Roberts Rod1110scanned

8/7/2019 Roberts Rod__1110__scanned

1/5

FORM Dr 2 : Di s c l o s u r e Summar y Page

I D # : 1 11 0Co mmi t t e e Rod Ro be r t s f o r I o wa HouseComm T y p e Ge n e r a l Ass embl y Ca nd i d a t e

Da t e Due : 0 1/ 1 9 / 20 02R e p o r t Year 2 0 0 0T r e a s u r e r : Thomas L Br i n c k s ( 7 12 ) 7 9 2 - 9 8 99

C h a i r Wayne Seaman ( 7 12 ) 7 9 2 - 5 3 21Co u n t y

E l e c t i o n Da t e 1 1 / 0 7 / 20 00

St a t e me n t o f Cash On Hand

Add i t i o na l As s et s and L i a b i l i t i e s

P r i n t e d a t t h e l o v t h i c s 8 < Ca mp a i g n Di s c l o su r e Boa r d ,

No t e : Fb " F l a g " s y mb o l i z e s i n f o r m a t i o n e n t e r e d b y I ECDB A u d i t o r .FORM DR- 2 : Ro d Ro be r t s f o r I o wa Hou seP r i n t e d a t t h e I o wa E t h i c s & C a mp a i g n Di s c l o su r e Boa r d , 0 1 / 2 8/ 2 0 02 1 4 : 0 6 : 2 7

1 8 / 2 0 0 2 1 4 : 0 6 : 2 7

L t ; jCOMMI T T EE FQmELECTROMCALLY

SE E REPORT DETAI N I C I ? R . SCOMPUT ER AVA I LABLE I N PUSL I C AREA

DR- 2

Cash On Hand a t S t a r t o f P e r i o d $ 6 , 2 6 3 . 1 5Sc h e du l e A Cas h C o n t r i b u t i o n s T o t a l $ 5 0 0 . 0 0 . -

Sc h e du l e F L oa ns Re ce i v e d T o t a l $ 0 . 0 0Sc h e d u l e H Camp a i g n P r o p e r t y S a l e s $ 0 . 0 0

SUB- TOTAL $ 6 , 7 6 3 . 1 5Sc h e d u l e B E x p e n d i t u r e s T o t a l $ 2 1 5 . 0 0

Sc h e du l e F Cas h L o a n Re p a y me n t s $ 0 . 0 0Cas h o n Ha nd A t En d o f Pe r i o d $ 6 , 5 4 8 . 1 5Loans i n P l a c e a t S t a r t o f P e r i o d $ 0 . 0 0Sc h e du l e D UnPa i d B i l l s $ 0 . 0 0

Sc h e du l e E I n - K i n d C o n t r i b u t i o n s $ 0 . 0 0Sc h e du l e F F o r g i v e n Loans $ 0 . 0 0

Sc h e d u l e F Ou t s t a n d i n g Loans $ 0 . 0 0Sc h d ul e G C o n s u l t a n t Br eakdown? No

Sc h e d u l e H Camp a i g n P r o p e r t y Va l u e $ 3 , 6 7 7 . 9 4

St at u t o r y Due Da t e 0 1/ 1 9 / 2 0 0 2Ad j u s t e d Due Da t e 0 1 / 2 2/ 2 0 02

Re c e i v e d Da t e 0 1/ 2 5/ 2 00 2Po s t ma r k Da t e 0 1 / 2 2/ 2 00 2

Amende d


2/5

FORM DR- 2 Di s c l o s u r e Summar y r a g eI D 1 1 1 0

Co u n t y : Ca r r o l lT y p e St a t e HouseT r e a s Thomas Br i n c k s ( 7 1 2 ) 7 9 2 - 9 8 9 9Name Rod Rob er t s f o r I o wa House

Re p o r t Du e Da t e 0 1 / 1 9 / 2 0 0 2Co mmi t t e e C h a i r Way ne Seaman ( 7 1 2 ) 7 9 2 - 5 3 2 1

S t a t u s Or i g

Co u nt y Ca r r o l lN o t i c e o f D i s s o l u t i o n N/ A

S t a t e me n t o f Cash On Hand

Ad d i t i o n a l As s et s and L i a b i l i t i e s

Or i gT h i s Repo r t Was P r i n t e d Wi t h T h e I C FRS So f t wa r e on 0 1 1 2 2 1 2 0 0 2 03 : 3 9 : 3 1 PM

-Zao l I I L l 0 - bbo .3 - Sa y - , - YFORMR ~ DI SCLOSURI CF RS 4 / 9 8 REPORT

F o r O f f i c e Us e O n l yComm #I n d e x e dA u d i t e dC omp u t e r

1110

w_m.I l Lommo r- V

JAN 2 5 2 0 01 , -

Cash On Hand a t S t a r t o f P e r i o d $ 6 , 2 6 3 . 1 5Sc h ed u l e A Cash C o n t r i b u t i o n s T o t a l $500 . 0 0

Sc h ed u l e F L o a n s Re c e i v e d T o t a l $ 0 . 0 0Sc h e d u l e H C amp a i g n P r o p e r t y S a l e s $ 0 . 0 0

SUB - TOTAL $ 6 , 7 6 3 . 1 5Sc h ed u l e B E x p e n d i t u r e s T o t a l $ 215 . 0 0

Sc h e du l e F L o a n Re p a y m en t s T o t a l $ 0 . 0 0C a s h on Hand A t En d o f Pe r i o d $ 6 , 5 4 8 . 1 5

Loans i n P l a c e a t S t a r t o f P e r i o d $ 0 . 0 0Sc h e d u l e D UnPai d B i l l s $ 0 . 0 0

Sc h e d u l e E I n - K i n d C o n t r i b u t i o n s $ 0 . 0 0Sc h ed u l e F O u t s t a n d i n g Loans $ 0 . 0 0

Sc h d u l e G C o n s u l t a n t Br ea kdown? NoSc h e d u l e H Camp a i g n P r o p e r t y Va l u e $ 2 5 6 . 0 0

F o r g i v e n Loans ( Fr o m Sc hed ul e E ) $ 0 . 0 0


3/5

NEVER F I LED Page T o t a lRe p o r t T o t a l

T h i s Re p o r t Was P r i n t e d Wi t h Th e I CF RS So f t wa r e o n 0 1 1 2 2 1 2 0 0 2 0 3 : 4 2 : 4 0 PM

$ 5 0 0 .$ 5 0 0 .

Page 1 o f( f o r s c h ed u l e A

CE 1 ? J L E A : C o n t r i b u t i o n s - Mo n T a k e n I n SCHEDULE. I D : 1 11 0 MONETARYRECEI PTS

Name : Ro d Ro b er t s f o r I o wa H o u s e I CF RS 1 2 / 9 9NEVER F I LED

T y p e : S t a t e H o u s eCo mmi t t e e I DDa t e Re l a t i o n s h i p Amoun t

Re c e i v e d C h e c k # Name a n d Ad d r e s s o f Co n t r i b u t o r T o Ca nd i d at e Re c e i v e d0 1 / 2 6 / 2 0 0 1 I D : 9 0 2 5 Ca l h o un Co u n t y Re pu b l i c a n Ce n t r a l Co mmi t t e e $ 1 0 0 . 0Ch k # : 1 5 7 5 1 3 4 6 A u s t i n S t .Ro c k we l l C i t y I A 5 0 5 7 9EXPLANAT I ON : De p o s i t e d 0 2 0 2 0 1

[ # 8 7 3 ]1 0 / 1 7 / 2 0 0 1 I D : 60 6 7 I o wa He al t h PAC $ 2 0 0 . 0

Ch k # : 2 7 4 4 6 7 5 0 West own P r k y , S u i t e 1 0 0We s t De s Mo i n e s I A 5 0 2 6 6EXPLANAT I ON : D e p o s i t e d 1 0 / 1 8 / 0 1 .

[ # 8 7 4 ]1 0 / 1 9 / 2 0 0 1 I D : 60 5 9 I o wa Co mmi t t e e o f Au t o mo t i v e R e t a i l e r s ( I CAR) $ 1 0 0 . 0

Ch k # : 2 1 4 5 1 1 1 1 O f f i c e Pa r k R o a dWe s t De s Mo i n e s I A 5 0 2 6 5EXPLANAT I ON : D e p o s i t e d 1 0 / 2 4 / 0 1 .

[ # 8 7 6 ]1 1 / 1 3 / 2 0 0 1 Gr e t ema n , F r a n k No Re l a t i o n $ 1 0 0 . 0

Ch k # : 1 0 2 2 5 5 0 1 N. AdamsC a r r o l l I A 5 1 4 0 1EXPLANAT I ON : De p o s i t e d 1 1 / 2 1 / 0 1 .

[ # 8 7 5 ]


4/5

NEVERFI LED Page T o t a lRe p o r t T o t a l

$ 2 1 5 . 0$ 2 1 5 . 0

Page 1 o f 1T h i s Re p o r t Was P r i n t e d Wi t h Th e I CF RS So f t war e o n 0 1 / 2 2 / 2 0 0 2 0 3 : 4 2 : 5 8 PM ( f o r s c h ed u l e B

SCHEDULE B Ex p en d i t u r es - - Mo r S p e n t F r o m Co mmi t t e e A c c o u n t SCHEDULE MONETARYI D 1 1 1 0 B EXPENDI TURESI CF RS 1 2 / 9 9Name Rod Ro be r t s f o r I owa Hous eNEVERFI LED

