Stewart Roger1363scanned

8/7/2019 Stewart Roger__1363__scanned

http://slidepdf.com/reader/full/stewart-roger1363scanned 1/8

FOR I NSTRUCTI ONS, SEEBACK OF FORM

DISCLOSURESUMMARYPAGE

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

C i t z e n s 1 o Y St o j a r tI MPORTANT : 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 :0( 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 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 S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) 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 lS 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 u e

CANDI DATE COMMI TTEES ONLY :J A

Ca n d i d a t a me

I «

. i 4 - 0 9 8 G OUr ^ E l t ®O

O f f i c e So u g h t

z

J AN 2 4 2 o o 5 ) i s t r i c i f

TEL EPHONESI GNATU E OF PERSON F I L I NG REPORT

I AM F I L I NG A _Tn

-

I l G' t 31 , 200'

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

OCHECK I F AMENDMENT TO REPORT DATED

Rese t Fo r m

P a r t y ( i f a p p l i c a b l e )

0Ch e c k 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 o r m DR- 3 .( Y ou mus 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 . )

o r H o u s e )

REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- E L E CT I ON YEAR.

I n d i c a t e b y #

STATEMENT OF CASH ON HAND

FORM

DR-2

DI SCLOSURE

( Re v . 0 7 / 2 0 0 4)

REPORT

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

Comm . #

L o g g e d I n

Sc anne d

Comp u t e r

A u d i t e d

L a t e r e p o r t s a r e s u bj e c t t o

p os s i b l e c i v i l a n d c r i mi n a lp en al t i e s .

j - - i 5 ) - Z0o, 5~

DATE SI GNED

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

CASH ON HAND a t t h e b eg 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 nd s h e l d b y t h e

c o mmi t t e e . T hi s amo u n t MUST b e t h e s ame a s t h e c a s h o n h an d a t t h e e n do 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 mus t b e z er 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN I N T HI S PERI OD



Sc h e d u l e A :

Co n t r i b u t i o n s-Sc h e d ul e A

C i t i z e n s f o r St e wa r tX

Co mmi t t e e I D 1 3 6 3= F u n d

A =R a i s e rAu c t i o n

Da t e Re c Pa c I D Name Ad d r e s s R e l a t i v e Amoun t

C h e c k No

1 / 9 / 2 0 0 4 Pa c 6 0 8 2 Mi d Ame r i c a n E ne r g y Co . 6 6 6 Gr a n d Av e . , P O Bo x 6 57 $ 1 0 0 . 0 0

E f f e c t i v e Go v e r nme n t Comm. De s Mo i n e s , I A 5 03 0 3 - 0 6 57

D e p o s i t e d 1 / 0 9 / 0 4 $ 1 0 0 . 0 0

4 / 1 / 2 0 0 4 S t e wa r t , E l o i s e 3 9 3 4 3 1 7 t h A v e , P r e s t o n , I A 5 2 0 6 9 Mo t h e r $ 2 50 . 0 0 x

4 / 1 / 2 0 0 4 S t e w a r t , Mi c h a e l 4 8 88 Wo o dh u r s t L n , Mi n n e t o n k a , MN 55 3 4 5 So n $ 2 50 . 0 0 x

D e p o s i t e d 4 / 2 / 0 4 $ 50 0 . 0 0

4 / 1 / 2 0 0 4 Wo l f J r , R i c h a r d C 50 8WAngu s C o u r t , Ma q u o k e t a , I A 5 2 0 6 0 $ 2 0 . 0 0 X

4 / 1 / 2 0 0 4 G a r r i s o n , R o n a l d 3 1 2 2 E c l i p s e S t , C l i n t o n , I A 5 2 7 3 2 $ 2 0 . 0 0 X

4 / 1 / 2 0 0 4 F a r r e l l , G e r a l d 1 2 7 8 2 6 0 t h A v e , D e l m a r , I A 5 2 0 3 7 $ 2 0 . 0 0 X

