Docstoc

2006-01-19__DR2_Summary

Document Sample
2006-01-19__DR2_Summary Powered By Docstoc
					      FOR INSTRUCTIONS, SEE BACK OF FORM                                                                                                                                                                                                                             FORM
                                                                                                                                                                                                                  Reset Form
                                      DISCLOSURE SUMMARY PAGE                                                                                                                                                                                                        DR-2           I   DISCLOSURE
    COMMITTEE NAME (Must be same as on Statement of Organization)                                                                                                                                                                                                  (Rev. 12/2005)        REPORT


                                                                                                                                                                                                                                                                   Comm . #
    IMPORTANT : Indicate by # type of committee you are reporting for. LiJ                                                                                                                                                                                         Logged
    ( 1 )Statewide/LegislativelJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party                                                                                                                                                              Scanned
    ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City CWdidate ( 7 )School Board or Other Political
    Subdivision Candidate ( 8 )County PAC ( 9 )City PE                I Board or Other Political Subdivision PAC                                                                                                                                                   Computer
    (11 ) Local Ballot Issue                                                                                                                                                                                                                                       Audited


                                                                                                                                                                     Political Party (if applicable)




 Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee,
 and the chairpersory fgr any other type of committee, is the individual responsible for filing timely and accurate reports.

                                                                        lu                                                                                                    563 ~6, g 5UP 7                                                                                       I IXLOG
 SIGNATURE OF PERSON FILING REPORT                                                                                                                                TELEPHONE                                                                                   DATE SIGNED


 I AM FILING A                            1/1/05 through 12/31/05
                                                                                                                                                                    REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
                                                                      (report date)                                                                                                                              Indicate by #


QCHECK IF AMENDMENT TO REPORT DATED                                                                                                                                                                                                           Local Committees, enter Date of Election


        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




                                                                                                                        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                                                                                                                                                                                          1,932.89
       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). . . . . . . . . . . . . . . . . . .                                                                                                                        3,309.50

                       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 . . .. . . .. . . .. . $                            5,242.39
                       SUBTRACT TOTAL MONEY SPENT THIS PERIOD
                       Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . . . . . . . . .                                                                                                                                    1,412.37
                       Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
                                                                                                                                                                                                                                                                       3,830 .02
       be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . . . . . . . . . . . ., . . . . . . ., . ., . . .$
''IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . .$                                                                                           161 .50
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?)                                                                                                                                                                                                                 _ YES             _ NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)                                                                                                                                                                                             $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
 For Instructions, See Back of Form                                                                                           SCHEDULE
                                                                                                           Reset Form
 CONTRIBUTIONS - MONEY TAKEN IN                                                                                                    A             MONETARY
                                                                                                                               (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
   Muscatine County Democratic Party

 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           J IF FOR
   RECEIVED              (if applicable)                                                                            TO CANDIDATE*        RECEIVED           FUND-
   (MM/DD/YR)          AND PAC CHECK                                                                                 (if applicable)                        RAISER
                            NUMBER                                                                                                                         INCOME
                      IQ#
                                                Richard & Helen VanHoozer
 1/2/OS               CK#                       3302 Mackinac Court, Muscatine, IA 52761                                                $30.00

                      ID#
                                                 Iowa Democratic Party (long distance svc refund)
 1/21/05              CK#                        1408 Locust, Des Moines, IA 50309                                                       276.27

                      ID#
                                                Uniternized Contributions
 2/12/05             CK#                        OffYear Central Committee Meeting                                                        85 .00

                      ID#
                                                David & Pam Larabee-Zierath
2/12/05              CK#                        1361 Eliason Avenue, West Liberty, IA 52776                                              20 .00

                     ID#
                                                 Paul & Suzanne Thelmann
 2/12/05                                                                                                                                 30 .00
                     CK#                         1500 Oak Street, Muscatine, IA 52761
                                                                                                                                                           El
                                                Sue Dravis
2/12/05              CK#                        2705 Spinning Wheel Ct, Muscatine, IA 52761                                              35 .00

                     ID#
                                                Unitemize ( nt~butions
3/18/05              CK#                                                                                                                 24.00

