Mechanical Contractors Association of Iowa PAC__9704__scanned

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  • 8/7/2019 Mechanical Contractors Association of Iowa PAC__9704__scanned

    1/4

    10/ 1, 8/ 04 15 : 28 FAX 51 5 33 4 2 62 0

    FOR I NSTRUCTI ONS, SEE BACK OF FORM

    DI SCLOS URE SUMMARY PAGE

    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 )

    Mech a n i c a l Co nt r ac t o r s As s o ci a t i o n o f I o wa P o l i t i c a lAc t i o nCommi t t c e

    I MPORTANT: I n d i c a t eb y # t y p eo fc o mmi t t e ey o u a r er e p o r t i n gf o r.,( 1 ) S t a t e w i d e / L e g i s l a f v e / J u d g eS t a n d i n gf o r( 4 ) C o u n t yC e n t r a lCommi t t e e( 5 ) C o u n t yCaP o l i t i c a lS u b d i v i s i o nCa n d i d a t e( B ) C o u n t yP ,S u b d i v i s i o nPA C ( 1 1) L o c a lB a l l o tI s s u e

    I AM F I L I NGAOc t o b e r 1 9 ,2 0 0 4

    MCAI

    ( r e p o r td a t e )

    OCHECK I FAMENDMENT TO REPORT DATED

    l r r 1 9 - n i l f . - 1 ) 4 , - , Q I - - ~ Z - 7 n 1

    o n Ca n d i d a t e( 2 ) S t a t ePAC ( 3 ) S t a t eP a r t yCa n d i d a t e( 7 ) S c h o o lB o a r do rO t h e r, S c h o o lB o a r do rO t h e rP o l i t i c a l

    W~i k~y~4

    P o l i t i c a l

    0 Che c k i f t h i si s f i n a l( t e r m i n a t i o n )r e p o r tan d a t t a c hN o t i c eo f D i s s o l u t i o nF o r m DR- 3.( You mus t c o nt i n uet o f i l er e p o r t su n t i la DR- 3 I s f i l e d. )

    FORM

    DR- 2 DI SCLOSURE( Re v . 0 7 / 2 0 04 ) REPORT

    Fo rO f f i ceU s e On l y

    Comm . #

    Log g e d

    Scanned

    Compu t e r

    A u d i t e d

    La t e r e po r t s a r e Su b j e c t t o

    p os s i b l e c i v i land c r i mi n alp en al t i e s .

    DATE SI GNED

    REPORT FOR ( 1 )ELECTI ON / ( 2 ) NON- ELECT I ONYEAR .

    I n d i c a t eb y# 0

    STATEMENT OF CASH ON HAND

    CASH ON HAND a t t h eb eg i n n i n g o ft h e r e p o r t i n gp e r i o d. ( T o t a lo f a l l f u nd sh e l db y t h ec o mmi t t e e. Th i samou n t MUST b e t h e s ame a s t h ec a s h o n h a n d a t t h ee n do f t h el a s tr e p o r t i n gp e r i o do r mu s t b ez e r oi f t h i si s f i r s tr e p o r tf i l e d. ) . . . .. . . . .. . .. . . .. . .. . .. . . . .. . . . . . .$

    ADD TOTAL MONEY TAKEN I NTHI S PERI OD

    Sc h e d u l eA : Ca sh C o n t r i b u t i o n st o t a l( A t t a c hSc h e d u l eA) ( ' a l s os e e i n - k i n db e l o w). . .. . . . . . .

    Sc 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 hSc h e d u l e F ) - - - - -. . . . . . .. . . . .. . .. . . . . . . . .. . . . . .. . . . .. . .. . . . . . . . .. . .

    Sc h e d u l e H : T o t a lSa l e s o f Campa i g n P r o p e r t y( A t t a c hSc h e d u l eH) . . .. . . . . .. .. . . . .. . . . . . . . . . .. . . .

