Professional Documents
Culture Documents
02
1 - vlt IIVJ I RV~ I IVIYJ, jr-r- onvtN ii rvriiv1 rtJ1VYl
Political Subdivision Candidate ( 0 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Sui PA" I I I focal Qgj)e jssue
Audited
LAND COM t EE3 O
""`&A! N
Candidato Name IAETHIC' Political Party Of applicable) File with :
1)1 SCLOSUpi= Iowa Ethics and Campaign
Disclosure Board
Office Sought Dlstrlct (if Senate or House) 510 E. 12 ° ', Ste . 1A
MAY
2006 Des Moines, Iowa 50319
Fax : 515-281-3701
crirnlrha~penaltios. Pursuant to Iowa Code section 68B .32A(7)
hairparson, for any other type of committee, Is the
ally find ac cu re sports.
0 Chock it this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County 3 Local Committees, enter Courty in
(You mutt continue to file reports until a DR-3 is hled .)
which Election is held
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(Including candidate's personal lunds)
L CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
loyJB
..~-~w?t' Cz7-y' W-A 71D~ o F c ai3d P~ I ; i-;m, A 0669w
STATE CANDIDATES NOTE : IF A CONTRIBUTION I5 RECEIVED cROM 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 s%tutory political committees .
C ID NUM
Of applicable)
AND PAC CHECK
NUMBER
' Disclocure law requires candidate committees to isclose the relationship of any relative making a contribution to the
A
committee RelatIOnshlp must be shown to the thin I degree of consanguinity (blood relatves) and affinity (relatives by
marriage) . if surname of contributor Is the sam o as candidate, but there is no Page .1 -j
familial relationship, enter "not applicable" in the ralabonshID column . (for &chedule A)
MAY-19-2006 FRI 36 ;57 AM MidAmerican Energy FAX N0, 3193414490 P, 04
31 cK#
o 3ok 0 q5 C~Nr(L_r ,~u7 ,J $
0
xc?
cse4~ Pry, 5 z joy
ID#
CK#
ID#
CK#
ID#
CK#
1D#
CK#
I D#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
TOTAL (If last page of this schedule) $ ' ODD
Expenditures to personslentibes providing consulting, advertising, fund-raising, polling, managing, organWng services must also be detail itemized on
Schedule G by the amount, purpose, and date each type of expenditure made by the person/entity on behalf of the candidate'& committee . (Rotor to
Schedule G i nstructions and Iowa Code 66A.40?(3)(n.)