                     ID#
                                               Unitemized Co ,tributions
4/19/05              CK#                                                                                                                13 .00

                     ID#
                                               Uniternized Contri        pons
5/17/05              CK#
                                                               4,11
                                                                             -                                                          45 .37
                                                                                                                                                        IM01
                                               Uniternized Contributions
6/21/05              CK#                                                                                                                 9.00
                                                                    t
                                                                                                                                                           IMN
                                                                                                                  SUB-TOTAL
                                                                                                                                       P167.
                                                                                       TOTAL (if last page of this schedule)

* 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 sumame of contributor is the same as candidate, but there is no                                                   Page      1      of
familial relationship, enter "not applicable" in the relationship column .
                                                                                                                                        (for Schedule A)
 For Instructions, See Back of Form                                                                                          SCHEDULE
                                                                                                          Reset Form
 CONTRIBUTIONS -- MONEY TAKEN IN
                                                                                                                                   A              MONETARY
                                                                                                                               (Rev. 07/03)        RECEIPTS
            (Including candidate's personal funds)

  COMMITTEE NAME (Must be same as on Statement of Organization)
                                                                                                                                  Q     CHECK THIS BOX IF
                                                                                                                                        AMENDING FORM
   Muscatine County Democratic Party

 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            J IF FOR
  RECEIVED                (if applicable)                                                                           TO CANDIDATE"         RECEIVED            FUND-
  (MM/DD/YR)           AND PAC CHECK                                                                                 (if applicable)                         RAISER
                             NUMBER                                                                                                                         INCOME
                      tD#
                                                Unitemized coi        b    on
 7/12/05             CK#                                      ~a                                                                        $12 .00



                                                 Esther Dean
 7/12/05             CK#                         319 Myrtle Lane, Muscatine, IA 52761                                                     25 .00

                     ID#
                                                 Sue Dravis
 7/12/05             CK#                         2705 Spinning Wheel Ct, Muscatine, IA 52761                                              50 .00


                                                Betty McMahon
7/12/05              CK#                        3111 - 180th Street, Muscatine, IA 52761                                                 50 .00

                     ID#
                                                 Sandy Stanley
 7/12/05             CK#                         918 Acorn Lane, Muscatine, IA 52761                                                      25 .00


                                                Randy Naber
7/30/05              CK#                        402 East 8th Street, Muscatine, IA 52761                                                  25 .00

                     ID#
                                                Don Paulson
 8/1/05                                         2451 Jasper Avenue, Letts, IA 52754                                                       25 .00
                     CK#

                     ID#
                                               Unitemized Contributions
7/17/05              CK#                       Received at County Fair Picnic, West Liberty, IA                                          7.75

                     ID#
                                               Unitemized Contributions
7/22/05              CK#                       Received at County Fair, West Liberty, IA                                                 100 .75

                     ID#
                                               Unitemized Contributions
8/9/05               CK#                                                                                                                 16.80


                                                                                                                   SUB-TOTAL            $ 337 .30

                                                                                       TOTAL (If last page of this schedule)

  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                  2
marriage) . If sumame 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                                                                                          SCHEDULE
                                                                                                          Reset Form
 CONTRIBUTIONS -- MONEY TAKEN IN
                                                                                                                                   A               MONETARY
                                                                                                                               (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
   Muscatine County Democratic Party

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          4 IF FOR
  RECEIVED                (if applicable)                                                                           TO CANDIDATE`         RECEIVED          FUND-
  (MM/DD/YR)           AND PAC CHECK                                                                                 (if applicable)                       RAISER
                             NUMBER                                                                                                                       INCOME
                      ID#
                                                Tom Furlong                                                                               50 .00
8/9/05                                          1745 - 231st Street, Letts, IA 52754
                     CK#

                     ID#
                                                Nathan Reichert                                                                           25 .00
8/10/05                                         1155 Iowa Avenue, Muscatine, IA 52761
                     CK#

                     ID#
                                                Unitemized Contributions                                                                  35 .50
7/24/05                                         Received at County Fair Tent, West Liberty, IA
                     CK#

