iowa metro auto dealers association pac9706scanned

8/7/2019 Iowa Metro Auto Dealers Association PAC__9706__scanned

1/7

1 / 2 1/ 2 00 4 0 7 : 4 9 FAX 5 1 5 2 8 3 , 0 2 31 BROWN WI NI CI IGRAVES

Cl o t . 1 H [ I 4 02 : 00p Bob Br own Chevr o l e t j 51 5- 2 ' 78- 784 9- _ . ~ . . . . . . . _ . , . . vv 1 1 . 1 Jl 0 LOJ VLd1 Oe t u f f m WINWA GRAPES

COMMI TT EE NAME ( M u s t b e same a s o n S t a , ' e r n e n l o f f a n i z e r i o n )I o wa Me t r o Au t o D e a t e r a A s s o c i a t i o n P o l i t i c a l A c t i o n Commi t t e e

FOR I NSTRUCTI ONS. SEE BACK OF FORMDI SCL OSURE SUMMARY PAGE

SI GNATURE OF PERSON FN O c t o b e r 1 9 . 2 0 0 4I AM F : UNG A _ -

( r e p o r t d a t e )

CK 1 F AMENDMENT TO REPORT DATED vC h e c k i t t h i s i s f i r m ( w r m i r t a t l o n ) r e p o r t a n d a t t a c h N o t l o e o f D i s s o l u t i o n F o r m OR- 3 .( Y o u must c o mi 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 . )

- UNPAWBI L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e O) . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . s' I N KI ND CONTRI BUTI ONS ( F r o m S c h e d u l e E- A t t a c h S c h e d u l e E) . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . S" OUTSTAND I NGLOANS ( F r o m Sc h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + $CANDt DATECOMM" JgEg OHLY-CONSULTANT BREAKDOWN SSc h e d u t eGAt t a c h e d ?)VAWEOF 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)

o I SCLOSUREREPORT

FORMDR- 2( Re v . 0 7 / 2 0 04 )F or Q r t i c o Use On l yComm. vL o g g e d i nS c a n n e d ,C o mp u t e rA u d i t e d _ _

L a t e r e p o r t s a r e s u bj e c t t cp o s s i b l e c i v i l a n d C r i m i n a lp e n a l t i e s ,

c 2 ' 7 T-79Sax ~ S q j o _I q-4qTEL EPHONE . DATE $I GNEDREPORT FOR ( ' i ) ELECTI ON 1 ( 2 ) N ON^ E LECT I ON YEAR,

MI n d i c a t e b y # a ; [ _ 1 9 Z064

L o c a l C o mm i t t e e $. , e n t e r D a t e e r E r e c t P a tC o u n t y i f L o c a l C o mmi t t e e s. .e f r e r G awh i c h E I e c t i o r t I s h e r d

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 Wk t 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 mm i 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 an 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 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 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 e ) ( A t t a c h S c h e d u l e A ) ( ' a l s o s e e I n - k i n d b e f o u l ) . . . . . . . . . .S c h e d u l e F . L o a n s R e 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . , . , . .S c h e d u l e H , T o t a l S a l e s o f Camp a i g n P r o p e r t y ( A t t a c h S c h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e du l e H a u n t i e s t o C a n d i d a t e s ' CommAi M On l yS t n s TOTAL . . . . . $ 8 . 0 0 0 . 6 2SUBTRACT TOTAL MONEY SPEI 4T THI S PERI OD

S c h e d u l e E . E x P B n d i t t i r e s t o t a l ( A t t a c h S c h e d u l e 6 ) ( " 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) . . . .

S

0

. t i t

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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . .CASH aN BAND a t t h e e f t d o t h i s r e p o r t i n g p e r i o d o f f r n a l r e p o r t b a l a n c e mustb e z e r o ) ( A t t a c h D R- 3

YESONO

( Q002 / 0 05P . 2

%002 / DDS


2/7

1Q/ 21/ 2004 0 7 : 5 0 FAX , 5 1 5 2 8 3 0 2 3 1 BROWN WI NI CK GRAVES

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i on )I o wa Me t r o Au t o De a l e r s As s o c i a t i o nPo l i t i c a l Ac t i o n Commi t t e e

OjdduSanw. , t e, >THI S BOX APPLI ES TO CANDI QATES' COMMI TT EES ONLY :

FOR l AI STRUCTl wNS, SEEBACKOFFORMEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATE PACCOMMI TTEES : NOTE : FOR CONTRI OUT10 NSMADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPACCHECKNUMBER FOR EACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETHI CS &CAMPAI GN DI SCLOSURE BOARD .