4 / 1 / 2 0 0 4 D a v i s , R i c h a r d 3 2 Y a l e A v e , Ma q u o k e t a , I A 5 2 0 6 0 $ 50 . 0 0 X4 / 1 / 2 0 0 4 Ma n n i n g , K ar e n M 6 7 8 9 1 1 6 t h A v e , Ma q u o k e t a , I A 5 2 0 6 0 $ 50 . 0 0 X

4 / 1 / 2 0 0 4 F l o r y , Do n a l d G 9 0 0 N 4 t h S t , C l i n t o n , I A 5 2 7 3 2 $ 1 0 0 . 0 0 X

4 / 1 / 2 0 0 4 R o s e n b e r g , P ame l a 1 0 0 0 N Angu s C t , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 X

D e p o s i t e d 4 / 2 / 0 4 $ 3 6 0 . 0 0

4 / 1 / 2 0 0 4 S c h u e l l e r , T J 50 3WP l a t t S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 X

4 / 1 / 2 0 0 4 J u d g e , J am e s 3 5 4 4 2 2 0 t h S t , D e Wi t t , I A 5 2 7 4 2 $ 1 0 0 . 0 0 X

4 / 1 / 2 0 0 4 G i b b o n s , Thomas 7 0 7 8 t h Av e S , C l i n t o n , I A 5 2 7 3 2 $ 3 0 . 0 0 X

4 / 1 / 2 0 0 4 F r a n z e n , Mi k e 1 2 1 8 4 9 t h S t , Mo nmo u t h , I A 5 2 3 0 9 $ 50 . 0 0 X

4 / 1 / 2 0 0 4 T i l t o n , D e a n 9 0 6 V i n e , Ma q u o k e t a , I A 5 2 0 6 0 $ 50 . 0 0 X

D e p o s i t e d 4 / 2 / 0 4 $ 3 3 0 . 0 0



Co n t r i b u t i o n s - Sc h e d u l e A

X = F u n d Ra i s e r

C i t i z e n s f o r St e wa r t Co mmi t t e e I D 1 3 6 3 A = Au c t i o n

Da t e Re c Pa c I D

C h e c k #

Name Ad d r e s s R e l a t i v e Amou n t

4 / 2 / 2 0 0 4 U n i t e mi z e d C o n t r i b u t i o n s $ 3 2 0 . 0 0 x

4 / 2 / 2 0 0 4 M o o r e , N a n c y J o 8 0 3 Gr a n t C o u r t , Ma q u o k e t a , I A 5 2 0 6 0 S i s t e r $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 B o l t e , Di a n e L 8 2 7 Ga t e wa y , # 1 2 , C l i n t o n , I A 5 2 7 3 2 $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 K u n z w e i l e r , Da v i d J 2 6 5 7 9 S i e v e r d i n g Ri d g e Rd $ 2 5 . 0 0 xB e l l e v u e , I A 5 2 0 3 1

4 / 2 / 2 0 0 4 Wa c k e r , L y n n M 1 8 5 3 1 3 6 2 n d A v e , B e l l e v u e , I A 5 2 0 3 1 $ 4 0 . 0 0 x

4 / 2 / 2 0 0 4 B o n t e , Ma r t h a K 8 7 2 1 4 t h Av e NW, C l i n t o n , I A 5 2 7 3 2 $ 4 0 . 0 0 x

4 / 2 / 2 0 0 4 P a r d e e , J e a n Ma r i e 6 0 8 Me a d o w v i e w D r , C l i n t o n , I A 5 2 7 3 2 $ 2 0 . 0 0 x

4 / 2 / 2 0 0 4 N e i ma n , S h i r l e y M 2 2 1 9 Ro o s e v e l t S t , C l i n t o n , I A 5 2 7 3 2 $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 O s t e r h a u s , Ro be r t J 2 1 6 A u s t i n A v e , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 x

4 / 2 / 2 0 0 4 O s t e r h a u s , M a r i l y n 3 1 1 S 2 n d S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 x

4 / 2 / 2 0 0 4 Ou t z e n , P a t r i c i a 1 2 1 2 S 1 0 t h S t , C l i n t o n , I A 5 2 7 3 2 $ 4 0 . 0 0 x

