Generated On: 12/20/2010 10:15:08 AM

DR-2 Disclosure Summary Page DR-2

Michael T Klimesh For State Representative Status: Audited
Committee Type: State House Statutory Due Date 10/19/2010

County: Winneshiek Adjusted Due Date

District: 15 Filed Date 10/19/2010 1:02:41 PM

Committee Code: 1865 Postmark Date

Political Party: Republican Amendment Date 12/15/2010 3:26:21 PM

Report Date: 2010 Candidate Name: Klimesh, Michael T

Treasurer
Last Name: Baker First Name: Janice MI: L
Address: 2788 145th Street
City: Fort Atkinson State: IA Zip Code: 52144 Phone: 563-419-5104
E-Mail: janice@graphicsinc.biz

Chairperson
Last Name: Logsdon First Name: John MI:
Address: 236 Jessie Street
City: Ossian State: IA Zip Code: 52161 Phone: 563-532-9547
E-Mail: jacklog52161@yahoo.com

Statement of Cash On Hand

Cash on Hand at Start of Period $716.83
Schedule A: Cash Contributions Total $1,975.00
Schedule F1: Loans Received Total $0.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $2,691.83

Schedule B: Expenditure Total $2,308.56

Schedule F2: Cash Loan Repayments $0.00
Cash on Hand at End of Period $383.27

Additional Assets and Liabilities

Loans in Place at Start of Period $0.00
Schedule D: Unpaid Bills $1,041.46
Schedule E: In-Kind Contributions $38.52
Schedule F2: Forgiven Loans $0.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown No
Schedule H1: Campaign Property Value $0.00

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