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FOR INSTRUCTIONS, SEE BACK OF FORM catom | [ FORM DISCLOSURE SUMMARY PAGE [este] DR-2 DISCLOSURE | COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2004) | REPORT arate) oes fxomatmom | 59 ian a TST ———— | Jaman SID (7 )StatewilLegslaveliadge Standing for Retendon Candidate ( 2 Sie PAC (3 )Slate Party (4 )county Cantal Committ (5 YCounty Gendiete (6 Jory Candee (7 School Board or ter be Poitcal Sundin Candidate (8 ]County PAC (9 YOry PAC (10 )Schoo! Board or Other Poli! [Computer [Subdivision PAG (11) Loca! Balt ese ames CANDIDATE COMMITTEES ONLY: Politcal Paty (if applicable) 7 Pemoerit ____| possible civil and erminal Late reports are subject to at District (iF Sonate or House) | penaltias. WL 29 Lowe WO ig 475-7873 elias teal Matted —— Aeron ee ee eee July 14 TAM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR. (reper date) Indate by # [7 check IF AMENOMENT TO REPORT DATED eer ee oe Oe ot eee Chock tis is final (termination) report and attach Notice of Dissolution Form ORs. | Cou Local Commons, erier County in (You must continue to fle repos untl a OR-3 is fled.) rene! CE STATEMENT OF CASH ON HAND CASH ON HAND atthe beginning ofthe reporting period. (Total of all funds held by the ‘committee. This amount MUST be the samo as the cash on hand al the end Of the last reporting period or must be 26r0 if this is fist report fled.) ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also see in-kind below) 6.86.00 ‘Schedule F: Loans Received total (Atlach Schedule F) 0 ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) ow - (Schedule H applies to Candidates’ Committees Only) SUB-TOTAL $11,727.46 ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD. Schedule B: Expenciures total (Alach Schedule B) (“also see debts and loans below)... 2,805.08. Schedule F: Loan Repayments iota (Ailach Schedule F). ‘CASH ON HAND at tho end ofthis reporting period (i final report balance must ‘be zero) (Atach DR-3} ej hee) UNPAID BILLS (From Schedule D -Allach Schedule D). 30 ae ‘IN KIND CONTRIBUTIONS (From Schedule E- Allach Schedule E).nuonsnsee $974.12 “OUTSTANDING LOANS (From Schedule F - Attach Schedule F). so = CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedvie G Altached?) yes no \VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) so For Instructions, See Back of Form Toa Fom] [SoREDULE A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN (Rev.ors) | RECEIPTS Alncuing carats personal nde) Soeeeeeeeeee seer eeaeeseeaeaaaeateeaeeeeeees CO creck THis 80x iF (COMMITTEE NAME (Musi be same as on Satoment of Organization) AMENDING FORM Friends for Russ Weisley STATE CANDIDATES. NOTE: IF A CONTTUBUTION 9 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION NUMBER AND THE PAC Oreck IIMBER IVT DESIGNATED COLLIN. XLIST OF 10 NUMER Is AVACALE PROM Tie SOWA ETC AND CAMPAIGN Bisetosane woana, CAUTION: Section 688.32A(6),lowa Code, prohibis the use of information copied fr reports and statements for soliciting contbutians oF {or any commercial purpose by any person oer than statstory politcal committees, DATE PACTONUMGER "NAME BNO ADDRESS OF CONTRIUTOR FELATIONSHIP_] AMOUNT | VFFOR receives | "(applcate) Tocanowoare: | Received | “Funo- qumooive) | ANO PAC CHECK (€ appicable) RAISER NUMBER INCOME -——_— Nichols, Naney/Edward £6200 EP True Phowy #505 ‘West Des Moines, IA $0266 Sykes, James 15133 Woodereek LA Clive, 1A 50325 by Litt, Joba 52008 | cxe 1416 Primrose La ___| Waukee 1450265, - iow Alexander, CI oF Saramma $20.06 | cxe 720 Southfork Dr Waukee 1A 50263 0F Garst, David 61.04 a 409 Main St Coon Rapids IA 50058 _ oF Rethman, Fd or Christa 6.7.08 oo 2830 Sturnp Hollow Dr ‘Adel, 1A 50003, oe Heffner, Randy 6.7.08 oa 2 Sunset Place ‘Adel 1A 50003 oF Palmer, Rocky or Carey 6.7.08 oxi 200 Southview Dr ‘Waukee 1A 