4 / 2 / 2 0 0 4 S c h mi d t , L e o n J P O Bo x 5 1 4 , P r e s t o n , I A 5 2 0 6 9 $ 4 0 . 0 0 x4 / 2 / 2 0 0 4 Bowman , De b o r a h S 1 2 1 C r e s c e n t D r , Mo n t i c e l l o , I A 5 2 3 1 0 Da u g h t e r $ 2 5 0 . 0 0 x

4 / 2 / 2 0 0 4 B u k t a , Ma r y 6 0 4 S 3 2 n d S t , C l i n t o n , I A 5 2 7 3 2 $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 So e s b e , E t h e l S 9 0 0 S 6 t h S t , C l i n t o n , I A 5 2 7 3 2 $ 4 0 . 0 0 x

4 / 2 / 2 0 0 4 Sh o u s e , Ma r g o A 1 7 0 5 S w a g o s a D r , Ma q u o k e t a , I A 5 2 0 6 0 $ 3 5 . 0 0 x

4 / 2 / 2 0 0 4 L a n g e r ma n , J o E l l e n 3 0 4 N Ma i n S t , P r e s t o n , I A 5 2 0 6 9 $ 2 0 . 0 0 x

4 / 2 / 2 0 0 4 H a y n e s , L y n n e l l P O Bo x 1 2 5 , L a mo t t e , I A 5 2 0 5 4 $ 8 0 . 0 0 x

4 / 2 / 2 0 0 4 H a n c o c k , Co l e e n 3 1 0 E Ma i n S t , E p w o r t h , I A 5 2 0 4 5 $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 H o g a n , Sa r a h 5 1 5 7 4 Gr e e n I s l a n d Rd , Mi l e s , I A 5 2 0 6 4 $ 2 0 . 0 0 x

4 / 2 / 2 0 0 4 S mi t h , Ch a r l e s E 2 0 2 3 So u t h B l u f f , C l i n t o n , I A 5 2 7 3 2 $ 1 0 0 . 0 0 x

4 / 2 / 2 0 0 4 E f f e r d i n g , R i c h a r d 5 7 0 6 C a v e s Rd , Ma q u o k e t a , I A 5 2 0 6 0 $ 2 0 . 0 0 x

4 / 2 / 2 0 0 4 H e n t o n , Gl e n 4 1 3 S J o n e s A v e , Ma q u o k e t a , I A 5 2 0 6 0 $ 5 0 . 0 0 x

4 / 2 / 2 0 0 4 T a b o r , P h i l 2 3 4 9 8 3 r d S t , B a l d w i n , I A 5 2 2 0 7 Co u s i n $ 1 0 0 . 0 0 x



C o n t r i b u t i o n s - Sch e d u e A

X = Fu nd R a i s e r

C i t i z e n s f o r St e wa r t Co mmi t t e e I D 1 3 6 3 A = Au ct i o n

D a t e Re c C h e c k #

Pa c I D

Name Ad d r e s s R e l a t i v e Amoun t

4 / 2 / 2 0 0 4 D u s i l , Roger L 3 2WB l a c k S t , P r e s t o n , I A 5 2 0 6 9 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 R a l s t o n , J am e s C 1 2 9 6 2 8 0 t h A v e , D e l m a r , I A 5 2 0 3 7 $ 1 0 0 . 0 0 X

4 / 2 / 2 0 0 4 F l y n n , S t e v e 3 0 1 Thomas A v e , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 X

4 / 2 / 2 0 0 4 S t e v e n s , Da v i d 9 9 5 0 9 8 t h S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 2 0 . 0 0 X4 / 2 1 2 0 0 4 Mu r p h y , P a t r i c k J 1 5 5 N Gr a n dv i e w A v e , Dub u que , I A 5 2 0 0 1 $ 2 5 . 0 0 X

