Veenstra Kenneth - 1094 - Scanned

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FOR INSTRUCTIONS .

SEE BACK OF FORM FORM


r. °g .0 R
.D DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT

JAN 7 2002 For HI U Oni


COMMITTEE NAME (Must be same as on Statement of Organiza Comm . k
Kenneth Veenstra for State Senate Campaign F Indexed
Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
( )StatewidWLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
t
( )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
5
(6 )S rt Slat

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

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :


1_is _6 .z-
I AM FILING A Jan 1, 2001-Dec 31, 2001 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

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 .)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period. (This is the total
of all rnonies held by the committee. This amount MUST be the
same as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed.) ............................................................................$ 1557 .74

ADD TOTAL MONEY TAKEN IN THIS PERIOD


Schedule A: Cash Contributions total (Attach Schedule A) .................... ....................... ...... 3996 .00
Schedule C: Fund-raising Events total (Attach Schedule C) 0
Schedule F: Loans Received total (Attach Schedule F) ....................................... ................ 0
Schedule H: Total Sales of Campaign Pr Attach Schedule H 0
(Schedule H acclies to Candidates' Cornmfttees Only)
SUB-TOTAL......$ 5553 .74

SUBTRACT TOTAL MONEY SPENT THIS PERIOD


Schedule B: Expenditures total (Attach Schedule B) ....................................................... .... 2 319 . 66
Schedule F: Loan Repayments total (Attach Schedule F) 0

CASH ON HAND at the end of this reporting period (if final report,'balance must 3214 .08
be zero) (Attach DR-3) .. .. ..... .. ..... .. .... . ...... .. .......................... .... ......... .................... ............... .$

UNPAID BILLS (From Schedule 0 - Attach Schedule D) .............................................--............"...."..$ _0


0
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .................... .. ................. .. ........$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. .. .. .... .... .. .. ... . .. .. ......... .. .. .. .. .. .. ....$
CANDIDATE COMMITTEES ONLY :
YES NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
$ 0
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
F240- '. CONTRIBUTIONS--M"NEY TAKEN IN SCHEDULE A

Kenneth Veenstra for State Senate Campaign Fund

Date PAC I . D.
Received Check # Name and Address Relationship Amount

08-29-01 6488 Iowa Providers Pac


1040 7025 Hickman Road, Suite 5 $1,000.00
Urbandale, IA 50322

8304 Merck Pac


5109 601 Pennsylvania Ave NW, Suite 1200 $100 .00
Washington D.C. 20004

10-23-01 6067 Iowa Health Pac


2729 6750 West Town Parkway #100 $500 .00
West Des Moines, IA 50266

10/23/01 6059 Iowa Committee of Automotive Retailers


2125 1111 Office Park Road $100.00
West Des Moines, IA 50265

12/19/01 Robert M . Dunlop


3492 404 2nd Street NE $15.00
Orange City, IA 51041

12/19/01 Pete Vander Plaats


3661 606 Delaware Ave SW $100.00
Orange City, IA 51041

12/19/01 Thomas Noteboom


1309 801 2nd St SW $25.00
Orange City, IA 51041

12/19/01 Franklin Vogel


1211 216 Kentucky Ave SW $50.00
Orange City, IA 51041

12/19/01 Herbert Ritsema


9787 206 Iowa Ave SW $25.00
Orange City, IA 51041
Subtotal $1,915 .00
c :\formsdir.campaigv .xls
Total (if last pg) $1,915 .00

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

12/19/01 1 Del and Jackie Wallinga


1 3329 410 11 th Street $10 .00
I I Alton, IA 51003

12/19/01 1 3742 I Alan and Rachel Krull


1 504 Juneau Ave SE $25.00
1 I Orange City, IA 51041

12/19/01 I 1065 I Darrell Noteboom


1 3925 450th Street $25.00
Alton, IA 51003
I I
12/19/01 I 1327 Bruce Murphy
I I 701 Juneau Ave SE $100.00
Orange City, IA 51041

