-7L'1 0/ 010 XJ01

' FOR INSTRUCTIONS, SEE BACK L.,- FORM FORM

DR-2 DISCLOSURE
SUMMARY PAG4 (Rev . 02/96) REPORT
JAN 119 2002 For Office Use Only
COMMITTEE NAME (Must be same as on Statement of Organisation) Comm . # 7-4 rl
Friends of Rick Larkin Indexed '~ -
Audited
IMPORTANT : Indicate type of committee you are reporting for. CL,-
Computer
( t )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates
in W-1 t
_'r. 1
-NN"('URE WTRtASURER (or 1#rson filing this report)
SIG TELEPHONE DATE SIGNED

Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

1 AM FILING A January 19, 2002 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

[:]CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in

p Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file 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 as the cash on hand at the end of the last reporting period,
4,888 .16
or must be zero if this is first report filed.) ...... .. .... .. .......... ..... .. ... .. .. .. ........ .. .. ........... .. .. ... .. .... $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
2,551 .99
Schedule A: Cash Contributions total (Attach Schedule A) ..... ....... .. .. ........ .. .. .. .. .................
Schedule C: Fund-raising Events total (Attach Schedule C) ............. .... .......... ........... ..... .. ... 0 .00
Schedule F: Loans Received total (Attach Schedule F) .......................... ........... .. .. .. .. ... .. .. ... 0 .00
0 .00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ............. .. ...... ... .. .. .....
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .....$ 7,440 .15
SUBTRACT TOTAL MONEY SPENT THIS PERIOD -'
~
1, 437 .81
Schedule B: Expenditures total (Attach Schedule B) .. .. .. ....... ....... .. ...... .. ............. .... .. .. . .. .... .
0.00
Schedule F: Loan Repayments total Attach Schedule F

CASH ON HAND at the end of this reporting period (if final report, balance must 6,002 .34
be zero) (Attach DR-3) . ..... ... .................. ............. .. .. .... ...... ..... .. .. ..... .. .. .. ...... .......................... $

UNPAID BILLS (From Schedule D - Attach Schedule D) .......... .. .. .. .................... .. .. .. ............... .. ... .... .$ 0 .00
0 .00
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... .. ... .. .. ...... .. .. .. ........... .. .. ... .......$
0 .00
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . .. .. ..... .. .. ................. .. .. ...... ..... .......$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES X NO
$ 0 .00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
' For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Friends of Rick Larkin

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

RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

1/18/01 ID# Lee County Bank & Trust N .A . None $ 6 .03

P .O . Box 280 - Interest
CK#
Fort Madison, IA 52627
ID#
2/20/01 Lee County Bank & Trust N .A . None 5 .12
CK# P.O . Box 280 - Interest
Fort Madison, IA 52627
ID#
3/19/01 Lee County Bank & Trust N.A . None 3 .40
CK# P .O" Box 280 - Interest
Fort Madison, IA 52627
ID#
4/19/01 Lee County Bank & Trust N.A . None 3 .90
CK# P .O . Box 280 - Interest
Fort Madison, IA 52627
ID# 4 .41
5/24/01 Lee County Bank & Trust N .A . None
P .O . Box 280 - Intetest
CK#
Fort Madison, IA 52627
ID# 4 .17
6/26/01 Lee County Bank & Trust N .A . None
CK# P"0" Box 280 - Interest
Fort Madison, IA 52627
ID# Dr . L . D . Peck None 30 .00
6/27/01
1409 Ave . E
CK# 1972
Fort Madison, IA 52627
ID# None 25 .00
6/27/01 Rosie Helling
CK# 3322 Ave . H
0740
Fort Madison, IA 52627

7/13/01 ID# 6113 AFSCME/IOWA Council 61 PEOPLE None 500 .00

4320 N .W . 2nd Ave .
CK#
2467 Des Moines, IA 50313
ID# None 3 .84
7/25/01 Lee County Bank & Trust N .A .
P .O . Box 280 - Interest
CK#
Fort Madison, IA 52627
SUB-TOTAL
$ 585 .87
TOTAL (if last page of this schedule)

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 l
marriage) (See Page 2 of forms packet .) . If sumame of contributor is the same as candidate, but there is no Page of _ 4
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
0 For Instructions, See Back of Fom . SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement of Organization) 0 CHECK THIS BOX IF

AMENDING FORM

Friends of Rick Larkin

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

RECEIVED (if applicable)
TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

8/20/01 ID# 6118 Iowa Optometric Association PAC None $ 200 .00
1454 30th Street
CK#
1714 West Des Moines, IA 50266
ID#
8/20/01 6146 Homebuilders Association PAC None 100 .00
CK#
1310 Des Moines, IA 50319
8/20/01 ID# 6033 EMC CO . PAC None 25 .00
717 Mulberry St .
CK#
1692 Des Moines, IA 50309
ID#
8/27/01 Lee County Bank & Trust N .A . None 4 .67
P .O . Box 280 - Interest
CK#
Fort Madison, IA 52627
ID#
9/11/01 Kitty Garner None 200 .00
CK#
19 24th Street
4471 Fort Madison, IA 52627
ID#
9/25/01 Lee County Bank & Trust N .A . None 3 .33
CK# P .O . Box 280 - Interest
Fort Madison, IA 52627
ID#
10/25/01 Lee County Bank & Trust N.A . None 3 .15
CK#
P .O" Box 280 - Interest
Fort Madison, IA 52627
"11/2/01 ID# 6071 Iowa Life Insurance Industry PAC None 100 .00
5700 Westown Parkway
CK#
3084 West Des Moines, IA 50266
ID#
11/9/01 Doyle Hoyer None 100 .00
CK# 3347 Country Club Lane
1440 Fort Madison, IA 52627
ID#
11/9/01 R . L . Fehseke, Jr . None 100 .00
CK# 3345 Country Club Lane
2031 Fort Madison, IA 52627
SUB-TOTAL
$ 836.15
TOTAL (if lastpage of this schedule)

