Plumbers and Steamfitters Local 33 PAC__6334__scanned

Published on March 2017 | Categories: Documents | Downloads: 33 | Comments: 0 | Views: 168
of 10
Download PDF   Embed   Report

Comments

Content

FOR INSTRUCTIONS, SEE BACK(. . r-ORM

FORM

DISCLOSURE SUMMARY PAGE

DR-2

(Rev. 07/2004)

COMMITTEE NAME (Must be same as on Statement of Organization)

fur Vie- Slean~ N~- LPuQ

UM ~-~33

Political Party (if applicable)

Office Sought

District (if Senate or House)

SIGNATURE OF PERSON FILING

Logged In Scanned

I AM FILING A

Computer Audited

Late reports are subject to possible civil and criminal penalties.

S/S -- ..2V3 - 3~ti4 TELEPHONE

EPORT

10 LCXd_ .

DISCLOSURE REPORT

For Office Use Only Comm . #

PORTANT: Indicate by # type of committee you are reporting for. ( 1 )Statewide/LegislativelJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Politi cal Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local Ballot Issue CANDIDATE COMMITTEES ONLY : Candidate Name

I

/z - 30-o

DATE SIGNED

V

REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date)

Indicate by # IT Local Committees, enter Date of Election

HECK IF AMENDMENT TO REPORT DATED E] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . (You must continue to file reports until a DR-3 is filed.)

County & Local Committees, enter County in which Election is held

STATEMENT OF CASH ON HAND

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 of the last reporting period or must be zero if this is first report filed .) . .... .. ... .. ... .. .. ... .. .. ... .. .. . $ ADD TOTAL MONEY TAKEN IN THIS PERIOD

3q- r7

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 avolles to Candidates' Committees Only) SUB-TOTAL .....$ SUBTRACT TOTAL MONEY SPENT THIS PERIOD

q2-30. S0

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 (Prom 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)

$

r Instructions, See Back of Form

SCHEDULE

A

ONTRIBUTIONS -- MONEY TAKEN IN

V

(Including candidate's personal funds)

MMITTEE NAME (Must be ame as on Statement of grganization) W _

.

: SkeG

MONETARY RECEIPTS

(Rev . 07103

-yewLbCGti( U~ ~~ x- .33

`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 (ff applicable) AND PAC CHECK NUMBER

ID# r) 100q

-/Zq "U I

CK#

CK#

Oq

oy

0~

'S I IrIWT~

"J

~w

G( l

NAk MQ

t4nl

Z)

RELATIONSHIP TO CANDIDATE' (if, applicable)

AMOUNT RECEIVED

CK#

ID# (I 30

CONTRIBUTOR~~ C0j ~NAME, AND ADDRES,-'OF .

' ~f

3 7 r

ID# CK#

N (7

r l

ID# CK# ID# CK# ID# cK#

~sl.'~ triarrica

~ A. L,,r~Lrlr,

CK# ID#

%l~d l

CK# ID#

I0 t H) ~

CK#

1

SUB-TOTAL

-374 ,

TOTAL (if last page of this schedule) ` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the oommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .

L Page

(for Schedule A)

J IF FOR FUNDRAISER INCOME

FOR INSTRUCTIONS, SEE BACK OF FORM

SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT

B I MONETARY (Rev . 07/03) ~~ENDITURES

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

,

AqC R011ILW _11XM14~_ U CO ON `4yA*3, CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED (if applicable) (Disbursement) WAS MADE (MM/DDIYR) AND PAC CHECK NUMBER

Low

ID#

qj23 jcq

cK#

33 PA C !v~o'I

AMOUNT EXPENDED

$ l c4~Sycn

ID#

Vol D

CKO

.

ID#

9' I00-I CK# ID#

q-z tq ~ `,~ rl -1 9

CK#

C

~

IN

~-2IlLf

Itgo

Q roI Y--

o ~- T_0I cy

C'

t-nOC-

a C_

-6

-

~

20000

I I CH

l~ 2

CK# ~ ( ID#

,~

vo ~ ~

q3

3 Jtit.

T-

WUVTAJCtnds ~1-111

2~O

X03 i 7

"

CZ/-

~~

OMS7K I

IN CK#

fl' aW

TAs((

SUB-TOTAL

$

TOTAL (If last page of thIs schedule)

$

.

