Professional Documents
Culture Documents
5 1owa Myvse Sl30: C7&4Ft'L
5 1owa Myvse Sl30: C7&4Ft'L
12/1005) REPORT
5~
Political Subdivision Candidate (8 )County PAC (9)Ciy PAC (10),Sc~ Computer
Subdivision PAC (11) Local Ballot Issue t f7 1G :
Audited A . c. ~-
" 1y1
Candidate Name Political Party Of applicable) File with :
C)CS6d C7&4ft'l hMdcra~ lava Ethics and Campaign
Disclosure Board
Office Sought District (of Senate or House) 510 E . 12"', Ste .1A
1owA Myvse _ 1- Des Moines, Iowa 50319
Fax :51 5-281-A073
Late reports are subject io possible civil and ai nirtal penapies. Pursuent loo lows Code section 68B.32A(7)
the candidate, for a candidate's committee, and the chairperson, for any oRpjAyVF9ZR&f 099, is the SIGNATURE OF PI3tSON FtJNiG
individual responsible for fiRrtg timely and accurate reports. R13PORT
TELEPHONE
DATE SIB
sl30 0 53-`50-6146
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by #
'JCHECKIFAMENDMENT TO REPORT OATED G1210 (4# Local Committees, enter Date of Election
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3-
County & Local Committees, enter County in
(You must continue to Me reports until a DR-3 is tiled .)
which Election is held
Schedule F: Loan Repayments total (Attach Schedule F) .. . . . .. . . . ._. . . .... . .. . . . . ... . . ... . . ... . ... . . . ... .. .. . . . .... . . .. . . ._ .
CASH ON HAND at the end of this reporting period (if Anal report balance must
be zero) (Attach DR-3) . ... . . . .. . . .. . . . . ... . ... . . ..... .. .. . .... . . .... . ._. . ..... . .... . . ... . ... . .... . . ..... .... ._... .. .... . ._._ . . ... . . . ... . ... . . . ..5 3,o3'7 .a4
-U11PAD BILLS (From Sdheduule D - Attach Schedule D) . . . .... .._ . . ..... . ... . . .... . .... . . .... ..... . . .. . . ... . . ... . . . ... . .... . . ... . . .. . . .. . .5 1_
"Bit KND (From Schedule E - Attach Schedule E) .. . . ... . .... . .. ... . ... . . ._.._.. . . .... . .... . . .... . ... . . .... . ... . ....3 SgrJ " Oa
"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. . . ... . .... . . ..... .... . . ... . . .... . . .... . .... . . ... . ... . . ..... . . . . . .... .5
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES NO
STATE COMMi7MS: Submit a reconciled campaign account bank statement t Jarwary of each year.
FOR INSTRUCTtONS, SEE BACK OF FORM FORM
_ DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev 1212005) REPORT
0 Check if thus is final (ten»Ina(inn) report ancj attach tJat, ', , ot01 ssciulion. Forrn. QR-3.` -
County b Lacal Cornmitlee3, enter County in
file reports
(You must continua to a DR-3 is filed ) unji) which Electron is held
CASH ON HAND at the beginning of the reporting period . (Tc(al of all funds held by the
committeo. Ttue 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 fist report fled .) . . . . . . . . .. . . . .. ~~o-7a 49
ADD TOTAL MONEY TAKEN IN THIS PERIOD
_178:; ' AA
Schedule A, Cash Contributions total (Mach Schedule A) ('also see in-kind below), ., . . . . . . . . . . . . . . ... .
Settee-dulo 8 Expenditures total (Attach Schedule B) ("al-=o see debts and loans below) . . . .
CASH ON HAND at the end of this n?porting period ((f first report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ., . . . . . . . .$
gAN Ip6TE
C _M ttpTT[ES ONLY;
$TATS CO MMITTEES Sut>rnit a reconciled cempa1n :axourd bark statement in January of each year .
For Instructions, See Back of Form SCHEDULE
Reaet Fomt
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS
a
tin-Juding canddate's pervnsl funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Oi ;ganization) AMENDING FORM
Elesha Gad maa for Iowa
STATE CANDIDATES NOTE : IF A CONTRIBUT'ON I$ RECEIVED FPOM A STATE PAC (POLMCAL ACTION COMMITYEE), LIST THE PAC IDENTIFICATION
NUMBER A,NO THE PAC CHECK NUMBER IN THE OF SIGNAI ED COLUMN . A LIST OF ID NUMBERS IS AVA,LABL E FROM T VIE IOWA ETHICS AND CAMPAIGN
DISC -OSURE 60ARD.
