This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.
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FOR INSTRUCTIONS, SEE BACK OF FORM
COMMITTEE NAME (Must be same as on Statement of Organization) Plumbers and Pipe Fitters Local 125 Political Education Fund IMPORTANT : Indicate type of committee you are reporting for : ( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate ( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee ( 8 )Support Slate of Candidates , CANDIDATE COMMITTEE .` :'-rPolitical Party Office Sought District (if Senate or House)
DISCLOSURE SUMMARY PAGE
FORM
(Rev . 03/2003)
DR-2
I
DISCLOSURE REPORT
For Office Use Only Comm . # Logged In Scanned Computer ---------------------Audited ---------------------
SIGNATURE OF TREASURER (or person filing this report)
TELEPHONE
/0-/'3-0
DATE SIGNED
Late filed reports are subject to possible civil and criminal penalties . SEE INSTRUCTIONS O N BACK AND COMPLETE THE FOLLOWING SENTENCE:
I AM FILING A October 19, 2004 (report date) Indicate one REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR . Local Committees, enter Date of Election County & Local Committees, enter County in which Election is held
- CHECK IF AMENDMENT TO REPORT DATED ,J Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . (You must continue to file reports until a Notice of Dissolution is filed .)
1 1-1
STATEMENT OF CASH ON HAND
CASH ON HAND at the beginning of the reporting period . (This is 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 first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Schedule H applies to Candidates' Committees Only) SUB-TOTAL . . . . . $ SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CASH ON HAND at the end of this reporting period (if final report, balance must be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ **UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ *IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ "OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
3,672 .26 21,499 9-5 17,823 .09 __14,065-87____________7,429 .48 ----------------------------------------------------------------------------
--------------------------------------------------------------------------YES NO
--------------------------
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
Plumbers and Pipe Fitters Local 125 Political Education Fund
CHECK THIS BOX IF AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
Cr :t~ Lnginccrs Po . B .401 8ft3 sha-~~d NL Crd;u' R;q I,, IA 12406
Contractor
$
7 .69
153 .5hrs x
Contractor
05
78 .66 ~rs x .O5 7 .40 t%L' . Y1rS
Pipe Pro, Inc . 2635140th Street NC Swisher, IA 52338 B .A . Griffin, Inc. 75 N. Westminster St Iowa City, IA 52245 Hall's Plumbing & Heating, Inc. 1777 303rd Ave Ft . Madison, IA 52627 Seithcr & Cherry Co . 2537 Henkel Avenue Keokuk, IA 52632-2203
Ockenrels Mechanical Contractors 452 Brady start [10Box489 1 fills, IA 5-235
3~k,hrs x .01
Contractor
148hrs x .0
Contractor
12 .00
Contractor
145hrs x .0 128hrs x .0% 110hrs x . 0
19 .88
215hrs
.05
Contractor
29 .04
392 . 25h s x .06
Day Mechanical Systems, Inc. PO Box 8207 cedar Rapids, IA 52408-8207 Superior Piping Services, Inc 3104 Flint Hills Drive Burlington, IA 52601 Ace Refrigeration 6440 6th Street SW Cedar Rapids, IA 52404
