2005-10-06 DR2 Summary dr-2
2005-10-06 DR2 Summary dr-2
PAGE 02
Y-1-kS' 3 . s z/d
SIGNA URE GIr-PERSON FILING REPORT TELEPHONE DATE SIGNED
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach OR-3) .. ... ., ., . . .... .. . ., . . . . . . . .. . . . . . . . . . .. . . . . .. . . . .. . . . . . .. . . . . . .. . . . . . . . . .. . .. .. .. . . .... . , ., . ., . . . . . .. . . . $
STATE CQMMITTEE$ ; SubmK a reconciled campaign account bank statement in January of each year .
09 :39 641-853-2216 OLSEN ACCT . PAGE 04
10/06/2005
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) Rev. 06197) CONTRIBUTIONS
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SUB-TOTAL
'Disclosure law requires candidates to disdose the relationship of any relative making an in kind contribution to the Page Ir of I
committee Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If surname of contributor Is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .