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011071?

005 14 :43 7128852275 IJTE STATE BARK PAGE 02

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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)

Erlandson for Sheriff For Office Use Only


Comm, #
IMPORTANT Indicate by # type of committee you are reporting for : Logged In
( 1 )$IstewideiLegIslativeiJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 6 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Pollilcal Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdlvlslon PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
Summer Frla.ndson Republican
possible civil and criminal
Office Sought District (if Senate or House) penalties .
Coun t
ry Sheriff

1-7-05
DATE SIGNED

I AM FILING A January 1.9 REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR


(report date) Indicate by tl

Local Committees, enter Date of Eleulon


OCHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in


('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 )
Monona

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
of the last reporting period or must be zero if this is first report riled .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 253 .80

ADD TOTAL MONEY TAKEN IN THIS PERIOD


Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . , . . . . 1 nn _ ()n
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . ., .  , . . . .  . . . . 250 .00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SU8-TOTAL .. . . .$
An'l An
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule A . Expenditures total (Attach Schedule B) ("also see debts and loans below) . . 370-00
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . 233 .80
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . ... . S

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


`IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . .. , . . . ... . . .. . . . ... .. .. .. . . . $ 1 ti o~
"OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . ., . . . . . . . . . . . . ., . . ., . . . . . . . . . . . . , . .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached') YES ENO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
31/07/2085 14 :43 7128852275 IJTE STATE BANK PAGE 83

For Instructions, See Back of Form SCHEDULE


A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev 07103) l RECEIPTS
(Inrduding candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Erlandson for Sheriff

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

TOTAL (if last page of this schedule)

' 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

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev, 07103) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE


CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE 10 NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursomenr) WAS MADE
(MMiDDIYR) AND PAC
CHECK
NUMBER
ID# Advertisement
11-4-04 ~lapleton Press
CK# ~,lapleton, IA
$108 .00
1D#
11-4-04 Onawa Democrat Advertisement
Onawa, IA 96 .00
CK#

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

FOR iNSTRuCTIONS, SEE BACK OF FORM SCHEDULE


E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 013197) CONTRIBUTIONS

Erlandson for Sheriff


D 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
(MM/DDIYR) OF CONTRIBUTOR ° (If applicable) CONTRIBUTION VALUE CONTRIBUTION

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

COMMITTEE NAM E(f lusl be same as on Slatenwnf of Organizalk-n) F LOANS


(Rev . 07/03) RECEIVED
Erlandson for Sheriff & REPAID

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

'From Schedule E-TOTAL LOANS FORGIVEN $ 1 A 7Cl

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ fl

'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)

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