50263 Black, Charles & Trudy 6.7.08 kit 8934 Lindas Lane West Des Moines 1A 50266 (Cline, Martha 67-08 xe 1016 Grove St Adel, 1A $0003 oF SUBTOTAL ‘TOTAL (ifast page of this schedule) * Disclosure ow eis candice commits to cove the elaonsip of ary ral making corton to he ‘amines Relationship ube show fo th third dog a caraargunty (Ob rtves) and any ees oy 1 ‘mariage). If surmarne of eatnbuter isthe same candidate, bu the no Page. __ of _S- ‘amit relationship, ortar "ot applcabiein the relationship column ‘forSenesue ny For Instructions, See Back of Form CONTRIBUTIONS ~ MONEY TAKEN IN (ichaseg candato's personal uns) a [SCHEDULE ] Fe A MONETARY (ev.c703) | RECERTS DO check mis 80x iF Friends for Russ Weisley [COMMITTEE NAME (Must be same as on Statement of Organization) — ASE ASE NS ML coe a ee, Bisctosine Bowe. CAUTION: Secton 688.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soiting contributions or for any commercial purpose by any person other than statutory politcal commits, DATE PACTONONGER THAME AND ADORESS OF CONTRIBUTOR RELATIONS] AMOUNT receiven | ""Wappicabie) Tocanpioate: | Receive | “Funo. qwamorve) | ano Pac CHECK ( appeabie) RAISER NUMBER INCOME oF Craven, Dr. & Mrs, Joe 4S Southbranch Dr. Waukee 1A $0263, $100.00 Clark, Raymond 135 Bell Aire Dr Waukee LA 50263 Carlson, Mickey 2833 J Ave ‘Adel 1A $0003 6-12-04 Kw iff, John, 6-12.08 ce 1416 Primrose La Waukee TA $0263, 60.00 Unitemized Unitemized 2000 Lantus, August 6-12.04 Ke 1525 T Ave Boone IA $0036 50.00 Cooper, Wayne oxi 1274 651h St West Des Moines 1A $0266 Duffy, Pamela Kw 2833 j Ave Adel 1A 50003, 20.00 Unitemized 612-04 ci 20.00 ‘SUBTOTAL 345.0 TOTAL test page of hie senate) |] Dicosue law eaquis candkat commie oslo the rebsonship ofan eave raking a ovtrbuton tthe comm. Relationship mt be shown to fh thd egies of conaarguty (ou relates) day etsy 2 ‘marge I surname of contr fhe same as candi ‘amit! relationship, orter not applicable inte elaonship ol a 5 Pag 7 ‘ior Schesute A) For Instructions, See Back of Form CONTRIBUTIONS ~ MONEY TAKEN IN. (Unckuing caate's personal une) a COMMITTEE NAME (Must be same as on Statement of Organization) Friends for Russ Weisley [SCHEDULE | MONETARY (Rev. 0709) | RECEIPTS TO creo this sox AMENDING FORM STATE CANOIOATES NOTE: IF A CONTTOBUTION RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION CAUTION: Section 688.8246), Iowa Code, prohibits the use of information copied from reparts and statements for soliciting contbutions or far any commercial purpose by any person other than statutory politcal commits, DATE RECEIVED oamoorvR) PAC TONUMGER ( sppicable) [AND PAC CHECK NUMBER THAME AND ADDRESS OF CONTRIBUTOR 6-12-04 TOF cK Shirley, Marvin 1905 Lexington Rd Minburn IA 50167 RELATIONSHIP] AMOUNT |v 1F FOR TOCANDIDATE: | EceIVED | “FUND. ( appicable) RAISER INCOME {| $3000 6-12-04 oF Kit Carlson, Mickey 2833.1 Ave Adel [A $0003 10.00 6-12-08 OF ki Duly, Pameta 2833 T Ave Adel 1A 50003 2000 6-12-04 Vens, Todd & Burke, Lisa 1890 290th St Madrid TA. 20.00 612.08 Ward, Alyce 1485 § Willow Dr West Des Moines IA $0266 50.00 Cool, Craig & Linda 8116 Wilden Dr Urbandale 1A 0322 Sister a0 Brakey, Shon & Stephanie 126 8 Fremont Boone JA 50036 30.00 Shirley, Marvin 1905 Lexington Rd Minburn 1A 50167 Baker, Ken 408 S Hall Algona 1A S0S11 ‘Murphy, Daniel & Theresa 3508 W 4th Davenport 1A $2804 TOTAL (if ast page of this schedule) SUSTOTAL + Discs lw requires canst conmites odio the relstonstip of ary eats making carton to the oma” Retatai rat shown ott de ef coanrpny te sir) wi ay lee oy ‘rarge rsa ona sr asco ure no roe? & ‘Gal asonshponr no sppcabe nh ena eka er Shes) For Instructions, See Back of Form [Rectfom] [Sere00% : [Reset Form | A__| wonerany CONTRIBUTIONS — MONEY TAKEN IN le (nein candidat personal unde) a — OD cuecx THis 80x iF [COMMITTEE NAME (Must be same