DEC-29-2004 09 :10 IA ETHICS CAMPAIGN DISCLO 15152813701 P .

02/B5

FOR INSTRUCTIONS, SEE BACK OF FORM

FORM
DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be sarnrt as on Statement of Org2rilzoflon)
DR-2
(Rev, 0712004)'1 DISCLOSURE
REPORT

For Office ur-r Onto

Sales Tux Rcnowal Committee
Gar". ft /~2_90
IMPORTANT : indlcats by # typo of committee you are reporting for :
L11i -
( 1 )Statewide/Le81518Iivc1Judgo $nndlng for Retention Conalgate ( 2 )State PAC ( 7 )State Party
Logged In

( a )County Central Committw ( t! )County Candidate . (p,)glty Candidate ( 7 )School Board or Other Scanned
Political Subdivision Cen"ate (8 )County PAC ( 8 )Clt~ PAC r .( t d )School Board or Other Political Computer
Subdiv ision PAC (1 7!) Loca l Ballod~l.sut ; Audited
CANDIDATE COMMI'1Tf?ES ONLY_

Candidate Name Political Party (If applicable)

DEC 2 9 2004 z Late reports are subject to
possible civil end crirnlnel
Office Sought District (if Senate or Houso) penalties .

SIGNAt OF PERSON LING RItPOR TELEPMONE

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

(report date) Indicate by #

12127/2004 Loco Committees, "r Date of Elootion

CHECK IF AMENDMENT TO REPORT DATED
10/05/2004

Check if this Is final (termlnatlon) report and attach Notice of Dissolution Form OR-3 . Counbl & LocaJ Cornrrllhow, ardor County in
which Election le held
(You must continue to file reports until a DR-3 is filed .) Bucua Vista

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds hold by the
committee . Thle amount MUST be me came as the cash on hand et the and 2,354.18
of the last reporting period or must be zero if this is first report filed .) . .. . . . . . .. . . . . . . . . . . ... .. . . .. . .. ., $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cast, Contributions total (Attach Schoduls A) ralso see in-kind below) . . .. . . . . . . 734 .22
Schedule F : Loans Received total (Attach Schedule F) .. . . . . . .. . ...,. . ., . . .. . . . .  . .. . . . . . .. ... . . . . . . ., . . .. .,
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . ... ... . .. . .., . . ... . .. .... .. . . . . .
(Sehedulo H applied to Can Idetes' Corr%mIttoq` Q01y)
SUB-TOTAL . . . . . f 3, 098.40

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) .. . . 3,089 .40

Schedule F: Loan Repayments total (Attach Schedule F) .. . . . . . . . . .. . .. .. . .. . . .. . . .. ... .. . . . . . ... . . . .. ... . . .

CASH ON HAND at the end of this reporting period (if final report halanca must .
0
-
be zero) (Attach OR-3) . . . . . . . . . . . . . . . . . . .. . . . . .. . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . ... . . . . .. . .. . . . . . . ... . . . .... ...S

'UNPAID BILLS (From Schedule 0 " Attach Schedule 0) . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . ... .. . . . . . .. ... . ... .. . . . . . . $
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . .. ... . . . . . . . . . . . .. . . . . . . . ... . . . .. . . . . .. $
-OUTSTANDING LOANS (Frpm Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. .. . . . . .. .. . .. . . .. .. . S
GANDICIATE COMMITIFE$ ONLY:

CONSULTANT BREAKDOWN (Schedule G Attached?)

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)

ZG 39Hd 33AAH 3AV1 W6OiS V T9t-LEG-i; TL 801 : G T t1I :+G4 /bc' /3 T

DEC-29-2004 09 :10 IR ETHICS CAMPRIGN DISCLO 15152913701 R .03/05

Far Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rov.07103) RF-COPTS
(Including wndIdate a per50nal funds)
CHECK THIS BOX IF
COMMrTTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Sales Tax Renewal Cornininee

3TATL CANDIDATES NOTE : IF A CONTRIOUTION 19 RECWVEO FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF 10 NUMBERS 13 AVAILABLE FROM The IOWA ETHICS AND CAMPAIGN
DIOCL03URE BOARD.

CAUTION : Section 688 .32A(6). Iowa Code, prohlblts the use of informalon copied horn reports end stamments foraolldting contribut(otvt" or
for any commeroiat oUrpo5o by any pornon other than stnCdory political CDmmltlsea .

DATE PAC 10 NUMBER NAME AND ADDRESS OPT TRI8U 79FWIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applioebie) TO CANDIDATE' RECEIVED FUND-
(MWOOrYR) AND PAC CHECK (II applicable) RAISER
NUMBER N
I D#
r
WS
Al Store It
09/2912004 $125 .00
C K# 4493 W Milwaukee
Storm Lake, IA 50585
ID#
A1 Incorporated
11~ 125 .00
09/30/2004 CKO 9509 L Richland St
5129 Storm Lake 1A 50588
ID#
xywoo #1634 250,00
10/042004 CK# 1230 North Lake Ave
4509183933 Storm Lake IA 50588
IQiF
Jon Kruse ~3i'22
12/102004 CK# 502 E 12th St
3283 Storm Lake IA 50588
ID#

CK#

I
ID#

CKN

IDO

CK#

- ID#

CK#

- ID#

CK#
m r~rrrrel

TOTAL (if last page of We schedule)

a Contribution to Me
Ol5Clolauro Inw roquires candidate comml:uwae to dlsdosa the relallonsMio of any relative making 1
and affu+lpr (Mlanvee try 1
gommlnoe. Refatlonship must be ahmm to the to degree of oonsangUInIty (blood relativee) Page
. If Surname of Contributor is the same aS Candldele, but there Is no
marriage) of
(for Sdhedule A)
fernflal relationship, enter'not applicable' In the ralallonehlp column.

39ad 33/1AH 3AV7 wdoiS VT9t-Z6/-L1TL 80 : 0T t@E~./6 7 /7 T

DEC-29-2004 09 .10 'IA ETHICS CAMPAIGN DISCLO 15152813701 P .04i05

FOR INSTRUCTIONS, SEE BACK OF FORM

SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT 13 MONETARY

(Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, UST THE CANOIDATt? IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE ChECK THIS BOX IF
FAG CHECK NUMBER FOR FACK EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
AMENDING FORM
kTHIC9 S CAMPAIGN 01SCLOSURE BOARD,

COMMITTEE NAME (Must be same as on Statemonr of Orgen(xp(jon)

CANDIDATE NAME AND ADDRESS TO WH

ID NUMBER EXPENDITURE
(If applicable) (Oiafuwrsomenr) WAS MADE
AND PAC
CHECK
NUMBER l

Storm Lake Times

220 W Railroad St
Storm Lake, 1A 50588

Pilot Tribune
111 W7thSt
Storm Lake, IA 50588

KAYL Radio
606 1/2 Lake AVe
Storm Like, TA 50588

KKIA Radio
606 1/2 Lake Ave
Storm Lake, IA 50588

KAYL Radio
616 1/2 Lake Ave
Storm Lake, JA 50588

Storm Lake Times

220 W Railroad St
Storm Lake, IA 50588

TOTAL (Nba( pegs of this schedule)

THIS 13OX APPLIES TO CANDIDATES' COMMITTEES ONLY ;

Purchases or oertaln campaign property costing $500 or more muot also be Inventoried on Sot+odtlls H . (Reform SOfledule H Insiructiona.)

Expenditures to personalenthlea providing consulting, advergeing, fund-raising, polling, managing . organizing servloeo must aluo be de-Alt Itemized an
Schedule G by the amount. purpose, end iota or each type or expenditure made by the personlentity on boot of tire candidate's Committee . (Re!Wto
Schedule G instructions and Iowa Code OBA .a02(3)(i .)

Page
1 r
a-2

(for Schedule 13)

r0 39Vd 33AAH 3Ad7 WcKiS VT9V-ZEL-ZTL 83i :OT VOGL'/E~li'T

1'2!29''2004 10 :0g 712-732-4514 STORM LAKE H`,` .IEE PAGE 05

IA ETHICS CAMPAIGN DISCLO 15152813701 P .05f05

DEC-29-2004 09 :10

FOR INSTRUCTIONS, SEE BACK OF FORM . SCHEDULE

B MoNE»~
EXPENDITURES ---MONEY SPENT FROM COMMITTEE ACCOUNT (Rev, 07/03) ExPENC(Tuk
UagB
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LE019LATIVE
CANDsOATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANO THE D CHECK THIS l9OX.IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS d CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Moat be sere as on Statement of OrganIzaUon)

Salea Tax Renewal Commiucc

CANDIDATE NAME AND ADORE35 TO WHOM PURPOSE AMOUNT '

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
P-fPENDED (If applicable) f01sburaemanq WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
ID# Pilot Tribune
11/222004 111 W 7th St Newspvper Add $ 90.00
CK# 0013
Storm Lake, IA 50588

ID#
Pilot Tribune
12(10/2004 I I I W 7th St Newspaper Ads 189 .00
CK#0014
Storm Lake, 1A 30598
10#

CK#

I D#

CK#

1D#

CK#

CK#

ID#

CK#

I Dit _

CK#

8U8-TOTAL $ 279,00
TOTAL ((Nest page of thle rtobedule) S 3,088.40

THIS 0OX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Puft haess of opriain campaign properly coating 5500 or more must 0190 be InVent0MC On BchadW@ H . (Refer to schaduis H Instruclkvw .)

Expondliurea to p .monslantiden providing consulting, advertlslng, Pond-roWing, polling, managing, organWng seivlcas must aloo be detod iternQ9d an
Schod0o O by the amount, purpose, and date of each type of ejoenditure made by the Parson)nniity on behalf of the candiests'a comrrtfte. (Refer jo
Scheaule C Instructions and Iowa Code 69A.401(3)(I) .)

(for Sdwdde 8)

TOTAL P .05