You are on page 1of 1

IA ETHICS AND

File with:
lower Ethics and Campion
DiCCbsure Board 2001 JUL 13 P 4 : 13
510 E. le,
Ste. 1A
Des Moines, Iowa 50319 FOR INSTRUCTIONS. SEE BACK OF FORM
Faw. 516-261-4073 DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organizadon)
FORM
Iowa Retail Fedcratiun Political Action Committee
DR-2 DISCLOSURE
IMPORTANT : Indicate by # type of committee you are reporting for: (Rev, 12/2005) REPORT
( 1 )Stulbwlde/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC (3 )State Party
I ( 4 )County Central Committee ( 5 )County candidate (t3 )City Candidate (7 )School Board or Other for Office Use Only
Political Subdivision Candidate (6 )County PAC ( s )City PAC ( 10 )School Board or Other Political
Comet, #

Logged In _~: - ,_


Candidate Name Political Party (If applicable)
Scanned

Computer
Office Sought Dictrlot (If Senate or House)
Audited

Late reports are subject to po"lble civil and criminal penalties . Pursuant to Iowa Code section 6BB .32A(7) the candidate, for a candidate's committee,
and the chairperson, for any other type of committee, is the Individual responsible for filing timely and accurate reports.

7/r .1/0-7
DADATE SIGNED

January l - June 30, 2007


I AM FILING A REPORT FOR (1) ELECTION /(2)NOW-ELf?C710N YEAR.

(report data) Indicate by 0

Q CHECK IF AMENDMENT TO REPORT DAZED . . . I-Local Committees, enter Date of Election

© Check If this is final (termination) report and attach Notice of Dissolution Form DR-8.
County & Local committees, enter County in
(You must continue to file reports until a DR-3 is tiled .) which Election Is held

STATEMENT OF CASH ON HAND


CASM ON HAm 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 57 .67
of the last reporting period or must be zero if this is first report flied .) . .. . .. . . . . . . . . . . . . . . . . . . . .,. . ... .. .... .......... .$

ADD TOTAL MONEY TAKEN IN THS PERIOD


0 .00
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below). . . . ... . . . .... ......... . .
0 .00
Schedule F : Loans Received total (Attach ScinocI a F) . . . . . . . . . . . . . . . . .. . .. . .. . . .. . . . . . . . . . . . . . . . . . . . .. . . . .... .... ... . .. ... . ..
0 .00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. . . . . . . . . . . . . . . . . . . . . . . . . . . ....  .. . .. ... . . . . . . . ..

(Schedule H ap)jes to Candidates' Committees Only)


57 .67
SUB-TOTAL ........... ... . .. . .. . ..

SUBTRACT TOTAL MONEY SPEW TWS PERIOD


0.00
Schedule S : Expenditures total (Attach Schedule B) ("also see debts and loans below).. . . . . . .. . . . . . . . . .

Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ...... ... ... . .. .. . .. . . . . . . . .. 0.00

CASH ON HAND at the end of this reporting period (If final report balance must be zero) . . . . . . . ....... ... . ..... . .. . . . . . . . .. $ 57 .67

"UNPAID WILLS (From Schedule 0 - Attach Schedule D) .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... ... . .. . .. . .. . . . . . . . . .$ 0 .00

"IN KIND CONTRIMUTIOINS (From Seh000ie E - Attach Schedule E) . .. . .. . .... ... . . . . . . . . . . . . . . . . . . . .. . .. . .. . .. . ... . .. . . . . .. . . . . . . . . . . . .$
0 .00
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) .... ... .. . . . ., . . . . . . . . . . . . . . . .. . .. . ., . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .5 0 .00

CONSULTANT BREAKDOWN (Schedule G Attached?) ` YES fNO


CANaDATE COMMMES ONLY:

VALUE OF CAMPAIGN PROPEIltTY (From $chedulp H - Attach Schedule H) S


I= MIMMES: Submit a reconciled campaign account bank statement In January of each year.

E0/T0 3E)Vd -1IVl36 VMOI E06ZOLZGTG TO :ZT L00Z/ET/L0

You might also like