4 / 2 / 2 0 0 4 C o n n o l l y , Mi c h a e l W 3 4 5 8 D a n i e l s S t , Dub u que , I A 5 2 0 0 2 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 S t e w a r t , L i n d a J 2 2 0 0 3 2 5 t h A v e , P r e s t o n , I A 5 2 0 6 9 D a u g h t e r $ 3 0 0 . 0 0 X

i n L a w

4 / 2 / 2 0 0 4 K i s s a c k j , R i c h a r d 7 3 1 N 1 3 t h S t , C l i n t o n , I A 5 2 7 3 2 $ 4 0 . 0 0 X

4 / 2 / 2 0 0 4 S t e w a r t , Ma r y He l e n 5 0 9 S N i a g a r a , Ma q u o k e t a , I A 5 2 0 6 0 $ 2 0 . 0 0 X

4 / 2 / 2 0 0 4 C a r l s o n , B r e n da 2 2 2 5 8 1 3 4 t h S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 4 0 . 0 0 X

4 / 2 / 2 0 0 4 L y n c h , J e r r y M 2 5 0 1 L y n c h L a n e , B e r n a r d , I A 5 2 0 3 2 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 H u c k s t a d t , K i m P 5 1 1 S Second S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0 X

4 / 2 / 2 0 0 4 B o p e s , L y n n M 8 20 Vi n e S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 J o h n s o n , D a v e 3 0 1 WA n g u s , Ma q u o k e t a , I A 5 2 0 6 0 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 O ' L e a r y , R i c h a r d A 1 0 0 8 B r i a r C l i f f L a n e , C l i n t o n , I A 5 2 7 3 2 $ 2 5 . 0 0 X

4 / 2 / 2 0 0 4 P e t e r s , L a v o n n e 1 9 9 4 1 Hwy 6 2 , B e l l e v u e , I A 5 2 0 3 1 $ 1 0 0 . 0 0 X

4 / 2 / 2 0 0 4 N i s s e n , C h r i s 1 1 1 WP l a t t S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 5 0 . 0 0 X

4 / 2 / 2 0 0 4 F i x , F a y e R 1 1 2 N Wa l n u t S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 2 5 . 0 0 X

4 / 2 / 2 0 0 4 R y a n , Mr s P a u l F 1 0 66 2 L ak e E l e a n o r Rd , Du bu q u e , I A 5 2 0 0 3 $ 2 0 . 0 0 X

De p o s i t e d 4 / 1 2 / 0 4 $ 1 , 2 1 5 . 0 0

4 / 2 6 / 2 0 0 4 G i l r o y , J o h n S , 8 2 0 B r o o kv i e w D r , D eWi t t , I A 5 2 7 4 2 $ 5 0 . 0 0

4 / 2 6 / 2 0 0 4 F a g e r l a n d , J o h nW 4 1 0 N J o n e s , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 0 . 0 0



Co n t r i b u t i o n s -Sc h e d u l e A X=F un d Ra i s e r

C i t i z e n s f o r St e wa r t Co mmi t t e e I D 1 3 6 3 A= Au c t i o n

Da t e Re c C h e c k # Name Ad d r e s s R e l a t i v e Amou n t

Pa c I D

6 / 1 0 / 2 0 0 4 Z i mme r ma n , Ru t h An n 1 0 2 5 E Gr o v e S t , Ma q u o k e t a , I A 5 2 0 6 0 $ 1 0 . 0 0

6 / 1 4 / 2 0 0 4 Pa c 6 0 5 6 B an k e r s U n i t e i n L e g i s l a t i v e 8 8 0 0 NW6 2 n d Av e n u e, J o h n s t o n , I A 5 0 1 3 1 $ 3 0 0 . 0 0

D e c i s i o n s

6 / 1 4 / 2 0 0 4 Pa c 6 0 5 8 I o wa C h i r o p r a c t i c S o c i e t y PAC 1 6 0 5 N A n k e n y B l v d , S u i t e 1 0 0 , $ 1 0 0 . 0 0

Ank e n y , I A 5 0 0 2 1

6 / 1 5 / 2 0 0 4 O b r a d o v i c h , J ame s P 2 4 1 8 3 5 t h S t , De s Mo i n e s , I A 5 0 3 1 0 $ 2 5 . 0 0