UB- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c h e du l e j

P ur h a s e s o f c e r t a i n c a mp a i g 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 Sc h e d u l 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 . )

Page I o f 2

t OO04 / 0 05

SCHEDULEB MONETARY( R e v . 0 7 / 0 3 ) I EXPENDI TURESCHECKTHI S BOX I FAMENDI NGFORM

Ex p e nd i t u r e s t o p e r s o n s l 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 nSc h e d u l e Gb y t h e amo u n t , 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 en d i t u r e made b y t h e p e r s o n l e n t i t y on 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 oSc h e d u l e G I n s t r u c t i o n s a n d I o wa Code 6 8 X. 4 0 2 ( 3 ) ( 1 ) . 1

( f o r Sc h e d u l e B )

CANDI DATE NAME ANDADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b r u s e me r r t ) WAS MADE( MMI DDI YR) AND PACCHECKNUMBERI D#

9 / 1 / 0 4 CK# 1 5 0 1 Sc o t t R a e c k e r $ 5 0 0 . 0 0I D#

9 / 1 / 0 4 CK# 1 5 0 3 Ge r i Hu s e r 5 0 0 . 0 0I D#

9 / 1 / 0 4 CK# 1 5 0 4 L i b b y J a c o b s . 1 0 0 . 0 0I D#

9 / 1 / 0 4 C015 0 5 J e f f An g e l o i 1 5 0 . 0 0

g / 1 / 0 4 CK# , 1 5 0 6 Ch r i s t o p h e r Ra n t s . 2 50 - 0 0

9 / 1 / 0 4 1 5 0 7 C h u c k Gi p p " 2 0 0 . 0 0CK#I D# _ _

9 / 1 / 0 4 CK4 1510 Gene Ma d d o x 1 0 0 . 0 0. D# _ -

9 / 1 / 0 4 CK# 1 5 1 1 Ca r mi n e Boa l ' . 1 0 0 . 0 0


3/7

I Q/ 2 1 / 2 0 0 4 0 7 : 5 1 FAX 5 1 5 2 8 3 0 2 3 1 BROWN WI NI CK GRAVES 0005 / 005

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

FOR I NSTRUCTI ONS, SEE BACKOF FORM : SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 1 0 3 ) EXPENDI TURES

STATE PACCOMMI TTEES : NOTE : FORCONTRI BUT I ONSMADE TO STATEWI DE OR LEGI SLATI VE CHECK THI S BOX I FCANDI DATES, L I ST THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPACCHECKNUMBER FOREACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORMETHI CS t 4 CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e s ame a s on St a t e me n t o f Or g a n i z a t i on )I o wa Me t r o Au t o De a l e r s As s oc i a t i on 7p Al i t i r a l AQL j J . QA. L =m1 t t 1 PPCANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D s b u r s e m e n t j WAS MADE( Mh t r 0 D/ YR) ANDPACCHECKNUMBER

CK# C h e c k Fe eI D#C K#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#

CK# ~ S l bSUB- TOTAL $TOTAL ( i f l a s t pagg r s f t h i s s c h e du l e ) ~ + n r n

THI S BOX APPL I ESTO CANDI DATES' COMMI TT EES ONLY :Pu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 0 f mo r e mu s t a l s o b e I n v e n t o r i e d on Sc h e d u l e H. ( R e f e r ( o Sc h e d u l e H I n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i c 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 f l 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 a s must a l s o b e d e t a i l i t e m i z e d o nSc h e d u l e G b y t h e amo u n t , 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 t i t y o n b e h a l f c f t h e c a n di d at e s c o mmi t t e e . ( R e f e r t oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Code 68A. 4 0 2 ( 3 ) ( 1 ) . )


4/7

/ 1 9 / 2 0 0 4 1 4 : 3 9 FAX 5 1 5 2 8 3 0 2 3 1 BROWN WI NI CK GRAVESt _ 1 9 . . 04 v _0 2 : . OOp . , ~ J 1 Bob Brown Chevr ol etUNUMN ) YI NI UK GRAVES

