FORM DR-2 : Disclosure Summary P, FORM

iI DR_2 DISCLOSURE
ICFRS 4/98 REPORT
ID: 1303
rFor Office Use Onlv
County:
Type: Slate committee Comet_ # ~' 1303
Treas: Tina Benjegerdes (641) 454-2578 JAN ~'
Indexed
11
Name: Hill for Iowa House I Audited
Computer ('y

Report Due Date: 01/19/2002

Committee Chair :
Status : Orig

Notice of Dissolution : N/A

Cash On Hand at Start of Period $2,954 .80 I

Statement of Cash On Hand
Schedule A: Cash Contributions Total $2,300 .00
Schedule F: Loans Received Total $0.00
Schedule H: Campaign Property Sales $0.00
SUB-TOTAL $5,254 .80

Schedule B: Expenditures Total $5,145.65,

r
Schedule F: Loan Repayments Total $0.00
Cash on Hand At End of Period $109.15

Additional Assets and Liabilities Loans in Place at Start of Period $0.00

Schedule D : Unpaid Bills $0.00

Schedule E: In-Kind Contributions $0.00

Schedule F: Outstanding Loans $0.00
Schdule G: Consultant Breakdown? No
Schedule H: Campaign Property Value $0 .00

Forgiven Loans (From Schedule E) $0.00

Orig

This Report Was Printed With The ICFRS Software on 01/19/2002 09 :26:08 PM
 SCHEDULE A: Contributions - Money Taken in I SCHEDULE
MONETARY
ID.- 1303 A
ICFRS 12/99
RECEIPTS
Name: Hill for IOWA House
NEVER FILED
Type: Slate committee
Committee ID
Date Relationship Amount
Received Check # Name and Address of Contributor To Candidate Received
61/17/2001 Candidate's Personal Funds $2,100.00
i

I,[#11sl
1/25/2001 Candidate's Personal Funds $200.00
a

[#1211

NEVER FILED Page Total $2,300.00

Report Total $2,300.00

1

Page 1 of 1
This Report Was Printed With The ICFRS Software on 01/20/2002 10:16:03 PM (for schedule A)
 SCHEDULE B: Expenditures -- Money Spent From Committee Account SCHEDULE MONETARY
ID: 1303 B EXPENDITURES
ICFRS 12/99
Name: Hill for Iowa House
NEVER FILED
Type: Slate committee
Date Committee ID Name and Address To Whom Expenditure Amount Expended
l Expended Check # (Disbursement) Was Made
'01/15/2001 Anderson Brothers $1,727_87
Chk#: 1006 4525 41st St.
Sioux City IA 51108

#1151 PRINTING & REPRODUCTION: "HIII for Iowa House" postcards

01/15/2001 I VictoryStoM cam $1,591 .66 I

1Chk#: 1005
1A
#1201 ADVERTISING : Yard signs - graphic design, printing, shipping

01/16/2001 The Northwood Anchor $58.46

Chk#: 1008 P.O. Sox 107
Northwood IA 504590107
#1161 ADVERTISING : newspaper ad

02/08/2001 The Mail House $1, 767.66

Chk#: 100? 1PO Box 1105
Sioux City IA 511021105
POSTAGE. SHIPPING, DELIVERY : postcard mailing = $1,577 .68 inkjet addressing = $189 .98
#1171

Page Total $5,145.65

NEVER FILED
Report Total I - - $5,145 .65
Page 1 of 1
This Report Was Printed With The ICFRS Software on 01/20/2002 10:16 :47 PM (for schedule B)