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HomeMy WebLinkAbout1992 Candidates Filing for August 11 Election RESOLUTION NO. 1992-276 RESOLUTION APPOINTING AT-LARGE COUNCILPERSON TO FILL UNEXPIRED TERM OF ROBERT BROWN (RESIGNATION EFFECTIVE APRIL 30, 1992) . NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF WATERLOO, IOWA, that William H. Lemke be and the same is hereby appointed At-Large Councilperson to fill the unexpired term of Robert Brown ( resignation effective April 30, 1992) . PASSED AND ADOPTED this 18th day of May, 1992. agg€4-k Albert C. Manning, Jr. , Ma o ATTEST: ar y P rger, Cit lerk/Auditor • in-7."-- o�,1RCITY OF WATERLOO , IOWA CITY HALL • 715 MULBERRY STREET 50703 • �iw.. �rv�f� (319)291-4325 dterl o LARRYP. BURGER CLERK/AUDITOR MEMORANDUM TO: Mayor Manning City Council Members FROM: Larry P. Burger, City Clerk/Auditor DATE: August 21, 1992 / I RE: Special Election Held for Vacant Council Seat--August 11, 1992 Please find attached a copy of a memo received from Kyle Jensson, Deputy Commissioner of Elections, with the cost of the special election held August 11, 1992. As you can see from the break down, the cost of the election in time and materials was $14,425. 56. This memo is for informational purposes only and will be processed through the general bills payment system of the City. Should you have any questions, please do not hesitate to contact my office. /'11OP4Ohrli �" CITY OF WATERLOO, IOWA .1/4, .r.� ��► I CITY HALL • 715 MULBERRY STREET 50703 • (319)291-4325 Olterloo \ LARRY P. BURGER CLERK/AUDITOR MEMORANDUM TO: Mayor Manning City Council Members FROM: Larry P. Burger, City Clerk/Auditor / DATE: August 21, 1992 / II RE: Special Election Held for Vacant Council Seat--August 11, 1992 Please find attached a copy of a memo received from Kyle Jensson, Deputy Commissioner of Elections, with the cost of the special election held August 11, 1992. As you can see from the break down, the cost of the election in time and materials was $14,425. 56. This memo is for informational purposes only and will be processed through the general bills payment system of the City. Should you have any questions, please do not hesitate to contact my office. COUNTY AUDITOR AND COMMISSIONER OF ELECTIONS GRANT VEEDER BLACK HAWK COUNTY DIVISION OF 316 E. 5TH STREET ROOM 210 ELECTIONS AND VOTER REGISTRATION WATERLOO, IOWA 50703-4774 PHONE (319) 291-2430 KYLE IENSSON FAX (319) 291-2461 DEPUTY COMMISSIONER OF ELECTIONS August 20 , 1992 Larry P. Burger City Clerk/Auditor City Hall Delivery RE: Special Waterloo City Election 8-11-92 This is to certify that the following amounts were expended for the special city election held in Waterloo, to fill the vacancy of councilmember at-large, August 11 , 1992, for which Black Hawk County is to be reimbursed. Publication of Ballot : $ 628 . 92 Printing: 947 . 58 Precinct Officials & Mileage: 8840 . 50 Postage : 57 . 70 Rent of Polling Places : 230 . 00 Setting Voting Machines : 1109 . 07 Delivery/Pickup of Voting Machines : 2040. 00 Precinct Rosters : 27 . 50 Additional Courthouse Help: 32 . 30 Door Guard: 29 . 31 Overtime, Regular Staff: 172 . 11 Supplies : 310 . 57 TOTAL: $14, 425 . 56 Witness my hand and seal of Black Hawk County this 20th day of August, 1992 . . jec_qe/yt/1,4,S7*(-) Kyle Jensson, Deputy Commissioner of Elections Make a Choice Be a Voice, V011E1 * * * * * * * COUNCIL' S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800. 00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3,250. 00 1/02/83 $3,510.00 3308 10/10/83 1/02/84 $3,510.00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3 ,510.00 1/02/87 $3,510. 00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350.00 3832 10/28/91 1/01/92 $4,560.00 1/01/93 $4,780.00 COUNCIL'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800. 00 2910 7/25/77 1/03/78 $2,400. 00 3037 7/02/79 1/02/80 $2,568. 00 3166 10/19/81 1/02/82 $3 ,250 .00 1/02/83 $3,510.00 3308 10/10/83 1/02/84 $3,510. 00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510. 00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350.00 3832 10/28/91 1/01/92 $4,560.00 1/01/93 $4,780.00 COUNCIL' S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800. 00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568. 00 3166 10/19/81 1/02/82 $3,250.00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510. 00 1/02/85 $3,510.00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510.00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350. 00 3832 10/28/91 1/01/92 $4,560. 00 1/01/93 $4,780. 00 I COUNCIL'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800.00 2910 7/25/77 1/03/78 $2,400. 00 3037 7/02/79 1/02/80 $2,568. 00 3166 10/19/81 1/02/82 $3,250. 00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510.00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510.00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350.00 3832 10/28/91 1/01/92 $4,560.00 1/01/93 $4,780.00 COUNCI.L'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800. 00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3,250. 00 1/02/83 $3 ,510.00 3308 10/10/83 1/02/84 $3,510. 00 1/02/85 $3,510.00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510.00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350.00 3832 10/28/91 1/01/92 $4,560. 00 1/01/93 $4,780.00 COUNCIL'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800.00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3,250. 00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510.00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510. 00 3608 12/19/89 7/01/90 $3,950. 00 1/01/91 $4,350. 00 3832 10/28/91 1/01/92 $4,560.00 1/01/93 $4,780.00 I I COUNCI.L'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800.00 2910 7/25/77 1/03/78 $2,400. 00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3,250. 00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510.00 1/02/85 $3,510.00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510.00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350. 00 3832 10/28/91 1/01/92 $4,560. 00 1/01/93 $4,780.00 COUNCI.L'S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800. 00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3 ,250.00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510.00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510. 00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350.00 3832 10/28/91 1/01/92 $4,560. 00 1/01/93 $4,780. 00 COUNCIL' S SALARY Ordinance No. Adopted Effective Date Amount 2515 12/22/69 1/02/70 $1,800.00 2910 7/25/77 1/03/78 $2,400.00 3037 7/02/79 1/02/80 $2,568.00 3166 10/19/81 1/02/82 $3,250.00 1/02/83 $3,510. 00 3308 10/10/83 1/02/84 $3,510. 00 1/02/85 $3,510. 00 3406 10/07/85 1/02/86 $3,510.00 1/02/87 $3,510.00 3608 12/19/89 7/01/90 $3,950.00 1/01/91 $4,350. 00 3832 10/28/91 1/01/92 $4,560. 00 1/01/93 $4,780.00 /11,„ l? CITY OF WATERLOO, IOWA T��i 1.wM • M��I CITY HALL • 715 MULBERRY STREET 50703 • (319)291-4325 dt°rl LARRY P. SURGER CLERK/AUDITOR June 4, 1992 Mr. Grant Veeder Commissioner of Elections Black Hawk County Courthouse Waterloo, IA 50703 Dear Grant: Attached please find a copy of Resolution No. 1992-289 calling for a special election to be held on August 11, 1992 to fill the vacancy of at-large council position in the City of Waterloo. If you have any questions, please do not hesitate to contact our office. Sincerely, I Q La ry P. :urger Ci..y k/Auditor LB:nle Attachment RESOLUTION NO. 1992-247 RESOLUTION AUTHORIZING CLERK/AUDITOR' S OFFICE TO PUBLISH NOTICE OF INTENT TO APPOINT AN AT-LARGE COUNCILPERSON TO FILL THE UNEXPIRED TERM OF ROBERT BROWN (RESIGNATION EFFECTIVE APRIL 30, 1992) . NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF WATERLOO, IOWA, that the City Clerk is hereby directed to publish notice of intent to appoint an At-Large Councilperson to fill the unexpired term of Robert Brown, (resignation effective April 30, 1992) in the Waterloo Courier. PASSED AND ADOPTED this llth day of May, 1992. Albert C. a ning, Jr. , May ATTEST: Larr P. rger, City lerk/Auditor COUNTY AUDITOR AND COMMISSIONER OF ELECTIONS GRANT VEEDER BLACK HAWK COUNTY DIVISION OF 316 E. STH STREET ROOM 210 ELECTIONS AND VOTER REGISTRATION WATERLOO, IOWA 50703-4774 PHONE (319) 291-2430 KYLE JENSSON FAX (319) 291-2461 DEPUTY COMMISSIONER OF ELECTIONS June 8, 1992 Nr. Larry P. Burger City Clerk/Auditor Waterloo City Hall Waterloo, IA 50703 Dear Larry: Our office is in receipt of your correspondence calling for a special election to fill the vacancy of at-large councilmember. The selected date of August 11, 1992 for this election is hereby confirmed. Nominations which will be filed with your office will become closed at 5:00 p.m. June 25th. On June 26th all nominations will be transfered to the Election Office no later than 5:00 p.m. The polls will open at 7:00 a.m. and close at 8:00 p.m. on election day in all 30 Waterloo precincts. Please call me if you have any further questions. Sincerely • • Kyle J son, Deputy • Commissioner of Elections Make a Choice Be a Voice, VrOTE! * * * * * * * * COUNTY AUDITOR AND COMMISSIONER OF ELECTIONS GRANT VEEDER BLACK HAWK COUNTY DIVISION OF 316 E. 5TH STREET ROOM 210 ELECTIONS AND VOTER REGISTRATION WATERLOO, IOWA 50703-4774 PHONE (319) 291-2430 KYLE JENSSON FAX (319) 291-2461 DEPUTY COMMISSIONER OF ELECTIONS June 8, 1992 Mr. Larry P. Burger City Clerk/Auditor Waterloo City Hall Waterloo, IA 50703 Dear Larry: Our office is in receipt of your correspondence calling for a special election to fill the vacancy of at-large councilmeEnber. The selected date of August 11, 1992 for this election is hereby confirmed. Nominations which will be filed with your office will become closed at 5:00 p.m. June 25th. On June 26th all nominations will be transfered to the Election Office no later than 5:00 p.m. The polls will open at 7:00 a.m. and close at 8:00 p.m. on election day in all 30 Waterloo precincts. Please call me if you have any further questions. Sincerely Kyle J son, Deputy Conmi.ssioner of Elections Make a Choice Be a Voice, WarE! Form 2-M(91) .'rescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: 00-t-Utt NIX( putx1G'lti a Lea4 i (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): Address: 3 G1 .4t ' City and Zip Code: LL) 'l -jb C )/t- ' D -203 County ofBLACKHAWK I, being duly sworn, say that I reside at the above street address city and county, i the state of Iowa;that I am a candidate fo lection to the office of C-Cr VILLe_U0DL,i.,.16) - C fIUi.�‹ at the election to be held on ��c .r c I I, /`1`0, and hereby requeste/ that my name be printed upon the official ballot for the electid as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I,not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. SigneQ/1 ` 1'1 ems 1 � Subsc/nped and sworn to (or affirmed) before me by /(& ,e9-k-J /(_&' on this �57 day of , 19 of no .:),/1- Namelic or other officer administering oath Official title .. . • co r.) n c c- a -I :--i ry "I a -‹ cri a m or' ni 7z) a -11 70K — -C n /T1 i--4 GO 1 ..-. ' ''. - ."',. • ; ; •i 2; '.. . .... 'i 1 •,:': --. -..... '...-` .:7.1,-;.'")..-'.. ; `{.'2'...i ''''•'.. .'7 {...'.---- ::(:)il 1 ::r ..."':: . ' r" - II 1 II0iIi.,1-1,.. ik : ':rnWS ..:1 ' l'"',..1r1,.,'- ;.,! ''' -:-.i;.,',.. 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Form 59 . h 'i . - MATT terror S SONS co..wetenoo.awA D35 0-559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA 4� Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of `- Coune%2peJeaan at £akge the undersigned eligible elector of the State of Iowa, GUI/ o Watenoa do hereby (If applicable,district or other division) nominate Karon Keebe 0f 343 Pn.adpeet Ave. Waten2oo , Iowa, (Nome of candidate) (Address) as a= Candidate-Of for the (Nome of nonparty political organization,if any) office of e.ounaie. pens on at Zang to be voted for at an election to be held on Aug us t 11 , 19_9_2 n> _y "N A M E RESIDENCE (Add School District, if needed) DATE SIGNED ;., _(Signature) STREET AND NUMBER, IF ANY CITY 1 ' �'( /3J 1JL 7oitJ AvE A'i r4-4Lrxb l� •'ova'P-2 r 2 ___C . ,„,,,,A____ 11I1 /6:1PL4,v Pz. WaTr.ytc,_,o - ZZ -?Z 3 'd.; , , /J 410 kT}P�FF,vt •Ar2. W 'LC)0 (9-01a—9a 4 ci- t 3 ?f¢ W. 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O N' C -, m - K W n O •O - -13 ° g. a a m a w `G `G > • 0 O —1 A <,c. d Al ci_ • - 1,j car �-+ , I cif , • l l .j,f, • 1 1;1 i ' • �t'..".... A I4 1.1 • __ .. • jJ • _; Ir . if ff Form 59 nun PARRon n SONS Co.,WATERLOO..Town D35 0.559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Non artisan Nomin tions and Nonparty Political Organizations For the office of 4��C ( 1�: �� 1 ff /Z -e-/' I, the undersigned eligible ctor oft State of I wa, , do hereby °. — of op able,district or oth�rtsionj), , nominate of �(/ 1 Iowa, -. INnma cnn idnml te-t�. <• Form 2-M(91) Prescribed by the ' Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections1 For the Office of: ".e-L��=- 2,Q.�0-' �/ - -el (includf district number, if applicabl Name (exactly as you want it to appear the ballot ): c--777, 9 Address: s j ZO../ G��, - City and Zip Code: /tJ -/-11- 0 70 / County of BLACKHAWK I, being duly sworn, say that I reside at the above street address, city and county, in thy so.te of Iowa; that I am a candidate for election to e office of �k.C.