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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

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DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev . 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only

YKM7^f -'f t'! ~Y X1 Comm . #


IM PORTANT: Indicate by # type of committee you are reporting for Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)

District (if Senate or House)

Late reports are subject to pose civil and cri '


and the chairpikrson, for any oth type Qff
.
enalties . Pursuant to Iowa Code section 68B .32A(7) t ie candidate, for a candidate's committee,
ee, is the individual responsible for filing timely and accurato reports .

SIGNATURE OF PERSON FILING REPORT TELEPHONE


a(.(S- S 3 S I t-
DATE SIGNED
to -Cf(o

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate by #E1
Local Committees, enter Date of Election
CHECK IF AMENDMENT TO REPORT DATED teG 3 a) O U 3

ED Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds 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 filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ ~0 7 t!v

ADD TOTAL MONEY TAKEN IN THIS PERIOD


Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . . J Q G . by
a
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 . . . . . . . . . .. . .$ Zvcot-(A
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . . Ct 3
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

**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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES ,! NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
13atcn processea using the IEGD13 Web Reporting System
11/27/2003 01 :15 :05 Schedule A
Contributions

Schedule A : Contributions -- Money Taken In Sch-A


Committee Name Committee ID 13306 Statutory Due Date 12/1/2003
Committee to Re-Elect Archie Brooks Adjusted Due Date
Filed Date 11/26/2003
Amended Date
Committee Type Municipal Candidate - City
Status Filed Council Received Date
Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-
Date Committee ID Candidate Amount Raiser

10/30/2003 Radia, Suku & Mary None $100.00

4800 Stonebridge Circle


Check #
9502 West Des Moines, IA 50265-2982

11/4/2003 Randa, Gary & Connie None $200 .00

3029 Wolcott Av
Check #
4738 Des Moines, IA 50321

Total Regular Contributions $300-00


Total Fundraiser Contributions
Grand Total All Contributions $300.00

Batch processed using the IECDB Web Reporting System on 11/27/2003 01 :15:05 Page 1 of 1

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1514 EAST LOCUST STREET, SUITE 104 1 DES MOINES, IA 50309 I (51 5) 281-4028
Batch processed using .the IEGDB Web Reporting System Schedule B
11/27/2003 01 :15 :05
Monetary Expenditures

Schedule B : Expenditures -- Money Spent From Committee Account Sch-B


Committee Name Committee ID 13306 Statutory Due DateJ12/1/2003
Committee to Re-Elect Archie Brooks Adjusted Due Date
Filed Date 111/26/2003
Received Date
Committee Type Municipal
Status Filed Candidate - City
Rn~incil
Amended Date
Expenditure Expenditure Expenditure
Expenditure Name & Address Purpose
Date Committee Amount

1739 East Grand Avenue

Des Moines, IA 50316

Metro Ice Academy Charitable Contributions

Donation

1100 Maple Drive Tax ID 42-1299-270

West Des Moines, IA 50265

Election night party


(buffett and
1501 S.E. 1stStreet refreshments)

Des Moines, IA 50315

11/21/2003 N/A DSM Police Explorer Post 21 Charitable Contributions $250.00

Tax ID 42-1315-233
25 E 1 st Street
Check #
510 Des Moines, IA 50309

Batch processed using the IECDB Web Reporting System on 11/27/2003 01 :15 :05 Page 1 of 2

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1 51 4 EAST LOCUST STREET, SUITE 104 1 DES MOINES, IA 50309 1 (515) 281-4028
batch processed using the IECU13 Web Reporting System Schedule E
11/27/2003 01 :15:05
~" In Kind Contributions

Schedule E : In Kind Contributions Sch-E


Committee
Committee Name 13306 Filing Date 12/1/2003
Committee to Re-Elect Archie Brooks Adjusted Due Date
Filed Date 11/26/2003
Committee Type Municipal Candidate - City Council Amended Date
Status Filed Received Date
Relationship to Estimated .'x" for
Date Name and Address of Contributor Candidate *(if Description of In Fair Market Fund-
Recieved Kind Contribution Value Raiser
applicable)

10/29/2003 Brooks, Archie N/A Miscellaneous or $50 .00


Unitemized

computer usage 2
hours
4102 SE 13th Street

Des Moines, IA 503153733

11/12/2003 Brooks, Archie N/A Miscellaneous or $50 .00


Unitemized

2 hours of computer
usage
4102 SE 13th Street

Des Moines, IA 503153733

11/21/2003 Brooks, Archie N/A Miscellaneous or $12 .50


Unitemized
half hour computer
time
4102 SE 13th Street

Des Moines, IA 503153733

Total Estimate
$112.5
Fair Market Value

Batch processed using the IECDB Web Reporting System on 11/27/2003 01 :15 :05 Page 1 of 1

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1514 EAST LOCUST STREET, SUITE 104 1 DES MOINES, IA 50309 I (51 5) 281-4028

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