Disclosure Summary Page DR-2: Plum Be S Ir Locc Q Uhl, F
Disclosure Summary Page DR-2: Plum Be S Ir Locc Q Uhl, F
Disclosure Summary Page DR-2: Plum Be S Ir Locc Q Uhl, F
ECK IF AMENDMENT TO REPORT DATED f7- (q , Local Committees, enter Date of Election
"UNPAID BILLS (From Schedule D - Attach Schedule D) . .. .. .. . .. .. .. . .. ..... .. .. ... .. .. . . . .. .. .. ... . . ... .. .. .. .. ... .. . . $
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .... .. .. . .. .. .. .. . .. .. .. ... . . .. ... .. .. .. ... .. .. $
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ... ..... .. .. ... .. .. .. . ...... ... .. ....... .. .. ..... .. $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES F_ ~ NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
a
Instructions, See Back of Form SCHEDULE
A ONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/5 RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
~u Low, P
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) C.OHh'tb t k4i~ 64t mi Aki- Q~ TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK ,.~ (if applicable) RAISER
NUMBER WhIV1 M LOSS I INCOME
ID#
ID#
CK#
7q .00
ID#
CK# '
00
ID#
0
ID#
lp~ ~ CK#
ID#
1~1~1 CK#
ID#
CK#
ID#
CK#
L
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the $~ 30
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 chedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETARY
C
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 0710j) EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE HECK 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 .
CK#
1D#
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 personslentities 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)(1).)
Page L Of
(for Schedule B)