� ' 2 e4A at the election to be held on i�' /l/ /7 A. , and hereby requ st that my name be p ted upon the official ballot for the election as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures-er incure indebtedness in the aggregate in excess of five hundred ($500) dollars for'the puipose_of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public offic _to be filled at the general election, to remain filed in the office of the state commissioner or the; comnii'ssioner unless I,not later than the final date for filing nomination papers,notify the state conimissione,r,or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. Signed: G L X-1-1,-/ip Subscribed and sworn to (or affirmed) before me by on this 17/7 day of, 19 _ Name of not blc orother officer administering oath r • - Official title f 0 7 ° 0 0 • Z T T Cr 0 • co m m a a S 7 7 N 3 3 0 a Z -< -< -0 3 D D O Ci 3 N w N NN daD fl O 0_ ZO N Q n i o c• o O m D N - - J n .° .° ,O -0 • « p 0 m o -< 70 D N C c-- O - Z x --1 m S n • n m O rn M3 m 7K A CO m c \J l 11 • 1'i Form 59 MUTT PARROTT 8 SONS co.,WATERLOO IOWA D35 0-559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA ' Nomination Petition For Non artisan Nomin ions and Nonparty Political rganizations For the office of '' fc" -�-- �/' N I, the ndersigned pcta he State Iowa, do hereby i -- (If applicable,district or other division) nominate .7 �tei - of Iowa, uF (Name of candidate) (Address) asra candid `'e •of for the (Na 'e of nonparty p local argon' lion, it any) office of ( (/✓l� �/�2G�✓C� g, 2 e�.� to be voted for at an election to be held on // �, 19 2 NAME RESIDENCE (Add School District, if needed) (Signature)na STREET AND NUMBER, IF ANY /CCIITY DATE SIGNED 1 Ct� A '.eh� /3vDB /� ,� tf�. c- =- `�2. 2 � �%w i'L. , 1AO /?, rl' �� �� ( 4:2-- rn 5 t Q /6/ 7 U..) -Q--0� 6 / - �_ D . r . { �9 6 a-t- eq ►t.Of 6 a-9Z I 7 j i Q4./ze/) 5.6o S,Z ��/ !/ --- N 8 n L` _ / ia 6 / ( 6J,.c.,.,,�c./..1 " 6 — —97- 9 jel, i)T...../ ( a--/ J ? 10 i ce' 6, ig 6L ` cr ., 4" 4t= • 1t ,rdix �G � ��2ac eaz� , ✓ </ 6 2-92-- 12 '� 0 , h . trJc+ 2 �. 13 '_/-4 L .CLL-C.Q/ 1/�� C ��< Lfl-pZ- 9y 14 , r• //�i 9 % ‘—.7-7- 15 AI6°1 5/7 I1/ G a ---?D- I• pc-, �. /mac �°�,„�,,.� d �)l v / a r ja 17 r 19 11 te 'I (' ziz, 1,0 w (e - D -qJy ' i 2e,i14,, ,,:i t(Learr Z, —2 /2 Z 21 • ---.._ ?O r /'i c7�� �//yLO-r' ‘—z '—, 22 C� 6,,,,..,...) / ,_5v�/ , ,, ',, s -2-Pz 23 !l • k Z/�,u/` .� 3° LI 7 ) wig 24‘... - /./_'(,,ii.,?.,Zi / - tom ^ ilk �3 8- %71,e.1�(� (O.�ii-.Ar 6, -, - yL 25 l �.M.> � o F i` d-aJ tu J ur'0 6 Z 7 Z-- (OVER) If Ilk X 0 . -I 0 Z __-. _-' 0 0 CD CD CD 0_ 11 S 5. co Z 575_ 3 3 0 Z -< •-•< 73 3 > o o o 0 _--- CI n .o 3 1) CD 5- F,' 0 5- > 0- 2- 0 D co _ 0- .-1-• F-). 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R Form 59 - MATT PAMNorr s sots co.,WATERLOO,awn D35 0-559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Non artisan Nom'nations and Nonparty Political Organizations For the office of L�fiC� I, the nd rsigned eligible el for of th ate of to a, �l ( Q, , do hereby pp'jipb ,distno or other anion) nominate C off J/' S , Iowa, ome of candidate) (Adss) as a candid e of for the (Nome of ndnparty polio orgonizatio if any) �f office of t 0/ i` 2-' _, � /2� - to be voted for at an election to be held on ( ' / . // , 19 gvZ---/ R:, tr1 NAME RESIDENCE (Add School District, if needed) DATE SIGNED rn (Signature) STREET AND NUMBER, IF ANY CITY 1 1,1.,p 4, :-/1 ` � '0 . . , , L )! , -q// F�,f-. -' .?- 9 . l `�/� C''�_r,�%�� _ r�.A„.. , c .v— 9'2 ONSKOWOIIIIRMI or, 6;��) 303 , ta. -e - A/ "', il `,-- ( J .7927 C'c. 1 % /2/f 2- Iii r/ V a ll zit 1-1c2. 41 1;4 0 /.2/7-2..d 73' % -'e off �C: /tea ,4-2-=:2- 1 4_ 1-/ ZO Ci_2 / G ?-9,) �%14 ! 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' ..• . . . -.. .,. . ..., , . .., •••••• W.• P • . . , . . il N. FoCrlt 59 i .war r<RRon s SONS Co.worrRioo.IOWA D35 0-559 (Revised July 1990) yi (Chopter 45,code of Iowa) STATE OF IOWA Nomination Petition For Non artisan No inations and Nonparty Poli ical Organizations For the office of /e"' • I, the and signed eligible lect o e State of Iowa, .{S!`'- Ji-�f?/ j -- , do here y c (If apple ble,district r other ivision) nominate , of , � c a (Name of candidate) (Address) as a candidate of ic for the /y � ( ma of non ly polir' -izatio ,if any) � office of `/, ii— �Z�� to be voted for I /� at an election to be held on ,e.� </ // , 1977/ Cl) t 'Z NAME RESIDENCE (Add School District, if needed) _'(Signature) DATE SIGNED m T ,-� C7 STREET AND NUMBER, IF ANY CITY tr7 h— rs 2 lg,/-%X:. ,c/2./ (:..- 3 7ad ›fr3-- /Vu �. -1- .. . Q rl 1 5 ,fi � /Sy 4 /201 ‘-3- 6 '_ z 2) E J y R �i 4 kit, �-�� — F-2-I 9 g/a/-pJ e 3 3, & 6,4 ,' �r�. �`.)--9z /�,-10 (e ,,,e, D 5' :V-:C-4-o C - i -g.J- W 11 t N l t eA-t✓L(.ik-( -0714Ati e, ‘ 3 -GO- 1 2 A1G, �t- 13 o,�t,4 �6 T G -14 , /J (cro 13 \ 9 h— /7, 3 ` de,i, %-/% J 6-`?- 51 . 14 I c 1t• , Nt i . . . ./ // 4 _ A '___/ _I4 4 i i rsi /— 'e -. 15 .''' /!__ t,_sue i:yiL tiC-- G yll) /:t2 './ G t2 mil. ` 3 — / Z_._ e4a i' /. 1/ � 17 �- 1, dyd- 9_ - 18 r. a. n____ 7 c slA�zs r/ Gc../.may., a-- 3 —/Z. 19 . d'l�artY/ ct? �� " /Z o Jim ILl Zoo " 3 `-o2, /1 aii,r4,actj.r..) 20 D- /.f�F. 2�AA--d A4/9i 44-bo a -- /�'Jint� C�3 —Z.? 21 hli. 7// /C'l) K/z/-.!> /ii 3-.9o7.. 22`.. P—c/ / 4j , r t-622— 1/ 6-3.2/ 23 ,e Q ->,�.-- //5 lr 4 -3- 91" 24 Zifr jjS'j , i),4, • P d-3 -y-2 2 rr (OVER) 1 IV ilki o Z . " . T - 0 co m co a a T 5. >' co _ Z Et Z 33 0 .� -< :0 3 D 0 0 O 0 O --i 3 > n CD 3 0_ 0 0 O �.• m m m a T. N Q o co 7 m - D '‹ n .O •0 ,o -o 0 0 m o " • -< 'Pa PO Cr) tom) D L G C - n Z O 0 N T- M � 7 C7 C) MI C: csa . • ' s ---- - � - _8I i.'I �' I, • • V .✓j. I;• • is • ! ! ` ;14 i i I ;ti . -1'-- s .!., v .. . Form 2-M(9i; Prescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: C i + y Council ___ (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): TerV.y b, Anders Address: $a. Cedar C3 er.d City and Zip Code: W0. a - toti Iowa, SOt1O3 County of LLACKHAWK r*i t bein :fitly sworn, say that I reside at the above street address, city and county, in the :a of mc),Iow ; that Pain a candidate for election to the office of Ci f y Council m at the elec ti n to be held on Au VAS+ 111 199A , and hereby request that my name be pr_ ted upon the.p(ficial ballot for the election as provided by law. I furthermore declare that I am eii i^': to th4offiee f`or which I am a candidate and that if I am elected I will qualify as such officer. wham aware that I am required to organize a candidate's committee which shall file an nrpr.:ntizatic ri st'afement and disclosure reports if my committee or I receive contributions, make expF.nditure;, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the pu;_^� e. of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be the general election, to remain filed in the office of the state commissioner or the corni:;i si:itu unless I, noi later than the final date for filing nomination papers,notify the state commissioner commissioner by affidavit of the office for which I elect to be a candidate. I am aware that 'ioi t;;irl of section 'i .4l will invalidate my candidacy for anyoffice to be filled at the general elect c...r-- I am further aware that section 49.41, does not apply to the offices of county agri:,uiliral extension council, soil and water conservation district commission, or regional library orxd of trustees. Signed: Subscribed and sworn to (or affirmed) before me by 7714.,day of_ , 19 Name of not lic or other officer admi,niste: n, a:•th OSCial '-it! i it R. N. Form 59 V MATT FARrorr 6 sore co..WAtFRW.IOWA 035 0-559 (Revised July 1990) 5 _,. (Chopler 45,code of Iowa) STATE OF IOWA Nominatio n Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of C ; 4y Coahai./ • I, the undersigned eligible elector of the State of Iowa, , do hereby (If applicable.district or other division) 1 nominate "Ie.N'ry , 06 /Anders of O as C-edCi t- Cen d ka.#er/UO Iowa, (Name of candidate) (Address) as a 'candidate of for the (Nome of nonparty political organization,if any) office of C i +y Cctunc,'i to be voted for at an election to be held on A to a)CI 5 4 ‘I , 19 q I NAME RESIDENCE (Add School District, if needed) (Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED 1 , �A_ p., P (Wil C j A, vL ,nz ,.,-r ,.4,— a --Q-9 D- /t 2 ` 1..,,.1.r.e-p, 8'3 ' c_e_gQ.a.. 6-124/ wr L - CP -g--9 1 3 4.9 6.-1 A_L I F 1 li,„.i-c 6 -2_- 7-2_) 4 -0 /-¢-4A.A1) szga.�-4-cle //e?7��4L/J- ,1-/-/ C -,2-9-- 5 . -t.a, 1 r /0 GOJ. Laeiteigid /di& 6 - 92 6 Qit1J 1 cc r/ La iP - �' , I 79,3;.;f) Cn& may,.. _ /ytO I -2✓ .10,9,-•aii 7-t/7- - / -,7 - 9'.2. 1, (4y' r // s 4 1 4014,V .a/ it Y 6 t — z - f z 10 J112.1,n�/_ I�-41'-�O/ T '4 \r— I f t f 11 _..� +'rti..&c i E r,i. - �-111 I f 12 10-l ,4- l r (k'al.�� G .,.2_,.92- 13 J a r ca.// .6,,(/I ✓I`� i& G' ��`9-2 14nn c � �..' 4.Z I �Gic,tcf% L"'`"` :t o-b C - aZ - ?Z. 15 ., A tr p J / 12) m / 4 �E9 ?40 ( dw 17496,4),,E .W 5/:6Al i'7 a deGIA.L I 4-,*.e.. / r�7 6v lO -3 --9c 18 c'—SC . f /1/7 Cga V1/ a r/on Ca - 3 f2' � 19 , r ,t�{.11i A) Iq l5. Ulet _ LI/r) Le'4Y/tlQ?, 6-3--f cDs------ �1. ,,,.v�20 , � — 1`¢t 0 St ,..t.-0 b-F -72. 21 1`CAl 11100 W Abikke 7I u kl, L0_3 `crZ 22 `- % ' .3 �% [�l�jf'/ { " - 20�' 3-212- 2 *-3 /, , &/ Zoo 16 3 -y ? 24 0 t L4 e, k) /I 7 Q ) it- oC 6- r9� 25 /C 10 /a / l ' !1 U �) G ,--q'yc (OVER ' a Ilk IlD 1 O 0 0 z -Ti 0 0 • co m m a o (.) s �c 3 v a. a - ^` a z � 3 o 0 0 � n y CI n 33N. "coW m) a m a , >Dd + — 4r + a c . 0_ — Z C a om p _ E m' A ,9 C 0 F 13 rn i-. y, D (I 6 o fl o `O m a -< Y m Nifit ,0 ,f 1 c© n. rV c C- vo c 4 — Z ,10 O ,' ►--• MI C.' a� a; M om cr coo rE,I is i y ! . •_ice. ...- _. .�_�.-.e_... .. .. .. 9 y Form, 59 MAR PARROTI&soNs CO..WATERLOO,IOWA 035 0-559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA - Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of C i3y Cov„cf./ I, the undersigned eligible elector of the State of Iowa, , do hereby (If opplicable,district or other division) nominate Seery _ b. Rid.-`r 5 of D.4 Cedaf &ohd, WRfer/(to , Iowa, (Nome of candidate) (Address) as a candidate of for the (Name of nonparty political organization, if any) office of Ci4 Caghc,/ to be voted for at an election to be held on A p 54,S + II , 19 4 NAME RESIDENCE (Add School District, if needed) (Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED 1 ,,2,1 f, e, '& - P. - 6l3/9� 2 l e4r,-CJ2 d/t-f-- EFIO j rs .61.&fr /j%f- ' /f/C — 3 ‘X Aia..,___ a 3 t> c -ter./3 ham/ 4/�/p'..i. 5 /! a ' C4�o G�.a��. ,c3 4O w4iE-,�,,o ///9Z. 6 /�///� &�� 6 3 f e-,- ., ii ,9 i - 6/ /7 2— �r- _ ) _ 6 -1.. 0 � E.. ram, 4/ -� 8 11 6 aZ/ c G+e.C-c/0.0-i4) - 4 I - 7 12 ' C� W( l eo&/f sZe7/2 4 l9 n yr 72 13 = �� I 57. Crdeii-- Ge,-11 >( G,• 1- 9 lTss -. ( -I../yt..,L., �S a. 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O 0 m ,P I • i , • CD a ry C o c� c - a o -+ 1,--, .w Vi n n1 r -n x v r1.1 ~ N • Form 2-M(91) • Prescribed by the Iowa Secretory of State STATE OF IOWA AFFIDAVIT BY CANDIDATE .S l-and City Elections For the Office of: lc) eeJ7 z"r7e,y,c l �e �' ` (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): (NI/ i, e lM e_ Z �s Address: 217.64,s0H • ° -< s m cn n a /,,��I+crlod � �. goo 7 03 O rn tinCity and Zip Code: - o � County of BLACKHAWK rn co I, being duly sworn, say that I reside at the above street address, city and county, in the state of Iowa; that I am a candidate for election to the office of U der/vd ( /4-Acre,-/ 4 e , at the election to be held on /( /ff z and hereby request that my name be printed upon the official ballot for the election as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I, not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees: Signed: Subscribed and sworn to (or affirmed) before me by �41/../A-•J /i4 gfe,ink-e.—Ion this ?gday of , ?Li d Name of o. public or other officer administering oath Official title . . . . _ . , . .. C.1.• - . •. -1 --.) :.... = , rri I---- l— c) I c-) - pm ---1 I-cr---:—... crlc rr-cp c.....:: c> c...7.., m • . _ . . ,.., .. ... :: , . . .1 _..::. 5:..ii. .-^cr .• --._;:. . ...L. ::ril 11 10[1.61i,V. iLli; -;; , ,_ .-1 . I '!. ti.: 111-1-.S.E • ; ',OD if) . ...' . - 11 . I10 &mod v (iii inn; . . - .._ '7 ._r - , -. - . . . 1: : /. _ .._ .__ II airii no -...;:ki,„`,..,,,N ‘4.-_ . ... ,:„ ,.. , ,,. `. ,._ -,.,-; .;. --,, i:.." 1.. ,e , - .-• . i- '. ' Pr.i. ": .. . . - li `,.. 11 Altao gnii,:,..r:ilii,.-;:sv.f,6illo-- i, •,:.`, '..--, ,„., - ,,, II • o 1 I • , ,., .'• ! •-' . ''''''''' :ti 1 I Cki'•\‘' .-....-- ---.... - ...-e-......., Form 59 559 (Revised July 1990) MAR PTYIIpii 8 SgiS Ca..WAIEMW.1'JW.I U.IS O- (Chapter 45,code of Iowa) -- STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations &t_7e//Oe Ct. y `alfi- , r / 'n { `.Ai,t_ For the office of '' / f "' I, the undersigned eligible elector of the State of Iowa, ail e7 de'D do hereby (H applicable,diztrid or other division) 'nominate Y' // Aeyr4fr):4 of /-YS Pidoit.c; 5.71-714 '/o Iowa, (Name of candidate) (Address) as a candidate of C'f'J e/k-N eW a d A a- 'L for the (Nome of nonparty,tolitical organization,if any) office of ry 6fG�w�� ,,c" hCv7 c- & a.f-joa to be voted for at an election to be held on `� // , 19 9Z— NAME RESIDENCE (Add School District, if needed) DATE SIGNED }y(Signature) STREET AND NUMBER, IF ANY CITY 1 �i(- • J 071 `/ k.ce 1d Jv s/-21h? 2 A0,014,1 1 3 .r\ } r\N*' °Q.