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FOR INSTRUCr/ONS,SEEBACK OF FORM

Filewith: DISCLOSURESUMMARYPAGE
lowaEthicsandCampaign \9
DisclosureBoard Fffuln: Jgluary1,2OlO,all statements and repoftsfiledby newcommittees ' ' : r f T 1r1" * n '
510E. 12t\,Ste.1A for stateofficemustbe fired.etectronicaily
andetrective Janlaryt, iotii, iil- '.,
DesMoines,lowa50319 and reportsfiled by all committeesfor stateoffice mustbe fied 1 p . ,, . . i - " " - Ii
Fax: 5'15-2814073 _ ,,
e!u.".ti* May1,2010,all statemonts for StatepACsand State
and reports 20l0HAy
Paftiesmustbefiled electronically. 16-l I t+ dHlh 03
COMMfTTEE NAME(Musfbe sameas on Statement
of Oryanization)
Conwell for Supervisorcommittee

( 1 )StatewldeAegislauve/Judge
;"it
(Rev.1212009)
I o,,.,o.,*,
Standlngb-r RetentionCandtdite ( Nie pAC ( 3 )Stateparty | REpoRr
(4)countycentralcommittee(5)countyCandidate
(4)uountysenualcommlttee(5)qoqfttyCandidate (6)cityCaniioite (7)Schoot'BoardorOtherpolgcal
(6)CityCandidate tzrcCnior'eoardorotherpolte
SubdivisionCandidate ( I )county PAc ( I )clty PAc ( io )Schooteoarobr bihii FofiticatSubdiMsron
paC
11 ) LocalBallotlssue
CANDIDATECOMMITTEES
ONLY:
CandidateName
Joy Lynn Conwell

OfficeSouoht (ifSenateor House)


District
County Supervisor
Late.reports
aresubjectto possiblecivil andcriminalpenalties.Pursuantto lowaCodesections6S8.32A(7) and6gA.401(3), the Qandidate,
for a
candidale'scommittee,
andthe chairperson, for anyothertypeof committee, is the individualresponsiblefor
filingtimelyiriO accuratereports.

SIGNATUREOF PERSONFILINGREPORT TELEPHONE DATESIGNED

A Final Disclosure
IAM FILING REPORTFOR(1) ELEGTION(2)NON-ELECT|ON
YEAR.
(reportdate) lndicateOV* E
ECNECT IFAMENDMENT
To REPoRTDATED LocalCommlttees,enter Dateof Electlon

Z Ctrect if this is final (termination)reportand attachNoticEof DissolutionForm DR-3.


(Youmustcontinueto file reportsuntila DR-3is filed.) Counly& LocalCommitlees,enler Countyin
whlch Electlonls held

STATEMENTOF CASH ON HAND


GASHoN HANDat the beginningof the reportingperiod. (rotal of all fundsheldby the
committee.This amountMUSTbe the sameas the cashon handat the end
o f t h e l a s t r e p o r t i n g p e r i o d o r m u s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . t4t.47
................$
ADD TOTALMONEYTAKENIN THISPERIOD
ScheduleA: Cash Contributionstotal (AttachScheduleA) ('also see in-kindbelow) 0.00
ScheduleF: LoansReceived
total(AttachScheduleF).........,......... 0.00
ScheduleH: TotalSalesof CampaignPropefi (AttachScheduleH)................... 0.00
(ScheduleH applles to Candldates,CommltteesOnlv)
141.47
suB.ToTAL................
$
SUBTRACTTOTALMONEYSPENTTHISPERIOD
ScheduleB: Expenditures
total(AttachScheduleB) ("also see debtsand loansbelow)............ 14t.47
ScheduleF: LoanRepayments
total(AttachScheduleF)...................
CASHON HANDat theend of thisreporting
period(if finalreportbalancemustbe zero)..........................
$
*UNPAID BILLS(FromScheduleD -AttachScheduleD)......,............
..........
$
*lN KINDCONTRIBUTIONS E -AttachScheduleE)..................
(FromSchEdule ................$
*OUTSTANDING F - AttachSchedute
LOANS(FromSchedute F)................... .,.,...............
$
CONSULTANTBREAKDOWN(ScheduleG Attached?) _YES _ NO
EAILDIDATECOMMITTEESONLY:
VALUEOF CAMPA|GNPROPERTY(FromScheduteH - AttachScheduteH) $
STATECOMMITTEES:Submita reconciledcampaignaccountbankstatementin Januaryof eachyear.
FORINSTRUCZO,VS,
SEEBACKOFFORM
fffi---F' SCHEDULE
I
.- MONEYSPENTFROMCOMMITTEE
EXPENDITURES ACCOUNT B I ruoruernnv
(Rev.07l03)I EXPENDTTURES
srATE PAc coMMlrrEES: NorE: FoR coNTRtBUTroNs MADETo sTATEWDE oR LEGtsLATtvE
CANDIDATES,LISTTHECANDIDATEIDENTIFICATION
PAc cHEcK NUMBER FoR EAOHEXPENDITURE.
NUMBERrrufHe oesre'f.iATED
A LlsT oF ro r.rurvreERd
coLUMNANDTHE I cnecxrHrsBoxrF
ts-AverlaeLErnorr,tinE iowe AMENDINGFORM
ETHICS& CAMPAIGNDISCLOSUREBOARD.

COMMfTTEENAME(Mustbe sarneas on Statement


of OrganEatidj
Conwellfor SupervisorCommiffee

ANDADDRESSTO WFIOM
EXPENDITURE (DESCRIBE
TMNSACTION)
(Disbursement)
WASMADE

L.D.S. ChurchMssion Fund


ChurchofJesusChristofLatter-day Saints
To clearaccount;donatedto a private
I 100Palm Ave. non-profitso I couldcloseout my 14r.47
Ml Pleasant,lowa 52641 campaignfund.

SUB-TOTAL $ ut.qt
TOTAL(tf last pageof this schedule) $ ut.qt

THIS BOX APPLIESTO CANDIDATES'COMMITTEES


ONLY:
Purchasesof certaincampaignpropertycosting9500 or more must also be inventoriedon ScheduleH. (Referto ScheduleH instructions.)

Expendituresto persons/entities
providingconsulting,advertising,fund-raising,polling,managing,organizingservicesmust also be detaililemizedon
ScheduleQ by the amount,purpose,anddale of eachtypeof expenditure
madeby the person/entityon
behalfof the candidate's
committee.(Referto
ScheduleG instructions
andlowaCode68A.402(3)0.)

easeL-ot

(forSchedule
B)

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