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Wi l [ C I O Fl y a l l o f ; a ! 0 1 a m I 4 F / 0 ' Z _DATE SI GNED
FG` R I NSTRUCTI ONS . SE E BACKOARMDI SCL OSURE SUMMARY PAGa E MA Y 2 0 2 0 0 2
COMMI TT EE NAME ( Mu s t b e s ame a s on S t a emen t o f O r g a i 4 i 2 a G b n ) - . . , . , _ . . , . . , . . . . .C ( ` - n r P l ~ e . r ~n~S Z A - t ~ ~v s ~
I 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 :
Rou t i ne 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 Range f r o m $ 2 0 t o $ 8 0 0SE E I NSTRUCTI ONS ON BACK A ND COMPLET E THE FOL L OWI NGSENTENCE :I AM F I L I NG A
( 7 1 3 ) 1 Z 0 0 ~
( r e p o r t d a t e )( CHECK I F AMENDMENT T O REPORT DATED
~ 6 7 7 -
~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 nd 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 must 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 . )
LREPORT FOR AWA ( 1 ) EL EC TI ON / ( 2 ) NON- EL E CT I ON YEAR .I n d i c a t e one
ST AT EMENT OF CASH ON HANDCASH 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 v i e s h e l d b y t h e c ommi t t e e . T h i s amount MUST b e t h e
s ame a s t h e c a s h o n h an 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 must 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 MONE Y TAKEN I N THI S PERI OD
DI SCLOSUREREPORT
FORMDR- 2( R e v . 0 1 / 9 8 )I
F o r O f f i c e Us e O n l vComm #I n d e x e d "A u d i t e d _C o mp u t e r
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 nC o u n t y & L o c a l C o mm i 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
1 3 71 , 3 52 0 0 6 , a o
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Sc h e d u l e A:
FORh4 STRUCTI OMS, SEEBACKOFFORA
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 e n ( z a d o n )f i r ' S- M -f -k 1~0i
NOTE : De b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n p ai d mus t b e i n c l u d ed o n t h i sS c he d u l e , a s we l l as an y n ew o b l i g a t i o ns i n c u r r e d i n t h i s p e r i o d .
DEBTS / OBL I GAT I ONS REMA I NI NG THI S REPORTI NG PERI OD( DO NOT I NCLUDE LOANS - SHOWLOANS ON SCHEDULE F )
SCHEDUL ED I NCURRED( Re v . 0 8 / 9 8 A I NDEBTEDNESSCHECK THI S BOXI F AMENDI NGFORM
An " i n c u r r e d d e bt " i s a d e b t f o rg o o d s o r s er v i c e s o r d e r e d o rr e c e i v e d , b u t n ot p ai d f o r b y t h een d o f t h e r e po r t i n g p e r i o d . ,r e ga r d l e ss o f wh e t h e r a n i n v o i c eha s b e e n r e c e i v e d .
DATEI NCURRED( MM/ DD/ YR) NAME AND ADDRESS OF PERSONTOWHOM DEBT OR OBLI GATI ON I S OWED
DESCRI PTI ON OFGOODS ORSERVI CES PROVI DED ORPURCHASEDBALANCE OWED ATCLOSE OFREPORTI NGPERI OD'
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I o wa Ca mp a i g n F i n a n c e D i s c l o s u r e B o a r dDe s Mo i n e s , I o waRe : A m e n d e d 1 2 - 3 1 - 0 1 Wi n c k l e r f o r S t a tMay 1 3 , 2 0 0 2Ge n t l e me n :
S i n c e r e l y y o u r s ,
THOMAS C ENGELMANN4552 Ma i n S t r e e t D a v e n p o r t , I o w a 528065 6 3 - 3 8 6 - 2 6 7 2
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Wi n c k l e r f o r S t a t e H o u s e r e f l e c t s a
c o r r e c t i o n i n t h e S c h e d u l e "
i n d e b t e d n e s s .
No t e t h e s e i t e ms o r i g i n a t e d i n 2 0 0 0 ,p r i o r t o my s e r v i c e a s t r e a s u r e r , a n d w h e n I t o o k o v e r a s t r e a s u r e r , I a s s u m e d t h e s e b i l l s
we r e s t i l l u n p a i d .
U p o n f u r t h e r i n v e s t i g a t i o n t h i s y e a r , I d i s c o v e r e d t h e s e b i l l s a r en e i t h e r u n p a i d n o r s t i l l d u e .
