Mad 17 05 10 :53a SaBre, Wittgraf a Meloy 7122255300

R INSTRUCTIONS, SEE BA CK OF FORM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/g8) REPORT
For Office Use Onty

COMMITTEE NAME (Must be same as on Statement of Organization) Comm .

LEROY SCHOON FOR SUPERVISOR Indexed Ajvw
Audited
IMPORTANT; Indicate type of committee you are reporting far. 4 Computer _210 M -
( 1 )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( )C ty PAC ( 6 )Ballot Issue/F hiss Committee (7 )County/City Central Committee
{S r- ort Slate of Candidat~s ~

(712) 725-64,81 5-09-0

TREASURER (or pets fill is report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INS T RUCTIONS ON BACK AND CO MPLETE THE FOLLOW ING SENTENCE:

I AM FILING A _ Janu a ry 19, 2006 REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one

QCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Cate of Ejection

November 2, 2004
© Check ii this is final (termination) report and attach Notice of Dissolution Form OR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed .) which Election is held
Cherokee

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies held by the committee. This amount MUST be the
same as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed.) ............... . .. .. ........... .. . .... ..... .. ... .. .. ..... . .. ...... . . . ....... $ 37 .84
ADD TOTAL MONEY TAKEN IN THIS PERIOD
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) .. ........ .. .. .. .. ..... .. ...., . 386 . OF
(Schedule H applies to Candidates' Committees OnIyJ
SUB-TOTAL..... $ 423 .90
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule 8) ... ...... . . .. ...... .. .. .... .. ..... ........ .. ... .......... .. 423 .90
Schedule F : Loan Repayments total (Attach Schedule F) . . .... .. .. ... ..... .. ..... .... .. .. ...... ............

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach OR-3) ..... .. .. ... . . ... .. ..... ...... .... . . ... ...... .... . .... .. .. . . . . . ... .. ... . . ... .. ...... .. .. ...... . . .. .... . . ..$ 0 .00

UNPAID BILLS (From Schedule D - Attach Schedule 0) ... ....... .. .. .. . .. .... .. .......... .... ... .. .. , ..... ........ ... .. .. $
IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) ..... .. . ....... ... .. ... . . .. ... . .... ....... .. .. . $ 0 . 00
OUTSTANDING LOANS (From Schedule F -Attach Schedule F) ... .. .. ..... .... .. .. . . .. . .. . ..... .. . ......... ...... .. . $ 0 .00
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES x _ NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $ 0 . 00
 Mad 17 05 10 :54a Sayre, Wittgraf a Melon 7122255300 p .4

FOR fNSTRUCTIONS, SE: BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT

13
(Rev, 09/97) I MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE . FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMfTTE= NAME (Must be same as on Statement of Organization)

LEROY SCHOON FOR SUPERVISOR

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE
ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION)
(if applicable) (Disbursement) WAS MADE
AND PAC
CHECK
NUMBER

Schoon Construction, nc . Printing of 3000

1500 S . 2nd sheets of campaign
Cherokee, IA 51012 materials @ $ .025/sheet
Cherokee County Contribution
Republican Central
Committee, Cherokee, IA

Central Bank Bank-service charge

401 W . Main
Cherokee, IA 51012
ID#
Central Bank Bank service charge
401 W . Main
CK#
Cherokee, IA 51012
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
TOTAL (if last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule .
H (Refer to Schedule H instructions .)
Expenditures to persons/entities providing ccnsuiting, advertising, fund-raising, polling, managing, organizing
Schedule G by `he amount, purpose, and date of each type of expenditure made by the personlentity services must also be detail itemized on
on behalf of the candidate's committee . (Refer to
Schedule u instructions and Iowa C ode 56 .5(3)(i) .)
 SCHEDULE
I THIS FORM IS USED 9Y CANDIDATES' COMMITTEES ONLY H CAMPAIGN
(Rev . 02/96) PROPERTY

COMMITTEE NAME (Must be same as on Statemont of Organization) ATTACH SCHEDULE H TO

EACH REPORT, MAKING
in LEROY SCHOON FOR SUPERVISOR CHANGES AS REQUIRED,

[] CHECK THIS BOX IF

PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART 11- SALES OR TRANSFERS OF CAMPAIGN PROPERTY'* AMENDING FORM

Dale Purchased
(Schedule B) Purchase Current
or Date Received Doscriplion of Property Price or Est . Value at Fair Date Name and Address of Purchaser/Donee Descrlplion of Properly Sold? Sale Value of
(Schedule E) Value When Market This (MM/DD/YR) Y/N Price Donation
MM/DD/YR Ac wired' Re ort

0 10/12/0 110 posts 482 .57 386 .06 2/01/05 Schoon Constructions, Inc . 110 posts y 86 .06
0 for field 1500 S . Second
m Cherokee, IA 51012
signs
N
N
N
t`

n
0
W

W
L
n
ro
to

ro

0
.. " PROPERTY SALES $ TRANSFERS
TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT TOTAL TOTALS $386 .06,_
(TRANSFER
(TRANSFER TO SUMMARY PAGE) $ 0 . 00 TO SUMMARY PAGE) $ 386 .06
' if estimated, show asr . beside liguro . (Attach Additional Schedules if Needed) Page--I -__ Pages
(For Schedule 11)

n
ro
Mad 17 05 10 :53a Sartre, Wittgraf & Melon 7122255300 p .2

FOR INSTRUCTIONS, SEE BACK OF FORM

FORM (Rev . 0296)
This form is not applicable to statutory political committees .
DR-3
Notice of Dissolution NOTICE OF
DISSOLUTION

For Office Use Only

Every Notice of Dissolution shall be accompanied by a
completed Disclosure Report Form current to the date of Comm . # Z 71Y3
dissolution . Indexed n
Audited 7
Compute r ,0
Certified Date of Dissolution
COMMITTEE NAME

Official Name of Committee

LEROY S CHOON FOR SUPERVISOR

Street

P.0- Box 535

City, State, Zip Code

Cherokee, IA 51012-0535
Area Telephone
Code

(712 ) 225-6481

Effective date of dissolution :

April 30 1 20 05

A-
Signature of Tr asur

may 9, 2005
Date Signed

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

l, the candidate, certify that my candidate committee's cash balance is zero, all debts, obligations and !pans have
been paid or satin-ned in accordance
with law as shown on my committee's final report and all campaign property and leftover funas have been distributed
In accordance with my
committee's last filed Statement of Organization .

Signature of Candidate - Required for Candidate's Committee Date signed

WHEN TO FILE:
The Notice of Dissolution must be filed within thirty (30) days of the committee's dissolution, with a copy of the
final bank statement attached .