Fo “ "DISCLOSURE SUMMARY PAGE PR-2SC) onsen JcaNotaTEe FOR STATEWIDE AND GENERAL ASSEMBLY CANDIDATES, » 1 7002 C22 [emcee citizens for Hamond See Che Lh, TPP ee CAUTION: Penalties Due For Late Filed Reports Range From $10 to $400 ELECTION YEAR REPORTING DATES ‘SPECIAL ELECTION REPORTING DATES DATE OF ELECTION. Report Due ‘overed Perlod-Inclusi May 20, 19__ Jan, 1 May 15, 19 t Du Gon Friday preceding primary May 16- Tuesday preceding 1 14th day prior to election Current thru 19 days prior (See Note) primary 18 “teelaction A 1 Friday preceding election 18th day preceding election 1B sutygo, 19 May 16 or Wednesday preceding (Gee Note), thru Tuesday preceding primary - July 15, 19. _ ta) a OH oct. 20, July 16 - Oct. 15, 29.2002 ee oot ee "NONELECTION YEAR REPORTING DATES (See Note) preceding general ort Due QOL 3 Covered Period — Inclusive Jan. 20, 19 Oct. 16 or Wednesday preceding Ce ‘Tues. Preceding Election thru Dec. 31, 19 Jan, 1- Deo. 31, 19 ‘general-Dec. 31, 19___ NOTE: thee supeement reports ae rege H sntutons reseed nthe covered peri eu $1009 or mot or governor $5,000 of mae lo eer tate cade $1.00 or moe or general enemy candi [Check it Amendment to report dated tg 2 Check if final (termination) report. (Attach Notice of Dissolution Form DR-3) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This is the total ofall Tmonies held by the committee. This amount MUST be the same ae the cash On hand at the end of the last reporting period, or must be zero if this ts ist report tiled) | $3407.90 ADD TOTAL MONEY TAKEN IN THIS PERIOD ole Schedule Ar Cash Contributions total atacn Scheduie A). 2, 2088) go0,00 Schedule C: Fundtalsing Events total (Attach Schedule C) - : —_—_ Schedule F: Loans Received total (Attach Schedule F) Schedule H: Total Sales of Campaign Property (Attach Scedule H} scare oats coommenend nee ‘SUB-TOTAL SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule 8: Expenditures total (Attach Schedule 8) .. Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the end ofthis reporting period (i final por, balance must be ze) (Attach OR-3) . UNPAID BILLS (From Schedule D - Attach Schedule D) $ IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule €) £ OUTSTANDING LOANS (From Schedule F - Attach Schedule F) CONSULTANT BREAKDOWN (Schedule G attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) {or the tmellness and accuracy of reports fed by the committee treasurer. ‘ao onyucex-casze (Rev. 1983)CONTRIBUTIONS — MONEY TAKEN IN (including candida perso nal funds) [SCHEDULE STATE neceiprs CANDIDATE For oie wee only CANDIDATE'S COMMITTEE NAME (Must be samo as on Statement of Organization) Citizens for Hammond NOTE: IF A CONTRIBUTION IS RECEIVED FROM A PAG (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN. LIST OF LD. NUMBERS IS AVAILABLE AT NO COST FROM THE ETHICS AND CAMPAIGN DISCLOSURE BOARD. ‘Section 688.32A(6), lowa Code, prohibits the use of information from reports and statements for soliciting contributions or for any commercial purpose by any person other than stat lary politcal committees, Paci. nowaen NAME AND ADDRESS OF CONTRIBUTOR "AMOUNT Reo | iapleane) (utpraceeds trom lundrtser, show Tundralsor sponsor) aeceIveD 1 Jeriy Kuehn $100.00 02 4106 Phoenix Ave. mes TA 50014 100.00 Pharmacia Corp Employees 1 BISA 02 TOO Route 206 North Peapack NI 07977 cata a8Y “Disclosure law requ! ‘shown to the third degr oxaac0.1089) candidates to disclose the relationship of any rolath ‘of consanguinity (blood re 613 263 ky SUB-TOTAL $ TOTAL (Ittast page of this schedule) $ | 200.00 tives) and affinity (relatives by marca ‘making a contribution to the committee. R ). tlonship must be Page—1_of 1 (for Schedule A)MOMETARY B OENDITURES EXPENDITURES — MONEY SPENT CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization) Citizens for Hammond ‘DATE NAME AND ADDRESS TO WHOM EXPENDITURE "AMOUNT EXPENDED { Disbursement) WAS MADE PURPOSE, EXPENDED, },-29-02 | Towa Demacratic Party-ruman Fund | contribution to state| § party 3,000.00 | Story County Democratic Cental Committee | contribution to close| Main at Clark out account ‘Anes TA 50010 Commercial Federal Bank account fees 525 Main St. ‘mes TA 50010 ‘SUB-TOTAL TOTAL (if ast page of this schedule) | $3,611.74 Campaign tunds may be used only for campaign purposes, constituency expenditures and educational and other expenses associated with duties of office. Purchases of campaign property must also be inventoried on Schedule H. Expenditures to consultants (persons/entities providing consulting, advertising, fundraising, polling, managing, organizing servi te.) must also be detail itemized on Schedule G by the amount, purpose, and date of each type of expenditure made by tho consultant on behalt of the candidate's committee, See manual for more specific instructions, osx css. 193) Page! _ of (tor Schedule 8)Before you dissolve the committee, check the following © A Notice of Dissolution should be accompanied by a completed final Disclosure Report, current to the date of dissolution © Final Reports must show disposition of campaign property with a value of $25 or more on Schedule H, and all debts and obligations of the committee paid or satisfied © Leftover funds (including those from sale of campaign property) must be distributed according to the statement of intent on the most recently filed Statement of Organization as permitted by lowa Code $56.42. COMMITTEE NAME Official Name of Committee Citizens for Hanmond Mailing Address 3431 Ross Rd. City, State, Zip Code Ames TA 50014 ‘Area Code/Telephone 515, 292-2275 FoR caWoioaTE DR-3 notice oF oIssoLuTION (Comers | ee Iedoned nusted Checked Computer boop, 1, the candidate certiy that my candidate's committoe's cash balance Is zer0, all ebts, obligations and loans have been paid or satisfied in accordance with law {as shown on my committee's final report, all eampaign property. (equipment, supplies land materials purchased from campaign funds) under the provisions of Iowa Code $56.42, and leffover funds have been distributed in accordance with my committee's last fled Statement of Organization. 7-23-02 10-17-02 (Signature of Candidate) Effective Date of Dissolution (Date Signea)