Larcw Con,pnny . Inc 1611 Willuwvrcek Drive hD Bo, 2980 l°"°`."y .lA'2244
Contractor
673hrs x .0 998hrs x .05 /32 .bhrs x ue 108hrs x .0
5 .40
100 .58
Contractor
Contractor
1, 478hrs x 05 600 . 5 rs x .0
23 .76
109 .93
07/3.6/04
CK#
Contractor
SUB-TOTAL
226 .5hrs x 05
207hr x .06
TOTAL (if last page of this schedule)
` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
1 of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
Reset
SCHEDULE Form
(Rev . 06/97)
A
I
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE* (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
ID#
07/16/04
Frank Millard & Co ., Inc. PO Box 278 Burlington, IA 52601
CK# ID#
Contractor 60hrs x .01 Contractor Contractor 152hrs x .051 Contractor 145 . 5hrs x Contractor 2,106hrs x Contractor 2 213 Contractor 212hrs x .01 L,L4/ .OI1rs
$62 .12 62 .5hrs x .05 148h s x .06 9.06 7 .60
07/19/04 07/19/04
CK# ID# CK# ID#
t hen's 106 2nd Avenue SW Cedar Rapids, IA 52404 Pevco Systems International Inc. 10001 Franklin Square Drive Baltimore, Maryland 21236 Premiere Plumbing & Heating, Inc. 2119 Haven Ct SW Cedar Rapids, IA 52404 AAA Mechanical Contractors, Inc. PO Box 805 Iowa City , IA 52244-0805 B.G . Brecke, Inc 4140 F Ave NW Cedar Rapids, IA 52405 B.G . Brecke, Inc. 4140 F Ave NW
07/19/04 07/19/04
CK# ID# CK# ID#
7 .27 05 207 .06 05 1, 696 rs x .0
D
07/19/04
CK# ID#
145 .60
07/19/04 07/20/04
CK# ID# CK# ID#
Cedar Rapids, IA 52405 Langan Plumbing Inc. 1401 Mt . Vernon Rd SE Cedar Rapids, IA 52403 MIMIC Mechanical Contractors, Inc. 2998 Washington Street Dubuque, IA 52001
k.ti,1B._ s, C,,. 2865 sto-r C~~1
PC) nor 680
267 .50 , 610 . 5hr
Ub
x .05
07/20/04 07/20/04
CK# I D# CK#
13 .89 Contractor 112 . 5hrs x .01 122 . 5hr 110 .5hrs x .06 10.02 Contractor 87hrs x .0 183hrs Contractor 212hrs x .01
SUB-TOTAL TOTAL (if last page of this schedule)
x .05
.05 .,,
72.48
North Llbany,
IA 52317-0680
lbx .06
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
of _ (for Schedule A)
2
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization) Plumbers and Pipe Fitters Local 125 Political Education Fund
III
CHECK THIS BOX IF AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE* (if applicable) AMOUNT RECEIVED q IF FOR FUNDRAISER INCOME
I D#
07/20/04
CK# ID#
Ladco 1243 Rockford Rd SW Cedar Rapids, IA 52404 V & M Plumbing, Inc. 1040 East Post Road Marion, IA 52302 McCann Mechanical, Inc. 820 Osborn Street Burlington, IA 52601 Midwest Plumbing & Heating, Inc. 1145 Industrial Avenue Hiawatha, IA 52233 Vlasek Plumbing & Heating, Inc. P.O . Box 17 Ely, IA 52227 Modern Piping, Inc. PO Box 128 Cedar Rapids, fA 52406-0128 Bowker Mechanical Contractors LLC PO BOx 1273 Cedar Rapids, IA 52406-1273 A'Hearn Plumbing & Heating, Inc . 255 Robins Road Hiawatha, IA 52233 A'Hearn Plumbing & Heating, Inc. 255 Robins Road Hiawatha, IA 52233 Jeffrey Diveley 3921 Hannen Rd Center Point, IA 52213
Contractor
106 . 75hrs x .05 635 .5hrs x 05 395hrs x .05 159hrs x .0 y7nrs x .06 142hrs x .0
$ 5 .31
07/20/04
CK# ID#
Contractor
31 .78
07/20/04
CK# ID#
Contractor
19 .75
07/20/04
CK#
ID#
Contractor
20 .36
256 . 5hr x .05 572 .5hr x .05
07/20/04
CK# I D#
Contractor
30 .06
07/21/04
CK# ID#
07/21/04
32hrs x .01 2, 529hrs x .05 1,637hrs x . 6
Contractor
Contractor
225 .01
CK# ID#
136hrs x .0 2,107rirs x .
