Olson Rick - 1560 - Scanned
Olson Rick - 1560 - Scanned
Olson Rick - 1560 - Scanned
L-Comm .
L~cgged I
IMPORTANT : Indicate type of committee you are reporting for : 11
-1
Scanned
( 1 )StatewideiLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
Computer
( 5 )County PAC ( b' )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
Audited
CANDIDATE COMMITTEES ONLY :
Political Party
to -? /b
TELEPHONE DATE SIGNED
n
!-1~_DOO
(report date) Indicate one
[] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a Notice of Dissolution is filed .)
County & Local Committees, enter County in
which Election is held
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUB-TOTAL. . . . . .
g 3~i
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also sae debts and loans below) . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
I ?~)
hM Mi ~ 1 D L. L ~'C' f! P~l CrIC L-
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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
~~i AcTj~
I D# r) oL 1 _
wP ~-+t
~ roU $ w
o ,.
`---- ,A
CK# 2I
I D#
CK# o l :A
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C K#
ID#
C K#
I D#
C K#
I D#
CK#
I D#
CK#
I D#
C K#
ID#
C K#
SUB-TOTAL
$ t l p0.j .
TOTAL (iflast page of this schedule) 777
$ ~ 0(J
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 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
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
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.
/D
L1 ;I ml - ~_
ID#
Cam -- I!-A I L. IL I i -tiCe lJ -
SG~I 1 ~3
/ ID#
C K#
ID#
C K#
I D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)