T y p e St a t e Hous eDa t e Commi t t e e I D Name an d Ad d r es s To Whom E x p e n d i t u r e Amoun t E x p e n d eE x p e n d e d Chec k # ( D i s b u r s e me n t ) Was Made

0 2 / 0 9 / 2 0 0 1 Po s t ma s t e r $ 1 9 . 0Ch k# 2 2 8 C a r r o l l I A 5 1 4 0 1# 8 6 7 ] POSTAGE, SHI PPI NG, DEL I VERY : P . O . Bo x 2 41 s emi a n n ua l b o x r e n t

0 2 / 0 9 / 2 0 0 1 Ro be r t s , Ro d $ 3 9 . 5Ch k# 2 2 9 7 3 2 Sa n Sa l v a d o r Av e .C a r r o l l I A 5 1 4 0 1

# 8 6 8 ] PHOTOGRAPHY : 1 6 w a l l e t s i z e p i c t u r e s

0 8 / 2 9 / 2 0 0 1 Op t i o n s I n k $ 8 4 . 6Ch k# 2 3 2 5 2 8 N Ma p l e St . P . O . Bo x 6 5 4C a r r o l l I A 5 1 4 0 1

# 8 7 1 ] CAMPAI GN MERCHANDI SE : 1 Re d v i n y l s i g n

0 8 / 2 9 / 2 0 0 1 Po s t ma s t e r $ 1 9 . 0Ch k# 2 3 0 C a r r o l l I A 5 1 4 0 1

# 8 6 9 ] POSTAGE, SHI PPI NG, DEL I V E RY : P . O Bo x 2 4 1 s emi a n n u a l b o x r e n t

0 8 / 2 9 / 2 0 0 1 Ro be r t s , Rod $ 1 6 . 8Ch k# : 2 3 1 7 3 2 Sa n Sa l v a d o r Av e .C a r r o l l I A 5 1 4 0 1

# 8 7 0 ] CAMPAI GN MERCHANDI SE : 2 p k g . o f T o o t s i e R o l l s f o r 6 / 9 / 0 1 B e l l Towe r Pa r ad e a n d 7 / 1 7 / 0 1 C a r r o l l Co u n t y F a i r Pa r a d e

1 1 / 1 4 / 2 0 0 1 I D 9 1 6 5 Sac Co u n t y Re p ub l i c a n Ce n t r a l Co mmi t t e e $ 3 6 . 0C h k # : 2 3 3 Bo x 5 1Sa c C i t y I A 5 0 5 8 3

# 8 7 2 ] MI SCELLANEOUS OR UNI T EMI ZED : 2 t i c k e t s f o r Sa c Co u n t y F a l l Banque t


5/5

,S~ZHEDULE H: Campa i gn Pr o pe r t y , . , v e n t o r yI D : 1 1 1 0

Name : Ro d R o b e r t s f o r I o w a H o u s eT y p e : S t a t e H o u s e

SCHEDULEH ( P a r t I )I CFRS 4 / 9 8CAMPAI GNPROPERTYI NVENTORY

NEVER FI L ED

PART I - On Go i n g I n v e n t o r y o f Camp a i g n Pr o pe r t y

NEVER F I L EDT h i s R ep o r t Was P r i n t e d Wi t h Th e I CF RS So f t wa r e o n 0 1 1 2 2 / 2 0 0 2 0 3 : 4 3 : 3 9 PM

P a g e T o t a lR ep o r t T o t a l

$ 2 5 6 . 0$ 2 5 6 . 0

Pag e 1 o f 1( f o r s c h ed u l e H P a r t

DATE PURCHASED PURCHASE PRI CE CURRENT ESTI MATE( S c h e d u l e B ) R EST I MA TED VALUE F AI R MARKET VALUER DATE RECE I VE DESCR I PT I ON OF PROPERTY WHEN ACQUI RED T HI S REPORT( S c h e d u l e E )No t e p a d s

0 4 / 2 9 / 1 9 9 8 $ 7 9 3 . 8 7 $ 0 . 0#862

Ya r d s i g n s0 5/ 0 4 / 1 9 9 8 $ 1 , 4 5 2 . 2 0 $ 5 0 . 0

# 8 6 12 ' x 4 ' y ar d s i g n s

0 9 / 1 5/ 1 9 9 8 $ 3 8 1 . 6 0 $ 5 0 . 0#863

y a r d s i g n s0 5/ 1 9 / 2 00 0 $ 6 9 3 . 5 4 $ 4 0 . 0

#864No t e p a d s .

0 7/ 1 7 / 2 00 0 $ 7 4 8 . 3 9 $ 5 0 . 0#865

S t amp s1 0 / 3 1 / 2 00 0 $ 1 3 2 . 0 0 $ 6 6 . 0

#866

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Roberts Rod__1110__scanned

Roberts Rod1110scanned