FORM DR-2 : Disclosure Summary Page FORM

DISCLOSURE
DR-2 REPORT
ICFRS 4/98
ID : 773
For Office Use O nly
ounty :
Type : State House Comm . # 773

Treas: Lee Nicholas (319) 287-3997 Indexed

Name : Citizens for Bill Witt Audited
Computer

Report Due Date : 01/19/2002

Committee Chair: William Witt (319) 266-8831
Status : Orig

Notice of Dissolution : N/A

Statement of Cash On Hand Cash On Hand at Start of Period $170 .36

Schedule A: Cash Contributions Total $1,157 .34
Schedule F : Loans Received Total $0 .00
Schedule H : Campaign Property Sales $0 .00
SUB-TOTAL $1,327 .70

Schedule B : Expenditures Total $413 .72

Schedule F : Loan Repayments Total $0 .00
Cash on Hand At End of Period $913 .98

Additional Assets and Liabilities Loans in Place at Start of Period $0 .00

Schedule D : UnPaid Bills $0 .00
Schedule E : In-Kind Contributions $0 .00
Schedule F : Outstanding Loans $0 .00

Schdule G: Consultant Breakdown? No

Schedule H : Campaign Property Value $0 .00

Forgiven Loans (From Schedule E) $0 .00

Orig

This Report Was Printed With The ICFRS Software on 0112212002 10 :56:38 AM
EDULE
FS A: Contributions - Mono Taken In SCHEDULE
MONETARY
ID : 773 A RECEIPTS
ICFRS 12/99
Name : Citizens for Bill Witt
ORIGINAL
Type : State House

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

01/13/2001 Berky, Agnes L. No Relation $50 .00

7328 West 12th Street
(From Fund Raiser)
Cedar Falls IA 50613

[#695]
01/13/2001 Kachulis, Charles M. No Relation $200 .00
1613 Cherry Lane
(From Fund Raiser)
Cedar Falls IA 506134503

[#696]

01/13/2001 Power, Carol No Relation $25 .00

906 Barnett Drive
(From Fund Raiser)
Cedar Falls IA 50613

[#697]
01/26/2001 Wells Fargo Bank Iowa, NA No Relation $0 .22
666 Walnut Street
Des Moines IA 50309
EXPLANATION: Interest earned/received
[#700]

01/27/2001 Bauman, Robert J . No Relation $20 .00

1210 Park Avenue
(From Fund Raiser)
Waverly IA 50677

[#699]

01/27/2001 Candidate's Personal Funds $200 .00

[#698]
02/27/2001 Wells Fargo Bank Iowa, NA No Relation $0 .26
666 Walnut Street
Des Moines IA 50309
EXPLANATION: Interest earned/received
[#704]

02/28/2001 Candidate's Personal Funds $200 .00

[#703]

ORIGINAL Page Total $695 .48

Page 1 of 3
This Report Was Printed With The ICFRS Software on 0112212002 10 :57 :20 AM (for schedule A)
 .SCHEDULE A : Contributions - Monf Taken In SCHEDULE
MONETARY
ID :773 A RECEIPTS
Name: Citizens for Bill Witt ICFRS 12/99

ORIGINAL

Type: State House

Committee ID
Date Relationship Amount
Received Check # Name and Address of Contributor To Candidate Received
03/20/2001 Wells Fargo Bank Iowa, NA No Relation $0 .17
666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#706]
104/09/2001 Candidate's Personal Funds $200 .00

[#707]

X04/24/2001 Atwood, Karen E . No Relation $50 .00

1003 West 4th Street
(From Fund Raiser)
Waterloo IA 50702

[#709]

04/24/2001 Sojka, Ted No Relation $10 .00

623 Day Street
(From Fund Raiser)
Decorah IA 52101

[#708]

104/25/2001 Wells Fargo Bank Iowa, NA No Relation $0 .22

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
1 [#714]

05/23/2001 Candidate's Personal Funds $200 .00

[#715]

05/31/2001 Wells Fargo Bank Iowa, NA No Relation $0 .25

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#716]

