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Veenstra Kenneth - 1094 - Scanned
Veenstra Kenneth - 1094 - Scanned
Veenstra Kenneth - 1094 - Scanned
71 7-7'17-A91 1 1-3-02
person filing this report) TELEPHONE DATE SIGNED
Penalties Due For Late Filed Reports Range from $10 to $400
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissolution is filed .)
CASH ON HAND at the end of this reporting period (if final report,'balance must 3214 .08
be zero) (Attach DR-3) .. .. ..... .. ..... .. .... . ...... .. .......................... .... ......... .................... ............... .$
Date PAC I . D.
Received Check # Name and Address Relationship Amount
Page 1 of 7
CONTRIBUTIONS--M'NEY TAKEN IN SCHEDULE A
Date I PAC I . D. I I
Rec'd I check # Name and Address I Relationship I Amount
------------- -------------
I I
12/19/01 Lyle and Vickie Korver
6124 503 Juneau Ave SE $25 .00
I I Orange City, IA 51041
-------------- I ----------------------------------------
Subtotal 1 $455.00
I ------------
TOTAL (If last p 1 $2,370.00
Page 2 of 7
F240 . -. CONTRIBUTIONS--Mr'NEY TAKEN IN SCHEDULE A
Date I PAC I .D .
Received I Check # I Name and Address I Relationship I Amount
------------- ---------------------------------------- I
-------------------
12/19/01 Andy Miedema
3249 4495 Kennedy Ave I I $25 .00
I I Alton, IA 51003
I I
12/19/01 Adri Groeneweg
6623 304 Hartford Ave SE I I $100.00
I I Orange City, IA 51041
I I
12/19/01 1 Stanley Kroese
1 7303 1792 2nd Ave SE I I $25.00
I Sioux Center, IA 51250
1 I
12/19/01 Deb Korver
2737 701 Juneau Ave SE I I $100 .00
Orange City, IA 51041
Page 3 of 7
. 17240- ', CONTRIBUTIONS--MnNEY TAKEN IN SCHEDULE A
Subtotal 1 $225.00
Page 4 of 7
F240 ' CONTRIBUTIONS--M^NEY TAKEN IN SCHEDULE A
Date I PAC I .D .
Received I Check # Name and Address I Relationship I Amount
________________________________________ I ___________________ I
------------- -------------
12/19/01 Ronald Zoutendam
539 I 800 Oak I I $100.00
I I Sheldon, IA 51201
______________ I
Subtotal ) $560 .00
Page 5 of 7
F240- CONTRIBUTIONS--Mr`NEY TAKEN IN SCHEDULE A
Date I PAC I .D . I I
Received I Check # I Name and Address Relationship I Amount
_____________ I -------------------
----------------------------------------
12/19/01 I I Arthur Vander Wilt
I 6104 I 3839 Kiwi Ave
Hospers, IA 51238
Page 7 of 7
0120 EXPENPITURES--MONEY SPENT Schedule B
Page 1 of 2
EXPENDITURES--MONEY SPENT Schedule B
Date Check I I I
Expended Number I Name and Address Purpose I Amount I
---------- --------- I ------------------------------ ------------- I
I
11/2/01 1071 I Kenneth Veenstra I Mileage I $1,488.50
216 Arizona Ave . SW I Reimburse-
Orange City, IA 51041 I ment - 4802
miles @ .31 I
3
I I I
11/5/01 1070 I Friends of the Commission I Awards I $57.00
Iowa Commission of Persons I Banquet
I with Disabilities I 3
Lucas State Office Building
Des Moines, IA 50319
----------------- I ------------
Subtotal $1,810 .60 I
$1,810.60