Elgin Jeffrey - 1216 - Scanned

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :33:26
DR-2
FORM Dr2 : Disclosure Summary Page Statutory Due Date 01/19/2002
Adjusted Due Date 01/2212002
Received Date 01/10/2002
Postmark Date l l
# :1216
ID Amended
Committee : Elgin For State Representative
Comm Type : General Assembly Candidate
Date Due: 01 /19/2002
Report Year : 2002
Treasurer: Steven G. Scott (319) 373-2023
Chair: Wayne P. Engle (319) 377-7792
County :
Election Date : 11/05/2002
Statement of Cash On Hand Cash On Hand at Start of Period $8,508 .44

Schedule A: Cash Contributions Total $17,187.82
Schedule F : Loans Received Total $0 .00

Schedule H: Campaign Property Sales $0 .00
SUB-TOTAL $25,696.26
Schedule B : Expenditures Total $8,070 .78

Schedule F : Cash Loan Repayments $0 .00
Cash on Hand At End of Period $17,625.48
Loans in Place at Start of Period $15,000.00

Additional Assets and Liabilities
Schedule D : UnPaid Bills $0 .00
Schedule E : In-Kind Contributions $0 .00
Schedule F: Forgiven Loans $0 .00
Schedule F: Outstanding Loans $15,000.00

Schdule G: Consultant Breakdown? Yes
Schedule H: Campaign Property Value $0 .00
Note : F1 "Flag" symbolizes information entered by IECDB Auditor.

FORM DR-2 : Elgin For State Representative
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :33 :26
SCHEDULE A: Contributions -- Money Taken In Sch-A
Committee Name Committee ID : 1216 Statutory Due Date 01/19/2002
Elgin For State Representative Adjusted Due Date 01/22/2002
Postmark Date l l
Status :Original Commmittee Type :General Assembly Candidate Amended j///
Date Comm .ID Relationship Amount

Received Check # Name and Address of Contributor To Candidate Received
01/05/2001 Buchholz, Jolene A . None $100 .00

Chk: 2719 7828 Marquette Dr . N .E .
Cedar Raids IA 52402 (from Fundraiser)
EXPLANATION: Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)

[#551]
01/05/2001 Egaugh, Terry L. None $50 .00

Chk: 5181 1045 Indian Creek Cir.
(from Fundraiser)
Marion IA 52302
[#552]
01/05/2001 Grady, Timothy L. None $50.00

Chk: 6626 5510 Lucore Rd .
(from Fundraiser)
Marion IA 52302
[#528]
01/05/2001 Klopfenstein, V L. None $100 .00

Chk: 1014 525 6th Street
(from Fundraiser)
Marion IA 52302
[#526]
01/05/2001 Tabach, Barney None $150 .00

Chk: 4060 1856 Stablegate Ave
Henderson NV 89012
EXPLANATION: Contribution
[#499]
01/06/2001 Allen, Shirley L. None $25 .00

Chk: 3637 9205 Willard Court
(from Fundraiser)
Urbandale IA 50322
EXPLANATION : Christofferson Fund-Raiser Contribution (Elgin fund-raiser at Christofferson residence)
[#663]
01/10/2001 Lockhart, Theodore C. None $50.00

Chk : 7015 7104 Brentwook Dr . N.E .
Cedar Raids IA 52402
EXPLANATION : Contribution
[#498]
01/18/2001 Burke, Norm None $1,000 .00

Chk: 250 6801 W. 107th St Suite 102
Overland Park KS 66212
EXPLANATION : Contribution
[#497]
Fundraiser Regular Total

Sub-Total $325 .00 $1,200 .00 $1,525 .00
Note : ~-1 "Flag" symbolizes information entered by IECDB Auditor.

SCHEDULE A: Elgin For State Representative Page 1 of 19
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32:59 (for schedule A)
Postmark Date J / /
Status.Original Commmittee Type :General Assembly Candidate Amended / /

02/21/2001 Latham, Robert J . None $250 .00
Chk: 3499 356 Park Ter. SE
[#500] EXPLANATION: Contribution
04/04/2001 Nichols. Susan A. None $50 .00

Chk: 11264 3600 High Ridge Dr SE
[#501] EXPLANATION: Contribution
08/06/2001 ID# : 6098 Iowa Bev PAC $200 .00

Chk: 3146 321 East Walnut St ., Suite 310
Des Moines IA 503092026
[#505]
08/07/2001 ID# : 9116 Linn County Republican Central Committee $500 .00
Chk: 1251 P. 0. Box 1351
[#504]
10/01/2001 Dzianott, Tony None $25 .00

Chk: 2029 5510 Hickorywood Ct
(from Fundraiser)
[#570] EXPLANATION: Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)
10/02/2001 Johnson, Bruce E. None $100 .00

Chk: 4656 2488 Westwind Lane
[#517] EXPLANATION : Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)
10/02/2001 Quinby, Janis B. None $100 .00

Chk: 18477 1651 Bilgarie Ct . N.E .
10/03/2001 Bergdale, Larry None $250.00

Chk: 7947 P.O . Box 1863
(from Fundraiser)

Sub-Total $475.00 $1,000.00 $1,475.00
Note : rb "Flag" symbolizes information entered by IECDB Auditor.