Contractor
""
4, 705hr x .05
191 .79
362.92
07/21/04
CK# ID#
145 . 5hrs x .01 2 , 619h s x .05 NNhrs x .(#6
Contractor
07/21/04
CK# ID#
07/23/04
153 .5hrs x Ol 2 , 791 rs x .0 .06 1,052 .5hrs
20 .00
204.24
CK#
SUB-TOTAL TOTAL (if last page of this schedule)
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
3 of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
Imo! CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local
125
Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE* (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
Chris Goodrow 4054 Quail Ridge Rd Center Point, IA 52213 R.W . Cardella, Inc. PO Box 668 Keokuk, IA 52632 Pasker LLC 1015 New Street Manchester, IA 52057 Fru Con Construction 2200 Lower Muscatine Rd Iowa City, IA 52240 Local 125 1839 16th Avenue SW Cedar Rapids, IA 52404 Hanna Plumbing & Heating, Inc. 336 Brentwood Dr NE Cedar Rapids, IA 52402
Climaca Engineers P0 Box 401 883 sh-, Road NE Cedar Rapids, IA 52406-11401
$ 40 .00
Contractor 162hrs x .0 Contractor 74hrs x .05 Contractor 6h Contractor Contractor 200hrs x .05 Contractor 151hrs x .05
10 .14
142hrs
.06
3 .70
33'85
65 .52
5hrs Ix .06
200hrs x .06
7 .55
22 .00
Seithcr & Cherry Ca 2537 Henkel Avenue Keokuk, IA 52632-2203 Pipe Pro, Inc. 2635140th Street NE Swisher, IA 52338 Hall's Plumbing & Heating, Inc 1777 303rd Avenue Ft . Madison, IA 52627
23 .84 Contractor 309 . 5hrs x .0 1 393 . 5hr x .05 . 17 .5hrs x . 6 93 .82 Contractor 320 . 5hrs x 01 396 . 5 rs x .0 D 1 , 179 - 5hrs x .06 12 .03 Contractor 240 .5hrs x 05 SUB-TOTAL TOTAL (if last page of this schedule)
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
4 of 12 (for Schedule A)
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
A
(Rev . 06/97)
LIB
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local
125
Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED J IF FOR FUNDRAISER INCOME
ID# 08/13/04
CK# ID#
B.A . Griffin, Inc . 75 N . Westminster St lowa City, IA 52245 B.G . Brecke, Inc 4140 F Ave NW Cedar Rapids, IA 52405 B.G . Brecke, Inc. 4140 F Ave NW Cedar Rapids, IA 52405 Ace Refrigeration 6440 6th Street SW Cedar Rapids, IA 52405 Prank Millard & Co ., Inc. PO Box 278 Burlington, IA 52601
RM Beggs Co . Zsb5 stoner Curt Po Box 680 North Liberty. lA 32317-0680
Contractor 189hrs x Contractor 129hrs x .0
5
$ 9 .45
08/16/04
CK# ID#
184 .20
2 ,092hr
x .05 x .06
08/16/04
CK# ID#
1 305hrs x .06 100 .78 Contractor 1 , 618hrs x 05 331hr Contractor 1 i 628 . hrs, Contractor 544 .5hrs x .05 01
131 .02
08/16/04
CK# ID#
826 5hrs x
08/16/04
CK# I D#
73 .76
1 ,366 rs x .0
08/16/04
CK# ID#
08/16/04
CK# ID#
Superior Piping Services, Inc. 3 104 Flint Hills Drive Burlington, IA 52601 Ilten's 106 2nd Avenue SW Cedar Rapids, IA 52404
Ockenfels Mechanical Contractors 452 Brady street PO Box 489 Hills, 1A 52235
95 .40 Contractor 346 . 5hrs x .01 971 . 5h s x .05 l22 .onrs x .1)() 6 .43 Contractor 128 .5hrs x . 5
08/16/04
CK# I D#
Contractor 199hrs x .0 Contractor 232hrs x .05
9 .95
08/16/04
CK# ID#
425hrs
37 .10
.066
08/16/04
CK#
McCann Mechanical, Inc. 820 Osborn Street Burlington, IA 52601
18 .44 Contractor 368 .5hrs x .05 SUB-TOTAL TOTAL (if last page of this schedule)
` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
5 of 12 (for Schedule A)
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds) COMMITTEE NAME (Must be same as on Statement of Organization) Plumbers and Pipe Fitters Local
