: Cyg- Yee EW TST) 700005 FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAG! COMITTEE NAME (ibe sare a on Storent organo) H FORM DR-2 DISCLOSURE Rev. 0512002)| REPORT m. 3 font LYS ST — IMPORTANT: indicate type of commits you are reporting for: [I] | ststeviaeresisiaive Consiat (2 )tatende PAC (9 State Pary (4 (5 1Couny PAC {16 Bal nselFranchse Came {7 county Carte Conreton (8 ]Suppet ise of Candistae ‘CANDIDATE COMMITTEES ONLY: Candidate Name Poial Party ‘Donald, Patmer-Committee To Elect Don Pater Republican fice Sought Distr (Senate or House Nov = 4 2002 Towa House of Repesetaives Hose Distt 38 St <= BQ- SoS no SIGNATYRES R (or person filing this report) TELEPHONE DATE SIGNED Routine Penalties Due For Late Filed Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: 1AM FILING A _10-29-2002 REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR. (report date) Indicate one [1 OOCHECK IF AMENDMENT TO REPORT DATED. [Local Committees, enter Date of Election 1D Check it this is fina! termination) report and attach Notice of Dissolution Form OR-3. | Couniy& Local Commitoss, eriar County in (You mast continue to fle reports unti'a Natice of Dissolution is fled} which Election is held ‘STATEMENT OF CASH ON HAND CASH ON HAND atthe beginning of the reporting period. (This i the total of all monies held by the committee. This amount MUST be the same as the cash on hand at the end 8,950.64 ofthe last eporting period, or must be zara if his is frst report filed ) s ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also see in-kind below) ‘Schedule F: Loans Received total (Attach Schedule F). Schedule H: Total Sales of Campaign Property Altach Schedule H) Schedule Ha to Cane commit SUB-TOTAL....$ 26,400.64 SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Atlach Schedule 8) ("also see debs and loans below) Schedule F: Loan Repayments total (Attach Schedule F) 598.95 0.00 CASH ON HAND at the end ofthis reporting period (i final report, balance must bbe 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) "ANDIDATE COMMITTEES ONLY. CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)For Instructions, See Back of Form (eluding candles persona! funds) [COMMITTEE NAME (Musi be same as an Statement of Organization) Committee To Elect Don Palmer STATE CANDIDATES NOTE: IF A CONTRIGUTION IS RECEIVED FROM A STATE PAC POLITCAL ACTION COMMITTEE) LIST THE PAC IDENTIEICATION NUMBER aND ThE ®AC CHECK NUMGER IN THE DESIGNATED COLUMN, LIT OF I NUMBERS Ig AVALABLE PROM THE [OMA ETMCS AND CAMPAIGN ‘SCHEDULE, A MONETARY (Rev. 0607) | RECEIPTS DD cueox THis 80x iF AMENDING FORM CAUTION: Section 688.3246), Iowa Code, prohibits the use of information copied fom reports and statements for solcting contributions or for any commercial purpase by any person other than statutory poliical commitoes ORE] PASM TEND ROORESS OF COMTRUTOR | FEIRTONSHP AMOUNT | TEFOR See Tocawpioare: | receven | ‘runo- oor) | ano the cree apes) false NUMER. RoOue ID# 6107 10152002 | cepa QWest PAC 5 10000 Ke 3280 925 High Street Des Moines, 1A 50309 (OF 9637 ee 10-16-2002 ei inn Eagles cH 1102 1685 MacKenzie Drive Cedar Rapids, 1A $2411 oF Iowa Cable PAC 150,00 10-17-2002 ke 2154 PO Box 41457 Des Moines, IA $0311 TOF gaa 6282 Hy Vee INC PAC 10-18-2002 | oe 1211 '5820 Westown Parkway West Des Moines, IA $0266 OF Mark Douglas 200.00 10-18-2002 ; okt 7571 4804 Cedar Drive West Des Moines, IA $0266 TF 6027 Co Deere PACIA 10-18-2002 | oe 2034 (666 Grand Ave oF FAS PAC CK 5066 2600 East 8th Street Boone,1A 50036 TDF 6160 1 Independent Bankers PAC 2002 | Ky 2042 