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I DISCLOSURE
FORM
DISCLOSURE SUMMARY PAGE DR-2
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 12/2005) REPORT
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SIGNATIN~6F/
P0464RUNG REPORTTELE
~f -/~ DATE ED
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
V
"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 0.00
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.
ID#
Cyndi Chen 100
5/24/2006 CK# 1128 22nd St, Des Moines, 50311 wife
ID#
Mike Smith 100
5/25/2006 CK# 3917 Twana Drive, Des Moines, IA 50310
ID#
Arthur Neis 100
6/9/2006 CK# 1575 NW 106th St, Clive, IA 50325
a
ID#
Mark Truesdell 50
6/9/2006 CK# 5817 Waterbury Circle, Des Moines, IA 50312
ID#
C K#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
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 of consanguinity (blood relatives) and affinity (relatives by 1 1
marriage) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
FOR INSTRUCTIONS, SEE BACK OF FORM ~ = SCHEDULE
CK#
ID#
CK#
ID#
CK#
ID#
CK#
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97)1 CONTRIBUTIONS
Frank E. Affannato Campaign Fund
ED CHECK THIS BOX IF
AMENDING FORM
a
DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR
RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDNR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
F-1
F-1
F-1
F-1
F-1
F-1
F-1
F-1
F-1
SUB-TOTAL
`Disdosure law renuires candidates to disclose the relationship of arty relative making an in kind contribution to the Page 1 Of I
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .