FOR INSTRUCTIONS, SEE BACK OF FORM OrA .1002-0%60-0003- 3043-254 “FORM DR-2 DISCLOSURE DISCLOSURE SUMMARY PAGE (Rev. 01/96) REPORT [COMMITTEE NAME (Must be same as on Statement of Organization) Sandy “reine” == pa sr Bibisens IMPORTANT: Indleate typeof commits you are reporting for: L_] (1 }Statewideegisiatve Candiate (2 Statewide PAC (3 )State Party (4 )CountyiLocal Candaate (3 )County PAC (6 JBallot esueFFranchise Commitee (7 jCountyCty Cantal Commitee (8 Suppon Sate of Candaatos — May 15, 299? Bla -6: SIGNATURE OF TREASURER (or persdn filing this report) TELEPHONE DATE SIGNED Routine Penalties Due For Late Filed Reports Range from $20 to $800 ‘SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: TAMFILINGA Hay Uk, 2002 ___ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR. (report date) Indicate one CICHECK IF AMENDMENT TO REPORT DATED [Local Committees, enter Date of Election isi nal (termination repo Gl Dissolution Form OR-3, | euniy Local Commies. err County in Check f this is final (ermination) report and attach Notice of Dissolution Form DR-3, | Count § Local ame (You must continue to file reports until a Notice of Dissolution is filed.) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning ofthe reporting period. (This isthe total of all monies held by the committee. This amount MUST be the same a he cash on hand at teen ofthe lst repring ped Peaennl (or must be zero if this is fist report fled.) : _ 7,752 ADD TOTAL MONEY TAKEN IN THIS PERIOD 250400 ‘Schedule A: Cash Contributions total (Attach Schedule A) ‘Schedule F: Loans Received total (Attach Schedule F). ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) (Schedule H applies to Candidates’ Committees Only) ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule 8: Expenditures total (Attach Schedule B) ‘Schedule F: Loan Repayments total (Attach Schedule F)... CASH ON HAND at he end ofthis reporting perio (final report, balance must Reel be zero) (Attach DR-3) sone 363 02h UNPAID BILLS (From Schedule D - Attach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E). ‘OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ‘CANDIDATE COMMITTEES ONL ‘CONSULTANT BREAKDOWN (Schedule G Attached?) YES VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) 8(SCHEDULE For Instructions, See Back of Form A MONETARY CONTRIBUTIONS -- MONEY TAKEN IN | (Rev. o8e7) | RECEIPTS (Ineusing cancsdate'spereonal funds) t OF cutck rs 20x iF} AMENDING FORM | ‘COMMITTEE NAME (lust be same as on Statement of Organization) Citizens to Hlect Sandy Greiner | | STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIRCATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 10 NUMBERS Is AVAILABLE FROM THE \OWA ETHICS AND CAMPAIGN DISCLOSURE BOARD. ‘CAUTION: Section 688.224(6), lowa Cade, prohibits the use of information copied from reports and statements for solicting contributions oF for any commercial purpose by any person other than statutory poitical committees. ATE, BACTO NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT RECEIVED (applica) TOCANOIDATE" | RECEIVED @awoo/yr) | AND PAC CHECK ( applicable) NUMBER, $ 500.00 459,09 "SUB-TOTAL zi $250.00 TOTAL (if ast page of this ‘schedule) + Disclosure aw requires candicate committees to diciose the relationship of any relative making a controuton to the Commitee. Felatonsnip ust be shown to the hd degree of consanguinsy (blood relatives) anc aft (reiaoves By 1 1 ‘marriage (See Page 2a ome packet). If sumame of conbutor' the tame as candlaato, out tera is no Page of (fer Schedule A familial relationship, enter “not applicable” inthe relasonship column.FOR INSTRUCTIONS, SEE BACK OF FORM [SeneDULE EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT F eee (Rev. 09/87) | EXPENDITURES STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE (Ol CHECK THIS BOX IF AC CHECK NUMBER FOR EACH EXPENDITURE. ALIST OF 1D NUMBERS IS AVAILABLE FROM THE IOWA "AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARO. [COMMITTEE NAME (Must be same as on Statement of Organization) NAME AND ADDRESS TO WHOM PURPOSE AMOUNT EXPENDITURE (DESCRIBE TRANSACTICN) EXPENDED EXPENDED | (fapptcabie) (Disbursement) WAS MADE (mwo0/vR) | "AND PAC CHECK NUMBER , IA Tenuoliean Party af To Fenvership 521 Bast Locust St Des Hoines, IA SUBTOTAL TS 365.57 TOTAL (if est page of this schedule) FS 355,37 [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of cortain campaign property costing $500 or more must also be inventoried on Schedule H. (Refor to Schedule Hinstructons.) Expondtures to persons/enties providing consulting, advertising, fund-raising, poling, managing, organizing services must also be deal itemized on Schade by te eroun puroue, ard ie ofeach ye of epanre made oy ew pascvenen Coat ow candaaas corms, (toro [Schedule G instructons and lowa Code $6.6(3)i).) J a; a Page. (for Schedule 8){STRUCTIONS, SEE BACK OF FORM [SCHEDULE D INCURRED (MITTEE NAME (11031 bo tame 63 6n Siatemant of Organization) (Rev. 08/90)| INDESTEONESS Citizens to Blect Sandy Greiner Ty CHECK THIS BOX IF AMENDING NOTE: Debts previously reported tna remain unpaid must be included on this FORM Sctiedule, 8 well as any new obligations Incured in his peed. "An “curred d0be Ie a debt for DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD 000s or services ordeced of (D0 NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) Feceived, but not paid for by the fend of the reporting period, Fegarciess of whetner an invoice hhas been receved, DATE DESCRIPTION OF GOODSOR | BALANCE OWED AT INCURRED NAME AND ADDRESS OF PERSON ‘SERVICES PROVIDED OR CLOSE OF (sanoorvR) ‘TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING PERIOD" 1fi/o Sandy Greiner 4208 miles @ 3h. i to 1005 Hay 92 1,151.76 12/31/01 Keota, IA $228 SUETOTAL TS 1,152.76 ‘TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOO |S 1,151.76 “it actua igure Is unknown, show “estimates” beside the fur. Page__L_op_2 Ter Steele) ‘GANDIDATE COMMITTEES NOTE: “incured indebtedness alto ineudes each persce/enty win whom te candidate's commitee Pas entered ino @ contract uring he reporting period fo future or cantnuing perormarea, Enter the nama of te constant who provides or procures sores for lems suchas advertsing. und~alsng, poling, maragirg. oF organizing ences Report on Schedule G te nue of pevirmance andthe estate peronance reasonably expected of te consultant