NOTE . ANY PERSON, OTHER THAN AN INDIVIDUAL THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT TILE BOARD .
CAUTION : Secllon 688 32A(6), prohibits the use of Information copied from reports and statements for soliciting contributions of for any
comfner6Jl purpose by any person other than statutory political committees .
-- ID#
John Crabtrcc $25.00
5; 19 .'06 CKd PO Box 22-1 - Lyons, NE
ID#
Dr . Joc Scng 525 .00
S:''0%06 C Kit 4804 Nortbae;t Blvd . - Davenport, IA
IDit
Diane McCarthy $30.00
5'20%U6 CK# R 19 17th Street - Rock Island, IL
ID#
Joyce Singh $50.00 ./
5%20-06 CK# 2:3055 260th Avenue - LeClaire, iA
!_- ID#
Sheri & Tom Carnahan 525 .00 ,/
-2U Ub CK# 200'1 Emerald Drive - Davenport, IA
ID#
Lou &: Joe Wacchtcr S,,;0,00
CK# 2127 Marq,actte ST - Davenport, IA
SUB-TOTAL
' DI zIOP,ilre taro rPQuirt s candidate ClOmmlttde5 L~) disclose Ne relationship of any nlative making a contribution to the
c ;cmrrittc Rel`t,onshlp mue.t be shown!() trip lhlrd degree or ronsangl1InITy (blood relativesl and afr~nlry (r~atiws by
manage) If sumarna of contributor is the carne as candidate, bu(lhvre is no Page l of
fcmill-al relationshp, enter'not applicable' In the relationship column. (for Sched u;eA)
For Instructions, See Back of Form SCHEDULE
Reset Form
CONTRIBUTIONS -- MONEY TAKEN IN
A MOt-IETARY
(Rev . 07103) RECEIPTS
(Includ,ng eandidn1e's perscnal funds)
E] CHECK THIS BOX ;F
COMMITTEE NAME (Must be same as or Statement of 0 gsniratlon) AMENDING FORM
FIesha 6ayn - an for Iowa
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECENE0 FROM A STATE PAC (POLITICAL ACTION Co!MklITTSE), LIST THE PAC IDENTIFICATION
NUMBER AND TI (Et PAC CHECK NUMBER lu THE DESIGNATED COLJIAN . A LIST OF fO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANO CAM :fJGN
DISCLOSURE EOARD
NO -I E. AN`! PERSON, OTHER THAD4 AN INDIVIQUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY NAVE FILING
RESPONSIBILITIES AND SHOUID IMMEDIATELY CONTACT THE BOARD
CAUTION : Section 6it8 32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for Dry
commercial purpose by any person other than slatulory political committees .
L7
./ -
ID#
Carol & Davc Brown $50 .00
5/20 :06 CK# 1775 Plymouth DR - Bertendori, lit
ID#
Anne Corbi 525.00 J
5' :'0'06 CK# 629 Brown Street - Davenport, L4
ID#
Undisclosed
5 ?0.'OG CK#
ID#
Undisclosed $20 .00
/%20;06 CK#
ID#
Undisclosed $10 .00
5/2U:Oti C K#
IDA
5;'20,06
Undisclosed 520 .00 r
CK#
-
Ids -
Undisclosed $10.00
512W06 CK#
ID#
David Schultz $30 .00
5 2006 + CK# 1509 Judsun S T - Davenport, lA
TD-
#
R-ita Var_ra ; 5?5 .00 t/
5 ;'22)06
CK# 2724 I .eClaire ST - Dav mpom fA
U B-TOTAL
Olsriosul~ IB- require ; cand oa(a C0Mmittcrlos to disr;lev~ the relation ;rip or any relative rnakirg a contriMon to trtc
mmmitlc"e Re;'~Ututship rr.urt DQ snoArr1 to the third arlree of coneanqulnity (bfoo4 relatives) and affinity (relatives by
mrn3ge) . If surname of contributor is the same as candidate, lift trlrto IS no Page of
(for Schedule A)
familial relntions,~ip, enter "rv,t applicable' in the relationship column .
