FOR INSTRUCTIONS, SEE BACK OF FORM FORM

NIAY 6 2o02
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 01/2001) REPORT
e_ Z`a elect For Office Use Onl -
Comm . #
IMPORTANT: Indicate type of committee you are reporting for: FTI
Indexed
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate Audited
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates Computer ___
CANDIDATE COMMITTEES ONLY :
Candidate Name PAtical Party ,
0"I nd u ~~ ~d ~~
Office Sought District (if Senate or House)

(or- personfiilittg this reportrtt- __

- DATE N

Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) k 'tf
N Indicate one 1:1
HECK IF AMENDMENT TO REPORT DA7EII 1 -1 Local Committees, enter Date of Election

r_1 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

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.) ... ... .. ... ... .. ... . .. .. . .... . .. .$
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 .. ....$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .. .
Schedule F: Loan Repayments total (Attach Schedule F) . .. ...... .. ... ... .. . .. ... ... .. ... ... .. ... ... .. ... ..
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) . ... ... .. ... ... .. .. . ..... ... . .... ..... . .. ... ... .. ... ... .. ... ... ..$ -----------------------------
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .. ... ... .. ... ... .. . .. ... ... ... .. ... .. ... .....$ --------- ---------
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ... .. ... ... .. ... ... .. ... ... .. . ..... .... . ... .. ... ...$ ----------- _ - ___-
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES - NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ ---------------------------
Contributions - Money Taken In X001 Schedule A Monetary
(Rev 06/97) Receipts
Committee Name:
Committee to Elect Cindy Golding
2327 Springbrook Dr 'heck if amending form
Cedar Rapids, IA 52411 319-393-0940

Date PAC ID Number Name & Address of Relationship Amount X if for

Received (if applicable) Contributor To Candidate Received Fundraiser
(MM/DD/YY and PAC Check (if applicable) $ Income
Number
10/19/01 ID# Cindy Golding self . 400.00
CK# 7000 Tower Terrace Rd.
Cedar Rapids, IA 52411
11/02/01 ID# Mike Hughes 100 .00
CK# RR# 1 9801 Morris Hills Rd
Toddville, IA 52341-9801
11/06/01 ID# Dorothy Hughes 100 .00
CK# RR #1 9801 Morris Hills Rd.
Toddville, IA 52341-9801
11/20/01 ID# Norman & Nancy Krauth 25 .00
CK# 3235 Lakeview Dr
Toddville, IA 52341
11/20/01 ID# Harvey & Bonnie Fascher 10.00
CK# 5630 Highway 13/ PO Box 137
Coggin, IA 52218
11/24/01 Brett & Cheryl Foley 50.00
1130 Dubuque Rd.
Springville, IA 52336-9796
11/26/01 Donald S . " ~ehnson 100 .00
8225 Rolling IZ
Toddville, IA 52341
11/28/01 Gary Matthews 100 .00
3059 Brittany Circle
Cedar Rapids, IA 52411
11/28/01 James & Majorie Hendersen 25.00
3449 Feather Ridge Rd.
Toddville, IA 52341-9780
12/04/01 Norbert & Geraldine Schwartz 25.00
2955 Deer Ave SE
Cedar Rapids, IA 52403
12/04/01 Gregory Epping 100 .00
3524 Timber Ridge Trail
Cedar Rapids, IA 52411
11/24/01 Jim Hagerman 100 .00
3722 Toddville Rd.
Toddville, IA 52341
12/05/01 Martha Handle-, 25.00
3377 Feather Ridge Rd
Toddville, IA 523411
12/08/01 Curt & Gayle Zingular 25.00
1657 Falcon Rd
Marion . IA 52302

Sub-total 1,185 .00

Page 1 of 2
(For schedule A)
Contributions - Money Taken In 2001 _ ' Schedule A Monetary
(Rev 06/97) Receipts
Committee Name : Ni 6 UuI .'
Committee to Elect Cindy Goldin ~~
2327 Springbrook Dr 'Check if amending form
Cedar Rapids, IA 52411 319-393-09-40

12/11/01 John & Michelle Moran 100.00

4 Boulder Rd .
Mason City, IA 50401-2503
12/12/01 John & Cindy Sapp 500 .00
4617 Blarney Dr
Cedar Rapids, IA 52411
12/15/01 Kellv & Rachelle Baier 100.00
3 110 Norman Dr
Cedar Rapids, IA 52411
f'z~Pl' /O 1 Elmer & Charlotte-Olsen--- 50-.00
6709 Oak Grove Rd
Cedar Rapids, IA 52411
12/19/01 Steven & Suzanne Caves 25 .00
3149 Falcon Dr NE
Cedar Rapids, IA 52402
12/24/01 Michael & Paula Cufr 25 .00
2955 Deer Ave SE
Cedar Rapids, IA 52403
12/31/01 Tim & Nancy Daugherty Sister-in-law 100.00
2109 Winding Woods Dr
Liberty, MO 64088

Sub-Total 900.00
Total 2085 .00

Page 2 of _2
(For schedule A)
 ki1?Y E, 2+j'W
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM CQIM"TTEE ACCOUNT B MONETARY

(Rev. 09197) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)

C:oMonI tcin, ~, e-c'T

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
I D# ~>° ~n L~ 1 i~ iv I^ t tii n. i'rl s 'fcmi2y l x~ $
7_ l
a°Y ~'adwa, . I
cK#
l l~ruYlll i Eli; QH 3~-l (_13" 7