SCHEDULE
(Rev . 06197)
A
MONETARY RECEIPTS
I N ~ CHECK THIS BOX IF
AMENDING FORM
125 Political
Education Committee
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
ID#
08/16/04
CK# ID#
Day Mechanical Systems, Inc PO Box 8207 Cedar Rapids, IA 52408-8207 Langan Plumbing, Inc. 1401 Mt Vernon Rd SE Cedar Rapids, IA 52403 J .A .T .C . 205 50th Avenue SW Cedar Rapids, IA 52404
Contractor
08/16/04
597hrs x .0 760 . 5hr x .05 579 .5hrs x 06
Contractor
$78 .77
CK# ID#
116 . 5hrs x 01
isuti s
X . V
17 .97
120hr x .05 .06
08/16/04
CK# I D#
Contractor
400hrs x .0
Contractor
69 .50
825hrs
08/16/04
John,- C,,,truls
shz-d 507 E -Michigan
CK# ID#
s-,i~~ an«r, A-5a
sheet
Milw ;mkcc, W1 53202
352hrs x .0
21 .12
08/18/04
CK# ID#
V & M Plumbing, Inc. 1625 7th Avenue Suite C Marion, IA 52302 Larew Company, Inc. 1611 Willowcreek Drive Iowa City, 1A 52244 Ladco 1243 Rockford Rd SW Cedar Rapids, IA 52404 Vlasek Plumbing & Heating, Inc. PO Box 17 Ely, IA 52227 Modern Piping, Inc PO Box 128 Cedar Rapids, IA 52406-0128 Bowker Mechanical Contractors LLC PO Box 1273 Cedar Rapids, IA 52406-1273
Contractor
615 . 5hrs x 05 305 .5hrs x 05
30 .78
08/18/04
CK# ID#
Contractor
38 .06
379 .5 rs x .0
08/18/04
CK# ID#
Contractor
174 . 5hrs x 05 192hrs x .0
8.72
08/18/04
CK# ID#
Contractor
42 .54
812hrs
.05 .05 5 . 6
08/18/04
CK# ID#
08/18/04
144hrs x .01 2,058hrs 981 .5hrs x . 6
Contractor
Contractor
163 .25
CK#
176 .5hrs x .01 6 r 193 . hrs x
484.41
SUB-TOTAL
TOTAL (if last page of this schedule) ` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
6 of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
ID#
08/18/04
CK# ID#
A'Hearn Plumbing & Heating 255 Robins Road Hiawatha, IA 52233 Midwest Plumbing & Heating Co ., Inc 1145 Industrial Avenue Hiawatha, IA 52233 MMC Mechanical Contractors 2998 Washington Street Dubuque, IA 52001 Pevo Systems International, Inc. 10001 Franklin Square Drive Baltimore, Maryland 21236 R.W . Cardella, Inc. P.O . Box 668 Keokuk, IA 52632 Packer LLC 1015 New Street Manchester, IA 52057 AAA Mechanical Contractors, Inc. PO Box 805 Iowa City, IA 52244-0805 ROI 950 Ensell Rd Lake Zurich, IL 60047-1557 Local 125 1839 16th Avenue SW Cedar Rapids, IA 52404 Fru Con 2200 Lower Muscatine Road Iowa City, IA 52240
08/19/04 08/19/04 08/19/04 08/19/04
CK# ID# CK# ID# CK# ID# CK# ID#
$ 238 .59 Contractor 189hrs x .0 3 , 066 . 5h s x .05 .Un 1,j89 .onrs 12.82 Contractor 72hrs x .01 213 .25hr x .05 24hrs x .06 7.70 Contractor 154hrs x
.05
Contractor 152hrs x .05 Contractor 162hrs x .01 Contractor 98hrs x .05
7 .60 11 .28 161hrs x .06 4.90
08/19/04
CK# ID#
08/24/04 08/24/04
CK# ID# CK# I D#
131 .04 Contractor 1,114hrs x .05 1, 506 . hrs x Contractor 36hrs x .05 1 .80
D6
08/30/04 08/30/04
CK# ID# CK#
81 .90 Contractor 1 , 365hrs x . 6 82.98 Contractor 210hrs x .01 234 . 75hrs x .05 SUB-TOTAL 68 .25hrs x .06
TOTAL (if last page of this schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
7 of 12 (for Schedule A)
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
I/
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
Plumbers and Pipe Fitters Local
CHECK THIS BOX IF AMENDING FORM
125 Political Education Fund
IDENTIFICATION STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED q IF FOR FUNDRAISER INCOME
ID#
08/30/04
CK#
ID#