                     ID#
                                                Income from lunch served at District Training                                             450.00
08/13/05             CK#                        Session (Quantity 75 x $5 .00), West Liberty, IA

                     ID#
                                                Pin Sales, District Training Session (Quanty 22 x                                         44 .00
08/13/05                                        $2 .00), West Liberty, IA
                     CK#

                     ID#
                                               Unitemized Contributions                                                                   8.00
08/27/05
                     CK#

                     ID#
                                               David & Carol Bradley
08/01/05                                                                                                                                  15 .00
                     CK#                       520 East 3rd Street, West Liberty, IA 52776

                     ID#                                                                                                                           -
                                               Unitemized Contrib -ors                                                                    15 .00
09/20/05
                     CK#
                                                   r

                     ID#
                                                David & Carol Bradley                                                                     15 .00
9/01/05              CK#                        520 East 3rd Street, West Liberty, IA 52761

                     ID#
                                               David & Carol Bradley                                                                      15 .00
9/01/05                                        520 East 3rd Street, West Liberty, IA 52776
                     CK#

                                                                                                                   SUB-TOTAL             $ 672 .50

                                                                                       TOTAL (if last page of this schedule)

  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                   3
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                                                                                           SCHEDULE
                                                                                                          Reset Form

CONTRIBUTIONS - MONEY TAKEN IN
                                                                                                                                  A               MONETARY
                                                                                                                              (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
  Muscatine County Democratic Party

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             4 IF FOR
  RECEIVED               (if applicable)                                                                            TO CANDIDATE"        RECEIVED            FUND-
  (MM/DD/YR)          AND PAC CHECK                                                                                  (if applicable)                        RAISER
                            NUMBER                                                                                                                          INCOME
                     ID#
                                                Ed Broders                                                                              $40 .00
10/8/05
                     CK#                        1071 Western Avenue, Stockton, IA 52769




                                                                                                                                                            a
                     ID#
                                                David & Carol Bradley                                                                    30.00
10/8/05              CK#                        520 East 3rd Street, West Liberty, lA 52776


                                                Esther Dean                                                                               15 .00
10/8/05              (
                     CK#                        319 Myrtle Lane, Muscatine, IA 52761

                     ID#
                                               Tom Fiegen                                                                                30 .00
10/8/05              CK#                       93 Lombard Street, Clarence, IA 52216



                                                                                                                                                            FM
                     lD#
                                               Sue Dravis                                                                                15 .00
10/8/05                                        2705 Spinning Wheel Ct, Muscatine, IA 52761
                     CK#

                     ID#
                                               Tom & Becky Furlong                                                                       30.00
10/8/05                                        1745 - 231 st Street, Letts, IA 52754
                     CK#

                     ID#
                                               Jill Goldesberry                                                                          15 .00
10/8/05
                     CK#                       1203 - 245th Street, Conesville, IA 52739

                     ID#
                                               Tracy Hatfield                                                                            40 .00
10/8/05                                        419 Grandview Avenue, Muscatine, lA 52761
                     CK#

                     ID#
                                                Jane Hudson                                                                               15 .00
10/8/05              CK#                        2111 Bidwell Road, Muscatine, IA 52761

                     ID#
                                               Kas Kelly                                                                                 30.00
10/8/05                                        1548 Washington, Muscatine, IA 52761
                     CK#

                                                                                                                   SUB-TOTAL

                                                                                       TOTAL (ff last page of this schedule)

' 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                      4
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                                                                                           SCHEDULE
                                                                                                          Reset Form
                                                                                                                                   A               MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN                                                                                                (Rev . 07/03)        RECEIPTS
           (Including candidate's personal funds)
                                                                                                                                  O      CHECK THIS BOX IF
 COMMITTEE NAME (Must be same as on Statement of Organization)                                                                           AMENDING FORM
  Muscatine County Democratic Party

