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Public Safety Initiative__9714__scanned

Public Safety Initiative__9714__scanned

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Published by Zach Edwards
This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.
This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

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Published by: Zach Edwards on Mar 03, 2011
Copyright:Attribution Non-commercial

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03/25/2014

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FOR
INSTRUCTIONS,
SEE
BACKOF
FORM
DISCLOSURE
SUMMARY
PAGE
COMMITTEE
NAME
(Must
be
samq
ason
Statement
of
Organization)
)v~~ic
SJci~
n~T~al~u{
IMPORTANT
:
Indicate
typeof
committee
you
are
reporting
for
:(
1
)Statewide/Legislative
Candidate
(
2
)StateWkj
(
5
)County
PAC
(
6
)Ballot
Issue/Franchise
Cor%lMgRif
(
B
)Support
Slate
of
Candidates
CANDIDATE
COMMITTEESONLY
:
i
,3~)State
Party
(
4
)Oou
!Local
Candidate
7
)County/CityCentral
C'
mmittee
11-1
[]
Check
if
this
is
final
(termination)report
and
attachNotice
of
Dissolution
FormDR-3
.
(You
must
continue
to
file
reports
until
a
Notice
of
Dissolution
is
filed
.)
STATEMENT
OF
CASHONHAND
ADD
TOTAL
MONEY
TAKEN
IN
THIS
PERIOD
Schedule
A
:
Cash
Contributions
total
(Attach
Schedule
A)
(*also
see
in-kind
below)
.....
.
..
.
Schedule
F
:
Loans
Received
total
(Attach
Schedule
F)
......
.
............
.
....
.
....
.
....
.
..
.
.
.
..
.
....
.,
.
.
....
Schedule
H
:
Total
Sales
of
Campaign
Property
(Attach
Schedule
H)
......
.
.
.
..
.
.......
.
........
.
.
.
..
.
(Schedule
H
appliesto
Candidates'
Committees
Only)
SUB-TOTAL
.
..
..
.
$
SUBTRACTTOTAL
MONEY
SPENT
THIS
PERIOD
Schedule
B
:
Expenditures
total
(Attach
Schedule
B)(**also
seedebtsand
loansbelow)
..
.
Schedule
F
:
LoanRepayments
total
(Attach
Schedule
F)
.
.
.
.
...
.
....
.
....
.
.
.
...............
.
....
.
..
.
.....
.
.
CASH
ON
HAND
at
the
end
of
this
reporting
period
(if
final
report,
balance
mustbe
zero)(Attach
DR-3)
......
.
....
.
....
.
............
.
....
.
....
.
..
.
..
.
.....
.
.....
.
.....
.
....
.
....
.
.
.
.....
.
.
.
...
.
....
.
..
.
.
..
......
.$
**UNPAID
BILLS
(FromSchedule
D-Attach
Schedule
D)
....
..
.....
.
.....
.
.
.
...
.
.
.
.
..
...
..
....
._
..
.
...
.
.
.
..
.,_.
.
.$
*IN
KIND
CONTRIBUTIONS
(FromSchedule
E
-
Attach
Schedule
E)
......
.
..............
.
....
.
..
.
..
.,
.
.
.....
.
.
.
..
.$
^-
"OUTSTANDING
LOANS
(FromSchedule
F
-
Attach
Schedule
F)
....
.
.....
.
..............
.
....
.
..
.
.....
.
.....
.
.
.
..
.$
-_`
CANDIDATECOMMITTEES
ONLY
:
CONSULTANT
BREAKDOWN
(Schedule
G
Attached?)
VALUE
OFCAMPAIGN
PROPERTY
(From
Schedule
H
-
Attach
Schedule
H)
FORM
DR-2
DISCLOSURE
(Rev
.
01/2001)
REPORT
For
Office
Use
Only
Comm
.
#_
Indexed~
O
_
--
Audited
Computer
SIGNATUREOF
TREASURER
(or
person
filing
this
report)
TELEPHONE
DATESIGNED
Routine
Penalties
Due
For
Late
Filed
Reports
Range
from
$20
to
$800
SEEINSTRUCTIONS
ON
BACK
ANDCOMPLETE
THE
FOLLOWINGSENTENCE
:I
AM
FILING
A
Oe_io6
er
14
+~
REPORT
FOR
AN/A
(1)
ELECTION
/(2)NON-ELECTION
YEAR
.
(report
date)
Indicate
one
1-11
[]CHECK
IF
AMENDMENT
TO
REPORT
DATED
Local
Committees,
enter
Date
of
Election
County
&
Local
Committees,
enter
County
in
which
Election
is
held
CASH
ON
HAND
at
the
beginning
of
the
reportingperiod
.
(This
is
the
total
of
all
monies
held
bythe
committee
.
This
amount
MUST
bethe
same
as
the
cash
on
hand
at
the
end
of
the
last
reporting
period,
or
must
be
zero
if
this
is
first
report
filed
.).
....
.
....
.
.....................
.$
_____
-1
-__--
X2-126
.
81
21726,
a1

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