< ,, , U 1 '//cf / ?) 4 I'/?C'5.,/14 o-7 e"e_p-2-/ a 2*'---k/' „17/1/- ki----?"...4 4:77.--' /-9iki,,.:- 7 5 7.. 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Form 59 ww,.,vnvean a sans cc..wnrtatoo.lone D35 0-559 (Revised July 1990) - (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations / For the office of - `/ `�/' `' 4 ' �Lg a"---(- '�"""f{--- I, the undersigned eligible elector of the State of Iowa, /./ tK/b' , do hereby / 1J (If applicable,district or other division) nominate ?/ // F)14 rt e- of ( ' 2-7a.04.s-c'� , 2,Y—,./7 Iowa, (Name of candidate) (Address) as a candidate of 1.12c'i`'r-A--) 42. 1� 4 C-' 5 ,e for the / (Name of nonparty political organiza.p6n, if any) office of ��'--,-L4:--, •-� /La -7-e to be voted for at an election to be held on ae-7-0-e"0-74- // , 19 y'X- N A M E RESIDENCE (Add School District, if needed) (Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED 21,k;114LL-e.: —4/, /C2(03 5-1- Co Lram^, 5 -30 _4Z • ` _IV ,-•- a c _- ( L v3 `.4� 0 cS--3 -c 3 I 4 /� . _ ./ _ _��� IIEll . d, d i._ / mo. 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' . 0 O m o K '< i0 se I to r) D L C = v v Z m co '< s • cn rv. -v < � rn p v -1 CO Q rtl co OD Form 59 f 1: MATT rossot I.SOMA CO..WATERLOO.IOWA D35 0-559 (Revised July 1990) to (Chapter 45,code of Iowa) STATE OF IOWA ,7 Nomination 'Petition For Nonpartisan,,// Nominations and Nonparty Political Organizations For the office of - lie✓/,e/�; a V-q (0Z-kt-.( a. f+,2 r7 I, the undersigned eligible elector.of the State of Iowa, a/"}/, 0-r sr7 , do hereby J / (If applico le,district or other division) nominate 7 e' if 'APYi4 �t',/e of /'( /h>dSe9r `d/ Ici l-i/a') , Iowa, (Name of candidate) (Address) pp as a candidate of !�7 Cd2-e-"e.v/...-cam xa',/s -‹. (Nome of non'poriy political rgonizaiion,if any) for the office of `-d7 `eiu""dc`- 4--1 A-�'--y"e 4c12-71-crio D to be voted for at an election to be held on G� /" , 19 927 - NAME RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 1 r c�/ e a ' �� / 7/Q .co_t v-,,yam ie x.teAL0 ,S �--2 i p .t 2 . j_ /[�.Z/C�c1L-?,c- 44 Zele f .5,-,- 3. f / e7 ' 4 V /%�/ iQ� r7_ ! ��� 7 ./lL ^�, (.C� r. .r >/7Z 5 �4 � 0� L ' / / .Z l Gyi/ ,u/Z: //O : ,i1-7 „c */ 11 -zr/Y4 9 , �.-_— / ‘ Y 7 �, IL Gv�o� S-•7�'- 9 10 .-4 J) 4. / R - 50_. t., (-U-,9^ i.'Ld & z 9 11 71Z ,4,.) Zi'Lzt /s",2 F - ( G. 5--.3 9- 9,2, 124 / Cevaite— 4,./ 14 lig Nu-a-ki to /-4-1, -3-----,I1--go-, / C 5 :r..� 1,fr.,7IR' ,n�1 �• ,/•KNs/efi' 1C.�--�-�v 1 /I' S- �- " 16 /• ' ` /.3Q2— 4'/v/14 A of J S-GZ/- 7Z-- • -/IX-e- //j./�/ '_,•pr�. k r_5`- a/ -/ ''<. 1f d7 -ej' /,5-�Z( 'l 5 ^ �-Z 19 pr`tGi t.-----. 20 / / 7 1j49'v? W lie 0 ,C-z%.qz 21 getz,,../7/4„,..i/�Ld-� I T3 e���7'c-Cf..� G�'�' A, 7 `4`17/�/` -& .GcuGf 22�j Ltd!/�'> ���'- YZ- 23 frd,„/ ,,5-et?Ff 24r � ),,,,, „.„,,, //,� /A 7- GP/ - d f-i 25 O -W 1 f,7wr wvo t P ll r /4)c - 5 9 - 7 2 (OVER) Ilk 1W 0 ° 0 Z -1' -11 Cr 0 m CI" CD a fl S 3. 3• co — a 3 3 3 Z -c -< y CD C-1 71 Qno33N nmm nmm aam °n°a mp 4r O 0 3L Z N Q n m o N C , m 'Z — n ,pO ,p f o o m o .c • -c XI ' 4 ,P 1 y. - i rill n Q t ;may rn \ o ;m Co, CO • a . .. , . Form 2-M(91) • Prescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: et' (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): (-1, Q�aslec LiQyd 6 u,t bc-k A21res§: Y 4 9 .....:PAr. r`q City apt Zip Code: .4.0 t V b 7 d I CountygtBLACKHAWK cc) '' I, being duly sworn, say that I reside at the above street address,,city and county, in the state of Iowa; that I am a candidate for election to the office of Ln. - - r at the election to be held on �19 c--, and hereby request that my name be printed upon the official ballot for the electi`6n as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I,not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. p Signed: �� f� /C-e, Subsbed and swo (or affirmed) before me by on this — day of 19 ci,-g . e of pub t or othe ffcer administering oath / Official title bk Form 59 MATT PARRorr a sass<o,WATERLOO.sown D35 0-559 (Revised July 1990) II (Chapter 45,code of lowo) STATE OF IOWA Nomination Petition For Nonpartisan nNominations and Nonparty Political Organizations For the office of ' CO-4t-.-t--0.t Gl-i �✓� ` I�> 1-2.. I, the undersigned eligible elector of the State of Iowa, fl j % L_ 1 A9 ��' , do hereby (If opp abis icl or other divisio�n}) nominate 8/Cslec/ Uoict gu116tic of3B 1 a-ALL- `/►)er L1 owa, ff (Name of candidate) UU (Address) as a candidate of for the 11 c (Name of no rty po Laical arganizalion, if ny) office of C art_, — t •' [_ to be voted for I at an election to be held on ,1/ �a , 191_2__. vl --a :1:: NAME RESIDENCE (Add School District, if needed) C% Si nature DATE SIGNED = n ( 9 ) STREET AND NUMBER, IF ANY CITY 1 %rC . 1 y r�// ,3 2' -3 .2.) iti±J S-,3'-5la nn '' 2 ! R� ;;I X 3n5 J ta ti Gout Alper 5- 31-q z 3 r' Jg55 ,g- d a/Mi/IZ 4 ..."52: �e 3 T 5`CI f' u/ .tr 447..0 5-/3// 2. 5 —= t- V3 VIY > 1 w1(m il l)l?z Ira ( cl ( t f-- v -) t o-E, ,r13/J 4 z.---1 1 7 7} c2 ,ter , 44 /a e/3 /-�e Zc -o 57g/ft N 8 aU l) 3 _P r, .-13/ f ?Z 9 l � � lJt� Lo 10 4Sk!Ler2.4 xJ P/O '7 /./zi,,tiLi AT. /i,M/- 5A3//9z 11 erie // / 3 Z,✓ c r . tA..f,>r, 13/ -92 12 -11ta ac) b,-t.:. irk) 1 I 1 3 .e cw t 5.51 '9. 13 Le ,4, .A.'v20 It 31 Li_al.-,L IC)..46) 5--6 I clr 14 ,, //1-3 IT/� �U/' iti LD .�c.) ` 3/- 7 1 t ty/CIAAiMillibi-od b51 s / i-c,x,' ,DA> L£ ) //07) 5- 3/- Jr C 16 �,� � GC� > //55,Fitt, Zd% 3- /-9, 17 ,u54yrrr�i7 .� ./ //55✓../,�Gcu 4 5- /% z 18 /go&r A. , 00 . (A)l/� �3/- W2 19 lei. ,( 1.n„,. IR:l b 11_6,. a .. f.L-' I/rrn ✓ . 1- Z2 20 - rveJ `/�1 h,v+-, �� I/ 6 2, ./....--,_} Di) t� ' J' y _..3) 21 ( '�/.�G� ��"�`rr�;k' I' [ 11 1' (.�;�t,- C r- l.✓ )//'-' s= 3/ -J i.. 22 ! ,if w.J ,, -1.-- //`�d 1-�j.euat yA. i O �r-o 5 - 3/qL23 ,,r,, e / i/Z ?,1.�.-I/.4dV < th) "i, 5 J -Z 2risi;;7_ ,,__I. / / (2/7//474-1- ,4 1 /j'/o tr-dKrJ rNF (OVER) 0 0 0 z T T 0 c • a n. 5 m — 3 3 0 Z 3 m O ° O co a o co co -13 ii • • CD N L G G C' o rn -F m rn -n7� rn • ew • • • • H • • • • • • N. Form 59 ewrr PARXalr c sous co..wessnoo,awe D35 0-559 (Revised July 1990) ' it `' - (Chopter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan � Nominations and Nonparty Political Organizations For the office of . J _ _, - O_t " A- .C-, {. I, the undersigned eligible elector of the State of Iowa, ppli L(it _tLL122D-D , do hereby (If cable,district or other division) nominate g'(C-I LI O \ of iS' 4li. Iowa, .. (Nome of candidate) (Address) as a candidate -of �t� for the (Name of nonparty political organizorlon, if any) l office of C -'e /M-CL-r-t....,— P A.Gt—,.9 ?1 to be voted for at an election to be held on m �F I g-4 II/-' 7, 19?1 L, co V > NAME RESIDENCE (Add School District, if needed) 1= - t- Si nature DATE SIGNED 1 ( 9 ) STREET AND NUMBER, IF ANY CITY Y5 >- 1 RkJ. i � �17 Cornit� aij� IJ3 /co •/ .i//a m _ o 2,1c� r //.Z .2 4 : "i Al�d r-) 6/3/%4 2 3 y rQ� c: s<- 1_4(J J,e-L, Ct , %/o�o� AZ ELG/_ 4�6 L' 673///e2._ 4 %tom t: 20-e-f' // / ' T'-ZE 4 0-- L�,,✓,{ t,L�/.o-�+,� 7./1//yt._.- 5 K � % /G/( 7 y ')) ize- J/3//G L 6 fr 111O /1 4_ 4(1i-cs- S73J///fz I mo 7 - �.�-�"- 1ti�0 (Jo,Ide Z._ Cc' kvcs 5/3i/� z- N t. 8 E( ttL_CAX. ( ' )o 40 j--/ e_ Id ,,..) 3r S I. 9 LZiri .)4,./S ' 506 (4)-t.V..1 5 .Ct VZOC) Q/ 3-Y///Q ,. 10 ,e ----7,...-"4,-,, . /0, >i 1----/%-/-41'- 11/7*- L/-1749..'2-- 11 . - `./ h /Q/ , Flew- 1 , lAi cr( 5--3 f-1R 12 14 / 44,_ YS 3 6J s�i �Y rv� LO ,�� l-�I`L 15 , i)'" ... ,____\ c-, c)\..oh 5 A, l',-)--.A, 16 ..,1 C} C-+.. ,tip 1 i jo- r r, (4,+-• ( -" c a 3 Y.cy 1�:�.�y ,t t - 17 -, ` 3 y zZ.E/l,. -(s fit Lfj / . ? , p 1 S s i Q 20/� �� V./0 — � /c7 f C f rht J (A) ✓eu /y+.c_ lJ ?z 19 f9 f6 L E:J cff RI) hvav tftl'r_(0 C- I - 9 2 ��: /- 21 OF- /� 0� -/1 ;2 Z 22 �t/� /5/7WOottPtitYr to VOU 6-( 9? 23 . , ,efeg , .. /sAaege.,„&„42 td.49-d ‘— /—70 24 ,P:± ; _ � 4 ,r PO O ,lerty M o,3 C O (I o c? .D -9D-- + �/ ,25 Lam: -i //> !�[ D /,e,, ___ S� Ltlo,/,,,,,(a cl — Z Z (OVER) i,) *N. IN 0 0 t --I Z -n T 0- 0 a 0 co T 3 3 Z °_ Z -< D CD • o -I 4. o n • n y n �i' 3 m m a 0 CD Cl T. N W fD 'o- -1, Z o N Q n m o o N 71 n o D• m -G m £ 0 a I m a • - • -< SS Nfai. /0 Al • (C N D C C.... CDC> Z x O ---1 TA DD A C' AS 6r - c C) C> m CPI as 1. • - _. Y t - Form 59 ( Mwn t soon SONS so co..warersoo.sown 035 0-559 (Revised July 1990) '+'; (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations ,,and Nonparty Political Organizations For the office of cl*e I, the undersigned eligible elector of the State of Iowa, LJ10./SC�44 , do hereby (I applicable.disir t or other division) `r n nominate 3 s -i Cir,y[ Q11�) oC-� of3S�9 tV W TJ FCC Iowa, (Nome of candidate) (Address) as a candidate of ` -G- Ci. - P� for the nn __ s ((Name of onpp orfy poll cal organization,if any) office of 1..� ^" �"" //'(`J.((J ��", to be voted for at an election to be held on e _- , , 19 4_2. NAME RESIDENCE (Add School District, if needed) (Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED '-?t ' ���l�`� __ Alt 09. - 2 C) 4 r61,r dyl) G 11/ ' ,3. 'Vataor ('-/- 92. a r 4 ;A: * 2 /61 A U.. -.,. Lel c9,c ,—/-9) . 6 �.f //a . . t_tt //i/9 • °�`) ,3o z Q CI) '/0-0 6O///f'.Z., 'ii s .0 , 3o Z w '/vn y2 9 / /d c 6 77J. el/,, ,.,> '/c r) //�5 10 athy,#_.•e 4d. ..,, a�/, , ,� 4///9_- 1 1 / f 4A�J 1• .710 )1 ) -'(�U/ ,rA/J5� . .01i� 4/i /9 v 1 il_-' _ .3o3 0 &44) 6/i 92_ 13 it .LUn j 3 GC/e?psi GCS Cam/ - (�/r�t�4 c /9� 14 ,Lam' `.)lA.X 9 /� 15 JC�Lt/v[/ti-K �s�' 2�u /. 1I3 ��'�'t.Q,f �a. :c� ('9 i(_ qi N-- 16 _ , a, "-' 2q 11 i �, /fit v1 r,,i� G/t 17 .,he.i ,l1`/(1t� V//6471t, sI Atth % 6/ %2- 1s B -A.„ reRQ >I - 4, )J 4, 9V -4-- > _46d r Va -(- 9Z 20 `S . 1`eTc, 'w ,9s -'1 c je 0) Co - 1 -P 21 22 23 24 25 (OVER) \ 1 '' , 0 0 o Z T T N r co O a a _ _ 7 7 CD Q 3 3 0 -c -c v 3 D. m CI n 3 m n- o2 (�o o C.: o m m N a Z o m c o 7 m D o Q a m N • AO r Cel LZ me o —IIel 2 u' rn. -- xi 3 0*t 1904 o CS) CP I 1k} AO • li L i i{ 7 E5 S4 +'I q , ..•--, -- --• ...._ _..::a«,.::,:::,:•,�..::_:.: "Form 2-M(9I) Prescribed by the Iowa Secretory of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: City Council (At-Large) (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): James D. Miller Address: 250 Alta Vista , City_and,Zip Code: Waterloo, Iowa 50703 :fl -i, _ County of BLACKHAWK rn jr.1 C' •' I,being duly sworn, say that I reside at the above street address, city and county, in the state of Iowa; that 177a7m a candidate for election to the office of City Council (At-Targp) , at the election to be held on August 11, 1992 , and hereby request that my name be printed upon the official ballot for the election as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I,not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. Signed: b Subscribed and sworn to (or affirmed) before me by ? _ on this .2 day of , 19 92—. Name of notary pub ' or other officer administering oath Official title • • (.0 N c � �7 < W rn • N r rn to in A N m cnD • r (j yi C. • _y! .. ._.�.. C!:Lo �AC�SUNIII!I Iu!µ\,).'i;. It 11 St 1 .........w...r.<-....F-- . -.. -:.o-�..«.a�...,«... - ..,.`- . ...,-.<,..:.. v.w _..w...........::.-. -...... ,»...R..,..,. .;.. ...�.. .,...<.-... . -...-... .:mot. ....-.,«,...s --. - �.. - s. Form 59 nwtt PARROT s none co..WATERLOO.IOWA D35 0,559 (Revised July 1990) (Chapter 45,code of lowo) STATE OF IOWA x Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of City Council I, the undersigned eligible elector of the State of Iowa, , do hereby (If applicable,district or other division) nominate James D. Miller of Waterloo , Iowa, (Name of candidate) (Address) as a candidate- of for the (Name of nonparty political organization,if any) office of At-Large City Councilperson to be voted for at an election to be held on August 11 19 9? NAME RESIDENCE (Add School District, if needed) DATE SIGNED Sig Lure) STREET AND NUMBER, IF ANY CITY 514.3 1 )16- 4/74/ /si Gtio le. /i0z 2 ,/ ;e GV 451/1-t/6%a" /0 3 . 26.ti.1e L,- Gv/t, 6/z/ 2 3 --� � � t 4 Y do ( 1 . �� -.- -). c 4 r 6-35 l �� J6, V5z 5 gfZ r- V old /41 L - e11() 4C2lt �dl - a) /�©' 6//O a_ i 4C2 5D r,o d (ul,,r10 4// `f/7, ik 9 ad. b, 25d A6 Vi5 -,_ U1i 11 co 6 //419z- 11 gz,lP l . /G�i/c W /cyst /3 lso 1 IIK , ^ = � � 6 - /5-P .3-e/ 0 A _ _2 / ! C1 \ -lY J Lam- •� .firtit 14 p f , •1 : (-4-e-g--1 7) A6A Cji- lei,y(y.0' C - ill- 7 ._. 15 r /yam 6 a' ���r /-5z. 16 , Liz . Lv 4 0164 -i6- z 17 t,Vi/0 4._ , i5" rnL_A " l,/' Xct--/ea ( -/a.- la. 19 20 21 22 23 24 25 (OVER) ti --I F I a 0 o n Q O 0 3 7). N Da o no 3 o_ 3 0 .r m m m °- Z o N 2 N a o N C 7 m - D K W o H I a a m a aa xi re 1 C7 n z 7:5C P n r o rn -st n CO _ c i Form 59 MAST PARROTT a SONS co.,wAtsttao.IOWA D35 0-559 (Revised July 1990) (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of City Council I, the undersigned eligible elector of the State of Iowa, , do hereby (If applicable,district or other division) nominate James D. Miller of Waterloo , Iowa, (Nome of candidate) (Address) as a candidate of for the (Name of nonparty political organization,if any) office of At—Large City Councilperson to be voted for at an election to be held on August 11 , 1992 . NAME RESIDENCE (Add School District, if needed) C�/� (Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED 1 h.il) 1\A . C \,b-;fi.