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            4 IF FOR
  RECEIVED               (if applicable)                                                                            TO CANDIDATE'         RECEIVED            FUND-
  (MM/DD/YR)          AND PAC CHECK                                                                                  (if applicable)                         RAISER
                            NUMBER                                                                                                                          INCOME
                     ID#
                                                Henry Marquard                                                                           $15 .00
10/8/05
                     CK#                        108 Eagle Watch, Muscatine, IA 52761

                     ID#
                                                Sally Meisinger                                                                            15 .00


                                                                                                                                                           a/
10/8/05              CK#                        2111 Bidwell Road, Muscatine, IA 52761

                     ID#
                                                Ken & Jo Noble                                                                            30 .00                j1
10/8/05                                         1568 - 100th, West Liberty, IA 52776
                     CK#

                     ID#

10/8/05              CK#
                                               Don & Debbie Paulson
                                               2451 Jasper Avenue, Lefts, IA 52754
                                                                                                                                          30 .00           F=7
                     ID#
                                               Karl & Linda Reichert                                                                      30 .00
10/8/05              CK#                       3402 Tipton Road, Muscatine, IA 52761

                     ID#                                                                                                                                         /
                                               Nate &Becca Reichert
10/8/05                                                                                                                                   30 .00                j0
                     CK#                       1155 Iowa Avenue, Muscatine, IA 52761

                     ID#
                                               Tom & Sharon Savage                                                                        30 .00
10/8/05
                     CK#                       515 Lorenz, Muscatine, IA 52761

                     ID#
                                               Marlyn Schepers                                                                            15 .00
10/8/05
                     CK#                       413 West 3rd Street, Muscatine, IA 52761

                     ID#
                                                Wayne & Judy Shoultz                                                                      30 .00
10/8/05
                     CK#                        5801 - 67th Avenue West, Muscatine, IA 52761

                     ID#
                                               Sandy Stanley                                                                              15 .00
10/8/05                                        918 Acorn Lane, Muscatine, IA 52761
                    CK#

                                                                                                                   SUB-TOTAL

                                                                                       TOTAL (if last page of this schedule)

' 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                       5         (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                                                                                            SCHEDULE
                                                                                                          Reset Form
                                                                                                                                   A              MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN                                                                                                (Rev. 07/03)        RECEIPTS
           (Including candidate's personal funds)
                                                                                                                                   Q CHECK THIS BOX IF
 COMMITTEE NAME (Must be same as on Statement of Organization)                                                                           AMENDING FORM
  Muscatine County Democratic Party

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            J IF FOR
  RECEIVED               (if applicable)                                                                            TO CANDIDATE'         RECEIVED            FUND-
  (MM/DD/YR)          AND PAC CHECK                                                                                   (if applicable)                         RAISER
                            NUMBER                                                                                                                           INCOME
                     ID#
                                                Richard & Helen VanHoozer                                                                $30 .00
10/8/05
                     CK#                        3302 Mackinac, Muscatine, IA 52761

                     ID#
                                                Maurice & Jean Ziegenhom                                                                  30 .00
10/8/05
                     CK#                        2369 Fruitland, Muscatine, IA 52761

                     ID#
                                                Unitemized Contributions received at                                                      15 .00
10/8/05                                         Recognition Dinner
                     CK#



                                                                                                                                                              W
                                                                                                                                                             FM
                     ID#
                                               Unitemized Contributions                                                                   18 .00
10/18/05             CK#                       Pass the Hat

                     ID#
                                               Maurice Furlong                                                                            20 .00
10/18/05                                       2428 Independence Avenue, Letts, IA 52754
                     CK#



                                                                                                                                                             F=7
                     ID#
                                               Don Paulson                                                                                25 .00
10/18/05                                       2451 Jasper Avenue, Lefts, IA 52754
                     CK#

                     ID#
                                               Tom & Becky Furlong                                                                        20 .00
10/18/05
                     CK#                       1745 - 231 st Street, Letts, IA 52754



                                                                                                                                                             FM
                     ID#
                                               Roberta Gabbard                                                                            20.00
10/18/05             CK#                       2698 Northwood Way, Muscatine, IA 52761

                     ID#
                                                Bud & Betty McMahon                                                                       25 .00
10/18/05            CK#                         3111 - 180th, Muscatine, IA 52761