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11:32:59 (for schedule A)
Committee Name Committee ID: 1216 Statutory Due Date 01/19/2002
Status :Original Commmittee Type :General Assembly Candidate

Postmark Date 1_
//
Amended / /
Date Comm . ID Relationship Amount

10/05/2001 ID#: 679 Larson for State House

$317 .63
Chk: 1670 3114 Blue Ridge Ct . NE
EXPLANATION : Reimbursement by Larson Committee to Elgin Committee for Portion of Sign Storage Rental Paid By Elgin
[#651 ]
10/11/2001 Scotter, Joan M. None $100 .00

Chk: 5516 180 School St
(from Fundraiser)
Marion IA 52302
[#518]
10/17/2001 I D# : 6059 Iowa Committee of Automotive Retailers (ICAR)

$100 .00
Chk: 2130 1111 Office Park Road
(from Fundraiser)
West Des Moines IA 50265
EXPLANATION: Christofferson Fund Raiser (For Elgin at Christofferson Residence)
[#606]
10/19/2001 Hames, Curt None $250 .00

Chk: 1280 P.O . Box 217
(from Fundraiser)
Marion IA 52302
[#533]
10/19/2001 Loynachan, Tim F. None $20.00

Chk: 3993 2550 Larick Dr .
(from Fundraiser)
Marion IA 52302
[#626]
10/19/2001 Tinker, A J . None $100 .00

Chk: 4469 2304 Hillcrest Dr S.E .
(from Fundraiser)
[#534]
10/19/2001 Vanderschaaf, Howard C. None $10.00

Chk: 1919 920 44th St SE
(from Fundraiser)
EXPLANATION : Christofferson Fund Raiser (For Elgin at Christofferson Residence)
[#627]
10/20/2001 Drown, David S. None $100 .00

Chk: 7846 1900 Litchfield Dr
(from Fundraiser)
Hiawatha IA 52233
EXPLANATION : Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)
[#542]

Sub-Total $680 .00 $317 .63 $997 .63
Note : R) "Flag" symbolizes information entered by IECDB Auditor.

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11:32:59 (for schedule A)
SCHEDULE A: Contributions -- Money Taken In
Sch-A
Elgin For State Representative Adjusted Due Date J 01l22/2002
Postmark Date j / /
Status :Original Commmittee Type :General Assembly Candidate Amended l l

10/20/2001 Elgin, John A. Parent $500 .00

Chk: 2232 2899 105th St .
(from Fundraiser)
Van Meter IA 50261
[#628]
10/21/2001 Anderson, Melanie S. None $100 .00

Chk: 8522 8501 Federalist Road
(from Fundraiser)
Marion IA 52302
[#516]
10/21/2001 Baker, Janet P. None $500 .00

Chk: 11549 2651 Alpine Ct N.E .
(from Fundraiser)
EXPLANATION: Christofferson Fund-Raiser (Elgin Fund Raiser at Christofferson Residence)
[#515]
10/21/2001 Morris, Charlotte None $50.00

Chk: 6311 4512 Lakeside Rd
(from Fundraiser)
Marion IA 52302
[#540]
10/21/2001 Protsch, Eliot None $25 .00

Chk: 2295 2612 Diamondwoon Dr SE
(from Fundraiser)
[#529]
10/21/2001 Prowell, Jane O. None $50.00

Chk: 16017 523 Knollwood Dr SE
(from Fundraiser)
[#622]
10/21/2001 Russell, Norman None $100 .00

Chk: 3957 6931 Bowman Ln N .E .
(from Fundraiser)
[#625]
10/21/2001 Vancura, Barbara None $100 .00

Chk: 2281 6905 Bowman Ln N .E .
(from Fundraiser)
[#535]

Sub-Total $1,425 .00 $0 .00 $1,425 .00
Note : Fb "Flag" symbolizes information entered by IECDB Auditor.

SCHEDULE A : Contributions -- Money Taken In
Sch-A
Postmark Date
Status :Original Commmittee Type :General Assembly Candidate Amended l l

10/22/2001 Bloomhall, John C . None $250 .00

Chk: 5991 272 Haggis Way
(from Fundraiser)
Marion IA 52302
[#623]
10/22/2001 Helling, Larry None $250 .00

Chk: 3024 7313 Hamshire Dr. N.E .

[#541 ]
10/22/2001 Manville, James C. None $250 .00

Chk : 2342 100 Thompson Drive SE Apt 112
(from Fundraiser)
[#624]
10/22/2001 Moran, Shirley None $100 .00

Chk: 0742 6925 Wilton Dr. N. E.
(from Fundraiser)
[#537]
10/22/2001 Parks, Thomas A. None $50.00

Chk: 8112 507 Fariview Dr . S .E .
(from Fundraiser)
[#634]
10/22/2001 Scott, Steven G . None $100 .00

Chk: 2070 366 Willshire Ct . N .E .
(from Fundraiser)
[#521 ]
10/23/2001 Carey, Robert None $25.00

Chk: 0219 795 Alpine Rd
(from Fundraiser)
Marion IA 52302
[#630]
10/23/2001 Grove, Robert L. None $25 .00

Chk: 4416 2005 Stratford Dr.
(from Fundraiser)
Marion IA 52302
[#621 ]

Sub-Total $1,050 .00 $0 .00 $1,050 .00
Note : P) "Flag" symbolizes information entered by IECDB Auditor.

