dubuque federation of labor afl-cio cope6366scanned

8/7/2019 Dubuque Federation of Labor AFL-CIO COPE__6366__scanned

1/4

1 0/ 1 8/ 2 00 4 08 : 2 9 0 5 6 3 5 8 2 6 9 7 0 USWA LOCAL 1 8 6 1 PAGE 02FOR I NS7- RUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )D u b u q u e F e d e r a t i o n o f L a b o r , AF L - CI O C . O . P . E . Commi t t e e # 6 866I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :

( r e p o r t d a t e )CHECK I F AMENDMENT TOREPORT DATED

( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 8 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e s1 0- 1 8- 0 4

SI GNATURE OF EASURER ( o r p e r s o n f l t o t h i s r e p o r t ) TELEPHONE DATE SI GNED

STATEMENT O

RAI - t i A2 - t i a 3n

Ro u t i n e P e n a l t i e s Du e F o r L a t e F i l e d Re po r t s R a n g e f r o m $20 t o $ 8 00SEE I NSTRUCTI ONS ON BACKAND CQMPLETE THE FOLLOWI NQ SENTENCE :I AM F I LI NG A Oc t o b e r 1 9 REPORT FOR AN/ A ( 1 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .

I n d i c a t e o n e

0 Ch e c k I f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 -( Y o u must c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

CASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s " t h eo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s amo u n t MUST 6. e t h e ; Psame a s t h e c a s h o n h a n d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d , ' - 'o r mus t b e z e r o I f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) - - - - - - - - - . - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FORMDR- 2 I DI SCLOSURE( R e v . 0 1 / 9 8 ) REPORTF o r O f f i c e t s e O n l yComm. aI n d e xA u d i t e dComp u t e r

L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y I nw h i c h E l e c t i o n I s h e l d

NO

Sc h e d u l e H : T o t a l S a l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .( Sc h e du l e H a p p l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l v l

0

SUB- TOTAL . . . . . . $ 882 . 3 7SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877 . 5 5Sc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b al a n c e mu s t 4 . 8 2b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $UNPAI D BI L LS ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N K I ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0CAND I DATE COMMI TTEES ONLY:CONSULTANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? ) YESVALUEOF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H)


2/4

1 0 / 1 8/ 2 00 4 08 : 2 9 0 5 6 3 5 8 2 6 9 7 0F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS

- - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )

USWA LOCAL 1861

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )#6866D u b u q u e Fe d e r a t i o n o f La b o r , AF L- CI O C . O . P . E Co mmi t t e e

STATE CANDI DATES NOTE . I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L . ACTI ON COMMI TTEE) , L I S T THE PAC I D E N T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN_ A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD,CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c op i e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s .

TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )- D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o m m i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o m m i t t e e . R e l a t i o n s h i p mu s t b e s h o r n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b yman age ) ( S e e Page Z o r t o m e s p a c k e t . ) . I r s umame o f o o n l r i D u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e I s n of a m i l i a l r e l a t i o n s h i p , e n t e r ' n o t a p p l i c a b l e ' i n t h e r e l a t i o n s h i p c o l u mn .

SUB- TOTAL $ 3 1 0 . 1 6$ 3 1 0 . 1 6

PAGE 0 3

Po s e 1 o f1( f o r Sc h e d u l e A )

SCHEDULEA MONETARY( Re v . 0&97 ) RECEI PTSCHECK T HI S BOXI FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DD/ YR) AND PAC CHECK ( I f a p p l i c a b l e ) RAI SENUMBER I NCOMI D# Pe r c a p i t a f r o m a f f i l i a t e d l o c a l7 - 3 0 - 0 4 u n i o n s $23 5 . 6 8CK#I D# Pe r c ap i t a f r o m a f f i l i a t e d l o c a l

8 - 3 1 - 0 4 CK# u n i o n s $15 . 0 4I D# Pe r c ap i t a f r o m a f f i l i a t e d l o c a l9 - 3 0- 0 4 u n i o n s $59 . 4 4CK#I DOCK#

I D#CK#

D#CK#

1 0 #CK#

I D#CK#

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J D#CK#


3/4

1 0/ 1 8/ 2 00 4 0 8 : 2 9 05635826970 US I A A LOCAL 1861 PAGE 0 4

T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :Pu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e must a l s o b e I n v e n t o r i e d o n S c he d u l e H . ( R e f e r t o S c he d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s i e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n ag i n g , o r g a n i z i n g s e r v i c e s must a l s o be d e t a l l i t e m i z e d o nS c he d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t l y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c he d u l e G i n s t r u c t i o n s a n d I o wa Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

( f o r S c he d u l e B )

f - - ON I NS FRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT B MONETARY( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE 0 CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA AMENDI NG FORMETHI CS 6 CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )Du b u q u e F ed e r a t i o n o f La b o r , AF L- CI O C . O . P . E . Co mmi t t e e # 6866

