SEEMANUAL

FON'NSTRUCT'ONS,

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DISCLOSURESUMMARYP FILED
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"-.+" FgR COUNTY CANDIDATES JANt I f993
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DATE'S NAME be sameas on
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'$nu1i" E l -e ct B a ss

(7L2) r_-4-93
DATESIGNED

GAUTION: Penaltles Due For Late Flled Reports Range From $t0 to $400

REPORTINGDATES- ELECTIONVEAR BEPORTINGDATES- NONELECTIONYEAR

Beporl Due CoYeredPerlod Beporl Due GoveredPerlod
tr lvtay20, 19- Jan. 1 - May 15, 19-
tr July 20,19- May 16 - July 15, 19- E Jan.20,19- J a n . 1- D e c . 3 1 , 1 9 -
tr Oct. 20, 19- July 16 - Oct. 15, 19-
& Jan. 20,1993- oct.16- Dec. g1,1g9L

tr Check if Amendmentto report dated 19

tr Gheck if finaf (termlnatlon) report. (Aftach Notlce of DlssolutlonForm DR{)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (Thls ls the total of all
monies held by the committee. This amount MUST be the same as the cash
on hand at the end of the last reporting period, or must bE zero if this is flrst
report filed) 320.97
ADD TOTAL MONHYTAKENIN THIS PERIOD
ScheduleA: Cash Contributionstotal (AttachScheduleA) .... 0.00
ScheduleC: FundraisingEventstotal (AttachScheduleC) ... 0.00
ScheduleF: LoansReceivedtotat (AttachScheduleF) .... 0.00
SUB.TOTAL
SUBTRACTTOTAL iIONEY SPENTTHIS PERTOD
ScheduleB: Expenditurestotal (AttachScheduleB) .... L7.9.90
ScheduleF: Loan Repaymentstotal (AttachScheduleR .... U. UU
CASH ON HAND at the end of this repodingpedo<l(if final report,balancemust be zero)
(Attach DR-3) .

UNPAIDBILLS (From ScheduleD - Attach ScheduleD) 0.00

lN KIND CONTRIBUTIONS(From Schedule E - Attach Schedule E)
OUTSTANDINGLOANS (FromScheduleF - Attach ScheduleF) 0.00
CONSULTANTBREAKDOWN(ScheduleG attached?) E Yee EI ro
EOUIPMENTPURCHASEDINVENTORY(ScheduleH)
0.00

'REIIINDER: The law places responslbllfty eolely upon lhe candldale lor lhe llmellness and accuracy ot reports tlled by
lhe committee treasurer.

1'llr-{n37lcPK-o:10520
(Rev.1992)
_,foR tNsTRucTtoNs,
sEEMANUAL

SCHEDULE
Fr I IIONETARY
- MONEYSPENT
EXPENDITURES E I experomlnes
CANDIDATE

For ofllco u.o only

CAND|DATES COMMITTEENAIIE (Must be sarneas on Statementof Organization)

Friends to Elect Bass

DATE NAMEAND ADDBESSTO WHOMEXPENDITURE AMOUNT

EXPENDED ( Dlsbursement,WAS MADE PURPOSE EXPENDED
. L - 2 5 - 9 2 Times Herald $ tg. oo
Thank You
5 0 8 N C o u rt Advertisement
Garroll, IA 51401
L - 2 5 - 9 2 Carroll Copy Center Campaign Cards 8r_.90
5 0 4 N C l a rk Vote For Bass
C a rro l -L , IA 5 1 4 0 1
. r - 2 5 - 9 2 Coon Rapids Enterprise Thank You 10.00
5U4 Mai.n Advertisement
C o o n R a p l -d s, IA 5 0 058
L - 2 5 - 9 2 Carroll Chamber of Cornmerce Associate 60.00
2 2 3 W 5 th S tre e t Membership
Carroll. IA 5140l-
. 2 - L 8 - 9 2 Glidden Graphic Thank You 10.00
rjox Jyu Advertisement
Glidden, IA 5L443

SUB-TOTAL $179.90
TOTAL (rl lasl page ol thls schedule) $179.90
Expendituresto consuliants (persons/eltitiesproviding.consultlng,advertising,fundraising,polling, managing,organizingservices,
etc.) must also be detail itemized on Schedule G^by the amo-unt,purpose,-and date oieach tiie ot e-ipEirOit"urd ma?e by thd
consultanton behallof the candidate's
committee.
Se-e
manualfor mbre-specitic
instructions.
cPF-l 2105/1rr{F0055/(Rev.
1990) Page 1 ot 1
(forSchedule
B)