Jerry L. Moore For Mayor

Batch processed using the IECDB Web Reporting System on 10/29/2007 09:55:13 DR-2
Form DR-2: Disclosure Summary Page DR-2

Committee Name Statutory Due Date 10/4/2007
Jerry L. Moore for Mayor Adjusted Due Date
Filed Date 10/1/2007
Candidate Name: Jerry L Moore Received Date
Committee ID#: 13711 Amendment Date 10/26/2007
Status: Amended
Committee Type: Municipal Candidate - Mayor
Report Year: 2007
Treasurer: Rhonda Moore
Treas. Primary Phone: (712) 274-2747
Chairperson: Susan Richards
Chair. Primary Phone: (712) 258-3714
County: Woodbury
District: 0
Political Party: Democratic
Statement of Cash On Hand Cash on Hand at Start of Period $0.00

Schedule A: Cash Contributions Total $1,599.27
Schedule F1: Loans Received Total $725.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $2,324.27
Schedule B: Expenditure Total $1,599.27

Schedule F2: Cash Loan Repayments $725.00
Cash on Hand at End of Period $0.00
Additional Assets and Liabilities Loans in Place at Start of Period $0.00

Schedule D: Unpaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F2: Forgiven Loans $0.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown N
Schedule H1: Campaign Property Value $0.00
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:55:13
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:53:19 Schedule F2
Loans Paid & Forgiven
Part II - Monetary Loans Paid or Forgiven This Reporting Period Sch-F2

Committee Name Committee ID 13711 Statutory Due Date 10/4/2007
Committee Type Municipal Candidate - Mayor Amended Date 10/26/2007
Status Amended Received Date
Date Loan
Relationship to Candidate Amount Paid /
Paid / Name and Address of Lender
*(if applicable) Forgiven
Forgiven
10/11/2007 Moore, Rhonda Spouse $725.00
1207 South Cecelia
Sioux City, IA 51106
Total Paid This Period $725.00
Total Forgiven This Period $0.00
Total Unpaid Loans from Last Period $0.00
Total Loans Received This Period $725.00
Total Outstanding Loans End Of Reporting

$0.00
Period
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:53:19 Page 1 of 1
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:52:32 Schedule F1
Loans Received
Part I - Monetary Loans Received This Reporting Period Sch-F1

Committee Name Committee ID# 13711 Statutory Due Date 10/4/2007
Committee Type Municipal Candidate - Mayor Amended Date 10/26/2007
Status Amended Received Date
Date Relationship to Candidate *(if

Name and Address of Lender Amount of Loan
Received applicable)
6/6/2007 Moore, Rhonda Spouse $725.00
1207 South Cecelia
Sioux City, IA 51106
Total Received This Period $725.00
Total Unpaid Loans from Last Period $0.00
Total Loans Paid This Period $725.00
Total Forgiven This Period $0.00
Total Outstanding Loans End Of Reporting

$0.00
Period
Schedule B
Monetary Expenditures
Schedule B: Expenditures -- Money Spent From Committee Account Sch-B

Received Date
Status Amended Committee Type Municipal Candidate - Mayor Amended Date 10/26/2007
Expenditure Expenditure Expenditure

Expenditure Name & Address Purpose
Date Committee Amount
empty cell
7/18/2007 N/A Palmer Candy Advertising $69.55
parade candy
209 Douglas
Check # #SYNTAX #IERR
1002 Sioux City, IA 51101 #SYNTAX
7/18/2007 N/A Sportsman's Advertising $55.64
t-shirts
414 Pierce
8/24/2007 N/A Moore, Rhonda Other Expenditure $262.12
yard signs 211.80;

supplies for hot dog
1207 South Cecelia fundraiser 50.32
8/25/2007 N/A Sportsman's Campaign Merchandise $33.17
t-shirts
414 Pierce
Schedule B

Received Date

empty cell
8/28/2007 N/A Record Printing Printing & Reproduction $100.06
handouts
1117 Villa Ave
9/1/2007 N/A Richards, Susan Other Expenditure $92.99
printing 7.00; postage

54.02; office supplies
3828 Hamilton 31.97
9/6/2007 N/A Sam's Club Fund-Raiser (Holding) $14.38
hotdogs, buns for

fundraiser 9/7/07
4201 York
9/29/2007 N/A Moore, Rhonda Fund-Raiser (Holding) $12.38
Reimbursement for
fundraiser 10/6/07
1207 South Cecelia
Schedule B

Received Date

empty cell
10/6/2007 N/A Fareway Fund-Raiser (Holding) $20.84
Supplies for ice cream

social fundraiser.
2328 Transit
10/11/2007 N/A Moore, Rhonda Other Expenditure $725.00
Repaid loan from

Rhonda.
1207 South Cecelia
10/26/2007 N/A June Nylen Cancer Center Charitable Contributions $100.00
Charitable contribution
to use remaining funds.
230 Nebraska
10/26/2007 N/A United Way of Siouxland Advertising $113.14
Charitable contribution
to use remaining funds.
701 Steuben
Schedule B