    ( Sc h e du l e( Sc h e du l e H a p p l i e s t oCa nd i d a t e s ' Commi t t e e s On l y )

    SUB- TOTAL . . . .. $ 5 73 5 _ 0 0

    SUBTRACT TOTAL MONEY SPENT THI S PERI OD

    Sc h e d u l e B : Ex p en d i t u r e st o t a l( A t t a c hSc h e d u l e B) ( " a l s os e e d eb t s an d l o a n sb e l o w). _ . 3 7 6 3. 7 8

    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 hSc h e d u l e F ) . . . . .. . .. . .. . . . . . . .. . . . . .. . . . . . . . .. . . . .. . . . . .. . .. . . . 0 _ 0 0

    CASH ON HAND a t t h e e n d o f t h i sr e p o r t i n gp e r i o d( i ff i n a lr e p o r tb al a nc e mus t1 9 7 1 . 2 2

    b e z e r o )( A t t a c hDR- 3 ) . . . .. . .. . . . . _. .. . . _ .. . . .. . .. . . . . . . . . . ... . . _. . . . . . . . . .. . . . .. . .. .. .. . . . .. . . . . . . . . . . . . .. . . . . .. . .. . . . .. . . . . . .. $

    " UNPAI DBI L L S( F r o mSc h e d u l e D - A t t ac hSc h e d u l e D) . .. _. .. . .. . _. . . . .. . . . . . . .. _. _ . . .. . .. . . . . . . .. .. . . . . . .. . .. . .. . . . . .. $ 0 _ 0 0

    ' I NK I NDCONTRI BUTI ONS ( F r o mSc h e d u l e E- A t t a c hSc h e d u l e E) . . .. . . . . . .. . . . . . . . _. . .. . . . . . . . . . . . . . .. . .. . . . .. . $ 0 . 0 0

    " OUTSTANDI NG LOANS ( F r o mSc h e d u l e F- A t t a c hSc h e d u l e F ). . . . . . . . . . . . . . . . . .. . .. . . . .. . . . . . . . .. . . . . .. . . . . . . . . .S 0_ 0 0

    CANDI DATE COMMI TTEES ONLY :

    CONSULTANT BREAKDOWN ( Sc h e d ul e G At t a c h e d? )

    VALUE OF CAMPAI GN PROPERTY ( F r o mSc h e d u l e H - A t t a c hSc h e d u l e H) $

    Z 0 0 1

    L o c a lC ommi t t e e s ,e n t e rDa t eo f E l e c t i o n

    Co u n t y&L o c a lCo mmi t t e e s ,e n t e rCo u n t yi nwh i c h E l e c t i o ni s h e l d

    3 9 8 5 _ 0 0

    1 7 5 0 _ 0 0

    0 . 0 0

    0 . 0 0

  • 8/7/2019 Mechanical Contractors Association of Iowa PAC__9704__scanned

    2/4

    1 0/ L 8/ 0 4 1 5 : 2 9 FAX 5 15 33 4 2 62 0 MCAI

    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( I n c l u d i n gc a nd i d a t e ' sp e r s o n a lt u n d s )

    COMMI TTEENAME ( Mu s t b e same a s o n S t a t emen t o fOr g a n i z a t i o n )

    Me c h a n i c a lC o n t r a c t o r sA s s o c i a t i o no fI o waP o l i t i c a lAc t i o nC o m r n i t t c e

    SCHEDULE

    A( R e v. 0 7 / 0 3 )

    0 0 2

    MONETARYRECEI PTS

    CHECK TH I SBOX I FAMENDI NGFORM

    STATE CANDI DATES NOTE : I FA CONTRI BUTI ON1 3 RECEI VEDFROM A STATEPAC ( P OL I T I CALACTI ONCOMMI TTEE) ,L I S TTHEPAC I DENTI F I CATI ON

    NUMBER AND THEPAC CHECK NUMBERI N THE DESI GNATEDCOLUMN,A L I S TOF I DNUMBERS I SAVAI LABLEFROM THE I OWAETHI CSAND CAMPAI GNDI SCLOSUREBOARD .

