Professional Documents
Culture Documents
563-Z$9y-4321 1/15/05
SIGN TURE OF PERSON FILING REPORT -. .: ; ;~ .;, l: LEtHONE DATE SIGNED
CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
0
of the last reporbng period or must be zero if this is first report filed .) . . ., . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . .. . I , 3r'7 50
Schedule 1= : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule III : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
-Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . .. . $ 1,307 .50
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule E3 : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . 1,307 .50
CASH ON HAND at the end of this reporting period (if final report balance must
0
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC fOENTiFICATION
NUMBER AND THE P4C CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercia; purpose by any person other than statutory political committees .
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__._;.r. UNITEMIZED CONTRIBUTIONS $85 .00
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SUB-TOTAL $
85 .00
IDA!
9/13/04 U S POST OFFICE 100 postcard stamps 23 .00
CKP 5347
ID#
9/21/04 MIDWEST MAILWORKS BALANCE OF POST CARD MAILING 131 .56
CKI 6108
Purchases of certain ., 3mpaign property costing 5.500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to personsrentities providing consulting . advertising, fund-raising, polling, managing, organizing services must also be detail Itemized on
Schedule G by the am aunt, purpose, and date of each type of expenddure made by the personlentity on behalf of the candidate's committee. (Refer to
Schedule G instruction s and Iowa Code 6aA402(3)0.)
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