Received Date

empty cell
Total Amount $1,599.27
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:49:32 Schedule A
Contributions
Schedule A: Contributions -- Money Taken In Sch-A

Amended Date 10/26/2007
Status Amended Committee Type Municipal Candidate - Mayor Received Date
Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser
7/8/2007 Dorsey's Fundraiser N/A $407.27 X
4100 Floyd
1 Sioux City, IA 51108
7/8/2007 Hamm, John None $50.00
109 W Gilman
8/21/2007 Northwest Iowa Labor Council N/A $150.00
3038 South Lakeport

Check # Suite 100
3 423 Sioux City, IA 51106
8/28/2007 Mertes, Kenneth J None $100.00
26075 Hwy K45
4 Onawa, IA 51040
8/30/2007 Misc N/A $45.00 X
1207 South Cecelia
9/4/2007 CWA Local 7103 N/A $100.00
1325 Lewis Blvd

Check #
6 10326 Sioux City, IA 51105
Batch processed using the IECDB Web Reporting System on 10/29/2007 09:49:32 Schedule A
Contributions
Schedule A: Contributions -- Money Taken In Sch-A

Amended Date 10/26/2007
Status Amended Committee Type Municipal Candidate - Mayor Received Date
Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser
9/7/2007 Glorfield, Steve None $50.00
3327 Dearborn
9/7/2007 Individuals N/A $531.00 X
1207 South Cecelia
10/5/2007 Richards, Susan None $0.00
3828 Hamilton
Check #
9 eft Sioux City, IA 51104
10/11/2007 Individuals N/A $166.00 X
1207 South Cecelia
Total Regular Contributions $450.00

Total Fundraiser Contributions $1,149.27
Grand Total All Contributions $1,599.27

Jerry L. Moore For Mayor

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Batch processed using the IECDB Web Reporting System on 10/29/2007 09:55:13 DR-2

Form DR-2: Disclosure Summary Page DR-2

Statement of Cash On Hand Cash on Hand at Start of Period $0.00

Schedule B: Expenditure Total $1,599.27

Additional Assets and Liabilities Loans in Place at Start of Period $0.00

Part II - Monetary Loans Paid or Forgiven This Reporting Period Sch-F2

10/11/2007 Moore, Rhonda Spouse $725.00

1207 South Cecelia

Sioux City, IA 51106

Total Paid This Period $725.00

Total Forgiven This Period $0.00

Total Unpaid Loans from Last Period $0.00

Total Loans Received This Period $725.00

Total Outstanding Loans End Of Reporting

Part I - Monetary Loans Received This Reporting Period Sch-F1

Date Relationship to Candidate *(if

6/6/2007 Moore, Rhonda Spouse $725.00

1207 South Cecelia

Sioux City, IA 51106

Total Received This Period $725.00

Total Unpaid Loans from Last Period $0.00

Total Loans Paid This Period $725.00

Total Forgiven This Period $0.00

Total Outstanding Loans End Of Reporting

Schedule B: Expenditures -- Money Spent From Committee Account Sch-B

Expenditure Expenditure Expenditure

7/18/2007 N/A Palmer Candy Advertising $69.55

7/18/2007 N/A Sportsman's Advertising $55.64

8/24/2007 N/A Moore, Rhonda Other Expenditure $262.12

yard signs 211.80;

8/25/2007 N/A Sportsman's Campaign Merchandise $33.17

Committee Name Committee ID 13711 Statutory Due Date 10/4/2007

Expenditure Expenditure Expenditure

8/28/2007 N/A Record Printing Printing & Reproduction $100.06

9/1/2007 N/A Richards, Susan Other Expenditure $92.99

printing 7.00; postage

9/6/2007 N/A Sam's Club Fund-Raiser (Holding) $14.38

hotdogs, buns for

9/29/2007 N/A Moore, Rhonda Fund-Raiser (Holding) $12.38

Committee Name Committee ID 13711 Statutory Due Date 10/4/2007

Expenditure Expenditure Expenditure

10/6/2007 N/A Fareway Fund-Raiser (Holding) $20.84

Supplies for ice cream

10/11/2007 N/A Moore, Rhonda Other Expenditure $725.00

Repaid loan from

10/26/2007 N/A June Nylen Cancer Center Charitable Contributions $100.00

10/26/2007 N/A United Way of Siouxland Advertising $113.14

Committee Name Committee ID 13711 Statutory Due Date 10/4/2007

Expenditure Expenditure Expenditure

Total Amount $1,599.27

Schedule A: Contributions -- Money Taken In Sch-A

Contribution Contribution Relationship To Contribution Fund-

7/8/2007 Dorsey's Fundraiser N/A $407.27 X

1 Sioux City, IA 51108

7/8/2007 Hamm, John None $50.00

2 Sioux City, IA 51104

8/21/2007 Northwest Iowa Labor Council N/A $150.00

3038 South Lakeport

8/28/2007 Mertes, Kenneth J None $100.00

26075 Hwy K45

8/30/2007 Misc N/A $45.00 X

1207 South Cecelia

5 Sioux City, IA 51106