FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

COMMITTEE NAME (Must be same as on Statementof Organization) (Rev . 07/2004) REPORT
For Office Use Only
Schissel for Council Comm . #
IMPORTANT: Indicate by # type of committee you arereporting for: = Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )CJ Candi~gte 44,ool Board or Other Political
Subdivision Candidate (8 )County PACy Computer
11) 1-[ Ballot Issue x18. ,~ . ~ r her Political Subdivision PAC Audited

Office Sought 7- rro~ Dislct (if Senate or House)

Decorah City Council

Late reports are subject to possible civil and criminal penalties.

TELEPHONE DATE SIGNE6

11/23105
I AM FILING A REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR.
(report date) Indicate by # 0

'CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

November 8, 2005

Ll Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County $ Local committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held
Winneshiek

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end 288.00
of the last reporting period or must be zero if this is first report filed .) .. ..... ..... .......... . .... .......... ..... . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
150 .00
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) ............ .... . .
Schedule F: Loans Received total (Attach Schedule F) . ........... ..... .... . ............... ..... ................ .... . . 0 .00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ....... .... . .... .... . ...... ..... ........... 0 .00
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . . . . . ... . . . .. $ 438 .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
438 .00
Schedule B: Expenditures total (Attach Schedule B) ("`also see debts and loans below) .......... ..
Schedule F: Loan Repayments total (Attach Schedule F) ....... ..... ..... ................ .... . ....................... 0.00
CASH ON HAND at the end of this reporting period (if final report balance must
0.00
be zero) (Attach DR-3) .. ..... ............... ............... ..... ..... ............... ........................ ...... ........................ $

*'UNPAID BILLS (From Schedule D - Attach Schedule D) . ..................... .... ..................... ..... ............... ..... ... $ _tt_(1(t
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... .......... ................ .... . ............... ..... ... $ 0.00
'*OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ........ ............... ..... ................ .... . ............ $ 0.00
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
CANDIDATE COMMITTEES ONLY:
0.00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)

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

0 CHECK THIS BOX IF
AMENDING FORM
Schissel for Council

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Unitemized Contributions
11/3/05 $100.00
CK#

ID#
Chuck Gipp
11/3/05 212 High Street 50 .00
CK#
Decorah, la. 52101
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

* 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 consanguinity (blood relatives) and affinity (relatives by 1 1
marriage) . If sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter `not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 07/03)
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 D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS S CAMPAIGN DISCLOSURE BOARD.

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

Schissel for Council

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# Bank of the West Bank Service Charges
10/31/05 120 West Water St 7.00
CK# Decorah,lA 52 101 $

ID# Storey Kenworthy Ink, Paper, and Yard Signs

11/11/05 309 Locust St 300.64
CK# Des Moines, IA 50309

ID# Decorah Newspapers Newspaper Ad

11/11/05 107 East Water St 70.20
CK# Decorah, IA 52 101

ID# Randy Schissel Reimbursement for postage and food

11/15!05 108 Randall Drive for fundraiser 51 .96
CK# Decorah, IA 52 101

ID# United Way Charitable donation to close account

11/23/05 PO Box 165 8.20
CK# Decorah,IA 52 101

ID#

CK#

ID#

CK#

I D#

CK#

SUB-TOTAL $ 438.00
TOTAL (If last page of this schedule) $ 438.00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

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 person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 66A.402(3)(i) .)

(for Schedule B)