Langan Plumbing 1401 Mt . Vernon Rd SE Cedar Rapids, IA 52403 Local 125 J.A .T.C . 205 50th Avenue SW Cedar Rapids, IA 52404 Hall's Plumbing & Heating, Inc. 1777 303rd Avenue Ft . Madison, IA 52627 Seither & Cherry Co. 2537 Henkel Avenue Keokuk, IA 52632
Climate Engineers PO n°x401 893Shaver Road NE Cedar Rapids,IA 52406
Contractor
$ 4.25
09/07/04
26 .5hrs x .0
Contractor
CK# ID#
320hrs x .05 620hrs x .06
Contractor
53 .20
09/10/04
CK# I D#
11 .70
09/10/04
CK# ID#
162hrs x .01 348hrs x .05 32hrs x .un 144
Contractor
Contractor
20 .95
09/13/04
CK# ID#
7.23
09/13/04
CK# ID#
Pipe Pro, Inc. 2635 140th Street NW Swisher, IA 52338 Pasker LLC 1015 New Street Manchester, IA 52057 B.A . Griffin, Inc. 75 N Westminster St Iowa City, IA 52245 Hanna Plumbing & Heating, Inc. 336 Brentwood DriveNE Cedar Rapids, IA 52402 R.W . Cardella, Inc. PO Box 668 Keokuk, IA 52632
379 . 5hrs x .0 680hrs 1,913 .5hrs x .06
Contractor
Contractor
152.62
.05
09/14/04
CK# ID#
1 .03
09/14/04
CK# ID#
Contractor
5.85
09/14/04
CK# I D#
160hrs x .05 273 . 5hrs x .06
Contractor SUB-TOTAL TOTAL (if last page of this schedule)
Contractor
24 .41
09/14/04
CK#
10 .08 $ 291 .32
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
8 of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
(Rev . 06/97)
A
I
MONETARY RECEIPTS
COMMITTEE NAME (Must be same as on Statement of Organization)
Plumbers and Pipe Fitters Local
CHECK THIS BOX IF AMENDING FORM
125
Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE"` (if applicable) AMOUNT RECEIVED IF FOR FUNDRAISER INCOME
ID# 09/14/04
CK# ID#
Ockenfels Mechanical Contractors Street 452 Braay PO Box489 Hill,, IA 522,5
391hrs x .05 1 113 . 5h s x .06
Contractor
Contractor
$
8637
09/15/04
CK# I D#
B.G . Brecke,Inc 4140 F Ave NW Cedar Rapids, IA 52405
R.M. BoggsCo ., Inc . 2865StonerCourt PO Box680 North Liberty, IA 52317-0680
715 . 5hrs x 05
59 .72
399hr x .06
09/15/04
CK# ID#
09/16/04
CK# ID#
B .G . Brecke, Inc. 4140 F Ave NW Cedar Rapids, IA 52405 Modem Piping, Inc. PO Box 128 Cedar Rapids, IA 52406-0128 Day Mechanical Systems, Inc PO Box 8207 Cedar Rapids, 52408-8207
199hrs x . 01 00 . 5hrs x .05 i5i .5hrs x .06
Contractor
Contractor
82 .47
204.71
09/16/04
CK# ID#
09/16/04
86hrs x .01 2 709 . 5hr x .05 1,176 .5hrs x .06 503 . 5hrs x .01 661hrs x .05 553hrs x .06 59 .08
Contractor Contractor Contractor
Contractor
206.95
CK# ID#
to
71 .28
09/16/04
Frank Millard & Co ., Inc. PO Box 278 Burlington, IA 52601
CK# ID#
446hrs x .01 1 092 . 5h s x .0 1, 094hrs x .)5 360 . 5h s x . 0 1, 307 . 25hrs 153hrs x .05
SUB-TOTAL TOTAL (iflast page of this schedule)
Contractor Contractor
09/16/04
CK# I D#
AAA Mechanical Contractors, Inc PO Box 805 Iowa City, IA 52244-0805 Ace Refrigeration 6440 6th Street SW Cedar Rapids, IA 52404 MIMIC Mechanical Contractors, Inc 2998 Washington Street Dubuque, IA 52001
76 .21
09/16/04
CK# ID#
.05 611 . 5hrs x
7.65
102.05
09/16/04
CK#
$ 4156 .49
9
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN (Including candidate's personal funds) COMMITTEE NAME (Must be same as on Statement of Organization)
Reset Fonn
SCHEDULE (Rev . 06/97)
A
MONETARY RECEIPTS
Q
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Fund
PAC IDENTIFICATION STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD. or CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any person other than statutory political committees .