1603 22nd Street Suite 202 West Des Moines, IA $0266 OF Towa Republican Party 11,500.00 ka WIRE 621 East 9th Des Moines, IA 50309 ‘SUBTOTAL 5.17.450.00 TOTAL (if ast page of this schedule) + Disclosure aw reqs candidat commtees odecos he relationship of any reatine making a contibuten tthe commie Ralatonsh must be shown to the rd degree of consanguny (boos eves) ane afin (eatves Dy 1 il mariage) (See Page 2of forms packet). Isumame of contbutr is the same as candidate, but there fs no ogee anes {ama re'atonsnip, enter nol appkcabe"in tne reltonahp column, Tor Scheaule A)FOR INSTRUCTIONS, SEE BACK OF FORM 1 — SCHEDULE (COMMITTEE NAME iVosi bo camo as an Statomen of Organization) F Loans : ae (Rev. 0896) | RECEIVED Committee To Elect Don Palmer REPAID is schedule reports money cand to the committe whichis deposited in the committee account DIcHECk THIS BOX IF NOTE: This schedule repr 3 which is dpositod inthe commit 1 CEC RaiaS OF TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $_3.200.00 PART1- MONETARY LOANS RECEIVED THIS REPORTING PERIOD PARTI - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD (Orginal source of oan, such as & bank. must ba shown a third partys (Loans forgiven must be reported on Schedule E ~ Inkind Contbutions} icvolved_inelude loans rom candséat's personal funds ) DATE NAWE AND ADDRESS OF LENDER | RETATIONSHI ] AMOUNT] [OATEPAID | NAME AND AODRESSOF LENDER] RETATIONSTE’] AMOUNT RECEIVED | (Include Endorsers Name, I'Appicable) | TOCANDIOATE | OF LOAN | J (amaOOIVR) | (incude Endorsers Name, lApoicasie) | TO CANDIDATE® | “REPAID (unaoOr¥R tt Applicable" Applcabia TOTAL (PART) 5900 TOTAL CASH REPAYMENTS (PART I) eu From Schedule E ~ TOTAL LOANS FORGIVEN 5 000. TOTAL OUTSTANDING LOANS END OF REPORT PERIOD ss 3:200.00 "Disclosure law requires candidate commilees fo deciose he relationship of any rove ‘making contrition tothe commitesRelasonship mus! be shown fo the td degrae of consanguinity (100d relatives) and afin (relabves by mariage). (See Page 2 of fms packel) If sursame of cntnbutar Ise same as candidate, but there fhe fama relationship, enter "nat applicable" i the relationship column when i apphes. rege emerge ey Tor SchediteF)FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT [STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE (CANDIDATES, LIST THE CANOIOATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE ETHIGS & CAMPAIGN DISCLOSURE BOARD. er (Rov. 09/97) MONETARY EXPENDITURES 1 check THis Box IF ‘AMENDING FORM [COMMITTEE NAME (thist bo same as on Sialemert of Organization) Committee To Elect Don Palmer oate EXPENDED (vapor) 10-19-2002 TANODATE TONUMBER i appicable) ‘AND PAC. CHECK. NUMBER TIAvE AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS WADE Postmaster Main Post Office Cedar Rapids, 1A PURPOSE (DESCRIBE TRANSACTION) Postage / Stamps ANOUNT EXPENDED 10-20-2002 Tin Pale Reimbursement / Cell Phone Charges From Personal Phone Account 35407 10-21-2002 2129 Noth Towne Lane No Code Raps, 1A sean Wires For Vard Signs 10-21-2002 Victory Enterprises ‘5200 SW 30th Street Davenport, IA Radio Buy Phase Two WMT - KHAK - KMRY 13,576.24 10-21-2002 Victory Enterprises 15200 SW 30th Street Davenport, IA Radio Buy KMRY 10-22-2002 QWest PO Box 1301 Minneapolis, MN ‘Telephone Charges September 10-24-2002 Finelne Printing 1075 Hawkeye Drive Hiawatha, 1A 52233 Printing / 12,000 Flyets - Lit Drop 10-26-2002 George Raith 1134 9th Suost SE Codar Raps, 1A 52405, Labor / Assembly of 12,000 Lit Kits SUBTOTAL TOTAL (iflast page of this schedule) $16,234.95 [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of cetin campaign property costing S500 or more must also ba inentoied on Schedule H. (Refer to Schedule H netuctins.) Expenditures to personsienties providing consuting, advertising, fundraising, pollng, managing, organizing serces must also be deta itemized on Schedule G by the amount, purpose, ana dato ofeach ype of expenture m Schedule Gilson and owe Code 56 6) ) Page by the persanentty on baal ofthe candidate's commites. (Rafer 0 of _ (lo Schedule B)FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~- MONEY SPENT FROM COMMITTEE ACCOUNT STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, IST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE. AIST OF 1D NUMBERS IS AVAILABLE FROM THE IOWA SCHEDULE B (Rev. 09797) MONETARY EXPENDITURES 1 CHECK THIS BOX IF AMENDING FORM, [COMMITTEE NAME (Must be same as on Statement of Organization) Commitee To Elect Don Palmer oate EXPENDED (uwporvr) 10-26-2002 TANDOATE TONUMBER (i appteabie) ‘AND PAC CHECK NUMBER TRAME AND ADDRESS TOWHOW EXPENDITURE (Disbursement) WAS WADE 1327 Colina Road NE Coda Rapids, LA 2403, PURPOSE (DESCRIBE TRANSACTION) Office Supplies - Lit Drop TOONT EXPENDED [§ 129.72 10-29-2002 Lin Mall Ist Aven NEC Rapid, 1A Phone Cord Adaptor 110-27-200) Pack 3 Grant Wood School Cedar Rapids, 1A 52603 Gifts) Lit Drop Volunteers Popcorn From Cul Scouts Fundraiser 10-27-2002 Lit Drop / Precinct 34 110-27-200. 527 Coline Road NE Cote Rapids, 1A 52402 Supplies Lit Drop / Boxes Rubber Bands ‘SUBTOTAL TOTAL (it last page of this schedule) 3363.37 $ 16,598.95 [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must alo be inventoried on Schedule H. (Refer lo Schodule H instructions.) Exponitres to personslenttos providing consulting, advertising, und-asing, paling, manag organizing services must also be deta temized on Schodule G by the amount. purpose, ané date ofeach ype of exDancure made by te personently on Geha a he cangales commie. (Refer 10 Schedule G intone and twa Code 56 613) (tor Schedule 8)FOR INSTRUCTIONS, SEE ACK OF FORM SCHEDULE E IN KIND (fev. 067| CONTRIBUTIONS, [COMMITTEE NAME ft Committee To Eleet Don Palme ID) CHECK THIS BOX IF AMENDING FORM DATE RELATIONSHIP ] DESCRIPTION] ESTIVATED | 1 FFOR RECEIVED NAME AND ADDRESS TOCANDIOATE | “OF INKIND” | FAIR MARKET | FUND-RAISER (wD) (QF CONTRIBUTOR, (applicable) | CONTRIBUTION VALUE | CONTRIBUTION r 10-21-2002 | Republican Party of lowa Printing 6,984.58 SUBTOTAL S ‘ora (itiast [ page of this SOH.S8 schedule) | o_\ “Disclosure law requires candidates to dacose the relationship of any elatve making ann kind contibution tothe Page Not _\___ Tar Scheie E) ommitee, Restonship must be shown to the tid dagres of consanguty (ood relatives) and afin (elatves bymattage). (See Page 2a forms packet ) Vf sumname of contr the same ae candidate, but fee sno fami relatonship. enter “ot aplleabe”n the relationship columnOctober 31, 2002 Towa Ethics & Campaign Disclosure Board 514 East Locust Street Si 104 Des Moines, [A 50309-1912 To Whom It May Concern: Enclosed is the completed DR-2 report for Don Palmer, candidate for lowa House District 38 in Cedar Ray Please don’t hesitate to contact me if there are any questions regarding this report or any of the information submitted. egards, er Treasurer - Committee To Elect Don Palmer — lowa House District 38 319-366-4238 Home 319-389-934 Cell 319-366-1561 Campaign Office Campaign Headquarters 101 Second Street SE Suite 804 Cedar Rapids, [A 52401 Phone: Don Palmer Mobile: 360-3803 Office: 366-1561 Paid For By Committee To Elect Don Palmer