FOR I NSTRUCTI ONS, SEE BACK OF FORMDISCLOSURESUMMARYPAGE

COMMI TTEE NAME ( M u s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )I o wa Me t r o Au t o D e a l e r s A s s o c i a t i o n P o l i t i c a l Ac t i o n Co mmi t t e eI MPORTANT: I n d i c a t e b y p t y p e o f c o mmi t t e e y ou a r e r e p o r t i n g f o rL- 1( t ) S l a l e w i d e / L e g i s l a t i v e l l u a ge S t a n d i n g f o r R e t e n t i o n Ca n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S f a l c P a r t y( a ) Co un t y C e n t r a l Co mmi t t e e ( 5 ) Co un t y Ca 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 Bo a r d o r Ot h e rP o l i t i c a l S u b d i v i s i o n Ca nd i d a t e ( 8 ) Co un t y PAC ( g ) C i t y PAC ! f t 7 ) S c h o o l Ho a r d o r Ot h e r P o l i t i c a lS u b d i v i s i o n PAC 1 1 1 ) L . ^ , 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 )O f f i c e Sough t D i s t r i c t ( i f S en a t e o r H o u s e )

SI GNATURE OF PERSON FI L I NG REPORTN t Oc t o b e r 1 9 . 2 0 0 4I AM F I L I N G A REPORT F

( r e p o r t d a t e )

nCHECK I F AMENDMENT TO REPORT DATED_[ ] 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 t i( 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 r

~ g - 7 ~ s a xSag / o - j " ? - oLEPHONE DATE SI GNED

_ Re s e f Fo r r n

STATEMENT OF CASHONHANDCASH ON HAND a l [ t i 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 amou n 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 r i l e d ) . . . , . . . . . . . . . . . . . . . . . . . . . $

b e z e r o ) ( At t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3" ' UNPAI D BI L L S ( F r o m S c he d u l e D - A t t a c h S c he d u l e D) . . . . . . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . - - - S' I N KI ND CONTRI BUT I 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S" OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SCANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h e d u l e G A t t a c h e d ? )VALUE 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 ) 5

5 15- 2 7 8- 7 849

DR- 2 DI SCLOSURE( Re v 0 7 / 2 0 0 4) REPORT

L o g g e d lS c a n n e dCompu t e r _ _A u d i t e d

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i m i n a lp e n a l t i e s .

( 1 ) ELECT I ON 1 ( 2 ) NON- ELECT I ON YEAR .I n d i c a t e b y #o

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 ) ( " a l s o s e e i n - k i n d b e l o w ) . . . . . . 8 . 0 0 0 _ 6 2S c 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c he d u l e H : T o t a l Sa l e s o f Camp 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 ' Commi t t e e s n f y )SUB- TOTAL . . . . . 5 5 , 0 0 0 . 6 2

SUBTRACT TOTAL MONEY SPENT THI 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 ) . . . . 2 . 0 6 8 . 0 8Sc h e du l e F : L oa 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . -

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 must 5 , 9 3 2 . S 4

L o c a l C o mm i n 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 Commi t t e e s , e n t e r C o o n t y i r .wh i c h E l e c t i o n I s h e l d

0

YES NO

0 0 1 / 0 0 4p . 21 60 0 2/ 0 0 8


5/7

1 0 / 1 9 / 2 00 4 14 : 40 FAX 5 1 5 2 8 3 0 2 3 1 BROWN WI NI CK GRAVES

Fo r I n s t r u c t i o n s , Se e Bac k o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN 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 TT EENAME ( 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 Me t r o Au t o De al e r s As s o c i a t i o nPo l i t i c a l Ac t i o n Commi t t e eSTATE CANDI DATES NOTE : I F ACONTRI BUTI ON 1 5 RECEI VED FROM A STATE PAC ( POL I T ICAL ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBER AND THEPAC CHECKNUMBER I N THE DESI GNATED COLUMN A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.

SUB- TOTAL

TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )Fs 8 , 0 00 . 6D i s c l o s u r e l aw r e q u i r e s c a nd 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 an y r e l a t i v e mak 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 mus 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 ) an 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 ) . 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 an di d a t e , b u t t h e r e i s n o Page 1 o f _ 1f 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)

I M 0 0 2/ 0 04

CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , I o wa Co de , p r o h i b i t s t h e us e o f i n f o r ma t i o n c o pi e d f r o m r e p o r t s and 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 omme r c i a l p u r p o s e b y a n y p er s o n o t h er 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 e s .