as on Sialoment of Organization) AMENDING FORM | Friends for Russ Weisley STAIECANDIDATES ore «n CourumTioN i RECEVED FROM ASTATE PAG PORTA. ACTON COMMITEE IT THE PAC DeNTENCATON DisctoStRE BOND CAUTION: Section 68B.324(6), lows Code, prohibits the use of information copied fram reparts and slatements for soiting contibutions ot for any commercial purpose by any person thor than statutory politcal commits, SATE] PASTOR TARE AND ADDRESS OF COMTREUTOR TEIATONSHE | —ANOUNT | TF FOR receiveo | "Wr appietie) TOcanooare: | ReceneD | “runo. (mabown) | anbeacenecK: ‘sppieabs) RASER numer INCOME Richards, Mark & Janet 8119 Oakwood Dr Urbandale [A $0322 $100.00 Kahle Jule & Roger cK 8076 104th La Indianola LA 50125 5000 aa Reist, Diane & Jeftr cst, Diane & Jefiey Ket 3403 76 Ave Dr, SW 30.00 Cevie Rapids 1A $2404 _ - 2 c ae Br Robert Ke 1717 Mar FllaTrail Des Moines 1A 50310 100.00 | : Edgington, Embree — cKe 705 Locus. PO Box S11 M Waukee IA'50263 la Okerstrom, Dr. Jack 5528 xe Suwanee Fairway KS 66205 $00.00 — — = Dallas County Democrats cKe 1,000.00 ioe ~ 7 Unidentified cK ad Unidentified one 221.00 v ial Garst, Elizabeth co 1313 Big Ave 100.00 oom Rapids 1A 50058 SUBTOTAL iia TOTAL iat page ofthis sched) |_| + Dios lw rules canst common o dala the relationship of any relate making a contrbuton tthe ‘como Relationship mst be she tf thd degree of coranngnty (od eves ariel (aves Oy ‘marage)._ tf sumame of eantnbutr is he same as candidate, ur there nO famial relationship, enter “ot applicable inte elaonship column For Instructions, See Back of Form [SCHEDULE A__| monetary Rev. 0709) | RECEIPTS ‘Reset Form CONTRIBUTIONS — MONEY TAKEN IN (nctuing carats personal nds) creo ths 80x (COMMITTEE NAME (Musi be same as on Slatement of Organization) ‘AMENDING FORM Friends for Russ Weisley See ee eee ee a ae Re Ree, SeSRaba CAUTION: Section 688.3246), lowa Code, prohibits the use of information copied trom reports and stataments for soliing contributions oF for any commercial pupose by any person ther than statutory palicl commitises, DATE PACD NUVEER ‘NAME AND ADORESS OF CONTRIBUTOR RELATIONSHIP] AMOUNT] TFFOR receiven | "(rapplicate) rocanowaTe’ | ReceiveD | “FUND. (mporye) | aNo PAC CHECK ( epptcable) RAISER ‘NUMBER INCOME ad Scifer, Michael ‘ oa 4204 NW 1OIst St Des Moines 1A $0322 fm 108 : Shoeman, John & Barbara 712-04 kw 2791 U Ave Waukee 1A 50263 ooo PF 6356 Freedom Fund 712-04 OHH 555 851 19th st Des Moines IA 50314 et) ie . : Morain, William A 712-04 Ke 408 § State St Lamoni 1A 50140 a pr ~ Taiber, Thomas & Susan 712.04 Ke 101 Eagle Ridge Dr Waverly IA $0677 25.00 Cd Benjamin, Veron 712-04 Ke 1537 270th St Donnelison 1A 52625 2590 oF Towa Deamocratic Party 7.14.04 oxi 2,000.00 TOF ‘Wagner, Kevin & Lynette 7-14-04 ce 7903 Beechwood Ct a Urbandale 1A 50322 DF kit OF oxi +_ ‘SUB-TOTAL TOTAL (iflest page of this schedule) 705.00 $6386.00 * Dssosre aw rogues carale commits to else th eltonship of any rave making cortbuton othe omnien Relationship mis be shown tothe tha gree of consangunty (ood rales) and ay (key 5 tmamege)_ surname of contour the same as candeate ut there sno Page ‘ama reiationshp,antr “net applicable” inthe eltionshp column, FOR INSTRUCTIONS, SEE BACK OF FORM [ScHEDILE B MONETARY EXPENDITURES — MONEY SPENT FROM COMMITTEE ACCOUNT Portree oes STATE PAG COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGSSLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE O check THis 80x iF PAG CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS Is AVAL ABLE PROM THE IOWA "AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD, [COMMITTEE NAME (Must bo same as on Statement of Organization) Friends for Russ Wiesley CANDIDATE] NAME AND ADDRESS TO WONT PURPOSE AROUNT Date TONUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED EXPENDED | (appeabi) (Disbursement) WAS MADE (muDONYR) |" AND PAC CHECK. NUMBER, arte Printing Letterhead & Envelopes 11739 F Grand [Des Moines, 1A 50316 ‘eb Depictions Web Hosting Quarterly & Box 461 Domain Registration Vedat Falls, [A $0613 Carter Printing Photo copies, campaign cards, 739 E Grand business cards| Des Moines, 1A 50316 |Web Depictions Web Hosting Quarterly Box 461 Cedar Falls, 1A 50613 [Boone Today Advertising 2136 Mamie Eisenhower Boone, LA 50036 Carter Printing Indoor posters 739 B Grand es Moines, 1A $0316 jowa Democratic Party Internet Access (VAN) 1408 Locust [Des Moines, 1A 50309 Envelopes & letterhead Siig eeeeeeeeeeeeeee SUBTOTAL] § 2.76863 TOTAL (if last page of this schedule) [THIS BOX APPLIES TO CANDIDATES: COMMITTEES ONLY: Purchases of cain campaign propery costing $500 or more must alsa be invenorad an Schedule H. (Refer fo Schedule H instuctons ) Expenditures to personsletites providing consuling. advertising, funaisng, poling, managing, organizing services must also be dts temized on Schedule G by the amount, purpose, and dat of each pe of expenditure made by the personenity on beh of the candidate's comin (Far to Schedule G maructons and own Code 8A 40209)) (or Scheie 8) FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form | /scnEDULE B MONETARY EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT leet roan STATE PAC COMMITTEES: NOTE: FOR CONTRIRUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIORTES, LIST THE CANDIDATE DENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANO THE CO cueck Tas Box iF PAC CHECK NUMBER FOR EACH EXPENDITURE. AUST OF MUMBERS IS AVALABLE FROMTHE OWA | ‘AMENDING FORM [ETHICS & CAMPAIGN DSL OSURE BOARD, Friends for Russ Wiesley TARODATE THAME AND ADORESS TO WHOM" PURPOSE MOUNT ate IDNUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED EXPENDED | (Tappcable) (Disbursement) WAS MADE (amporyr) | "AND PAC ‘CHECK. NUMBER bed [Boone News Republican Advertsing P1208 | wpa LE Kester 3 3645 Ke Ke } ibe cKe DF | cK# oF Ke ‘SUBTOTAL TOTAL (if lst page of this schedule) 33645 [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of oniin campaign property costing $500 o more mus iso be mentored on Schedule H.(Reler'o Schedule H isincions) Expenditures o personsentiies providing consulting, averting fnd-asing, poling, managing, organizing services mus also be dea iemized on Schedule Gby the amount purpose, ané date ofeach type of expandture made by Me persanenty on Beha othe cancdale's cornmtion. (Refer 0 | Scnedul G stucions and owa Code 684 40263)0)) Pog ____ ot 2 (for Schedule 8) FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE — INKIND (COMMITTEE NAME (ist bo same a6 on Stteront of Organon) Rev. 06197] CONTRIBUTIONS Friends for Russ Wiesley 1D CHECK THis BOX IF | NG TORN Tesrem] | EM RECATIONSIP | DESCRIPTION] ESTNATED | TF FOR RECEIVED NAME AND ADDRESS TocanoDATE | OF INKIND. | FAIR MARKET | FUND-RAISER (OF CONTRIBUTOR cable) _| CONTRIBUTION VALUE _| CONTRIBUTION, Jo Ann Zimmerman Citboards 7630 Ashworth Rd West Des Moines, 1A 50266 Russ Wiesley Food for fundraiser 6-12.04 | 805 Walnut Ridge Dr Waukee, 1A 50263, Towa State Education Association Membership 6-30-04 [777 3rd St, Des Moines, 1A $0309 Diskette Russ Wiesley Treats for th of | 83.66 — 72-08 | 805 Walnut Ridge Dr July parade Waukee, 1A 50263, Russ Wiesley 2089 mi. 34/mi | 710.26 7-14-04 | 805 Walnut Ridge Dr 5-15--7-14.04 ‘Waukee, 1A 50263, “Disclosure aw reais candidates to cscose the relationship of any elative making an in knd contin tothe Page ot ccommitee. Relationship mst be shown fo the third degree of consangunity (lod flaves) ana afi (elves er Scheaule ‘by mariage). (See Page 2 of toms packet.) It sumame of contours the Same as candite, bu thea is 2 {amit relatorsip, enter “not applcabe” nthe relationship column.

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