blanchard barbara__1646__scanned

Upload: zach-edwards

Post on 08-Apr-2018

229 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/7/2019 Blanchard Barbara__1646__scanned

    1/4

    J U r I - ~ 7 , ? - ? D i ~ t 3 l b 1 5 ECU STARE ' = Er , T ER 1 7 1 2 2 7 9 1 6 9 e P . 0 . _ , -FOR I Nt TRUCTI ONS SEE BACK OF FORMDI SCL OSURE SUMMARY PAGECOMMI 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 )C i t i z e n f o r B l a nc h a r dI MPORT NT I n d i c a t e b y # 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 l( 1 ) S t a t e ~ + i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( A ) Co u n t C e n t r a l Co mmi t t e e ( 5 ) C o u n t y C a 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 B o a r d o r O t h e rP o l i t i c a l J u dd i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 8 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l

    b d l v i s ~ n PAC 1 1 1 1 L o c a l B a l l o t I s i u eQANDI OATE COMMI TTE ES ONL Y:C a n d K d a t d 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 )

    B a r b a r a l B l a nc h a r d R e p u b l i c a n

    I AM F I L I N G A J u n e 2 , 2 0 0 6( r e p o r t d a t e )

    [ ~ CI - ECK I F AMENDMENT TO REPORT DATEDn Che c k

    a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s . P u r s u a n t t o I o wa Code s e c t i o n 68 B . 3 2 A ( 7 )t e . f o r a c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ee l y an d a c c u r a t e r e p o r t s .

    D i s t r i c t ( I f S en a t e o r Ho u se )1

    If 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 N o t i c e o f D i s s g l u t i o n F o r m D R- 3Yo u mu s 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 OR- 3 I s f l i e d . 1

    7~ y _ Z 3 61 - 2 -LO6TELEPHONE DA SI GNEDREPORT FOR ( 1 ) ELECT10N / ( 2 ) NON- ELECTI ON YEAR

    I n d i c a t e b y #

    STA TEMENT OF CASH ON HANDCASH ON ~AN0 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 o t a l o f a l l f u n d s h e l d b y t h e

    mmi t t e e . T h i s amou n t MUST b e t h e same a s t h e c a s h o n h an d a t t h e en df 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 d t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SDD TOTAL MONEY TAKEN I N T HI S PERI ODc 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 S c 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 ) . , . . . . . . . . . . . . . . .c h e d u l e F : L o an 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 ) . . . . . . . .c h e d u l e H T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t t t a c n S c h e d u l e H ) . . . . . . . . . . . . . . . . ,

    ( Sc h ed u l eHa p p l i e s t o Ca nd i d p t e g Co mmi t t e e s On l v lSUB- TOTAL . . . . . . . . . . . . . . . . . . . . . . . S 1 , 2 00 . 0 0

    UBTRACT TOTAL MONEY SPENT T HI S PERI ODc 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) . . . . . . . . . . . 9 , 7 6 8 . 4 3c h e d u l e F L o a n Repa y men t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . , . . . . . . . . . . . . , . . . , . . . . . . , . . . , . . , . . .CASH ON ND 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 ( r f f i n a l r e p o r t b a l a n c e must

    T i l e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . , . . . . . . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" UNPAI D B I L L S ( F r o m S c h e d u l e D - A t t a c h Sc h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .' I N K I ND OOONTRI 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 ) . . . . . . . . . . , . . . . . . . . . , . . . . , . , . , . . . . . . . . . . . . . . . . . . 5" OUTSTANDI NG L OANS ( F r o m S c h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CONSULT * WT BRE AK DOWN ( S c h e d u l e G A t t a c h e d ? ) - YES _ V NOCANDI DATE COMMI TTEES ONL Y:VALUE 0 CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - Al S c h e d u l e H ) $ 0 . 0 00A EG J ~ S u b m i t a r e c o n c i l e d c amp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .

    FORMDR- 2( R e v . 1 2 / 2 0 0 5 ) DI SCLOSUREREPORTF o r Of f i c e Us e D i nCo mm # _ _ - ,L o g ge d I n ~- - ~ScannedCompu t e rA u d i t e d

    F i l e w i t hI o wa E t h i c s a n d Campa i gnD i s c l o s u r e B oa r d5 1 0 E , 1 2 ' " . S t e . 1 ADes Mo i n e s , I o w a 5 0 3 1 9F a x : 5 1 5 - 2 8 1 - 3 7 0 1

    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 n

    C 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

    1 2 , 4 0 7 . 6 4

    1 , 2 0 0 . 0 0

    : , 8 3 9 . 2 10 . 0 00 . 0 00 . 0 0

  • 8/7/2019 Blanchard Barbara__1646__scanned

    2/4

    7 Ut J - U, 2 - ? 8 6 16 1 6 : 1 5 B ( - I J STARw" - - E t . T ER 17122791698 P . U - 0

    Fo r I n 4 uc t i o ns , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I NCONTRI BUTI ONS

