leonard mark__5116__scanned

Upload: zach-edwards

Post on 08-Apr-2018

228 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/7/2019 Leonard Mark__5116__scanned

    1/6

    M: AGCOM F I NA NCI A L SERVI CES FAX NO . : + 71 2 - 3 6 8 - 2 8 55

    FOR I NSTRUCT I ONS , SEE BACK OF FORMDI SC LOSURE SUMMARY PAGECOMMI TTEE NAME ( Mus t b e same a s o n S t a t e me n t o f O r g a n l z a t l o n )L e o n ar d f o r I o waI MPORTANT I n d i c a t e b y t t t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r( 1 ) S t a t e w i d e l L e g I s l a t I V O/ J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e P( 4 ) C OU n t y C E h l r s l C o mm i t t e e ( S ) C OU n l y C a n d i d a t e ( f 3 ) C i t y C a n d i d a t o ( 7 ) S c h o o l B o a r d o r O t h e rP o l l 1 l o a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PA C ( 9 ) C i t y PA C ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l1 1 ) k o c a l B a l l o t I s s u eCAND l 3 AY EC a n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )Ma r k W, L e o n f l r d Re p ub l i c a nO f f i c e S o u g h t D i s t r i c t ( i f S e n a t e o r Ho u s e )S e c r e t a r y o f A g r i c u l t u r eL a t e r e p o r t s a r e s u b j e c t W p o s s i b l e , c h d l . a n d - c r l ml n a l p e n a l t i e s . P u r s u a n t t o I o w a C o d e s e c t i o n 6 8 B , 3 2 A ( 7 )t h e c a n d i d a t e . f o r a ' Wn d Ma " 0 s c o mj h l t t e e r a n d t h e , c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i y t h eI n d i v i d u a l r e s p o r W( f o r f l n g t i r n

    I AM F I L I N G A 1 0 - 1 9 - 0 6( r e p o r t d a t e )[ 1 CHECK I F AMENDMENTT O REPORT DATED .

    , ) t Z - . 3 6 ' ? - - 4 t " (TELEPHONE

    [ a ~ C h e c k i f t h i s I s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3( Y o u mu s t c o n t i n u e t o f l l o r u p o r t o u n t i l a D R - - 3 1 3 f l i e d . )

    REPORT F OR ( 1 ) E LECT I ON / ( 2 ) NON- E L EC TI ON YEARI n d i c a t e b y S t

    STATEMENT OF CASHON HANDCASH ONHAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s R MO t t n t MUST b e t h e same a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s I s f i r s t r e p o r t f i l e d , ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . $

    Oc t . 1 8 2 0 0 6 1 1 : 2 4AM P1

    F i l e w i t h :I o w a E t h i c s a n d Campa i g nD i s c l o s u r e B o a r d5 1 0 E . 1 2 " ' S t e . 1 ADe s Mo i n e s , I o wa 5 0 3 1 8F a x : 5 1 5 - 2 H 1 - 3 7 0 1

    10 - - o - 06DATE S I GNED

    I . o c a l C o mmi t t e e s , e n t e r D a t e o f E I O c l i o n

    C o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y I nw h i c h E l e c t i o n i s h e l d

    CA 9 1 4 ON 4FAND o f t h o a n d o f t h l a r o p o , t l n g v - i , . n l ( i r r i p i a l r o Nv i L L al ~ i u : e mut tb e z a r o ) ( A t t a c h D R - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 6

    ' " UNPA I D SI L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . , . . . . , . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . $ 0 . 0 0I N KI ND CONTRI BUT I ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 _. 0 0 _- OUTSTANDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . S 0 , 0 0CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) YESVNOCANDI DATE COMMI TTEES ONLY : 0 . 0 0VALUE OF CAMPA I GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H)STA TE COMMI T TEES : S u b mi t a r e c o n c i l e d c amp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r

    ADD TOTAL MONEY TAKEN I N T HI S PER I OD 0 . 0 0S c he d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c he d u l e A ) ( * a l s n RA P i n - k i n d h a l n N ) . , . . . . . . . . . . . . . . . . . .S c he d u l e F . L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) , . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0S c h e d u l e W: T o t a l S a l e s o f C amp a i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . , . , 0 . 0 0

    ( S c h ed u l e H a p p l i e s t o Ca n d i d At e s ' Co mmi t t e e s On l y )SUB - TOTA L . . . . . . . . . . . . . . . . . . . . . . $ 9 , 9 6 2 . 4 6

    SUBTRACT TOTAL , MONEY SPENT THI S PER I ODS c h e d u l e B E x p e n d i t u r e s t o t a l ( A t t a c h S c he d u l e D ) ( " a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . . . . . . . . . , 5 , 2 4 7 _ I SS c he d u l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . 4 . 7 1 5 . 3 1 . . . . . . . . . . . . . . .

