FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only ,
Frank Cownie for Mayor Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for: Logged In "J~
r
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate (6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Poetical Party (if applicable)
Late reports are subject to
Frank Cownie ,
possible civil and criminal
Office Sought . , r District (if Senate or House) penalties .
Mayor - City of Des Moines

W -9
SIGNATURE OF PERSON FILING REPORT 3~LTEL PHONE DATE SIGNED

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #E1

October 30, 2(*3 Local Committees, enter Date of Election

QCHECK IF AMENDMENT TO REPORT DATED

County i£ Local Committees, enter County in

F-1 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a DR-3 is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end 15,095 .57
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . 35,515 .00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .. . . . $ 50,610 .57
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 28,798 .44

Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND at the end of this reporting period (if final report balance must 21,812 .13
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,370.78

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,331.00

**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 6,000.00

CANDIDATE COMMITTEES ONLY :

CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 1,046.18

 SCHEDULE A: Contributions - Money Taken In SCHEDULE
MONETARY
ID :13281 A RECEIPTS
ICFRS 12/99
Name: Frank Cownie for Mayor
NEVER FILED

Type : Municipal Candidate - Mayor

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

10/24/2003 ID: 6314 Local #4 Fire PAC $1,200.00

P.O. Box 1821
Chk#: 514
Des Moines IA 50306

[#4471

10/24/2003 Maddox, Robert No Relation $100.00

8623 NE 108th Avenue
Bondurant IA 50035

[#439]

10/24/2003 Mahaffey, Lawrence No Relation $50 .00

1060 46th Street
Des Moines IA 50311

[#445]

10/24/2003 Rayman, Randy No Relation $50 .00

2815 E. 38th Court
Des Moines IA 50317

[#443]

10/24/2003 Shodeen, Anita No Relation $150.00

2904 SW 18th Street
Des Moines IA 50315

[#440]

10/24/2003 Skinner, Donald No Relation $100.00

2718 60th Street
Des Moines IA 50322

[#444]
10/24/2003 Stetson, Roger No Relation $200.00
5760 Gallery Court
West Des Moines IA 50266

[#438]
10/24/2003 Thornton, Richard No Relation $1,000 .00
3106 Southern Hills Drive
Des Moines IA 50315

[#627]

Page Total $2,850.00

NEVER FILED

of
This Report ps Prinfgq h(9 Typ fCFRS SqftWprp or, 01/1 8/199111 :2 F:G8 ft aJ~fbrIheoulell
SCHEDULE A: Contributions - Money Taken In SCHEDULE
MONETARY
ID-. 13281 A RECEIPTS
ICFRS 12/99
Name: Frank Cownie for Mayor
NEVER FILED
Type: Municipal Candidate - Mayor

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

10/24/2003 Urban, Toni No Relation $1,000.00

214 Foster Drive
Des Moines IA 50312

[#s2s]
10/24/2003 Westergaard, Neal No Relation $200.00
4009 E. 23rd Street
Des Moines IA 50317

[#4341

Page Total
NEVER FILED $1,200 .00

Report Total $35,515.00

Page 14 of 14
This Report Was Printed With The ICFRS Software on 011181200512:27.08 PM (for schedule A)