06/29/2001 Wells Fargo Bank Iowa, NA No Relation $0 .24

666 Walnut Street
Des Moines IA 50309
EXPLANATION: Interest earned/received
[#717]

ORIGINAL Page Total $460 .88

Page 2 of 3
This Report Was Printed With The ICFRS Software on 0112212002 10 :57:20 AM (for schedule A)
'SCHEDULE A: Contributions - Mon( - aken In SCHEDULE
MONETARY
ID : 773 A RECEIPTS
Name : Citizens for Bill Witt ICFRS 12/99

. ORIGINAL
Type : State House

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

07/31/2001 Wells Fargo Bank Iowa, NA No Relation $0 .25

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#718]
08/31/2001 Wells Fargo Bank Iowa, NA No Relation $0 .25
666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#719]

09/28/2001 Wells Fargo Bank Iowa, NA No Relation $0 .16

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#720]

10/31/2001 Wells Fargo Bank Iowa, NA No Relation $0 .11

666 Walnut Street
Des Moines IA 50309
EXPLANATION: Interest earned/received
[#721 ]

11/30/2001 Wells Fargo Bank Iowa, NA No Relation $0 .10

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#722]

12/31/2001 Wells Fargo Bank Iowa, NA No Relation $0 .11

666 Walnut Street
Des Moines IA 50309
EXPLANATION : Interest earned/received
[#723]

ORIGINAL Page Total $0 .98

Report Total $1,157 .34

Page 3 of 3
This Report Was Printed With The ICFRS Software on 0112212002 10 :57:20 AM (for schedule A)
 SCHEDULE
SCHEDULE B: Expenditures -- Mor Spent From Committee Account MONETARY

ID : 773 B EXPENDITURES
ICFRS 12/99 ~
Name : Citizens for Bill Witt
ORIGINAL

Type : State House

Date Committee ID Name and Address To Whom Expenditure Amount Expended
Expended Check # (Disbursement) Was Made

01/11/2001 Tannatt, Jean $20 .40

Chk# : 674 813 North Shadyview Blvd .
Pleasant Hill IA 50327

#694] POSTAGE, SHIPPING, DELIVERY : Reimburse for stamps purchased

01/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

r#7011 BANK CHARGES : Monthly Service Charge

02/22/2001 ID : 9012 Black Hawk County Democratic Central Committee $300 .00
2551 Kate Street
Chk#: 675
Waterloo IA 50701

POLITICAL CONTRIBUTION : Pledge Payment to Black Hawk County Central Committee

#702]

02/28/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#710] BANK CHARGES : February BSC

03/07/2001 DST - Creative Video Group $42.80

748 Ansborough Avenue
Chk# : 676
Waterloo IA 50701

PRINTING & REPRODUCTION : Copies of Campaign Videos

- #7111

03/13/2001 Wells Fargo Bank Iowa, NA $12 .00

666 Walnut Street
Des Moines IA 50309

#712] BANK CHARGES : New Checks

03/30/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

BANK CHARGES : March BSC

#713]

04/30/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#724] BANK CHARGES :

Page Total $388 .04

ORIGINAL

Page 1 of 2
This Report Was Printed With The ICFRS Software on 0112212002 10 :59:36 AM (for schedule B)
-SCHEDULE B: Expenditures -- Mor Spent From Committee Account SCHEDULE
MONETARY
ID : 773 B EXPENDITURES
ICFRS 12/99
Name : Citizens for Bill Witt
ORIGINAL
Type : State House

Date Committee ID Name and Address To Whom Expenditure Amount Expended

Expended Check # (Disbursement) Was Made

05/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7251 BANK CHARGES :

06/30/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7261 BANK CHARGES :

07/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7271 BANK CHARGES :

08/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7281 BANK CHARGES :

09/30/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7291 BANK CHARGES :

10/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7301 BANK CHARGES :

11/30/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7311 BANK CHARGES :

12/31/2001 Wells Fargo Bank Iowa, NA $3 .21

666 Walnut Street
Des Moines IA 50309

#7321 BANKCHARGES :

Page Total $25.68

ORIGINAL
Report Total $413 .72

Page 2 of 2
This Report Was Printed With The ICFRS Software on 0112212002 10 :59:36 AM (for schedule B)