File with:

lowa Ethics and Campalgn

SI
Discleure Board
510 E. 12t" Sb. 1A
Ds Moines,lowa 50319 FOR'NSrRUCT'ONS. SEEBACKOF FORM
,;niir:r[Hl?,i
dt,hrro
Fax 51$281-4073
DISCLOSURE
SUMMARYPAGE
COMM|TIEENAME(Musfbe sameas on S:tatement
DECZZAHg:3t
of Organbation)
Aohalt for School Board
IMPORTANT:
'l _lndi!?tgby # typeof commitbo you are reportingbn l7-f-
;"f;L I o,,".o.,*,
(Rev.071200fl
t( lltatq.riqe/Lgslslatvefiudge standtngfor Rebndoncandtdate ( 2Ee pAc ( a )state party I neponr
a )Countycenral commin@ ( 5 )county candldab ( 6 )city caniidatg t z )$crrbr'e@A or Citherpotttcal
suMivision candldate ( I )county PAc ( I )city PAC ( io )S:chootBoardbr bther potiucatsuMlvtsion pAC

Distict (if Senat€or House)

Late reports are subject to possible civll and siminal p€na]fies.Pursuantto lowa code sec.tions688.32A(7) and 6gA.401(3),the candidate,for a

/?*r-= @, Tr**"* 3t?. 3?E -s42'

SIGNATURE
OF PERSONFILINGREPORT TELEPHONE

I AM FIUNGA sshool boad elestion 2009 REPORTFOR(1) ELECTTON (2)NON-ELECflONYEAR.

(reportdab) Indicate
by# ll I
EICHECK IFAMENDMENT To REPoRT DATED Lml Commlttes, enter Dateof Ete{on

E chect( if this is final (termination)repoil and atach Noticeof DissolutionFormDR-3. County& LocalCommitbes,enterCountyin
(Youmustcontinueto file repoftBuntila DR-3is filed.)
whicfi Eledion is held -

STATEMENTOFCASHON HAND
CASHON IIAND at the beginningof the reportingperiod. Cfoh| of alt tunds heldby the
commitee. Thb amountMUSTbe the sameas the cashon handat the end
of the lasl reportingperiodor mustbe zeroafthisis firstreportfiled.) ...................
0.m
$
ADDTOTALMONETTAKENIN THISPERIOD
ScheduleA:CashConfributionstotral(AftachScheduleA) ('alsosee in-kindbelow).................. 398.29
SchedulEF: LosnsReceivedtotral14Xs"6ScheduleR.................... 150.00
ScheduleH: TotalSalesof CampaignProperty(AttachSchdule H).................... 0.00
(ScheduleH aopllc to Gandldate'Commtttee Onlvl
su&ToTAL................$
54E.29
SUBTRACTTOTALMONEYSPENTTHISPERIOD
ScheduleB: Expnditurestotal146s"6Schdule B) (*also seedebtsand loansbetow)............ 398.29
Schdule F: LoanRepayments tohl (AnaO ScheduleF).................... 150.00
pdod (iffinalreportbalane mustbe zero)..........................
CASHON HANDatthe endof thisreporting 0.00
$
iUNPAID BILLS(FromSchedule
D -AttEchSchedule
D).................... ...............................$0.00
'lN KINDCONTRIBUTIONS E -AttachSchedule
(FromSchedule E).................... .............$ 0.00
-OUTSTANDING LOANS(FromSchedule
F -AttachSchedule .................$ 0.00
D....................
CONSULTANTBREAKDOWN(Schdule G Afrached?) YES y' rrro
COMMITTEES
GANDIDATE ONLY:
(FromScheduleH -AttachScheduleH)
VALUEOF CAMPAIGNPROPERTY
0.00
$
STATEGOMMITTEES:Submita reconciledcampaignacount bankstatomentin Januaryof eachyear.
 For Instructions, See Back of Form
SCHEDULE
I
.. MONEYTAKENIN
CONTRIBUTIONS A I rrronErnnv
(lncludingcandidate'sper8onalfunds) (Rev.07/6) | RECETPTS
1

COMMITIEE NAME (Musf be sameas on Sfafement of Organization) ! cnecxrxsBoxrF

Ar'IENDING FORM
Anhalt for School Board

srATE CANDIDATES NOTE: tF A CONTRtBtmoN ls RECE[.-D FRO-MA SI.4IE pAC (POLmCAL pAc tDENnFrcAnON
NUMBERAND THE PAc cHEcK NUMBERlN THE DESIGNATEocor-uurl. a r-rsi-oC io iliurtraaens ACTION COMM|TTEE),Ltsr rHE
ts AvAtt-ABLErnou fnE towA ETHtcs AND cAMpATGN
DISCLOSUREBOARD,

NOTE:AITfYPERSON,
OTHEBI!4!!AN INDMDUAI-TI{AT@NTRIBUTESMORET}IANfi50 TOYOURCAIVIPAIGN
MAYHAVEFIUNG
RESPONSIBLMES ANDSHOUTDIMMEDIATELYCONTACT THEBOARD.
CAUTfON:Sedion 688.324(6),prohibiasthe use of inform-alion
copiedftom reportsand statemenlsfor soficiting@ntributionsor tor any
commerdd purposeby any personotherthanstatutorypolitical@mmittees.

ut\| tr I-AU IU NUMT'EK NAME AND ADDRESSOF CONTRIBUTOR- KE[AIIUNIjHIP AN'K.'UNI ! It.t-ult
RECEIVED (rfapplicable) TOCATIDIDATE' RECEIVED
(MM/DD/YR) AI{DPACCHECK FUND
NUMBER Crfapplicable) RAISER
INCOME
at-w
Gary Anhalt
7-to-w CKfi 19334th Ave, SE self $195.00
CedarRapids,lA 52403
atJ*
Hartlepfor SchoolBoarrd
E-8-09 cK# 1620EthAve,SE NA &.55
CedarRaDids-lA52407
aa-w
KarenHartlep
8-l l-09 cK# 16208thAve SE NA 5.00
CedarRapids,IA524fl3
ILF

ql1-09 GaryAnhdt
cl(# self 130.00
19334thAve SE
(aglar Rmidc IA StrO2
u-E
GaryAnhalt
t2-t+o9 cK# 19334th Ave, SE self 3.74
CedarRaDids.lA524013
u-E

cK#
u-E

ct(#
l|-E

cK#
aa-w

cKr
il-F
n
cK#

$
TOTAL (lf /asapage of thls schdulQ
' DlscJcuE lsw requlr€ candidalecommitteesb dlsdosethe relationshlp
$ 398.29
of any retdve maldnga conbibutonto tfte
@mmitteo. Relationsfiipmu$ tF sho$'nto the third de$ee of consansuhrty(bld relativB) and ffinig (relative by
mariage) . lf sumame of conbibutor is the same as candidate, but Oteie-isno I I
Page of
familal rclationship,enter "not applicable'in the relationshipcolumn. (torSdeduleA)
 l--, 1

FOR'NSIRUCT'OA'S, SEEBACK OF FARM ll-- ResetFomr

I SCHEDULE
I
- MONEYSPENTFROMCOMMITTEEACGOUNT
EXPENDITURES B I uonernnv
(Rev.07/03) | D@ENDITURES
STATE PAC GOMHITTEES: NOTE: FORCONTRIBUTIONSMADETO STATEVI,IDE
OR LEGISI.ATME
CANDIDATES,LISTTHE CANDIDATEIOENNFICATION
NUMBERIN THE DESIGNATEDCOLUMNANDTHE
PACCHECKNUMBERFOREACHEXPENDMJRE.A UST OF !D NUMBERSIS AVAII.ABLEFROMTHE |oWA
I cnecrrHrsBoxrF
AMENDINGFORM
ETHrcS8 CAMPAIGNDISCLOSURE BOARD.

