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Disclosure Summary Page DR-2: Report For (1) Election
Disclosure Summary Page DR-2: Report For (1) Election
-, 0E,
a )County Central Committee ( 5 )County Candidate ( S )City Candidate ( 7 )School Board or Other Scanned
2olit;rAl Subdivision Candidate ( 6 )County PAC ( 9 )City .PAQ,( 10 )School Board or Other Political Computer -
Subdivision PAC ( 11 ) Local Ballot-tswa--` ` . . ta3~- q
Audlted
File with!
Iowa Ethics and Campaign
Disclosure Board
510 E . 12"', Ste . 1 A
Des Moines, Iowa 50319
Fax : 515-281-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to lows Code section 68B 32A(7)
the candidate for a candidate's committee, and the chairoernon, for any other type of committee . is the
icual responsible WIng timely and accurate reports .
SI_SS3aa,?~ I ':f; ` ob
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED
SUB-TOTAL . . . . . . . . . . . . .. . . . . . . . . . S 2,225.00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below), . . . ., 0 .00
CASH ON HAND at the end of this reporting period (irflnal report balance must
be zero) (Attach OR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... .... . . .. . . .... . ... .... . . ... .. . . . . 2-225 .00
Q
(Including candidate's personal fundsl
CHECK THIS BOX IF
COMMITTEE NAME (Must be some as on Statement of Organization) AMENDING FORM
Vas 4 lode
STATE CANDIDATES NOTE' IF A CONTRIBUTION IS RECEIVED FRCM A STATE PAC /POLITICAL ACTION COMMITTEE), LIST THE PAC !DE?JTIFICA'ION
NUMBER AND THE OAC C4ECK NUArBER IN THE DESIGNATED COLUMN A, LIST OF ID NUMBERS IS .AVAILABLE FROM TPE 10`AIA ETHICS Al CAVPA?r_r,'
DSCLCSUREBOARO
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES DACRE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION: Section 68B .32A(6), 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. E NAME AND ADDRESS OF CONTRIBUTOR RELATI 1 AMOUNT " .! IF FOR
RECEIVED (ir applicable) TO CANDIDATE, RECEIVED FUND-
WMIDDYRt AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
10#
David R. or Colerre J . Johnson N;A $100 .00
04!17/2006 1204th Avenue NVv'
CK#
Clarion, IA 50525
V I D#
.lady L. Fismis 5100 .00
04,'1 7/2006 CK# N./A
PO Box 6
d c d 50542
ID#
Robert W. or Pam Brinton
S100 .00
04~ 1 '!2006 CK# 227 I st Avenue NE N!A
Clarion, IA 50525
L
I D#
eR °Y A . and liiya,k. %Wicks ~, 5100 .00
04 ;17-2006 CK# th Street NE
' 7 15
11
Tl~
ID
Katv L. Bordwcl) 5100 .00
04 : 14/2006 CK# 630 Birch Lanc N,A
Clarion. LN 50525
I D#
Lester and Nancy Laecher
5125 .00
0425-'2006 CK# 310 11th Street NE
Clarion IA 50525
ID#
R. B . and Donna Bartholomaus
04'25~20r16 S125 .00
CK# 514 N . Main Street N.-'A
Clarion . to 50525
ID#
Robert and Lacinda Wilwert $125 .00
04!2'``006 CK# N/A
1692 S . Rhode Island Court
I #
Mason City, I :k 50401 _
' Disclosure law requires candldato committees to disclose the r0ationchip of eny relative making a contribution to the
aommlttee. Rehtionship must be shown to 1110 third degree of consangulnlty (blood relatives) end efflnlty (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.
F05/0 21308 11 : 43 5155322853 BB&J LAW OFFICE PA(3E 135 :' 06
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candldale's personal hinds)
~] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Yes 4 Kids
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 ETHIC., AND CAMPAIGN
DISCLOSURE BOARD
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL. THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION : Section 688 32A(6), 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 :' IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND
(MM/DDIYR) AND PAC CHECK (if applicable) RARER
NUMBER INCOME
ID#
Dr. Robert and Edith Eaton $25 .00
04'20;'?_006 C K# 1200 2nd Street SW, Apt . 213 N/A
Clarion, IA 50525
IO#
Dr. Robert Olson A $200 . 00
04 ;'20 :'2006 CK# 1831 Madison Avcnuc N
ID#
John and Terri Suhumskie S100 .00
0412 7 .2006
A
CK# N/-\
PO Box 206
Goldfield, IA 50512
ID#
Sara S . Pra11e 550 .00
05,02'2006 CK# PO Box 688 N/A
ID#
Bruce D . Frink $100 .00
05 ; 02-2006 CK# PO Box 241 N/A
Clarion TA 50525
I
Barbara Mussman S 100 .00
04/28;'2006 CK# 721 Cedar Drive N/A
Clarion, IA 505 :5
Of1,CIQSUre law rdqulres candidate commltlees to disclose the relation ship of any relative making a contribution to the
committee. Relationship must be shovrn to the third degree of consanguInlty (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
Page _0-- of
(for Schedule A)
05 :''05f2 006 11 :49 5155322653 BB&J LAhI OFFICE PAGE 0E/06
SUB-TOTAL
1,838 .06
'If actual figure is unknown, show "estimated" beside the figure Page I of
(for Schedule ti)