Cedar Rapids Building Trades Council Cric Building Trades Pac__9680__scanned

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FOR INSTRUCTIONS, SEE BACK OF FORM COMMITTEE NAME (Must be same as on Statement of Organization) Cedra Rapids Building Trades Council CRAC Building Trades PAC IMPORTANT: Indicate by # type of committee you are reporting for. 12 ( 1 )StatewidelLegislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party (4 )County Central Committee( 5 )County Candidate (6 )City Candidate (7 )School Board or Other Political Subdivision Candidate (8 )CountyPAC (:9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local Ballot Issue' i i z a ;;, :,:. CANDIDATE COMMITTEES ONLY : Politi Party (if applicable) Candidate Name ~' DISCLOSURE SUMMARY PAGE (Rev. 07/2004) Comm . # Logged In Scanned Computer Audited DR-2 FORM I DISCLOSURE REPORT 204 Office Sought Late reports are subject to possible civil and criminal penalties. SIGNATURE OF PERSON FILING REPORT I AM FILING A October 19, 2004 (report date) DATE SIGNEO REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR. Indicate by # El ZCZ-A-1, 'L~ EICHECK IF AMENDMENT TO REPORT DATED El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . (You must continue to file reports until a DR-3 is filed.) Local Committees, enter Date of Election County & Local Committees, enter County in which Election is held STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period . (Total of all funds 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.) ...... ... ..... ...... ........ ......$ ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contributions total (Attach Schedule A) ("`also see in-kind below) ......... . Schedule F: Loans Received total (Attach Schedule F) ................... ........ ............. ...... ........ . Schedule H: Total Sales of Campaign Property (Attach Schedule H) ...... ..... ........ ...... ........ . (Schedule H applies to Candidates' Committees Only) SUB-TOTAL ..... $ 17,242 .47 12 .200.00 10,933 .97 6,308.50 SUBTRACT TOTAL MONEY SPENT THIS PERIOD CASH ON HAND at the end of this reporting period (if final report balance must be zero) (Attach DR-3) ....... ..... ... ..... ...... . .... ... ..... ... ..... ........ ........ ...... ..... ........ ........ ............. .. .$ "*UNPAID BILLS (From Schedule D -Attach Schedule D) ... ... ..................... ...... ........ ........ ........ ..... ...$ Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) ... . Schedule F: Loan Repayments total (Attach Schedule F) ......... ...... ........................ ............. 5,042.47 "IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ............................................... $ *''OUTSTANDING LOANS (From Schedule F-Attach Schedule F) .. ........ .............. ..... ... ..... ... ........ .. .$ CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) CANDIDATE COMMITTEES ONLY : $ For Instructions, See Back of Form CONTRIBUTIONS - MONEY TAKEN IN (Including candidate's personal funds) COMMITTEE NAME (Must be same as on Statement of Organization) Cedar Rapids Building Trades Council CR/IC Building Trades PAC STATE CANDIDATES NOTE : SCHEDULE (Rev. 07103) A MONETARY RECEIPTS CHECK THIS BOX IF AMENDING FORM IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PACCHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD . CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or for any commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) PAC ID NUMBER AND PAC CHECK NUMBER ID# (if applicable) NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED J IF FOR FUNDRAISER INCOME 08/04/04 CK# lD# Asbestos Workers Local 81 5000 J Street SW CedarRapids, IA 52404 Carpenters Local 308 350 Waconia Court SW Cedar Rapids, IA 52404 I.B .E .W . 