Iowa State Council of Machinists Political Fund6095scanned

8/7/2019 Iowa State Council of Machinists Political Fund__6095__scanned

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FOR I NSTRUC7 I ONS . SEE BACKOF FORM

DI SCLOSURESUMMARYPAGE

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )I o wa St a t e Co u n c i l o f Ma c hi n i s t s Po l i t i c a l F u n dI MPORTANT : I n d i c a t e t y p e o f c o mm i t t e e y ou 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 mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e eL A . j S u p v q 0 S l a t e o f C a r y ' ~ d a t e s

2

~Z; LzZ. 6 , / ' 4 L . 'ATURE 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 )

Ro u t i n e P e n a l t i e s Du e Fo r L a t e F i l e d Re po r t s R a n g e f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE FOLL OWI NG SENJ ENCE :

I AM FI L I NG A 7 - 1 5 - 0 4 t h r u 1 0 - 1 4 - 0 4 R ' E P6 R ` T ` ' F ORAN/ A( r e p o r t d a t e )

F] CHECK I F AMENDMENT TO REPORT DATED

( ] Chec 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 an 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 Fo 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 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 . )

STATEMENT OF CASH ON HAND

5 15 - 2 6 5- 0 3 4 4 Oc t . 15 , 2 0 0 4TELEPHONE DATE SI GNED

ELECT I ON / ( 2 ) NON- ELECT I ON YEAR .I n d i c a t e o n e

CASH 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 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 ommi t t e e . T h i s amou n t MUST b e t h es ame a s t h e c a s h o n ha nd 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 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PER I ODSc he d u l e A: Cash 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 du l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc he 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 u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e H : T o t a l Sa l e s o f Campa i gn P r o p e r t y ( A t t a c h Sc h e du l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_ ( Sc he d u l e H a p p l i e s t o Ca n di d at e s ' Commi t t e e s On l y )SUB- TOTAL . . . . . . S

SUBTRACT TOTAL MONEY SPENT T HI S PER I ODSc h e du 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e F : Loa n Re p a yme n t s t o t a l ( A t t a c h Sc h e d u l 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2 DI SCLOSURE( Re v . 0 1 / 9 8 ) REPORT

F o r O f f i c e Us e On l yComm . xI n d e x e d ,A u d i t e dC o mp u t e r

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nC 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 nwh i c h E l e c t i o n i s h e l d -

2 7 8 5 . 8 5

2 7 8 5 . 8 52 1 4 5 . 0 0

6 4 0 . 8 5

UNPAI D BI L L S ( F r o m Sc h e du l e D - A t t a c h Sc h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N KI ND CONTRI BUTI ONS ( F r o mSc h e du l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m Sc h e du l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULT ANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e du l e H - A t t a c h Sc h e d u l e H )


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FOR; NS TRI wCT I ONS , SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI S LAT I V ECANDI DATES . L I S T THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD.

I S BOX APPL I ES T O CANDI DATES' COMMI TT EES ONL Y:

COMMI TT EE NAME ( Mu s t b e s ame as o n S t a t eme n t o f O r g a n i z a t i o n )I o wa St a t e Co u n c i l o f Mac h i n i s t s Po l i t i c a l F u n d

1 4 / 0 4

/ 1 4 / 0 4

I D# 1 2 8 5CK# 4 9 1I D # 1 5 6 3CK# 4 9 2I D # 1 1 4 8CK# 4 9 3

Fr i e n d s & Ne i g hb o r s o f9 3 L o mb a r d St r e e tCl a r e n c e , I A 5 2 2 1 6Fr a n k Wo o d f o r Se n a t ePO Bo x 4 0 2El d r i d ge , I A 5 2 7 4 8St e v e n s f o r St a t e ho u s e2 3 4 3 8 2 2 1 s t St r e e tMi l f o r d , I A 5 1 3 5 1

Po0 2

To m

Co m

TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) 1 $SUB- TOTAL I $ 1 5 0 5 . 0 0

r c h a s e s o f c e r t a i n c amp a i g n p r o p e r t y c o s t i n g S5 00 o r mo r e mus t a l s o b e i n v e n t o r i e d o n S c he d u l e H . ( R e f e r t o S c he d u l e H i n s t r u c t i o n s . )t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g . ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d o ne G b y t h e amou n t . p u r p o s e , an d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o N e n i i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e ( R e f e r t oe G I n s t r u c t i o n s an d I o wa C o d e 5 6 . 6 ( 3 ) ( i ) . )

Page 1 o f 2

( f o r S c h e d u l e B )

SCHEDUL EB MONET ARY( R e v . 0 9 / 9 7 ) EXPENDI TURES

CHECK T HI S BOX I FAMENDI NG FORM

DATEEXPENDED( MM/ DD/ YR)

CANDI DATEI D NUMBER( i f a p p l i c a b l e )AND PACCHECKNUMBER

NAME AND ADDRESS T O WHOMEXPENDI TURE( D i s b u r s e m e n t ) WAS MADE

I D# Mac h i n i s t s No n - Pa r t i s a i9 0 0 0 Mac h i n i s t s Pl a c e9 / 1 7 / 0 4 CK# 4 8 6 Up p e r Ma r l b o r o , MD 2 0I D # 1 3 3 8 Dan i e l s o n f o r Se n a t eCK# 3 9 0 6 Mo n t e r e y Dr i v e9 / 1 4 / 0 4 4 8 7 Wa t e r l o o , I A 5 0 7 0 1I D# 1 5 3 4 1 2 2 1Ci t i z e n s f o r Sc h o e n j a h~ iCK# Pa r k Av e n u e/ 1 4 / 0 4 4 8 8 Ar l i n g t o n , I A 5 0 6 0 6I D # 1 5 1 3 Sa n d s f o r St a t e Se n a t eCK# 2 9 2 2 3 7 t h St r e e t/ 1 4 / 0 4 4 8 9 De s Mo i n e s , I A 5 0 3 1 0I D# 1 5 1 6 f o r Se n a t eCK# 1 1 3

