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National Federation of Independent Business-Iowa SAFE Trust - 6218 - Scanned
National Federation of Independent Business-Iowa SAFE Trust - 6218 - Scanned
National Federation of Independent Business-Iowa SAFE Trust - 6218 - Scanned
07
Late filed reports are subject to possible civil and criminal penalties.
_S ND COMPLETE THE FOLL
I AM FILING A 07/1512004 -10/14/2004 REPORT FOR AN/A ELECTION /(2) NOWELECTION YEAR .
(report date) Indicate one
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
(Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committee, enter County In
(You must continue to file reports until a Notice of Dissolution Is filed.) which Election is held
CASH ON HAND at the begInning of the reporting period . (This is the total of all monies held
by the committee. This 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 first report filed .) tt 55,270 .64
3 -00
S0
`*UNPAID BILLS (From Schedule D - Attach Schedule D)
So=
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E)
-OUTSTANDING LOANS(From Schedule F - Attach Schedule F) ; $0.00
0
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
National Federalion of Independent Bueinesal Iowa Save Americas Free Enterprise Trust
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 DESIGNTAED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Sectlon 68B .32a(B), Iowa Code, prohibits the use of information copled from reports and statements for soliciting contributions or
for any commercial purpose by any person other than satutory political committees .
CKS No . 36 Woodshirs Dr
Ottumwa IA, 62601
8/19/2004 IDS loam, Ron $300 .110
CKIV 06 >
W
CKIY I b (
Sit- (tv'6L
s}-
- Disclosure law requires candidow committees to disclose the retetbnship of any relative making a contribution m she o1- 2
committee . Rem9onchip must be shown to the third degree of consangulnlty (blood relatives) and aMnRY (relatives by Page 1
marriage) (See Page 2 of forms packet.) It surname of contributor is Ins same as candidate, but there Is no familial (for Schedule A)
relationship, enter "not applicable" to the relationship column .
NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P .09
F
(Rev . 06197) 1 RECEIPTS
(Including candidates personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
National Federalion of Independent Business/ Iowa Save Americas Free Enterprise Trust
STATE CANDIDATES NOTE : IF A CONTRIBUTION IB RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : section 68B.32a(B), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than satutory political committees .
CKp
623 Lori Lane
Council BNtfe W, 51503"7767
9/3W054 ID# Brastler, David $10 .00
Cwe
Disclosure law requires candidate cemmltees to disclose the relationship of any relative making a oonlrlbution to the
committee . Ralefionshlp must be shown to the third degree of consanguinity (blood relative@) end affinity (relatives by Page ---!-Of 2
marriage) (See Page 2 of forms packet.) If sumame of conlr1butor is the same as candidate, but there la no Familial (for Schedule A)
relationship, enter "not applkable' In the relationship column .
NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P,10
CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if appIlcable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
10!12/2004 I ID1 1522 Amie Bops for Iowa House 5500 .00
CKAI 2160 Amharst Place
11933
1
37
1 1C
' 1109 Wast 4th street
Muscfne IA . 52751
ID* /s-L'_U
10/1212004 Dowie for Senate 1!1550 $600.130
CKit 1534 Olympic Drive
11938 Waterloo IA, 50701
1011212004 ID* 15-09 May for Iowa House (William Mike May) $500 .00
Purchases of certain campaign property costing 5600 or mole must also be inventoried on Schedule H . (Rotor to Schedule H Instructions .)
Expenditures to pemons/enti6es providing consulting, advertising, fund-raising, polling, managing, organizing services must also be itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the pemon/entity on behalf of the candidates committee. (Refer to
Schedule G instructions and Iowa Code 58 .8(3)(0.)
(for Schedule B)
NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :34 P .11
a
(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE . LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD .
CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
10/12/2004 , IDff M .Isterllng for State House (Mary) 5500 .00
CKO 321 Green Valley Terrace SE
11!143 ; Cedar Rapids IA, 52402
CKO
PO Box 290
11944 Antana 1A, 52203-0290
10323 Highway 3
11845 Strawberry Polnl IA, $2078
10/12/2004 ID# Sievers for Statehouse 3500 .00
CYW " 271351stAve
11946 New Liberty IA, 62765
10112/2004 ID# S'73 The Karen Butler for State Rep Commiftse $260,00
1!1673
CKO ' 2003 Danbur Drive
11935 Eslhervule IA, 51334
10/1212004 lop Zaun for Iowa Senate #1521 $360,00
Expenditures to personslentilies providing consulfing, advertising, fund-ralslng, polling, managing, organizing aerAces must also be 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
I Schedule G Instructions and Iowa Code 56.6(3)(1) .)
2 2
Page Of
(for Schedule B)