�e q45 02e-4 Ltd- led w (o/A3/S a 2 /1‘- 1/ / �t><. t, 57-. 14) '4-f) 0-3AA 3 C2 -- 4 " 't sLisa Dr. W '10-o 002 5 rr� ,- 12- 36 - 1 ) / 6 4/2P/1Z i 6 r) 4 21/5,¢, G �/� o641, /9 7 2z.1 7 1617k '/ati U.10/9e. 8 d 9 <,a - �`� =�° r 4 104 Eger _v_cAtott,_2, 11 .),746e. / 533' (,(J'i ri`-e, (.cl 'fro 62-;?3- 907 wok-On 13 cp7 W -47 14 15 16 17 18 19 20 21 22 23 24 25 (OVER) R 0 0 o Z • T -n N W CD o a 0_ S 7 7 W 3 3 F S S a m m co 0 ii .0 .0 0_ a m co D C C_ v � c O —+ e..) pit m -‹ Ca 0 o m rX, I CO • O PO 4 ;.'AM uM Form 2-M(9/) Prescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: eibi,A-?c/. /y/,9 J —19 7"--, 1�Q��o L 1/6 2e0 iTu44 (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): JV) E �... 5 PI EZ.,5 .1 Address:_ G2 3..S T LPL City and Zip Code: UM] ) 1 1 LDDJ -U//`� S,Q2j i County of BLACKHAWK I, being duly sworn, say that I reside at the above street address, city and county, in the state of Iowa; that I am a candidate for election to the office of etTY t'Qr /01 ,V4N-i9T-- at the election to be held on , and hereby request that my name be printed upon the official ballot for the election as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I, not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional 1- ary board of trustees. Signed: Subscribed and sworn to (or affirmed) before me by on this 4 & day of J/Lvt-e'.J , 19 9-2-- Name of notary p tc or o;t,er officer administering oath Official title IN Form 59 - - nun PAmon a SONS CO WATERLOO. eo Day 0-559 (Revised July 1990) i (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations "For the office of Piv e i t. 1f 1� di 4 7^ L4� u1 I, the undersigned eligible elector of the State of Iowa, W>r r 1 'P-i_d i) 'f/ i i e , do hereby ` _-;i -.✓.nC �� (If applicable,district or other division) nominate '/''/(J' of .2 YZ-rrigAl 17 1,4_.‘ , Iowa, (Nome of candidate) (Address) as a candidate of 24 • for the (Name of nonporty political orgonization,if any) office of C 1 t Ni CcxP VCll MA Al' AT-, L,9 fe(,i/ to be voted for / c, at an election to be held on / / A 7 , 19 ,A,. I NAME RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 17)7a,p;,--,1_,p2. .__.,j,„,,,,,dm, a_,13J,. 1.- W2/4 ' 9 2:3-tuoy Asibct.6 - a9 --Rua- Cep -.9a . 4 -r tf.[.-- 6_,- J4 - 7 f isc, "el 404,6- r.-36'-f 5 ..9J,,Ickil.4 " 3-5''f1. -r AP .u1 _ 30 9s� r_u , 6 ` n . �,. %o 9i �i 1 °j ±� � " 7 f' 7i- 9a- - -Z .1- 7i ff 'we---vv. . 6 - =7�_b '�I a ' :c 14- ,� 10 /ei /r 2-f -c-i-aa,,�.).�� (.01t, - S=/y_ Y Z �` 11 , 1,J 7 �/l. Lu'd? -/>/-�1-� ,T 12 ) 7/ 7/eGr i �"yhoz 13 e w -3 1 S t- ,f i,ice" " s /&j • 5 7 15 /7? d..,,e .c f to 9 3/6 J /E ,S=f/7 �.� X2,3 j f� / 17 1, / ?, L' a/f//5r ti /(,f 1 s �y y,? r+ _ / 00 < .� GJ � I. 18 U9 5//l�- 19 y "" >` �. - -/7�/ � 1 4 - - - 1/! f-//r2 20 � !vim - 'i l5 SVL /y tA,Vi r� 5-4' l 7 - 2 -1;321Z Yktflr{ 923 L-1)Cg& 11uc 1,0 tt.LO Pi H&1 q2 22 l�yc.a %1/fJ�il�t O lv 7 7 �/L . // /y/y� 23 u 0 <�e�c''\ o / �( "' et-4 A F e t/ / (f 24 Lrl •'„-iiii.. " II �Y ! I ,iy alt r( LW, 1 t c/�y)9 z 6 25 ' •!. .5":Z. C. • '' //4 , tik "",<.c /4 / (OVE' //' 7/ "? '4/k kNO. 0 0 o Z T T N (D .+V e•-•~ C 0 O 3. 7 4 Z 4• Q -< ,r, 73 CiS 3 y , o $ 9 % . --1 C:I n 3 m m ^ a m 0 1 0 C O n ) N n Q m 6‘ . o 0 Q s) I0 �. ,f - I W CO _C) G Y L- CC W O J it. v > =-- } i c t O le Z I-- = U O Q) l J Form 2-M(91) • Prescribed by the Iowa Secretary of Stole STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: Lou nc < ?pc'sd, g,i L r E_ (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): C • on5 Address: I I Z 5 SOvTI{ l-r = L� D RIVE City and Zip Code: 14) o 0 S 07o 1 County of BLACKHAWK I, being duly sworn, say that I reside at the above street address, city and county, in the state of Iowa; that I am a candidate for election to the office of ei Coy r� 1 , at the election to be held on Ctv ci.,s+ 11 , and hereby request that my nary be prinipd upon the official ballot for the election as provided by law. I furthermore declare that I ar eligiblevto the office for which I am a candidate and that if I am elected I will qualify as such officers-:� u, I am aware that I am required to organize a candidate's committee which shall file an organization w statement and disclosure reports if my committee or I receive contributions, make expenditure ;or4 incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the—''p irposs of ;► supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filial at the general election, to remain filed in the office of the state commissioner or the commissioner unless I,not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. Signed: �. t✓ Subscribed and sworn to (or affirmed) before me by 44as on this /6 day of , 19 9 Z . � ,-Cv/( �/ /A, Name of notary publi6 or other officer administering oath Official title Form 59 {' -- nun PArrOTT a SONS co..WATER W.IOWA D35 0-559 (Revised July 1990) .r`" (Chapter 45,code of Iowa) r STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations/ For the office of ` C1 7 LOLAYtc t T.,+ 1-9 vq e • I, the undersigned eligible elector of the State of Iowa, L f ri 0 O - , do hereby ' (If applicable,district or other division) nominate Keyi'11 C• I-{'�O11S of itZS S0.d 14;11 brfve , Iowa, (Nome of candidote) (Address) as 'a candidate of for the (Name of nonparty political organization,if any) office of Cf ! Lcf , to be voted for at an election to be held on a'asfcs+ 11 19 C/ .Z a; V1 -'3 p NAME RESIDENCE (Add School District, if needed) cz � n DATE SIGNED rn z. y_ (Signature) STREET AND NUMBER, IF ANY CITY ytr .��i� R 8O �/ //�� /q71a/moo � "�/- 9Z. rn 2`t `':f p-71-l-f4 /f// . e��.e (a2 e -3 t-7Z 3` C` r. rst% \ f2vLV-errWk Fvo0 (0- ( - �ja-4 ,dis026 gX7-74_4 .li • -ii-if --e 6— y2- 6 - le , 4 z $ �P_.. �,c/r/6�nr ` / 9}if ., 4- �,. 7/0 F 4 Geier) 6-/- 9� ik 8 if/x./ i— .- /;/ �� c 4 6 i 9 / 3 �xf,op d_c /�L c)- / z _ 1 ,.eir,.-1 oC a Vi i�=GV'� (/, ,,e / MJ (,/. ...2-5 S /d'zr� e 17r�54-• a '/B--0 413 /y z :2fro,,,e,e, 3r1 5- 02a0.4,,zL ),) /l/ A//a u/. '14 19. A. ,T ti- 9z / doa /3 / 9-oi 15 1 14 3 LU v e a y �{e 6-� .- 3.2.2 / . J��‹,e 44. r ,,, 4/%9 16y 0 c)1.)a-par /Fo/ to ?-e4 f/ / 6 F- 9 17 4/1.41.10 „ 3/\ of bra,(l 1 or. ,t C- r / - , 184..A.� v�.,,4 �o. 7 , �'� '' to y-%a F1,1 ( GL I),, ot-J, A1,'// 311-f'✓k Zi..)a7tef4a -//- Sc 20 (:542.x. SA\?.....,a,A.r.).____ 33 W Z J*- W (6 6 G-(( -ca. 21 �fJ� 22 23 24 25 (OVER) llitt t `.> I 0i ° F pN(D o K `G v 3 (D Cil (-) 3 m 2 0 0 • 3 a 0 ti,- N _Q Z ,nQ n N 0 O W '9 C 0 m D G n .p •O ,0 'V w o o m o cpa i up 6-.P V, C-. c G 0o Z a Co? a' pn -n 3 v e no f^ o w Form 59 MAT,PARROT,a saov CO..WATERLOO.moo D35 0-559 (Revised July 1990) (Chapter 95,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of C4y Cau n et \ el--I- C`,rS e I, the undersigned eligible elector of the State of Iowa, tt)q_i- r- 16 U , do hereby �/ (If applicable,district or other division) nominate Ke u t n C. Pon S of 105 Souk hl't I1 Orl u e , Iowa, (Name of candidate) (Address) as a candidate of for the /t (Name of nonparty political organization,if any) office of C illy Cot(r c't I at-i' Lore to be voted for at an election to be held on acted u S"1' I 1 , 19 9 Z. C'., NAME RESIDENCE (Add School District, if needed) DATE SIGNED -.._) c (Signature) /� STREET AND NUMBER, IF ANY CITY Irti. :_5- :) Q ' / /9 C��/ Z,( —G2ie r� 1 .a,.t :e to —5-92 2,— `t'� 13 1, ry7r. �lr* /4-P C. -. f2 cJ c- r argil a3 , ' 7_ i( 6/5/ , 5 . ,43— r,73/keh " C- 5- 7 � 6-2� t1 74 " -s-'Z / jJ 7 � :%i d � ,/, '7 �;✓".::c,,,,.er uf.; G J" ",1- N. 8 L;oi/CArV) 18369 ,.'Ok. , - , 1 a�a 4-S--907 4 3 47-CAkEZ.--Z., " 10 3e22 Vrai T a 2)4 —sqz 11 3o2-9 5;ARA-TO(x.A la Lea 4/S192- 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (OVER) if ‘ % o / 2 I I Er Cli 9 % / 0 ) / o` > w> \ $ 2 o ( 4, _ _ - > _ Q < < / - | 0_ . 0m 70 4" / ND � � 2 DIP " es 7 ® � w- _.� 2� 7q q 7. a PI C:74 CFI j• SiGNAL / NG C11111101 City of Waterloo Ward and Precinct Map mi Cedar Bend '0 Prec. 2 W Donald St Longfellow Ave m0 -'Normandy SI. W.Darker SI. CCNodhey Budon Ave. d / Dawson St. • Avon Ave. Prec. 1 Conger St. 3 Airlift-:H Y; Steely StSS . oe Independence Ave 6� Q Nevada St. ey 'JV} Madison St. CoMrado St. W.Doncld ., ,-Prec. 't. O f WARD 3 o °D� reel "°,,',''v, g Prec. 1 •9,A} J in Hanna Blvd ' m WARD 4 I t Maxine Ave c A P rec. 5 Auburn St elnyo d NewellSl. Maynard Ave Se0 cC Prec. 4 U m Beverlytens SI O j Quincy St. Carnage MO Dr a Prec. 2 r., Stephen Ave (r Prec. 5 Sye%0, t~ e a`� - ti- 281 Alabar Ave. - 4.4., '9p0 0° ka'/ 901, r! Linbed Ln. e.. .. Gr Sager Ave. _.. - � _4. Prec. Fr a D Frenkhn SI a cr A ' a. >Prec. .. 1‘ aHC're}ck'.n'�Q . A C c oa Sheerer Ave - ' nRd. 2, of •reb as JOPree. 6 t n Prec. 4 e Ci3r31 elt ve Prec.3 '" m ntiwren Rd <ce �`D}r' Prec.4Prec Cedto .p1QteMartel Rd 1 • - V Peed•6 9oe%. N - Western Ave. Ridgeway Ave. > Ridgeway Elmwood SI Prec. 47 m < to Sullivan Ave. o < Au. ';_ g Prec. 5; Moirsl a o •yO ` 4 0 > Summer Ave. c a Sa 18,1 ma'ru'.riveE t--- L WARD 1 P. Rachel SI Y 1 S Murphy Rd der/fir e o •-Alexandra Dr. • Soul town Dr. C Prec. 5 W al°sl eenimore SI. Cornwall Ave. WARD 2 Prec. 6 Siaux Si 0O Terrace Dr. Q Kimball Ave. Ivanhoe Rd. Prec. 6 Midlothian Blvd. 2 Hilcrest Rd. Orange Re. W=Wards ® Orange Rd P=Precinct ---- • — Waterloo precincts were reduced from 40 to 30 WARD 1 WARD 2 WARD 3 WARD 4 WARD 5 Precinct Precinct Precinct Precinct Precinct I -Central Intermediate I -Kingsley School,201 1 -Church of Christ, 1247 I -St.Mary's Catholic 1 -Waterloo Recreation School,1350 Katoski Dr. Sunset Rd. Cedar Bend St. Church,2127 E. Commission,225 2-John Deere Community 2-West High School, 2-#3 Fire Station,West Fourth St. Commercial St. Credit Union, 1827 Ridgeway Ave.& Donald&I Ieath Sts. 2-Antioch Baptist Church, 2-First Baptist Church,W. Ansborough Ave. Baltimore St. 3-Si.Paul United Methodist 426 Sumner SI. 4th&Baltimore Sts. (elevator to basement 3-Free Methodist Church, Church,207 W.Louise St. 3-Waterloo City I fall,715 3-Trinity American level) 1737 Cornwall Ave. 4-Longfellow School,233 Mulberry St. Lutheran Church, 3-Parkview Nursing Home, 4-Friendship Village,600 Edwards St. 4-Pinecrest, 1407 Preschool Entrance,West 310 Upland Dr. Park Zane,Chapel Entrance 5-Our Savior's Lutheran Independence Ave., 5th&South Sts. 4-Hoover Intermediate 5-National Bank of Church,Magnolia Room 220 4-Sons of Jacob Synagogue, School,630 Hillcrest Dr. Waterloo,2532 Parkway&Harwood 5-Grant School, 1223 Mitchell&Vermont Sts. 5-Westridge School,3610 Crossroads Blvd. 6-Ascension Lutheran Mobile St. 5-St.Ansgar's Lutheran Anshorough Ave. 6-Hawkeye Institute of Church,Greenhill& 6-Tri-County I leadstart, Church, 1122 W. I 1 th St. 6-MidAmerica Savings, Technology, 1501 E. Maynard Ave.(North (Maywood School), 6-U.A.W.Hall,2615 999 Home Plaza(elevator Orange Rd.(Ilawkeye Entrance,Lower Level) Milwaukee St. Washington St. to basement level) Center) Many Voting Places & Precinct Boundaries Have Changed! To Confirm Your Voting Place Call 291-2430 Election Center Form 2-M(91) Prescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT BY CANDIDATE School and City Elections For the Office of: (include district number, if applicable) Name (exactly as you want it to appear on the ballot ): Address: City and Zip Code: County of BLACKHAWK I, being duly sworn, say that I reside at the above street address, city and county, in the state of Iowa; that I am a candidate for election to the office of at the election to be held on , and hereby request that my name be printed upon the official ballot for the election as provided by law. I furthermore declare that I am eligible to the office for which I am a candidate and that if I am elected I will qualify as such officer. I am aware that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incure indebtedness in the aggregate in excess of five hundred ($500) dollars for the purpose of supporting my candidacy for public office. I am aware that I shall not cause nomination papers for more than one public office to be filled at the general election, to remain filed in the office of the state commissioner or the commissioner unless I,not later than the final date for filing nomination papers,notify the state commissioner or the commissioner by affidavit of the office for which I elect to be a candidate. I am aware that violation of section 49.41 will invalidate my candidacy for anyoffice to be filled at the general election. I am further aware that section 49.41, does not apply to the offices of county agricultural extension council, soil and water conservation district commission, or regional library board of trustees. Signed: Subscribed and sworn to (or affirmed) before me by _on this day of , 19 Name of notary public or other officer administering oath Official title IOWA CAMPAIGN FINANCE DISCLOSURE MANUAL FOR MUNICIPAL AND SCHOOL BOARD CANDIDATES AND THEIR COMMITTEES 1991 - STATE OF