Printed using the IECDB Web Reporting System on 02/23/2005 12:39 :41 DR-2

FORM DR-2 : Disclosure Summary Page Statutory Due Date 05/19/2002

Status : Amended Adjusted Due Date 05/20/2002
ID #: 1103 Received Date 05/17/2002

Committee : Brett H . Nelson for State Postmark Date

Representative Amended 05/17/2002
Comm Type : State House
Date Due : 05/19/2002
Report Year: 2002
Treasurer : JoAnn Thomas
Primary Ph. (515)278-2459 Secondary Ph . (515)278-2459
Chair: Paul Hobson
Primary Ph. (515)276-6571 Secondary Ph. ()-
County: Polk
Amended: 5/17/2002

Statement of Cash on Hand Cash on Hand at Start of Period $105.13

Schedule A: Cash contributions Total $0 .00
Schedule F: Loans Received Total $200.00
Schedule H : Campaign Property Sales $0.00
SUB-TOTAL $305.13
Schedule B: Expenditure Total $148.06
Schedule F: Cash Loan Repayments
Cash on Hand At End of Period 157 .07

Additional Assets and Liabilities

Loans in Place at Start of Period $3,863.00

Schedule D: UnPaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F: Forgiven Loans
Schedule F: Outstanding Loans $4,063.00
Schedule G : Consultant Breakdown? No
Schedule H : Campaign Property Value $0.00

FORM DR-2 : Brett H . Nelson for State Representati

Printed using the IECDB Web Reporting System on 02/23/2005 12 :39:41 Page 1 of 1
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1 510 EAST 12th, SUITE 1A I DES MOINES, IA 50319 I (515) 281-4028
DR-2 - Expenditure - Schedule B of Committee #1103 Page 1 of 1

Date Expenditure Name Amount Status

Polk County Auditor Relation :NIA $9 .00
03/08/2002
120 2nd Avenue, Des Moines, IA 50309 Amended
check # 544

Prairie Meadows Relation :NIA $35.00

03/25/2002
PO Box 1000 1 Prairie Meadows Drive, Altoona, IA 50009 check # 2017
Amended

Secretary of State Relation :NIA $52 .65

04/22/2002 Amended
Lucas Building, Des Moines, IA 50319 check # 545

Ivy Photo Relarion :NIA $51 .41

05/11/2002 Original
3704 Ingersoll, Des Moines, IA 50312 check # 546

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DR-2 - Loans Received List - Schedule F1 of Committee #1103 Page 1 of 1

Date Lender Amount Status

Nelson, Brett H 700 NW 43rd Avenue, Des Moines, IA 50313
04/21/2002 0 .00 Amende~
Relation : NIA

Nelson, Brett H 700 NW 43rd Avenue, Saylor Twp, IA 50313-

04/21/2002 200 .00 Amende~
(P) :(515)-243-7736(5) :(515)-243-7736 Relation : None

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