                     ID#
                                               Henry & Deann Murray                                                                       10 .00
10/18/05
                     CK#                       510 Fairview Avenue, Muscatine, IA 52761

                                                                                                                   SUB-TOTAL

                                                                                       TOTAL (H last page of this schedule)

' 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                      6         C~
marriage) . If sumame 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 Fonn                                                                                           SCHEDULE
                                                                                                         Reset Form
                                                                                                                                  A               MONETARY
CONTRIBUTIONS - MONEY TAKEN IN                                                                                                (Rev. 07103)         RECEIPTS
           (Including candidate's personal funds)
                                                                                                                                         CHECK THIS BOX IF
 COMMITTEE NAME            (Must be same as on Statement of Organization)                                                                AMENDING FORM
  Muscatine County Democratic Party

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             J IF FOR
  RECEIVED              (if applicable)                                                                             TO CANDIDATE'         RECEIVED            FUND-
  (MM/DD/YR)          AND PAC CHECK                                                                                  (if applicable)                          RAISER
                           NUMBER                                                                                                                            INCOME
                     ID#
                                                Dale Paulson                                                                             $10 .00
10/18/050
                     CK#                        2244 East 17th Street, Davenport, IA

                     ID#
                                                Charles Paulson                                                                           10 .00
10/18/05                                        3233 North Division, Davenport
                     CK#



                                                                                                                                                             FM
                     ID#
                                                Unitemized Contributions                                                                  5 .00
10/18/05
                     CK#                                        ,

                     ID#
                                               Sue Dravis                                                                                 10 .00
10/18/05             CK#                       2705 Spinning Wheel Ct, Muscatine, IA 52761

                     ID#
                                               Sandy Stanley                                                                              10 .00
10/18/05                                       918 Acorn, Muscatine,1A 52761
                     CK#

                     ID#
                                               Lori Strommer-Pace                                                                         10 .00
10/18/05                                       905 North Calhoun, West Liberty, IA 52776
                     CK#

                     ID#
                                               Helen VanHoozer                                                                            10.00
10/18/05                                       3312 Mackinac, Muscatine,1A 52761
                     CK#

                     ID#
                                               Linda Reichert                                                                             15 .00
10/18/05                                       3402 Tipton Road, Muscatine, IA 52761
                     CK#

                     ID#
                                                LoAnne Worth                                                                               10 .00
10/18/05                                        1312 Park Drive, Muscatine, lA 52761
                     CK#

                     ID#
                                               Tracy Hatfield                                                                             10.00
10/18/05                                       419 Grandview Avenue, Muscatine,1A 52761
                    CK#

                                                                                                                   SUB-TOTAL

                                                                                       TOTAL (iflast page of this schedule)

  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                     7
marriage) . If sumame 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                                                                                           SCHEDULE
                                                                                                           Reset Form
 CONTRIBUTIONS -- MONEY TAKEN IN                                                                                                    A                 MONETARY
                                                                                                                                (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
   Muscatine County Democratic Party

 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          4 IF FOR
   RECEIVED               (if applicable)                                                                            TO CANDIDATE*              RECEIVED         FUND-
   (MM/DD/YR)          AND PAC CHECK                                                                                  (if applicable)                           RAISER
                             NUMBER                                                                                                                             INCOME
                      ID#
                                                 Sally Meisinger
 10/18/05                                                                                                                                    20 .00
                      CK#                        2111 Bidwell Road, Muscatine, IA 52761                                                     $

                      ID#
                                                 Unitemized Contribution from Bowlathon
 10/18/05                                                                                                                                    25.00
                      CK#

                      ID#
                                                 David & Carol Bradley
 11/1/OS                                                                                                                                        15 .00
                     CK#                         520 East 3rd Street, West Liberty, IA 52776

                      ID#
                                                Owen for Iowans
 11/11/OS                                                                                                                                    500 .00
                     CK#                        563 North Oliphant, West Branch, IA

                     ID#
                                                Unitemized Contributions
 11/15/OS                                                                                                                                    7 .00
                     CK#                        Pass the hat

