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171 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 .)
CASH ON HAND at the beginning cf 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 5,1116 .04
of (lie last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . ., ., . . . . . . . . . . . . . . . . . $
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) ...... . 12,966 .81
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
Schedule H : Total Sales of Campaign Property (Attach Schedule 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
(Schedule H applies to Candidates' Committoos Only)
SUB-TOTAL . . . . . $ 17,982 .8 .5
Page 1 of 2
HRWJD'3 LAIJ/LIFELINKS ID :7123362408 OCT 29'04 17 :34 No .006 F .04
May for Iowa House
Supplementary Contributions Report--Schedule A
October 15 through October 26, 2004
GRAND $12,966.81
TOTAL
BRANDS LPPl,J/LIFELINK'S ID_7123362408 OhT 29'04 17 :36 No .006 P .07
CANDIDATE
ID NUMBER
DATE (if NAME AND ADDRESS TO
PURPOSE AMOUNT
EXPENDED applicable) WHOM EXPENDITURE
(DESCRIBE TRANSACTION) EXPENDED
(MMIDD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
Bryan English
10/15/04 1084 410 E . 10'" Street Campaign staff salary $ 1,000 .00
Spencer, IA 51301
K000 FM
10/15104 1085 P .O . Box 528 Radio advertising $ 688.00
Spirit Lake, IA 51360
KICD
10/15/04 1086 Radio advertising $ 858 .00
Spencer, IA 51301
Spencer Signs
10/26/04 1088 1402 4' h Avenue W Election signs $ 275 .53
Spencer, IA 51301
GRAND VT 1 G 2u04
$ 16,999 .41
TOTAL
ERANDS LAU/'LIFELINKS ID :?1"2336)408 0(--T 29'04 17 :36 N0 .006 P .c .
'Disclosure law requires candidates to disclose the relationship of any relalivo maklng an In kind contribution to the Page 1 of 1
commllloo Relatlonship 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 .