DATE RECEIVED (MM/DD/YR)
PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER ID# CK# I D#
NAME AND ADDRESS OF CONTRIBUTOR
RELATIONSHIP TO CANDIDATE' (if applicable)
AMOUNT RECEIVED
q IF FOR FUNDRAISER INCOME
09/16/04
V & M Plumbing 1625 7th Ave Suite C Marion, IA 52302 Laden 1243 Rockford Rd SW Cedar Rapids, IA 52404
Vlasek Plumbing & Ileating PO Be . 17 Ely, IA 52227
Contractor 44 . Contractor 142 .25 x .05 Contractor 164hrs x .01 Contractor 399hrs x .0 Contractor 157hrs x .0 Contractor 130hrs x .01 88hrs x .06 Contractor
$ 27 .25
09/16/04 09/16/04 09/16/04 09/16/04
CK# I D# CK# I D# CK# ID# CK# I D#
7 .12 31 .93 605 . 5hrs x .05 19 .95 7.85
McCann Mechanical, Inc. 820 Osborn Street Burlington, IA 52601 Superior Piping Services, Inc 3104 Flint Hills Drive Burlington, IA 52601 Midwest Plumbing & Heating Co., Inc. 1145 Industrial Avenue Hiawatha, IA 52233 A'Hearn Plumbing & Heating 255 Robins Road Hiawatha, IA 52233
Johnson Controls, Inc . Shared Service Center, A-54 507 E. Michigan Street Milwaukee, WI53202
Bowker Mechanical Contractors LLC PO Box 1273 Cedar Rapids, IA 52406-1273 Return On Investment Systems Inc 950 Ensell Rd Lake Zurich, IL 60047-1557
x .05
$ 749 .95
TOTAL (if last page of this schedule) Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
1~ of 12 (for Schedule A)
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
SCHEDULE
Reset Fonn (Rev . 06/97) '/
A
MONETARY RECEIPTS
COMMITTEE NAME
(Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local
125 Political Education Fund
IDENTIFICATION STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC AND CAMPAIGN NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS DISCLOSURE BOARD .
for soliciting contributions or CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for any commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE" (if applicable) AMOUNT RECEIVED
4
IF FOR FUNDRAISER INCOME
ID# 09/17/04
CK# ID#
11ten's 1062nfAvenue SW Cedar Rapids, IA 52404 DMC Plumbing & Heating, Inc. PO Box 1085 Pine Island, MN 55963 Local 125 1839 l6th Avenue SW Cedar Rapids, IA 52404 Fru Con Construction 2200 Lower Muscatine Rd Iowa City, IA 52240 1.A .T .C . 205 50th Avenue SW Cedar Rapids, IA 52404 Return on Invesment Systems, Inc. 950 Ensell Rd Lake Zurich, IL 60047 Pasker 1015 New Street Manchester, IA 52057
Larew Company, Inc . 1611 Willnwereek PO una 2990 Iowa City, IA 52244
Contractor
$7 .75
09/23/04
CK# I D#
36 . 5hrs x . 5 7 1 .092hrs x .06 156 . 25hrs x .01 498 .5. .rs 06
Contractor Contractor Contractor
Contractor
6.52
.0(1 -
09/27/04
CK# ID#
65 .52
09/29/04
CK# ID#
39 .48
160hr x .05
10/04/04
CK# ID#
55 .60 6 .,hL ., 8.00
A VV 86
326hxo x .
10/04/04
CK# I D#
160hrs x .05
Contractor
Contractor
10/05/04
CK# ID#
8 . 5hrs x .