ID# uairtehs State_ _13znp,' CrhecKS

f -YO ~ipiih Au ercuC ~ U, ud
l0/3C)10 CK#
YY) cz r l 0~. , ~ '~~~02

Sb~tlonarY
/7/G 1
CK# ~'~d ~Cr'7eh ~
/601 r _P4 I ,s~zy1/
I D# s'
CK#

ID# ,~Cak pl ~, i'l?end ii=CO, -e lS

.2777 01,1 efntek Rd
CK#
7e63 iq/bU1,neit .6 90.2
ID# :5' i-'as~rvt~srr~
u
.
S~-~ s
N~~ w tAw J~,a_rv 10a. 04
CK#
l c a ~f r~~G 'J"-, m6L.., ,TA S: - Ms-

ID# ~OTC l U ev~ ( (IGf f-~C,L

;23~.'1 5'Prth brecK )t,
Ill 7101 'l~ec e

ID# L( S; J'ts1m6.rteh rn rS
S
~1MlGi e,isT , P ifc c0
l 1~0
cK#
l~kpio(S , T46-~ vaaW +
SUB-TOTAL

TOTAL (if last page of this schedule) $ -347 . 79

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 56 .6(3)(1) .)

(for Schedule B)
 FOR IAISTRUCTJONS. SCE BACK OF 3M :tiRM
_.
IN'SCLOSUF?E SUmMARY PAGE DISCLGSURE
COMMITEE NAME (}Must be same s on Statement of Organization)1
1 & (Rev. 0112001) I R-EPCRT

h1 YVl i h !~ ~~ l rO rit 1' irl For Offices Use Only /

Comm. # _ q
IMPORTANT: Indicate type of committee you are reporting for:
Indexed
( 1 )Statewde/Legislative Candidate ( 2 )Statewide PAC (3 )State Parry (4 )County/Local Candidate
Audited
( 5 )County PAC ( o )Ballot IssueiFranchise Committee ( 7 )CountyiCity Centrai Committee
I ( 8 )Support Slate of Candidates Computer

CANDIDATE COMMITTEES ONLY :

Candidate Name Political Party

Office Sought District (if Senate or House)

~Jv r

SIGNATURE OF TREASURER (or person tiling this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON HACK AND COMPLETE THE FOLLOWING SENTENCE:

a
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

[] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

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.) ... ... ..........................$
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 aovlles to Candidates' Committees Onivl
SUB-TOTAL.....$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) ...
Schedule F: Loan Repayments total (Attach Schedule F) ............. .. . ....... ..... ..... ..................
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) .................................. .. .. ..........................$

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ............... .. ......... ..... ............... .$
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ....... ....................... .....................$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
 01
1140 6003 q©liq IMC

Contrihntion% - Money Taken in Schedule Monetary

Committee Name : A Receipts
Committee to Elect Cindy Golding (2,ev 06/97
2327 Springbrook Dr Check if amending form
Cedar Rapids, IA 52411 319-393-0940

Date PAC ID Number Name & Address of Relationship Amount X if for

Received (ifapplicable) Contributor To Candidate Received Fundraiser
(MM/DD/YY and PAC Check (if applicable) $ Income
Number
10/19/01 ID# Cindy Golding self 400 .00
CK# 7000 Tower Terrace Rd .
Cedar Rapids, IA 52411
11/02/01 ID# Mike Hughes 100.00
CK# RR# 1 9801 Morris Hills Rd
Toddville, IA 52341-9801
11/06/01 ID# Dorothy Hughes 100.00
CK# RR #1 9801 Morris Hills Rd .
Toddville, IA 52341-9801
11/20/01 ID# Norman & Nancy Krauth 25 .00
CK# 3235 Lakeview Dr
Toddville, IA 52341
11/20/01 ID# Harvey & Bonnie Fascher 10 .00
CK# 5630 Highway 13/ PO Box 137
Coggin, IA 52218
11/24/01 Brett & Cheryl Foley 50 .00
1130 Dubuque Rd .
S rin ville, IA 52336-9796
11/26/01 Donald & Sandra Johnson 100.00
8225 Rolling Rd .
Toddville, IA 52341
11/28/01 Gary Matthews 100.00
3059 Brittany Circle
Cedar Rapids, IA 52411
11/28/01 James & Majorie Hendersen 25 .00
3449 Feather Ridge Rd .
Toddville, IA 52341-9780
12/04/01 Norbert & Geraldine Schwartz 25 .00
2955 Deer Ave SE
Cedar Rapids, IA 52403
12/04/01 Gregory Epping 100 .00
3524 Timber Ridge Trail
Cedar Raids, IA 52411
11/24/01 Jim Hagerman 100.00
3722 Toddville Rd .
Toddville, IA 52341
12/05/01 Martha Handley 25 .00
3377 Feather Ridge Rd
Toddville, IA 523411
12/08/01 Curt & Gayle Zingular 25 .00
1657 Falcon Rd
Marion, IA 52302

Sub-total 1,185.00

Page -1 of _2_
(Fnr crhp(liila A)
12/11/01 John & Michelle Moran 100.00
4 Boulder Rd . AN
1 0 2001
Mason City, IA 50401-2503
12/12/01 John & Cindy Sapp 500.00 '+ )
4617 Blarney Dr
Cedar Raids, IA 52411
12/15/01 Kelly & Rachelle Baier 100.00
3110 Norman Dr
Cedar Raids, IA 52411
12/15/01 Elmer & Charlotte Olsen 50 .00
6709 Oak Grove Rd
Cedar Raids, IA 52411
12/19/01 Steven & Suzanne Caves 25 .00
3149 Falcon Dr NE
Cedar Rapids, IA 52402
12/24/01 Michael & Paula Cufr 25 .00
2955 Deer Ave SE
Cedar Rapids, IA 52403
12/31/0 1 Tim & Nancy Daugherty Sister-in-law 100.00
2109 Winding Woods Dr
Liberty, MO 64088

Sub-Total 900.00
Total 2085 .00

Page 2 of _2_
tFnr crhptin1p A)