I Re i l l yNo r t h Ma r k e t St r e e t1 4 / 0 4 4 9 0 Os k a l o o s a , I A 5 . 2 5 7 7

PURPOSE( DESCR I BE TRANSACT I ON) AMOUNTEXPENDED

i t i c a l L e a g u eDo n at i o n 1 $ 9 4 5 . 0 0

Do n at i o n 8 0 . 0 0

Do n a t i o n 8 0 . 0 0

Do n a t i o n 8 0 . 0 0

Do n a t i o n 8 0 . 0 0Fi e g en

Do n at i o n 8 0 . 0 0

Do n at i o n 8 0 . 0 0i t t e e

Do n at i o n 8 0 . 0 0


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FOR I NSTRUCTI ONS, SEEBACKOF FORMEXPENDI TURES - MONEY SPENT FROMCOMMI TTEE ACCOUNTPAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LE GI SLA TI V EDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THEC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAI CS & CAMPAI GN DI SCLOSURE BOARD .

MMI TTEE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )

I o wa St a t e Co u nc i l o f Mac h i n i s t s Po l i t i c a l Fun d

9 / 1 4 / 0

/ 1 4 / 0 4

/ 1 4 / 0 4

9 / 1 4 / 0

/ 1 4 / 0 4

/ 1 4 / 0 4

/ 1 4 / 0 4

CK# 4 9 4I D # 1 5 0 4

9 / 1 4 / 0 CK# 4 9 5I D# 1 5 3 5 Ci t i z en s f o r Z i r k e l b a c1 6 3 7 We s t Fi r s t St r e e tCK" 4 9 6 I Mo n t i c e l l o , I A 5 2 3 1 0I D# 1 5 7 2CK# 4 9 7I D# 1 3 4 7

4 CK# 4 9 8I D # 1 5 0 7CK # 4 9 9I D# 1 5 4 5CK# 5 0 0I D# 1 3 5 3C K # 5 0 1

Bo b Co l e f o r t h e Pe o p l1 8 Ch ar l e s t o wn Sq u a r eMas o n Ci t y , I A 5 0 4 0 1K r e s s i g f o r Ho wa Ho us e3 5 2 3 Ve r a l t a Dr .Ceda r Fa l l s , I A 5 0 6 1 3

Ro g e r Gr o b s t i c h f o r S t2 3 5 0 Wo l f Cr e e k T r a i lHi a wa t h a , I A 5 2 2 3 3Ci t i z en s f o r Ro b Hogg2 7 5 0 Ot i s Ro ad SECeda r Ra p i d s , I t s 5 2 4 0Pe t t e n g i l l f o r I o wa n sPO Bo x 7 6Mt . Au b u r n , I A 5 2 3 1 3Pa l me r f o r St a t e Re p r '1 1 4 Fi r s t Av e n u e EOs k a l o o s a , I A 5 2 5 7 7Owen f o r I o wa n s5 6 3 Ol i p h a n t St r e e tWe s t Br a n c h , I A 5 2 3 7 8

PURPOSE( DESCRI BE TRANSACT I ON)

Commi t t e eDo n a t i o n 1 ' 8 0 . 0 0

Di s t r i c t 1 9Do n a t i o n

nDo n at i o n

a t e Re p r e s e n t a t i v eDo n a t i o n

3 Do n a t i o n

s e n t a t i v eDo n a t i o n

Do n a t i o n

Do n a t i o n

AMOUNTEXPENDED

8 0 . 0 08 0 . 0 0

8 0 . 0 0

8 0 . 0 0

8 0 . 0 0

8 0 . 0 0

8 0 . 0 0SUB- TOTAL $ 6 4 0 . 0 0

TOTAL ( i f l a s t p a g e o f t h i s s c he d ul e ) 1 $ 2 1 4 5 . 0 0S BOX APP L I E S TO CANDI DATES' COMMI TTEES ONLY-c h a s e s o f c e r t a i n c ampa i g n p r o p e r t y c o s t i n g S500 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 Sc h e d ul e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )

t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s must a l s o b e d e t a i l i t e m i z e d o nl e G b y t h e amou nt . p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n i i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t ol e G i n s t r u c t i o n s a nd I o wa Co d e 5 6 . 6 ( 3 ) ( 1 ) . )Page 2 o f 2

( f o r S c he d u l e B I

SCHEDULEB MONETARY( Re v 0 9 / 9 7 ) EXPENDI TURES

CHECK THI S BOX I FAMENDI NG FORM

CANDI DATE NAME AND ADDRESS TO WHOMDATE I D NUMBER EXPENDI TURE( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADEMM/ DD/ YR) AND PACCHECKNUMBER

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Iowa State Council of Machinists Political Fund__6095__scanned

Iowa State Council of Machinists Political Fund6095scanned