Sch-A
Received Date 01 /10/2002
Postmark Date=l /
Status :Original Commmittee Type :General Assembly Candidate Amended

10/23/2001 Keiper, Douglas None $50.00

Chk: 3993 3273 72nd St
(from Fundraiser)
Atkins IA 52206
[#536]
10/23/2001 Siders, Janifer None $50.00

Chk: 11247 2240 Timber Creek Drive
(from Fundraiser)
Marion IA 52302
[#538]
10/23/2001 Strohman, Laurence None $25.00

Chk: 4747 1521 S. 152nd Ave Cir
(from Fundraiser)
Omaha NE 68144
[#609]
10/23/2001 Usher, Marcy None $50.00

Chk: 1204 1120 Mitchell Dr .
(from Fundraiser)
Marion IA 52302
[#532]
10/23/2001 Verhille, Robert W. None $25.00

Chk : 5613 P.O . Box 809
(from Fundraiser)
Marion IA 52302
[#571 ]
10/24/2001 Botkin, Mrs John C. None $50.00

Chk: 6710 2545 21 st Ave
(from Fundraiser)
Marion IA 52302
[#527]
10/24/2001 Ernst, Randy None $100 .00

Chk: 6930 3860 Deervalley Dr
(from Fundraiser)
Marion IA 52302
[#632]
10/24/2001 Klappholz, Barbara None $50 .00

Chk: 15191 135 Red Fox Rd . S .E .
(from Fundraiser)
[#530]

Sub-Total $400 .00 $0 .00 $400 .00

Sch-A
Elgin For State Representative Adjusted Due Date 101/2 2/2002
Postmark Date I / /
Amended //

10/24/2001 Nielsen, Cynthia None $50.00

Chk: 12632 121 Dundrennan Ln
Marion IA 52302 (from Fundraiser)
[#631]
10/25/2001 Miller, Thomas None $500 .00

Chk: 11239 6955 Bowman Ln N.E .
[#531 ]
10/26/2001 Golobic, Magdalena None $50.00

Chk : 7544 340 27th St Dr S. E .
(from Fundraiser)
[#629]
10/26/2001 Novetzke, Sally J . None $250 .00

Chk: 1238 4747 Mt Vernon Rd SE
(from Fundraiser)
[#616)
10/26/2001 Porter, Cynthia M. None $100 .00

Chk: 15014 369 Willshire Ct N.E .
(from Fundraiser)
[#524]
10/27/2001 Engle, Wayne P. None $500 .00

Chk: 1655 1220 Country Club Drive
(from Fundraiser)
Marion IA 52302
[#567]
10/27/2001 Murdock, Marlene None $250 .00

Chk: 2069 1085 Indian Creek Cir
(from Fundraiser)
Marion IA 52302
[#613]
10/27/2001 Richardson, Pamela L. None $50.00

Chk: 6437 6901 Bowman Ln N. E .
(from Fundraiser)
[#633]

Sub-Total $1,750 .00 $0 .00 $1,750 .00
Note : R3 "Flag" symbolizes information entered by IECDB Auditor.

SCHEDULE A: Elgin For State Representative Page of 19
7
Sch-A
Received Date 101 /10/2002
Postmark Date / /
Status :Original Commmittee Type :General Assembly Candidate Amended
_//

10/28/2001 Kaalberg, Kirk E. None $25.00

Chk: 1575 1455 Butternut Ct NE
Swisher IA 52338 (from Fundraiser)
[#607]
10/28/2001 Lockhart, Theodore C. None $50.00

Chk: 7476 7104 Brentwook Dr . N .E .
[#523]
10/28/2001 Lockhart, Theodore C. None $100 .00

Chk: 7477 7104 Brentwook Dr . N .E .
(from Fundraiser)
[#520]
10/28/2001 Taylor, Donna None $100 .00

Chk: 7516 7425 Normandy Dr . N .E .
(from Fundraiser)
Cedar Rapids, IA 52402
[#525]
10/28/2001 Terry, Karla P. None $20.00

Chk: 7064 1925 41 st Street
[#614]
10/29/2001 Clarahan, Paul None $100 .00

Chk: 12347 2355 Brockman Ave.
(from Fundraiser)
Marion IA 52302
[#617]
10/29/2001 Clark, Pamela J . None $50.00

Chk: 3529 7245 Hamshire Cr. N.E .
(from Fundraiser)
[#553]
10/29/2001 Lala, Kellie None $25.00

Chk: 4745 1815 5th Ave S.E .
[#555]

Sub-Total $470 .00 $0 .00 $470 .00

S ch-A
Committee Name Committee ID : 1216 Statutory Due Date 101119/2002
Elgin For State Representative Adjusted Due Date 01/2212002
Postmark Date / /
Amended I / //

10/29/2001 Miller, Mary None $25.00

Chk: 8307 1046 Milstead Dr .
Hiawatha IA 52233 (from Fundraiser)
[#611 ]
10/30/2001 Baker, Susan S. None $50.00

Chk: 7259 7409 Westbury Drive NE
Cedar Rapids, IA 52402 (from Fundraiser)
[#547]
10/30/2001 East, Linda

None $25.00
Chk: 5497 6930 Bowman Ln. N .E .
[#554]
10/30/2001 Elgin, David J .