SCHEDULEA MONETARY

( Re v . 0 7 / 0 3 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOMEI D#

s 1000 . 0 06 / 3 0/ 0 4 CK#1295 Ro n a l d Br o w nI D#

9 / 1 5/ 0 4 CK # 2 2 8 5 J e f f Co u r t 1000 . 0 0I D#

9 / 1 5/ 0 4 c K # 2 1 3 0 Wi l l i am J e n s e n 1000 . 0 0I D#

9 / 1 6 / 0 4 CK# 1505 Ma r v i n P e r r y 50 0 . 0 0I D#

9 / 1 6 / 0 4 CK#1572 Gl e n d a Mi l l a r d 500 . 0 0I D#

9 / 1 6 / 0 4 c K # 1 0 2 7 Ma r k Hu mmel 1000 . 0 0I D#

9 / 1 9 / 0 4 CK#5 36 0 Ri c h ar d Wi l l i s 1 0 00 - 0 0I D#

1 0/ 1 4/ 0 4 CK#9714 Ma x Ho l me s 1000 . 0 0i D#

9 / 2 2/ 0 4 CK# 2 3 2 1 Ma r k Vu k o v i c h 1000 . 0 0I D#CK# I n t e r e s t o n a c c o u n t . 6 2


6/7

1 0/ 1 9/ 2 00 4 1 4 : 4 1 FAX 5 1 5 28 3 0231 BROWN WI NI CK GRAVES

THI S BOXAPPLI ES TO CANDI DATES' COMMI TTEES ONLYPu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g 55 0 0 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 Sc h e d u l 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 . )Ex p en d i t u r e 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 mi z e d o nSc h e d u l e G b y t h e amo u n t , 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 pe nd i t u r e mad e b y t h e p e r s o n / e n t i t y o n b e ha 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 oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Cod e 68A . 4 0 2 ( 3 ) ( 1 ) . )

( f o r Sc h e d u l e 8 )

I M 0 03 / 0 04

FOR I NSTRUCTI ONS, SEE BACK OF FORM Rc . s e t , 1 " o r r n SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v - 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DE OR LEGI S LAT I V E CHECKTHI S BOXI FCANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATEDCOLUMN ANDTHEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI L ABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARDCOMMI 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 Me t r o Au t o De a l e r s As s oc i a t i o nPo l i t i c a l Ac t i o n Co mmi t t e e

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ YR) AND PACCHECK

NUMBERI D #9 / 1 / 0 4 CK# 1 5 0 1 Sc o t t R a e c k e r $ 50 0 . 0 0

I D#

9 / 1 / 0 4 CK# 1 5 0 3 Ge r i Hu s e r 50 0 . 0 0I D#

9 / 1 / 0 4 CK# 1 5 0 4 L i b by J a c o b s 1 0 0 - 0 0I D#

9 / 1 / 0 4 CK# 1 5 0 5 J e f f An g e l o 1 50 . 0 0I D#

9 / 1 / 0 4 CK# 1 5 0 6 Ch r i s t o p h e r Ra n t s 2 50 . 0 0I D #9 / 1 / 0 4 15 0 7 Ch u c k Gi p p 2 00 - 0 0CK#I D #

9 / 1 / 0 4 CK# 1 5 1 0 Ge n e Ma d d ox 1 0 0 - 0 0I D#

9 / 1 / 0 4 CK# 1 5 1 1 Ca r mi n e Boal 1 0 0 . 0 0SUB- TOTAL $ 2 0 0 0 . 0 0

TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e )


7/7

1 0/ 1 9 / 2 00 4 14 : 41 FAX 5 1 5 28 3 0231 BROWN W1N1CK GRAVES

THI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 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 Sc h e d u l 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 . )Ex p e nd i t u r e 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 mi z e d o nSc h e d ul e G b y t h e amo u n t , 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 pe n d i t u r e mad e b y t h e p e r s o n / e n t i t y o n b eh a l f o f t h e c an d i d at e ' s c o mmi t t e e . ( R e f e r t oSc h e d ul e G i n s t r u c t i o n s a n d I o wa Co d e 68A . 4 0 2 ( 3 ) ( i ) . )

( f o r Sc h e d u l e B)

0 0 4/ 0 0 4

FOR I NSTRUCTI ONS, SEE BACK OF FORM ; R e s t FUr t n SCHEDULEEXPENDI TURES MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I S T THECANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHE D CHECKTHI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI CS t i CAMPAI GN DI SCLOSURE BOARD.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 Me t r o A L l t o De a l e r s As s o c i a t i o n

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

I D#CK# Ch e c k F e e $ 6 8 . 0 8I D#

CK#I D#CK#I D#CK#I D#C K#I D#CK#I D#CK#I D#CK#

SUB- TOTAL $ 6 8 . 08TOTAL ( i f l a s t p a g e o f t h i s s c h e d ul e ) $ 2 , 06 8 . 08

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