2003-12-01__DR2_Summary_amended 2006-01-11

8/7/2019 2003-12-01__DR2_Summary_amended 2006-01-11

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FOR I NSTRUCTI ONS, SEE BACK OF FORMDISCLOSURESUMMARYPAGE

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

YKM7^ f - ' f t ' ! ~Y X1PORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o rI M( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l S u b d i v i s i o n PAC( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY :C a n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

D i s t r i c t ( i f Se n a t e o r H o u s e )

L a t e r e p o r t s a r e s u b j e c t t o pose c i v i l a n d c r i e n a l t i e s P u r s u a n t t o I o w a Code s e c t i o n 6 8 B . 3 2 A ( 7 ) ta n d t h e c h a i r p i k r s o n , f o r a n y o t h t y p e Qf f e e , i s t h e i n d i v i d u a l r e s p o n s i b l e f o r f i l i n g t i m e l y a n d a c c u r aa ( . ( S - S3 S IS I GNATURE OF PERSON F I L I NG REPORT TELEPHONE

I AM F I L I NG A( r e p o r t d a t e )

CHECK I F AMENDMENT TO REPORT DATED teG3 a) O U 3ED C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y o u mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

Re s e t F o r m

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- EL E CT I ON YEAR.I n d i c a t e b y # E 1

STATEMENTOFCASHONHANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s amoun t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ~ 0 7 t ! v

ADD TOTAL MONEY TAKEN I N T HI S PER I ODSc h e d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) ( * a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . . . . . . . . . . . aJ Q G . bySc h ed u l e F : L o an s Re c ei v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l S a l e s o f Ca mp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e du l e H a p p l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB - TOTA L . . . . . . . . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . . . . . . . . . . C t 3Sc h ed u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mus tb e z e r o ) ( A t t a c h DR - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * UNPAI D B I L L S ( F r o m Sc h ed u l e D- At t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N K I ND CONTRI BUT I ONS ( F r o m Sc h ed u l e E - A t t a c h Sc h e d ul e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTANDI NGLOANS ( F r o m Sc h e d ul e F - A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR-2 DI SCLOSURE( Re v . 1 2 / 2 0 0 5 ) REPORT

F o r O f f i c e Us e On l yCo mm . #L o g g e d I nS c a n n e dC o mp u t e rA u d i t e d

i e c a n d i d a t e , f o r a c a n d i d a t e ' s c o m m i t t e e ,t o r e p o r t s .

DATE S I GNEDt - t o - C f ( o

L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o n

C o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

Zv c o t - ( A

CONSULT ANT BREAKDOWN ( S c h ed u l e G A t t a c h e d ? ) - YES , ! NOCANDI DATE COMMI TTEES ONLY :VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h ed u l e H - A t t a c h Sc h e d ul e H ) $STATE COMMI TTEES : S u bmi t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .


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1 3 a t c n p r o c e s s e a u s i n g t h e I E GD 1 3 We b R e p o r t i n g Sy s t e m

Sc h e d u l e A : C o n t r i b u t i o n s - - Mone y T a k e n I nC o mmi t t e e Name C o mmi t t e e I D 1 3 3 0 6Co mmi t t e e t o R e - E l e c t A r c h i e Br o o k s

S t a t u s F i l e d C o mmi t t e e T y p e C o u n c i lM u n i c i p a l C a n d i d a t e - C i t y

S t a t u t o r y Du e D a t eA d j u s t e d Du e Da t eF i l e d D a t eAm e n d e d Da t eR e c e i v e d D a t e

1 2 / 1 / 2 0 0 31 1 / 2 6 / 2 0 0 3

1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 S c h e d u l e AC o n t r i b u t i o n s

F u n d -R a i s e r

B a t c h p r o c e s s e d u s i n g t h e I E CDB We b R e p o r t i n g Sy s t e m o n 1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 P a g e 1 o f 1

S c h - A

I OWA E T HI C S AND CAMPAI GN DI SCLOSURE BOARD 1 5 1 4 EAST LOCUST S T R E E T , S U I T E 1 0 4 1 DES M OI N E S , I A 5 0 3 0 9 ( 5 1 5 ) 2 8 1 - 4 0 2 8

C o n t r i b u t i o nD a t e C o n t r i b u t i o nCo mmi t t e e I D Name a nd Ad d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p T oC a n d i d a t e C o n t r i b u t i o nAmo u n t1 0 / 3 0 / 2 0 0 3 R a d i a , S u k u & M a r y None $ 1 0 0 . 0 0

4 8 0 0 S t o n e b r i d g e C i r c l eC h e c k #9 5 0 2 We s t De s Mo i n e s , I A 5 0 2 6 5 - 2 9 8 2

1 1 / 4 / 2 0 0 3 R a n d a , Ga r y & C o n n i e None $ 2 0 0 . 0 03 0 2 9 Wo l c o t t Av

C h e c k #4 7 3 8 De s Mo i n e s , I A 5 0 3 2 1

T o t a l R e g u l a r C o n t r i b u t i o n s $ 3 0 0 - 0 0T o t a l F u n d r a i s e r C o n t r i b u t i o n sGr a n d T o t a l A l l C o n t r i b u t i o n s $ 3 0 0 . 0 0


3/4

Ba t c h p r o c e s s e d u s i n g . t h e I EGDB We b R e p o r t i n g Sy s t e m

