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