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- DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Comm . #
0% t occ- -6 `~e - `kl.CR- AE s.1e.
IMPORTANT : Indicate by # type of committee you are reporting for. Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( 8 )County PAC (9 )City PAC ( 10 hool Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue ~(~.~ Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to possible al penalties . Pursuant to Iowa Code section 68B .32A(7) t ie candidate, for a candidate's committee,
and the chairpersoryfbr any of mittee, is the individual responsible for filing timely and accurato reports .
Q Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held
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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Caris, David
7/15/03
CK# 8322 5401 Woodland Avenue NONE $100 .00 s
Des Moines, Iowa 50312
ID#
Townsend, Ted
7/16/03 2425 Hubbell Avenue NONE 100.00
CK#
7676 Des Moines, Iowa 50305
ID#
Hubbell, Jr. James W.
7/16/03 CK# 4400 Greenwod Drive NONE 150.00
2658 Des Moines, Iowa 50312
ID#
Pappajohn, John
7/16/03 CK# 2116 Financial Center, 666 Walnut Street NONE 200.00
13860 Des Moines, Iowa 50309 El
ID#
139 37 l, Ed
7/17/03 th Street None 100.00
CK#
9014 Des Moines, Iowa 5031211303
ID#
Crawford, Jerry
7/17/03 1710 Ruan Center, 666 Grand Avenue, DM, la None 500.00
CK# 17176 E]
ID#
Gregory, Howard
7/19/03 None 100.00 -'
CK# 3488 P.O . Box 35666
Des Moines, Iowa 50315-0306
ID#
Coppola, Michael
7/19/03 4521 Fleur Drive None 100.00
CK# 1927 E]
Des Moines, Iowa 50321
ID#
Gartner, Michael
7/19/03 CK# 366 W 11th Street None 100.00
2362 New York NY 10014 El
ID#
Bookey, Harry
7/19/03 CK# 400 Locust Street, Suite 790 None 100.00
2023 Des Moines, Iowa 50309 [Z]
SUB-TOTAL
* 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 Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form
I
SCHEDULE
STATE CANDIDATES NOTE : IF ACONTRIBUTION 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ~l IF FOR
RECEIVED (if applicable) TO CANDIDATE* . RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Cownie, James S.
7/19/03 141 37th Street None $250 .00
CK# 6035
Des Moines, Iowa 50312
ID#
Van Orsdel, William
7/19/03 443 S .W . 6th Street None 100.00
CK#
17438 Des Moines, Iowa 50309-4607
ID#
Knapp, William
7/19/03 500 Westown Parkway None 100 .00
CK#
6179 West Des Moines, IA 50266
ID#
Goodwin, William
7/19/03 223 49th Street None 100 .00
CK#
2646 Des moines, Iowa 50312-2144
ID#
Kirke, Gerald
7/19/03 417 Locust Street None 100.00
CK#
12002 Des Moines, Iowa 50309
ID#
Hunter, Jeff
7/22/03 1000 Walnut Street None 100.00 0
CK#
8494 Des Moines, Iowa 50309-3433
ID#
Reynolds, Stan
7/22/03 300 Walnut Street None 250 .00
CK# 69561
Des Moines, Iowa 50309-2244
ID#
Kelley, Bruce
7/22/03 14 Glenview Drive None 100.00
CK# 7474
Des Moines, Iowa 50312
I D#
Shors, John
7/23/03 2823 Fox Run None 100.00
CK#
657 Des Moines Iowa 50321
ID#
Pomerantz, Marvin
7/24/03 4700 Westown Parkway None 100.00
CK#
15072 Des Moines, Iowa 50266
SUB-TOTAL
* 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 surname of contributor is the same as candidate, but there is no Page
2 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* , RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Walters, Randy & Christine
7/30/03 P.O . Box 71094 None $250 .00
CK# 2199
Clive, Iowa 50325
El
ID#
Hurd, Barb & David
7/30/03 300 Walnut Street, #183 None 100.00
CK#
12088 Des Moines, Iowa 50309
El
ID#
Kline, John
7/30/03 CK# 2171 Grand Avenue None 250.00
1017 West Des Moines, Iowa 50265
El
ID#
Hubbell III, James W.