6 / 1 5 / 2 0 0 4 J u d k i n s , S u s a n 1 7 0 5 C o u n t r y Cl u b R d , I n d i a n o l a , I A 5 0 1 2 5 $ 2 5 . 0 0

6 / 1 5 / 2 0 0 4 Pa c 6 0 4 6 J u s t i c e f o r A l l PAC 2 1 8 6 t h A v e , STE 5 2 6 , De s Mo i n e s , I A 5 0 3 0 9 $ 1 0 0 . 0 0

6 / 1 5 / 2 0 0 4 Pa c 6 0 7 7 I o wa P h a r ma c y PAC 8 5 1 5 D o u g l a s , S u i t e 1 6 $ 1 0 0 . 0 0

De s Mo i n e s , I A 5 0 3 2 2

D e p o s i t e d 6 / 1 8 / 2 0 0 4 $ 6 6 0 . 0 0

6 / 2 2 / 2 0 0 4 Pa c 6 4 2 9 H e a v y Hi g h wa y PAC 2 4 1 5 I n g e r s o l l A v e , De s Mo i n e s , I A 5 0 3 1 2 $ 2 5 0 . 0 0

D e p o s i t e d 6 / 2 9 / 2 0 0 4 $ 2 5 0 . 0 0

7 / 1 / 2 0 0 4 Pa c 6 0 5 2 I n d e p e n d e nt I n s u r a n c e Ag e n t s 4 0 0 0 We s t o w n P k y , S t e 2 0 0 $ 2 5 0 . 0 0

o f I o wa PAC Co mmi t t e e We s t De s Mo i n e s , I A 5 0 2 6 5

De p os i t e d 7 / 0 6 / 2 0 0 4 $ 2 5 0 . 0 0

7 / 6 / 2 0 0 4 H e l l e r , Mi c h a e l B . 1 6 2 1 So u t h 5 0 t h P l a c e $ 2 5 0 . 0 0

We s t De s Mo i n e s , I A 5 0 2 6 5

D e p o s i t e d 7 / 0 7 / 2 0 0 4 $ 2 5 0 . 0 0

7 / 1 3 / 2 0 0 4 Pa c 6 3 5 6 F r e e d o m Fund Pa c 8 5 1 1 9 t h S t , Ed s Mo i n e s , I A 5 0 3 1 4 $ 1 0 0 . 0 0

D e p o s i t e d 7 / 1 4 / 0 4 $ 1 0 0 . 0 0



Co n t r i b u t i o n s - Sc h e du l e A X=F u n d R a i s e r

C i t i z e n s f o r St e wa r t Co mmi t t e e I D 1 3 6 3 A=Au c t i o n

Da t e Re c . C h e c k # Name Ad d r e s s R e l a t i v e Amoun t

Pa c I D

9 / 3 / 2 0 0 4 Pa c 6 4 3 2 Pl u mb e r s a n d P i p e f i t t e r s L o c a l 4 6 0 0 - 4 6 t h Av e $ 1 , 0 0 0 . 0 0

2 5 , I o wa S t a t e Pa c Ro c k I s l a n d , I L 6 1 2 0 19 / 3 / 2 0 0 4 Pa c 8 0 3 6 E l e c t r i c a l Wo r k e r s L o c a l 1 7 0 0 - 5 2 n d A v e , 0 7 1 , A $ 3 0 0 . 0 0

Un i o n 1 4 5 PAC Mo l i n e , I L 6 1 2 6 5

9 / 4 / 2 0 0 4 U n i t e mi z e d C o n t r i b u t i o n s $ 1 0 . 0 0

De p o s i t e d 9 / 0 7 / 2 0 0 4 $ 1 , 3 1 0 . 0 0

9 / 1 4 / 2 0 0 4 Pa c 6 2 9 1 I HA PAC 1 0 0 E Gr a n d , S u i t e 1 0 0 $ 2 5 0 . 0 0

De s Mo i n e s , I A 5 0 3 0 9

De p o s i t e d 9 / 1 5 / 2 0 0 4 $ 2 5 0 . 0 0

9 / 2 0 / 2 0 0 4 Pa c 6 1 1 3 AFSCME / I o w a C o u n c i l 6 1 4 3 2 0 NW2 n d A v e , De s M o i n e s , I A 5 0 3 1 3 $ 2 5 0 . 0 0