Sc h e d u l e B E x p e n d i t u r e s - - Mone y S p e n t F r o m Co mmi t t e e Ac c o u n tS t a t u t o r y Du e D a t e J 1 2 / 1 / 2 0 0 3Ad j u s t e d Du e D a t eF i l e d D a t e 1 1 1 / 2 6 / 2 0 0 3Re c e i v e d Da t eA m e n d e d D a t e

Pu r p o s e E x p e n d i t u r eAm o u n t

C o mmi t t e e Name C o mmi t t e e I D 1 3 3 0 6Co mmi t t e e t o R e - E l e c t A r c h i e Br o o k sS t a t u s F i l e dE x p e n d i t u r eD a t e

1 1 / 2 1 / 2 0 0 3

E x p e n d i t u r eCo mmi t t e e

N/ A

C o mmi t t e e T y p e Mu n i c i p a l Ca n d i d a t e - C i t yRn ~i n c i lE x p e n d i t u r e Name & Ad d r e s s

1 7 3 9 E a s t Gr a n d A v e n u eDe s Mo i n e s , I A 5 0 3 1 6M e t r o I c e A c a d em y

1 1 0 0 Ma p l e D r i v eWe s t De s Mo i n e s , I A 5 0 2 6 5

1 5 0 1 S . E . 1 s t S t r e e tDe s Mo i n e s , I A 5 0 3 1 5DSM P o l i c e E x p l o r e r P o s t 2 1

2 5 E 1 s t S t r e e tC h e c k #5 1 0 De s Mo i n e s , I A 5 0 3 0 9

1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 Sc h e d u l e BMo n e t a r y E x p e n d i t u r e s

C h a r i t a b l e C o n t r i b u t i o n sD o n a t i o nT a x I D 4 2 - 1 2 9 9 - 2 7 0

E l e c t i o n n i g h t p a r t y( b u f f e t t a n dr e f r e s h m e n t s )

C h a r i t a b l e C o n t r i b u t i o n s

T ax I D 4 2 - 1 3 1 5 - 2 3 3

S c h - B

Ba t c h p r o c e s s e d u s i n g t h e I E CDB We b R e p o r t i n g Sy s t e m o n 1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 Pag e 1 o f 2

$ 2 5 0 . 0 0

I OWA E T HI C S AND CAMPAI GN DI SCLOSURE BOARD 1 5 1 4 EAST LOCUST STREET, S UI T E 1 0 4 1 DES MOI NES, I A 5 0 3 0 9 1 ( 5 1 5 ) 2 8 1 - 4 0 2 8


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b a t c h p r o c e s s e d u s i n g t h e I E CU 1 3 We b R e p o r t i n g Sy s t e m 1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 S c h e d u l e E~ " I n K i n d C o n t r i b u t i o n s

Ba t c h p r o c e s s e d u s i n g t h e I ECDB Web R e p o r t i n g Sy s t e m o n 1 1 / 2 7 / 2 0 0 3 0 1 : 1 5 : 0 5 P a g e 1 o f 1I OWA ETHI CS AND CAMPAI GN DI SCLOSURE BOARD 1 5 1 4 EAST LOCUST STREET, SUI TE 1 0 4 1 DES MOI NES, I A 5 0 3 0 9 I ( 5 1 5 ) 2 8 1 - 4 0 2 8

S c h e d u l e E : I n Ki n d Co n t r i b u t i o n s Sc h - ECo mmi t t e e Name Co mmi t t e e 1 3 3 0 6 F i l i n g D a t e 1 2 / 1 / 2 0 0 3Co mmi t t e e t o Re - El e c t Ar c h i e Br o o k s A d j u s t e d Due D a t e

F i l e d D a t e 1 1 / 2 6 / 2 0 0 3C o mmi t t e e T y p e Mu n i c i p a l Ca n d i d a t e - C i t y C o u n c i l Am e n d e d D a t eS t a t u s F i l e d Re c e i v e d D a t eD a t e R e l a t i o n s h i p t o D e s c r i p t i o n o f I n E s t i ma t e d . ' x " f o rName and Ad d r e s s o f C o n t r i b u t o r C a n d i d a t e * ( i f F a i r M a r k e t F u n d -Re c i e v e d a p p l i c a b l e ) K i n d C o n t r i b u t i o n V a l u e Ra i s e r1 0 / 2 9 / 2 0 0 3 B r o o k s , A r c h i e N / A Mi s c e l l a n e o u s o r $ 5 0 . 0 0U n i t e mi z e d

c o mp u t e r u s a g e 24 1 0 2 SE 1 3 t h S t r e e t h o u r sD e s Mo i n e s , I A 5 0 3 1 5 3 7 3 3

1 1 / 1 2 / 2 0 0 3 B r o o k s , A r c h i e N / A Mi s c e l l a n e o u s o r $ 5 0 . 0 0U n i t e mi z e d2 h o u r s o f c o mp u t e r

4 1 0 2 SE 1 3 t h S t r e e t u s a g e

D e s Mo i n e s , I A 5 0 3 1 5 3 7 3 31 1 / 2 1 / 2 0 0 3 B r o o k s , A r c h i e N / A Mi s c e l l a n e o u s o r $ 1 2 . 5 0U n i t e mi z e d

h a l f h o u r c o mp u t e r4 1 0 2 SE 1 3 t h S t r e e t t i m eD e s Mo i n e s , I A 5 0 3 1 5 3 7 3 3

T o t a l Est i mat e $ 1 1 2 . 5F a i r Ma r k e t V a l u e

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2003-12-01__DR2_Summary_amended 2006-01-11