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
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there
is no Page 2 of
familial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
'For Instructions, See Back of Fornr SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)

0 CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Friends of Rick Larkin

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

RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

11/9/01 ID# John Schuldt None $ 50 .00

3360 213th Street
CK#
6906 Fort Madison, IA 52627
ID# Rose Greenwald Muerhoff Grandmother- 50 .00
11/9/01
1927 Ave . I In-Law
CK#
915 Fort Madison, IA 52627

11/9/01 ID# Michael Brockman None 25 .00

3344 213th Street
CK#
5205 Fort Madison, IA 52627

11/9/01 ID# Phillip Ingebritson None 25 .00

14 Melody Terrace
CK#
2313 Fort Madison, IA 52627
ID# None 25 .00
11/9/01 Sherri Enke
1002 Denmark Hilltop
CK#
5410 Fort Madison, IA 52627

11/9/01 ID# M . S . Nabulsi None 50 .00

13 Ridgewood Rd .
CK#
3110 Fort Madison, IA 52627
ID#
11/27/01 Lee County Bank & Trust N .A . None 2 .81
CK# P .O . Box 280 - Interest
Fort Madison, IA 52627
11/29/01 ID# LeRoy Bentler None 25 .00

CK#
9256 Houghton, IA 52631

ID# 25 .00
11/29/01 Joseph Simmens None
CK# 7051-2 Ave . G
3181 Fort Madison, IA 52627
ID# Wm . F . Merschman None 200.00
12/14/01
Box 67
CK#
5491 West Point, IA 52656
SUB-TOTAL
477 .81

TOTAL (if last page of this schedule)

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 4
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page 3 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
' For Instructions, See Back of Fon,, SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Friends of Rick Larkin

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

RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID#
12/14/01 Derald Dressler None $ 25 .00
4605 Bluff Rd .
CK#
6637 Fort Madison, IA 52627

12/14/01 ID# Gary Hoyer None 100 .00

619 10th Street
CK#
7928 Fort Madison, IA 52627

12/26/01 ID#
Lee County Bank & Trust N .A . None 2 .16
P .O . Box 280 - Interest
CK#
Fort Madison, IA 52627

12/29/01 ID# Dan Kehl None 500 .00

3 Blackhawk Heights
CK#
3852 Fort Madison, IA 52627
ID# Warren Hoffman None 25 .00
12/29/01
5764 Flintcrest Drive
CK#
1717 Burlington, IA 52601
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
$ 652 .16
TOTAL (if last page of this schedule)
. g 2551 .99
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
c6mmittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no F ;.ge 4 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

Friends of Rick Larkin

CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MM/DD/YR) AND PAC 1,2,3)
CHECK NUMBER

1/16/01 ID* Iowa Democratic Party House Truman

5661 Fleur Drive Fund 300 .00
CK# 186 Des Moines, IA 50321 1

1/17/01 ID# Postmaster Certified

1019 Ave . H Letter 3 .74
CK# 187 Fort Madison, IA 52627 1

7/25/01 ID# Carter Printing Printing

1739 East Grand Ave . Envelopes 55 .12
CIA# 188 Des Moines IA 50316 ( 1 )

8/21/01 ID# Iowa Secretary of State Voter List

Hoover Building 62 .75
CK# 189 Des Moines, IA 50319 ( 1 )

ID# Iowa Democratic Party House Truman

9/11/01
5661 Fleur Drive Fund 250 .00
CK# 190 Des Moines, IA 50321 1

ID# Lee County Democratic Central Contribution

9/11/01
Committee 200 .00
CK# 191 Fort Madison IA 52627 1

9/11/01 ID# Carter Printing Printing

1739 East Grand Ave . Envelopes 51 .30
CK# 192 Des Moines, IA 50316 ( 1

SUB-TOTAL

TOTAL (iflast page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Campaign funds may be used only for.

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office.

Please insert the applicable number in the purpose column for each expenditure .

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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)
2
Page l of
- . Sfor Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT

B MONETARY
(Rev. 02/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)

Friends of Rick Larkin

CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MM/DD/YR) AND PAC 1,2,3)
CHECK NUMBER
9/21/01 ID# Iowa Secretary of State Biw Update
Hoover Building 22 .00
CK# 193 Des Moines IA 50319 1

11/9/01 ID# Carter Printing Printing

1739 East Grand Avenue Stationary 492 .90
CK# 194 Des Moines, IA 50316

1D#

CK# ( )

1D#

CK# ( )

ID#

CK# ( )

I D#

CK# ( )

ID#

CK# ( )

SUB-TOTAL

TOTAL (if last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Campaign funds may be used only for.

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office .

Please insert the applicable number in the purpose column for each expenditure .

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)(i) .)

Page 2 of 2
_ .,(for Schedule B)