FON,NSTNUCTIONS, SEE MANUAL

D.ISCLOSURE
SUMMABYP/ CARROLL
COUNTY DISCLOSURE
REPOF?
RECEIVED
FOR COUNTY CANDIDATES
I I 1992
l,lAY
{omm.No.:---
CANDIDATES COitMtTTEE NAME (Must be sameas on tlcexeo LY-

F r i e n d s to E l e ct B a ss
a

*:::-a--
7 t 2 / 7 9 2 - 9 8 70 5-L9-92
flllng lhb reportr' TELEPHONE DATE STGNED

GAUTION: Penalfies Due For Late'Flled Reports Range From gl0 ro $40O

REPORTINGDATES- ELECTIONYEAR BEPORTINGDATES- NONELECTIONYEAR

ReportDue Coveredperlod Beporl Due Couered perlod
6 tuay20,1992- Jan. 1 - May15,1992-
tr July20,19- May16- Juty15,19_ E Jan.20, 19- Jan. 1 - Dec.3t, t9_
tr Oct 20,19- Juty16- Oct.15,19_
E Jan.20,19- Oct.16-Dec.gl,19_ gFi
rr'l iii,:

El Check if Amendmentto report dated 19 r'$l:l

i.r r :ii !' :IF
i,-. . _l;. -4'

tr check if final (termination)report.(Attach Nottceof Dtssotutton ;1.,i-, ,

Form DR-3) a"' ,i , f\:,

STATEMENTOF CASHON HANb

CASH ON HAND at the beglnning of the reporting period. (This ls the total of atl
monies held by the committee. This amount-ilUST be-the same as the cash
on hand at the end of the last reporting period, or must be zero if this is fftet &r .,

reportfiled) $ -0- -/
-{

ADD TOTAL MONEYTAKEN IN THIS PERIOD

ScheduteA: Cash Contributions totai tnttactrEcnedute A) . 3 , 7 0 6 . 0 0- ' / -
ScheduleC: FundraisingEventstotal (AttachScheduleC) ... -0-
ScheduleF: Loans Receivedtotat (AttachScheduleF) ....
SUB.?OTAL L 3,706.00
SUBTRACTTOTAL MONEYSPENTTHIS PERTOD
ScheduteB: Expenditurestotat (AttachScheduleB) .... 554.27 ,/
ScheduleF: LoanRepayments totat(AttachScheduteF) .... ............ -0-
CASH ON HAND at the end of this reportingperiod(if finat report,batancemust be zero)
(Artach DR-3) . L 3,15L.73

UNPAIDBILLS (FromScheduteD - Attach ScheduteD)

lN KIND CONTRIBUTTONS(From ScheduteE - Attach ScheduteE)
OUTSTANDTNG LOANQ(From ScheduteF - Attach ScheduteF) $ -0'-
CONSULTANTBREAKDOWN(ScheduteG atrached?) E yes El no
EOUIPMENTPURCHASEDINVENTORy(SchectuteH) -0-

'REM|NoER: The lalplaces

responstblllty solely upon the candldale for the tlmellness and accuracy of reports fled by
the commitle€ treasurer.

r.sut?/cPK-0?0520
(ReY.1992)
 SCHEDULE
CONTRIBUTIONS- MONEYTAKEN IN
A
, (lncludlng candtdate! perconal lunds, CfllDID/lTE
il appilabte)
CANDIDATESCOMHfTTEENAitE lnusioesarneas
on st"t"^ffi)
Friends to Elect Bass

section 56'8(3xa)' tow.a.code' states:"lnformation

copied trom reports and statemenFshail not be used
than statestatutorypolitica' committees6;iil; purposi-oi by any pe6on other
ioriciiing Eontribuuonsor for any commerciarpurpose..

,., _ NAMFANDADDRESS OFCONrnreuTon

Ut proceects
tromlundraiser,
showtundraisirsponsoo

L-2L-92 913 - 14th Avenue 100.00

Eqlton, IL 6LZS2
Sue Behrens
L-28-92 112 Nas 200.00
Audubon, IA 50025
Russell Wunshel
L-28-92 2 0 0 1 N . tl e sr S treet r_00.00
Carroll;-fA
BiLl Hess
220 - st.h Avenue 10 0 . 0 0
Rapids rA 50058
James Gallowa
2-26-92 720 - 4th Avenue
C o o n R a p i d s, IA 50058
OsterLand
401 E. 1Lth Srreer 50.00
QarroLL, IA 51401
Larry Bavliss
2-24-92 1915 Grestview Drive
C a rro L l -, IA 5 L 4 01
Barry Snyder
2-24-92 R#r
Glidden, IA 5L443
1 e to E l e ct Peter son
2-24-92
Carroll, IA-- 5m

SUB.TOTAL 900.00
TOTAL (fl lerf ar1gcol thtt echcdute) $

3fsj1T'3''#,ffi'l[T,fflr''33:?::T''.*::j::,,*13"fln:'f
mu". oe snownro the third desre€of consanguil.lity.(otooi gl,:Iyj."J"-,y."
s,I,tg?-:gl1b-"I9nle-tfe comrninee. Rerationshi
e moredetaiteddescriptionof relafivescovCrio6y rrd rriw.- reratiies)lnJ;ifiiriid,dii"es b, d;rh€Fi:.ii;insrructions,or
CPG-20735/taOOSa/{R!v. r g$t
Page 1 ot 2
(forSchedule
A)
 ,rev r rvrtg, gEE MarYvAL

CONTRIBUTIONS- MONEYTAKEN IN
, (lncludlng candldate,spersoaal lunds, il appilcabte)

