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FOR INSTRUCTIONS, SEE BACK OF FORM

Reset Form FORM


DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev . 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only

-\~ a E k a t~- 4 v'C.~..e wit


CC, h% v- . t A4'e. -t Comm . #
IMPORTANT : Indicate by # type of committee you are reporting for: 0 Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( e )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
.~ ~___ .. .
Candidate Name Political Party (if applicable)

Office Sought District (if Senate or House)


JAN 1 1 2006

i FILED
Late reports are subj ct to p 'Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee,
and ttyd 4airperson,ikr any of type of committee, is the individual responsible for filing timely and accurate reports .

o~-L S S' 3 S S`-


SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate by #E1
OCHECK IF AMENDMENT TO REPORT DATE D L h c1 4 0 r Local Committees, enter Date of Election

0 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

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds 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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 5',D,,) 9 . / F-
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . ., . ., . . ., . . . . . . . . . . .
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . . . . . . . ... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . .
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .$ 3c.0 aI ,iR-

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


*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . ., ., . . ., . . . . . . . . . . . ., . ., ., . . . . . . .  .  .$
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
FOR INSTRUCTIONS, SEE BACK OF FORM I2etiet Forrn SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 07103) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FUR CONTRIBUTIONS MADE 10 STATEWIDE OR LFGISLATIVF


CANDIDATES . LIS, THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CH ECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AM ENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)


COMMITTEE TO RE-ELECT ARCHIE BROOKS

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#
Greater Des Moines Foundation Donation
1 ;261114 (1915 Grand Ave $ 500 .00
CK# 511
'Des Moines, Iowa 50309

~ID#
Nrchie Brooks Reimbursement far doantian made to
21,' 2 8/04 1102 SE 13th South Gate Masonic Lodge, l 1 1 1 50 .00
GK#512
es Nloines, Iowa 50315 Randolph St, Des Moines, Iowa 50315
ID#
listoric Fast Village Board donation
4/12/04 19 F 5th Street 200 .00
' CK# 513
es Moines, lower 50309

S Postal Service Postage for South Park Neighborhood


7,'13'04 00 Locust Street - DONATION - for their annual 407 .00
GK# 514
Des Moines, Iowa 50309 meeting notice
ID#
Malian Cultural (.;enter Donation - for Columbus Day Event
10/04/04 CK# 515 1961 Indianola Road and ad 100 .00
Des Moines, Iowa 50315

164
--
3 & B Super Market Donation - was for food for Capitol
I 1 /111!04 001 SE 6th Street East Nieghbor Hood pat luck dinner 10 .00
GK#516
Njes Moines, Iowa 50315

ID# South (rate Masonic Lodge donation for new security system
11,1 13/04 CK#5l7 I 1 I 1 Randolph Street 50 .00
Ides Moines, Iowa 50315

' ID#
-ast Des Moines Chamber Commerce Donation - scholarship fund
11,12005 ±00 Locust Street 350 .00
GK#51S
Des Moines, Iowa 503(}9

SUB-TOTAL $

TOTAL (if last page of this schedule) $ 1,667 .0(1

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 personslentities 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 experiditure made by the personientity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .}

Page

(for Schedule B)

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