12/19/01 I 3150 I Gerrit Vander Plaats


501 Rotterdam Court SE $50 .00
1 Orange City, IA 51041

12/19/01 I 3731 I Carl Zylstra


1 400 4th Ave NE $100 .00
Sioux Center, IA 51250

12/19/01 I 5945 I Carl Rolf


1 I 1820 East Ath Street $100 .00
Sheldon, IA 51201

12/19/01 I 9385 I Karen Hulsart


1 I 801 7th Street NW $20.00
1 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

12/19/01 1 I George Vogel I


1 3458 I 902 6th St SW I I $25 .00
I I Orange City, IA 51041
I I
12/19/01 Peter Pals
8971 322 Albany Ave SE I I $50 .00
I I Orange City, IA 51041
I I
12/19/01 1 I Ted Goslinga I
9080 311 Colorado Ave SW I I $15 .00
I I Orange City, IA 51041
I I
12/19/01 Henry P. Haarsma
1 4378 I 502 East Heritage Court I I $50 .00
I I Orange City, IA 51041
I
12/19/01 Carl Mulder I I

I 1608 518 3rd Street NW I I $50 .00


I I Orange City, IA 51041
I I
I I
______________ 1

Subtotal 1 $440 .00

TOTAL (If last p I $2,810 .00

Page 3 of 7
. 17240- ', CONTRIBUTIONS--MnNEY TAKEN IN SCHEDULE A

Date I PAC I .D. I


Received I Check # I Name and Address I Relationship I Amount
_____________ I ________________________________________ I ___________________ 1
-------------
12/19/01 I I Maurice Sneider
I 4951 I 509 East Heritage Court I I $50.00
1 Orange City, IA 51041

12/19/01 I 1 Marjorie Osdoba


6737 I 1007 7th Street N E Apt 202 I I $10.00
Orange City, IA 51041
I I
12/19/01 I I Russell Vande Steeg
4815 710 2nd St SE #112 I I $50.00
Orange City, IA 51041
I I
12/19/01 I I Arie J. Oliver I I
18584 620 South Main Ave I I $25.00
I I Sioux Center, IA 51250
I I
12/19/01 1 Bill Saeger I I
9403 216 2nd St NE I I $25 .00
I I Orange City, IA 51041
I I
12/19/01 Alan Van Raalte
8872 I 1434 Coulage Ave I I $5 .00
I I Larchwood, IA 51241 I
I I
12/19/01 1 Ken Vanden Brink I
I 6282 903 6th Street SE I I $25 .00
I I Orange City, IA 51041 I I

12/19/01 1 1 Stanley Van Otterloo I

1 2373 3821 Lily Ave I I $10 .00


I I Hospers, IA 51238 I I
I I
12/19/01 I I Martin Moeller
1 4121 1 440 8th Street NE I I $25.00
I I Sioux Center, IA 51250
I I
I I
______________ .I

Subtotal 1 $225.00

TOTAL (If last p 1 $3,035.00

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

12/19/01 I I Arlan Sandbulte


295 PO Box 168 I I $25.00
Sioux Center, IA 51250

12/19/01 I Dave Van Peursem I


1426 I 430 Colorado Ave SW I I $50.00
I I Orange City, IA 51041 I I

12/19/01 I I Randy Stange


3229 808 Arizona Ave NW I I $100 .00
I I Orange City, IA 51041
I I
12/19/01 I Alvin Jelgerhuis
2441 I 415 5th St SW I I $75 .00
I I Orange City, IA 51041 I I
I I
12/19/01 John Mark Franken
1836 17206 Ross Road I I $25 .00
I I Spirit Lake, IA 51360 I I
I I
12/19/01 I I A. Marvin Vogel I I
3299 714 Boston Ave NE I I $75 .00
I I Orange City, IA 51041
I
12/19/01 Peter De Jager I
5392 I 1223 Brown Street I I $100 .00
I I Hull, IA 51239
I
12/19/01 Donald Den Hartog I I
I 1266 702 Arizona Ave NW I I $10 .00
I Orange City, IA 51041

