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Generated On: 2/25/2009 10:15:20 AM

DR-2 Disclosure Summary Page DR-2


Terry L. Smith for Iowa City Council Status: Audited
Committee Type: City Candidate - City Council Statutory Due Date 1/19/2008

County: Johnson Adjusted Due Date 1/22/2008

District: 0 Filed Date 1/8/2008 10:06:24 PM

Committee Code: 13699 Postmark Date

Political Party: Not Available Amendment Date

Report Date: 2007 Candidate Name: Smith, Terry L

Treasurer
Last Name: Simon First Name: Dale MI: R
Address: 46 Pentire Circle
City: Iowa City State: IA Zip Code: 52245 Phone: 319-337-2674
E-Mail: simondaler@msn.com

Chairperson
Last Name: Walters First Name: Rick MI: D
Address: 4706 Inverness Ct
City: Iowa City State: IA Zip Code: 52245 Phone: 319-354-2454
E-Mail: rickdw50@yahoo.com

Statement of Cash On Hand


Cash on Hand at Start of Period $2,207.12
Schedule A: Cash Contributions Total $890.00
Schedule F1: Loans Received Total $0.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $3,097.12

Schedule B: Expenditure Total $3,097.12


Schedule F2: Cash Loan Repayments $0.00
Cash on Hand at End of Period $0.00

Additional Assets and Liabilities


Loans in Place at Start of Period $0.00
Schedule D: Unpaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F2: Forgiven Loans $0.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown No
Schedule H1: Campaign Property Value $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
Generated On: 2/25/2009 10:15:22 AM

Schedule A: Contributions Sch-A


Terry L. Smith for Iowa City Council Status: Filed
Committee Type: City Candidate - City Council Statutory Due Date 1/19/2008

County: Johnson Adjusted Due Date 1/22/2008

District: 0 Filed Date 1/9/2008 5:55:02 PM

Committee Code: 13699 Postmark Date

Political Party: Not Available Amendment Date

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser


Date Committee ID Candidate Amount
Check # Contributions, Unitemized X
11/24/2007 Various None $70.00
Iowa City, IA 52240
Various cash contributions
Check # Folkmann, Verne or Marlene X
11/24/2007 1351 1701 Brown Deer Road None $50.00
Coralville, IA 52241
Check # Francisco, Leza
11/24/2007 2894 503 E 9th Street None $100.00
Muscatine, IA 52761
Check # Gary, Watts
11/24/2007 cash 2881 Saddle Club RD None $70.00
Iowa City, IA 52240
Check # Kopsa, Walter & Jane X
11/24/2007 2894 130 Ashwood DR None $100.00
Iowa City, IA 52245-3206
Check # Schieffer, Ronald and Linda X
11/24/2007 3589 PO Box 771-105 None $100.00
West Branch, IA 52358-0771
Check # Sebben, Jack E
11/24/2007 1891 PO Box 2360 None $100.00
Shingle Springs, CA 95682
Check # Smith, Cynthia R
11/24/2007 5390 2220 Balsam Court Spouse $100.00
Iowa City, IA 52240
Check # Stoltz, John J X
11/24/2007 3589 4061 Thunder Ridge RD None $100.00
Benttendorf, IA 52722
Check # WLf Development X
11/24/2007 1005 PO Box 209 N/A $100.00
Iowa City, IA 52244

Total Regular Contributions $370.00


Total Fundraiser Contributions $520.00
Grand Total All Contributions $890.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
Generated On: 2/25/2009 10:15:24 AM

Schedule B: Expenditures Sch-B


Terry L. Smith for Iowa City Council Status: Filed
Committee Type: City Candidate - City Council Statutory Due Date 1/19/2008

County: Johnson Adjusted Due Date 1/22/2008

District: 0 Filed Date 1/9/2008 5:55:02 PM

Committee Code: 13699 Postmark Date

Political Party: Not Available Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure


Date Committee ID Amount
Check # Iowa City Press-Citizen
11/24/2007 1095 1725 N Dodge Advertising $1,399.80
Iowa City, IA 52245
Ads in the Press-Citizen
Check # Iowa City Press-Citizen
11/24/2007 1096 1725 N Dodge Advertising $1,327.11
Iowa City, IA 52245
Ads in Press-Citizen
Check # Okoboji Grill
11/24/2007 1007 1857 Lower Muscatine Rd Advertising $239.10
Iowa City, IA 52240
Election Night Celebration
Check # Goodwill Industries of Heartland
12/26/2007 1008 14011st Ave Charitable Contributions $131.11
Iowa City, IA 52240
Contribution to Goodwill Industries to close account

Total Amount $3,097.12

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1

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