FEB-24-2005 03 :16 PM GROUT MUSEUM DISTRICT .319 236 0501 ~ ,~'~rzerk-~T~.

.. 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 O cs Use Only ,
Metro Coalition for Better Streets Comm .
IMPORTANT: Indloate by a type of committee you are reporting for. Logged In
( 1 )StatewldelLeglslatlveiJudge Standing for Retention Candidate (2 )State PAC (3 )State Party Scanned
(4 )County Central Committee )County,Cpndidme f6-)G#y"ndIdate ( 7 )School Board or Other
Political Subdivision Candid4te )Co4ntyl kC" ((a ~}~i{y P"AG (iU.)9chool Board or Other Political Computer
Subdivision PAC (11) Ldaot illpllotlisue . I . Audited
CANDIDATE COMMITtOES ONLY:
Candidate Name F E B 2 4 2005 Political Party (If applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties.

Feb_ V 2005"
OF PERSON FLING REPORT DATE SIGNED

ebruary 24, 2005

I AM FILING A F REPORT FOR (1) ELECTION I(2)NONELECTION YEAR .
(report date) Indicate by# 0
Local Committees, enter Date of Election
(]CHECK IF AMENDMENT TO REPORT DATED
March 1, 2005
El Check If this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Commtteas, enter County in
which Election is held
(You must continue to file reports until a DR-3 Is filed.) Black Hawk

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 filed.) . .. .. . .. .. .. ... . . .......... ... .. .. $ 0

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) ('also see In-kind below) . . . ... .. .. 13,250.00
Schedule F: Loans Received total (Attach Schedule F) . ..... .. ... .. .. ... .. ..... .. ... .. ..... ..., ., ., . .. .. ... ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. . .... ..... ...... . ... .. .... . ...
Mc dull H apoiloa to Gandidabea' ommltlsaa Only)
SUB-TOTAL ..... $ 13,250.00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule 8) ("also see debts and loans below),... 8,782 .14
Schedule F: Loan Repayments total (Attach Schedule F) .. ..... .... .. ... . ...... ..... ..... .. .. ..... ....... ...
CASH ON HAND at the and of this reporting period (If final report balance must
4,467 .86
be zero) (Attach DR-3) . .. .. ..... .. ... .. ....... .. . ...... .. . . ... . . ..... ........... . .. .... . .. .. . .. .. . . . .. .. .. ... .. .. ... .. ... .. .. .. .$

"UNPAID BILLS (From Schedule D - Attach Schedule D) . ... .. .. ... ..... .... ... ....... .. .. .. ., . .. ... .. ..... ..... .. ... .. .. $ 1.500,00
°IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... .. . . ..... .... ... . .. .... .......... .. ... .. .. $ 415 .45
"OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . .... .. .......... ....... .. ... .. .. .. . ..... .... .. ... .$
CANDIDATE COMMITTEES ONLY ;
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) S
FEB-24-2005 03 :17 PM GROUT MUSEUM DISTRICT 319 2 .36 0500 P .02
For Instructions, Sao Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 07/03) RECEIPTS
(Including candldete's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be some as on Statement of OrganIzaNon) AMENDING FORM
Metro Coalition for Setter Streets

ATATE CANDIDATES NOTE : IF A CONTRIBUTION 18 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD,

CAUTION ., Section 688 .32A(8), Iowa Coda, prohlblts the use of Information oopled 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 4 IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID#
Olesson Sod Co.
212J03 CK# $200 .00
2508 Hearst Rd .
Cedar Falls 50613
I D#
Benton's Ready Mixed Concrete
500 .00
CK# 725 Center St .
Cedar Falls 50613
ID#
Youngblut Contracting
100 .00
CK# 7139 La Ports Rd.
Washburn 50706
ID#
Peterson Contractors
1,500 .00
CK# P .O. Sox A
Reinbeck 50669-0155
ID#
Cunningham Construction
850.00
CK# 1025 Center St.
Cedar Falls 50613
ID#
Watco Construction, Inc .
1,200 .00
P .O . Sox 944
CK#
Waterloo 50704
ID#
Patricia & John Kimball
300 .00
CK# 11638 Kimball Ave.
Waterloo 50701
ID#
Susan & Michael Zimmerman
200.00
217!05 CK# 116 Winding Ridge Rd.
Denver 50622
ID#
Cedar Falls Construction
200.00
CK# P .O . Box 368
Cedar falls 50613
ID#
Cedar Valley Corp .
2637 Wagner Rd. 1,200.00
CK# =
Waterloo 50703
j
SUB-TOTAL

TOTAL (If last page, of this schedule)

