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FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use OnIv 2


Alliant 19nergy for Kalona Committee Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for Logged In ~)JAA I
( 1 )Statewide/Legisladve/Judge Standing for Retention Candidate (2 )State PAC (3 )State Party Scanned
(4 )County Central Committee (b )Couinty trandfdale"-(S:)CityiC"addidate,=( :7:)S ool Board or Other
Political Subdivision Candidate (S )0ounty P AC (.S )City PAC (1 ; )Scho¢t So rd or Other Political Computer
Subdivision PAC ( 11 Local B~Ilot Is Ue . _ - i Audited
CANDIDATE COMMITTEES ONt li:
Candidate Name Po(ttidsil Party (if applicable)
MAR 1 8 2005 . , Late reports are subject to
possible civil and criminal
Office Sought GNt1?. I L _ . District if Senate or House) penalties.

-79&- 74o c3 Ig 05 -
I
SICANATURE OP PERSON FILINGRE0t6q TELEPHONE DAT SIGN D

days prior to election


I AM FILING A 5 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # in

Local Committees, enter Date of Election


CHECK IF AMENDMENT TO REPORT DATED
March 22, 2005
El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .) Washington

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 .) . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . ., 2*793_l1 ,
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H aaolies to Candidates' Committees Only)
SUB-TOTAL . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . .
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 2.793 .21
'"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
FOR INSTRUCTIONS, SEE HACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev . 06197)1 CONTRIBUTIONS
Alliant Energy for Kalona Committee

O CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED +I IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable CONTRIBUTION VALUE CONTRIBUTION
$
Alliant Energy Invitations Printing 240 .00
1/28/05

Alliant Energy Postage 465 .20


1/28/05

2/3/05
Alliant Energy Advertising -
Kalona News
253 .50
El
2/10/05
Alliant Energy Advertising -
Kalona News
253 .50
E]
Alliant Energy Room Rental - 75 .00
2/15/05 Kalona Elementary

Alliant Energy Cookies - Kalona 39.60


2/15/05 Bakery

Alliant Energy Letterhead & 400.00


3/15/05 Envelopes

Alliant Energy Postage 422 .91


3/15/05

Alliant Energy Advertising - 643 .50


3/17/05 Kalona News

SUB-TOTAL 1 $
2,793 .21

TOTAL (if last $


page of this
2,793 .21
schedule)

1
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of 1
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter"not applicable" in the relationship column.

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