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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

For Offics Use Only

South Comm . x
COMMITTEE NAME (Must be same as on Statement of Organization)
Centra l Iowa Federation of Labor, Citizenship Fund Indexed
300 E . Locust - #120, Des Moines_ Iowa Audited
IMPORTANT: Indicate type of committee you are reporting for: Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ; 3 )State Party (4)County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support State of Candidates

SIGNATURE OF TREASURER (or person filing this report) TELEPHONE

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FO LLOWI


Statewide PAC
IAMFILING A `
7/15/04 to 10/1 / ~y p~'f=st= {A A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one I / I
ZOO
t -
~'~'
CHECK IF AMENDMENT TO REPORT DATED( Local Committees, enter Date of Election

E-1 Check if this is final (termination) report and attadhMewPDI5dution Form OR-3. County 8 Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND


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.) ....................................................... .....................$ 3981 .27
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ..... ....... ........ .. ..... .. .... .. ........... ... '1281 .29
Schedule F: Loans Received total (Attach Schedule F) ....... .. .. ............. .. ....... .. ............. .. .. ...
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . ......... ......... ...... .. .... .. .
(Schedule H anali es to Candidates' Committees Onlv)
SUB-TOTAL......S 5262 .56
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) .. .. ........ . ... .. .. ........ .. .. .. ... .. .. .. .. .. .. ... . . ... .. 4600 .00
Schedule F: Loan Repayments total (Attach Schedule F) . .. .. .. ....... .. .. .. .. ..... .. .... .. ......... .. .. ...

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . .. . . . . . . . . . .. . . . .. . . ... .. .. .. .. ... .. .. . . . .... .. ..... .. .. . . . .. .. . . .. .. .. .. .. ... .. .. .. .. .. .. .. ... ... .$ 662 .56

UNPAID BILLS (From Schedule D - Attach Schedule D) . . . .. . . . . . . . .. . . . . .. .. .. .. . . . . . . . . . . . ... .. ... .. .. .. . . . . .. .. .. .. . .$


IN KIND CONTRIBUTIONS (From Schedule E7 - Attach Schedule E) . . . . . . . . . . .. .. . . . .. . . . . .. .. .. .. .. . . . . .. ..$
OUTSTANDING LOANS (From Scheouie = - A<<ach Schedule F, . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . .5
CAN DIDATE_COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
- VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rov.ONti7) RECEIPTS
(includrg eanddMe's personal lands)
CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Statement ofOrganization) South AMENDING FORM
Central Iowa Federation of Labor,
Ci tiz enship Fund, 300 E . Locust - #120
STATQUN~Tf "%M A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVALABLE FROM THE IOWA ETHICS AND CAMPAIGN
NUMBER AND THE PAC CHECK
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6). 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 statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMMD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IN South Central Iowa Fed . of
CK# Labor, 300 E . Locust #120
7/29/04 1262 Des Moines, Iowa 50309 530 .91
ID# South Central Iowa Fed . of
1628 Labor, 300 E . Locust #120
8/30/04 CK# Des Moines , Iowa 50309 336 .38
General
ID# South Central Iowa Fed . of
Labor, 300 E . Locust #120
9/28/04 CK# 1668 Des Moines, Iowa 50309 414 .0
Transfer 94 from General
ID#

CK#

IN

CK#

IN

CK#

ID#

CK#

IN

CK#

ID#

CK#

IDa

CKb

SUB-TOTAL

TOTAL (if last page of this


schedule)
closure law requires candidate committees to disclose the relationship of any relative making a controutror i . the
mmitlpp Relationship must be shown to the thud degree nt -onsangurnrty (blood relatives) and affmd~ (relatives by
-arriagei (See Page 2 of forms packet ) If surname of contributor is the same as candidate but there is r.~ Page of
'amdral relationship, enter -not applicable - in the relationship column rtrr , SChPduIe A i
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09/97)
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 O CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD

South
COMMITTEE NAME (Must be same as on Statement of Organization)
Central Iowa Federation of Labor, Citizenship Fund
300 E . Locust - #120, Des Moines, Iowa 50309
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# 1335 Hockensmith For Sponsorship For
Supervisor, 3507 Hockensmith Picnic
43rd Ct ., DM, 50317 $ 250 .00
7/15/04 CK# 953
ID# Campbell For Iowa 2 Tickets for
House 6671 NW 4th 8/9/04 Event 100 .00
7/15/04 CK# 954 Ct ., Taylor Twp .
50313
ID# Roeder For DM
School Board, 110 500 .00
8/26/04 CK# 955 Lincoln Pl . Dr . Contribution
DM, 50312
ID# Neiderbach For
School Board, 642 Contribution 500 .00
8/26/04 CK# 956 Polk Blvd . DM 50312

ID# Warren County


Democrats, P .O . Box 10 Tickets for
8 /26/04 CK# 957 477, Indianola, IA 200 .00
Annual Fall Dinner
125
ID# Dearden For State
Senate, 3113 Kinsey Contribution 100 .00
9/13/04 958
CK# DM, IA 50317
IID# Polk County Democrats Tickets for
P .O . Box 5102
9/13/04 959 Victoryfest 10/8/04 200 .00
CK# DM, IA 50306
ID# 1513 Sands For State
10/13 Senate, 2922 37th St .
960 Contribution 2000 .00
CK#
DM, IA 50310
SUB-TOTAL $ 3850 .00
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing 5500 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 56 .6(3)(i) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09/97)
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 LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD

South
COMMITTEE NAME (Must be same as on Statement of Organization)
Central Iowa Federation of Labor, Citizenship Fund
300 E . Locust - #120, Des Moines, Iowa 50309
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDYR) AND PAC
CHECK
NUMBER
ID# 1335 Campbell For Iowa
House, 6671 NW 4th
10/13 Ct ., Saylor Twp . Contribution $ 750 .00
CK# 961
04 50313
ID#

C K#

I D#

C K#

ID#

CK#

1D#

CK#

1D#

CK#

I D#

CK#

I D#

CK#

SUB-TOTAL $ 750 .00


TOTAL (if last page of this schedule) $ 4600 .00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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 56 .6(3)(i) .)

(for Schedule BI

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