Professional Documents
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A 1 P Ny (Other Logged I
A 1 P Ny (Other Logged I
Late reports are subject to possihle civil end criminal penalties . Purspard to Iowa Code section 688 32A(7) the candidate
and the chairperson, for any other type of committee . Is the individuall rtllsAonsible for filing timely and accurate reports .
(Ok+t -7 11 4 19 .- (n
SON
IONAT FILING REPORT TELEPHONE DATE SIGNED
:
CASH ON HAND at the negmning of the reporting period (Total of ail funds held by the
committee This amount MUST be the same as the Cash on hand at the end
of the lost reporting period or must be zero if this is first report riled .)- . . . . . . . r130 .©0
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A. Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . . . . . . . .
Ia.SQ ©C
Schedule F Loans Received total (Attach Schedule F) .l . . . . . . . . . ., . . ., . .
Schedule H , T otal Sales of Campaign Property (Attach $chedule H) . . . ., .
CONTRIBUTIONS -- MONEY
!IrcJudinp cundloate vpersorelTAKEN
funds) IN
MONETARY
(Rev . 07r03) RECEIPTS
CAUTION: Section 308,3;A'E1 loea Cf)de, wohlblts the use of Irfmpbon copiec from reports and statements fo, sotidtlng contr, butions or
for any commercial purpo:@ by any parson c>tner than statutory poll torn r itteea
DATE PAC ID ~,UhAr3FR NAME AND ADDR$36 ©F CONTR , SUTOR REIJITiONSMIP AMOUNt v IF FOR
RECEIVED (I" app,4cae e) TC CANDIDATE' RECEIVED FUND-
,MM/GL,VR1 ANC PAi: CHECK (If appllcab .e) RAISER
NUMBER NCOME
IDN M : L ae fie:~
oe
l
a a . o
~ --ao- oIF it we' ~Yr .J k 9
!:;Kg .0 ss- S~i-
0 .00
I CKa
0 Id 1-1 1 m0 3~p01
141,
~. - 0 - ~ ,6 oI _
li CKrt
L_at, ti f S
.
I O ' ice- I~ -76o,,,t,'r V
Ci~# I
1104- " ~o k GIae G - ,L a II
CKO LA-z CI-~ i, v I 3~~~
V% CAL.,n
i --~ I . I CKii ~ 1 ~X q_3
, , :~ i
:L* a Ed ,1~c 0.t >, uh A L' C I 0 f s0 ,O
C Ka ,Mode wktkes ~, SIN*% -n e~ So UB-TO I Al
.
vl
v~ U 21 0
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.
CAUTION : Section 68B,32A(6), Iowa Code . prohibits the use ofilrOoltmation copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory ;Ucol committees .
DATE PAC ID NUMBER NAME AND ADDRffSS OF CONTRIBUTOR RELATIONSHIP AMOUNT ~' IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMIODtYR) AND PAC CHECK (if applicable) RAISER
NUMBER
I l INCOME
ID#
g ~s -7 r-
CK#
ID#
CK#
CKO
CK#
IDA
CK#
ID#
CK#
I D#
C K#
ID#
CK#
I D#
CK#
IDO
CK#
SUB-TOTAL
DIBGo>9ure law roqulren CendIOStA committgwc 10 disclose the relationship ! atJm relative malcIng e contriDulion 67 the
committee. Relallonshlp must be shown to the third degree of consanguinity (bl)od relatives) and affinity (relatives by
marriage) . I( surname of contributor is the same as candidate, but there +s no
familial relationship, enter not applicable* In the relationship column .
Pg( :E 104
5417744818 JERRI11ARSER
' 1006
185,/13 :2 188 : 25
VtJ
CANDIDATE NAME AND ADDRESS T01NH&M PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURO (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Diabursemenf) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# r; on +'r'i Y1l~i
I ml ~ .r c
al.
CK# Ecve 1o~e
ID#
I r~ h ew 1A
.Y
C.-0
~q-d(P CK#j \1 0V)
~6tl .a~
-
ID#
4 CK
CK#
IDU
CK# 1
ID#
CK#
ID#
CK#
ID#
C K#
_
SUB-TOTAL $
Purchases of certain carr pa!gn property costing $500 or more must also be inventoned on Schedule H . (Refer to Schedule H instruKiona .)
Expenditures to pecsor'RIen!itles prooding cornsult(ng, edvenlslng, fun0-taNlng, polling, managing, organizing services must also be detail itemLzed on
Schedule G by the amount, purpose, and date of each type of expenaltUremade by the pereonf®ntity on behalf of the candtdate's commlriae . (Refer to
Schedule G inatructlons and tows Code 88A.402(3)(I).)
_ Page _ I .. of ,J_____
(fof Schedule B)