1
Oct; 18 -04 04 :45p
F_Aed~i- <D//glOIK
FOR INS rRuL, 1 ,r NS, SEE BACK OF FORM FORM
DISCLOSU RE SUMMARY PAGE DR-2 DISCLOSURE
NAME PAt be same as on tatemept p1 Prgan atiorl / (Rev . 01/2001) I REPORT
Comm . #
IMPORTANT : Indicate type of committee you are reporting for :
Indexed
( 1 )SIPtcw~delLPgr3I9tieC Candidate ( 2 )3ldtGwidu PAC ( 3 )State Party ( 4 )UounlyfLOCaI G3ndidate
Audited
(5 )County PAG (6 )Ballot ISSUe/Franchise Committee (7 )County/City Central Committee
( 6 )Support Slate of Candidates Computer
Candid te Party 1A -
t
3d6 v
SIGNAT OF TRCASURER (or perzon filing this report) TELEPHONE DATE GN
Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIO NS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:
(] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees . enter County in
held which Election..
("ou rnust continue to file reports until a Notice of Dissolution is filed .)
5 Go l l
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . lJ _
CASH ON HAND at the end of this reporting period (if final report, balance must ~
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . . . . . . . . . . . . . . . ., . . . , .$
CAUTION : Suction 68H.32A(G), lows Code, prohibits the use Of infOrrnatiOn copied fiom reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory poiifical committees,
DATE PAC ID NUMBER NAMr. AND ADDRESS Or QONTRiaUi OR - RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED PUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOMr;
_
ID#
CAro ~Pn+~ ~ /
t 0
CK#
0L 70 r A. Sa~O ~iS OO
ID#
pc)~ rnyr
CK#
~S a. l uteri vw-0.t 404A PI ~ o
~o
I D#
/71 i G ~,q e /,
ID#
CKIF ,
I D#
CK#
ID#
CKfR E:1
I D#
CK#
IDA
CKtf
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consangulnlty (blood relatives) and affinity (relatives by Page ,-_L__ of
marriage) . If surname of contributor is tha tame as candidate. but thore iy no (for Schedule A)
familial relationship, enter 'not applicable" in the relationship column .
p. 3
Vanoe 563 324 4120
THE BEST YEARS Dan
Got: 18,04 04 :45p
'. c_ _ S ~
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIarZ TRANSACTION) t.-xPENDEO
EXPENDED (if applloahla) (OraburmarerM WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER '
!D~! 174yrJnQN 1 ke %A0qr / I rS 10/1741G ) UVr
CK# _ 17 t b W.
S~rw1 ~w+rr ln . Sl~rtS
. /D ' ~ -~ ~A. 2gf7
I 1 ~'a. ee
I b4!
17
ID#
'ta-r'-~s
CK#i
'..2 Jf
_ . ,
Ion
C `k7r GjQS " 7~v fr~
CK
f0e mod ;. d
1S
`~
~~, ~. .A y t s .,.,.~5 .
CK# ~n
/o5D Dav st - X-ok SQ ot
ID#
n in
CK# lJo ~ . So~S f
ID#
~~~,
a oc
U Li0t.Y4 s
ID#
" " 7
~ ~, min J~"
CK# /0 q 3 1has q a
~'o~.7lb
l
SUB-TOTAL $
i "5
TOTAL (if last page of this schodule) $
- d
Purchases of certain campaign property costing tistlo or moro must A*v be inventoried on schedule H . (Refer to Schedule H Instructions .)
Expenditures to persons/entitles providing consulting . advertising . fund-4aising, polling, managing, organizN servieaS must also be detail itemized on
(Re-tar In
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee .
St~duie Q inStnrc6onS and Iowa C:rxte 681LdOZ(3)(1) .)
Page
Dan Vance 563 324 4120 p" 4
Oct 18 .0 4 04 :45p THE BEST YEARS
Lam. IU
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DE5CRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM)DD(YR) AND PAC
CHECK
NUMBER '
%9 _
CK# At
S~
IDA
/- 6.S- l~1-Gd S' r4in pS
CK# i© g S- Mo ~~d `~
92716, ,~'~ c 9r e cep
j -j
ID#
PC r~fz.
CK# `o VIA,-.,, 04tcr-
IO
736 F,-4--A
l o h/0 CK#
I..~I q ~ 3~ /01 x.10
ID# T
CK
IDI;
CK#
ID#
CK#
ID#
CK#
GUS-TOTAL $3
TOTAL (if last page of this schedule) $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlantity on behaff of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 6BA.402(3)(i) .)
Page _-Q-L-__ of
Oct .18 A 4 04 :45p THE BEST YEARS Dan Vance 563 324 4120 p .5
0 ,0
'7/o
SUBTOTAL $
/oS~ .at
TOTAL OE6TS OWED BY COMMITTED AT THE END OF THIS REPORTING PERIOD
`If actual figure is unknown, show -estimated" beside the figure . Page I of _I
(for Schedule D)