FOR INSTRUCTIONS, SEE BACK OF FORM FORM DR-2 _ | oisciosure : DISCLOSURE SUMMARY PAGE (Rev. 02) |___REPORT For omice Use Onty [COWMITTEE NAME (Hust be same as on Statement of Organization) comm. # Committee to Re-elect Eddie Indexed S: <_ cites IMPORTANT: Indicate typeof commie you ae reporting or: eas (1 )StatewiderLegislatve Candicate (2)Statowide PAC (3 State Party (4 )CountyLocal Candie (5 oounty PAC (6 Balt isue'Franchise Commitee (7 )Gounty/Cay Central Commitee (8 Suppor Siate of Canduaates Gkidis Lb dae. 712-732-4834 Leble.3 ‘SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED Penalties Due For Late Filed Reports Range from $10 to $400 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: JAN 9 2003 1AM FILING A January 22,2003 REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YE; —epontaatey indicate one Z}. (PM } COCHECK IF AMENDMENT TO REPORT DATED. [Local Committees, enter Date of Election 1X03 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3, | County & Local Comm (You must continue to fle reports until a Notice of Dissolution is fled.) 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, (or must be zero if this is first report fled.) . § _2808.93 ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) ‘Schedule C: Fundraising Events total (Attach Schedule C), ‘Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) (Schedule H applies to Candidates’ Committees Only) SUB-TOTAL...8 2808.93 ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD TT ‘Schedule 8: Expenditures total (Attach Schedule B) : 2808.93 ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the end of this reporting period (if final report, balance must bbe zero) (Attach DR-3) s ~ UNPAID BILLS (From Schedule D - Attach Schedule D) : IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E). OUTSTANDING LOANS (From Schedule F - Attach Schedule F) CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) Yes ___NO VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s+ FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT ‘SCHEDULE B (Rev. 02196) MONETARY expenomrures | ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE OSSIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE [OWA ETHICS & CAMPAIGN DISCLOSURE BOARD. 1 CHECK THIS BOX IF ‘AMENDING FORM [COMMITTEE NAME (Must be same as on Statement of Organization) Committee to Re-elect Eddie CANDIDATE TAME AND ADDRESS TO VINOM EXPENOTTURE PURPOSE MOUNT pare | IDNUMBER (Disbursement) WAS MADE (caNpibates see | EXPENDED EXPENDED | _(appicabe) ‘BELOW & ENTER eunumoree) | "AND Pac 123) CHECK NUMBER 'De urchase The Republican Party of Iowa Patios cK 621 East 9th Se. a $ 01/14/02} 864 cee een PL (3 /$ 365.00 (pf B Vis Republi Part: juena Vista Republican Party a : ailsplitter 01/17/02] oxy 865 215 Stoney Point Dr. at | Storm Lake, IA 50588 7 7) e000 ~ The Laurens Sun 1 year PO Box 125 $25.00 | Subser ij | 02/01/02 CK# 866 | Laurens, IA 50554 Peeog )| [oF | Buena Vista University Republicans Purchase 2 cKy 867 | 417 Geneseo Host tables3 | $500.00 03/15/0 | Storm Lake, IA 50588 for Canditiac forum oF j cKe | ) oF ck () DF T 1 SUBTOTAL TOTAL (if last page of this schedule) [| [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: [Campaign funds may be used only fr: (1) campaign purposes, 2) consttuency exoenses, anc | (8) educational and other expences associated with duties of ofce | Please insert the applicable number in the purpose column for each expenditure [Schedule G instructions and lowa Code 56.6(3\). Purchases of certain campaign property costing $500 or more must also be inventoried on Senedule H. (Refer to Schedule H instructions.) Expenditures to persons/entites providing consulting, advertising, fund-raising, poling, managing, organizing services must also be detail temizec on Schedule G by the amount. purpose, and date of each type of expenditure made by the persorventty on behalf ofthe candidate's comme, (Refer to Pega cme Zee of ere ‘for Senedule 8)FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE B MONETARY EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT feerocen || IRENE STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANO THE CHECK THIS BOX IF PAC CHECK NUMBER FOR EACH EXPENDITURE. ALLIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA "AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD. [COMMITTEE NAME (Must be same as on Sialement of Organization) Committee to Re-elect Eddie CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE, "AMOUNT DATE ID NUMBER, (Disbursement) WAS MADE (canoipaTes see | EXPENDED EXPENDED | (if appicable) BELOW & ENTER cmuporyR) | AND PAC 123) CHECK NUMBER, 10# s i Reimburse milehge 05/21/02 868 Russell Eddie 1957 ailep gy cK# 1101 Pierce Dr. ea $636.03 Storm Lake, IA 50588 62 782y01-12/31)01 C3 Buena Vista Journal sun PO Box 666 ubscription }05/23/02 | cx# 869 ere ne (2)| 18.00 ie ‘The Laurens Sun Advertising 08/28/02 870 PO Box 125 in Albert;Gity! 69,00 oe Laurens, IA 50554-0125 Threphermn’ ij os Russell Eddie Pmteramie 09/09/02 | oxy 871 1101 Pierce Dr. +325 (.2)| 885.63 Storm Lake, TA 50588 G1/01/02-8734 02 TDF Russell Eddie eee fo 2 erce Dr. oe 9/09/02 | oxy 872 1101 Pierce D cline anon Storm Lake, IA 50588 OF Reinburse milefge Russell Eddie 505 miles @ 12/16/02 | cxq 873 1101 Pierce Dr. +3250 (2) Storm Lake, IA 50588 09/01/02~11/30/02 Santa's Castle 12/16/02 874 | % Chander of Connerce Cw PO Box 584 Storm Lake, IA 50588 Donation 35.14 @Q) soe S 2808.93 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 ofc. Please incert the applicable number inthe purpose colurmn foreach 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, advertsing, fund-raising, poling, managing, organizing services must also be detail itemized on Schedule G by the amount, purpose, and date of each ype of expenditure made by the personlentity on behalf ofthe canciate’s committee. (Refer to Schedule G instructions and lowa Code 58.613), Page A ot Fe Tor Senedule BYFOR INSTRUCTIONS, SEE BACK OF FORM This form is not applicable to statutory political committees. a DR3 a Notice of Dissolution pissoLuTiCA For Office Use Only Every Notice of Dissolution shall be accompanied by a completed Disclosure Report Form current to the date of Comm. # dissolution. Indexes ce Audited Computer Certified Date of Dissolution COMMITTEE NAME Offeal Name of Common Committee to Re-elect Eddie JAN] 9 2003 ‘Street 1101 Pierce Drive City, State, Zip Code Storm Lake TA 50588 Telephone m2) 732-4834 Effective date of dissolution December 31 2002, A Echaei Signature of Treasurer L2LBLLE Ba fate Signed [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: |, the candidate, certify that my candidate committee's cash balance i 2eo, all debts, obligations and loans have been paid or satisfied in accordance with law as shown on my commitee's final report and al campaign property and leftover funds have been distributed in accordance with my ‘Committe slat fled Statement of Organization, Shi: Wbfoz ~Sinaiure of Candidate - Requd for Candidate's Commtioe ‘bate Seed WHEN TO FILE: ‘The Notice of Dissolution must be filed within thirty (30) days of the committee's dissolution, with a copy of the final bank statement attached,