AIL4 CAMPAIGN FINANCE DISCLOSURE COMMISSION INSTRUCTIONS FOR MUNICIPAL AND SCHOOL BOARD CANDIDATES AND THEIR COMMITTEES 507- 10TH STREET, 7TH FLOOR / DES MOINES, IOWA 50309 / TELEPHONE 515-281-441 1 INSTRUCTIONS FOR COMPLETING DISCLOSURE REPORTS PREPARED ESPECIALLY FOR MUNICIPAL AND SCHOOL BOARD CANDIDATES AND THEIR COMMITTEES The following pages contain specific detailed instructions for completing the campaign finance disclosure reports required by the provisions of Iowa Code Chapter 56. The left side of the manual contains a narrative of step-by-step instruc- tions for filling out the form which is found on the right side of the manual. The forms are set out in the order in which you will normally complete them. At the end of the material is a checklist of items about which we receive frequent questions. These items may be included elsewhere in the material and it is not our intention to be redundant. However, we want to emphasize the areas where errors and omissions are often found. The Campaign Finance Disclosure Commission also prints and distributes a number of brochures and other printed items on specific subjects which should be of help to you. We recommend that you review these brochures to provide information about other provisions of law besides the reporting requirements, and to include more detail on specific subjects. Material available includes information on Political Advertising Disclaimers, Permitted and Prohibited Corporate Activity, Civil Penalties (Fines) for Late Filings, Contributions From Committees Not Domiciled in Iowa, Independent Expenditures and A Guide For Appointed Treasurers. Of course, a very important brochure for you is A Guide For School Board Candidates or A Guide for Municipal Candidates (as applicable for your committee) . There is also information available from other sources on matters which are not part of the Campaign Finance Disclosure law: Gambling Permits Department of Inspection & Appeals - Gaming Section 2nd Floor Lucas Building, Des Moines, Iowa 50319 (515) 281-7357 Political Sign Restrictions and Time Frames Department of Transportation, Highway Division Office of Right of Way, Ames, Iowa 50010 (515) 239-1296 We hope that this information will be helpful to you. We also hope that you will feel free to telephone or write us whenever you have a question. Your "home" County Auditor can also be of assistance. Campaign Finance Disclosure Commission 7th Floor Colony Building 507 - 10th Street Des Moines, Iowa 50309 515/281-4411 STATEMENT OF ORGANIZATION This form registers a municipal or school board candidate's committee as is required by law. It should be completed and filed with the County Auditor within ten days of exceeding a $250 financial threshold in campaign activity (accepting contributions, making expenditures or incurring debts) . NAME OF COMMITTEE • This is where you enter the name of the candidate's committee. Choose it carefully, as it will be the name you use for all of your campaign activity. The candidate's last name should be a part of it for identification purposes, and it should be brief enough to fit on your printed materials. Example: "Paid for by Jones for School Board" is preferable (for obvious reasons) to "Paid for by Committee to Elect a Responsible School Board Member, John Jones, Candidate". The mailing address and telephone number of the candidate's committee and the candidate are normally the same. In a very few rare instances, a candidate's committee may have a permanent or temporary campaign headquarters office, and if so, this is the address to be entered for the committee. We would use this information to contact the candidate's committee if we were unable to contact the treasurer or chairperson. COMMITTEE TREASURER Self-explanatory. The law requires every committee to name a treasurer. This person is the treasurer of record until a new Statement of Organization with a new treasurer is filed with the Commission. List address and phone number of treasurer. A candidate may serve as his/her own treasurer if this is desirable in a small campaign. In an active campaign, it is recommended that another person serve as treasurer. COMMITTEE CHAIR, OTHER OFFICERS Many candidates' committees have a chairperson and other officers. If applicable, list the chairperson's address and phone number as requested. List other committee officers on the back of the form if applicable. FINANCIAL INSTITUTION IN WHICH FUNDS ARE DEPOSITED The law requires that all receipts be deposited in a committee banking account within seven business days of receipt, and that all funds be disbursed through this account. List in the appropriate blanks the name and address of the institution in which the account is held and the type of account (checking, savings, etc.) The name of the account should be the same as the name of the committee. The ONLY exception to the separate account requirement is when a candi- date will pay ALL (100%) of the expenses of the campaign from personal funds, and will NOT accept even one dollar from other sources, including family members. If this is the case, the candidate should indicate in the space for financial institution "All campaign expenses paid from personal funds". CANDIDATE SUPPORTED This section requests the complete name, mailing address and telephone number of the candidate, as well as the public office sought in this campaign, the county, city or school district and the date of the election. • DISPOSITION OF BALANCE OF FUNDS UPON DISSOLUTION This is an advance statement of intentions if there are remaining funds, and it is required by law to be completed by every committee, even if you do not anticipate any remaining funds. It can be amended at any time. SIGNATURE OF TREASURER AND CANDIDATE/DATE SIGNED Self-explanatory. Please Complete ALL Blanks FORM FOR INSTRUCTIONS, SEE MANUAL DR-1 LC STATEMENT Check One: LOCAL OF ORGANIZATION g This is an Initial'Statement of Organization CANDIDATE ❑ This is an Amended' Statement of Organization • For office use only 'A new Statement of Organization should be filed within 10 days of the committee's accepting contributions, Indexed making expenditures or incurring indebtedness exceeding $250. Amendments should be filed within 30 Audited days of a change occurring. It is not necessary to file an amendment every time a report is filed. Checked CANDIDATE COMMITTEE NAME Official Name of Candidate Committee(Identify acronyms.Last name of candidate should be part of official name.) Jan Jones for School Board Mailing Address(If a separate headquarters is established.) 1111 — 1st Avenue City State Zip Code Area Code Telephone Cedar Rapids, Iowa 52402 319-555-1212 COMMITTEE TREASURER (Tors address used for all reminders and COMMITTEE CHAIR (List other officers as required by law on back of form) correspondence) Name Name Lucy Larson Tim Tanner Mailing Address Mailing Address 2222 - 22nd 333 - 33rd City,State Zip Code Area T phone City,State Zip Code Area Telephone Cedar Rapids, IA 52402 Code319/5555-2323 Cedar Rapids, IA 52402 Dode319/555-3434 FINANCIAL INSTITUTION IN WHICH FUNDS ARE DEPOSITED Candidate Committees are required by law to deposit all funds and pay all bills from a separate account, and to disclose the name of the financial institution where funds are deposited. Use back of form if more than one. Exception: If all campaign expenses will be paid from personal funds and no donations will be accepted,separate account not required.Please indicate. Name of Financial Institution(Bank.Savings S Loan.Credit Union,etc) First Bank & Trust Mailing Address 4444 - 44th City State Zip Code Type of Account(checking,savings,certificate of deposit,etc., Cedar Rapids, Iowa 52402 Checking CANDIDATE SUPPORTED Name of Candidate Office Sought Date of Election Jan Jones School Board 9-10-91 Address(Home) " City or School District County 1000 - 10th Cedar Rapids Linn City state Zip Code Area Code Telephone Cedar Rapids, Iowa 52402 319/555-0319 • DISPOSITION OF BALANCE OF FUNDS UPON DISSOLUTION All candidates are required to make a statement of intent of how leftover funds would be expended at the close of the campaign when the committee is dissolved. This statement may be amended at a later date if the candidate chooses. The statement must be-made, even if the candidate anticipates there will be no leftover funds. CHECK ONE: 3 Donate to Cedar Rapids School District ❑ Return Prorata to Contributors Donate to City ❑ Revert to Candidate Personally ❑ Donate to (person,named charity,etc.) 0 Other(specify) STATEMENT OF AFFIRMATION BY TREASURER AND CANDIDATE "I am aware that 1 am required to file disclosure reports if the committee receives contributions, makes expenditures, or incurs indebtedness in excess of two hundred fifty dollars in a calendar year for the purpose of supporting or opposing any candidate for public office or ballot issue. I am also aware that late filed reports are subject to civil penalties (fines) under the disclosure law. / also understand that the treasurer and candidate share equal responsibility under the law for accurate and timely disclosure reports." August 5, 1991 Signature of Treasurer Date Signed August 5, 1991 Signature of Candidate Date Signed 140-0062/CPG-20735 DISCLOSURE SUMMARY PAGE COMMITTEE NAME This is the name you have chosen and have registered for your committee on your Statement of Organization (i.e. , "Jones for School Board") . SIGNATURE OF TREASURER OR PERSON FILING THIS REPORT The law requires a signature; your report will be returned if it is not signed. If a person other than the treasurer completes the report, that person should sign the report and show the respective phone number and date. REPORTING DATES Please check the appropriate box to show which report is being filed by your municipal or school board candidate's committee. If you are amending a report previously filed, ALSO check this box and show the date that was listed on the original report. Check the box for those committees which are filing a final report only if your campaign activity is complete and you are ready to dissolve your committee. (See Notice of Dissolution form.) STATEMENT OF CASH ON HAND Start your first report with a zero cash balance. Start succeeding reports with the ending balance from the previous report. Be sure to balance this amount with your committee. bank account to assure accurate reporting. List beginning balance. Add: Total from Schedule A (Monetary Contributions) Schedule C (Fundraisers) Schedule F (Loans Received) List the subtotal of available funds during the reporting period. List and subtract from this subtotal: Total from Schedule B (Expenditures) Schedule F (Loan Repayments) List your ending cash balance. Although they are not part of your calculation for your cash on hand, you are also required to list: Unpaid Bills for the Period (from Schedule D) Inkind Contributions Received (from Schedule E) Outstanding Loans (from Schedule F) NOTE: Be sure to carry forward the correct totals from each of the applicable Schedules, and to double-check your math calculations. Be careful not to transpose numbers as you transfer them from the Schedules. FOR INSTRUCTIONS, SEE MANUAL DISCLOSURE SUMMARY PAGE FORM DR-2LC DISCLOSURE LOCAL REPORT FOR SCHOOL AND MUNICIPAL CANDIDATES' COMMITTEES CANDIDATE For office use only Indexed CANDIDATE'S COMMITTEE NAME(Must be same as on Statement of Organization) Audited Jan Jones for School Board Checked 319/555-2323 9/4/91 SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED Penalties Due For Late Filed Reports Range From $10 to $400 DATE OF ELECTION IS THIS YEAR, I AM FILING: Date of Eiect,on 9/10/91 E3 5 days prior to election report, September 5 19 91 County (covers beginning of committee to 10 days prior to election) ❑ 1st of month following election report 19 (covers 10 days before election to 5 days prior to due date) DATE OF ELECTION IS NOT THIS YEAR, I AM ❑ January 20, 19 report FILING: (current to 5 days before due date) 0 January 20, 19 report ❑ May 20, 19 report (current to 5 days before due date) (current to 5 days before due date) 0 October 20, 19 report ❑ July 20, 19 report (current to 5 days before due date) (current to 5 days before due date) ❑ Check if Amendment to report dated , 19— ❑ Check if final (termination) report. (Attach Notice of Dissolution Form DR-3) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This is the total of all monies held by the committee. This amount MUST be the same as the cash on hand at the end of the last reporting period, or must be zero if this is first report filed) $ .00 ADD TOTAL MONEY TAKEN IN THIS PERIOD 1 ,120.00 Schedule A: Cash Contributions total (Attach Schedule A) Schedule C: Fundraising Events total (Attach Schedule C) 307 .00 Schedule F: Loans Received total (Attach Schedule F) 200.00 SUBTRACT TOTAL MONEY SPENT THIS PERIOD SUB-TOTAL $ 1 ,627 .00 Schedule B: Expenditures total (Attach Schedule B) 1,156.03 Schedule F: Loan Repayments total (Attach Schedule F) 100.00 CASH ON HAND at the end of this reporting period (if final report, balance must be zero) (Attach DR-3) $ 370.97 UNPAID BILLS (From Schedule D-Attach Schedule D) $ 242.96 IN KIND CONTRIBUTIONS (From Schedule E-Attach Schedule E) $ 139.35 OUTSTANDING LOANS (From Schedule F-Attach Schedule F) $ 100.00 CONSULTANT BREAKDOWN (Schedule G attached?) M Yes 0 No 140-0069/CPG-20735 SCHEDULE A MONETARY RECEIPTS CONTRIBUTIONS - MONEY TAKEN IN NOTE: Please be careful to type or print clearly. Information contained in some reports must be entered on a computer. All information is public record. ti 1. Be sure to list the name of your municipal or school board candi- date's committee at the top of each Schedule page. 2. List the complete date (month and day) for each contribution re- ceived. List the applicable year at least once on each page (for example, at the top of the column). 