For Instructions, See Back of Form SCHEDULE
STATE CANDIDATES NOTES IF A CONTRIBU rION IS RECE VEC FROM A STATE :Ar, (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
Nt}(,1PER AND Tstrt PAC CHECK NUMBER IN TI--E DESIGNATED COLUMN . A LIST OF IO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE- t".0ARD
NOTE : ANY PERSON, OTHER THAN AN INONIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBIL171FS AND SHOULD IMMF.DIATELY CONTACT THE BOARD.
CAUTION: Section eAB 32A(6), prohibits the use of Information copied from reports and statements for soliciting contributions or for any
commercial purposo by any person other than statutory political committees .
ID#
Sue Frembgcn ~ 25,00
S'30'OG CK# 1033 Kirkwood Wvd, - Davenport, IA
ID#
Undisclosed 5?0 .00
513 0 ;06 CK#
ID#
CK#
ID#
C K#
a
ID#
C K#
IDd
C K#
ID#
C K4
ID#
CK#
CK#
SUB-TOTAL
I D#
Carter Printing T-shirts
;I1 G,'OG Dc; :Moines, TA $503 .72
CK#Electronic
I D#
Lancers Grill Day of Action Volunteer Luncheon -
S; 17,06 Eldridge, fA Training X122 .81
CK# Electronic
1D#
Review Println0 Campaign Litterature
5'17 ;06 Rock Island, IL $379 .0(1
CK# 1026
ID#
USPS Postage
s!19,'Gf, Davenport, 1A $14 .40
CK#I:,Iectrnnic
ID#
Go Daddy Online Service Fee
5124 .'06 Scott .sdale, AL $11 .46
CK#Elcctcontc
SUB-TOTAL
Purcha as of ceilain campa!gn property wsllng $500 or morn, mu i also be Inventoried on Schedule H. (Refer to Schedule H Instruction, .)
organizBv3 services must also be detail iLemited on
E>;pendilure ; to Persons/01"W105 providing consulting, advertising, fund-raising, polling, managing, "nd,dwe's comm ttee, (Refer to
Schedule G oy ti-,u amount, purpose, and date of each typo of expenditure made by the petsoNenLty on behalf of the
Scht^dole G instructions and Iowa Code 69A 402(3)(1) .)
P300 _I of ..2-
(for Schedule B)
FOR INSTRUCTIONS . SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CAND'DATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPEVDITURE A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHK',S t1 CAMPAIGN DISCLOSURE BOARD
ID#
Papa John's Volunteer Food
5i_,1!00 Davenport, TA $30.00
CK# 1004
ID#
CK#
ID#
CK#
ID#
CK#
-
ID#
CK#
ID#
CK#
_
ID
CK#
SUB-TOTAL
Expenditures to pemon:~lentiljes provldng consulting, advenisrng, fund-raising, ponmg, managing, organlzlng services must also be detail
itermzed on
Schedule G by the amount. purpose. and dale of e30s r type of expenditure made by the pcrsoNentlty on behalf of the candidate' r~mmiuee . (krfcr to
5cnedule G In>t,ructions and Iowa Code 68A.402(3)(r) .)
1')
Page -,_
of -
(for Schedule B)
~r
-r F,: .'1;- .
a
0
0
F1
a
-
F1 -
SUB-TOTAL
'Disclos,ire law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page l of l L,' _.-
commiten . Relationship must be shown to trte third degree of consanguinity (blood naativer) and offinity (mtatives (for SGi1~dUle
by nmriogc) (See Page 2 of fo(m; packt+t ) It surname of contnbutor I$ the same as candidate, txit there la no
familiil re Iatiorship . enter - not apptlcable' In the relation ;hip column .
FOR INSTRUCTIONS. SEE SAC-h, OF FORM
SC=HEDULE
Date Purchased
(Schedule B) Purchase Current
or Date Rece ed Description of Property Price or Esl. Value at 179'u Dire Name and Addruss of PwahaseriDonce Description of Property Sold? Sage V3'Le o1
(Sctwduia, E) Value 'A11en blaticet This (h1A'UODIYR) YIN Price Donation
(Mf1lDDJrYR A uued - Report
computer :aaJ
711rOf, Softwarr
1,500.00 1,200.00
1'rinter
i
s
1
TOTAL VALUE CAVPA(GN PROPERTY THIS RER7RT PROPERTY ALES & TRANSFERS TOTAL TOTALS ? 5
(TRANSFER TO SUMMARY PAGE) $ (TRANSFER TO SUNWARY PAGE) $
It eslrralM, show esf. teside f~,,Ure . (Attach Addit nn~ SutiedU!, if Needed) Paga ` of paw
,For S~edOo H)