Sei sulla pagina 1di 4

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

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

For Office Use OnN


IOWA FEDERATION OF ANEVIAL OWNERS Comm. #
IMPORTANT: 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 Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought \0/ I I District (if Senate or House) penalties.

WCLILTN K # 5 /5- 9'89-11-155 I `11-8-05-


SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

JULY 19th' 2005


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

Local Committees, enter Date of Election


EICHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in


0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.
which Election is held
(You must continue to file reports until a DR-3 is filed.)

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
3025 .00
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) ....... ... $5625.00
Schedule F : Loans Received total (Attach Schedule F) . ............. ........ .............. ........ ........ ...
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . ... ..... .............. ........ ...
(Schedule H applies_to Candidates'Committees nl
SUB-TOTAL ..... $ 8650.00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .... $6055.10
Schedule F: Loan Repayments total (Attach Schedule F) ........... ... ........ ........... ... ..... ........ ...
CASH ON HAND at the end of this reporting period (if final report balance must
2594.90
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) ..... ... ..... ........ ...................... ..... ... $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

=-0W0- VPC)flrab'Un 0S- h1)in~a1 OLA)1-1-PY'5

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
D#
Rrian ~, Darrc~c~-~
I

CK# IC)s 3 ss shaL0 t,C) .


m a 2 6aZO.
~jcky r,~Ma h an
ID#

-a 3 -CS cK# A 01 L30x > U


oZ ~5
oD 0

- Lj
ID# CUI`t-I'S L rr"
-
*113 i yctr , 0 t,
CK# .A b 3 - _ sc
1 '6~0' 1tv ./ S
ID#
CIJare~Ce wetljet_
-y-o5 CK#

ID# Geca Id l-au(-a Bone


CK# 1 3scl Blackhctwk Rd
O P~ UL wc~ sa S0 - . X100
ID# R.G .Beu.Keiman
?yy (U. PY)ain
3 CK# RUC'
f> LUGL ~: 5v SUU.
-
ID# kanC1 Ruby

z--1(g -~5 CK# a5lc ' St


~_
J a~ r ~ l.l~J
ID# Philli BG1~~C'Y
T
CK# 130G- 0
r t- -S-0138 -
ID# FfanC i5 Ctx(-, j

e(--c6 cK# do vc
C*L LA- rr~ 1 .k ?a zUw~cc. 5~50I
ID# j-oe C;-erst
1 j'7 0C? j- i no - J-G h t) S U r-)
3 -1 (a O5 C K#
O ma t1 cc -~ -crt.u 5a 3
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page ~- of _ 12
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY


(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
IOWA FEDERATION OF ANIMAL OWNERS

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE
RECEIVED
PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
(if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 7arbarc& ~CGC'C7r l±°
3 -- I IC -G5 CK# I G oCA-Dt % I (.~3y $

Ball- bctrcl E . G ~rcJ


ID#

CK#

ID#
Bob
.Iht h s ,
I I H IF Cc C o c .~ r~ t y Rd,
i &, p I, V C d L- % I
j
' 034

m0 (0 (01
E:1
3-1(Q -U5CK# P,0 . Box-~53y
Lt-) hvorj+-c3v-) mL . (04 IC J
ID# L~c=d Itilc,~ClGlil

-,A C, CK# uc x 3 31
110
ID# ' 11 er
l l l .:> cc
Dt,tCW e
, Rut .
-,~ I C6 CK# uocie~rwood

Ch F6 C; za5C%&1 S
ID#
Richard KIube rtavl z
3 cK# J-41t, K"ffqs 1-Ynr~ I CI
StC7 a e hG' 11 u~ = s 3 :~ ~ ~ ~ °°
ID#
S-reuen Kruse
3 -X7 -b5 cK# a3~IS >-ii~nwcty Ih

I D# t
J ;t700 Jinn--To
# /Coo
sowo- Z5-1 .1c)3 "" a
ID#
#
kari~x Wiese
cK# 3asU N~ 9 6 tl"
.. ~, - =
aao
ID#
~r~d C rc°e
IGOg3 Q0) :St
-ly-U5 cK# 35-0
ma nard -TH 5c)to~5
SUB-TOTAL `L
I $ a~ 9 C?S".
TOTAL (if last page of this schedule) I
_
$5, 4, d6-
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . if surname of contributor is the same as candidate, but there is no Page _~ of _5Z
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev. 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

IOWA FEDERATION OF ANIMAL OWNERS


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# 0 ri11 Pr
i 1/ Kll
Cry
inikittl
Paracantd-for as
I0t1 /U(O Pray r1'~ /vbb~r t ~~ $ ~, . .
3-8 -05- CK# . c
Carl'm PS ~'~ SOlll
ID# gill V I'- Final tamp,-7t 7For -
CK# / OGl 10A-1 tU LO prairie Crt?t?K r, lobby eor, fract- dUD5 CC)
3000
Gf- i n-?&5 -7-owa - 5 Ull!
ID# L'(00 0
GI`fufLl.~-FSIero Bank CiIl('CI~S
: .. a CK# o fds P. C3 . gox 9q. lea
-~ GCo
ID# c~2' . oc~
G r eat LU~s
~P 'I~ sl~ s
.a . box a~ .5o
CK#~~~~`
Car j 1 SPA 5017
ID# '

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule)


I

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)

(for Schedule B)

Potrebbero piacerti anche