    CAUTI ON : Sec t i o n 6 8B . 3 2 A( S ) ,I o wa Code , p r o h i b i t st h e u s e o f i n f o r ma t i o nc o p i e d f r o mr e p o r t sa n d s t a t eme n t s f o rs o l i c i t i n gc on t r i b ut i o ns o rf o ran y c omme r c i a l p u r p o s eby a n y p e r s o n o t h e r t h an s t a t u t o r yp o l i t i c a lc o m r r i l t f e e s.

    D i s c l o s u r el a wr e q u i r e sc a nd i d a t ec ommi t t e es t od i s c l o s e t h er e l a t i o n s hi p o fa n y r e l a t i v ema ki n g ac on t r i b ut i o n t ot h ecommkt ee. Re l a t i o n s h i pMUBt b e s h ownt o t h eL 1 l r dd e g r e eo f c o ns a ng u l n l t y( b l o o dr 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 sby 1 1ma r r i a g e ). I fs u r n ame o f c o n t n b u t o r i s t h e same a s c a n d i d a t e ,b ut t h e r ei s n o Page o ff a mi l i a lr e l a t i o n s h i p ,e n t e r" n o ta p p l i c a b l e "i nt h e r e l a t i o n s h i pc o l umn. ( f o rS c he du l eA)

    DATE PACI DNUMBER NAME AND ADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT I I FFORRECEI VED ( i fa p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i fa p p l i c a b l e ) RAI SER

    NUMBER I NCOME

    I D# Mar kW . ADe n ,32 0 S. E. 6 t hS t r e e t ,Des Mo i n e s ,I A $ 5 0 0. 0 09 / 0 8 / 0 4 CK# 50304

    I DSEdwar dJ . Al l en , 7 65 0 Ha r b a c hBl v d. , C l i v e ,l A

    9 / 1 6 / 0 4 CK# 5 0 3 2 55 0 0. 0 0

    I D#

    9 / 2 7 / 0 4Ne i lD . C a d b u r y ,3 59Loomi sAv e n u e ,F o r tD o d g e ,I A5 0 5 0 ) - 2 4 1 6 2 50. 0 0 E : JCK#

    I D#B e r n a r dJ. Ba k e r , I I I ,1 1 0 5 Gl e nOaks D r i v e ,Wes t

    1 0 / 1 1 / 0 4 CK# Des Mo i n e s ,I A5 0 2 6 6 5 0 0 _ 0 0

    I D#

    CK#

    I D#CK#

    I D#

    C: # #

    ID#

    CK#

    I D#

    CK#

    I D#CK#

  • 8/7/2019 Mechanical Contractors Association of Iowa PAC__9704__scanned

    3/4

    1 0/ 1 B/ 0 4 1 5 : 2 9 FAX 5 1 5 3 3 4 2 6 2 0 MCAI

    THI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :

    P u r c h a s e so f c e r t a i nc a mp a i g np r o p e r t yc o s t i n g$ 5 0 0o rmo r emu s ta l s ob e I n v e n t o r i e do nS c he d u l eH _ ( R e f e rt o S c h e d u l eHi n s t r u c t i o n s. )

    E x p e n d i t u r e st op e r s o n s l e n t i t i e sp r o v i d i n gc 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 na g i n g , o r g a n l A ngs e r v i c e smu s ta l s ob e d e t a i li t e m i z e do nS c h e d u l eG b y t h ea mo u n t ,p u r p o s e ,a n d d a l eo fe a c ht y p e o fe x p e n d i t u r emadeb yt h e p e r s o n / e n t i t yo nb e h a l fo f t h e c a n d i d a t e ' sc o mmi t t e e. ( R e f e rt oS c h e d u l eG I n s t r u c t i o n sa n dI o w aCo d e 6 8A. 4 0 2 ( 3 ) ( I ). )

    003

    ( f o rS c he d u l eB )

    FOR I NSTRUCTI ONS, SEE BACKOF FORM SCHEDULE

    B MONETARYEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v_ 0 7 10 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DE OR LEGI SLAT I VE CHECK THI SBOX I FCANDI DATES,L I STTHE CANDI DATE I DENTI FI CATI ONNUMBER I NTHE DESI GNATEDCOLUMN AND THE

    PAC CHECKNUMBER

    FOREACH EXPENDI TURE. A L I S TOF I DNUMBERS I SAVAI LABLEFROMTHE I OWA AMENDI NG FORM

    ETHI CS& CAMPAI GN DI SCLOSUREBOARD .

