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Disclosure Summary Page DR-2 ®0: Steve Inman For State Representative
Disclosure Summary Page DR-2 ®0: Steve Inman For State Representative
File with :
Iowa Ethics and Campaign
Disclosure Board
510 E . 12"', Ste . 1A
Des Moines, Iowa 50319
Fax: 616=281=3701
Late fepof are subject to possible civil and Criminal penalties"-ftWant to Iowa Code section 680.32A(7)
the candid e, for a candidate's committ , and the chairperson, for any other type of committee, is the
individuall,lsponsible fo~lir~g timely accurate reports .
~c7S-x/327
TURE OF PERSON FILING REPORT TELEPHONE DAIGNEib
CASH ON HAND at the end of this reporting period (if final report balance must 1,413 .73
be zero) (Attach DR-3) . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
0 .00
*"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
0 .00
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
0 .00
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES NO
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
For Instructions, 8ss Back of Form Reset Fc)fin"i SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement ofOrganization) AMENDING FORM
STEVE INMAN FOR STATE REPRESENTATIVE
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.
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 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.
DA NUMBER_
PAC ID Nti ~~ : i ~ :1 -977~~39Ti1fi-R71c~5ta7 ~ RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Samuel P. Shinn $50 .00
7/18/06 CK# 7033 Palm Drive
Des Moines, Iowa 50322
ID#
Douglas M. Inman $250:00
7/1~/0~ CI(11~ 3924 43rd SUVot Cousin
D Moines Iowa 50310
ID#
Charles S. Inman $50 .00
7/22/06 CK# 32663 "L" Ave. Cousin
Adel, Iowa 50003
ID#
Dianne A. Jones $50 .00
7/18/06 CK# 2080 E. Leland Ave .
F97,14," rsrrxasr,1PIW I
ID#
Eugene J. Schmitt $25 .00
7/18/06 CK# 1345 NE 72nd Ave.
Anken Iowa 50023
IQ#
Margamt A. Inman $50 .00
7/17/06 CK# 3809 10th Ave. N., #10 Aunt
Fort Dodge, Iowa 50501
a
ID#
Rosalie Baker $50 .00
7/17/06 CK# 1409 E. 29th Street
Des Moines, Iowa 50317
Jeff Hansen $100.00
7/19/06 CK# 6215 SW 3rd
Des Moines, Iowa 50315
ID#
Deborah S. Wood $25 .00
7/20/06 CK# 234 E. Bundy Ave.
Des Moines Iowa 50315
IDft
Richard C. Barth, Jr . $25 .00
7/19/06 CK# 427 Hart Ave.
Des Moines, Iowa 50315
Disclosure law requires candidatecommittees 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 sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form Reset Form
SCHEDULE
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.
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 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 .
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 2 3
marriage) . If sumame of contributor is the same as candidate, but there is no Page Of_
familial relationship, enter "not applicable" in the relationship column. (for Schedule )
For Instructions, See Back of Form SCHEDULE
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
DISCLOSURF ROARn
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 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP ANL UNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
N1JM®¬R
Ir.O
Glenda J. Bolton $25 .00
8/20/06 CK# 15013 Illinois St.
Indianola, Iowa 50125
ID#
Margaret Anne Inman $25 .00
9/17/06 CK# 2809 10th Ave. N., Apt . 10 Aunt
Fort Dodge. Iowa 5 501
ID#
Keith Purdy $300.00
9/17/06 CK# 34 E. Gray St .
Des Moines, Iowa 50315
ID#
Charlcfi S. Inman $20,00
9/17/06 CKO Cousin
3257 11 11 Ave.
Adel, Iowa 50003
ID#
Mary Bertrand $20 .00
9/17/06 CK# 712 Emma
Des Moines Iowa 50315
ID#
Loma Gunderson $100.00
9/17/06 CK# 13650 N. Frontage Rd. SP. 1287
Yuma AZ 85367
ID#
Paula K. Brown $100.00
9/17/06 CK# 11900 Virginia St.
New Virginia, Iowa 50210
ie#
8442 Th® Hawyo PAC, Mull Candilaw Conunitw®
9/17/06 $250.00
CK# 3400 Woodland Ln.
1243 Alexandria, VA 22309
ID#
Marceine M. Loven $250.00
10/8/06 CK# 2270 LaSenda Dr. Aunt
Las Cruces NM 88011
ID#
CK#
SUB-TOTAL
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions.)
Ex ndWres to rsonslentities _royidi_ . consultin gdyertisin ,fund-raising, Rolling, managing, organizing services must also be detail itemized on
Sohedul® 9 by t amount, purp®ea, anddot@ of @iah typ@ of oxp@nditufQ mad@ by the poreon/entity an Whalfof the windidato's oommitt@@, (R@f@r to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
Page 1
(for Schedule B)
Reset Form
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
ID#
Koch Bros . Postcards & Envelopes
8/24/06 CK# 4th & Grand $51 .36
1036 Des Moines, Iowa 50309
ID# Envelopes
Office Max
8/25/06 5020 SE 14th Street $9.53
CK# 1037
Des Moines, Iowa 50315
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Ex~enditures tope rsons/entities providing consultin , advertisi , fund-raising, polling, managing ; organizing services must also be detail itemized on
~¬h~Odlg 6 b~ 1h~ §fR®HR1; .~H~9§f3, §RE ~10 ®# §~i1y ®# ~gRdllHfg fA~~ § F§®R/gRH11i ®R §h81# ®# 1He ARE#Id§#f3ig ¬fIfljFHll ~ : (~§#~F l®
Schedule 0 Instructions ins lows Code 88A.402(3)(1))
Page ? of
(for Schedule B)
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 LIBT OF ID NUMBER@ 16 AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)
STEVE 1NMAN FOR STATE REPRESENTATIVE
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER
ID# Staples Transfers for T-Shirts
9/1106 3590 8t11 StMO SW $ 63,56
CI(O 1o1 Altoona, Iowa 50009
ID# Hobby Lobby Parade Supplies
9/1/06 CK# 1042 Army Post Road $22 .19
Des Moines, Iowa 50315
ID# Lath for Signs
Menards
9/1/06 CK# 1043 6000 SE 14th Street $7.95
Des Moines, Iowa 50315
ID#
Steve Inman Reimbursement for supplies ofParade
9/2/06 CK#1044 4231 E. Wilson $14 .96
Des Moines, Iowa 50317
ID#
Walmart Supplies for fund raiser
9/11/06 8th Street $33 .41
CK#1046 Des Moines, Iowa
ID# Dollar Tree Supplies for fund raiser
9/11/06 28th & Euclid $23 .02
CK# 1047 Des Moines, Iowa
ID#
Office Max goner
9/11/06 5020 SE 14th Sffeet $86 .33
CK# 1048 Des Moines, Iowa 50315
SUB-TOTAL $ 359.77
TOTAL (if last page of this schedule) $
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
ID#
Steve Inman Reimbursement for Menards receipt
10/13/06 4231 E. Wilson for purchase ofsupplies for wood yard $57 .20
CK# 1052
Des Moines, Iowa 50317 signs
ID# Steve Inman Reimbursement for Office Max receipt
10/13/06 4231 L Wilson for Toner $19,07
cK# 1053 Des Moines, Iowa 50317
ID#
Pennie Bland Reimbursement for Fairground
10/13/06 468 SE 29th Street Hardware receipt for supplies for signs $9.84
CK# 1054
Des Moines, Iowa 50317
ID#
CK#
ID#
CK#
Purchases of certain campaign property costing $500 or mere must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personsfentities 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) .)
4
Page _ of 4
(for Schedule B)