Printed at the lov thics 8< Campaign Disclosure Board, 18/2002 14:06 :27

DR-2
FORM Dr2 : Disclosure Summary Page Statutory Due Date 01/19/2002
Adjusted Due Date 01/22/2002
Received Date 01/25/2002
Postmark Date 01/22/2002
ID # :1110 Amended

Committee : Rod Roberts for Iowa House L t;j

Comm Type : General Assembly Candidate
COMMITTEE FQm ELECTROMCALLY
Date Due :01/19/2002
Report Year: 2000
SEE REPORT DETAIN ICI?R .S
Treasurer: Thomas L. Brincks (712) 792-9899
Chair : Wayne Seaman (712) 792-5321 COMPUTER AVAILABLE IN PUSLIC AREA
County:

Election Date: 11/07/2000

Statement of Cash On Hand Cash On Hand at Start of Period $6,263.15

Schedule A: Cash Contributions Total $500.00 .-
Schedule F: Loans Received Total $0.00
Schedule H : Campaign Property Sales $0.00
SUB-TOTAL $6,763.15

Schedule B : Expenditures Total $215.00

Schedule F: Cash Loan Repayments $0.00
Cash on Hand At End of Period $6,548.15

Loans in Place at Start of Period $0.00

Additional Assets and Liabilities
Schedule D: UnPaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F : Forgiven Loans $0.00
Schedule F : Outstanding Loans $0 .00
Schdule G : Consultant Breakdown? No
Schedule H : Campaign Property Value $3,677.94

Note : Fb "Flag" symbolizes information entered by IECDB Auditor .

FORM DR-2 : Rod Roberts for Iowa House
Printed at the Iowa Ethics & Campaign Disclosure Board, 01/28/2002 14 :06 :27
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FORM DR-2 : Disclosure Summary rage FORM
~ DISCLOSURE
R
ICFRS 4/98 REPORT
ID : 1110
For Office Use Only
County:Carroll
Type: State House Comm. # 1110
Treas: Thomas Brincks (712) 792-9899 Indexed
Name: Rod Roberts for Iowa House Audited
Computer

Report Due Date: 01/19/2002

Committee Chair: Wayne Seaman (712) 792-5321 . w_m
Il Lomm or-VaD
Status : Orig
JAN 2 5 2002
County : Carroll 1 ,-')Z
Notice of Dissolution : N/A

Cash On Hand at Start of Period $6,263.15

Statement of Cash On Hand
Schedule A: Cash Contributions Total $500.00
Schedule F: Loans Received Total $0.00
Schedule H: Campaign Property Sales $0.00
SUB-TOTAL $6,763.15

Schedule B: Expenditures Total $215.00

Schedule F: Loan Repayments Total $0.00
Cash on Hand At End of Period $6,548.15

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 F: Outstanding Loans $0.00

Schdule G: Consultant Breakdown? No

Schedule H: Campaign Property Value $256.00

Forgiven Loans (From Schedule E) $0 .00

Orig

This Report Was Printed With The ICFRS Software on 0112212002 03:39:31 PM
CE1?JLE A: Contributions - Mon Taken In SCHEDULE
MONETARY
. ID :1110
RECEIPTS
Name : Rod Roberts for Iowa House ICFRS 12/99

NEVER FILED
Type : State House

Committee ID
Date Relationship Amount
Received Check # Name and Address of Contributor To Candidate Received

01/26/2001 ID : 9025 Calhoun County Republican Central Committee $100 .00

346 Austin St.
Chk#: 15751
Rockwell City IA 50579
EXPLANATION: Deposited 020201
[#873]

10/17/2001 ID : 6067 Iowa Health PAC $200 .00

6750 Westown Prky, Suite 100
Chk# : 2744
West Des Moines IA 50266
EXPLANATION : Deposited 10/18/01 .
[#874]

10/19/2001 ID : 6059 Iowa Committee of Automotive Retailers (ICAR) $100 .00

1111 Office Park Road
Chk# : 2145
West Des Moines IA 50265
EXPLANATION: Deposited 10/24/01 .
[#876]

11/13/2001 Greteman, Frank No Relation $100 .00

501 N. Adams
Chk# : 10225
Carroll IA 51401
EXPLANATION: Deposited 11/21/01 .
[#875]

Page Total $500 .00

NEVER FILED
Report Total $500 .00

Page 1 of 1
This Report Was Printed With The ICFRS Software on 0112212002 03 :42:40 PM (for schedule A)
SCHEDULE B: Expenditures -- Mor Spent From Committee Account SCHEDULE
MONETARY
' ID : 1110 B EXPENDITURES
ICFRS 12/99
Name: Rod Roberts for Iowa House
NEVER FILED
Type: State House

Date Committee ID Name and Address To Whom Expenditure Amount Expended

Expended Check # (Disbursement) Was Made
02/09/2001 Postmaster $19 .00
Chk#: 228
Carroll IA 51401
#867] POSTAGE, SHIPPING, DELIVERY : P .O . Box 241 semi annual box rent

02/09/2001 Roberts, Rod $39 .50

Chk#: 229 732 San Salvador Ave .
Carroll IA 51401

#868] PHOTOGRAPHY : 16 wallet size pictures

08/29/2001 Options Ink $84 .61

Chk#: 232 528 N. Maple St . P .O . Box 654
Carroll IA 51401

#871] CAMPAIGN MERCHANDISE : 1 Red vinyl sign

08/29/2001 Postmaster $19 .00

Chk#: 230
Carroll IA 51401
#869] POSTAGE, SHIPPING, DELIVERY : P .O . Box 241 semi annual box rent

08/29/2001 Roberts, Rod $16 .89

Chk#: 231 732 San Salvador Ave.
Carroll IA 51401
CAMPAIGN MERCHANDISE : 2 pkg . of Tootsie Rolls for 6/9/01 Bell Tower Parade and 7/17/01 Carroll County Fair Parade .
#870]

11/14/2001 ID: 9165 Sac County Republican Central Committee $36 .00
Chk# : 233 Box 51
Sac City IA 50583

#872] MISCELLANEOUS OR UNITEMIZED : 2 tickets for Sac County Fall Banquet

Page Total $215 .00

NEVER FILED
Report Total $215 .00
Page 1 of 1
This Report Was Printed With The ICFRS Software on 01/22/2002 03 :42:58 PM (for schedule B)
 ,S~ZHEDULE H: Campaign Property , .,ventory SCHEDULE CAMPAIGN

ID :1110 HICFRS
(Part I)
4/98
PROPERTY
INVENTORY
Name : Rod Roberts for Iowa House
NEVER FILED
Type: State House
PART I - On Going Inventory of Campaign Property

DATE PURCHASED PURCHASE PRICE CURRENT ESTIMATED

(Schedule B) R ESTIMATED VALUE FAIR MARKET VALUE
R DATE RECEIVE
DESCRIPTION OF PROPERTY WHEN ACQUIRED THIS REPORT
(Schedule E)

Note pads
04/29/1998 $793 .87 $0 .00

#862

Yard signs
05/04/1998 $1,452 .20 $50.00

#861

2'x 4' yard signs

09/15/1998 $381 .60 $50.00

#863

yard signs
05/19/2000 $693 .54 $40.00

#864

Note pads .
07/17/2000 $748 .39 $50.00

#865

Stamps
10/31/2000 $132 .00 $66.00

#866

Page Total $256 .00

NEVER FILED Report Total $256 .00

Page 1 of 1
This Report Was Printed With The ICFRS Software on 01122/2002 03 :43:39 PM (for schedule H Part I)