' Disclosure law requires candidate committees to disclose the relationship of any relative making s contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and afflnity (relatives by 1
marriage) . If oumams of contributor Is the some as candidate, but chore is no Page of _-_____
familial relationship, onter'nol applicable" in the relationahlp column . (for Schedule A)
FEB-24-2005 03 :17 PM GROUT MUSEUM DISTRICT 319 2 .36 0500 P .03
For Instructions, Sae Back of Form I SCHLOULL
RI~atPorm~
CONTRIBUTIONS "- MONEY TAKEN IN
(Including candidate's personal funds)
A
(Rev . 07/03) I MONETARY
RECEIPTS

Q CHECK TH18 90X IF

COMMITTEE NAME (Must be some as on Statement of Organization) AMENDING FORM

Metro Coalition for Better Streets

7
STATE CANDIDATES NOTE : IF A CONTRIBUTION 18 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of Information copled from reports and statements for soliciting contributions or
for any commercial purpose by any person other then statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMlDD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
iD#
Aspro
217/05 P.O. Box 2620 $2,000 .00
CK#
Waterloo 50704
IDS
Milt Dakovich
P.O . Box 2620 500.00
CK#
Waterloo 50704
ID*
Brad & Dens Blough
200.00
CK# 865 Fox Ridge Rd.
Dike 50624
ID#
Robert & Elizabeth Brustkem
5728 Sierra Rd . 200.00
CK#
Waterloo 50701
ID#

Ej
Service Signing LC
P.O . Box 158 200 .00
CK#
Cedar Falls 50613
ID#
Utility Equipment Co. (UEC)
P.O . Box 1290 250.00
CK#
Bettendorf 52722
Id#
John & Shirley Gei6t
3540 Kingswood P) 50 .00
CK#
Waterloo 50701
ID#
Craig & Nancy Shirey
z/+ 01D5- CK# 435 Midlothian 25 .00
Waterloo 50701

D.C . Corporation
CK# 426 Beech St. 500.00
Waterloo 50703
ID#

1)gjV5
BMC
1 CK# P.O . Box 2277 1,500 .00
Waterloo 50704
SUB-TOTAL
5,425.00
TOTAL (if last page of this schedule)

' Disclosure law requires candidate committees to dlaclose the relationship of any relative making a contribution to the
commutes . Relationship must be shown to the third degree of consanguinity (blood relatives) end affinity (relatives by 2
marriage) . If surname of contributor i9 the same as candidate, but there Is no Page _------ of -r_____
familial relationship, enter'not applloabie' In the relationship column . (for Schedule A)
FEB-24-2005 03 :17 PM GROUT MUSEUM DISTRICT 319 236 0500 P . 04
For Instructions, Sao Back of Form SCHEDULE
1"" pdrII6
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev, 07/03) ( RECEIPTS
(Including candidate's personsl funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be aeme as on Statement of Orgenlzaiion) AMENDING FORM

Metro Coalition for Better Streets

STATH CANDIDATE& NOT2 : IF A CONTRIBUTION 19 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DE.8IGNATED COLUMN . A LIST OF ID NUMBERS 19 AVAILABLE FROM THE IOWA ETHICS AND CAMPAION
DISCLOSURE BOARD.

CAUTION: Section BBB.32A(B), 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 sppllcable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Roth Jewelers
2/15/05 $25 .00
CK# P,O. Box 1380
Waterloo 50704
ID#
Timothy Hurley
1933 Crabapple Ln. 200 .00
CK#
Waterloo 50701
ID#
Merle Headington
250.00
CK# 3 705 1 st. AV SW
Cedar ids 52405
ID#
Mosey Real Estate
CK# 814 Sheridan Rd. 100.00
Waterloo 50701
ID#
Richardson Funeral Home
2/23/05 615 Main St. 50.00
CK#
Cedar Falls 50613
ID# American Color Imaging
CK# 715 E. 18th St . 50.00
Cedar Falls 50613
IDO
Crystal Distribution Services Inc.
CK# P.O. Box 1744 100 .00
Waterloo 50704
ID#
Beec :r, Field et a1
CK# P .O. Box 178 100.00
Waterloo 50704
ID#
Sehen]c Engineering Co.
CK# 216 Brokeridge Dr. 200 .00
Waterloo 50702
ID#
Arthur L. Davis Publishing Co.
CK# 517 Washington St. 50.00
Cedar Falls 50613
SUB-TOTAL 1$ 1,125 .00
TOTAL (If last page of this achodule)

Disclosure taw requires amndtdate committees to disalosu the relationship of sny relative making a contribution to the
oommlttse. Relationship must be shown to the third degree of consanguinity (blood relatives) and wifinity (relatives by 3 4
marriage) . If sumams of Contributor Is the some as candidate, but there is no Page _ _ of --------
familial relationship, enter `not applicable' In the relationship column . (for Schedule
FEE-24-2005 03 :18 PM GROUT MUSEUM DISTRICT 319 236 0500 P .05
For Instructions, See Back of Form SCHEDULE
A
CONTRIBUTIONS "- MONEY TAKEN IN
(Including candidate'& personal funds)
(Rev, 07/03) I MONETARY
RECEIPTS

Q AMENDING
CHECK THIS BOX IF
COMMITTEE NAME (Mus(be same as on Statement of Organization) FORM

Metro Coalition for Better Streets

STATE CANDIDATES NOT! : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DIUCLOBURE BOARD .