De p o s i t e d 9 / 2 0 / 2 0 0 4 $ 2 5 0 . 0 0

1 0 / 1 / 2 0 0 4 N e i l s e n , C r a i g H 8 6 2 0 T i t l e i s t C i r c l e , L a s V e g a s , NV 8 9 1 1 7 $ 1 5 0 . 0 0

D e p o s i t e d 1 0 / 0 6 / 2 0 0 4 $ 1 5 0 . 0 0

1 0 / 7 / 2 0 0 4 Pa c 6 0 5 6 B an k e r s U n i t e i n L e g i s l a t i v e 8 8 0 0 NW6 2 n d A v e n u e $ 1 , 0 0 0 . 0 0

D e c i s i o n s J o h n s t o n , I A 5 0 1 3 1

D e p o s i t e d 1 0 / 0 9 / 2 0 0 4 $ 1 , 0 0 0 . 0 0

1 0 / 1 1 / 2 0 0 4 T h e i s e n , Mi n a 5 0 4 N 7 t h S t , B e l l e v u e , I A 5 2 0 3 1 $ 2 0 . 0 0

1 0 / 1 1 / 2 0 0 4 K e h l , R o b e r t A 9 0 1 L i n c o l n R d , F u l t o n , I L 6 1 2 5 2 $ 7 0 0 . 0 0

1 0 / 1 2 / 2 0 0 4 Pa c 6 0 5 8 I o w a C h i r o p r a c t i c S o c i e t y 1 6 0 5 N A n k e n y B l v d $ 2 0 0 . 0 0

A n k e n y , I A 5 0 0 2 1

De p o s i t e d 1 0 / 1 8 / 2 0 0 4 $ 9 2 0 . 0 0



Da t e Pa c # C h e c k #

Mo n e t a r y E x p e n d i t u r e s - S c h e d u l e BC i t i z e n s f o r St e wa r t Co mmi t t e e I D 1 3 6 3

Name a n d A d d r e s s o f P a y e e Pu r p o s e A m o u n t

4 / 9 / 2 0 0 4 1 0 7 9 J a m e s R a l s t o n P o l i t i c a l Ad v e r t i s e me n t s $ 5 5 1 . 0 0

1 2 9 6 2 8 0t h Av e , D e l m a r , I A 5 2 0 3 7

4 / 9 / 2 0 0 4 1 0 8 0 Gl e n He n t o n E n t e r t a i n me n t f o r F u n d R a i s e r $ 1 0 0 . 0 0

4 1 3 S J o n e s A v e , Ma q u o k e t a , I A 5 2 0 6 0

4 / 1 2 / 2 0 0 4 1 0 8 1 S h o p p e r $ 1 3 8 . 2 4

1 0 8 N o r t h Ma i n S t , Ma q u o k e t a , I A 5 2 0 6 0 P r i n t i n g

4 / 1 2 / 2 0 0 4 1 0 8 2 C a r t e r P r i n t i n g $ 3 3 4 . 9 6

1 7 3 9 E a s t Gr a n d A v e , De s M o i n e s , I A 5 0 3 1 6 P r i n t i n g

4 / 1 3 / 2 0 0 4 1 0 8 3 De c k e r H o t e l F o o d f o r F u n d R a i s e r $ 3 0 0 . 0 0

1 2 8 Ma i n S t , Ma q u o k e t a , I A 5 2 0 6 0

4 / 1 3 / 2 0 0 4 1 0 8 4 Co mf o r t I n n M e e t i n g r o o m f o r F u n d R a i s e r C a n c e l l e d

1 9 1 0 N a i r n D r i v e , Ma q u o k e t a , I A 5 2 0 6 0

4 / 2 0 / 2 0 0 4 9 0 9 8 1 0 8 5 I o wa De mo c r a t i c P a r t y D o n a t i o n $ 2 , 5 0 0 . 0 0

