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'M FORM
DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAG (Rev. 02/96) REPORT
Penalties Due For Late Filed Reports Range from $10 to $400
I AM FILING A January 22, 2002 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one
Schedule C : Fund-raising Events total (Attach Schedule C). .. ....... .. ... .... ......... .. .. .. . . . .. ..... ... .
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 ..... $ 4,862 .68
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) .. ... .. .. ...... .. .. . .. ..... .. .. .. . .. .. .. .. ........... .. .. .. 2,053 .75
Schedule F: Loan Repayments total (Attach Schedule F) . ........ ... .. ..... .. .... . .. .. .. .. . .. .. .... .. .. .. ..
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) ... . . .. .. .. .. ......... .. .. ... .. .. .. . . ...... .... . . . .. .. . .. .. .. .. .. .. . .. .. ..... .. .. .. .. ... .. .. .. .. ...... .... $ 2,808 .93
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
I
MONETARY
.CONTRIBUTIONS - MONEY TAKEN IN (Rev. 02196) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE. IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLPT CALACTION COMMTTE.9, USTTHE 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 .
Mike J . Abildtruip
13768 Keystone Ave . 100 .00
Iowa Falls, IA 50126-8608
'Disclosure law requires candidate committees to disclose the relationship of arty relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by page
1 - of 1
mamage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no
(for Schedule A)
familial relationship, enter 'not applicable' in the relationship column.
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
I D#
02/05/01 The Laurens Sun
1 year 1
CK# 858 PO Box 125 23 .00
subscription )
Laurens, IA 50554
ID#
Buena Vista Journal
1 year
PO Box 666
02/17/01 C K# 859 subscripttonl) 18 .00
Newell, IA 50568
Please insert the applicable number in the purpose column for each expenditure .
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 56_6(3)(1) .)
Page 1 of 2
,_ .-.(for Schedule B)
FOP INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
CK#
ID#
CK#
1D#
CK#
ID#
CK#
ID#
CK# ( )
SUB-TOTAL
$ 501 .40
TOTAL (if last page of this schedule)
1$2053 .75
Please insert the applicable number in the purpose column for each expenditure .
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 56 .6(3)(i) .)
Page 2 -of 2
,- _(for Schedule B)