Professional Documents
Culture Documents
Of Erlandson For Sheriff
Of Erlandson For Sheriff
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FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
1-7-05
DATE SIGNED
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PACIDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOwA ETHICS AND CAMPAIGN
DISCLOSURE EOARD .
CAUTION : Section 68B .32A(6). Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMJDDIYR) AND FAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Warren Tiretthauer
$ 100 .00
11-1-04 CK# Ute, IA. 51060
ID#
CK#
ID#
CK#
I D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID*
CK#
ID#
CK#
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. RelationshIp mw^t be shown to the third degree of censangumity (blow relalives) and affinity (relatives by 1
marriage) . If surname of contributor Is the same as candidate, but there is no page 1 of-
familisl relationship. enter "not applicable" In the relationship column . (for Schedule A)
61/07!2005 14 :43 7128852276 IJTE STATE BANK PAGE 04
ID#
Ryan Publishing Advertisement 41 .00
Whiting, IA
CK#
IDl#
Onawa Sentinal. Advertisement_ 84 .00
11-8-04
CK# Onawa, IA
ID#
) .1-22-04 Ryan Publishing
Whiting, IA Advertisement 41 .00
CK#
CK#
ID#
C K#
I D#
CK#
SUB-TOTAL 70 .00
TOTAL (if last page of this schedule)
$370 .00
[
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :
Purchases of certain campaign property costing $500 or more must also be Inventoried on Schedule H . (Refer to Schedule H Instructions .)
Expenditures to personsientities provIdlng consulting, advertising . fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose. and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) )
Page _ I Of -I
(ror Schedule B)
IJTE STATE BANK PAGE 05
01 ;'07/2'305 14 :43 7128852278
1.6 .20
F7
a
1-5'05 Summer Erlandson Self Forgiveness
a
a
0
0
0
a
SUB-TOTAL
a
TOTAL (if last
page of this
schedule)
'Disclosure law regulreS candidates to disclose the relationship of any relative making an in kind contribution to the Page _],- of
committee Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate. but there is no
familial relationship, enter 'not applicable" in the relationship column .
FOR WS TRUCTIONS, SEE BACK OF FORM
SCHEDULE
NOTE : This schedule reports money loaned to the committee v6ch is deposited in the committee account.
CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ - p
PART I - MONETARY LOANS RECENED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE !HIS REPORTING PERIOD
(Original spume oftoon, such as a bank, must be shown if a thirdparty is (Loans forgiven must be reported on Schedule E - ln,kihd Contribukos.)
involved. Include foans from candidate's personal funds)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, if Applicable) TO CANDIDATE OF LOAN (MMIDDNR) (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
MMIDD]YR If Ilcable' It livable
3
Summer Erlandson Self $ 250 .00
11-22-04 1-5-05 Summer Erlandson Self 233 .80
TOTAL (PART 1) $ 250 .00 TOTAL CASH REPAYMENTS (PART11) 233 .80
'Disclosure law requires candidate commfees to disclose the relationship of any relative
making a contribution to the oamrmttee . Relalionship must be shown to die third degree of
consanguinity (Wood relatives) and affinity (relatives by marriage). If surname of contributor is
the same as candidate, but there is no familial relationship, enter 'not applicable' in the
relationship column when if apples . Page 1 or I
(for Schedule F)