1 4 0 8 L o c u s t , De s M o i n e s , I A 5 0 3 0 9

4 / 2 0 / 2 0 0 4 9 0 9 8 1 0 8 6 Se n a t e M a j o r i t y F u n d D o n a t i o n $ 2 , 5 0 0 . 0 0

5 6 6 1 F l u e r D r , De s M o i n e s , I A 5 0 3 2 1

7 / 8 / 2 0 0 4 9 0 9 8 1 0 8 7 Se n a t e M a j o r i t y F u n d D o n a t i o n $ 2 , 5 0 0 . 0 0


8 / 1 9 / 2 0 0 4 9 0 9 8 1 0 8 8 Se n a t e M a j o r i t y F u n d D o n a t i o n $ 2 , 0 0 0 . 0 0


9 / 7 / 2 0 0 4 9 0 9 8 1 0 8 9 Se n a t e M a j o r i t y F u n d D o n a t i o n $ 1 , 5 0 0 . 0 0


9 / 2 4 / 2 0 0 4 1 0 9 0 Co mf o r t I n n ( R e p l a c e s 1 0 8 4 ) Me e t i n g r o o m f o r F u n d R a i s e r $ 2 3 3 . 2 1

1 9 1 0 N a i r n D r i v e , Ma q u o k e t a , I A 5 2 0 6 0

1 0 / 1 2 / 2 0 0 4 9 0 9 8 1 0 9 1 Se n a t e M a j o r i t y F u n d Do n a t i o n $ 3 , 0 0 0 . 0 0


1 0 / 2 8 / 2 0 0 4 9 0 9 8 1 0 9 2 Se n a t e M a j o r i t y F u n d D o n a t i o n $ 1 , 5 0 0 . 0 0



FOR I NST RUCT I ONS, SEEBACKOF FORM

COMMI TTE E NAME( Mus t b e s a m e a s o n St a t e me n t o f O r g a n i z a t i o n )

~i ~Zer) . S ~1 1 1 - t St e u % t rf

NOTE T h i s s c h e d u l e r e p o r t s m o n e y l o a n e d t o t h e c o m m i t t e e w h i c h i s d e p o s i t e d i n t h e c o m m i t t e e a c c o u n t

TOTAL UNPAI D LOANS FROM LAST REPORTI NG PERI OD $

()-_-

PART - MONETARY LOANS RECEI VED T HI S REPORTI NG PERI OD( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b a n k , mu s t b e s h o w n i f a t h i r d p a r t y i s

i n v o l v e d . I n c l u d e l o an s f r o m c a n d i d a t e ' s p e r s on al f u nd s . )

TOTAL ( PART 1 )

$

Q

* 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

ma k i n g a c o n t r i b u t i o n t o t h e c 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 fc o n s a ng 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 y m a r r i a g e ) I f sumame o f c o n t r i b u t o r i s

t h e s a m e a s c a n di d a t e , b u t t h e r e i s n o f 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 er e l a t i o n s h i p c o l u m n w h e n i t a p p l i e s

PART I I - MONETARY LOAN REPAYMENTS MADE T HI S REPORTI NG PERI OD( L o a n s f o r g i v e n m u s t b e r e p o r t e d o n 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 . )

P a g e o f( f o r S c h e d u l e F )

SCHEDULE

F LOANS

( R e v 0 7 / 0 3 ) RECEI VED& R EP A I D

CHECK T HI S BOX I F

AMENDI NG FORM

DATE P AI D( MM/ DD/ YR)

NAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e )

RELATI ONSHI PTO CANDI DATE*

I f A p p l i c a b l e )

AMOUNTREPAI D

DATERECEI VEDMM/ D D/ Y R

N A ME A N D A D D RE S S OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e )

RELATI ONSHI PTO CANDI DATE

I f A l i c a b l e *

AMOUNT

OF LOAN

TOTAL CASH REPAYMENTS ( PART H) $_-~

F r o m S c h e d u l e E - - TOTAL LOANS FORGI VEN $ ' ~ ~2-

TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD $

Documents

Stewart Roger__1363__scanned

Stewart Roger1363scanned