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  • Black Hawk Group - 9641 - Scanned

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    Zach Edwards
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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.

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    Black Hawk Group__9641__scanned

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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)
    Scarica in formato PDF o leggi online su Scribd
    Segnala contenuti inappropriati
    4 visualizzazioni4 pagine

    Black Hawk Group - 9641 - Scanned

    Caricato da

    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)
    Scarica in formato PDF o leggi online su Scribd
    Segnala contenuti inappropriati
    di 4
    FOR INSTRUCTIONS, SEE BACK OF FORM FORM : # 964/ DR-2 | osciosure DISCLOSURE SUMMARY PAGE (Rev. ove) | REPORT [COMMITTEE NAME (Must be same as on Statement pf Organization) Comm. # We Podek Paar Choo TLS 2002 | Innes Sis as IMPORTANT: Indicate typeof commitas you ar reporting for: Computer (1 )SttewselLegisiatve Candidate (2)Statawide PAC (3 )tate Pay (4 CuntyiLocal Candia 3 ences Con (3 emigre ieee (eet * a Man Fa Le- 2570 OLE ‘SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED Routine Penalties Due For Late Filed Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR, LAM FILING A ((epor date) Indicate one [_] COCHECK IF AMENDMENT TO REPORT DATED Local Comvitiees, enter Date of Election {.oheck thi fal (eminaon report and atach Nace of Dissolution Fam oR.9. | ERRTLELacTcanenes oer Coty n youmust coninue i opera unl a Notes of Dasoion fied) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This isthe total (of all monies held by the committee. This amount MUST be the Same asthe cash on hand athe ond of he at eporing period, rmust be zero this is Ast report fled). s (5, 4la 47 [ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contibusons tal AtacnScheate a). PEAY T = Ab. 67 Schedule F: Loans Received total (Attach Schedule F). Schedule H: Total Sais o Campaign Property (Atach Schedule H) LC — SUB-TOTAL 15, 629. (8 SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B: Expenditures total (Atach Schedule B) LY, 587+ BF ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND atin edt pong rd rap tlre ru be zero) (tach DR) a UNPAID BILLS (From Schedule D - Attach Schedule D) Ls IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E). 2 = SS OUTSTANDING LOANS (From Schedule F - Atach Schedule F) CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s ste — lefrfor pe ee ff acd! CONTRIBUTIONS -- MONEY TAKEN IN {intuding candidate's porsoral funds) [ CORRAITTEE NAME (Must be same as on Statement of a nent af Organization) ] __ THE Beack Hawk eee SCHEDULE | A MONETARY (Rov. 06/97) FORM RECE®TS 1 check tis eox iF AMENOI | STATE CANOIDATES NOTE: iF POON A COMMITEE ST THE DAC OENTEAION CAUTION: Section 686 32A(6), Iowa Code, prohibits the use of information copied rom reports and statements for soliing contains 2 for any commercial pupose by any person othe than statutory patical commitees DAE] PRCT NOMEN NAME ANG ADDRESS GF CONTRIBUTOR TELATONSHP | AMOUNT] F FOR necelven i appteabe Tocanpioare: | Aeceweo | “runo (as AN PAC CHECK applicable NuMBER Taam ES REN Vo Yayo cKe F023 ew rer RIDGE | (O- Ckt a ° | OK 220 | ee ices, ba Se70r BHC» SUPEAUseR |*O7? ‘DF DEwIse kre © ER eer Pare Exp. ° Kes cxep3ay | 625 CoRMurace AY hoo. LaArse coe, 14 $0702 |B Co TRES- SUBTOTAL TS 7g 05.04 TOTAL tiat page ofthe seroaut) [S—_—_—| THIS BOX APPLIES TO CANDIDATES COMMITTEES ONLY: Purchases of certain campaign property casting $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions.) Expenditures to persons/entias prowding consulting, advertising fund-raising, poting, managing, organizing services must aso be detail itemized 09 ‘Schedule G by the amount, purpose, and dae of each type of expencture made bythe person/entty on baha ofthe candidate's Commitee, (Reler to | SeneduteG insvuctons and owa Cose 56.6031) rae _f ot {for Schedule B) FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘GANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE ac GHEGK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD. 4% Y/ ‘SCHEDULE (Rev. 08797), DD CHECK THIS BOX IF ‘AMENDING FORM EXPENDITURES MONETARY ‘COMMITTEE NAME (Must be same as on Statement of Organization) tee Brack Have GeovP TANDOATE ] NAME AND ADDRESS TO WHOM TORPOSE TROON oxre | TONUMBER EXPENDITURE {CESCRIBE TRANSACTION) EXPENDED EXPENDED | _(tapoteabe) (Cisbursament) WAS MADE woo) OE NUMBER BRCl KROUSE “AE PAIN EXP ee xe 78 Russ&ce RD ee hood 322 | weTBreoe, TH SC 21 |B.H-Co- RECons ee iF Cee Ke oe S. soe corr Bro con oot? (323 [POE ee te za SOP0Y DF Corres Pes CoPpres Ww? CK gay] 2928 STATE g SBr¢e Pees Tt DF Pest ¢1AsTeR Zs oxe a2t were Pos TAGE aN BAS | ceoen Faces, Te ed Favew pe, A PAS Cat pace Exp. Uf Ke (o3¢ Ww rw foo? 1326 |

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