Вы находитесь на странице: 1из 3
FOR INSTRUCTIONS, SEE BACK OF FORM Fras DR-2_ | ossciosure DISCLOSURE SUMMARY PAGE (Pov 0186) |___REPORT EB py For Office Use Only COMMITTEE NAME (ost be same as on Sialomont of Organization) comm. Ate a ned Sid Calhoun County Republican Women —_______ |e eT: ctype comin one rig compte (1 )otaenicen eisotve Candidato (2 )Sttewie PAC (3 )Stale Party (4 YCountyLocs Candidate (3 Jcourty PAC (6 YBa lsuelFrancise Common (7 YOauntyGty Cental Comeitae 5 i te aT 1115] 02. ing this report ‘TELEPHONE DATE’ Routine Penalties Due For Late Filed Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK IE FOLLC cr TAM FILING A. 7-19-2002 REPORT FOR ANIA (1) ELECTION /@)NON-ELECTION YEAR. (report date) Indicate one CDOCHECK IF AMENDMENT TO REPORT DATED Toca Gammitioes, enter Date of Elecion check this etal (rmination) report and attach Notice of Diesouton Form DR-2, [CRUE Lael nes, ete Cain (You must continue to file reports until @ Notice of Dissolution Is filed.) ‘STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This isthe 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, ‘oF must be zero if this i first report fled. $ __573.30 ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) 520.10 ‘Schedule F: Loans Received total (Attach Schedule F).e.. ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H tees Ont sup-roTaL....§ 1,093.40 ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule B... ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the end of this reporting period (final report, balance must bbe 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?) Yes __Nno VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule #) s For Instructions, See Back of Form [SCHEDULE MONETARY CONTRIBUTIONS — MONEY TAKEN IN re en ‘RECEIPTS (otuding canis’ perzona us) (CHECK THIS BOX IF Sea o [COMMITTEE NAME (hus! bo same as on Siatement of Organization) ‘AMENDING FORM Calhoun County Republican Women - STATE CANDIDATES NOTE: i A CONTRIBUTION |S RECENED FROM A STATE PAC POLITICAL ACTON COMMITEE), IST THE PAG IDENTIFICATION [NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. ALIST OF 19 NUMEERS Ig AVALABLE FROM THE IOWAETHICS AND CAMPAIGN DISCLOSURE BOARD, CAUTION: Section 688.324(6), lowe Code, prohibit the use of information copie from reports and statements for soicting contributions or for any commercial purpose by any person other than slatutary poltical committees. DATE PACT NUMBER, "NAME AND ADDRESS OF CONTREUTOR RELATIONSHIP] —AOUNT RECEIVED (Fappkcabe) TO CANDIDATE | RECEIVED qwm/ooyR) | AND PAC CHECK (applicable) ‘NUMBER BF 05/17/02] cng TFFOR dues for seven (7) members $70.00 TOF 05/17/02 Mother's Day bake sale $339.10 cKe ‘De dues for three (3) members; 07/15/02 | cxe six (6) bake sale donations 21 donations for program $111.00] DF at Knight's Delight in Pometoy cK SUBTOTAL | 599.10 TOTAL (i last page of this schedule) + Disclosure tw requires carsdatecommitloes to dscoee the relatonship of any relative making 2 contribution tthe ‘commie. Relationship must be shown tothe rd degree of cersangunty (00% elatve) ard tty (relates Oy 1 1 ‘martage) (See Page 2of for pacaat. If surname of contort Same as candidate, bu there no Pape of {arnt rationship, enter “not appicaba”n the relationship coke, Ter Shesuie ay FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE B MONETARY EXPENDITURES — MONEY SPENT FROM COMMITTEE ACCOUNT fecicaen| | emecmee STATE PAC COMMITTEES: NOTE: FOR CONTRISUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE (1D CHECK THis BOX IF PAG CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ‘AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD. [COMMITTEE NAME (Must bo samo as on Statemont of Organization) Calhoun County Republican Women CANDIDATE TAME AND ADDRESS TO WHOM PURPOSE DATE. IDNUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED EXPENDED | (applicable) (Disbursement) WAS MADE @muDD/YR) | “AND PAC ‘CHECK NUMBER. Ino checks written sinfe last report SUBTOTAL TOTAL (if last page of this schedule) [THiS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchaser of certain campaign property costing $500 or more must siso be imenoredon Schedule H, (Refer to Schedule H instructions) ee ee ee Soran ee sty, ete, ea rg encour eyes ube tli eect eras Pope 1 of _1 (lor Sched 8)

Вам также может понравиться