8/1/03 9286 Harding Street None 250.00
CK#
9962 Indianola, Iowa 50125
ID#
McCoy, Matt & Jennifer
8/5/03 2421 E Leach None 50 .00
CK# 3913 Des Moines, Iowa 50320-2664
EE
ID#
Grubb, Gerald & Nancy
8/5/03 3301 106th Circle None 500.00
CK#
5140 Urbandale, Iowa 50322
I D#
Hubbell, Michael C .
8/9/03 3717 Lincoln Drive None 100.00 ,,-
CK#
3194 Des Moines, Iowa 50312
I D#
Gillotti, Marlo R.
8/9/03 1129 Burr Oaks Drive None 250.00
CK# 7788
West Des Moines, Iowa 50266
El
ID#
Earley, James M
8/18/03 CK# 4 100 Quail Drive None 100.00
2224 West Des Moines Iowa 5026
ID#
Shaffer, James
9/5/03 2738 Glenwood Drive None 250.00
CK#
8395 Des Moines, Iowa 50321
SUB-TOTAL
* 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 3 4
marriage) . If surname of contributor is the same as candidate, but there is no Page of _
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT V IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
ID#
Harmon, Harvey
10/8/03 4001 John Lynde Road None $ 100.00
CK# 9353
Des Moines, Iowa 50312
1D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
1D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
* 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 4 4
marriage) . If surname of contributor is the same as candidate, but there is no Page of _
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INS r`PUCTIO:'~~S, SEE BACK OF FORM 1 "~~~ F ,nn
SCHEDULE
I D#
olk County Auditor For voter registraton Disc
8/1/03 120 2nd Avenue 62 .00
CK# 501
Des Moines, Iowa 50309
I D#
rchie Brooks reimbursement for dinner at Riccelli's
9/16/03 102 SE 13th Street for campaign strategy session 90 .00
CK#503
Des Moines, IA 50315-3733
ID#
U . S Postal Service postage
9/16/03 Capital Square 148 .00
CK#504
Des Moines, Iowa 50309
I D#
Sam's Club food and beverage for cookout for
9/27/03 1101 73rd Street workers and voters 421 .89
CK#505
Windsor Heights, la 50311
1D#
Italian Cultural Center for Columbus day dinner donation did
10/12/03 1961 Indianola Avenue not attend 50 .00
CK# 506
Des Moines, Iowa 50315
1D#
CK#
SUB-TOTAL $
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 .6(3)(i) .)
(for Schedule B)
DR-2 - In Kind - Schedule E Page 1 of 1
Beg .Dt : 07/24/2003 End .Dt : 09/27/2003 Filing Due Dt : 10/02/2003 Adj Due Dt
Add Contacts
Brooks, Archie
4102 SE 13th Street, Des Moines, IA 503153733
08/04/2003 $12 .50 Original
(P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA
Brooks, Archie
4102 SE 13th Street, Des Moines, IA 503153733 $12 .50 Original
08/11/2003 (P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA
Brooks, Archie
4102 SE 13th Street, Des Moines, IA 503153733
08/19/2003 $12 .50 Original
(P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA
Brooks, Archie
4102 SE 13th Street, Des Moines, IA 503153733
08/27/2003 $50.00 Original
(P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA
Brooks, Archie
4102 SE 13th Street Des Moines, IA 503153733
09/05/2003 $12.50 Original
(P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA
Brooks, Archie
09/16/2003 4102 SE 13th Street, Des Moines, IA 503153733
(P) :(515)-285-5979(5) :(515)-245-5395 25 " 00 Original L
Relation : NIA
Brooks, Archie
4102 SE 13th Street, Des Moines, IA 503153733 Amended
10/17/2003 $50 .00
(P) :(515)-285-5979(S) :(515)-245-5395
Relation : NIA