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( Mf M/ DDNR) AND PACCHECKNUMBERI D# L i b e r t y Ba n k J u l y 2004 ma i n t e n an c e f e e s7 - 3 0 - 0 4 2201 J a c k s o n S t r e e tCK# Dubuque , I A . 5 2 0 0 1 $ 7 ' 4 9I D# L i b e r t y Ba n k A u g u s t 2004 ma i n t e n an c e f e e s

8 - 3 1 - 0 4 2201 J a c k s o n S t r e e t $ 7 . 4 9CK# Dubuq ue , I A 5 2 0 0 1I D # L i b e r t y Ba n k S e p t e mb e r 2004 ma i n t e n an c e

9 - 3 0- 0 4 2201 J a c k s o n S t r e e t f e es $ 7 . 4 9CK# Dubuq ue , I A 5 2 0 0 19 - 3 0- 0 4 I D # 5 64 Mu r p h y f o r St a t e Rep Ca mp a i g n d o n a t i o n1 5 5 No r t h Gr a n d v i e w Av e . $ 1 0 0 . 00CK# 1 0 3 6 Dubuq ue , I A 5 2 0 0 19 - 3 0- 0 4 I D# 1 5 3 4 Ci t i z e n s f o r Sc h o en j a h n Camp a i g n d o n a t i o n1221 Pa r k Av e . $ 1 0 0 . 0 0CK# 1 0 3 7 A r l i n g t o n , I A 5 0 6 06 - 0 1 3 2

i D# l bU5 Ci t i z e n s f o r Sc h u e l l e r Ca mp a i g n d o n at i o nCK# 1 0 3 8 5 0 3 W Pl a t t S t r e e t $ 1 0 0 . 00Ma q u o k e t s , I A 5 2 0 6 0

9 - 3 0 - 0 4 I D# 1 2 5 5 r i a n Qu i r k o r St a t e Rep . Ca mp a i g n d o n at i o n1 5 N Ch e s t n u t A v e . $ 1 0 0 . 0 0CK# 1 0 3 9 ew Hamp t o n , I A 5 0 6 5 9I I I D# 1 5 3 5 t Z f n s f o r Zi r k e l b a c h Ca mp a i g n d o n a t i o n63 7 W 1 ST S t r e et $ 1 0 0- 0 0CK# 1 0 4 0 Mo n t i c e l l o , I A 5 2 3 1 0

SUB- TOTAL $ 5 22 . 47TOTAL ( I f l a s t page o f t h i s s c h ed u l e ) $


4/4

1 0 / 1 8 / 2 00 4 08 : 2 9 0 5 6 3 5 8 2 6 9 7 0 USWA LOCAL 1 8 6 1 PAGE 05

T HI S BOX APPL I ES TO CANDI DATES' COMMI T TEES ONLY :Pu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c a s t i n g $ 500 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o nSc h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e m a d e b y t h e p e r s o n / e n t i t y o n , b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oSc h e d u l e G I n s t r u c t i o n s a n d I o wa Code 5 8 . 8 ( 3 ) ( 1 ) . ) __

P a g e 2 o f ^ __2

( f o r Sc h e d u l e 8 )

f - U K I NSTRUCT I ONS, SEEBACK OF FORM SCHEDULEEXPENDI TURES B- MONEY SPENT FROM COMMI TTEE ACCOUNT MONETARY( Re v . 0 9 / 9 7 ) EXPENDI T URES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR LEGI SLAT I VECANDI DATES, L I ST T HE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMNAND T HE LE7 CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWA AMENDI NG FORMETH I CS 6 CAMPAI GN DI SCLOSURE BOARD .COMMI T T EE NAME ( Mu s t b e s a m e a s a n St a t e me n t o f O r g a n i z a d o n )D u b u q u e Fe d e r a t i o n o f La b o r , AFL - CI O C . O . P . E . Co mmi t t e e # 6 86 6

CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE T RANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D I s b u r s e m e n t ) WAS MADE( MM/ DD/ YR) AND PACCHECK

NUMBER9 - 3 0 - 0 4 I D # 1551 Fr i e n d s f o r Mc Ma h o n Ca mp a i g n d o n a t i o n

CK# 1041 72 9 Ea s t Ma i n St r e e t $ 10 0 . 0 0Ma n c h e s t e r , I A 520579 - 3 0 - 0 4 I D# 15 02 H a n c o c k f o r Se n a t e Ca mp a i g n donat i on $ 1 0 0 . 0 03 1 0 Ea s t Ma i n St r e e t

CK#1042 Ep wo r t h , I A 52045I D# 1 s t Di s t r i c t C . O . P . E . 3 r d q u a r t e r 2 0 0 4 p e r c a p i t a

79 7 Al t a V i s t a $ 155 . 0 81 0- 6 - 0 4 CK#1043 D u b u q u e , I A 52001I D#CK#

I D#CK#

I D#CK#

I D#CK#I D#CK#

SUB- T OT AL $ 355 . 0 8TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) $ 877 . 5 5

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dubuque federation of labor afl-cio cope6366scanned