                     ID#
                                                Randy Naber
11/27/05                                                                                                                                     20 .00
                     CK#                        402 East 8th Street, Muscatine, IA 52761

                     ID#
                                                Daphne Donald
 11/27/05                                                                                                                                    10 .00
                     CK#                        1559 Washington, Muscatine, IA 52761

                     ID#
                                                Kathy Haltmeyer
11/27/05                                                                                                                                     10 .00
                     CK#                        2402 Imperial Oaks, Muscatine, IA 52761

                     ID#
                                                Rick Holiday
 11/27/05                                                                                                                                    20 .00
                     CK#                        105 South Houser, Muscatine, IA 52761

                     ID#
                                                Margaret Morehead
11 /27/-5                                                                                                                                    10.00
                                                402 Easth 8th Street, Muscatine, IA 52761


                                                                                                                                        I
                     CK#


                                                                                                                   SUB-TOTAL                $ 637 .00

                                                                                       TOTAL (ff last page of this schedule)

- 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                         8
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                                                                                           SCHEDULE
                                                                                                           Reset Form
 CONTRIBUTIONS -- MONEY TAKEN IN                                                                                                   A           MONETARY
                                                                                                                               (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
   Muscatine County Democratic Party

 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 otherthan 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
                      IQ#
                                                Wayne Shoultz
 11/27/05                                                                                                                                40.00
                      CK#                       5801 - 67th Avenue, Muscatine, IA 52761

                      ID#
                                                Victor Guerrero
 11/27/05                                                                                                                                15 .00
                      CK#                       1041 S. Grass Valley Rd, Winnemucca, NV 89445

                      ID#
                                                Unitemized Contributions                                                                 12 .06
 11/27/05                                       from Bowlathon
                     CK#

                     ID#
                                                David & Carol Bradley
 12/1/05                                                                                                                                 15 .00
                     CK#                        520 East 3rd Street, West Liberty, IA 52776

                     ID#
                                                Check #562 (Issued February 2004) not
n/a                                                                                                                                      200.00
                     CK#                        cashed . Credited back into account.

                     ID#

                     CK#

                     ID#

                     CK#

                     ID#

                     CK#

                     ID#

                     CK#

                     ID#

                     CK#

                                                                                                                  SUB-TOTAL


                                                                                       TOTAL (if last page       of this schedule)

  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 sumame of contributor is the same as candidate, but there is no
                                                                                                                                          9                9
                                                                                                                                 Page          0 of
familial relationship, enter "not applicable" in the relationship column .
                                                                                                                                        (for Schedule A)
   FOR INSTRUCTIONS, SEE BACK OF FORM                                                            Reset Form        SCHEDULE
                                                                                                                         B             MONETARY
         EXPENDITURES            -   MONEY SPENT FROM COMMITTEE ACCOUNT                                             (Rev. 07103)      EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE                                  r0j 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)
  Muscatine County Democratic Party

                    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#
                                      Treasurer - State of Iowa                      2004 sales tax
1/15/05          CK#                  Des Moines, IA                                                                                 $   31 .77


                 ID#
                                      Betty McMahon                                 re-imbursement for bulk mail
3/5/05                                3111 - 180th, Muscatine, IA 52761             permit                                               150 .00
                 CK#

                 ID#
                                      USPS                                           one year rent on post office box
3/5/05           CK#                  Cedar & Houser, Muscatine, IA                                                                      38 .00


                 ID#
                                      Lori Strommer-Pace                             re-imburse for mailing
4/19/05                               905 North Calhoun, West Liberty, IA                                                                29.60
                CK#

                 ID#
                                      Muscatine County Fairground                   tent rental for county fair
5/17/05
                CK#                   West Liberty, IA 52776                                                                             200 .00


                 1D#
                                      Muscatine Chamber of Commerce                 entry fee for July 4 parade
6/7/05          CK#                   319 East 2nd Street, Muscatine, IA                                                                 75 .00


                 1D#
                                      Sue Dravis                                    re-imbursement for metal pins
7/17/05         CK#                   2705 Spinning Wheel Ct, Musc ., IA                                                                 69 .50