Brother $100 .00
Chk : 6865 660 Woodcrest Drive
Waukee IA 50263 (from Fundraiser)
[#619]
10/30/2001 Evans, Jack B. None $25 .00

Chk: 5555 2336 Linden Dr S.E .
[#615]
10/30/2001 Hoffman, Ernest S. None $100 .00

Chk: 1081 7615 Thomdale Dr. N.E .
(from Fundraiser)
[#568]
10/30/2001 McCann, Cynthia A. None $25 .00

Chk: 3119 6961 Bowman Lane NE
[#618]
10/31/2001 Block, Del None $50.00

Chk: 3862 3407 Riverpointe Circle NE
[#558]

Sub-Total $400 .00 $0 .00 $400 .00
Note : Fzl "Flag" symbolizes information entered by IECDB Auditor.

SCHEDULE A: Elgin For State Representative
Page 9 of 19
Sch-A
Postmark Date I / /
Status :Original Commmittee Type :General Assembly Candidate Amended / /

10/31/2001 Dulle, John T. None $60.00

Chk: 2718 5600 Woodbridge Crest
(from Fundraiser)
Marion IA 52302
[#557]
10/31/2001 Engle, Janet K. None $50.00

Chk: 10086 2955 Silver Oak Trail
[#546]
10/31/2001 Green, Nance I . None $50 .00

Chk : 10794 377 Cambridge Dr N.E .
(from Fundraiser)
[#550]
10/31/2001 Hakanson, Harry None $25.00

Chk: 3483 2131 1 st Ave. SE Unit 216
(from Fundraiser)
EXPLANATION: Christofferson Fund Raiser (For Elgin at Christofferson Residence) -
[#620]
10/31/2001 Hester, Pam None $125 .00

Chk: 6051 4607 Blarney Dr
(from Fundraiser)
[#556]
10/31/2001 I D# : 6062 Iowa Certified Public Accountants PAC

$100 .00
Chk : 1318 Walter Timmins & Co . 10550 New York Avenue
(from Fundraiser)
Des Moines IA 503223791
[#604]
10/31/2001 Kress, Patricia None $25.00

Chk: 7683 2745 Heatherview Circle
(from Fundraiser)
Marion IA 52302
[#612]
10/31/2001 Lipscomb, Thomas G. None $250 .00

Chk: 2216 2708 West 112th
(from Fundraiser)
Leawood KS 66211
[#574]

Sub-Total $685 .00 $0 .00 $685 .00
Note: . "Flag" symbolizes information entered by IECDB Auditor.

Sch-A
Postmark Date / /
Amended l l

10/31/2001 Maze, Denise None $50.00

Chk: 7307 4961 Autumn Dr. N.E .
[#605]
10/31/2001 Van Dusseldorp, Beth None $25.00

Chk: 6647 2025 Newcastle Road
[#560]
11/01/2001 Bys, Wanda J . None $50.00

Chk: 5011 6500 Creekside Dr . N .E . #6
(from Fundraiser)
[#544]
11/01/2001 David, Mike C. None $50.00

Chk: 1242 4341 !st Ave. SE
(from Fundraiser)
[#548]
11/01/2001 Felter, Richard J . None $50.00

Chk: 2939 2626 Indian Hill Road SE
(from Fundraiser)
[#549]
11/01/2001 Fletcher, Alan F. None $50.00

Chk: 6625 513 Knollwood Drive S.E .
[#565]
11/01/2001 Flink, Marian L. None $50.00

Chk: 5036 4320 Lucore Road
(from Fundraiser)
Marion IA 52302
[#563]
11/01/2001 Gard, Donna None $25.00

Chk: 6083 7009 Surrey Dr . N .E .
(from Fundraiser)
[#608]

Sub-Total $350 .00 $0 .00 $350 .00
Note : "Flag" symbolizes information entered by IECDB Auditor.

SCHEDULE A: Elgin For State Representative Page of 19
11
Sch-A
Postmark Date I / /

11/01/2001 Gardner, Eric None $50.00
Chk: 4841 3960 Willowbrook Dr
[#543]
11/01/2001 Jennings, Jo Ann None $50 .00

[#561 ]
11/01/2001 Kaufman. Gina None $50.00

Chk: 7702 3160 Meadow Glen Street
11/01/2001 Landherr, Ronald A. None $25.00

Chk : 4065 808 6th St Suite 2
[#590] EXPLANATION: Christofferson Fund Raiser (For Elgin at Christofferson Residence)
11/01/2001 Lingo, WendyJ . None $50.00

Chk: 7330 2535 Heathview Circle
11/01/2001 O'Halloran, James None $150 .00

Chk: 9985 3303 Beaver Ave.
Des Moines IA 50310 (from Fundraiser)
[#610]
11/01/2001 Rings, Randall None $50.00

Chk: 3972 3920 Cottage Grove Ave . S.E .
[#643]
11/01/2001 Sapp, Cindy L. None $50 .00

Chk: 8546 3350 Oriole Court NE

Sub-Total $475 .00 $0 .00 $475 .00

Sch-A
Postmark Date 1 / /

11/01/2001 Scotter, Joan M. None $50.00

Chk: 5521 180 School St
[#522]
11/01/2001 Ziese, Jerry A. None $150 .00

Chk: 4220 1759 Applewood PI . N.E .
[#586]
11/02/2001 Bell, Jane A. None $50 .00

Chk: 7139 2768 E Robins Road
[#566]
11/02/2001 Bussewitz, Kay L. None $25.00

Chk : 1307 2190 Timber Creek Drive
(from Fundraiser)
Marion IA 52302
[#539]
11/02/2001 Coe, Kay None $50.00

