    fund-ralslng, servicesmustalsobe detailitemizedon
    organizing
    ScheduleG by the amount,purpose,anddateof eachtypeof expenditure committee.(Referto
    madeby the person/enti$on behalfof the candldate's
    and lowaCode
    ScheduleG instructions

    eage I ot I

    (for Schedule B)

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