Greiner Brendan1321scanned

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FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMh4QTTEE NAME ( Mu b e s a j ~ e a s o n St a t e me n t o f O r g a n i z a t i o n )

V 8 s o f o r b r e n a tACr - e ~ l l a nI MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 8 0 Su p p o r t S l a t e o f C a n d i d a t e s

URE OF TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t ) TELEPHONE D E SI NED

Ro ut i n e P e n a l t i e s Du e F o r L a t e F i l e d Re p or t s Rang e f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONSONBACK AND COMPLETE THE FOL LOWI NG SENTENCE :I AM F I L I NG A ' , 7 4 v t &t a r ~ z I ~~ ZOb

'Z( r e p o r t d a t e )

MCHECK I F AMENDMENT TO REPORT DATEDJ AN 2 2 2 0 0 2

1 - 1 Che c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h No 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 mu s t c on t i n ue t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

REPORT FORAN/ A ( 1 ) ELECTI ON / ( 2 ) NON- ELE CTI ON YEAR .

STATEMENT OF CASHON HAND

I n d i c a t e o n e

CASH ON HAND a t t h e b eg 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 h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s a m o u n t MUST b e t h es ame a s t h e c as h o n h a n d a t t h e e n d o 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 mu s 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

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 ce mu s tb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2 DI SCLOSURE( Re v . 0 1 / 9 8 ) REPORTF o r Of f i c e Us e On l y IComm # II n d e x e d

A u d i t e d P 1 -- - 4 7Compu t e r

L o c a l Co mmi t t e e s , e n t e r D a t e o f E l e c t i o n

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

ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : C a 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 ul e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L 2 go , 0Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Ca mp a i g n Pr o p e r t y ( A t t a c h Sc h e d ul e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e du l e H a pp 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- TOTAL . . . . . . $ I Zg p . 0 G)

SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e d u l e B : Ex p e nd 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d 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 u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7 - 7$ 1 3 ~ ` f y I N K I ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f ,OUTSTANDI NG LOANS ( F r o m Sc he d ul e F - A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h ed u l e G At t a c h ed ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H) $


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Fo r I n s t r u c t i o n s , Se e Ba c k o f FomCONTRI BUTI ONS - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e same 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 )

~2 Ot o I C. ~ ' t ' ~f f . r t ~ - C w t Ci v + G f _

SCHEDULEA I MONETARY( R e v . 0 6 / 9 7 ) RECEI PTSCHECK T H I S BOX I FAMENDI NG FORM

STATECANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E C E I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C C N u MA I T T E E ~ L I S T T HE PAC I D EN TI F I C A TI O NNUMBER AND TH E P A C CHECKNUMBER I N T HE D E S I G NA T E D COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTH E I OWA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD.CAUTI ON : S e c t i o n 8 8 B. 3 2 A ( & ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SUB- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

" D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a m e o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o P a g e i 7-f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l eR)

DATE PAC t D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MMI D D7 Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOM7- 2. 2 - o i I D# i = c e \ i o r . 1 3 Z \ ~t 1 . . S 1 - . e c >

CK# DC S Moi v . , e S X- "X, 57 03t ( 4 Sb

" 7 . - Z , L i - u t I D# L_ 0.wr ev~CC. c _ w+ 1 . ( ~c v. ~ 3~. . . , f . SCK# ~~ ` L~ t 1 1 ~ 6 SV1 KDr ~bd~a~` s s.i v y a . , ~ > l r : . ~ a . So d 1t D # P l ; ~ p ' 3 a w. e s7 - Zq - o l CK# 9ZS C . 1 ; ~ ; . ; . n ;w 7 rP : - SM0 . . - S Z&Luc. S ~ S ' 1 2 .CK# N- SMc , ` n e s S- 0, 3;?

. - Z . 1 -Ok i D# D c x - c - v - ) 1 7 3 u l 7 t - 4 St Sa ~CK# We S I - Or = S mo;


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Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

4v- Or t v i &s t n r Lr -STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ON COMMI T T E E ) , L I S T THE PAC I D EN T I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUT I ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es .

SUB- TOTALTOTAL ( i f l a s t page o f t h i s s c h e d ul e )

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o P a g e Z . o f Zf a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A )

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECE I P TSCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE LAT I ONSHI P AMOUNT 4 I F FRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI V ED FUND( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) R AI SNUMBER I NCOZ _ g _a i I D# I r e , , ) ~ r I ~ o a C - S 1 , t a

CK# - 111` 1 ' 5+1139$

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

DATEFXPFNDF f )( MMI DDNR)

EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNTSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DAtr - S , L I S T THE CANDI DATE I DE NT I F I CA T I O N NUMBER I N THE DESI GNATEDCOLUMNAND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAETHI CS & CAMPAI GN DI SCL OSURE BOARD .

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1 J r e - Aa r , l 2 r C . i nz cCANDI DATE NAME AND ADDRESSTOWHOMI D NUMBER EXPENDI TURE( i f a r m h r n h I p ) 1 f W s h r r r , ~ p r n # a n t l WASMAnFAND PACv HEC7 !NUMBER

f oo t ' eS , r 6 L - ' - S- 7 3 1( p~~nC~ ~ ~~ - 1v 1 ~L ~ AQ. I Wt MGu r ~11 CoUr ~ 1 Ave .

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( SCHEDULEa _ t w t a r, Re v . 0 9 1 9 7 ) EXPENDI TURES

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THI S BOX AP PL I ES TO CANDI DATES' COMMI TTEESONLYE P ur c h a s e s o f c e r t a i n c a m p a o n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e I n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E # l u r e s t o p e r s o r s f e n t i t i e s o r o v i d i n a c o n s u i t i n o . a d v e r t i s i n g . f u n d - r a i s i n a . n o l l i n a . m a n a a n o o ma r r i z i n a s e r v i c e s mus t a l s o be d e t a f f i t e m i z e d o n

SUB- TOTAL 1 $ iTOTAL ( i f f a s t p a g e o f t h i s schedul e) ' ,j

~ u i e c t u t e c 3 Uy c n e a c c w u t t c L x t x p o s e , a r x u s a a : e v ~ e a u z t y p e t x e " n u n u s e f F f d u H u y u L r e t , , u e r s s k y u t r u e i u i c a r i u a t e 7 S m i f f f 3 ~ _ ( t z e i t c ~I S c h e d u l e G i n s t r u c t i o n s a r x i l o wa Code 5 6 . 6 ( 3 ) ( i ) . ) -


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[ ] C H E C K T H I S B O X I FA M E N D I N G F O R M

* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a n i n k i n d c o n t r i b u t i o n t o t h e P a g e I _ o fc o m m i t t e e R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f o r S c h e d u l e E )b y m a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f s u r n a m e o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u m n

DATE RELAT I ONSH I P DESCRI PTI ON ESTI MATED J I F FORRECEI VED NAME AND ADDRESS TO CANDI DATE OF I N K I ND F AI R MARKET FUND- RAI SERMMt DDI YR OF CONTRI BUTOR ' ( i f a p p t i c a b l e CONTRI BUTI ON VALUE CONTRI BUTI ON6 r e r d a n ( S a - ) . , , ( - r a i d t - _ A $l z %~ L l Z ) 1 1 1 , P ig+ t ~ F , ' ! t 1 3 1 v d n ~ ( P n u , f 01 ' e v s 2 , 7 7. ?0I C I ` p a s w t 4 - Wi l l TAS- 7 2 5 3 0 7,~ r e n dmh C~i n &r

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Greiner Brendan__1321__scanned

Greiner Brendan1321scanned