405 1211 Wiley Blvd. SW Cedar Rapids, IA 52404 Glaziers Local 581 520 12th Street Rock Island, IL 61201 Ironworkers Local 89 5000 J Street SW Cedar Rapids, IA 52404 Laborers Local 43 5000 J Street SW Cedar Rapids, IA 52404 Millwrights Local 2158 2707 ^2nd Street Bettendorf, IA 52722 Operating Engineers Local 234 1211 Wiley Blvd . SW Cedar Rapids, IA 52404 Painters Local 447 5000 J Street SW Cedar Rapidsw, IA 52404 Plumbers & Pipefitters Local 125 1839 16th Avenue SW Cedar Rapids, IA 52404 Local Union X75.00 08/04/04 CK# ID# Local Union 500.00 08/04/04 CK# ID# Local Union 525.00 08/04/04 CK# lD# Local Union 24.00 Lj 08/04/04 CK# ID# Local Union 150.00 08/04/04 CK# ID# Local Union 390.00 08/04/04 CK# ID# Local Union 100.00 08/04/04 CK# ID# Local Union 45 .00 08/04/04 CK# ID# Local Union Local Union SUB-TOTAL TOTAL (if last page of this schedule) 150.00 08/04/04 CK# 750.00 Disclosure law requires candidate committees 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) . If sumame of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column . Page of (for Schedule A) For Instructions, See Back of Form CONTRIBUTIONS - MONEY TAKEN IN (Including candidate's personal funds) COMMITTEE NAME (Must be same as on Statement of Organization) Cedar Rapids Building Trades Council CR/IC Building Trades PAC SCHEDULE (Rev. 07/03) A 0 CHECK THIS BOX IF AMENDING FORM MONETARY RECEIPTS STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANDCAMPAIGN DISCLOSURE BOARD. CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or for any commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DD/YR) 08/04/04 PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER I Dft CK# ID# 08/04/04 CK# ID# 08/04/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# ID# 10/01/04 CK# NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) Local Union AMOUNT RECEIVED J IF FOR FUNDRAISER INCOME Roofers Local 182 22010 Ave. NW Cedar Rapids, IA 52405 Sheet Metal Workers Local 262 1211 Wiley Blvd . SW Cedar Rapids, IA 52404 Teamsters Local 238 5000 J Street SW Cedar Rapids, IA 52404 Asbestos Workers Local 81 5000 J Street SW Cedar Rapids, IA 52404 Bricklayers Local 3 190 Sky View Avenue Fairfax, IA 52228 Carpenters Local 308 350 Waconia Court SW Cedar Rapids, IA 52404 Carpenters Local 1260 705 S.Chnton St. Iowa City, lA 52240 I.B .E .W . Local 405 1211 Wiley Blvd . SW Cedar Rapids, IA 52404 Glaziers Local 581 520 12th Street Rock Island, IL 61201 Laborers Local 43 5000 J Street SW Cedar Rapids, IA 52404 $75.00 Local Union 285 .00 Local Union 75 .00 Local Union 75.00 Local Union 240.00 E] El- Local Union 191.50 Local Union 112.50 Local Union 525 .00 Local Union Local Union SUB-TOTAL TOTAL (if last page of this schedule) 25 .50 260.00 ' Disclosure law requires candidate committees 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) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column . Page _ _ of (for Schedule A) For Instructions, See Back of Form CONTRIBUTIONS - MONEY TAKEN IN (Including candidate's personal funds) SCHEDULE (Rev . 07103) A COMMITTEE NAME (Must be same as on Statement of Organization) Cedar Rapids Building Trades Council CR/IC Building Trades PAC Q CHECK THIS BOX IF AMENDING FORM MONETARY RECEIPTS STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD. CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or for any commercial purpose by any person other than statutory political committees . DATE RECEIVED (MM/DDIYR) PAC ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP TO CANDIDATE' (if applicable) AMOUNT RECEIVED 4 IF FOR FUNDRAISER INCOME ID# 10/01/04 CK# ID# Laborers Local 1238 705 S. Clinton St. Iowa City, 1A 52240 Millwrights Local 2158 2707 62nd Street Bettendorf, IA 52722 Painters Local 447 5000 J Street SW Cedar Rapids, IA 52404 Plumbers & Fitters Local 125 