RECEIVED FOR INSTRUCTIONS, SEE BACK OF FORM oct 13 2006 FORM DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE | COMMITTEE NAME (Must be same as on Statement of Organization) REPORT Johnson County Republican Women IMPORTANT Indicate by # type ofeommiiee you ae reporing for ogges in (7 )statewiderLepstatvelJudg Standing for Retention Cancidate (2)Slie PAC (3 )State Party Scanned [4 Seounty Central Commie (5 ]County Candidate (6 Cy Candidate (7 Schoo Board or Otner Poitical Subdhision Candidate (8 County PAC (9 )Ciy PAC (10 Schoo! Board or Other Political ]Computer Subdivision PAC (11) Local Balt esue ee [CANDIDATE COMMITTEES ONLY: JCandidate Name Political Party (if applicable) Late reports are subject to possible civil and criminal [Office Sought District (Senate or House) | penaltios. A en 314 /338-TU3. 10/12/06 SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED tauriunca October 4 ____. REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR. ep ct) indicat oy # [1] COICHECK IF AMENDMENT TO REPORT DATED __ Loca! Committees, enter Date of Election Ci check if this is final (termination) report and attach Notice of Dissolution Form DR-3, | Coufy & Losal Gomes, err Coury in (fou must continue to fle reports until a DR-3 is filed.) atic Electon fs hold STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (Total of al funds held by the ‘committee, This amount MUST be the same as the cash on hand at the end (of the ast reporting period or must be zero if this first report fled) s 220-60 ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also see in-kind below) 42.00. ‘Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Seles of Campaign Property (Atach Schedule H) (Schedule H applies to Candidates 28 Onl SUB-TOTAL. 322.60 SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule 8) (“also see debts and loans below) — Schedule F: Loan Repayments total (tach Schedule F) = ‘CASH ON HAND at the end of tis reporting period (i final report balance must ewe) MWEMORS) nen s___3 22.60 ‘UNPAID BILLS (From Schedule D-Atach Schedule D) 3 “IN KIND CONTRIBUTIONS (From Schedule E- Attach Schedule E) $ = ‘OUTSTANDING LOANS (From Schedule F- Attach Schedule F) so CONSULTANT BREAKDOWN (Schedule G Attached) YES __NO CANDIDATE COMMITTEES ONL) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) sFor Instructions, See Back of Form ‘CONTRIBUTIONS ~ MONEY TAKEN IN (lung cans’ personal funds) [SCHEDULE A MONETARY (Rev. 0779) | RECEPTS D0 onteck Tas Box iF [COMMITTEE NAME (itust be same as on Statement of Organization) [AMENDING FORM Johnson County Bpubliean Women STATE CANDIDATES NOTE: IFA CONTRBUTION IS RECEIVED FROM A STATE PAC POLITICAL ACTION COMANTTES), LIST THE PAG IDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IV THE DESIGNATED COLUMN. & UST OF 1D NUMBERS is AVAILABLE FROM THE IOWA ETHHES AND CAMPAIGN CAUTION: Section 686,324(6), Iowa Code, prohibits the use of nfermation coped from reports and statements for soloing contbutlons or for any corsmercal purpose by any person ther than statutery political committees PACTONUNEER RECEIVED | — (fappieabi) moore) | AND PAC CHECK NUMBER 7/22/06 | cxw THAME AND ADDRESS OF CONTRIBUTOR Bmemlbershnips RELATIONSHIP] AMOUNT | TIFFOR | ‘ocanoIDATE: | RECEIVED | FUND. (applicable) RAISER INCOME TOF cet iF + Dicosure In requtescansateconmioss fo eacose the relatonhip of any restive making contbuton tothe Commies. Relebonsip must ue show to the Bid degree of cansanguly (ocd relaives and af (raves) ‘mamags)_ if summame of connor the same 9s candidate, bul hee Ie mo {aml relationship, enter “nat apptcabe” nthe relationship colrm, ‘SUB-TOTAL TOTAL (if last page of this schedule)