~~

1

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 personslentities 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 personlentity on behalf of the candidate's committee . (Refer to Schedule G instructions and Iowa. Code 6t1A.402(3)(i).) Page

of

(for Schedule B)

FOR INSTRUCTIONS, SEE BACK OF FORM

EXPENDITURES

--

~ ~

t'wtM

MONEY SPENT FROM COMMITTEE ACCOUNT

SCHEDULE

B

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 (Mu t be same as on Statement of Organization)

Va

EZL~u~

DATE EXPENDED (MM/DD/YR)

I

CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER

ID# cK#

153

NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE

~,

ECK THIS BOX IF AMENDING FORM

33

PURPOSE (DESCRIBE TRANSACTION)

AMOUNT EXPENDED

-Solile~GhrIj $

ID#

FOl SVdkaw)C

[o# 523- Sauu SCIQ fbr- P.(-~ CK# ID#

CK#

1 is a

Io

ID*

1 .51

cK#

2~

ID# 1 53 CK# LZp ID# 51 ID* cK#

5C~

~tYCX`S p , G17 - . IV& S-k-,

IL49

cK# I

FA

t ucq

MONETARY EXPENDITURES

(Rev . 07/03)

30?S (0V+-, 5Akct.< <fiawnJA 570152 oan F_IjN`br S"_ 30° AA U P

UO

-5ZnO l hrW~ ~ (f < < v rya-" (b Qj~ itC 13 . N

oswoo,,K ic~ 6~~rn P W3 P ~jA 523 u-eS ,r ~Q Cll~l

Ka^ fby ~ o3 Af6JAA-rt 9 -51313 1.

SUB-TOTAL $ TOTAL (iflast page ofthis 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 personslentities 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)

` FOR INSTRUCTIONS, SEE BACK OF FORM

EXPENDITURES

--

SCHEDULE

MONEY SPENT FROM COMMITTEE ACCOUNT

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 .

/JA

CQMMITTEE NAME (Must be same _P~ as on Statement U of O anization)

v~ tS'n

DATE EXPENDED (MM/DDIYR)

fl -

CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER

CO

un(0

NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE

W CHECK THIS BOX IF AMENDING FORM

I PURPOSE (DESCRIBE TRANSACTION)

gas

CK#

AMOUNT EXPENDED

$ 2~

CK# Ir r~~ ID#

MONETARY EXPENDITURES

B

(Rev .0TA

j1'"33 CSC C{- .

ID# CK# ID# CK# ID# CK# I D# CK# ID# CK# ID# CK# SUB-TOTAL

$

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 persoNentity on behalf of the candidate's committee . (Refer to Schedule G instructions and Iowa Code 68A.402(3)(i) .)

(for Schedule B)

FOR INSTRUCTIONS, SEE BACK OF FORM

FORM

Reset Form

DISCLOSURE SUMMARY PAGE

DR-2

(Rev . 07/2004)

COMMITTEE NAME (Must be same as on Statement of Organization)

IuM.b" '. A(4

LOW 33 P~

Political Party (if applicable) t strict (if Senate or House)

Comm . #

Logged laSU Scanned

Computer Audited

Late reports are subject to possible civil and criminal penalties.

TELEPHONE I AM FILING A

10f `q'cq

DISCLOSURE REPORT

For Office UseOnly

H-6v f IMPORTANT: Indicate by # type of committee you are reporting for: ( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political Subdivision Candidate ( 8 )CPAC- ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local , CANDIDATE COMMITTEES ONLY: Candidate Name

I

DATE SIGNED

REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR . Indicate by # 1-1

(report date)

Local Committees, enter Date of Election

OCHECK IF AMENDMENT TO REPORT DATED El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. (You must continue to file reports until a DR-3 is filed.)

County & Local Committees, enter County in which Election is held

STATEMENT OF CASH ON HAND 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 of the last reporting period or must be zero if this is first report filed.) ... .. ... .. .. .. .. . .. .. .. .. ... .. .. .. $ ADD TOTAL MONEY TAKEN IN THIS PERIOD

3(rrs~; . 2

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)

2 -9 . 23v iP

For Instructions, See Back of Form

Reset Form

CONTRIBUTIONS -- MONEY TAKEN IN

SCHEDULE

(Including candidate's personal funds)

LOW4 Oil

MONETARY RECEIPTS

Ej CHECK THIS BOX IF AMENDING FORM

MMITTEE NAME (Must be same as on Statement of Qrganization) Seer,

A

(Rev . 07/03)

33

PAL,

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)

_

wq

(11

PAC ID NUMBER (if applicable) AND CHECK UMBER

ID#

_

~N,,,A_M)-E .A~ND ADDRES

Co rl.l . Vr1(

(

7J

7

"J

' `

h ~" ~.

OF CONTRIBUTOR

RELATIONSHIP TO CANDIDATE" (if applicable)

N~ A,-,e f~~ Anl ZS ~ s~

AMOUNT RECEIVED

4 IF FOR FUNDINCOME ME

o

CK#

El

ID# q

CK# ID#

(13v

~

CK#

t

3 r1

0

~p

ID#

3q7

CK#

~~oy 3o 0y

ID# CK# ID# CK# ID#

v~

CK# ID# CK#

~~dY

o- 1_oq

(narr-(Cf d4~.clr~-

~

r

)

,

~(

SgS,~,

~i 0

00

ID#

3

CK# ID# CK#

0

11 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) . If sumame of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .

Page

(for Schedule A)

FOR INSTRUCTIONS, SEE BACK OF FORM

SCHEDULE

EXPENDITURES -- MONE Y SPENT FROM COMMITTEE ACCOUNT 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.

B I (Rev . 07103)

MONETARY EXPENDITURES

D CHECK THIS BOX IF AMENDING FORM

COMMITTEE NAME (Must be same as on Statement of Organization)

DATE EXPENDED (MM/DD/YR)

l a ca4l~v~n *3314 : .~n.~~fi ~uc CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) (if applicable) (Disbursement) WAS MADE AND PAC CHECK NUMBER

ID#

Cocod 33

`-1f231dq CK#

OC4 ~(C~(

CK#

tO AT

CK#

CK# i

(Q 1

I~Z

ID# cK# ID# CK#

~~q3 IG'ul l

ID# q -,D4)Lf

c

heCJ . $ l 14S .w

0

~ ^11CS

rmY_ u(4 Q

CK#I

q Z "q

7

Vol 1J

ID#

-2o o-f

tjs~

ID#

ID#

q 2.(~LI

rjjrVI

,9AC

AMOUNT EXPENDED

CK# t

5 3~ ~q ~

C

t

0 C

ruty

2I~

fDYP~"~

OIG~ ~ In Ykj fM )~7A so-3'

2So

17

R22~ 3~t" 6r nj ,tA ;~ 5 C~3 10 111-ses

M ,_ 14-2 lv io

2SD

O'ec

~~A ~a

(

-.

. Z 50 '

wtS6'1(br oLtt P-eo~ S O(-L('1- lYe~(J' _TA

5"( 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 Sched ule G instructions and Iowa Code 68A.402(3)(i) .) Page

(for Schedule B)

Reset

FOR INSTRUCTIONS, SEE BACK OF FORM

Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT

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.

B

(Rev . 07/03)

MONETARY EXPENDITURES

CHECK THIS BOX IF AMENDING FORM

COMMITTEE NAME (Mu t be Same aS on Statement of Organization)

DATE EXPENDED (MMIDDIYR)

CANDIDATE iD NUMBER (if applicable) AND PAC CHECK NUMBER ID# 153~

NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement] WAS MADE

-

-

AMOUNT EXPENDED

PURPOSE (DESCRIBE TRANSACTION)

3ahrQ

1

ID#

I jL4 3

cK# I

FA

in

CK# ID# cK#

~s

rj

ILCA - W

1 ~'

ID#

151(o

CK#

Z00

ID*

j_jG3

CK# 12 FM _ ID# 'is

~642~ r (6 4

3

Sl 0~'1111

cK#

y_N

1~.~5

< «aui~r.

e coo ~'

s~~

W4-AC

r -f-uwa

~-

523

.~

t t-L- 3 q~A a.-e ., y~ ci li 'IU~ ,,i _PKAtS

(5b7 ~2(~

h S~-

OGnieJJ OA e3( Ob w"/M~ -50901 (b e l l V4 i' V*a-U a4co ft(I ,~ US" (OQSK 0Wt

CK#~Z ID#

C-Dr S_&""w3e... W f 6 1

~'

rnr

5,313

C

SUB-TOTAL

$

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 persordentity on behalf of the candidate's committee. (Refer to Schedule G instructions and Iowa Code 68A.402(3)(i) .)

(for Schedule B)

Reset Form

FOR INSTRUCTIONS, SEE BACK OF FORM

EXPENDITURES

--

MONEY SPENT FROM COMMITTEE ACCOUNT

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 .

SCHEDULE

B

(Rev. 07/03)

D

MONETARY EXPENDITURES

CHECK THIS BOX IF AMENDING FORM

C MMITTEE NAME (Must be same as on Statement of O anization)

DATE EXPENDED (MM/DD1YR)

CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER

Q /I'~-

l NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE

aV

PURPOSE (DESCRIBE TRANSACTION)

AMOUNT EXPENDED

v

s

CK# mq ID# CK#

(

Gl~

2Z

I~

CK# ID# CK# ID# CK# I D# CK# I D# CK# ID# CK# SUB-TOTAL

$

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 68A.402(3)(i) .)

(for Schedule B)

Sponsor Documents

Or use your account on DocShare.tips

Hide

Forgot your password?

Or register your new account on DocShare.tips

Hide

Lost your password? Please enter your email address. You will receive a link to create a new password.

Back to log-in

Close