Professional Documents
Culture Documents
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 cbaimerson, for any other type of committee, is the individual responsible for filing timely and accurate reports.
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SIGNATURE OF PERSON FI G REPORT TELEPHONE DATE SIGNED
5th day prior to election REPORT FOR (1) ELECTION l(2)NON-ELECTION YEAR .
I AM FILING A
(report date) Indicate by #
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . ....... ........ .... ..... ... ..... ....... . .. 0.00
(Schedule H applies to Candidates' Ckemnittees Onhd
SUB-TOTAL ............. $ 770.00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
0.00
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) ..... .......
Schedule F: Loan Repayments total (Attach Schedule F) . ............ ................ ... ..... ... ..... ... ..... ....... 0.00
CASH ON HAND at the end of this reporting period (iffinal report balance must 1,265.00
be zero) (Attach DR-3) ........ ....... .... ........ .. ...... ....... ............ ........ ............ .... .... .... ... ..... ... ................ .$
v.vv
"*UNPAID BILLS (From Schedule D - Attach Schedule D) .. ........ .... ........ ........................... ............ .... .........$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .... .................... ....... ..... ... .... ........ .... .$ 770.00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ... ........ ..... ... .... .... ... . .... .... ........ ........ .....$ 0.00
CONSULTANT BREAKDOWN (Schedule G Attached?) TYES J NO
CANDIDATE COMMITTEES ONLY:
0.00
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
06M7)
E IN-KIND
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev. CONTRIBUTIONS
2/10/06
Anderson Brothers Printing Donation of yard
signs
770.00
F-1
F-1
EJ
F-1
E:1
E:1
E:1
F-1
F-1
F-1
'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.
For Instructions, See Back of Form Reset 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
Committee for the Future of SBL Schools
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 ANDCAMPAIGN
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#
Rick Aadland $500 .00
1124106 934 Willow Drive, Dakota Dunes, SD 57049
CK#
ID#
Russ Frazier $50.00
1/27/06 CK# 303 Windsor Way, Sergeant Bluff, 1A 51054
ID#
Christine Stultz $50,00
1/27/06 CK# 805 Glenwood Ct, Sergeant Bluff, 1A 51054
ID#
Judy Graber $20,00
1/19/06 CK# Kings Court, Sergeant Bluff, 1A 51054
ID#
John Pinto $50.00
1/31/06 CK# 104 Windsor Way, Sergeant Bluff, 1A 51054
ID#
Therese Munn $100 .00
1/31/06 306 Bennington Ct, Sergeant Bluff IA 51054
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 770.00