CAND|DATFScoMMrrrEE NAME(Must besan?e

as on statemantot organization)
Friends to Elect Bass

Section 56'8(3)(a)'low.a.code, states:"lntormalion copied from

than statestatutorvpolitlcalcommineies reports and statementsshall not ba used by any personother
i6i t'rii prtpo""? sdirciiirid-contributions
or for any commercaar
purpose.,,
DATE NAMEANDADDRESSOF CONTFIBUTOB TTELAt!gNSHIP
RECEIVED Iu proceedslrom tundraise4show lundraisersponsor) TO CANDIDATE AMOUNT
laf Aoaliabt.r RECEIVED
mark or Sondra pingrey
2-24-92 7 2 7 N o rth S tre e t t
3s.oo
9 o o n R a p i d s, IA 50058
Kj.m Tiefenthaler
2-24-92 110 W. Randall Road 30.00
---Oarro11. IA 51401
ueorge & vera Bass
2-24-92 RR #g Box 83 Parents 50.00
C o o n R a p i d s, IA 50058
rtrLan Johnson
2-24-92 B
- ox 309 50.00
Glidden, IA 5L443
Jeffrey & Katherine Lar-kin
2-24-92 222 E. Randall Road 50.00
CarroLl, IA 5L40L
Timothy & Lori HiLL
2-24-92 4 0 2 Me re n e ss 50;00
Glidden, IA 5L443
BilL Linde
2-24-92 429 E. 4th Srreer 100.00
Glidden, IA 51443
Robert & Diane Joneson
2-24-92 1904 Joan Avenue 150.00
Carroll, IA 5140I
Unitemi?ed contributions during
Period reporting pe 2,29L.00
this calenclar year.

SUB.TOTAL 3 2,806.00 /
TOTAL (lJ lad pgc ot thlt zcheduta) s 3,705.00
Bf:'iT""':;#,nxilT,:,ilj'13:?*T''"*::j1i,513,"",:::lP
musr Desnownlo the thitd degreaor consanguinity. (brooi
gj,:::yj:l"j:.,:
relatives;ana amii$ ?-:p-111b-ulen-!e
-- --'--'-
rr'ecerynittee.
g,ll19(r;taii;[.il"##;1;l:'$;'fiiffi;ffi!"'r;?
Fsraronshi
a moredetaileddescription of relailves
covered
5y tnti d*.
CPG-2O7:w'4O0O5a/(R!i. r9$l
eage 2 ot 2
(tor ScheduleA)
 FON INSTRUCTIONS, SEE MANT'AL

SCHEDULE
EXPENDITURES
- iIONEY SPENT B |ffi.i.
CAl{OIDATE
For otllc. ulr onSt
CANDIDATES COMM|TTEENAME
Friends to Elect Bass

DATtr NAMEANDAD
E)(PENDED ( Dtsbursement AMOUNT
) WAS MADE PURPOSE E'(PENDED
uarrorr (;opy Genter
- 500 Fundraiser
2-3-92 504 N. Clark $
- Flyers 36.40
Carrol-l, IA 51401
Dqug Bass Reimbursement for
2-24-92 !0l2 Sunset Drive fundraiser
suppligs & food. 331.43
sweatshirts & pho o s
It"oni Advertlsing for
3-L-92 4 1 1 M" fi:ndraLser 2L.00
Manning, IA 51455
Garroll Corrmtrnications Ltd. Advertising for
3-4-92 5 2 6 N , C a rro L l S treet firndraiser 20.00
Garroll, IA 51401
Coon Rapids Unterprise Advertisiifi-Eor
3-4-92 504 Main firndraiser 20.00
Coon R a p i d s , I A 5 0 0 5 8
1 0 T V In c. Advertising for
3-L5-92 P.O. Box 885 fundraiser 20.00
C a rro l L , IA 5 1 4 0 1
carroll Copy Center 200 FundraiFer
J-L5-92 s04 N . C l a rk Flyers 10.40
GarroII, IA 51401
llerald Publishing Co. Advertising for
3-23-92 5 0 8 N . C o u r r-sm"I fundraiser and 34.00
CarrolL, IA thank you notiee
Coon Rapids Enterprise Thank you
4-6-92 504 Main advertisement 10.00
C oo n R a p i d s, IA 5 0058
Carroll Conrmunications Ltd. Thank you
4-6-92 526 N. Carroll Streer advertisement 24.00
Carroll, IA 51401

SUB-TOTAL $ 5 2 7 . 2 3/
TOTAL (rl lsst pagaot thlc rr;hdula) $
Expend|turestoconiu|tants(persons/ent|t|esproviding.consu|Ung,adverrising,fundra|sing,po|t|ng,managing,o'ffi
etc') must also be detail iteiilizeo on scheoite e uy-tne
consultanton bahalfof the candldate'scom-mitt-Ee]sA amouii,-purpose,-ind oate ot''eLcn typs ot expendlure made by the
;;"ilii-or m;re spectticinstructions.
CPo-20ru/t{o05sr(R@. tsqr) -1 ?_
Page o
(torschedute
B)
, v^ ,.retr.ugrrv ts-.sEE MANUAL

SCHEDULE
EXPENDITURES- MONET SPE,{T
B l#8$Fffit
Fo? of{fca .raa olrfv
CANDIOATBS COilM|TTEE
Friends to ELect Bass

NAMEAND.A.DDRE@
(Dtsburseqtent, -''-"'
WASMADE-
ro11 Copy Center Thank you cards
504 N. CLarE and envelopes
Carroll, IA 51401

SUB.TOTAL