    COMMCOMMI TTEE NAME ( Mu s t b e samea s o nSt a t eme n t o fO r g a n i z a t i o n )LMe c h a n i c a lC o n t r a c t o r sA s s o c i a t i o no f I o wa f h t i e s lA c t i o nCommi t t e cCANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

    DATE I DNUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED G fa p p l i c a b l e ) ( D i s b u r s e m e n t )WAS MADE( MWDDI YR) AND PAC

    CHECKNUMBER

    I D# 1 5 0 0 a n df o rS e na t e ,P a tWar d ,1 5 4 5 Gl e n Campa i gnC o n t r i b u t i o n8 / 1 9 / 0 4

    Oak sD r i v e ,Wes t Dc s Mo i n e s ,I A $ 1 0 0. 0 0

    CK# S t a r t e rCk . 5 0 2 6 6

    I D# 9 31 I v c r s o nf o rS e n a t e ,S t e w a r tJ . Campa i g nC o n t r i b u t i o n9 / 1 3 / 0 4

    C K # S t a r t s rCk 5 0 0 7 1 sWT l l l a ms 5 0 0. 0 0

    c a d ,Dowst oI D#1 3 3 4 Wa t t sf o rH o u s e ,Ra l p hWa t t s ,2 5 2 4 Campa i gnC o n t r i b u t i o n

    9 / 1 5 / 0 4CK# S t a r t e rCk .

    r o s p e c tAv e n u c ,A d e l ,I A50003 3 0 0. 0 0

    I D#1 5 2 1 Zau n f o rI owa S e n a t e ,B r a dZ a u n , Campa i gnC o n t r i b u t i o n9 / 2 0 / 0 4

    C K # S t 3 r t e rCk1 2 5Do u g l a sAv e . ,Ur b a u d a l e ,l A 5 0 0. 0 00 3 2 2

    I D#9 6 5 Mc I C i b b e nf o rS e n a t eC ommi t t e e , Campa i gnC o n t r i b u t i o n9 / 2 0 / ( 1 4

    CK#L a r r yMc Ki bben ,P . O. Bo x 3 0 8 , 2 00. 0 0

    S t a r t e rCk Ma r s ha l l t o v i n l ,L 4 , 5 0 1 5 9I D# 11 6 9 L a m b e r t if o rS e n a t e ,J e f fL amb e r d , Campa i gnC o n t r i b u t i o n

    9 / 2 0 / 0 4CK#

    6 2 1N . W. 1 7 t hS t r e e t ,Ank c n y,I A. 5 00. 0 0S t a r t e rCk . 0 0 2 1

    I D# 662 R a n t sf o rH o u s c ,C h r i s t o p h c rR a n t s , Campa i gnC o n t r i b u t i o n9 / 2 0 / 0 4

    CK#7 40 S o u t hGl a s sS t r e e t ,S i o u xC i t y , 5 0 0. 0 0

    S t a r t e rCk . 1A51106

    I D# 5 8 6 Gi p pf o rR e p r e s e n t a t i v eCo mmi t t e e ,Campa i gnC o n t r i b u t i o n9 1 2 0 / 0 4

    CK#h u c kGi p p ,2 12Hi g h , D e c o r a h ,I A 5 00. 0 0

    S t a t t c rCk 5 2 1 0 1

    SUB- TOTAL $ 3 1 0 0. 0 0TOTAL( i fl a s tp a g e o f t h i ss c h e du l e ) $

  • 8/7/2019 Mechanical Contractors Association of Iowa PAC__9704__scanned

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    1 0 /1. 8 / 0 4 1 5 : 2 9FAX 5 1 5 3 3 4 2 6 2 0 MCAI 0 0 4

    THI SBOX APPLI ESTOCANDI DATES'COMMI TT EES ONLY :

