TT I O,."..o,, ,: .,ur Ti (Y A6 Flil G: J0 Disclosure

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Filewith:

lowa Ethicsand Campaign


s
DisclosureBoard
510 E. 12th,Ste. 14 ,r, ui,'frcs 4p,r,
, . . __ . . _ . r i r ; - t r
Des Moines,lowa 50319 FOR'NSTRUCflONS,SEEBACKOFFORM
_
Fax:5152814073
SUMMARYPAGE
DISCLOSURE .,ur ti{y
lll$fi
""it. ^ -

A6 flil g:
COMM|TTEENAME(Musfbe sameas on Statementof Organfuaflon) J0
Vote Yes For OurNeighbors
IMPORTANT:Indlcateby # tlrpeof commfttee you ar€reportngiol:
;Tt I o,."..o,,*,
(Rev.07/2007)| neeonr
Standlngfor RetentlonCandldate( 2 )StalePeC ( 3 )StiateParty
( 1 )Statewlde/Leglslatlve/Judge
( 4)CountyCentral Committee( 5 )CountyCandldate (6 )CttyCandldate(7 )SchoolBoardorOtherPolltlcal
SutidMstonCandtdate( 8 )CounryPAC ( I )CltyPAC ( 10 )SchoolBoardor OtherPolitlcalSubdMslonPAC
11 ) LocalBallotlssue Comm.#
CANDIDATECOMMITTEES
ONLY: LoggedIn
CandidateName Scanned
Computer
Dlstlct (if Senateor House) Audlted

Late reports are subjeci to cMl and crlminalpenaltles.Pursuantto lowa Codesectons 688.32A(7)and 68A.401(3),the candidate,for a

TELEPHONE

I AM FILfNGA MaY 2l'20o9 REPORTFOR(r) ELECTTON (2)NON-ELECTTON


YEAR.
(reportdate) Indtcatebv # lll
ECHECK IFAMENDMENTTO REPORT DATED enterDateof Electon
LocalCommtttees,
March 3,2009
I Checkif thisis ffnal(termination)
reportandattachNoticeof DlssolutonFormDR-3. entErCountyIn
County& LocalCommlttees,
(Youmustcontinueto file reportsunflla DR-3is ffled.) whlchElectlonls held
Linn

OF CASHON HAND
STATEMENT
CASHON HANDat the beglnningof the reportngperlod.(Iotal of all tundsheldby the
commlftee.ThisamountMUSTbe thesameas the cashon handat the end 24,t83.90
periodor mustbe zeroif thlsis firstreportfiled.) ...........................................
of thelastreporting $
ADDTOTALMONEYTAKENIN THISPERIOD
total(AttachScheduleA) ("alsosee in-kindbelow)..................
ScheduleA: CashContributions
Schedule
F: LoansReceived total(AttachSchedule
F)....................
Schedule
H: TotalSalesof Campalgn (AttachSchedule
Property H)....................
(ScheduleH aopllesto Gandldates'Gommlttees Onlvl
24,183'90
suB-TorAL................$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditurestotal (Attach Schedule B) ("also see debts and loans below)............
24,183.90
ScheduleF: Loan Repaymentstotal (AttachScheduleF)....................
0.00
CASH ON HAND at the end of this repordngperlod(lf flnal reportbalancemust be zero) ..........................
$
SUNPAIDBILLS(FromScheduleD - AftachScheduleD).................... ...............................$
"lN KINDCONTRIBUTIONS(FromScheduleE - AttachSchedule E)................... ..............$
*OUTSTANDING LOANS (From -
ScheduleF AttachSchedule F).................... .................$
BREAKDOWN(ScheduleG Attached?)
CONSULTANT YEs / r'ro
GANDIDATE
GOMMITTEES
ONLY:
VALUEOF CAMPAIGNPROPERTY(FromScheduleH - AttachScheduleH) $
STATEGOMMITTEES:Submlta reconclledcampaignaccountbankstatementin Januaryof eachyear.
-
FOR /NSIRUCI'ONS, SEE BACK OF FORM lE';tF.Ft SCHEDULE
ld I
- MONEYSPENTFROMCOMMITTEEACCOUNT
EXPENDITURES
B I vorurrany
(Rev.07/03)I EXPENDITURES
STATEPAC COMMITTEES:NOTE: FORCONTRIBUTIONS MADETO STATEWIDE OR LEGISI.ATIVE
CANDIDATES, NUMBERIN THE DESIGNATED
LISTTHE CANDIDATEIDENTIFICATION COLUMNANDTHE fl cnecxrHrs
BoxrF
PACCHECKNUMBERFOREACHEXPENDITURE.A LISTOF ID NUMBERSIS AVAILABLEFROMTHE IOWA AMENDINGFORM
ETHICS& CAMPAIGN DISCLOSUREBOARD.

COMMITTEENAME (Musf be same as on Statementof Organization)


Vote Yes For OurNeighbors
NAMEAND ADDRESSTO WHOM PURPOSE
EXPENDrIURE (DESCRTBE
TRANSACTTON)
(Dtsbursement)WAS MADE

CedarValley Habitat for Humanity


725 North CenterPoint Road
Hiawatha, 1A52233

TOTAL (lf last page of thls schedule)

THIS BOX APPLIES TO CANDIDATES'COMMITTEES ONLY:

Purchasesof certaincampaignpropertycostng $500or more mustalso be inventoriedon ScheduleH. (Referto ScheduleH instructlons.)

Expendituresto persons/entities
providingconsultng,adverlising,fund-raising,polling,managing,organizingssrvicosmustalso be detail ltemEedon
Schedule G by the amount, purpose, and date of each type of expendituremade by the person/entityon behalf of the candidate's committee. (Refer to
ScheduleG insbuctionsand lowa Code
I
Page of

(for ScheduleB)

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