Chk: 3881 315 McKinsie Ct . N.E .
(from Fundraiser)
[#640]
11/02/2001 Knight, Barbara None $50.00

Chk: 5625 2035 Cottage Glen Road SE
(from Fundraiser)
[#591 ]
11/02/2001 Makinster, Kevin None $50.00

Chk: 4587 6691 White Gate Court
(from Fundraiser)
Marion IA 52302
[#562]
11/02/2001 Noyes, Martha J . None $500 .00

Chk: 5818 4196 Brookside Dr
(from Fundraiser)
Marion IA 52302
[#600]

Sub-Total $925 .00 $0 .00 $925 .00

Page 13 of 19
Committee Name
Sch-A
Committee ID : 1216 Statutory Due Date 01/19/2002
Postmark Date l l
Amended / /

11/02/2001 Sidman, Richard D . None $50.00

Chk: 4788 2320 Timber Creek Dr .
[#583]
11/02/2001 Smith, Richard P .

None $50.00
Chk: 1053 7324 Hamshire Drive N.E .
[#584]
11/03/2001 Clark, Pamela J. None $50.00

Chk: 5531 7245 Hamshire Cr . N.E .
[#578]
11/03/2001 Manor, Thomas None $100 .00

Chk: 2304 6821 Bowman Ln . N .E .
[#575]
11/03/2001 Olson, Deborah None $100 .00

Chk: 12049 409 Stonehaven Ln N.E .
[#576]
11/04/2001 Crawford, Ruth L. None $50.00

Chk : 10317 1165 Indian Creek Circle
(from Fundraiser)
Marion IA 52302
[#579]
11/04/2001 Smith, Lisa None $25.00

Chk: 269 7405 Hampshire Dr . N .E .
(from Fundraiser)
[#577]
11/04/2001 Stambaugh, Melinda B. None $50 .00

Chk: 1601 3815 Willowbend Ct . N .E .
(from Fundraiser)
[#585]

Sub-Total $475 .00 $0 .00 $475 .00
Note : rb "Flag" symbolizes information entered by IECDB Auditor.

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/1712005 11 :33:01 (for schedule A)
Committee Name Statutory Due Date
Sch-A
Committee ID : 1216 01/19/2002
Postmark Date I / /

11/05/2001 Bogguss, J S . None $50.00

Chk: 5747 312 Ashland Ct . S.E .
[#573]
11/05/2001 DeKock, Lynn D. None $25.00

(from Fundraiser)
Marion IA 52302
[#641 ]
11/05/2001 Dunn, Gregory F . None $100 .00

Chk: 8620 3221 Cottage Grove Ave. S .E .
[#580]
11/05/2001 Elgin, Teresa Spouse $2,000 .00

Chk: 1083 3940 Bowman Lane N.E .
EXPLANATION : Christofferson Fund Raiser (For Elgin at Christofferson Residence) Note : Contribution of spouse from joint account.
[#645]
11/05/2001 Hamilton, Dale R . None $250 .00

Chk: 2860 6624 Bowman Ct NE
[#582]
11/05/2001 ID#: 6207 Home Builders Association of Greater Des Moines PAC
$100 .00
Chk : 1346 7166 Dakota
(from Fundraiser)
West Des Moines IA 50266
[#647]
11/05/2001 ID#:6146 HomebuildersAssociation PAC

$100 .00
Chk: 1337 9001 Hickman Rd ., Suite 210
(from Fundraiser)
Des Moines IA 50322
[#646]
11/05/2001 Liu, Lee None $50.00

Chk: 2624 3086 Loggerhead Rd
(from Fundraiser)
[#638]

Sub-Total $2,675 .00 $0 .00 $2,675 .00
Note : P3 "Flag" symbolizes information entered by IECDB Auditor.

Sch-A
Postmark Date I / /

11/05/2001 Sadler, Nancy C .

None $125 .00
Chk: 2993 105 31 st St . S .W .
[#587]
11/06/2001 Atty, James J . None $50.00

Chk: 2472 5566 W. Mustang Rd
[#588]
11/06/2001 Colton, Norma

None $25.00
Chk: 5015 416 Waterbury Ln . N.E .
Cedar R- ids IA 52402 (from Fundraiser)
[#593]
11/06/2001 Nelson, John A. None $50.00

Chk: 6464 3010 B Townehouse Dr . NE
[#589]
11/06/2001 Rigby, Jane M. None $20.00

Chk: 8958 2590 Edinburgh Place
[#572]
11/06/2001 Rooks, Ila None $25.00

Chk: 1171 3093 C Ave.
Marion IA 52302
EXPLANATION: Christofferson Fund-raiser (For J. Elgin benefit held at Christofferson residence)
[#672]
11/07/2001 Delaney, Ron None $100 .00

Chk: 499 455 Dows Rd
(from Fundraiser)
[#637]
11/07/2001 Edwards, Norval None $50 .00

Chk: 10222 3240 Bever Ave S. E .
(from Fundraiser)
[#594]

Sub-Total $420 .00 $25 .00 $445 .00

Page 16 of 19
Committee Name Committee ID : 1216
Sch-A
Statutory Due Date 01/19/2002
Postmark Date l I
Amended / /

