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ee ET EAN IR Printed using the IECDB Web Reporting System on 06/10/2002 15: FORM DR-2: Disclosure Summary Page ‘Siatutory Due Datelos/1a/2002 Status: Filed ‘Adjusted Due Datel 77 ID #: 6291 Received Date] 05/16/2002 Postmark Date] 77 Committee: IHA PAC eee Amended} // Comm Type: lowa PAC Date Due: 05/19/2002 Report Year: 2002 Treasurer: J. Kirk Norris Primary Ph. (515)288-1955 Secondary Ph. (515)288-1955 Chair: James G FitzPatrick Primary Ph. (641)422-7008 Secondary Ph. (641)422-7008 County: Polk Statement of Cash on Hand {Gash on Hand at Start of Period {$95,969.96 [Schedule A: Cash contributions Total $2,959.66) [Schedule F: Loans Received Total $0.00] [Schedule H: Campaign Property Sales $0.00] [SUB-TOTAL $38,929.62 [Schedule B: Expenditure Total $6,555.41] [Schedule F: Cash Loan Repayments [Cash on Hand At End of Period 32,374.21 SAAT ARO PLEAS CR TST STEN Additional Assets and Liabilities [Loans in Place at Start of Period $0.00) [Schedule D: UnPaid Bills $0.00] [Schedule E: In-Kind Contributions $7,463.60] [Schedule F: Forgiven Loans [Schedule F: Outstanding Loans $0.00] [Schedule G: Consultant Breakdown? No| [Schedule H:_ Campaign Property Value $0.00] FORM DR-2: IHA PAC. Printed using the IECDB Web Reporting System on 06/10/2002 15:37:03 Page 1 of 1 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD I 514 EAST LOCUST STREET, SUITE 1041 DES MOINES, A 505091 (518) 281-4028 IHA PAC #6291 May 19, 2002 Report Schedule A Contributions [Date Contributor Amount [status |ou/a1/2002 Wells Fargo Bank ,6¢6 weint st, Des Momnes, 4 50309 $15.12 Joriginal Ir Watson, Carol A 43 Lakeview Drive Ne, iowa City, 1A 52240 $1,000.00 | origin 02/25/2002 |Watson, Car {$1,000.00 | original. |T7 Wells Fargo Bank ,666 Walnut St, Des Moines, 14 50309 12.50 02/28/2002 | Wells Farg ee Original |r 03/31/2002 | Wells Fargo Bank os wane St, bes Mes, 80309 144 Original [7 Vandehaar, Donna ,4917 Singing ris Bua, Sioux Cty, 1451105, $50.00 | ec y $50.00 original | | Daniels, John D ,25136 C-60, Hinton, 14 51024 $250.00 ; | 04/22/2002 | eiation: hone check # 2940 [Original || (04/30/2002 |Wells Fargo Bank ,666 ware st, bes Hones 1 5009 $17.90 origina [| ‘Spies, Arthur J ,2113 Northnest Pleasant Street, Ankeny, IA 50021 $500.00 | |05/01/2002 | Perret None Greek #7230 {Original [Tf Norris, J. Kirk ,504 171” avenue SW, Atoona, A 50009 $1,000.00 [05/02/2002 | reiation: tone ereck # fossa {Original | a | I Zastrow, Allan W ,710 m. 7th Stree, Keokuk, IA 52632 $100.00 05/07/2002 | Zastrow, All $100.00 original | Page 2 of 4 IHA PAC #6291 May 19, 2002 Report Schedule B Expenditures Date Expenditure Name ‘Amount Status [Select jPate — #890 Nancy Boettger for State Senate Committee ,926 Ironwood 01/03/2002) 2°50 Nanay, fasts $250.00 | orignal (e)s(712)- 744-3290, check # 1785 | #662 Rants for State House ,2740 South Glass St, Sioux City, 1451406 | $500.00 | 01/07/2002) fe niayanaceera " feck #176 [Ortainal| 7 #254 Citizens for Siegrist ,20% Lori Lane, Council Bluffs, 1A $1503- 500.00 #9161 Republican Party of Iowa and its Eisenhower Club ,521 | 01/07/2002] Eas Loca, Bes Moines, 18 50409 $1,000.00 original | L (P):(515)-282-8105 chee Bal ] #849 Johnson For Senate ,1405 Court ave, Adel, 1A 50003- 250.00 i } | #1327 Wilderdyke for State House ,23 5tn st, Woodbine, 1451579 | $250.00 | {01/07/2021 (p)712).647-2000 Seer 60 Joriginal> | i #851 Iowans for Van Fossen ,2602 Middle Road, Davenport, IA 52803 [o1yo9/2002| #851 Lowans fo 200 $250.00 Original] | | #703 Committee to Elect Matt McCoy ,2421 East Leach Ave., Des | (01/09/2002 | moines, 4 50320 : $250.00 Original | (P)(515)-282-4510 check # 1792 | #1371 Lord for Senate Committee ,1250. circle, Peny, 450220 | $250.00 02/12/2002) f¢s15)- 405-2960 Srecre173 [original | Internal Revenue Service $70.24 | | }02/21/2002 |,na, ogden, ur 4201 check # Electronic | Original I Retation WA Transter Wells Fargo Bank $12.40, 02/28/2002 | 666 wainut St, Des Moines, 14 50309 check # Electronic | Original| 7 | ()800)-869-3557(5):(800)-869-3557 Relation : WA Transfer Wells Fargo Bank $10.80 03/31/2002 |,565 wainut st, Des Moines, 14 50309 check # étectronle | Original | | ():{600)-869°3857(5):(800)-869-3557 Relation : WA Transfer | #7 Dennis Black for State Senate ,5239 & 156 st. So., Grinnell 1A 04/17/2002 | 50112 eee Original | (0)(515)-527-3172 #913 THE CARROLL COMMITTEE ,244 400th Avenue, Grinnel, JA 04/22/2002 50112- pono 00! Original | 7 (9) (515)-236-7043(5):(515)-787 2026 eteck # 1795 #9098 Towa Democratic Party ,5661 Fleur Or. Des Moines, 14 50321- | $1,000.00 | (04/22/2002) isis) Se 129309) C519) S44 7292 Sean 198 Original | 7 Hl | Wells Fargo Bank $11.97 | |04/30/2002||,666 wainut Se, Des Moines, 14 50309 check # Electronic Original | i (#):(800)-869-3557(5):(800)-869-3557 Relation : WA Transfer | | #9161 Republican Party of Iowa and its Eisenhower Club 521 | | 05/02/2002 | eee ocus, be oes, A 90009 $750.00 original] | i (P)(518)-262-8105 ees —_ Unknown |05/03/2002 |.1a, WA, 14 WA $0.00 oe Original | 7 | a | Page 3 of 4 IHA PAC #6291 May 19, 2002 Report | #1367 Tomenga for State Representative Committee .7250 [4500.00 [03/03/2002 seen emo, A 07311977 $500.00, original | 7 Page 4 of 4

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