1839 16th Avenue SW Cedar Rapids, IA 52404 Sheet Metal Workers Local 263 1211 Wiley Blvd. SW Cedar Rapids, IA 52404 Teamsters Local 238 5000 J Street SW Cedar Rapids, IA 52404 Local Union $400 .00 10/01/04 CK# ID# Local Union 150 .00 10/01/04 CK# ID# Local Union 100 .00 10/01/04 CK# ID# Local Union 750 .00 10/01/04 CK# ID# Local Union 285 .00 10/01/04 CK# Local Union 50 .00 ID# CK# ID# CK# ID# a CK# ID# CK# SUB-TOTAL TOTAL (if last page of this schedule) Disclosure law requires candidate committees 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) . If sumame of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column . 3 Page of _(for Schedule A) FOR INSTRUCTIONS, SEE BACK OF FORM EOtM SCHEDULE (Rev. 07/03) EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD . COMMITTEE NAME (Must be same as on Statement of Organization) B MONETARY EXPENDITURES CHECK THIS BOX IF AMENDING FORM Cedar Rapids Building Trades Council CRAC Building Trades PAC CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE DATE EXPENDED (MM/DD/YR) PURPOSE (DESCRIBE TRANSACTION) AMOUNT EXPENDED ID# 08/03/04 CK# 5031 ID# Sullivan For School Board 577 Green Ridge Road Lisbon, IA 52253 Iowa Democratic Party Lisbon School District Election $ Political Contribution 200,00 08/24/04 CK#5032 ID# .D .P . House Truman Fund Political Contribution 5000.00 08/31/04 CK#5033 ID# I.D .P. Senate Truman Fund Political Contribution 1000.00 08/31/04 CK#5034 ID#17447 CK# 5035 ID#17265 Lonny Pulkrabek for Johnson County Sheriff 4698 Fox Lane NE T-- 1-4- TA r,))An Political Contribution 1000 .00 09/08/04 500.00 09/22/04 CK#3036 ID# 17261 ~~ Jim Houser for Supervisor Committee 05 Rock Valley Dr . SW :War Rapids, IA. 52404 u Barron for Supervisor 000 Linden Dr . SE Cedar Rapids, IA 52403 Zeller for SheriffCommittee 61 Jacolyn Dr . NW edar Rapids, IA 52405 Political Contribution 500.00 Political Contribution 500.00 Political Contribution d~/ CK#5037 'D#0272 CK# 5038 09/22/04 500.00 SUB-TOTAL $ 9200.00 $ TOTAL (if last page of this schedule) THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY : Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .) Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to Schedule G instructions and Iowa Code fi8A.402(3)(i) .) 1 Page Of 2 (for Schedule B) FOR INSTRUCTIONS, SEE BACK OF FORM I j SCHEDULE (Rev . 07/03) EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY EXPENDITURES STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD. COMMITTEE NAME (Must be same as on Statement of Organization) CHECK THIS BOX IF AMENDING FORM Cedar Rapids Building Trades Council CRAC Building Trades PAC DATE EXPENDED (MM/DD/YR) CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE PURPOSE (DESCRIBE TRANSACTION) AMOUNT EXPENDED 09/22/04 11285 CK#5039 1572 CK#5040 I D#1353 CK#5041 11507 CK#5042 11516 CK#5043 1 1535 CKt044 Friends and Neighbors of Tom Fiegen 3 Lombard St. larence, IA 52216 Roger Grobstich for State epresentative 350 Wok Creek Trail TA 671'22 Political Contribution $ 500.00 09/22/04 Political Contribution 500.00 Political Contribution 500.00 Political Contribution 09/22/04 Owen for Iowans 63 Oliphanr St. West Branch, IA 52358 Pettengill for Iowans .O .Box 76 t. Auburn, IA 52313 Rielly for Senate 113 North Market St. Oskaloosa, IA 52577 Citizens for Zirkelbach 37 West First St. onticello, IA 52310 09/22/04 500.00 09/22/04 Political Contribution 500.00 Political Contribution 500.00 09/22/04 ID# CK# 1D# CK# SUB-TOTAL TOTAL (if last page of this schedule) THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H Instructions.) Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail item¢ed on Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to Schedule G instructions and Iowa Code 6aA.402(3)(i) .) Page 2 of $ 3000,00 $ 12200,00 (for Schedule B)