Batch processed using the IECDB Web Reporting System on 01/20/2004 01:15:06 Schedule F1

Loans Received

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

Committee Name Committee ID# 17006 Statutory Due Date 1/19/2004
patshey.com Adjusted Due Date
Filed Date 1/19/2004
Committee Type County Candidate - Attorney Amended Date
Status Filed Received Date

Date Relationship to Candidate *(if

Name and Address of Lender Amount of Loan
Received applicable)

5/7/2003 Shey, Pat & Nancy N/A $341.40

501 Knolland Dr SE

Cedar Rapids, IA 52403-4239

8/29/2003 Shey, Pat & Nancy N/A $200.00

501 Knolland Dr SE

Cedar Rapids, IA 52403-4239

10/28/2003 Shey, Pat & Nancy N/A $590.00

501 Knolland Dr SE

Cedar Rapids, IA 52403-4239

12/30/2003 Shey, Pat & Nancy N/A $200.00

501 Knolland Dr SE

Cedar Rapids, IA 52403-4239

Total Received This Period $1,331.40

Total Unpaid Loans from Last Period $64.10

Total Loans Paid This Period $0.00

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IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 514 EAST LOCUST STREET, SUITE 104 | DES MOINES, IA 50309 | (515) 281-4028
Batch processed using the IECDB Web Reporting System on 01/20/2004 01:15:06 Schedule F1
Loans Received

Committee Name Committee ID# 17006 Statutory Due Date 1/19/2004

patshey.com Adjusted Due Date
Filed Date 1/19/2004
Committee Type County Candidate - Attorney Amended Date
Status Filed Received Date

Date Relationship to Candidate *(if

Name and Address of Lender Amount of Loan
Received applicable)

Total Forgiven This Period $0.00

Total Outstanding Loans End Of Reporting

$1,395.50
Period

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IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 514 EAST LOCUST STREET, SUITE 104 | DES MOINES, IA 50309 | (515) 281-4028