0.43
1 0/7/04
CK# ID#
on"`
258 . 75hrs x .05 295h
Contractor
Contractor
30 .65
x .06
10/11/04
CK# ID#
Climate Engineers ho uex 401 993 Shaver Rd NE Cedar Rapids, IA 52402
158hrs x .
7 .91
10/11/04
CK#
Seither & Cherry 2537 Henkel Avenue Keokuk, IA 52632-2203
Contractor
165 . 5hrs x .01 456h AC' .14-9 .02
$ 253
31 .16
x .05
TOTAL ' Disclosure
(if last page of this schedule)
law requires candidate committees to disclose the relationship of any relative making a contribution to the committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
11of (for Schedule A)
12
For Instructions, See Back of Form CONTRIBUTIONS -- MONEY TAKEN IN (Including candidate's personal funds) COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE A (Rev. 06/97) I/ MONETARY RECEIPTS
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipefitters Local 125 Political Education Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC 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 commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER ID# CK# ID# 10/12/04 CK# ID# 10/12/04 CK# I D# 10/12/04 CK# I D# 10/12/04 CK# ID# 10/12/04 CK# ID# 10/13/04 CK# ID# CK# I D# CK# ID# CK# SUB-TOTAL TOTAL (if last page of this schedule) Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column . of 12 12 (for Schedule A) NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED 4 IF FOR FUNDRAISER INCOME
10/12/04
Michael Kelly 1805 O Avenue NW Cedar Rapids, IA 52405 Jeff Whitaker 1405 Staub Court NE Cedar Rapids, IA 52402 Nathan Krejci 2915 Oakland Rd NE Cedar Rapids, IA 52402
$20 .00
18 .00
20 .00
Unitemized Contribtuion
Johnson Cuntrols Shared Servioe Center, A-54 507 E. Michigan Street Milwaukee, WI 53202
115 .00
Contractor
ig h ..s N
(`~1~ - ~a8~~
11 .76
. ., 137 .79
Pipe Pro, Inc. 2635 140th Street NW Swisher, IA 52338 Vlasek Plumbing & Heating, Inc PO sox 17 Ely, IA 52227
[lrs x . 1
706 . 5
s"'X--
~
0
Contractor
33 .28
56hrs x .06
Page
FOR INSTRUCTIONS, SEE BACK OF FORM
Reset Form
SCHEDULE (Rev . 09/97)
EXPENDITURES
--
MONEY SPENT FROM COMMITTEE ACCOUNT
B
MONETARY EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE 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 ETHICS & CAMPAIGN DISCLOSURE BOARD . COMMITTEE NAME (Must be same as on Statement of Organization)
0
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Committee
DATE EXPENDED (MM/DD/YR) CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER I D# CK# ID# CK# 1098 ID# CK# 1099 ID# CK# 110 I D# CK# ID# NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE PURPOSE (DESCRIBE TRANSACTION) AMOUNT EXPENDED
07/13/04
wells Fargo Bank, IA 3010 Williams Blvd SW Cedar Rapids, IA 52404 UA Political Education Committee PO sox 37800 Washington, D.C . 20013-4307
Service Charge-Bank Statement Late
$ 2.10
07/21/04
Forwarding of $0 .01 contribution from membership Political Contribution
193 .94
08/05/04
Sullivan for School Board
500.00
08/10/04
Joint Truman Fund 1408 Locust Street Des Moines, IA 50309 Wells Fargo Bank, IA 3010 Williams Blvd SW Cedar Rapids, IA 52404
Iowa Package
1,000 .00
08/11/04
Service Charge
2 .10
08/16/04
315
CK# 1101 ID# CK# 1 102 ID# CK# 1103
Wise Voters 503 Grande Avenue Keokuk, IA 52632 UA Political Education Committee PO Box 37800 Washington, DC 20013-4307
Ticketmaster US Cellular Center 301 IstAvenueNE Cedar Rapids, IA 52402
Political Contribution
1 000. 00
08/24/04
Forwarding of $0 .01 contribution from membership August 27,2004 Political Event
183 .27
08/25/4
1,00 .00
SUB-TOTAL TOTAL (if last page of this schedule) THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :
$3,881 .41
$
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 56 .6(3)(1) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
Reset Fonnn
SCHEDULE
(Rev . 09/97) [3
EXPENDITURES
--
MONEY SPENT FROM COMMITTEE ACCOUNT
B
EXPENDITURES
MONETARY
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE 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 ETHICS & CAMPAIGN DISCLOSURE BOARD. COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Fund
DATE EXPENDED (MM/DD/YR) CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER ID# NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE PURPOSE (DESCRIBE TRANSACTION) AMOUNT EXPENDED
09/13/04
CK# ID# CK# 1104 ID# CK# 1105
Wells Fargo Bank, IA 3010 Williams Blvd SW Cedar Rapids, [A 52404 UA Political Education Committee PO Box 37800 Washington, DC 20013-4307
Treaaitter-Slate en ewa salesruse Tax Processing Iowa Dept. of Revenue P.o.Box10412 Des Moines, IA 5030fi41412
Service Charge
$ 2 .10
09/21/04
Forwarding of $0 .01 contribution from membership Sales/Use Tax 3rd Quarter
186.58
10/13/04
3.00
10/13/04
11D# 290
CK# 1106 ID#
Committee to Elect Robert E. Dvorsky 412 6th Street Coralville, IA 52241 Citizens for Rob Hogg 2750 Otis Rd SE Cedar Rapids, [A 52403 Friends of Jim Lykam 2906 W 35th Street Davenport, IA 52806 Friends for McMahon 729 East Main Manchester, IA 52057 Committee to Elect John Whitaker 32500 145th Street Hillsboro, [A 52630
Political Contribution
1,000 .00
10/13/04
1347
Political Contribution
CK# 1 107 ID#
500 .00
10/13/04
1397
Political Contribution
CK# 1108 ID#
500.00
10/13/04
1551
Political Contribution
CK# 1109 ID# 1434 CK# 1 1 l0
500.00
10/13/04
Political Contribution
1,500.00
SUB-TOTAL $ $ 4,191 .68
TOTAL (if last page of this schedule) 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 56 .6(3)(1) .) Page 2 of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
ResetForm
SCHEDULE (Rev . 09/97)
EXPENDITURES
--
MONEY SPENT FROM COMMITTEE ACCOUNT
B
MONETARY EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE 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 ETHICS & CAMPAIGN DISCLOSURE BOARD . COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
Plumbers and Pipe Fitters Local 125 Political Education Fund
DATE EXPENDED (MM/DD/YR) CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE PURPOSE (DESCRIBE TRANSACTION) AMOUNT EXPENDED
10/13/04
ID#
1535
CK# 1111
Citizens for zirkelbach 637 West First Street Monticello, IA 52310 Roger Grobstich for State Representative 2350 Wolf Creek Trail Hiawatha, IA 52233 Committee to Elect George Morgan 108 Concert Street Keokuk, IA 52632
Political Contribution
$
1,000 .00
10/13/04
ID#
1572
Political Contribution
CK# 1112
2,000.00
10/13/04
ID# 17619
CK# 1113
ID# 17261
Political Contribution
500.00
10/13/04
Lu Baron for Supervisor 2000 Linden Dr SE Cedar Rapids, IA 52403
CK# 1114
ID#
Political Contribution
1,250.00
10/13/04
CK# 1115
ID#
17265
Houser for Supervisor Committee 505 Rock Valley Dr SW Cedar Rapids, lA 52404 Miller for Supervisor 4213 W Shaulis Rd Cedar Falls, IA 50613 Schellhorn for Supervisor Po Box 174 Gilbertville, IA 50634 Taylor for Representative 1416 A Avenue NW Cedar Rapids, IA 52405
Political Contribution
1,000.00
10/13/04
CK# 1116
ID#
17557
Political Contribution
1,000.00
10/13/07
CK#
ID#
17576
1117
Political Contribution
1,000 .00
10/13/04
957
CK# 1118
Political Contribution
2,000.00
SUB-TOTAL
$ 9,750.00 $ 17,823,09
TOTAL (if last page of this schedule) 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 56 .6(3)(i) .) Page