1110'2!2004 13 :45 5414543192 TEK BUILDERS, IHC .

PAGE 04

FOR INSTRUCTIONS, SEE BACK OF FORM

FORM
DISCLOSURE SUMMARY PAGE DR-2
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev 07/2004)

For Office Use Only

Committee to Fleet Ronche Still
Comm . # r
IMPORTANT : Indicate by # type of committee you are reporting for : Legged In
1 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
( a )County Central Committee ( 5 )County Candidate (8 )City Candidate ( 7 )School Board or Other Scanned
Political Subdivision Candidate ( 8 )County PAC ( 8 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot Issue
Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name ~ti Party (if applicable)
IF 130
onC11e R . Still Demo at Late reports are subject to
possible civil and criminal
Office Sought i"qlj V `~ 20Q4stri4if Senate or House) penalties .
Sherriff

f
04
1, C,+
SIGNATURE OF PERSON FILING REPORT DATE'SIdNED

I AM FILING A F_i1v11L REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR

(report date) Indicate by #

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

lI-02-04

[t~Chech if this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports untll a DR-3 is filed .) whlCh Election is held
Ringgold

8TATEMENT 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
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . .  . . .  . . . . $ S2 .24

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A, Cash Contributions total (Attach Schedule A) ('also see m-kind below) . U
Schedule F Loans Received total (Attach Schedule F) . . . . . . . . . . . . .. ... . . . 0
Schedule H Total Sales of Campaign Property (Attach Schedule H)
(schedule H applies to CAndidataa' Comm Itkiiiiiiii Only)
SUB-TOTAL . . . . .$ 8224
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B Expenditures total (Attach Schedule B) ("also see debts and loans below), .
Schedule F : Loan Repayments total (Attach Schedule F) . . . 32 .24
CASH ON HAND et the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

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

`IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . . . . . . . . . . . 517 .76
"OUTSTANDING LOANS (From Schedule F-Attach S 0
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Atteohod7) 171 YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
FOR INSTRUCTIONS, .SEE PACK OF FORM
SCHEDULE

COMMITTEE NAIM(Must be sane as on StsfemenI of Organaalron) F LOANS

(Rev. 07M) RECEIVED
Committee to Elect Ronche Still 6 REPAID

NOTE : This schedule reports money loaned to the committee which is deposited n the cxnrrxKtee acoouTL CHECK THIS BOX IF
AMENDING FORM
600'00
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD i

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE TWS REPORTING PERIOD
(Ongitel simm of ban, sLah as a bank mrtst be sham da HvV partyis (Loans fnr~ must be repafad on Sdiedule E - In4ond CQRAnburyon& )
invw%"d. lndude)o®ns hvm runotdats's parsarral funds)
DATE NAME AND ADDRESS OF LENDER RELATTONSiHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSKP AMOUNT
RECEVED (Induce Endorsees Name, If Appicabls) TO CANDIDATE OF LOAN (MUMU") (Induce Endorser's Nerds, If AppicaGie) TO CANDIDATE' REPAID
MUOD1YR (If ' bee
S i
Ronche Still, 200 S.Kirby,MtAyr, IA
11-02-04 same 8224

TOTAL (PART I) TOTAL CASH REPAYMENTS (PART H) 82 .24

S
s 517 .76
From Schedule E - TOTAL LOANS FORGiVEN

TOTAL OUTSTANDING LOANS END OF REPDRT PERIOD :0

'Dsdosure law requires candidate eommdtees to disclose the re :ahonshp of any relative
making a contribution to the corrrradee_ Relationship must be shown to the third degree al
consanguiuty (o!ood relatives) wd affirrty (relatives by marriage) tf surname of oontribWor is
the sarne as candidate, but there is no familial reUbonahlp, enter 'no1 apptacable' in the
relationship column when it applies . Page I of l
f for Schedule F)
 13 :45 5414543192 TEK. BUILDERS, INC . PAGE 05
11/0212004

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . OG/97 CONTRIBUTIONS
Committee to Elect Ronchc Still
[] CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
IKAM/DDiYR OF CONTRIBUTOR " It a potable) CONTRIBUTION VALUE CONTRIBUTION

71
Ronche R . Still same loan forgiven 517 76
l l-Oa-04

F1
a
-

a
a
0
F 1
a
-

a
a
- Disclosure law requires candidates to disclose the relationship of any relative making an In kind contribution to the Page of I
committee Relationship must be shown to the third degree of consongulnlty (blood relatives) and affinity (relatives (tor Schedule E)
by marriage). (See Page 2 of forma packet.) If surname of contributor Is the same as candidalc, but there is no
familial relationship, enter "not applicable" In the relationship column .