Rodriguez Joseph1262scanned

8/7/2019 Rodriguez Joseph__1262__scanned

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FOR I NSTRUCTI ONS,SEEBACK OF F ' M

DI SCLOSURE SUMMARY PAGE

COMMI TTEE NAME ( Mu s tb 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 )

Ct 7M

I MPORTANT: I n d i c a t et y p eo fc o mmi t t e ey o ua r er e p o r t i n gf o r: a(1 ) S t a t e w i d e / L e g i s l a t i v eCa n d i d a t e( 2 ) S t a t e w i d ePAC( 3 ) S t a t eP a r t y( 4) C o u n t y / L o c a lCa n d i d a t e( 5 ) C o u n t yPAC (6 ) B a l l o tI s s u e / F r a n c h i s eC ommi t t e e( 7 ) C o u n t y / C i t yC e n t r a lC o mmi t t e e( 8 ) S u p p o r tS l a t eo fC an d i d a t e s

RE OF TREASURE

[ ] CHECK I FAMENDMENT TO REPORT DATED

3 f 9 / $? 3 - - ' 7 0S" - "_ ! 4 ~0 , d Z,r p e r o o g t h i sr e p o r t ) TELEPHONE DATE SI GNED

P e n a l t i e sDue Fo r L a t eF i l e dRe po r t sRange f r o m$ 1 0 t o $ 4 0 0

SEE I NSTRUCTI ONSON BACK AND COMPLET E THE FOLLOWI NG SENTENCE :

I AM F I L I NGA REPORT FOR AN/ A( 1 )ELECTI ON/ ( 2 ) NON- ELECT I ONYEAR .

( r e p o r td a t e ) I n d i c a t eo n e 0 1

[ ]Che c k i ft h i si s f i n a l( t e r mi n a t i o n ) r e p o r tan d a t t a c h No t i c eo f Di s s o l u t i o nF or m DR- 3.( Yo umus t c o n t i n u et o f i l er e p o r t su n t i la N o t i c eo f D i s s o l u t i o ni sf i l e d. )

( Sc h ed u l eH a pp l i e st oCa nd i d a t e s ' Commi t t e e sOn l y )

L o c a lCo mmi t t e e s ,e n t e rD a t eo fE l e c t i o n

C o u n t y&L o c a lCo mmi t t e e s ,e n t e rC o u n t yi nwh i c hE l e c t i o ni s h e l d

I s a. ~~SUB- TOTAL .. .. . $

SUBTRACT TOTAL MONEY SPENT THI SPERI OD

Sc h e du l e B: E x p e n d i t u r e st o t a l( A t t a c hSc h e d u l eB ). . . .. . . . . . . . . . .. . . .. .. .. . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . .. . 7Sc h e du l eF : Lo a n Re p a y me n t st o t a l( A t t a c hSc h e d u l eF ) . . . . . . .. .. .. .. .. . . . . . .. . . . . . . . . . .. . . . . . .. .. .. . . . .. .

CASH ON HAND a t t h ee n d o f t h i sr e p o r t i n g p e r i o d( i ff i n a lr e p o r t ,b a l a n c emustb e z e r o ) ( A t t a c hDR- 3). . . . .. . . .. .. . .. . ... . .

. . . .. . .. .. .. . ... . . .. . . . . . .. .. .. . . .. . . . . . .. .. .. . . . . . . . .. . . . . . . . . . ... . . . . . . . . . . . . . .. . . .$ 3 : 9 q

UNPAI DBI L L S( F r o mSc h e du l e D - A t t a c hSc h e du l e D) . . . . . . . . . .. .. . . . . . . . . . . . .. .. . . . . . . . . . . . ... . . . . .

