Watts Ralph1334scanned

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FORM DR- 2 Di s c l o s u r e Summa r y PageI D 1 3 3 4

Co u n t yT y p e : S l a t e c o mmi t t e e

T r e a s D a r r e l l Bauman ( 5 1 5 ) 9 9 3 - 4 8 5 0Na me WAT TS f o r H o u s e

R e p o r t Du e Da t e 0 1 / 1 9 1 20 0 2Co mmi t t e e C h a i r

S t a t u s Or i g

N o t i c e o f D i s s o l u t i o n N/ A

St a t e me n t o f C a s h On Hand

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

O r i gT h i s Re p o r t Wa s Pr i nt e d Wi t h T h e I C FRS So f t war e o n 0 1 1 2 2 1 2 0 0 2 0 9 : 5 0 : 2 6 AM

FORMDR- 2 DI SCL OSUI C FRS 4 / 9 8 REPORTF o r O f f i c e Us e On l yComm #I n d e x e dA u d i t e dCo mp u t e r

1 3 3 4

CL 4 UNJQ

Ca s h On Hand a t S t a r t o f P e r i o d $ 0 . 0 0S c h e d u l e A : Ca s h C o n t r i b u t i o n s T o t a l $ 1 , 1 3 7 . 0 0

Sc h e du l e F Loan s Re c e i v e d T o t a l $ 0 . 0 0Sc h e du 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 $ 1 , 1 3 7 . 0 0S c h e d u l e B : E x p e n d i t u r e s T o t a l $ 4 3 5 . 9 4

Sc h e du l e F Loan Re p a yme n t s T o t a l $ 0 . 0 0C a s h o n Hand A t En d o f P e r i o d $ 7 0 1 . 0 6

Loan s 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 O u t s t a n d i n g Loan s $ 0 . 0 0

Sc h du l e G C o n s u l t a n t Br e a k d o wn ? NoSc h e du l e H Camp a i g n P r o p e r t y V a l u e $ 0 . 0 0

F o r g i v e n Loan s ( F r o m Sc he du l e E ) $ 0 . 0 0


2/5

ORI GI NAL

T h i s Re p o r t Was P r i n t e d Wi t h Th e I CFRS So f t wa r e o n 0 1 1 2 2 1 2 0 0 2 0 9 : 5 0 : 3 5 AM

P a g e T o t a l $ 4 8 7 .

P a g e 1 o f( f o r s c h e d u l e

SCHEDULE A : Co n t r i b u t i o n s - Mon T a k e n I n SCHEDULEI D : 1 3 3 4 A MONETARYRECE I PTSNa me : WATTS f o r Ho u s e I CFRS 1 2 / 9 9ORI GI NAL

T y p e S l a t e c o mmi t t e eCommi t t e e I DDa t e R e l a t i o n s h i p Amoun tRe c e i v e d C h e c k # Name a n d Ad d r e s s o f C o n t r i b u t o r To Ca n d i d a t e Re c e i v e

0 9 / 2 6 / 2 0 0 1 C a n d i d a t e ' s P e r s o n a l F u n d s $ 1 0 0 .

[ # I ]0 9 / 2 9 / 2 0 0 1 H a r l a n d , N Ma x Or J o a n No R e l a t i o n $ 15 .

Chk# : 6 3 8 8 2 4 1 6 T a f t S tP e r r y I A 5 0 2 2 0[ # 4 10 9 / 2 9 / 2 0 0 1 J o h n s o n , B r i a n E An d J o No R e l a t i o n $ 1 0 0 .

Chk# 1932 1 4 0 5 C o u r t S tA d e l I A 5 0 0 0 3[ # 7 ]0 9 / 2 9 / 2 0 0 1 L o r d , Da v i d G No R e l a t i o n $ 1 0 0 .

Chk# 4339 1 2 5 0 K C i r c l eP e r r y I A 5 0 2 2 0[ # 6 10 9 / 2 9 / 2 0 0 1 M y e r s , E l e a n o r No R e l a t i o n $ 2 0 .

Chk# 5 5 4 4 313 N 1 2 t h S tA d e l I A 5 0 0 0 3[ # 3 10 9 / 2 9 / 2 0 0 1 Thompson , C a r r i e No R e l a t i o n $ 10 .

Chk# 2 5 0 5 P . O Bo x 2 7 4Wa u k e e I A 5 0 2 6 3[ # 5 10 9 / 2 9 / 2 0 0 1 Tymes on , J o h n Or J o d i No R e l a t i o n $ 5 0 .

Chk# 6 7 5 1 5 2 4 Hi wa y 1 6 9Wi n t e r s e t I A 5 0 2 7 3[ # 8 11 0 / 0 1 / 2 0 0 1 Un i t e mi z e d C o n t r i b u t i o n ( s ) - No c o n t a c t r e q u i r e d . $ 9 2 .

EXPLANATI ON : Pa s s t h e h a t f u n d r a i s e r .[ # 2 ]


3/5

ORI GI NAL 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 Pr i n t e d Wi t h T h e I CF RS So f t wa r e o n 0 1 1 2 2 1 2 0 0 2 0 9 : 5 0 : 3 5 AM

$ 6 5 0 .$ 1, 1 3 7 .