11/08/2001 Balderson, Karen None $25 .00
Chk: 8106 3978 Sutton Road
Central City, IA 52214 (from Fundraiser)
11/08/2001 Davis, Thomas C. None $50 .00

Chk: 4090 2855 Silver Oak Trail
[#599] EXPLANATION : Christofferson Fund Raiser (For Elgin at Christofferson Residence)
11/08/2001 Held, Pamela A. None

6843 Kent Dr. NE $100.00
Chk: 7640
[#601 ] EXPLANATION: Christofferson Fund Raiser (For Elgin at Christofferson Residence)
11/08/2001 Kinyon, Paul J. None $25 .00

Chk: 1492 2166 Blake Blvd . SE
[#596]
11/08/2001 Larson, Doris E. None $5 .00

Chk: 9811 358 Garden Dr SE
11/08/2001 Pearson, Kathy J. None $25 .00

Chk: 10893 150 Thompson Dr . SE
11/08/2001 Skogman, Kyle D . None $500 .00

Chk: 1056 4757 Hickory Wind Lane
11/09/2001 I D# : 6027 Deere PAC Iowa

$250 .00
Chk: 1852 666 Grand Avenue Suite 1707
Des Moines IA 50309 (from Fundraiser)
[#648]

Sub-Total $980 .00 $0 .00 $980 .00

Page 17 of 19
Printed at the Iowa Ethics & Campaign Disclosure Board, 03117/2005 11 :33 :01 (for schedule A)
SCHEDULE A: Contributions -- Money Taken in
Committee Name Committee ID : 1216
Sch-A
Statutory Due Date 101 /19/2002
Postmark Date i l l
Status:Original Commmittee Type:General Assembly Candidate Amended ///

11/11/2001 Monroe, Dale None $25 .00
Chk: 2819 1140 Indian Creek Cir
11/14/2001 King, Peter None $25 .00

Chk: 5119 6709 Brentwood Dr . N.E .
11/22/2001 Trebilcock, William None $250 .00

Chk: 1180 89851 Bonita Beach Rd .
Bonita Springs, FL 34135 (from Fundraiser)
[#664]
11/25/2001 Dekock, Kenneth None $200 .00

Chk: 3175 2180 Timber Creek Dr .
[#666]
11/26/2001 Sullivan, Janet C. None $25 .00

Chk: 5319 2210 27th Street
[#668] EXPLANATION : Christofferson Fund-Raiser Contribution (Elgin fund-raiser at Christofferson residence)
11/29/2001 Eggers, David None $25 .00

Chk : 3736 811 Taylor St
Pa illion NE 68046 (from Fundraiser)
[#662] EXPLANATION: Christofferson Fund-Raiser Contribution (Elgin fund-raiser at Christofferson residence)
11/29/2001 Firstar Bank

$10.19
[#659] EXPLANATION: Interest earned/received
12/01/2001 Wagoner, Sue A. None $100 .00

Chk: 3685 3400 Crown Ave
[#667] EXPLANATION : Christofferson Fund-Raiser Contribution (Elgin fund-raiser at Christofferson residence)

Sub-Total $650 .00 $10.19 $660 .
Note : PEI "Flag" symbolizes information entered by IECDB Auditor.

Page 18 of 19
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :33 :02 (for schedule A)
SCHEDULE A: Contributions -- Money Taken In Sch -A
Committee Name Committee ID : 1216 Statutory Due D~/19/2002
Elgin For State Representative Adjusted Due Date 1/22/200 2
Received Dat e 101/1 0/2002
Postmark Date / /

12/05/2001 Foutch, Lois None $25 .00

Chk : 3312 45 6th St
(from Fundraiser)
Woodbine IA 51579
[#665]
Fundraiser - Regular Total

Sub-Total $25 .00 $0 .00 $25 .00
Report Total 635 .00 $2,552 .82 $17,187 .82

Note: "Flag" symbolizes information entered by IECDB Auditor .
SCHEDULE A : Elgin For State Representative Page 19 of 19
SCHEDULE B : Expenditures -- Money Spent From Committee Account
Sch-B
Committee Name Committee ID : 1216 Statutory Due bate 01/19/2002
Received Date] 01/10/2002
Postmark Date I / /
Status :Original Commmittee Type : General Assembly Candidate Amended //
Date Committee . ID Name and Address To Whom Expenditure (Disbursement) Was Made Amount
Received Check # Purpose : Description of Transaction Expended
01/15/2001 Victory Enterprises

Chk : 1061 324 South Fairmount St
,Davenport, IA 52802 $515 .00
PURPOSE : Consultant Services : Design and construction of web site .
[#495]
06/14/2001 A-1 Storage

Chk : 1062 506 N Center Point Road
Hiawatha IA 52233 $703 .65
PURPOSE : Hq Expenses : Storage Rental - Signs in space used jointly with Chuck Larsen. See subsequent reimbursement from Mr. Larsen .
[#502]
06/14/2001 ID# : 9613 Linn County Republican Women

Chk : 1063 3114 Blue Ridge Court NE
Cedar Raids IA 52402 $50 .00
PURPOSE : Fund-raiser (attended) : Linn County Republican Women's event at Elmcrest Country club . Two tickets at $25 ea . for Rep Elgin
[#503]
and souse to attend .
08/28/2001 I D# : 679 Larson for State House

