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Oct-18-06 es:49 AM PARTY TIME viz7e2si25 Peer [FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE [COMMITTEE NAME (Must be same ae on Statement of Orgeizaton) Carroll County Couneil of Republican Women Fle wt: lowe Ettles and Carat Dinclooure Board SIOE, 12, Se. 14 ee Moines, ows 80348 Fe 516-284-3701 ate rps ao subjoct to posable il and creindl penal. Pursuant ta lowa Cade nacion 688 22047) the candidate, for a candidate's commits, andthe chelperson, for any oer type of commie, i the fof trly aed wore repo (tn. Go; A-Lh-ob ed DATESGNED ramrunca_ October 19 REPORT FOR (1) ELECTION (2)NON-ELECTION YEAR, (opm ene) tnacate by (crea F AVENDMENT TO REPORT DATED C1 creck ai fl termination) report ane attach Noten of Oieshilon For OR 3 (ou must conta to fe reports und! « DRS i ed ) STATEMENT OF CASH ON HAND ‘CASH ON HAND ot he boplning of the reporting peed. (Toto al And held by the ‘commie. This orour MUST be tbe same ae the ash on hand a the end 01.00 ‘ofthe last porting period or must be ero H thsi rt report fled.) _ 5 |ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contribution total (Anach Schedule A) also see in-kind below) ‘Schedule F: Loans Rscalved total (Altech Schade F).. ‘Schedule: Total Sele of Campa Propet (Atach Sched H) {Schedule 4 apolies to Candidates’ Committees Only) 101 | ‘SUBTOTAL... SUBTRACT TOTAL MONEY SPENT TH#S PERIOD ‘Schedule 8: Expenditures total (Atach Scheduo 8) ("also sae debts end oars below) ‘Schedule F: Loan Repayments otal (Atach Schedule F).. ‘GABE ON HAND tthe end of is reporting perod (Ffnal report balance must 802.01 be zer) (Attach DR-S). ‘SUNPND BILLS From Schedule D - Atsch Schedule D) nnn s “SNIRHD CONTRIBUTIONS (From Schedule E - Atach Schedule. — s “OUTSTANOING LOANS (From Sched F- Atach Schedule s ‘CONBLI-TANT BREAKDOWN (Schedute G Attached?) I ‘SAHOIQATE COMMATTEES ONLY: VALUE OF CAMPAIGN PROPERTY (Fram Schedue H - ltach Schedule H) 3 ‘STATE. COMMITTEES: Suort a reconcied campeign account ark statement January of each your. Oct-19-06 e9:59 AM PARTY TINE vizre2sizs P.or For instructions, See Back of SCHEDULE om ReFaxedt 10-1 - ole A ‘CONTRIBUTIONS .- MONEY TAKEN IN uw Aicdudrg coats praonal nd) (C1 cateox THs Bax [COMMITTEE NAME (Musi De same as on Statement of Organization) ANENOING FORM Carroll County Council of Republican Women STATE emmoaree yore: «covrmmuion i nscEIVED FRoW A STATE PAC GOLTCN. ACTON COMMITEE LIBT THE PAC DENTIREATION NUMBEN AND THe PAC ChECK MUMMOER I THE DESIONATED COLIN. A LAT OF WD MuRiDERG Ie AVALAGLE ROM Teka EMS AND CAMPING DiscLosune Bound. MONETARY Rev. G7I0a) | RECEIPTS NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD, CAUTION: Section 688,22A(), prohibit the use of formation copied fom reports and statements for soliciting contbutlons oF for any ‘commercial purpose by any person ether than salutory pltical comnitees, ; RECENED | Gfappicabie) TOCANDIOATE: | RECEIVED | “FUND. gaspar) | Axo PAC CHECK ( appcable) NUMBER Towa Savings Bank $34 eats) coke Carroll, 1A 51401 {interest on account UL ‘ al oF Towa Savings Bank 34 sss one Carrol, 1A $1401 interest on account Towa Savings Bank = 1015706 cKe Carroll, 1A $1401 interest on account To Ke JL Ll TOTAL riast pogo of tte senecute) FT meson lam rguree carcaate commaeon i dciove e ratonai of any relate making sntthson tthe rein” erat mnt ent Dt re crag (cars) an wy ass 1 ‘marags)_ Warm of corti ists nr a candies, ba the Page, of fame eatenetdp, rte "veh appicate the elalonahip column, “Ter Sabie AS

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