FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

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

For Office Use Only l

The Committee to Elect Joel Lizer Comm . # - I
IMPORTANT: Indicate by # type of committee you are reporting for: 15 I Logged In
(1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
Joel Lizer Republican
possible civil and criminal
Office Sought District (if Senate or House) penalties.
Webster Co. Board of Sapcrvisors District 2

5/S- 57/ -2
S A URE OF P SON FILING REPORT TELEPHONE

10/15/04 thru 12/31/04

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # 7

Local Committees, enter Date of Election

EICHECK IF AMENDMENT TO REPORT DATED
11/02/04

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
Webster

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 0
of the last reporting period or must be zero if this is first report filed.) .. ... ... ..... . .. ... ... .. . .. ... ... . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ... ... .. .. 330.00
Schedule F: Loans Received total (Attach Schedule F) . ... .. . .. ... ... ... ... .. ... ... .. ... . .. .. . ... ..... ... .. . .
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. ... .. . .. ... ... .. . ... ... .. ... ... .
(Schedule H applies to Candidates' Committees Only,
SUB-TOTAL ..... $ 330.00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) .. .. 324.49
Schedule F: Loan Repayments total (Attach Schedule F) .. ... ... .. ... . ... .. ... ... .. ... ... .. ... ... ... .. . ... .. Service Charge 5.51
CASH ON HAND at the end of this reporting period (iffinal report balance must
0
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 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
The Committee to Elect Joel Lizer

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 .

CAUTION : Section 68B .32A(6), Iowa Code, 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Webster Co. Republican Central Committee
10/22/04 $150 .00
CK#

ID#
Alvin Isaacson
10/26/04 30 .00
CK# 2650 235th Street
Duncombe, Ia.
ID#
John Lizer
10/28/04 201 Walnut Street Father 100 .00
CK#
Gowrie Ia 50543
ID#
Steve Kehoe
11/22/04 25 .00
CK# 1706 300th Street
1792 Callender, Ia . 50523
ID#

a
Nancy Schmalenberger
12/02/04 25 .00
CK# 4436 3164 120th Street
Vincent, Ia . 50594
ID#
CK#

ID#

CK#

ID#

CK#

ID#
CK#

ID#
CK#

* 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 Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

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

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

The Committee to Elect Joel Lizer

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# The Fort Dodge Messenger Advertising
10/27/04 713 Central Ave. $ 221 .83
CK#
Fort Dodge, Ia. 50501

ID# Th e Gowrie News Advertising

11/24/04 Gowrie, Ia 50543 60 .00
CK#

ID# Gowrie United Methodist Church Donation

12/02/04 CK# 1306 Market Street 42 .66
Gowrie, Ia . 50543

ID#

CK#

ID#

CK#
ID#

CK#

ID#
CK#

I D#
CK#

SUB-TOTAL $ 324,49
TOTAL (lf last page of this schedule) $ 324.49

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 personslentifes 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)