Chk : 1064 3114 Blue Ridge Ct . NE
PURPOSE : Printing & Reproduction : Reimburse Larson Committee for Mr . Elgin's portion of joint campaign flier . Printing done by : Lilly
[#506]
Printing Co . 301 Second Ave . S .W . Cedar Raids IA 52404
10/13/2001 U S Postmaster
Chk: 1065 N .E . Station
PURPOSE : Fund-raiser (holding) : Postage for invitations for "Christofferson Fund-Raiser" (Elgin fund raiser at Christofferson residence)
[#507]
11/16/2001 American Bottling Company

Chk : 1066 1051 27th Avenue S .W . P .O . Box 1778
PURPOSE : Fund-raiser (holding) : Soda for "Christofferson Fund-Raiser" (Elgin fund raiser at Christofferson residence)
[#509]
11/19/2001 Fine Line Printing, Inc .

Chk : 1070 1075 Hawkeye Drive
Hiawatha IA 52233 $935 .15
PURPOSE : Printing & Reproduction : Remittance Envelopes "Door Knocking" contributions envelopes
[#513]

Hiawatha IA 52233 $140 .70
PURPOSE : Printing & Reproduction : Fall Flyer
[#512]
Sub-Total $2,939 .12
Note: R) "Flag" symbolizes information entered by IECDB Auditor .

SCHEDULE B : Elgin For State Representative Page 1 of 3
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/1712005 11 :32:50 (for schedule B)
SCHEDULE B : Expenditures -- Money Spent From Committee Account
Sch-B
Committee Name Committee ID : 1216 Statutory D ue Date 01/19/2002

Received Da te 01/10/2002
Postmark Date / /
Status :Original Commmittee Type : General Assembly Candidate Amended-/-1
Date Committee. ID Name and Address To Whom Expenditure (Disbursement) Was Made Amount

Hiawatha IA 52233 $736 .31
PURPOSE : Fund-raiser (holding) : Invitation Printing - Christofferson Fund-Raiser (Elgin fund raiser at Christofferson residence)
[#511]
11/20/2001 Lilly Printing

Chk : 1071 301 2nd Av S .W .
Cedar Raids IA 52404 $2,503 .20
PURPOSE : Campaign Merchandise : Hand-out note pads
[#514]
11/23/2001 U S Postmaster
Chk : 1072 N .E . Station
PURPOSE : Postage, Shipping, Delivery : Stamps for mailing Thank You messages
[#603]
11/27/2001 Kimberly A . Reem

Chk : 1073 1821 Jeffrey Street
Iowa City, IA 52246 $225 .00
PURPOSE : Printing & Reproduction : Newletter and Fund Raiser Invitation Layout Design, Typesetting and r Related
[#652]
$26 .00
PURPOSE : Bank Charges : "Per Item Fees"
[#658]
11/30/2001 Victory Enterprises

Chk : 1074 324 South Fairmount St
$425 .00
Davenport, IA 52802
PURPOSE : Other Expenditure : Design adn construction/modification of web site .
[#654]

$46 .76
Hiawatha IA 52233
PURPOSE : Printing & Reproduction : Tax on door knocking envelopes purchased on check #1070
[#657]
Cedar Raids IA 52402 $-15 .81

PURPOSE : Reverse Transaction : Banks reversal of inappropriate prior month's service charge
[#669]
Sub-Total $4,021 .26

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32 :50 (for schedule
SCHEDULE B : Expenditures -- Money Spent From Committee Account Sch -B
Committee Name Committee ID : 1216 Statutory Due DateJ01/19/2002

Received DateJ01/10/2002
Postmark Date I / /
Status :Original Commmittee Type : General Assembly Candidate Amended 1l /
Date Committee . ID Name and Address To Whom Expenditure (Disbursement) Was Made Amount
12/14/2001 Hy-Vee #1055

Chk: 1075 279 Collins Road N .E .
PURPOSE : Fund-raiser (holding) : Food for funder-raiser held at Christofferson residence .
[#655]
12/18/2001 Elgin, Teresa

Chk: 1077 3940 Bowman Lane N .E .
PURPOSE : Other Expenditure : Receipted reimbursement for plastic bags for materials during door knocking . Purchased from Steel City
[#661 ]
Corp ., Youn stown Ohio
12/18/2001 Elgin, Teresa

Chk: 1077 3940 Bowman Lane N .E .
PURPOSE : Fund-raiser (holding) : Receipted fund-raiser items : 1) Ballons : 2) Serving items ; and 3) Gift certificate for hostess . Item 1) &
[#660]
2 from Facto Card Outlet . Item 3 from Bia is Ristoranti
Sub-Total
Report Total $8,070 .78
Note: "Flag" symbolizes information entered by IECDB Auditor .

Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32:50 (for schedule B)
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32 :45 Sch-G
Statutory Due Date 01/19/2002
SCHEDULE G : Expenditures By Consultant
Adjusted Due Date 01/22/2002
ID #: 1216 Status : Original
_Postmark Date / /
Amended
Comm TypeGeneral Assembly Candidate
Committee :Elgin For State Representative
PART I - Name and Address of Consultant

Name of Consultant Contract Period Estimates of Performance
Victory Enterprises From : To : Design and construction of web site
11/01/200 11/30/200 Domain name registration
Mailing Address Total Anticipated Compensation ("www.Jeffelgin .com")
324 South Fairmount St for Performance
Davenport IA 52802 $515.00
PART II - Itemized Breakdown of Unreimbursed Expenses Paid By Consultant To Others In Performing Services of Contract
DATE
EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
(MM/DD/YY) (Disbursement) WAS MADE PURPOSE EXPENDED
/ / $0 .00
#0
Page Total
Elgin For State Representative

Page 1 of 3
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32 :45 (for Schedule G)
Sch-G
SCHEDULE G : Expenditures By Consultant Statutory Due Date 01/19/2002
Adjusted Due Date 01/22/2002
ID #: 1216 Status : Original
Postmark Date / /
Comm TypeGeneral Assembly Candidate Amended
committee :Elgin For State Representative

Victory Enterprises From : To : Design and construction/modification
10/01/200 10/31/200 of web site .
Mailing Address Total Anticipated Compensation

324 South Fairmount St for Performance
Davenport IA 52802 $425.00
DATE
$0 .00
#0
Page Total

Page 2 of 3
(for Schedule G)
Sch-G
SCHEDULE G: Expenditures By Consultant Statutory Due Date 01/19/2002
Adjusted Due Date01/22/2002
ID #: 1216 Status: Original
Postmark Date l l
Comm TypeGeneral Assembly Candidate Amended
Committee :Elgin For State Representative

Kimberly A. Reem From : To : Newletter and Fund Raiser Invitation
11/01/200 11/30/200 Layout Design, Typesetting and related
Mailing Address Total Anticipated Compensation

1821 Jeffrey Street for Performance
Iowa City IA 52246 $225.00
DATE
. $0 .00
#0
Page Total
Report Total
Page 3 of 3
Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :32 :45 (for Schedule G)

Elgin Jeffrey - 1216 - Scanned

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Printed at the Iowa Ethics & Campaign Disclosure Board, 03/17/2005 11 :33:26

Election Date : 11/05/2002

Statement of Cash On Hand Cash On Hand at Start of Period $8,508 .44

Schedule F : Loans Received Total $0 .00

Schedule B : Expenditures Total $8,070 .78

Loans in Place at Start of Period $15,000.00

Schedule F: Outstanding Loans $15,000.00

Schedule H: Campaign Property Value $0 .00

Note : F1 "Flag" symbolizes information entered by IECDB Auditor.

Date Comm .ID Relationship Amount

01/05/2001 Buchholz, Jolene A . None $100 .00

EXPLANATION: Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)

01/05/2001 Egaugh, Terry L. None $50 .00

01/05/2001 Grady, Timothy L. None $50.00

01/05/2001 Klopfenstein, V L. None $100 .00

01/05/2001 Tabach, Barney None $150 .00

01/06/2001 Allen, Shirley L. None $25 .00

01/10/2001 Lockhart, Theodore C. None $50.00

01/18/2001 Burke, Norm None $1,000 .00

Fundraiser Regular Total

Note : ~-1 "Flag" symbolizes information entered by IECDB Auditor.

Date Comm .ID Relationship Amount

04/04/2001 Nichols. Susan A. None $50 .00

08/06/2001 ID# : 6098 Iowa Bev PAC $200 .00

10/01/2001 Dzianott, Tony None $25 .00

10/02/2001 Johnson, Bruce E. None $100 .00

[#517] EXPLANATION : Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)

10/02/2001 Quinby, Janis B. None $100 .00

[#569] EXPLANATION : Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)

10/03/2001 Bergdale, Larry None $250.00

Fundraiser Regular Total

Note : rb "Flag" symbolizes information entered by IECDB Auditor.

Status :Original Commmittee Type :General Assembly Candidate

Date Comm . ID Relationship Amount

10/05/2001 ID#: 679 Larson for State House

10/11/2001 Scotter, Joan M. None $100 .00

10/17/2001 I D# : 6059 Iowa Committee of Automotive Retailers (ICAR)

10/19/2001 Hames, Curt None $250 .00

10/19/2001 Loynachan, Tim F. None $20.00

10/19/2001 Tinker, A J . None $100 .00

10/19/2001 Vanderschaaf, Howard C. None $10.00

10/20/2001 Drown, David S. None $100 .00

Fundraiser Regular Total

Note : R) "Flag" symbolizes information entered by IECDB Auditor.

Date Comm .ID Relationship Amount

10/20/2001 Elgin, John A. Parent $500 .00

10/21/2001 Anderson, Melanie S. None $100 .00

10/21/2001 Baker, Janet P. None $500 .00

10/21/2001 Morris, Charlotte None $50.00

10/21/2001 Protsch, Eliot None $25 .00

10/21/2001 Prowell, Jane O. None $50.00

10/21/2001 Russell, Norman None $100 .00

10/21/2001 Vancura, Barbara None $100 .00

Fundraiser Regular Total

Note : Fb "Flag" symbolizes information entered by IECDB Auditor.

Date Comm .ID Relationship Amount

10/22/2001 Bloomhall, John C . None $250 .00

10/22/2001 Helling, Larry None $250 .00

EXPLANATION: Christofferson Fund-Raiser (Elgin Fund-Raiser at Christofferson Residence)

10/22/2001 Manville, James C. None $250 .00

10/22/2001 Moran, Shirley None $100 .00

10/22/2001 Parks, Thomas A. None $50.00

10/22/2001 Scott, Steven G . None $100 .00