.. . . . . . . .. . . . . . .. .. . $ / S' 7 . / , 5 '

I NK I NDCONTRI BUTI ONS ( F r o mSc h e d u l eE - A t t a c hSc h e du l eE ) . . . . .. .. .. . . . . . . . . . .. . . . . . . . ... . . . . . . .. . . . . . .. . .. $

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

. . . . . . . .. . . . . . . . .. .. . . . .. . $

CANDI DATE COMMI TTEES ONLY :

CONSULTANT BREAKDOWN ( Sc h ed u l eG A t t a c h e d ? ) _ YES _ V, _ NO

VALUE OF CAMPAI GN PROPERTY ( F r o mSc h e du l e H - A t t a c hSc h e du l eH) . - c?- -

STATEMENT OF CASH ON HAND

CASH ON HAND a t t h eb e g i n n i n go f t h er e p o r t i n gp e r i o d. ( T h i si s t h et o t a lo f a l lmon i e s h e l db y t h ec ommi t t e e. Th i samount MUST b e t h es ame a s t h ec a s h o n h a n d a t t h ee n d o f t h el a s tr e p o r t i n g p e r i o d ,o r must b e z e r oi ft h i si sf i r s tr e p o r tf i l e d. ) . .. . . . . . . . . . . . . . . . . .. .. .. .. . . . . . . . . . . . .. .. . . . .. .. .. .. . . . .. .. .. . . . . . . . . . . . . . .$

ADD TOTAL MONEY TAKEN I NTHI SPERI OD

Sc h e du l eA : Cas h 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 du l eA) .. . . . . . . . . . .. .. . . . . . . . . . .. . . . . . . . .. . . . . . . . ... . . . . / 50 " 00

Sc h e du l e C: F u n d - r a i s i n gEv e n t st o t a l( A t t a c hSc h e du l eC) . . . .. .. . . . . . .. .. .. .. . . . . . .. .. . . . . . . . .. .. . . . .. .. .

Sc h e du l e F: L o a n sRe c e i v e dt o t a l( A t t a c hSc h e du l e F ). . . . . . . . ... . . . . . . . . . . .. .. .. . . . . . .. . . . . . . . . . . . . . . . . .. .. .

0

Sc h e du l eH : T o t a lSa l e s o f Campa i gn P r o p e r t y( A t t a c hSc h e du l eH) . .. .. . . . .. .. . . . . . . . . . .. . . . . . .. . . . -0-



Fo r I n s t r u c t i o n s ,Se e Ba c k o f F o r t

CONTRI BUTI ONS- -MONEY TAKEN I N( I n c l u d i n gc an di d at e ' sp e r s o n a l f u n d s )

COMMI TTEENAME ( Mu s t b e s ame a s o n S t a t emen t o f Or g an i z a t i o n )

Com e t- ' e ~ D r 1 ' o r l l , -i c , U e ~. - -STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI SRECEI VEDFROM A STATE PAC ( POL I T ICALACTI ONCOMMI TTEE) ,L I STTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATEDCOLUMN . A L I STOF I DNUMBERS I SAVA I LABLEFROMTHE I OWA ETHI CSAND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , 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 s an d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i o nso rf o r an y c o mme r c i a l p u r p o s eb 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 yp o l i t i c a lc o mmi t t e e s.

TOTAL ( i fl a s tp a g e o f t h i ss c h e du l e )

' Di s c l o s ur el a w r e q u i r e sc a n di d at e c o mmi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n g a c o n t r. b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmu s t b e s h o w n t o t h et h i r dd e gr e e o f c o ns a ng u i n i t y( b l o o dr 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 sb y

ma r r i a g e) ( Se e P a g e 2 o f f o r ms p a c k e t . ). I f s u r n a meo f c o n t r i b u t o ri s t h e s am e a s c a n di d at e , b u t t h er ei s n o

f a m i l i a lr e l a t i o n s h i p. e n t e r " n o ta pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn.

SUB- TOTAL

SCHEDULE

A MONETARY( Re v . 0 6 / 9 7 ) I RECEI PTS

Q CHECK THI S BOX I FAMENDI NG FORM

P a g e l o f( f o rSc h e du l e A)

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D# 6 l ~ Onu s c eI! o / 7 l a l CK# 3 c o I ' . u V- ) A4 - 1 ! 1 ~u e , W ! l ~ - $ ~Zs , o0

eV , - . S' O 7D Z-I D# / 3 1 0 M14- a e , d 1

1 1 3 1 0 2 - CK# c l ~ - s w & YAS 1 -

! t i - 02 0 . OdLo, F ~ 4 ~ 11 Z

I D#

~ 1yl Dz CK# Gl ~s~

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l$ '