    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 S t a t e me n t o f O r g a n i z a t i o n )

    C i t i z e r t 6 f o r B l a n c h a r d

    SCHEDULEA( R e v 0 7 / 0 3 ) MONETARYRECE I PTSCHECKTHI S BOX. I F !AMENDI NG FORM

    STATE C NDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I V ED FROM A S TA TE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER J D T HE P AC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF 1 0 NUMBERS I S A VA I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSTE BOARDNOTE : A Y PERSON, OTHER THANAN I N D I V I D U A L , THAT CONTR I BUTES MORE THAN $ 7 5 0 TOYOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I B I L I T I ES ANDSHOULD I MMEDI ATELY CONTACT T HE BOARDCA UT I O S e c t i o n 6 8 B 3 2 A ( 6 ) , 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 nd 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 l o n t ; o r f o r a n ycomme r c~ l p u r p o s e b y a ny p er 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 .

    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 l s c l o s u n i l a w r e q u i r e s c a n d i d a t e c o m m i t t e e s t o d i s c l o se 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 V mml t t e a 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 b ym a r n a g e ) I f s u r name 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 Wer 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 mn

    Page 1 o f 1( f o r Sc h e d u l eAI

    DATERECE I VED PA C v _NI Z I n v mc r a( i f a p p l i c a b l e ). _ . . _ . _ _ r iT O CANDI DATE' T L L I a TRECE I VED I F FOFUND

    ( MMI DDI YR) AND PAC CHECKNUMBER( i f a p p l i c a b l e ) RAI S EI NCOM- _I D# K a t h l e e n S c h l i n e n h a r t $ 5 0 05 ! 1 8 1 0 6 S tCK# 8 0 1 E . Sh e r i d a nN e w b e r g , OR 9 7 1 8 2

    I D# Pal l F e l d i c k 5 05 , ' 1 8 / 0 6 CK# 4 3 3 5 J e f f e r s o n S t r e e tS i o u x C i t y , I A 5 1 1 0 8Donna C a r l i n 1 0 05 ' 1 8 ! 0 6 CK# 43 Ar l i ng t o n RoadS i o u x C i t y , I A 5 1 1 0 6I D #

    5 1 2 3 ! 0 6 CK# L i s a K r o g e rWa l d e n3 4 0 4 Av e 5 0c i n ny C i t y TA ~ 1 1 0 6I D# B a n e J am e s 1 0 05 1 , 2 3 ; 0 6 CK# 5 0 J am e s WayF r a n k l i n S nn s , GA 3 0 6 3 9I D# J a n e t Mc F a r l a n e 2 0 0S i 2 2 l 0 6 C K i t 2 0 2 W 3 3 r d S tS i o u x C i l A 5 1 1 0 4L a r r y Wa l s h 2 0 05 / 1 6 / 0 6 M a r t i n ' s Y a r d3 8 1 0CK# S i o u x C i t y , I A 5 1 1 0 4I D# r v -I 1C K#

    D#C K#I D#C K#

  • 8/7/2019 Blanchard Barbara__1646__scanned

    3/4

    J Ut I - 0 9 - ? CC5 1 5 : 0 3 D D- 1 STAPF . ' f = E t 1TEFFo r I n s t l r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I

    I n c l u d i n g C a n d i d 3 1 8 ' S p e r s o n a l f u n d < )COMMI TT EE NAME ( Mu s t b e s ame a s o n S t - I l l f ~ _Ci t i z em f o r Bl a n ch a r d

    STATE CANUMBER A IDI SCLOSUiNOTE : Ar vRESPON

    1 7 1 2 2 7 9 1 6 1 9 8 P . 0 , ' . '

    ND I D AT E S NOT E I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TT EE ) . L I S T THE PAC I DENT I F I CATI ONNO THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNhEBOARDY PERSON, OTHER THAN AN I ND I V I DUA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NG; A B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD.

    CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , 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 op i e d f r o m r e p o r t s a nd 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 r f o r a n ycommer c I p ur p o s e b y a ny p er s o n o t h e r t h en 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- TOTAL

    TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e )1 2 00

    $ 1 2 00* D i s C i o t u r v i l a v r r e q u i r a s : : e n d i d a t e c ommi t t e e s I C d i s c l o s e t h e r e l s t l c n s h l 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 ommi t t e e R e l a t i o n s h i p mus t b e &Mown 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 ymer nege i . 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 sa me a s c a n d i 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 l t 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 ul e A)

    TOTAL = ' .

