Professional Documents
Culture Documents
02
UNTY SUPERVISOR
(563) 737-2723
I N URE OF PERSON FILING REPORT TELEPHONE
e
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR
(report date) Indicate by #
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... . . .. . . . . . . . . .. . . . . . . .. . . . ... . ... . . . . . . - $ 0
a
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 0
Oct-26-04 02 :06P Citizens Savings Bank 1 563 562 3027 P-03
Reut:Form SCHEDULE
FOR INSTRUCTIONS, SEE BACK OF FORM
B I MONETARY
EXPENDITURES -- MONEY SPENT, FROM, COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE -6R LFGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS ti CAMPAIGN DISCLOSURE BOARD
STEPHEN D . BOUSKA
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
DECORAH NEWS CO .
10/14/04 ADVERTISING
CK# PO BOX 350 $
8093 DECORAH, IA 52101 - 136 .80
ID#
THE OSSIAN BEE
[10/14/04 107 WEST MAIN STREET ADVERTISING
CK#
8094 OSSIAN, IA 52161 64 .00
ID#
CALMAR COURIER
10/15/04 PO BOX 507 ADVERTISING
CK#
8095 CALMAR, IA 52132 i
ID#
SIGN CITY
7/08/04 3249 NORTH WINN ROAD SIGNS
CK#
VISA DECORAH, IA 52101 673 .99
ID#
7/6/04 COPYLAND
224 W . WATER STREET PRINTING
CK#
CASH DECORAH, IA 52101 _ 60 .00
1D#
CK#
ID#
C K#
I D#
C K#
SUB-TOTAL $
994 .79
TOTAL (if last page of this schedule) rs
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
(for Schedule B)