L

CK# C t +"i 5 e 1 4 ,VOr A)

OID#

CK#

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I D#

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I D#

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FOR I NSTRUCTI ONS, SEE BACK OF FORM

EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I STTHE CANDI DATE I DENT I F I CAT I ONNUMBER I NTHE DESI GNATED COLUMN ANDTHEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I DNUMBERS I SAVAI LABLE FROM THE I OWAETHI CS& CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mus t b e s ame a s o n St a t ement o f Or g an i z a t i o n)

co - y o I

THI S SOX APPLI ES TO CANDI DATES' COMMI TT EES ONL Y :

SCHEDULE

( Re v . 0 9 / 9 7 )

SUB- TOTAL

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

P ur c h a s e s o f c er t a i nc amp a i g n pr o per t y c os t i ng$ 5 0 0 o r mo r e must a l s o be i n vent o r i ed on Sc h ed u l e H . ( Re f e r t o Sc h ed u l e H i n s t r u c t i o n s. )

Page - _- L o f

MONET ARYEXPENDI TURES

CHECK THI S BOX I FAMENDI NG FORM

Ex p en d i t u r e s t o p er s o n s/ e n t i t i e spr o v i d i ngc on s ul 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 ,man a g i n g , o r g an i z i n g s er v i c esmust al s o b e d e t a i li t e mi z ed on

Sc h e d ul e G by t h e amo u n t , pu r p o s e , an d d at e o f e a c h t y pe o f e x pe nd i t u r emad e b y t h e per s o n/ ent i t yon b eh a l f o f t h e c an di d at e ' s c o mmi t t e e. ( Re f e r t

Sc h e d ul e G i n s t r u c t i o n san d I owa Code 5 6 . 6 ( 3 ) ( i ). )

( f o rSc h ed u l e BI

CANDI DATE NAME AND ADDRESS ' TOWHOM PURPOSE AMOUNTDATE I DNUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( i fa pp l i c ab l e ) ( Di s b u r s eme n t ) WAS MADE( MM/ DD/ YR) AND PAC

CHECKNUMBER

_

I D# e~SePh Ro dr J ' y c 1 e Re , i V n 6 0V 0e i t 4 ev - - l "-

1 1S - la z . CK# 11 0 5 1 ~ GGL~ V NYr as PI ^ Cc q

py f Z I r ? V' -

C,

$ C; ? I s- ( ) aA - -d ; T " . 7 - 0 - 7 6 , 3 v j ' Fvw l ` i se v ,

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1D# S ~ - r g pI ' t S - P O rEWf l o 10PS b A414d l * 4

ll " ' / o

ZCK# I / 06 Ub4 e y '1 o 0. : r 0 . S-( 2 7 Z Ol ~5 w , 0 i eV

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1D# 1 3 I o c A1 - 64 ) i 4 Ov 4 - ( l o - ' e r ReS : TS~r ~¢~I Or U

f ~ l o f o zcK#~l o 1~ ~

' s° t L ~" S~ 1D, d GD 7 o Z7 ,

I D# P C' s 4- - eV,

11 10 1 6 ' e - CK# j ba ~ s6 - 07 0 L .

CK#

JD#

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FOR I NSTRUCTI ONS,SEE BACK OF FORM

COMMI TT EE NAME ( Mu s tb e s ame as o n St a t emen t o fO r g a n i z a t i o n )

Co mm, e e , 4 0 F _l e ~ - ,- ~ -

NO E: De b t s p r e v i o u s l yr e p o r t e dt h a tr e ma i nu n p a i dmu st b e i n c l u d e do n t h i sS c h e d u l e ,a s w e l la s an y n ew o b l i g a t i o n si n c u r r e di n t h i sp e r i o d.