CAUTION: Section 88B.32A(8), Iowa Code, prohibits the use of IntormMon copied from reports end statements for soliciting contributions or
for any commercial purpose by any person other than statutory politico( committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID*
Black Hawk Plumbing
2!23/05 E250 .00
CK# P.O. Box 1025
Waterloo 50704
ID#
KWS, Inc.
200.00
CK# P.O. Box 96
Cedar Falls 50613
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

IN

CK#
I I I I 1 I 1
SUB-TOTAL
50 $ 4 .00
TOTAL (If lost page ofthis schedule)
13,250 .00
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the thlrd degree of consanguinity (blood reletlves) and affinity (relatives by 4 4
marriage) . If oumame of contributor Is the same as candidate, but there to no Page ------- of
familial reletlonship, enter "not applicable` In the relationship column . (fo( Schedule A)
FEE-24-2005 03 :18 PM GROUT MUSEUM DISTRICT 319 236 0500 P-06

FOR INSTRUCTIONS, SEE BACK OF FORM hwi SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07I03) 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 EXPENDRURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

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

Metro Coalition for Better Streets

CANDIDATE NAME AND ADDRF-88 TO WHOM PURP08E AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Disbursement) WAS MADE
(MMIOD/YR) AND PAC
CHECK
NUMBER
IDs# Cyd McHone Reimbursement for P .O . Box
02/05/05 27 Colby Rd . 20 .00
CK# 101 ~
Waterloo 30701

ID#
ellman Associates Billboards, Courier advertising,
02/07/05 .O . Box 627 copywriting, printing, design layout, 8,066 .14
CK#102
Waterloo 50701 web-site hosting and registration

IN ellman Associates FAQ sheets printing, script writing,

02/09/05 .0. Box 627 audio 696 .00
CK#103 Waterloo 50701

I D#

CK#

I D#

CK#

I D#

CK#

ID#

CK#

IN

CK#

SUB-TOTAL $ - 8,782.14
TOTAL (N last page of this schedule) $ 8,782,14

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing 5800 or more must also be Inventoried on Schedule H, (Refer to Schedule H Instructions,)

Expenditures to personalenfitles providing oonsulting . advertising, fund-ralslng, polling, maneglng, 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 0 Instructions and Iowa Code 88A .4tY1(3)(I),)

Page g________ of _1 ________

FEB-24-2005 03 :19 PM GROUT MUSEUM DISTRICT .319 2 .36 0500 P .07
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement Of OrpenIzatlon) (Rev . 08199)1 INDEBTEDNESS
Metro Coalition for Better Streets
CHECK THIS BOX
IF AMENDING
NOTE- Debts previously reported that remain unpaid must be Include_ on this FORM
Schedule, as well as any new obligations Incurred In this period .

An "Incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) end of the reporting period .,
regardless of whether an Invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMJDD1YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*
-. S
Hellarnn Associates Web Site Development
0211 1105 RO. Box 627 1,500.00
Waterloo 50704

SUB-TOTAL
1,500 .00

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

1,500.00

'If actual figure Is unknown, @how 'estimated" beside the figure . Page 1 Of 1
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred Indebtedness also includes each person/entity with whom the eandidste°s committee has entered Into a contract during the reporting penod for future
or continuing performance . Enter the name of the consultant who provides or procures services for Items such as advertising, fund-raising, poillng, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FEP-24-2005 03 :19 PM GROUT MUSEUM DISTRICT 319 236 0500 P .09

SCHEDULE
FOR INSTRUCTIONS, SEE BA CK OF FORM
E IN-KIND
(Rev. 08197 CONTRIBUTIONS
COMMITTEE NAME (Must be same as on Statement of Organlzsfion)
Metro Coalition for Better Streets
[) CHECK THIS BOX IF
AMENDING FORM

RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

DATE
NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
RECEIVED
OF CONTRIBUTOR ' If a itcable CONTRIBUTION VALUE CONTRIBUTION
MMIDDIYR

First Security State Bank Checking account 10 .45

1/18105 1225 W . Ridgeway and checks
Waterloo 50701

Waterloo & Cedar Falls Chambers Newletter Insert 405 .00

02/07105 313 E . 5th St. Membership List
Waterloo 50703

a
El
F-1

a
TOTAL (If last
pogo of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an In kind contribution to the Page 1 of 1
oommhtee. Relationship must be shown to the third degree of consanguinity (blood relatives) and afflnlty (relatives (for Schoduls E)
by marriage) . (See Page 2 of forms packet .) If surname of contributor Is the same as candidate, but thoro is no
familial relationship, enter "not applloable" In the relationship column .