Professional Documents
Culture Documents
FORM DR-2: Disclosure Summary Page
FORM DR-2: Disclosure Summary Page
FORM DR-2: Disclosure Summary Page
~
07
For Office Use Only -
Nolte for Iowa Committee (Com #1627) Comm #
!
JJ
IMPORTANT: Indicate by # type of committee you are reporting for, Ll 1 Logged t j
( 1 )Statewide/Legislativei .ludge Standing for Retention Candidate (2 )State PAC ( 3 )Slate Party
Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate (7 )School Board or Other
Political Subdivision Candidate ( a )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue
CANDIDATE COMMITTEES ONLY: Audited
Candidate Name .';IIRE pOARD olitical Party (if applicable) File with:
Mark Nolte Democratic Iowa Ethics and Campaign
Disclosure Board
Office Sought " ' ' (1 _ , tistrict (if Senate or House) 510 E. 12'", Ste 1A
State Representative Des Moines, Iowa 50319
Fax: 515-281-3701
Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section 68B.32A(7)
the candidate, for a candidate's committee, and the chairpersgsfor any other type of committee, is the
individual responsible for filing bmety and aura
I AM FILING A
January 19 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
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 file reports until a DR-3 is filed .)
which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must (402.34)
be zero) (Attach DR-3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .$
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
#C - c,'- 16- D, -~
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 688 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 .
I D#
Paul Burns $25
10/27/06 CK# 425 Beldon Ave Iowa City, IA 52246
ID#
10/27/06
Marlene Ciha $100
CK# 1309 Locust Ave Kalona, IA 52247
I D#
Nancy Swift $25
10/29/06 CK# 507 Lennon Street Mount Shasta, CA 96067
ID#
Ron Crawford $50
10/20/06 CK# P.O . Box 887 Washington, IA 52353
ID#
Judith Quinn $50
10/20/06 CK# P .O. Box 887 Washington, IA 52353
I D#
Laura Westemcyer $50
10/21/06 CK# 4696 Oak Crest Hill RD Iowa City, IA 52240
ID#
Janet Lyness $50
10122106 CK# 3010 Creighton Drive Iowa City, IA 52245
ID#
Johnson County Democratic Central Comm $305
10/25/06 CK# PO Box 1773 Iowa City, IA 52244
ID#
Jo Ann Zager $100
10/26/06 CK# l R04 315th St Brighton, IA 52540
SUB-TOTAL
' 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 or consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
/ G Y7
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 .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Harold Frakes $100
10/27/06 3185 Fir Avc Brighton, IA 52540
CK#
ID#
Bonnie Bannister $25
10/27/06 CK# 1116 S. 3rd St Washington, IA 52353
ID#
Washington County Democrats Cental Comm $150
10/30/06 CK# PO Box 42 Washington, IA 52353
-FD-#
Donald Hahn $25
10/20/06 CK# 2274 Keota Washington RD Keota, 1A 52248
ID#
' CK# $
ID#
C K#
I D#
C K#
a
I D#
C K#
I D#
CK# $
I D#
CK#
SUB-TOTAL
I D#
Washington Evening Journal Advertising
10/18/06 Box 471 Washington, IA 52353 $54 .24
CK# 1128
ID#
Consumer's COOP Biodiesel
10/19/06 Highway 6 Coralville, IA 52241 $62 .(16
CK# 1070
ID#
Zephry Copies Printing /Copies
10/20/06 124 E. Washington st . Iowa City $1176
CK# 1071
52240
ID#
KalonaNews Advertising
10/24/06 Main Street, Kalona, IA 52247 $354 .50
CK# 1072
ID#
Washington Evening Journal Advertising
10/25/06 Box 471 Washington, IA 52353 $255 .3
CK# 1073
ID#
Consumers Coop Biodiesel
10/25/06 Highway 6 Coralville, IA 52241 $53.94
CK# 1074
ID#
Holy Trinity Church Fundraiser Attended
I Oi22/06 546 Howard St $22
CK# 1072
Kalona, IA 52247
SUB-TOTAL $
Purchases of certain campaign property costing x500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities 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) )
(for Schedule B)
ID#
Fundraiser for Pleasantview Home Fundraiser Attended
10/30/06 $10
CK# 1091
ID#
IRJ's Express Fuel for campaign travel
10/31/06 Highway I W $25 .22
CK# 1132
Iowa City, IA 52240
ID*
Fundraiser at United Church Fundraiser Attended
10/27/06 $I0
CK# 1 133
ID#
Staples Office Supplies
10/31/06 911 Highway l W Iowa City, IA $32.53
CK# 1133
ID#
I Payment CC Processing Fees
H/1/06 40 Burton Hills S42
CK#
Nashville, TN 32715
1 D# Advertising
Iowa City Press Citizen
10/29/06 1725 N Dodge ST $215
CK# 1075
Iowa City, IA 52245
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personsientities 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 66A.402(3)(i) .)
Page - /~ Of __5
(for Schedule B)
ID#
Zephyr Copies Copies
11/2/06 124 E. St
Washington $624 .75
CK# 1137
Iowa City, IA 52240
ID#
US Postal Service Postage
11/2/06 CK# 1138 Riverside, IA $1657 .04
ID#
Benefit for Bob Chalupa Fundraiser Attended
11/2/06 Washington, IA 52353 $50
CK# 1139
ID#
Washington Evening Journal Advertising
11/3/06 PO Box 471 $136 .10
CK# 1092
Washington, IA 52353
lD#
Brighton Lions Club Event Fundraiser Attended
11/5/06 $5 .50
CK# 1093
ID#
Westside Petro Fuel for Campaign Travel
11/6/06 103 1st Ave $25 .58
CK# 1141 Kalona, IA 52247
Expenditures to persons/entities 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)(1),)
Page
(for Schedule B)
ID# 1140
Washington Evening Journal Advertising
11/5/06 BOX 471 167.8
CK#
Washington, IA 52353
ID#
Fireside Grill Room Rental & Food for Election
11/7/06 Kalona, IA Night Return Watch $303 .26
CK# 1118
ID#
St . Mary's Church Fundraiser Attended
11/5/06 Kalona, TA $6
CK# 1134
1D#
Auburn Quad Fees for Processing online
10/29/06 P .O .Box 390728 Contributions $13 .81
CK#
Cambridge, MA
ID#
Fireside Grill Additional Food for Election Night
11/7/06 Kalona, IA Return Watch Party $50
CK# 1117
ID#
RYs Express Fuel for campaign travel
11/6/06 Highway 1 W $28 .58
CK# 1142
Iowa City, IA 52240
ID#
Zephyr Copies Printing/Copies
11/15/06 124 E Washington St $41.69
CK# 1097
Iowa City, IA 52240
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities 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 persontentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
Page of
(for Schedule B)
I D#
Hills Bank and Trust Bank Fees
1(/30/06 Coralville, IA $5
CK#
ID#
Hope Luthern Church Fundraiser Attended
11/4/06
CK# 1096 Brighton, IA $10
I D#
Farm Bureau Spokesman Advertising
12/15/06 Iowa Falls, IA $233 .71
CK# 1144
ID#
Hills Bank and Trust Bank Fees
12/20/06 Coralvile,1A 52241 $30
CK#
ID#
C K#
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 .)
Expenditures to persons/entities 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) .)
Page
(for Schedule B)