  • 8/7/2019 Leonard Mark__5116__scanned

    2/6

    ROM : AGCOM F I NANCI AL SERVI CES FAX NO . : + 71 2- 3 68 - 2 8 5 5 Oc t . 18 2006 11 : 2 5AM P2

    T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r n r n u s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n a / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d o t a l l I t e mi z e d o nS e h e d u l u G b y t h e a r n o u n t , p u r p o e o , a n d d a t a o f o a c h t y p t - o f e x p e n d i t u r e made b y U t e p e mo n l n n t i t y o n b e h n l f o f t h e c a n d l d a t c ' s c o i r o n l t t o e . ( R e f ~ i t ol S c h e d u l e G I n s t r u c t i o n s a n d I o w a Cod e 6 8A . 4 0 2 ( 3 ) ( i ) . )

    Pa ge

    ( f o r S c h e d u l e B )

    FOR I NSTRUCTI ONS, SEE BACKOF FORM SCHEDULEEXPENDI TURES - - MONEYSPENTFROMCOMMI TTEEACCOUNT B MONETARY( R e v . 0 7 1 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DE NT I F I C AT I ON NUMBER I N T HE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS 8 CAMPAI GN DI SCLOSURE BOARD .

    COMMI TTEE NAME ( Mu s t b e s a me a s o n S t a t e mo n t o f O r g a n i z a t i o n )

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE 1 D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE_( MM/ DD/ YR) AND PACCHECKNUMBER

    I D# ~ , ; : ~ o - t ~ t i o v ~ - c l s~ z s - t o m , .CK#/ 1 v ~ $ 4I q r s -

    D _ . f p . . 0 , ( s I D# h er f I ' 1 o r ~ o y ~ L v ' ~~ y h oS~ . t i5CK# t ^ bw4 _ 1 , 4 ? ` '0 - , . . . F , ~ , - r 2 3. . . _ . . . _ . -D#

    CK#

    CK# t t t-I D #C K#I D#CK#I D #C K4

    TOTAL S i 5` I ! 7TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) _

  • 8/7/2019 Leonard Mark__5116__scanned

    3/6

    I N S TRUCT I ONS . SEE aACK OF FORMI S FORM I S USED BY CANDI DATES ' COMMI TT EES ONLYCOMMI TT EE NAME ( M u s t b e same a s o n S t a t e me n t o f f a n i z a U on )

    L e - - o p~ & O4,

  • 8/7/2019 Leonard Mark__5116__scanned

    4/6

    : AGCON F I NANCI A L SERVI CES FAX NO . : + 71 2- 3 68 - 2 8 55 Oc t . 18 2 0 0 6 1 1 : 2 6 RN P4

    FOR I NSTRUCTI ONS, SEE BACK OF FO! ?MCOMMI TT EE NAME ( M u s t b e s ame a s o n S t a t o mo n t o f O r g a n l z s t i o n )L e on a r d f o r I o wa

    S

    5 , 0 5 0 . 2 6

    SUB- TOTAL

    TOTAL ( i f l a s tp a g e o f t h i ss c h e du l e )

    SCHEDULEE I N - K I N DR e v , 0 6 / 9 7 ) 1 CONTRI BU' T ' I ONSQCHECK T HI S BOX I F

    AMENDI NG FORM

    * D i a r l o a u r e l o w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Page I o f )c o m m l t t o e R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e a ( f o r S c h e d u i e E )b y ma r r i a g e ) , ( S e e Page 2 o f f o r m s p a c k e t . ) i f s u r n a me o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " I n t h e r e l a t l o n s h l p c o l u mn .

