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FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2005) REPORT
I AM FILING A
final
REPORT FOR (1) ELECTION l(2)NON-ELECTION YEAR .
m Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a DR-3 is filed .)
County & Local Committees, enter County in
which Election is held
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below). . . . . . . . . . . . . . . . . . . . . . . 85,000 .00
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . ., . . . . . . . . . . . . . . , . . . , ., . ., 0.00
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . . . . . . . . . . . . . . . 85,000 .00
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . , . . . . 0.00
CASH ON HAND at the end of this reporting period (if final report balance must
0.00
be zero) (Attach DR-3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
AFL-CIO Committee on Political Education Treasury Account
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 .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
AFL-CIO $85,000.00
10/26/2006 815 16th Street, NW
CK#
Washington, DC 20006
ID#
C K#
ID#
CK#
I D#
CK#
ID#
CK#
ID#
CK#
ID#
C K#
ID#
CK#
I D#
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
marriage) . If surname of contributor is the same as candidate, but there is no Page 1 of _
1
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
ID#
Chet Culver Committee Political contribution
10/24/2006 PO Box 6068 25,000 .00
CK#000442
Des Moines, IA 50309
ID#
CK#
ID#
CK#
1D#
CK#
ID#
CK#
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 68A.402(3)(i).)
(for Schedule B)
Notice of Dissolution FORM (Rev . 07103)
DR-3
NOTICE OF
Mail to : DISSOLUTION
IECDB
510 East 122 Suite IA For Office Use Only
Des Moines, Iowa 50319
Comm . #
Indexed
Audited
Computer
Certified Date of Dissolution
-COMMITTEE NAME
Street
Washington, DC 20006
202 637-5198
Area Telephone
Code
WHEN TO FILE :
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following:
For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as soon as
possible if the bank statement is not available at the time the Notice of Dissolution is filed .
L ~ - wv (i\ Z/
® g
Signature of Candidate or Treasurer candidate's committee)/Signature of chair or Treasurer (if PAC)
,4 - .Z7 - 04e
Date Signed