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02

FORM
- ORM OR-2 : Oisclosure Summary Page DISCLOSURE
DR-2 REPORT
ICFRS 4198
ID : 1261

County :Clinton
Type : Slate committee Comm . #
Treas.- Benjamin Yoder (319) 243-5833 Indexed
Name : Cox for 38th House District Audited
Computer

Report Due Date : 0111912002

Committee Chair: Jerome Burken (319) 522-2859

Status . Orig

County : Clinton

Notice of Dissolution : NIA JAN 2 2 2002

Cash On Hand at Start of Period $21.45

Statement of Cash On Hand
Schedule A: Cash Contributions Total $350.00

Schedule F: Loans Received Total $275.00

Schedule H : Campaign Property Sales $0.00
SUB-TOTAL $646.45

Schedule B: Expenditures Total r5t6 dt 5'0 $301 .50

Schedule F: Loan Repayments Total $275.00
Cash on Hand At End of Period $69.95

Additional Assets and Liabilities Loans in Place at Start of Period $475 .00
Schedule D : UnPaid Bills $220 .40
Schedule E: In-Kind Contributions $0 .00
Schedule F: Outstanding Loans Q $475.00

Schdule G: Consultant Breakdown? No

Schedule H: Campaign Property Value $0 .00

Forgiven Loans (From Schedule E) $0 .00

Orig

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SCHEDULE A: Contributions - Money taken In SCHEDULE MON ETARY

fID:'12~1 A RECEIPTS
ICFRS 12199
Name : Cox for 38th House District
NEVER FILED
Type : Slate committee

Committee ID
Date Relationship Amount
Received Check # Name and Address of Contributor To Candidate Received

1/182001 Cox. James W. No Relation $275 .00

1051 11th Ave. North
Chk# : 165
Clinton IA 52732
EXPLANATION : Loan Repayment to Ben Yoder
[#608]

01/22/2001 Tugana, Susan P. No Relation $75.00

1001 2nd Ave South
Chk# : 3708
Clinton IA 52732

[#60 7 ]

NEVER FILED Page Total $350,00

Report Total $350 .00

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Committee Account SCHEDULE
SCHEDULE 8 : Expenditures -- Mor,y Spent From MONETARY
ID :1261 B EXPENDITURES
. ICFRS 12199
Name : Cox for 38th House District
NEVER FILED
Type : Slate committee

Date Committee ID Name and Address To Whom Expenditure Amount Expended

Expended ( Is "!u Was Made

0111812001 Yoder, Benjamin A. $275 .00

Chk#: 165 845 5th Ave . South
Clinton IA 52732
MISCELLANEOUS OR UNITEMIZED : Loan Repayment

0112512001 «~,-rwa~~v,-,~~~f 7 $5.30

235 6th Avenue South
Clinton IA 52732

#617) BANK CHARGES : Monthly Service Charge

0212512001 Clinton National Bank $5 .30

235 6th Avenue South
Clinton IA 52732

16181 BANK CHARGES : Monthly Service Charges

03/25/2001 Clinton National Bank $5 .30

235 6th Avenue South
Clinton IA 52732

#6191 BANK CHARGES : Monthly Service Charge

04/25/2001 Clinton National Bank $5 .30

235 6th Avenue South
Clinton IA 52732

#620) BANK CHARGES : Monthly Service Charge

05/252001 Clinton National Bank $5 .30

235 6th Avenue South
Clinton IA 52732

#821) BANK CHARGES : Monthly Service Charge

Page Total $301 .50

NEVER FILED
Report Total
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SCHD ULE
SCHEDULE D : Debts & Obligations Remaining at Period End INCURRED
INDEBTEDNESS
ID: 1261 1CFRS 12/99
Name : Cox for 38th House District
NEVER FILED
Type : Slate committee

Balance Owed
Date
Name and Address of Person Description of Goods Or At Close of
Incurred
To Whom Debt or Obligation is Owed Services Provided or Purchased Reporting Period

01/29/2001 Cox, James W. ADVERTISING: Clinton Herald Newspaper Ad paid $44 .52
by Cox 11-10-2000
1051 11 th Ave . North
1#6151 Clinton IA 52732

01/29/2001 Cox, James W . ADVERTISING: DeWitt Onservw Ad paid by Cox $35.48

on 11-17-2000
1051 11th Ave . North
Clinton IA 52732
106161
01/3012001 Cox, James W. ADVERTISING: Clinton Harold Ad paid by Cox on $140.40
11-01-2000
1051 11th Ave . North
1#6141 Clinton IA 52732

Page Total $220.4

NEVER FILED Report Total $220.4
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(for Schedule D)
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