COMif ITTEE NAiiE (Must De same as on Statementof OrganEation)

Anhalt for School Board
UANUIUAIE NAME AND ADDRESSTO WHOM r-ut{-uttE AMOUNT
DATE ID NUMBER E)(PENDITURE (DESCRIBETMNSAGTION) EXPENDED
E(PENDED Cf applicable) (Di*wvment) WASMADE
(MM/DD/YR) AND PAC
CHECK
NIIMRtrR
tD#
Linn AreaCreditUnion print checks
t-t7-09 3015BlairferryR4 NE 16.30
cl(# $
CedarRapids,IA52402
,w AdCraftPrinting print cards
t-28-(D 309 5thAve, SE 62.06
cl(#
CedarRapids,IA 52403
D# AdCraftPrinting print signs
)-8{9 3095thAve,SE 319.93
cl(#
CedaxRapids,IA52403
tD#
ct(#
tD#
cl<#
tffi

ct(#
tD#
ct(#

tLlr

c1(#
SUB.TOTAL$
TOTAL(lf last pageof thls schedule) $ 398.29

THIS BOX APPLIES TO CANDIDATES' GOMTIITTEESONLY:

Purdases of certain campaign property costng $500 or more musf also be inventoriedon Schedule H. (Refrr to Schedule H lnstucfrons.)

E eenditur€ to prsons/ent'fles poviding consultng, adwrtslng, fund-raislng,polling, managlng,organizlngseMces must also be detall ltemized on
Sciedul€ G by the amounl" purpose, and dat€ oteaclr type of e)esndlttrre made by ths por3on/entty on behalf of the candldate's commttlee. (Ref€rto
ScneduleG lnstrucflonsand lowa Gode68A.1026)0.)
I
Page ofl

(forSdreduleB)
FOFI'A'STRUCT'ONS,SFF BACK OF FORM
SCHEDULE I
GOMMfTTEEl{AilE(Musf be s€tmeas on Sta@mentof Oryanizaflon) F I loru.rs
(Rev.0Z08) I RECEwED
Abhalt for School Board &REPAD

NOTE: This sdtedule reports money loanedto the commttteewhlch ls depcited in the committeeaccount-
ffi
AMENDINGFORM
TOTAL UNPAD LOANS FROM!4gI REpORTtilc pERtOD $ 0

PART I - i|ONETARY LOANS RECEIVEDElS REPORT|NGpERtOD

(Oiglnal slJ,ureof loan, s/,tdtds a banlg mu* be shownif a thitd pafty is involved. lndude loans fton andidate's personal funds.)

UAIE NAMEANDADDRESSOF LENDER RELATIONSHIP TO AMOUNTOF LOAN

RECETVED (lndude Endorsefs Name, lf Applicable) CANDIDATE(lf Applicable")
fMM/DD/YRI
t
9-3-09 GaryAnhalt 15o.oo
19334thAve,SE
GedarRapids,lA 52403 self

TOTAL(PARTI) 150.00
PART r! - iTONETARY LOAN REpAyilENTS ilADE !H!g REPORnNG pERtOD
(Loans forgiven mu& be reportd on Srfledule E - ln&ind Contibutions)

DATE PAID MME AND ADDRESSOF LENDER REI.ATIONSHIPTO AMOUNTREPAID

(MM'DD'YFII flndrrde Fndamy's Namc lf Annllmhlal CANDIDATE {lf Annlir:ablel
D
12-14-09 GaryAnhalt 150.00
193i14th
Ave,SE
CedarRapids,lA 52403 self

TOTAL CASH REPAYMENTS(PART il)

150.00
$
From Scfiedule E - TOTAL LOANS FORGIVEN $
TOTAL OUTSTANDINGLOANS END OF REPORT PERIOD $
'Dlsclosure law requlres candldatecommitees to dlsdose the relatonshlp of any relatlve
maklng a contributon to the commit€. Relallonshlpmust bo shown to the third degree of
consangulnftyOlood relaWes) and afEnity(relativesby marlage). lf sumame of confibutor is Pase 1 ot 1
the same as candidate, but there is no tamilial relationship,enter hot applicable"in the (forScheduleF)
column when lt applies.