3. List the full name and mailing address (street address or box number, city, state and zip) of each contributor from whom you have received more than $25 in a calendar year, as well as the relationship, if applicable. If contributions are received from other committees, be sure to list the commit- tee (not the individual) as the contributor. CAUTION: Remember that you CANNOT accept a contribution from any corporate entity (profit or nonprofit corporation, Professional Corporation [P.C. ] , bank, savings and loan institution, credit union or insurance com- pany) . You MAY accept a contribution from a business which is a partnership or sole proprietorship. You also MAY accept contributions from registered political action committees (PACs) , county central committees, state or local party organizations and individuals. You MAY accept contributions from PACs domiciled outside the state of Iowa if the PACs complete a form called a Verified Statement Registration. Attach a copy of the Verified Statement Registration form to support any contribution received from an out-of-state committee. 4. List the exact amount (dollars and cents) of the contribution. Although general accounting practices often permit the rounding of cents to the next dollar, it is not acceptable on disclosure reports. 5. List contributions under the itemization limit ($25 and less in a calendar year) , lumped together, as "unitemized contributions". 6. Subtotal the contributions listed on this page. 7. Show the grand total if this is the last page of multiple Schedules A being submitted. 8. Number the page (i.e. , page 1 of 1, page 3 of 9, etc.) as applicable. FOR INSTRUCTIONS, SEE MANUAL SCHEDULE CONTRIBUTIONS - MONEY TAKEN IN A ONE AR CANDIDATE (including candidate's personal funds, If applicable) For office use only CANDIDATE'S COMMITTEE NAME(Must be same as on Statement of Organization) • Jan Jones for School Board Section 56.8(3)(a), Iowa Code, states: "Information copied from reports and statements shall not be used by any person other than state statutory political committees for the purpose of soliciting contributions or for any commercial purpose." DATE NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT RECEIVED (If proceeds from fundraiser,show fundraiser sponsor) TO CANDIDATE RECEIVED wAromabw Mr./Mrs. Sam Smith • 8/1/91 5555 - 5th Parents $ 50,00 Cedar Rapids, IA 52403 Victor Sable 8/5/91 6666 - 6th 30.00 Cedar Rapids, IA 52402 Carol Coral 8/15/91 7777 - 7th 35.00 Cedar Rapids, IA 52402 XYZ Political Action Committee 8/6/91 P.O. Box 9999, Suite 888 100.00 Houston, Texas 33333 Unitemized Contributions 905,00 a SUB-TOTAL $ TOTAL(If last page of this schedule) $ 1,120.00 Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). See instructions for a more detailed description of relatives covered by the law. CPG-20735n40-0054i Page 1 of 1 (for Schedule A) INSTRUCTIONS FOR COMPLETING VERIFIED STATEMENT REGISTRATION (VSR) FORM FOR USE BY COMMITTEES NOT DOMICILED IN THE STATE OF IOWA This form is to be completed in duplicate each time a contribution is made to an Iowa candidate's • committee or other Iowa political committee, including state and county political party organizations. One copy shall accompany the check sent to the Iowa committee, and another copy shall be sent to the Commission on the same day. COMMITTEE NAME This information is required by statute. List in this box the official name of your committee, as well as its complete mailing address, area code and telephone number. If an abbreviation or acronym is used, please provide its meaning. TREASURER Treasurer information is required by statute. List the name, complete mailing address, area code and phone number of the treasurer of the committee. OTHER OFFICERS Names of all officers are required by statute. List the name, complete mailing address, area code and phone number of the chairperson of the committee. If there are other committee officers besides the treasurer and chairperson, please list them on a separate page and attach to this form. IOWA RESIDENT AUTHORIZED TO RECEIVE SERVICE OF ORIGINAL NOTICE The name of an Iowa resident is required by statute. The requirement is similar to another statutory requirement for all foreign companies that are doing business in the state of Iowa so that there will be an Iowa contact in the unlikely event of legal problems. It is not required that this person be an employee or associate of your committee, only that the person be willing to accept service of legal papers on your behalf. Sometimes a member of the recipient committee is willing to do this. PARENT ENTITY, AFFILIATE, SPONSOR OF COMMITTEE • If your committee has a parent entity, affiliate or sponsor (such as a corporation, trade association, candidate or labor organization), list its name and complete address. If your PAC has none of the above, write "none" in the box. PURPOSE OF THE COMMITTEE The reason for your committee is required to be listed by law. This may be a statement describing the type of candidates/committees you will be supporting, it may name one or more specific candidates/ committees by name or it may designate a political affiliation of the candidate/committees to whom your committee will contribute. STATE/FEDERAL JURISDICTION WHERE COMMITTEE IS REGISTERED OR OPERATES This information is required by law. List in the box the regulatory agency with whom your committee files disclosure reports (such as the Federal Elections Commission or the Arizona Disclosure Commission). For the few committees that do not file at the federal level or in a home state, write"none" in the box. IOWA COMMITTEE RECEIVING CONTRIBUTION As required by Iowa law, list the official name of the Iowa committee to which your contribution is being made,the committee's mailing address including city, state and zip code,the date of the contribution and the dollar amount. If the contribution is in kind rather than monetary, describe the donation in detail, using a supplemental page if necessary. SIGN THE COMPLETED FORM AND HAVE THE SIGNATURE NOTARIZED. NOTE: The above instructions apply to the non-Iowa . committee. You are required to attach a copy of the VSR form to your report. IOWA CAMPAIGN FINANCE DISCLOSURE COMMISSION COLONY BUILDING, 7th FLOOR FORM 507 10th STREET VERIFIED STATEMENT REGISTRATION DES MOINES, IOWA 50309 (Out-of-State Committees) VERIFIED STATEMENT REGISTRATION For office use only (Out-of-State Committees) Comm.# NON-IOWA COMMITTEES TO COMPLETE IN DUPLICATE Indexed • SEND ONE COPY TO COMMISSION AND ONE COPY TO IOWA COMMITTEE Audited IOWA COMMITTEE TO FILE ITS COPY WITH DISCLOSURE REPORT PLEASE REFER TO DETAILED INSTRUCTIONS ON BACK OF FORM Checked COMMITTEE NAME (Required by law) Computer Official Name of Out-of-State Committee(Do not abbreviate committee name) XYZ Political Action Committee Mailing Address P. 0. Box 9999, Suite 888 City,State,Zip Code Area Code Telephone No. Houston, Texas 33333 (713) 358-1655 TREASURER (Required by law) OTHER OFFICERS (All required by law)ft'ne a a;"°a P'9` Name of Treasurer Name of Chairperson Thomas R. Harris Rachel C. Hughes Mailing Address Mailing Address P. 0. Box 9999, Suite 333 P. 0. Box 9999. Suite 555 City,State,Zip Code Telephone City,State,Zip Code Telephone Houston, Texas 33333 (713858-0145 Houston. Texas 33333 (713) 358-03Jf IOWA RESIDENT AUTHORIZED TO RECEIVE PARENT ENTITY, AFFILIATE, SPONSOR OF SERVICE OF ORIGINAL NOTICE COMMITTEE (Required by law) :`.,oeTha:o„aee,r,i7detl`° Name of lows Resident Name John Doe XYZ Corporation Mailing Address Mailing Address Any Street P. 0. Box 9999, Suite 888 City,State,Zip Code City,State,Zip Code Des Moines, Iowa 50309 Houston, Texas 33333 PURPOSE OF COMMITTEE: (Required by law) To support candidates for elected office. IOWA COMMITTEE RECEIVING CONTRIBUTION STATE OR FEDERAL JURISDICTION WHERE COMMIT- Name of Committee TEE IS REGISTERED OR OPERATES (Required by law) Jan Jones for School Board Name of Jurisdiction Mailing Address j Federal Election Commission 1111 - 1st Avenue, Cedar Rapids, IA 52402 Mailing Address Date If in Kind Contribution,Describe 999 E. Street, NW City State,Zip Code Telephone Amount Washington, D.C. 20463 222)674-3016 5100.00 VERIFIED STATEMENT OF COMMITTEE: _— , swear that the contribution reported above is accurate. I further swear that the information about this out-of-state committee is correct and accurate to the best of my knowledge. I understand that Iowa committees are prohibited from accepting contributions from out-of-state committees unless accompanied by a copy of this registration form. I further understand that an original signed form must be sent to the Iowa Campaign Finance Disclosure Commission. Q;-u.�, Treasurer August 4, 1991 (Signature) (Title) (Date) Subscribed and sworn before me this 4th day of August 19_91 et Houston, Texas (SEAL) -B. C . `4cL JC Notary Public 140-0070(Rev 1990CPF-6e308 SCHEDULE B MONETARY EXPENDITURES- MONEY SPENT 1. Be sure to list the name of your municipal or school board candidate's committee at the top of each Schedule page. 2. List the complete date (month and day) for each expenditure made. List the applicable year at least once on each page (for example, at the top of the column) . 3. List the full name and mailing address (street address or box number, city, state and zip) of each person/organization to whom you have expended $5 or more. List as "unitemized expenditures" expenditures of less than that amount, keeping careful records. You are not permitted to issue checks to "cash" or "petty cash". Instead, you may reimburse persons who have made these small expenditures, and list these transactions on Schedule B. 4. Provide a clear statement about the purpose of each expenditure you have made. Rather than "supplies", list "paper plates for fundraiser" or "office supplies for treasurer". Instead of "expenses", show "lathe for signs", "lunch expense for speaker", "postage for membership mailing", "mile- age reimbursement to Jane Smith, 30 miles @ .20 per mile" . The reason for the purpose of expenditures is so that any person viewing a report will know exactly what the money was spent for. 5. List the exact amount expended. Do not round to the nearest dollar. Although this is an acceptable bookkeeping practice in many situations, it is not acceptable on disclosure reports. 6. Sub-total the page. Show the grand total if this is the last page of the multiple Schedules B that you are submitting. 7. List the page number (i.e. , page 1 of 1, page 3 of 10, as appli- cable) . FOR INSTRUCTIONS, SEE MANUAL SCHEDULE MONETARY EXPENDITURES - MONEY SPENT EXPENDITURES CANDIDATE For office use only CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization) Jan Jones for School Board • DATE NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT EXPENDED (Disbursement)WAS MADE PURPOSE EXPENDED First Bank & Trust 8/5/91 444 - 44th Checks, Bank Charges 45.23 Cedar Rapids, IA 52402 Postmaster 8/20/91 Postcards 150.00 Cedar Rapids, IA 52402 WWW Printing 8/25/91 1234 - 5th Flyers 150.00 Cedar Rapids, IA 52402 SSS Sign Company 8/26/91 2345 - 6th Yard Signs 466.36 Cedar Rapids, IA 52402 Postmaster 8/29/91 Postage 100.00 Cedar Rapids, IA 52402 Cedar Rapids Register 8/31/91 3456 - 7th Advertising 244.44 Cedar Rapids, IA 52402 SUB-TOTAL $ TOTAL(It last page of this schedule) $1,156.03 Expenditures to consultants (persons/entities providing consulting,advertising,fundraising,polling, managing,organizing services, etc.) must also be detail itemized on Schedule G by the amount, purpose, and date of each type of expenditure made by the consultant on behalf of the candidate's committee. See manual for more specific instructions. CPG-20735n40-0055/ Page 1 of 1 (for Schedule B) SCHEDULE C SALE OF PRODUCTS AT FUNDRAISING EVENTS As indicated by its title, this Schedule should only he used when you are conducting an auction or some other sale as a fundraising event. As a general rule, this Schedule will NOT be used for garage sales, where the fair market value of items donated and/or the purchase price of the items does not normally exceed $25. 1. Show the name of the municipal or school board candidate's committee at the top of the page. 2. Show the sponsor of the fundraising event (the municipal or school board candidate's committee if applicable, or the name of an individual) . 3. Show the date of the fundraiser. 