FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Or (Rev. 07/2004) REPORT

For Office Use Only

Gayle Collins for City Council Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for : Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate (6 )City Can ate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 oard or QthaL PQGtlr2i Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

SIGNi4TPRE OF PERSON FILING REPORT TEL PHONE DATE SIGN D

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

(report date) Indicate by #F

CHECK IF AMENDMENT TO REPORT DATED May 1, 2004 Local Committees, enter Date of Election
May 11, 2004
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .) Polk

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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6859 .82

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . 9715 .00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,000 .00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . . $ 31,574 .82
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 17,115 .73
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
14,459 .09
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

**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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 FOR INSTRUCTIONS, SEE BACK OF FORM

I
SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Gayle Collins for City Council

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#
Mitch Henry Campaign Management
4/5/04 1900 MLK Jr . Parkway $ 250.00
CK# 1035
Des Moines, IA 50314

ID#
Carter Printing Printing 4x6 Vote For
4/6/04 1739 E. Grand Avenue Postcards 726.10
CK#1006
Des Moines, IA 50316 Invoice #79453

ID#
Mailtech, Inc. Mail Processing
4/6/04 712 E. 2nd Street "Let's Flip the Switch" 522.52
CK#1033 Des Moines, IA 50309

I D#
US Postal Service Postage for "Let's Flip the Switch"
4/6/04 1165 Second Avenue Mailing 2346 .83
CK#1034
Des Moines, IA 50309

ID#
Carter Printing Printing for 4x6 Vote for
4/12/04 1739 East Grand Avenue Postcards 318.00
CK# 1007
Des Moines, IA 50316 Invoice #79527

ID#
TL & Associates Telemarketing fees
4/12/04 00 Euclid Avenue 1500 .00
CK#1036
Des Moines, IA 50313

ID#
TL & Associates Telemarketing fees
4/16/04 100 Euclid Avenue 1500 .00
CK# 1038 Des Moines, IA 50313

ID#
Jason Jasnos Computer service
4/21/04 756 17th Street Website Maintenance & email 355.60
CK#1040 Des Moines, IA 50314 delivery - invoice 4555

SUB-TOTAL

TOTAL (if last page of this schedule)

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 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) .)

1 2
Page __-______ of ________-

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM
I
SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07/03) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

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

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

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#
Sew What - Gina Duffy Campaign hats
4/21/04 4407 Wakonda Pkwy 397.50
CK# 1039 Des Moines, IA 50315
ID#
Joe Henry Campaign Expenses
4/23/04 1846 Evergreen Avenue Reimbursement 150.00
CK#1041 Des Moines, IA 50320
I D# Carter Printing Inv#79672 - Stickers and Cards
4/27/04 1739 East Grand Ave Inc#79691 - Envelopes 894.64
CK#1008 Des Moines, IA 50316 Inv#79699 - Letterhead

I D#
Tumea & Sons Food-Campaign Workers
4/13/04 1501 SE 1st 125.00
CK#1037
Des Moines, IA 50315
ID#
TL & Associates Telemarketing fees
4/23/04 100 Euclid Avenue 2500 .00
CK# 1054
Des Moines, IA 50313
ID#
Mailtech, Inc. Mail Processing
4/23/04 712 E. 2nd Street 999.80
CK#
Des Moines, IA 50309
ID#
US Postal Service Postage for Mailer
4/23/04 1165 Second Avenue 4529 .74
CK# 1053 Des Moines, IA 50309
I D#

C K#

TOTAL (if last page of this schedule)

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 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) .)
2 2
Page -------- of ----------

(for Schedule B)