SUB- TOTAL

TOTAL DEBTS OWED BY COMMI TTEE AT THE END OF THI SREPORTI NG PERI OD

SCHEDULE

I NCURRED( Re v. 0 8 / 9 8 ) I NDEBTEDNES

Q CHECK THI SBOXI FAMENDI NGFORM

An i n c u r r e dd e b t "i s a d e b tf o rDEBTS/ OBLI GATI ONSREMAI NI NGTHI SREPORTI NGPERI OD g o o d s o r s e r v i c e so r d e r e do r( DONOT I NCLUDELOANS e SHOW LOANS ON SCHEDULE P ) r e c e i v e d ,b u t n o t p a i df o rb y t h e

en d o f t h er e p o r t i n gp e r i o d _ ,r e g a r d l e s so fwh et h er a ni n v o ih a s b e e n r e c e i v e d.

* I fa c t u a lf i g u r ei su n k n own , s h o w " e s t i m a t e d "b es i d et h ef i g u r e. Page I o f_ _ L _( f o rSc h e d u l eD)

CANDI DATE COMMI TT EES NOTE :` I n c u r r e di n d e b t e d n e s sa l s oi n c l u d e se a c hp e r s o n / e n t i t yw i t hwhomt h ec a n d i d a t e ' sc o m m i t t e eh a s e n t e r e di n t oa c o n t r a c td u r i n g t h er e p o r t i n gp e r i o df o rf u t u r e

o r c o n t i n u i n gp e r f o r m a n c e. E n t e rt h ename o f t h ec o n s u l t a n twh o p r o v i d e so r p r o c u r e ss e r v i c e sf o ri t e m ss u c ha s 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 r; a go r o r g a n i z i n gs e r v i c e s. R e p u ~ r to n Sc h ed u l eG t h en a t u r eo f p e r f o r m a n c ea n d t h ee s t i m a t e dp e r f o r m a n c er e a s o n a b l ye x p e c t e do f t h ec o n s u l t a n t.

DATEI NCURRED( MM/ DD/ YR)

NAME AND ADDRESS OF PERSONTOWHOM DEBTOR OBLI GATI ONI SOWED

DESCRI PT I ONOF GOODS ORSERVI CES PROVI DEDOR

PURCHASED

BALANCE OWED AT~CLOSE OFREPORTI NGPERI OD*

fV kv PA d t . 9

J' 739 E~ ( ; ; s- cW0, Z

~' l Ge9c~

AU eDes mo f Wes J : ~o 5 - 0 3 1 C /

CO' } Wc ~1~~ et -T , l

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FOR I NSTRUCTI ONS,SEE BACK OF FORM

COMMI TT EE NAME ( Mu s tb e s ame a s o nSt a t eme n t o f O r g a n i z a t i o n )

Co v n v» " ' eP . ~7 5l e c ; f ~ o c 1y ' f y ,e z

SUB- TOTAL

TOTAL ( i fl a s t

p a g e o f t h i s

s c h ed u l e )

CHECK THI S BOX I FAMENDI NG FORM

SCHEDULE

I NK I ND( Re v . 0 6 / 9 7 ) CONTRI BUTI ON

Page* D i s c l o s u r el a wr e q u i r e sc a n d i d a t e st o d i s c l o s e t h er e l a t i o n s h i po f an y r e l a t i v ema k i n g a n i nk i n d c on t r i b u t i o n t ot h ec o mmi t t e e. Re l a t i o n s h i pmu st b e s h ow n t o t h et h i r dd e gr e e o f c o n s a n gu i n i 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 s ( f o rSc h e d u l e E )b y ma r r i a g e ). ( Se e Page 2 o f f o r ms p ac k et. ) I f s u r n ame o f c o n t r i b u t o ri s t h esame a s c a n d i d a t e ,b u t t h e r ei s n of a m i 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 n t h er e l a t i o n s h i pc o l u mn.

DATERECEI VED( MM/ DDI YR)

NAME AND ADDRESSOF CONTRI BUTOR

RELATI ONSHI PTO CANDI DATE' ( i fa p p l i c a b l e )

DESCRI PTI ONOF I NK I ND

CONTRI BUTI ON

ESTI MATEDFAI RMARKET

VALUE

J I FFORFUND- RAI SERCONTRI BUT I ON

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Rodriguez Joseph__1262__scanned

Rodriguez Joseph1262scanned