FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

(Rev . 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Wagner for Council
~a . Comm . #
IMPORTANT : Indicate by # type of committee you are reporting for: ` Logged In
( 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 Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Wade Wagner

Office Sought District (if Senate or House)

City Council (Part-time)

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee,
and the chairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports .

~/ L'?6 ~-' z/ (? 3 12-

SIGNATURE OF PERSON FILING ORT TELEPHONE DATE SIGNED

Organization / Election
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #

Local Committees, enter Date of Election

E3CHECK IF AMENDMENT TO REPORT DATED
12/6/05

0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)
Linn

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 0 .00
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
975 .00
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 .22

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Schedule H applies to Candidates' Committee . . Only)
SUB-TOTAL . . . . . . . . . . . . . $ 1,079 .22
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
1,079 .22
Schedule B : Expenditures total (Attach Schedule B ) (**also see debts and loans below) . . . . . . . . . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00

CASH ON HAND at the end of this reporting period (if final report balance must
0 .00
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

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

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES J NO
CANDIDATE COMMITTEES ONLY :
$ 0 .00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Wagner for Council

STATE CANDIDATES NOTE : 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
DISCLOSURE BOARD .

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 .

PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR

DATE
(if applicable) TO CANDIDATE' RECEIVED FUND-
RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
RC Blythe $100.00
11/17/05 13025 Parkview Ct SE
CK#
Cedar Rapids, IA 52403
I D#
Ronald Dlaney 100 .00
1 1/18/05 455 Dows Rd
CK#
Cedar Rapids, IA 52403
1D#
Jane Pate 100 .00
11/24/05 6801 Bowman Ln NE
CK#
Cedar Raids, IA 52402
ID#
Allan Kane 150 .00
11/26/05 CK# 2055 1st Ave SE
Cedar Raids IA 52403
I D#
Douglas L . Bean 25 .00
11/29/05 421 27th Ave SW
CK#
Cedar Rapids, IA 52404
I D#
C Wayne Powers 150 .00
11/30/05 2453 Kilimanjaro Dr NE
CK#
Cedar Rapids, IA 52402
1D#
Laurie Stone 100 .00
12/1/05 2020 Spoon Creek Ct SE
CK#
Cedar Rapids, IA 52403
I D#
Waldo Morris 150 .00
12/2/05 4512 Lakeside Rd
CK#
Marion, IA 52302
1D#
Thomas Aller 100 .00
1 2/4/05 CK# 1089 Cedar Woods Rd
Cedar Rapids. IA 52403
ID#

C K#

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 must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 1 1
marriage) . If surname of contributor is the same as candidate, but there : no Page of_
(for Schedule A)
familial relationship, enter "not applicable" in the relationship column .
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
MONETARY
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)

Wagner for Council

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# The Gazette Company Newspaper Ad
12/1/05 CK# 500 3rd Ave SE $ 872.50
Cedar Rapids, IA 52403

ID#
Advantage, Inc Recorded Message for campaign
12/6/05 CK# 1611 N Kent Street Suite 905 206.72
Arlington, Virginia 22209

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ 1079 .22

TOTAL (iflast page of this schedule) $ 1079 .22

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 persons/entities providing 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) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

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

(Rev. 07/03) RECEIVED
Wagner for Council & REPAID

NOTE : This schedule reports money loaned to the committee which is deposited in the committee account. CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a thirdparty is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include loans 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 (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID
MM/DD/YR If licable* If Applicable)

Wade Wagner
136 Tomahawk Tr SE
12/6/05 Cedar Rapids, IA 104.22

TOTAL (PART/) $ 104.22 TOTAL CASH REPAYMENTS (PART 11) $

From Schedule E -- TOTAL LOANS FORGIVEN $ 104 .22

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ 0

*Disclosure law requires candidate committees to disclose the relationship of any relative
making a contribution to the committee . Relationship must be shown to the third degree of
consanguinity (blood 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 it applies . Page I of 1
(for Schedule F)