4. List the name and complete address of each donor of items with a value in excess of $25. 5. Describe the item(s) donated (i.e. , side of beef, fur coat, lamp, etc.) . 6. If the item sold for an amount exceeding $25, list the full name and complete address of the purchaser. If an item or items sold for less, list something to the effect of "unitemized purchases of $25 or less" or "various buyers for prices of $25 or under" as appropriate. 7. Show the fair market value of the item. 8. Show the sales price of the item. 9. Sub—total and total the pages as appropriate. 10. Number the page appropriately (i.e. , page 1 of 1, page 2 of 7, etc. as applicable) . NOTE: It is sometimes easier in the case of any auction or sale, to list each and every item donated and sold, rather than trying to separate them as to being in excess of $25 in value or purchase price. It is recommended that you notify your donors and purchasers if you intend to list all items so that they know their names will be shown on your report. 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The merchandise may have been received, but not invoiced - or - the merchandise may have Leen ordered and not yet received - or - the merchandise or service may have been received and invoiced, but remains unpaid. Often the exact amount of a debt is not known at the time a report is completed. An estimated amount should then be shown. An incurred debt should continue to be shown on each report until it has been paid for. Schedule D is to reflect all of the outstanding obligations (except loans) as of the end of each reporting period. If a debt is shown on one report and is not listed on the next report, it is assumed that it has been paid for and that the expenditure will be reflected on Schedule B of the respective report. If it is not, you will he contacted when the report is audited by the Commission. 1 . List the name of the municipal or school board candidate's committee at the top of the form. 2. List the exact date the debt was incurred (month, day, year) . 3. List the complete name and address of the person or organization to whom the debt is owed, including street address or box, city, state and zip. 4. List the amount owed to this creditor. Ii the exact amount is not known, show "estimated" beside the figure. 5. Subtotal and total the page or pages as applicable. 6. Number the page appropriately (i.e. , page 1 of 1, page 2 of 3, etc. , as applicable) . FOR INSTRUCTIONS, SEE MANUAL CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization) SCHEDULE Jan Jones for School Board D INCURRED INDEBTEDNESS CANDIDATE NOTE: Debts previously reported that remain unpaid must be included on this Schedule, as For office use only well as any new obligations incurred in this period. An "incurred debt" is a debt for goods or services ordered DEBTS/OBLIGATIONS' REMAINING THIS REPORTING PERIOD or received, but not paid for b the(DO NOT INCLUDE LOANS — SHOW LOANS ON SCHEDULE F) per od end of the reporting • BALANCE OWED AT CLOSE OF DATE NAME AND ADDRESS OF PERSON REPORTING INCURRED TO WHOM DEBT OR OBLIGATION IS OWED PERIOD" Cedar Rapids Register 8/25/91 3456 — 7th $ 142.96 Cedar Rapids, IA 52402 WWW Printing 8/27/91 1234 — 5th 100.00 Cedar Rapids, IA 52402 Estimated • SUB-TOTAL $ TOTAL DEBTS OWED BY COMMITTEE THIS REPORTING PERIOD AND PREVIOUS PERIOD $ 242.96 "If actual figure is unknown,show"estimated"beside the figure. 'Incurred indebtedness includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising,fundraising,polling,managing,organizing services,etc.Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant. CPG20735,140-0057, Page 1 of 1 (for Schedule D) SCHEDULE E INKIND CONTRIBUTIONS An inkind contribution is described as goods or services which are donated to a committee which the committee would normally have to pay for. This definition includes the forgiveness of a debt by an individual to whom the committee has owed money. It also includes the payment of a committee bill by an individual, including the candidate. The itemization level of inkind contributions is the same as for monetary contributions - in excess of $25 in a calendar year. Municipal and school board candidates' committees should be careful not to accept inkind contributions from corporate entities, just as they do not accept monetary contributions from such organizations. Example: You cannot accept a donation of meat for a chili supper from a grocery store that is incorporated. You can accept it from the owner of the store if he pays for it personally, or you can accept it from a sole proprietorship. 1. List the municipal or school board candidate's committee name on the top of the Schedule. 2. List the date (month, day, year) when the inkind contribution was received. 3. If itemization is required, list the name and address of the inkind contributor, including street address or box, city, state and zip. 4. Describe the contribution (i.e. , "Payment of bill owed the XYZ Printing Company", "Donation of hams for fundraiser", etc.) . 5. If itemization is required, list the actual or estimated fair market value of the inkind contribution. 6. Subtotal and total the Schedule pages appropriately. 7. Number the pages (i.e. , page 1 of 3, page 2 of 2, etc.) , as appli- cable. FOR INSTRUCTIONS, SEE MANUAL CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization) SCHEDULE IN-KIND Jan Jones for School Board E CONTRIBUTIONS • CANDIDATE For office use only DATE NAME AND ADDRESS RELATIONSHIP DESCRIPTION OF ESTIMATED FAIR RECEIVED OF CONTRIBUTOR TO CANDIDATE Ili Applicable) IN-KIND CONTRIBUTION MARKET VALUE � v Jeff Jackson 8/10/91 888 Main Printed Leaflets $ 139.35 Cedar Rapids, IA 52402 SUB-TOTAL $ TOTAL(If last page of this schedule) $ 139.35 Disclosure law requires candidates to disclose the relationship of any relative making an in-kind contribution to the committee. Relationship must be shown to the third degree of consanguinity(blood relatives)and affinity(relatives by marriage).See instructions for a more detailed description of relatives covered by the law. CPG20735/I40-0058,' Page 1 of 1 (for Schedule E) SCHEDULE F LOANS RECEIVED AND PAID 1. List the name of the muncipal or school board candidate's committee at the top of the page. PART I 2. If a monetary loan is made to the candidate's committee during the current reporting period, list the complete name and address of the person who has loaned the money to the committee and relationship, if applicable, on Part I of Schedule F. (This includes a candidate who loans money to his/her own committee.) If the original source of the money was a lending institution, list this as well. List the actual date the money was received (month, day, year) and the exact amount. Bring the total of the loans received forward to the Disclosure Summary Page and list it where indicated as part of the cash receipts of the committee for this reporting period. Total the section to show the total loans made in this reporting period. (The total amount of outstanding loans from the previous report should be shown at the top of Schedule F. Do not list a loan that has previously been reported in Part I.) PART II 3. If a loan repayment was made, similarly list the date (month, day, year) the repayment was made and the complete name and address of the person or lending institution to whom the check was written. Include relationship when applicable. Also, list the amount of the check. Bring the total of the loans repaid forward to the Disclosure Summary Page and list it where indi- cated as part of the expenditures of the committee for this reporting period. Total the section to indicate the total loan repayments made in this reporting period. 4. If a monetary loan was made to the committee, but the person who loaned the money later decided to forgive all or part of the monetary loan, this should be listed on Schedule E as an Inkind Contribution. However, it is also necessary to list it in the blank provided on this loan schedule (Sched- ule F) in order to balance the outstanding loans at this time. CAUTION: A bank or other corporate lending institution CANNOT forgive a loan to a candi- date's committee, as this would constitute an illegal corporate contribution. 5. List the total amount of loans outstanding at the end of the report- ing period in the space provided, and bring this figure forward to the Disclo- sure Summary Page. List it at the bottom of the page in the blank "Out- standing Loans". If loans were outstanding from your last period and no repayments were made, simply show the unpaid amount at top and bottom of form. CAUTION: Loans listed on Schedule F should only be actual money received and deposited in the bank account or repaid by committee check. Do NOT list as a loan debts owed to persons for purchases they have made. If you have not been able to reimburse such persons by the end of the reporting period, their names should be listed on Schedule D, along with debts owed to commercial creditors, etc. FOR INSTRUCTIONS, SEE MANUAL CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization) SCHEDULE MONETARY Jan Jones for School Board LOANS RECEIVED CANDIDATE 8 REPAID TOTAL UNPAID LOANS LAST REPORTING PERIOD$ .00 For office use only PART I: MONETARY LOANS RECEIVED THIS REPORTING PERIOD (Include loans from candidate's personal funds. Original source of loan, such as a bank, must be shown if a third party is involved.) DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT RECEIVED (Include Endorser's Name, if Applicable) TO CANDIDATE OF LOAN (if Applicable) Jan Jones $ 8/5/91 1000 - 10th Self 200.00 Cedar Rapids, Iowa 52402 PART II: MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD TOTAL(PART 1) $ 200.00 (Loans forgiven must be reported on Schedule E—In-Kind Contributions.) DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT PAID (Include Endorser's Name, if Applicable) TO CANDIDATE REPAID (if Applicable) Jan Jones $ 8/30/91 1000 - 10th Self 100.00 Cedar Rapids, Iowa 52402 • TOTAL CASH REPAYMENTS $ 100.00 From Schedule E—TOTAL LOANS FORGIVEN $ TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ 100.00 Disclosure law requires candidates to disclose the relationship of any relative making a loan to the committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). See instructions for a more detailed description of relatives covered by the law. CPG-20735/14D-0059/ Page 1 of 1 (for Schedule F) SCHEDULE G BREAKDOWN OF MONETARY EXPENDITURES BY CONSULTANT The primary purpose of Schedule G is to provide information about cam- paign activities that have been contracted with a third party. The law defines a "consultant" as a person/organization who is paid to provide ser- vices for a candidate which includes but is not limited to "consulting, public relations, advertising, fundraising, polling, managing or organizing". A "consultant" could be a professional person in an advertising agency or public relations firm, but it could also be a friend or associate whom you pay to do some campaign work. Generally speaking, consultant activity will occur only in large cam- paigns or in heavily contested races where there is extensive media adver- tising, telemarketing or fundraising activity - not generally found in a municipal or school board campaign. However, there are exceptions, and you should carefully review your campaign to make the determination of whether your campaign has consultant activities. Direct payments to the consultant are reported on Schedule B. Schedule G provides information about why the consultant has been hired. PART I 1. List the name of your municipal or school board committee in the space provided. 2. List the name of the person who fits the description of "consultant" above, along with their name and address. 3. In the space "Contract Period", show the period of time for which you are paying the person to provide services. 4. For "Total Anticipated Compensation for Performance", list the amount of money the person will be paid for services. If you will also reimburse for actual expenses the person incurs, make a statement to that effect. 5. "Estimates of Performance" should provide an explanation of the activity and service the consultant will provide. PART II This section discloses expenditures made by the consultant from the fee you paid him/her to pay for some of your campaign expenses. For instance, if you paid the consultant a lump sum to place all of your campaign ads in the area newspapers, and the papers billed and received payment from the consul- tant, these transactions should be listed here. Do not list in this section reimbursement you make for the consultant's mileage, meals, etc. These expenditures should be on Schedule B. List only items that the consultant paid on your behalf from the fee received from you. A consultant is required to furnish this information to you: be sure that the consultant knows this when hired so that the information will be provided to you. 1. List the date the consultant made the payment. 2. List the name/address of the person/organization to whom the payment was made. 3. List the purpose of the expense - describing clearly what was pur- chased or provided. 