______________ I
Subtotal ) $560 .00

TOTAL (If last p I $3,595.00

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

12/19/01 David Duistermars


5361 I 1905 Arizona Ave NW $10.00
Orange City, IA 51041

12/19/01 I Paul Bakker


3622 I 310 Juneau Ave SE $25.00
Orange City, IA 51041

12/19/01 Matthew Schelling


4351 I 3417 380th Street $25.00
I Orange City, IA 51041

12/19/01 Lois Sneider


4138 717 Delaware Ave SW $10.00
I I Orange City, IA 51041
I I
12/21/01 Royal Car Wash
2763 I Lincoln Ave SE $50 .00
I Orange City, IA 51041

12/21/01 I I Greg and Connie Beernink


2573 I 910 Albany Ave NE $50 .00
I I Orange City, IA 51041
I I
12/21/01 I I Kenneth Veenstra I candidate I
10501 I 803 Albany Place SE I reimbursment I $6.00
I Orange City, IA 51041 I for Lincoln
I club expense I
12/27/01 Ronald Bouma
4601 3671 440th Street I I $100 .00
I I Orange City, IA 51041 I I
I I
I I
---------------
Subtotal ) $301 .00

TOTAL (If last p1 $3,896.00


F240- CONTRIBUTIONS--MONEY TAKEN IN SCHEDULE A

Date ! PAC I .D.


Received l Check # I Name and Address I Relationship I Amount
--------- I ------------- ----------------------------------------
ye
i
12/27/01 1 Oolman Funeral Home
27091 216 Albany Ave NE $100 .00
Orange City, IA 51041

Subtotal 1 $100 .00

TOTAL (If last p 1 $3,996.00

Page 7 of 7
0120 EXPENPITURES--MONEY SPENT Schedule B

Kenneth Veenstra for State Senate Campaign Fund

Date Check Purpose


Expended Number Name and Address Code Amount

1/10/01 1080 Republican Party of Iowa Donation $ 365 .00


521 East Locust 1
Des Moines, IA 50309

1116/01 1067 Iowa Optometric Association Dinner Meeting $20.52


1454 30th St., Ste. 204 3
West Des Moines, IA 50266

2/20/01 1081 Iowa Optometric Association Dinner Meeting $20 .00


1454 30th St., Ste. 204 3
West Des Moines, IA 50266

3/14/01 1082 Iowa Future Farmers of America State Banquet $12.00


Grimes State Office Building Meal
Des Moines, IA 50309 3

4/9/01 1084 The Lincoln Club Dinner Meeting $50.00


5460 - 2 Longview Ct. 3
Johnston, IA 50131

5/17/01 1085 Mid Sioux Opportunity Dinner Meeting $9.00


418 Marion St. 3
Remsen, IA 51050

7/20/01 1086 Buena Vista University Economic $35.00


610 West 4th St. Development
Storm Lake, IA 50588 Conference
Registration
3
8/23/01 1068 Sioux County Farm Bureau Dinner Meeting $8.00
203 Central Ave. SE 3
Orange City, IA 51041

9/20/01 1069 Iowa Institute for Cooperatives Dinner Meeting $9 .54


2515 Elwood Dr., Ste . 104 3
Ames, IA 50010

Subtotal $529 .06

TOTAL (if last page) $529 .06

Page 1 of 2
EXPENDITURES--MONEY SPENT Schedule B

Kenneth Veenstra for State Representative Campaign Fund

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

11/27/01 1074 I Stacey Abildtrup-Johnson I Postage - I $204.00


Republican Caucus Staff I Fund raising
State House I Letters
Des Moines, IA 50319 I 1
I I
12/6/01 1075 I Ann Warren I Stationery - I $61 .10
Republican Caucus Staff I Fund raising
State House I Letters
Des Moines, IA 50319 I 1 I

----------------- I ------------
Subtotal $1,810 .60 I
$1,810.60

TOTAL (if last I $2,339 .66


------------
Page 2 of 2
EXPENDITURES--MONEY SPENT Schedule B

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