Per marae uM, 96 BALK UF FORM | Forw DR-2 | osscicsune DISCLOSURE SUMMARY PAGE (Rev.o7m8) | REPORT Focofne ues ont. COMA TEE NAME (as fo sama 0s on Spiement of Organization) ~ Comm. #, _ | Mem) |S ores S Cute a Jauseed — One ee © seer | (E> (1 Siatevidegisaive Cancate {2 )Stutawrde PAC State Pary (4 omg Conca { (3 Joounty PAC (8 Jat aswel ranctien Camis {7 Joountyy Cantal DATE SIGNED Routine Penaities Due For Late Filed Reports Range from $20 to $800 SEEINSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: AM EILING A___ 182.607 _ REPORT FOR ANIA (1) ELECTION 2)NON-ELECTION YEAR, (report deo Indicate one [lCHECK IF AMENDMENT TO REPORT DATED __ Gy Check if this is tral termination) report and attach Notice of Diaselution Form DRS. (rou must continue to fle reports until a Notice of Dissolution Is flac) NT STATEMENT OF CASH ON HAND ‘CASH ON HAND ot the baginning of the reporting period. (This Is the total ‘of all monies held by tho committee. This amount MUST be the samo te cash on Mad the ond of lst coportng pat, (OF must be zero if this fs first report Ale) nr ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contrbutlons total (Attach Schedule A) ‘Schedule F: Loans Recalved total (Attach Schedula F)... Sched Ht Total Seles of Campeln Property tach Schade H 2 Senna ae Sangoma . | ame ae ‘SUB-TOTAL .. [SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Atach Schedule &). ‘Schedule F: Loan Repayments total (Atach Schedule F) CASH ON HAND sth anc of hn rportng Parlod (flrpot, Balance must be zero) (Attach DR3) oe — 758-77 UNPAID BILLS (From Schedule D ~Attach Schedule D) a : Itv KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E)... a CUTSTANDING LOANS (From Schedule F - Attach SchedUla F) an. a) ‘CANDIDATE COMMITTEES ONLY: ‘CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach ScherFor instructions, See Back of Form CONTRIBUTIONS —- MONEY TAKEN IN (inuting cance’ personal uns) [COMMITTEE NAME (Must be same as on Statement of Organization) Harrison County Republican Women [SCHEDULE A MONETARY (Rev.0703) | RECEIPTS Wl creck tas Box MENDING FOR STASIS ESR SSE ne ers ae see re Ee ea Disetosune poaro, 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 688.32A(6), prohibits ho use of information copied from reports and statements for sobicing contributions or for any ‘commercial purpase by any person other than statutory palticl commitoes (applicable) TocanoioaTe: | RECEIVED | “FUND: (amore) | ANo PAC CHECK (@ appeable) RAISER NUMER INCOME Unitemized cash deposit - left off previous report 8131/2006 posi p P $75.50 SUBTOTAL TOTAL (if fast page ofthis schedule) + Dscosur ln requireecanddate commitesso dios he relatoshi of any eatve making a conten tthe CmmiieeRelstonsip mus be sont the hia ogre of caneangunty(locdrelbves) an ait ates trariage)_tsumame of conirbutoris the same as candidat, bul tere is no {amit reiaionerip, enter not pplcabie"in the elatonshp clurm,FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE (CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN aND THE PAC CHECK NUMBER FOR EACH EXPENDITURE. ALIST OF 1D NUMBERS 18 AVAILABLE FROM THE TOMA ETHICS & CAMPAIGN DISCLOSURE BOARD. SCHEDULE B (Rev. 07103) MONETARY EXPENDITURES cee tis 80x 1 ‘AMENDING FORM [COMMITTEE NAME (ifusi be samo ae on Staloment of Organization) Harrison County Republican Women ate EXPENDED (omoorvR) 01/2007 CANDIDATE TO NUMBER (appticable) ‘AND PAC CHECK NUMBER THAME AND ADDRESS TO WHOM "EXPENDITURE (Disbursement) WAS MADE City of Logan PURPOSE (DESCRIBE TRANSACTION) ‘Check #1155 deposit cheek returned TOUNT EXPENDED SUB TOTAT TOTAL (if last page of this schedule) [THIS BOX APPLIES TO CANDIDATES COMMITTEES ONLY: Purchases of certain campaign property costing $500 or mre must algo be inenioned on Schedule H. (Refer to Schedule Histutions ) Expenditures to personsenti Schedule G by the amour, purpos providing consuting, advertising, fundraising poling, managing, organizing servis mi ‘and date ofeach type of exsenatura made byte personienty on baht of me candidate's commit | Schedule G trons and twa Cae 68A.402(3)0) Page! also be detail domized on (Reterto =a (tor Senedule 8)January 12,2007 Iowa Ethics & Campaign Disclosure Board 510 Bast 12" Street Suite 1A Des Moines, lowa $0319 To Whom It May Concer: ‘As per our phone conversation on Monday, January 8, I am sending the January 19 report a few days early, because I will be leaving on a trip tomorrow. ‘The balance at the end of the year is adjusted to reflect a mise. cash deposit on 8-31-06, of $75.50 for left over food from our fund-raising event that was inadvertently left out of the Oct. 19 report 8100." ‘A check for deposit to the City of Logan with Check # 155 was returned and a donation to the Boy Scouts of $50.00 with Check # 158 has not been cashed as of this date Thave included copies of the bank statements as a paper trail to show the deposit { missed in the Oct, report.. The last statement from the bank is not the official statement for the month, but since the January statements will not be available until after I have left on my trip, I have asked for the latest balance. ‘Thank you for allowing me to send my report early.