Page 2 o f( f o r s c h ed u l e

SCHEDULE A : C o n t r i b u t i o n s - Mo n T a k e n I nI D : 1 3 3 4 SCHEDULEA MONETARYRECEI PTSName : WATTS f o r House I CFRS 1 2/ 9 9

ORI GI NALT y p e : S l a t e c o mmi t t e e

Co mmi t t e e I DDa t e Rel a t i o ns h i p Am o u n tRe 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 To Ca n d i d a t e Re c e i v e

1 0 / 2 5 / 2 0 0 1 C h a pm a n , Ki m&Ka t h y No Re l a t i o n $ 5 0 0 .1 6 0 8 Rap i d s St .Ade l I A 5 0 0 0 3

[ # 9 11 2 / 2 2 / 2 0 0 1 Wa r d , L a r r y No Re l a t i o n $ 1 0 0 .2 7 8 7 E l k St .

Os c e o l a I A 5 0 2 1 3EXPLANATI ON : Cash

[ # 1 0 ]1 2 / 2 3 / 2 0 0 1 Rowe , Ma r g a r e t No Re l a t i o n $ 5 0 .3 1 5 L a u r e l

Wau k ee I A 5 0 2 6 3[ # 1 1 ]


4/5

ORI GI NAL Page T o t a l $ 4 2 9 .Page 1 o f 2

T h i s Re p o r t Was P r i n t e d Wi t h Th e I CFRS So f t wa r e o n 0 1 1 2 2 1 2 0 0 2 0 9 : 5 0 : 4 1 AM ( f o r s c h e du l e

SCHEDULE B : Ex p en d i t u r e s - - Mor Spent Fr om Commi t t e e Acc ou n t SCHEDULE MONETARYI D : 1334 B EXPENDI TURESI CFRS 1 2 / 9 9Name :WATTS f o r H o u s e ORI GI NAL

T y p e : S l a t e c o mmi t t e eDa t e Co mmi t t e e I D Name a n d Ad d r e s s To Whom Ex p en d i t u r e Amou n t E x p e n d eE x p e n d e d C h e c k # ( Di s b u r s e me nt ) Was Made

1 0 / 0 1 / 2 0 0 1 D a l l a s Co u n t y News $ 6 3 . 0C h k # : 1 0 0 1 2 0 3 So 8 t hA d e l I A 5 0 0 0 3

# 1 4 ] HQ EXPENSES : S u b s c r i p t i o n s

1 0 / 0 1 / 2 0 0 1 D o l l a r Ge n e r a l $ 5 .C h k # : 1 0 0 2 1 0 1 0 2 6 t h S t .P e r r y I A 5 0 2 2 0

# 1 5 ] OFFI CE SUPPLI ES : E n v e l o p e s , e t c .

1 0 / 0 2 / 2 0 0 1 F i n e A r t Ph o t o gr a ph y $ 1 1 5 .C h k # : 1 0 0 3 8 1 9 Ma i n S t .

A d e l I A 5 0 0 0 3# 1 6 ] PHOTOGRAPHY :

1 0 / 0 2 / 2 0 0 1 US P o s t O f f i c e $ 3 4 .Chk # : 1 0 0 4 A d e l I A 5 0 0 0 3

# 1 7 ] POSTAGE, S HI P PI N G, DELI VERY :

1 0 / 0 4 / 2 0 0 1 QCMAu t o T r i m $ 9 0 .C h k # : 1 0 0 5 2 7 1 0 W i l l i s Av e .P e r r y I A 5 0 2 2 0

# 1 8 ] ADVERTI SI NG: mag . s i g n s1 0 / 0 9 / 2 0 0 1 Pe o p l e s T r u s t an d Sa v i n g s Bank $ 1 9 .

8 0 4 Gr e e n wo o d H i l l s Dr .A d e l I A 5 0 0 0 3

# 1 3 ] BANK CHARGES : C h e c k p r i n t i n g

1 0 / 0 9 / 2 0 0 1 W a t t s , Renae $ 5 2 .C h k # : 1 0 0 7 2 8 2 4 P r o s p e c t Av e .A d e l I A 5 0 0 0 3

# 2 2 ] OTHER EXPENDI TURE : Waukee p a r a d e c a n d y & p a p e r .

1 1 / 0 2 / 2 0 0 1 D e p t . o f Se c y . o f S t a t e $ 4 9 .C h k # : 1 0 0 6 S t a t e C a p i t o l B l d gDe s Mo i n e s I A 5 0 3 1 2

# 1 9 ] HQ EXPENSES : V o t e r d a t a b a s e CD


5/5

ORI GI NAL Pag e T o t a lR e p o r t T o t a l$ 6 .

$ 4 3 5 .Pag e 2 o f 2

T h i s Re p o r t Was Pr i n t e d Wi t h Th e I CFRS So f t wa r e o n 0 1 1 2 2 1 2 0 0 2 0 9 : 5 0 : 4 1 AM ( f o r s c h e d u l e

SCHEDULE B Ex p en d i t u r e s - - Mo r S p e n t Fr o m Co mmi t t e e A c c o u n tI D 1 3 3 4

SCHEDULEB MONETARYEXPENDI TURESI CFRS 1 2 / 9 9Name : WATTS f o r H o u s e ORI GI NAL

T y p e S l a t e c o mmi t t e eDa t e Commi t t e e I D Name a n d Ad d r e s s T o 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 C h e c k # ( D i s b u r s e m e n t ) Was Made

1 1 / 2 6 / 2 0 0 1 P e o p l e s T r u s t a n d S a v i n g s B a n k $ 6 . 38 0 4 Gr eenwoo d H i l l s D rA d e l I A 5 0 0 0 3

# 2 1 i BANK CHARGES :

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Watts Ralph__1334__scanned

Watts Ralph1334scanned