central iowa building and construction trades council pac6017scanned

8/7/2019 Central Iowa Building and Construction Trades Council PAC__6017__scanned

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FORI NSTRUCTIONS, SE E BACK OF FORM

DI SCLOSURE SUMMARY PAGE

COMMI TTE E NAME ( M u s t b e same a s o n S t a t e me n t o f Or g an i z at i o n)

Ca q~mc h c r f Cc h ~I MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u 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 / 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

( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( 5 ) C o u n t y C a n d i d a t e ( 8 ) 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 S u b d i v i s i o n C a n d i d a t e ( 8 ) 1 p o PAP_( 9 ) C d y P A G : Q U o o l B o a r d o r O t h e r P o l i t i c a l

S u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t i s s

ws~~a x ~+e v r r x a a r r +w: r , sy ' ~'. 3 c r

~J C. XSL . . _A n l ~1 1- 4 , -2SI GNATURE OF PERSON FI L I NG REPORT

I AM F I L I N G A

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

FI CHECK I F AMENDMENT TO REPORT DATED

0 Check 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 F or m DR- 3 .( Y o 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 DR- 3 i s f i l e d . )

R e s e t Fo r m

S I S2y33Zc l V_TEL EPHONE

REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT I ON YEAR .I n d i c a t e b y # I f l

STATEMENT OF CASH ON HAND

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 o t a l o f a l l f u n d s h e l d b y t h e

c o mmi t t e e . T h i s amoun t MUST b e t h e same a s t h e c a s h o n h a n 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADDTOTAL MONEYTAKEN I N THI S PERI OD

Sc 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 ) . . . . . . . . . .S c h e 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 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 Sc h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a p p l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )

SUB- TOTAL . . . . . $

SUBTRACT TOTAL MONEY SPENT TH I S PER I OD

Sc 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 ) . . . .Sc h e d u l e F : L o a 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 must

b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

* * UNPAI D BI 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 KI ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" OUTSTANDI NG LOANS ( 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CAND I DATE COMMI TTE ES ONLY :

CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )

VALUEOF 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 ) $

FORM

DR- 2 DI SCL OSURE

( R e v . 0 7 / 2 0 0 4 ) REPORT

F o r O f f i c e Us e O n l y

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S c a n n e d

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~2 - 1 r 7 22-

2 - g q - 7 DD

6 3 c l u . 22

CAND I DATE COMMI TTEES ONLY:

Ca n d i d a t e Name l 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 )L a t e r e p o r t s a r e s u b j e c t t o

t i s t r i c t

p o s s i b l e c i v i l a n d c r i m i n a l

O f f i c e S o u g h t ( i f Se n a t e o r H o u s e ) p e n a l t i e s .



Fo r I n s t r u c t i o n s , Se e Back o f F o r m

CONTRI 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 TTEENAME ( Mus t be s ame a s o n S t a t emen t o f Or g an i z a t i o n)

( .. l -cl Cor) S- Fmchu! T2+CU1 Cc 1

Rese t Fo r m

STATECANDI DATES NOTE: I F ACONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CAL ACTI ONCOMMI TTEE) , L I S T THEPAC I DENT I F I CATI ON

NUMBER AND THEPACCHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GN

DI 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 mat i o n c op i e d f r o m r e p o r t s an d s t a t e me nt s f o r s o l i c i t i n g c ont r i b ut i o ns o r

f o r an y c o mme r c i a l p u r p o s e b y an y p e r 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 .

SUB- TOTALI $ , 6,4q

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D i s c l o s u r e l aw r e q u i r e s c a nd i d at e c ommi 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 ng a c o n t r i b u t i o n t o t h e

c ommi t t e e . R e l a t i o n s h i p mu st 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 ) and a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e ) . I f s u r n ame o f c o n t r i b u t o r i s t h e s ame as c a n d i d a t e , b u t t h e r e i s no ' P a g e o f

f a m i l i a l r e l a t i o n s h i p , e nt 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 o o l umn . ( f o r Sc h e du l eA)

SCHEDULE

A MONETARY

( Re v . 0 7 1 0 3 ) RECEI PTS

CHECK T HI S BOX I F

AMENDI NGFORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FOR

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r m

CONTRI BUTI ONS - - MONEY TAKEN I N


COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f Or g a n i z a t i o n )

R e s e t F or m

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 T T E E ) , L I S T THE PAC I D EN T I F I C AT I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA E T HI C S AND CAMPAI GN

DI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B. 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 an 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 r

f o r a n y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an 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- TOTAL

TOTAL ( I f l a s t page o f t h i s s c h ed u l e )

* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i 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 a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p mu 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 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 a n d i d a t e , b u t t h e r e i s n o Pa ge o ff 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 c h e d u l e A)

SCHEDULE

A MONETARY

( Re v . 0 7 / 0 3 ) RECEI PTS

CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f 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 l i c a b l e ) RAI SER

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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 Fo r m

CONTRI BUTI ONS - - MONEYTAKEN I N


Re s e t Fo r m

COMMI TTEE NAME ( Mu s t b e s ame a s on St a t eme n t o f Or g a n i z a t i o n )

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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 T T E E ) , L I S T THE PAC I D EN T I F I C AT I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GN

DI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa 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 op i e d f r o m r e p o r t s an 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 an y comme r c i a l p u r p o s e by an 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 .

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 )

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e o o mm i 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 a n y r e l a t i v e m a k i n g a o o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p mu s t b e s h own 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 r i a g e ) . I f s u r n ame o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r 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 umn .

Page o f 3

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

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0 CHECK T HI S BOX I F

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RECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI V ED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

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T H I S BOX A PP L I E S TO CAND I DATES ' COMMI TTE ES ONLY :

P u r c h a s e s o f c e r t a i n c a m p a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r m o r e m u 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 x p e n 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 , 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 m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a m o 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 m a d e 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 o f t h e c a n d i d a t e ' s c o m m i t t e e ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a C o d e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

P a g e O f

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

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PA C CHECKNUMBER FOR E A CH EXPEND I T URE . A L I S T OF I D NUMBERS I S A V A I L A BL E FROMTHE I OWA AMENDI NG FORMETHI C S & C AMPA I GN D I S C L OS UR E BOARD.

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T H I S B O X A P P L I E S T O C A N D I D A T E S ' C O M M I T T E E S O N L YPu 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 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 he 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 . )

E x p e n d i t u r e s t o p e r s o n s t 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 , 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 i t e mi z e d o n

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