    DATERECEI VEDMM/ DDI YR NAME AND ADDRESSOF CONTRI BUTORRELATI ONSHI PTO CANDI DATE' i f a p p l i c a b l e )

    DESCRI PT I ONOF I N KI NDCONTRI BUT I ONESTI MATEDF AI R MARKETVALUE

    I F FORFUND- RAI SERCONTRI BUT I ON1 f 1 - 1 5 - 0 6 Ma r k L e on a r d1362 Fl wy 59

    I I o l s t e i n , LA 5 1 0 2 5d e b t f o r g i v e n e s s 5 , 0 5 0 . 2 6

    L JF - 1

    F - 17 1

  • 8/7/2019 Leonard Mark__5116__scanned

    5/6

    FOR WSTRUCT10 NS, SEEBACK OF FORM0 ( M u s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )

    J . ~ 2 o v r t r k0 E _ - T h i s s c h e d u l e r e p o r t s money l o a n e d t o t h e c o mmi t t e e w h i c h i s d e p o s i t e d i n t h e a o mi t t e e a c c o u n t ,

    1 l . - . T. - L E ~ r _ - ~ , ~ ~ ~ L - J 7 0 J _- _ $- f - :E=_--_--~LE U- - - - ~ ` . - - l - ] _ -- ~( O r i g i n a l s o u r c e o f k e n , s u c h a s a b a n k , mu s t b e s h ow n i f a t h i r d p a r t y i si n v o l v e d _ l a d u d e l o a n s f r o r r r c a n a 0 da t e ' s p e r s o n a l f u n d s . )

    TOTAL ( PART 1 ) $

    ' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a d v ema k i n g a c o n t r i b u t i o n t o t h e c ammi t t e e R e l a t i o n s h i p m L i s t b e s h o w n t o t h e t h i r d d e g r e e o fc o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) _ I f s u r n ame o f c o n t r i b u t o r i st h e same a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r ` n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn w h e n i t a p p l i e s ,

    0 - 0 i - - G C 7 - I - ' __- 7 - - I D- - - - - 0 - - - = - - i : -( L o a n s f o r g i v a n must b e r e p o r t e d o n Sc h ed u i a E 1 = - - i n - k i n d C o n t r i b v t i o n s . )

    TOTAL CASH REPAYMENTS ( P A R T 1 1 )F r om S c h e d u l e E - TOTAL LOANS FORGI VEN

    TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD

    Pageo f( r S c h ed u l eS _o .

    SCHEDULE- 1 0 10

    ( R e v 0 7 / 0 3 ) 1 - 0 0 1 - - - - -- . 2 I t " E. 7 - 7 . r LEDCHECX T HI S BOXAMENDI NG FORM

    DATERECEI VEDhALVDD[ YRNAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r s Name, I f A p p l i c a b l e ) RELAT I ONSHI PTO CAND I DATE( I t n a b s *

    AMOUNTOF LOAN

    S-3) -o6P14 I , 4 e , , , I

    S-17

    $

    DATE PAI D( M MI D D I Y R ) , NAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r s Name, I f A p p l i c a b i e ) RELATI ONSHI PTO CANDI DATE'I f A p p l i c a b l e )AMOREP

    2~ -~ ~ ' ~ gars

    1? l

    1-as7 ~

  • 8/7/2019 Leonard Mark__5116__scanned

    6/6

    FOR I NSTRUCTI ONS, SEE BACK OF FORM

    4 . A f i n a l r e p o r t d i s c l o s i n g a l l t r a n s a c t i o n s c l o s i n g t h e c o mm i t t e e .F o r s t a t e c a n d i d a t e s a n d s t a t e PACs , a f i n a l b a n k s t a t e m e n t mu s t b e f i l e d w i t h t h e N o t i c e o f D i s s o l u t i o n o r a s s o o n a sp o s s i b l e i f t h e b a n k s t a t e m e n t i s n o t a v a i l a b l e a t t h e t i me t h e N o t i c e o f D i s s o l u t i o n i s f i l e d

    i d a t e o r T r e a s u r e r ( i f c a n d i d a t e ' s c o m m l t t eo . _ tD a t e S i g n e d

    T h i s f o r m i s n o t a p p l i c a b l e t o s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

    / S i g n a t u r e o f C h a i r o r T r e a s u r e r ( i f PAC)