                ID#
                                      Muscatine County Conservation Brd             gift (fund entirely from gifts from
8/9/05                                3300 Cedar Street                             individuals)                                         275 .00
                CK#

                                                                                                                   SUB-TOTAL        $    868 .87

                                                                                     TOTAL (ff 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 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)
   FOR INSTRUCTIONS, SEE BACK OF FORM                                                            Reset Form         SCHEDULE

       EXPENDITURES              -   MONEY SPENT FROM COMMITTEE ACCOUNT                                                  B
                                                                                                                     (Rev . 07/03)
                                                                                                                                           MONETARY
                                                                                                                                          EXPENDITURES

                                                                                                                        D
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)
  Muscatine County Democratic Party

                   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#
                                      Betty McMahon                                  re-imburse for district lunch food &
 9/20/05                              3111 - 180th, Muscatine, IA 52761              suplies                                             $   83 .00
                 CK#

                 ID#
                                      Lori-Strommer Pace                             re-imburse for postcards & stamps
 8/9/05                               905 North Calhoun, West Liberty, IA                                                                     7 .40
                 CK#

                 ID#
                                      Scott's Outdoors                               meal for recognition dinner
 10/6/05                              1907 Stewart Road, Muscatine, IA                                                                       310 .30
                 CK#

                 ID#
                                       Phoenix Products                              one plaque and engraving on two
 10/8/05                               1136 East 9th, Muscatine, IA 52761            plaques                                                  32 .80
                 CK#

                 ID#
                                       Muscatine Community College                   room rental for recognition dinner
 10/13/05                              Park Avenue, Muscatine, IA 52761                                                                      110 .00
                 CK#

                 I D#

                 CK#

                 I D#

                 CK#

                 ID#

                 CK#

                                                                                                                    SUB-TOTAL            $   543 .50
                                                                                      TOTAL (if last page of this schedule)              $ 1412 .37


THIS BOX APPLIES TO CANDIDATES' COMWTTEES 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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i).)

                                                                                                                       Page          2        of       2



                                                                                                                                         (for Schedule B)
FOR INSTRUCTIONS,       SEE BACK     OF FORM                                                                             SCHEDULE
                                                                                                                            E              IN-KIND
  COMMITTEE NAME (Must be same as on Statement of Organization)                                                          (Rev. 06/97)1 CONTRIBUTIONS
    Muscatine County Democratic Party

                                                                                                                         0 CHECK THIS BOX IF
                                                                                                                            AMENDING FORM
                                                                                              Reset Form




   DATE                                                                 RELATIONSHIP             DESCRIPTION              ESTIMATED         J IF FOR
 RECEIVED                      NAME AND ADDRESS                         TO CANDIDATE              OF IN KIND             FAIR MARKET      FUND-RAISER
(MMIDDYR)                       OF CONTRIBUTOR                            (if applicable)       CONTRIBUTION                VALUE        CONTRIBUTION

                                                                                                                          5.50
                                                                                                                                            F 1
                 Lori Strommer-Pace                                                          face painting
   7/05
7/17/05          905 North Calhoun,     West Liberty,    IA 52776                            supplies                                          -



                                                                                                                          131 .00
                                                                                                                                            F~
                David Bradley                                                                ice, cups &
7/17/05          520 East 3rd Street, West Liberty, IA 52776                                 supplies for fair



                                                                                                                          20 .00
                                                                                                                                            F 1
                Unitemized contributions                                                     desserts donated
8/13/05                                                                                      for district lunch                                -



                                                                                                                          5.00
                                                                                                                                            F~
                 Sue Dravis                                                                  postage, envelopes,
12/31/05        2705  Spinning Wheel Ct, Muscatine,         IA                               note cards




                                                                                                                                            F 1-




                                                                                                                                            F1   -




                                                                                                                                            F1   -




                                                                                                                                            F~
                                                                                                                                            F1  -




                                                                                                                                            F]



'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the       Page      1      of     1
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives                   (for Schedule E)
by marriage). (See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:5
posted:6/7/2011
language:English
pages:13