4. List the amount of the expenditure. 5. Subtotal and total the page(s) appropriately. 6. Number the Schedule G page(s) as applicable. FOR INSTRUCTIONS, SEE MANUAL SCHEDULE BREAKDOWN OF MONETARY G' EXPENDITURES BY CONSULTANT For office use only CANDIDATE'S COMMITTEE NAME(Must be same as on Statement of Organization) Jan Jones for School Board PART I NAME AND ADDRESS OF CONSULTANT Name of Consultant Amy Bell Mailing Address 5 Elm Street City State Zip Code Cedar Rapids, Iowa 52402 CONTRACT PERIOD TOTAL ANTICIPATED COMPENSATION FOR PERFORMANCE From 8/05/91 to 9/15/91 $100.00 ESTIMATES OF PERFORMANCE (Use back of form if needed) Write campaign ads, place ads, arrange fundraising event PART II ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES OF CONSULTANT IN PERFORMING SERVICES OF CONTRACT DATE NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT EXPENDED (Disbursement)WAS MADE PURPOSE EXPENDED Cedar Rapids Shopper 8/31/91 888 16th Ad in paper 8/25/91 30.00 Cedar Rapids, IA 52402 Page 1 of 1 SUB-TOTAL $ (for Schedule G) CPG-20735/140-0060/ TOTAL(If last page of this schedule) $ 30.00 INSTRUCTION FOR COMPLETING AND FILING NOTICE OF DISSOLUTION (Form DR-3) Every municipal or school board committee continues to have a disclosure filing obligation until it (1) has paid or transferred all of its debts and obligations, (2) reduced its cash balance to zero, (3) filed a final report - showing these transactions AND (4) filed a Notice of Dissolution form with the County Commissioner of Elections (County Auditor) . If funds remain after committee debts and obligations have been satis- fied, the committee must disburse leftover funds in accordance with the statement of intent shown on its most recently filed Statement of Organiza- tion. If a committee decides to spend its remaining dollars in some other manner than was set out on the last Statement of Organization, an amended Statement of Organization must be filed to show this new intent. When the cash balance is zero and all debts are paid, the committee completes a final Disclosure Report and Notice of Dissolution (form DR-3) , as follows: Show the official name of the committee, as well as the address and phone number of the person who is signing the Notice of Dissolution (normally the Treasurer) . List the date of dissolution. Sign and date the form. BE SURE THIS FORM IS RECEIVED by the County Commissioner of Elections (County Auditor) prior to any reporting deadline. Disclosure Reports are required to be filed on the respective due dates until such time as the Notice of Dissolution (DR-3) has been received. Fines will be assessed and collected for any report not timely received. A COMMITTEE CONTINUES TO HAVE FILING RESPONSIBILITIES (EVEN IF NO ACTI- VITY HAS OCCURRED) UNTIL THE NOTICE OF DISSOLUTION IS OFFICIALLY RECEIVED AND ACCEPTED BY THE COUNTY COMMISSIONER OF ELECTIONS (COUNTY AUDITOR). • • Before you dissolve the committee . . . FORM DR-3 OF Every Notice of Dissolution shall be accompanied by a NO DISSOLUTION completed Disclosure Report Form current to the date of dissolution. For office use only Comm.# Disclosure Report must show final repayment or transfer Indexed of all debts, obligations and loans, and expenditure or Audited transfer of remaining funds. Cash on hand MUST be zero; Checked Computer all committee obligations MUST be satisfied. Leftover funds (if any) must be distributed according to the statement of intent on the most recently filed Statement of Organization. COMMITTEE NAME Official Name of Committee Jan Jones for School Board Street 1111 - 1st Avenue City, State, Zip Code Cedar Rapids, Iowa 52402 Area Telephone Code ( 319 ) 555-1212 Effective date of dissolution: September 20 1g 91 Signature of Treasurer 9/25/91 Date Signed WHEN TO FILE: THE treasurer must file this form when the committee determines that it will no longer be receiving contributions, making disbursements or incurring indebtedness: IF you have previously filed a Statement of Organization or one or more Disclosure Reports; AND all debts, obligations and loans have been paid or transferred; AND any unexpended funds have been distributed according to the Statement of Organization. The Notice of Dissolution must be filed within thirty (30) days of the committee's dissolution. Moneys refunded to original contributors upon dissolution SHALL be considered a disbursement or expense BUT the names of persons receiving refunds NEED NOT be released or reported UNLESS the contributors' names were required to be reported when the contribution was received. CPG-20735/140-0045/ INSTRUCTIONS FOR REPORTING RELATIONSHIPS BY "CONSANGUINITY OR AFFINITY" In 1986 the Iowa Legislature amended the disclosure reporting require- ments in Chapter 56 to add the provision that the family relationship of a contributor ". . . related to the candidate within the third degree of consan- guinity or affinity. . ." must be disclosed. [Iowa Code section 56.6, subsection (3) , paragraph (j) 1. "Consanguinity", simply defined, is a relationship by blood. "Affinity" is a relationship by marriage. "To the Third degree of Consanguinity" applies to the candidate's first, second and third degree blood relatives as follows: o Spouse - Children - Parent.s (first degree) o Brothers/Sisters - Half-Brothers/Half-Sisters - Grandchildren - Grand- parents (second degree) o Uncles/Aunts - Nephews/Nieces - Great-Grandparents - Great-Grandchildren (third degree) "To the Third degree of Affinity" applies to the candidate's first, second and third degree relatives by marriage as follows: o Stepchildren - Stepmother/Stepfather - Mother-in-Law - Father-in-Law (first degree) o Stepbrothers/Stepsisters - Brothers-in-Law - Sisters-in-Law - Stepgrand- children - Stepgrandparents (second degree) o Stepuncles/Stepaunts - Stepnephews/Stepnieces - Stepgreat-Grandparents - Stepgreat-Grandchildren (third degree) A candidate's committee accepting any form of contribution (cash or check, inkind contribution, monetary loan) is required to list the relation- ship when reporting its receipt on Schedule A, Schedule C, Schedule E or Schedule F. r CHECKLIST OF COMMON ERRORS AND MISUNDERSTANDINGS 1. BE SURE THAT ALL RECEIPTS OF THE MUNICIPAL OR SCHOOL BOARD CANDIDATE'S COMMITTEE ARE DEPOSITED IN THE COMMITTEE BANKING ACCOUNT. Do not endorse checks over to other persons or organizations. Do not take cash from the receipts of a fundraising event to make small purchases in connection with the fundraiser. 2. WRITE CHECKS FOR ALL COMMITTEE EXPENSES. 3. PROVIDE CLEAR STATEMENTS OF THE PURPOSES OF EXPENDITURES. Avoid vague phrases such as "supplies" or "expenses". Reports with these explanations will have to be returned to you for clarification. 4. IF YOU SOLICIT A CONTRIBUTION IN EXCESS OF $250 FROM ORGANIZATIONS (SUCH AS AN UNINCORPORATED CLUB) , REMEMBER THAT THE ORGANIZATION NEEDS TO REGISTER AND FILE REPORTS WITH THE COMMISSION OR THE COUNTY AUDITOR. If an unregistered committee contributes an amount over $250 to you, it will encounter monetary fines for failure to file disclosure reports. The fact that a club exists does not necessarily mean it has a registered politi- cal committee which is filing disclosure reports and your reminder would no doubt be appreciated. 5. NEVER ENDORSE AND CASH CHECKS MADE PAYABLE TO YOUR COMMITTEE. As noted above, the law requires all cash and checks to flow through the banking account. 6. PLEASE REMEMBER THAT THE WORD "RECEIVED" when referring to monetary contributions is the date that the money is physically received, NOT the date the money is deposited in the bank or the date on the check. 7. PLEASE REMEMBER THAT THE WORD "FILED" when referring to disclosure reports means the date a report is physically received in the office where it is required. It does NOT mean the date the report has been mailed or post- marked. Example: A particular report is required by law to be received on July 20. This means it must be physically received on the 20th day of July in the County Auditor's Office. If it is mailed on July 20, it will be consi- dered at least one day late and automatically subject to a monetary fine. 8. BE SURE TO KEEP COPIES OF ALL REPORTS YOU FILE FOR THE ELECTION CYCLE. Because of small staff, it sometimes takes up to twelve months for reports to be audited. If an error is detected, you may need to refer to the report copies to make a necessary correction or amendment. 9. BE SURE TO TRANSFER ALL RECORDS PROMPTLY TO NEW OFFICERS. Sometimes a treasurer resigns, moves away, etc. Frequently, a former treasurer will neglect to provide the disclosure filing information to the new treasurer or to the candidate. Without this information, the new treasurer may miss a filing deadline, or may not have the necessary forms and records to make a proper filing. The candidate shares responsibility under the law for timely and accurate disclosure reports. CHECKLIST OF COMMON ERRORS AND MISUNDERSTANDINGS (cont'd) 10. BE SURE TO PROMPTLY FILE AMENDED STATEMENTS OF ORGANIZATION WHEN OFFICERS OR ADDRESSES CHANGE. Another problem occurs when the new treasurer neglects to file an amended Statement of Organization. The Disclosure Commission and County Auditor continue to correspond with the previous officer or use an obsolete address, and the new officers may not receive important reminders of reports due or other information. Be sure to file the amendments no later than thirty days from the change, as required by law. Many of the items on this checklist may not have application to your municipal or school board campaign. However, the Commission finds that the size of the city or school district or the number of candidates does not determine the scope of a candidate's campaign. For this reason, a wide variety of errors encountered have been described, and you should be the judge of whether they will apply to you. RESOLUTION NO. 1992-247 RESOLUTION AUTHORIZING CLERK/AUDITOR' S OFFICE TO PUBLISH NOTICE OF INTENT TO APPOINT AN AT-LARGE COUNCILPERSON TO FILL THE UNEXPIRED TERM OF ROBERT BROWN (RESIGNATION EFFECTIVE APRIL 30, 1992) . NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF WATERLOO, IOWA, that the City Clerk is hereby directed to publish notice of intent to appoint an At-Large Councilperson to fill the unexpired term of Robert Brown, (resignation effective April 30, 1992) in the Waterloo Courier. PASSED AND ADOPTED this 11th day of May, 1992. r IV-4„„a ? Albert C. a ning, Jr. , May ATTEST: Larr P. rger, City lerk/Auditor STATE OF I A TERRY E. BRANSTAD,GOVERNOR CAMPAIGN FINANCE DISCLOSURE COMMISSION CHECKLIST - MUNICIPAL CANDIDATE COMMITTEEgAY WILLIAMS, EXECUTIVE DIRECTOR Disclosure Law Changes Effective July 1, 1991 The following information supplements other printed materials and is an attempt to provide you with up-to-date information. If you have questions, please contact either the Campaign Finance Disclosure Commission at the address and phone number shown, or your County Auditor. Both are anxious to help you. Changes effective July 1, 1991 which apply to MUNICIPAL committees are: o FOR NEW COMMITTEES ONLY - The financial threshold of contributions received, expenditures made and debts incurred triggering reporting HAS BEEN CHANGED TO $500. Also, the phrase "in the aggregate" has been added. This means, for example, that if a committee accepts contributions of $300 and makes expenditures of $250, the $500 monetary threshold has been crossed "in the aggregate", and the committee is required to file a Statement of Organization and subsequent disclosure reports. o The CANDIDATE is the person ultimately responsible for timely and accurate committee disclosure filings. (Prior to July 1, 1991, the Treasurer and the Candidate shared this responsibility.) o Persons receiving contributions for a committee are required to deliver them to the treasurer within fifteen days. o Governing bodies of counties, cities, school districts or other political subdivisions of the state are expressly PROHIBITED from expending public funds (or permitting public funds to be expended) for any political purpose. o All candidates, including MUNICIPAL CANDIDATES, are prohibited from using campaign funds for personal benefit of the candidate or candidate's family members. o Specific prohibitions also exist for transfer of campaign funds during the life of the committee or at dissolution. The same prohibitions apply to equipment, supplies and materials purchased from campaign funds. Contact the Commission for details. o Detailed provisions further prohibit the "laundering" of campaign funds by transfer from one committee to another. Contact the Commission for further details. Besides this checklist, a MUNICIPAL CANDIDATE'S committee should receive and review the following items: "LC" Forms Packet Municipal Candidate Instruction Manual Municipal Brochure Political Advertising Disclaimer Brochure Civil Penalty Brochure Independent Expenditure/Inkind Brochure Duties of Treasurer Permitted/Prohibited Corporate Brochure For more information, contact the Commission or your County Auditor. 507- 10TH STREET, 7TH FLOOR / DES MOINES, IOWA 50309 / TELEPHONE 515-281-4411