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FGPI NSTRUCTI ONS. SEE BACK O' - CORM
DI SCL OSURE SUMMARY PAGECOMMI TT EE NAME ( Mu s t b e s ame a s o n St t e me n t o f Or g a n i z a t i o n )4 ~ 1 7 1
I 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 :( t ) 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 Co 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 e( B^ p p o r t S l a t e o f C _ a g g i d a t e s
SI GNATURE OF THE
URER ( o r p e r s o n f i l i n g t h i s r e p o r t )
TEL EPHONE
Ro u t i n e Pe n a l t i e s 0 U d - 1 F o r L a t e F i l e d Repo r t s R a n g e f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BAC A
OMPLETE THE FOLL OWI NGSENTENCE :
I AM FI L I NG A
REPORT FOR AN/ A ( 1 ) ELECTI ON l ( 2 ) NON- ELECT I ON YEAR .
I n d i c a t e o n e ~Z-( r e p o r t d a t e )[ ] CHECK I F AMENDMENT TO REPORT DATED
[ ] Ch 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 Fo r m DR- 3 .( Y o u must 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 . )
ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e 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 d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J AN 1 4 2 0 0 2
STATEMENT OF CASH ON HANDCASH 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 by t h e c o mmi t t ee . 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 en 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 be 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
FORMDR- 2DI SCL OSURE( R e v . 0 1 / 9 8 )REPORTFo r O f f i c e Us e On l ycomm . q _ . _I A d e x e dA u d i t e d
DATI : SI GNED
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 nw h i c h E l e c t i o n i s h e l d
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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 F o r mCONTRI BUTI ONS - MONEY TAKEN . IN
( I n c l u d l n p r a r l d i d a l l r ' a Dewl m l d a )COMMI TTEE NAME ( M u s t b e s a n s a s o n S t a t e me n t o f O r y r l & a d o n )W1 w ' l / C L i n - ~ c ' j z -S
. r ~
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aCHECK T HI S BOX I FAMENDI NG FORM
SCHEDULEA MONETARY
( Re v . 0 6 4 1 7 ) RECEI PTS
STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC . P OL I T I C A L ACTI ON COMMI TTEE) . UST THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A UST OF I D Nt 1M8 ERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD_CAUTI ON : Se ct i o n 68B. 3 2 A( 6 ) . I o wa Code . p r o h i b i t s t h e u s e o f i n f o r m a 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 a n s t a t u t o r y p o l i t i c a l c ommi t t e e s .
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED ( i t a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR ) AND PAC CHECK ( i f a p p f a a e ) RAI SERNUMBER I NCOME
I D# LGc1 St %r o o t - ~ ` l~ Z ~ ~ 3 I I CK# G o C ) 3 ~ c c L , e CY , E ~UZ hI D # L t ~ I Z aI L A l C O V A - - u
' ~ Z t s ~ / O G r ~I O # ~ ~ - 7 1 1 1 , ~ w~ r r _ ~7CK# / . . 5 Z 7I D #CK#I D # ~ , E 1 4 ~ ' ' C t i ` l - 5
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F o r I r n s t n r t a i o n a , S e t h B a c k o f F o tCONTRI BUTI ONS - MONEY TAKEN I N( t n c k s $ % c a n d t d l f d d e ' s p e r a w t a 1 f u n d s )COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )
S T A T E C AN DI D A T E S N O T E : I F A C ON T F U S U T I ON I S R E C E I V E D F R O M A S T A T E P A C ( P O L I T I C A L . A C T I ON C OM MI T T E E ) L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A ND T H E P A C C H E C K N U M B E R I N T H E D E S I G NA T E D C O L U M N . A U S T OF I D N U A 4 E R S I S A V A I L A B L E F R O M T H E I OWA E T H I C S A N O C A MP A I G ND I S C L OS U R E e O A R O .CAUTI ON : S e c t i o n WB . 3 2 A ( S ) . 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 m a 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 m m e r i c i a t 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 m m i t t e e s .
SCHEDULEA MONETARYf R e v . OB 1 1 7 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i t a p p l i c a b l e ) T OCANDI DATE' RECE I VED FUND-( Md NDD1 YR) AND PAC CHECK ( i t a p p l i c a b l e ) RA I SERNUMBER I NCOMEI D t t ~Ql t J ( . - / - ~ cFf ry
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