    SCHEDULEA MONETARY( R ev , 0 7 1 03 ) RECEI PTSCHECK T HI S BOX I F

    1 AMENDI NG FORM

    DATA PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOU14 T ~: I FRECEI VED ( 1 f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FJN( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NC

    I D# Ka t h l e en S c h l i t t e n h a r t 51 s t e r - ' t o - $5005! 1 8 ! 06 CK# 8 0 1 E Sh e r i d a n S t .Newbe r g , OR 9 7 1 8 2I D#

    IP a t r i c i a F e l d i c k 505 1 8/ 0 6 CK# 43 35 J e f f e r s o n St r e etCC i t y . J A 5 1D o n n a Ca r l i n 1 005 ! 1 3 ; 0 6 CK# 4 3 Ar l i n gt o n Roa dSi o u x C i t y , I A 5 1 1 0 6

    I I D#L i s a K r o g e r 505 1 23 ' 0 6 CK# ?404 Wa l d e n Av e .Si mi x C i t y TA 51 1 06I D# B a n e James 1 ( 1 05 ! 2 3 ! 0 6 CK# 5 0 J ames Wa yF r a n k l i n S r i n s GA 30 6 39

    I D# J a n e t Mc F a r l a n e 2005 / 2 2 x 0 6 CK# 202 W3 3 r d StSi o ux C i t y , I A 5 1 1 0 4

    1 0# L a r r y Wa l s h 2 005 / 1 6 / 0 6 CK# 3 8 1 0 Ma r t i n ' s Ya r dSi o u x C i t y , I A 51 104 _I D#

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

  • 8/7/2019 Blanchard Barbara__1646__scanned

    4/4

    T U r I - C , ~ _ - ' 0 0 h 1 5 : 1 5 B ( - I J ETAPI CE r J T E P 1 7 1 2 2 7 9 1 6 13 e P . O- 0 ,

    ( f o r S c h e d u l e B )TOT HL P . J

    FOR I &STRUCT I ONS, SEE BACK OF FORM SCHEDULE ~EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 r 0 3 ) EXPEND I TURES

    STATE P C COMMI T T EES : NOTE : FOR CONTR I BUT I ONS MADE TO STATEWI DE OR L E GI S L AT I V E CHECK T HI S BOX I FCAND I DA ES . L I S T THE CAND I DATE I DE NT I F I C AT I ON NUMBER I N THE DES I GNATED COL UMN AND THEPA C C H s ( ' K NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AV AI L ABL E FROM THE I OWA AMENDI NG FORMETHI CS 3 AMPA I GN DI SCLOSURE BOARD .COMMI t TEE NAME ( M u s t b e s ame 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 )C i t i z e n s f o r Bl a n c ha r d

    CAND I DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I TURE ( D ESCRI B E TRANSACT I ON ) EXPENDEDEXPENDD ( I f a p p l i c a b l e ) ( D i s b u r s e me n t ) WASMADE( MM/ DD R) A ND P AC

    CHECKNUMBER

    I D# V i c t o r y S t O r e . Co m S i g n s5 / 2 3 1 0 6 5 2 0 0 SW3 0t h S t . 4 7 $ 1 , 1 7 8 . 7 5CK# Da v e n p o r t , I A 5 2 8 0 2I D# GP P r a n c i n g P r i n t i n g

    5 / 2 3 / 0 6 P . O . Bo x 7 4 7 3 , 3 0 2 . 4 5CK# h l u s c a t i n e , I A 5 2 7 6 1 _ -I D # OP P r i n t i n g P r i n t i n g

    5 1 2 3! 0 6 p . 0 . Bo x 74 7 6 , 1 2 . 2 0CK# Mu s c a t i n e , I A 5 2 7 6 1I D# Av e r y Ou t d o o r Ad v e r t i s i n g5 / 2 6 / 0 6 CK# PO Bo x 23 5 4 , 6 45 . 0 0Si o u x Ci t y ( A 5 1 1 0 2- 0 2 3 5

    CK#

    I D #CK#I D #CK#I D#CK#

    SUB - TOTA L S 9 , 7 6 8 , 4 3TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) S 9 , 7 6 8 . 4 3

    T HI S BO A PP L I E S TO CAND I DATES ' COMMI TT EES ONL Y :Pu r c h a s e 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 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 e p e n o t t u r o r t o p e mo n s i e n t i t l e c 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 v r d - r a i s i n g , p o l l i n g , m a n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l t e mi z e d o nS c h e d u l e G b y t h e a mo 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 mad e b y t h e p e r s o n l e r T t 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 mm i t t e e . ( R e f e r t oS r ? t e d w w ( ~ i n s t r u c t c t i o n a a n d I o w a C o d e 6 BA . 4 0 2 ( 3 ) ( i ) . )