    P u r c h a s e so f c e r t a i nc amp a i g np r o p e r t yc o s t i n g$ 5 0 0 o rmo r emu s ta l s ob e i n v e n t o r i e do nSc h e d u l eH. ( R e f e rt o S ch e d u l eH i n s t r u c t i o n s. )

    E x pe n d i t u r e st o p er s on s / e n t i t l e s p r o v i d i n gc on su l t i n g , a dv er 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 esmusta l s ob e d o t a t lI t e mi z e do nSc h e d u l eG b y t h ea mo u n t ,p u r p o s e ,a n dd a t eo fe a c ht y p eo fe x p en d i t u r emade b y t h ep e r s o n l e n t i t yo nb e ha l fo f t h ec a nd i d a t e sc o mmi t t e e. ( R e f e rt oSc h e d u l eG i n s t r u c t i o n sa nd I o waCode 6 BA. 4 0 2 ( 3 ) ( I ). )

    ( f o rSc h e d ul eB )

    ,,F OR I NSTRUCTI ONS,SEE BACK OF FORM u ~L.a~ ,. . . . . . . . ." . ~W. .M+n~ drwel i 1 ~,~ . .. . , . ~ SCHEDULE

    B MONETARYEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v. 0 7 1 0 3 ) EXPENDI TURES

    STATEPAC COMMI TTEES: NOTE: FOR CONTRI BUTI ONSMADETO STATEWI DE ORLEGI SLAT I VE L ] CHECK THI S 60X I FCANDI DATES,L I S TTHECANDI DATEI DE NT I F I CAT I O NNUMBERI NTHEDESI GNATEDCOLUMNANDTHEPAC CHECKNUMBERFOREACHEXPENDI TURE. A L I S TOF I DNUMBERSI SAVAI LABLEFROMTHE I OWA AMENDI NG FORM

    ETHI CS&CAMPAI GNDI SCLOSUREBOARD,

    COMMI TT EENAME ( Mu s tbe s ame a s o n S t a t eme n to f Or g a n i z a t i o n )

    Me c h a n i c a lC o n t r a c t o r sAs s o c i a t i o no f I o waP o l i t i c a lAc t i o nCommi t t e e

    CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I DNUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDED

    EXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e me n oWAS MADE( MMI DPf YR) AND PAC

    CHECKNUMBER

    1D# 1 2 1 6 E l g i nf o rS t a t eR ep r c s e u t a t i v e ,J e f f r e y Campa i g nC o n t r i b u t i o n9 / 2 3 / 0 4 E l g i n ,6 9 4 0BowmanL a n e ,N . E. ,

    $2 0 0. 0 0

    CK# 2 0 0 1 Ced a rR ap i d s ,I A5 2 4 0 2

    I D# 9 52 Lundbyf o rI o waS c n at e ,Ma r y Campa i g nC o n t r i b u t i o n9 / 2 3 / 0 4 CK# u n d b y ,P . O. Ho x 5 6 3 , Ma r i o n ,I A 2 50. 0 02 0 0 2 2 3 0 2

    I D# 1 2 1 7 Di c kT ay l o rf o rS t a t cR ep r e s e n t a t i v c ,Camp a i g nC o n t r i b u t i o n1 0 / 1 4 / 0 4 ' c h a r dT ay l o r ,2 7 2 1 31 s tS t r e e t ,S_W. , 2 0 0. 0 0

    CK# 2 0 0 3 e d a rR ap i d s ,I A5 2 4 0 4

    ID#We l l sF a r g oBank ,DesMo i n c s ,I A Ba nkS c r v i c eC h a r g e s( c h c c kr e t u r n

    9 / 3 0 / 0 4CK# f e e )

    - f o rr e p o r t i n gp e r i o d. 1 3. 7 8

    I D#

    CK#

    I D#

    CK#

    I D#

    CK#

    I D#

    CK#

    SUB- TOTAL $ 6 6 3. 7 5

    TOTAL( I fl a s tp a g e o f t h i ss c h e d ul e ) $ 3 7 6 3. 7 8