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  • 8/7/2019 Affannato Frank__1533__scanned

    1/7

    FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

    L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a t t i e s . P u r s u a n t t o I o wa Co d e s e c t i o n 6 8 B .t h e c a n d i d a t e , f o , n d i d a t e ' s c o m m i t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o m m i t t e e , i si n d i v i d u a l m, , n s ' o r l i n g t i m e l y a n d a c c u r a t e r e p o r t s .

    I AM F I L I N G A May 1 9 , 2 0 0 6( r e p o r t d a t e )

    OCHECK I F AMENDMENT T O REPORT DATED0C h 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 DR - 3 i s f i l e d . )

    SUBTRACT TOTAL MONEY SPENT T HI S PERI OD

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    STATEMENT OF CASH ON HAND

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    REPORT F OR ( 1 ) ELECT I ON A2 ) NON - ELECT I ON YEAR.

    CASH ONHAND 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 o t a l o f a l l f u n d s h e l d b y t h ec o m m i t t e e . T h i s amoun t MUST b e t h e same a s t h e c a s h o n h an d a t t h e e n do 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . { . . . . . . . . . . . . . . . $

    S c h e d u l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . 1 . . . . . . . , . . . . .CASHONHAND 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 a l a n c e mu s tb e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . $" ' UNPAI D B I L LS ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . $I N K I ND CONTRI BUT I ONS F r o m S c h e d u l e E - A t t a c h S c h e d u l e j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS F r o m S c h e d u l e F - A t t a c h Sc h e d u l e F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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    COMMI TT EE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )F r a n k E . Af f a nn a t o Ca mp a i g n F u n dI MPORTANT : I n d i c a t e b y # t y p e o f c o m m i t t e e y o u a r e r e p o r t i n g f o r : 1( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o m m i t t e e ( 5 ) C o u n t y C a n d i d a t e C i t y C o ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( . . 4

    4 T- N- 7 1 - 0c h o o l B o a r d o r O t h e r P o l i t i c a l

    S u b d i v i s i o n PA 1 1 c a l a l l . i +GCANDI DATE 4 6 4 1 Y~MTMTT EEST E ESONLYC a n d i d a t e Na me ~ L a U o l i t i c a l P a r t y ( i f a p p l i c a b l e )F r a n k Af f a nn at o ~A e mo c r a t i cO f f i c e S o u g h t SLED- ' - t r i c t ( i f Se n a t e o r Ho us e )H o u s e o f R e p r e s e n t a t i v e s 6 6

    ADD TOTAL MONEY TAKEN I N T HI S PERI OD2 , 0 0 3 . 0 0S c he d u l e A : C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . .

    S c he d u l e F : L o a n s R e 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0S c he 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 S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0

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    F o r I n s t r u c t i o n s , Se e B a c k o f F o 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 )COMMI T T EE NA ME ( M u s t b e same a s o n S t a t e m e n t o f O r g a n i z a t i o n )F r a n k E . Af f a nn at o Camp a i g n F u n d

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I C AL ACTI ONNUMBER AND THE PAC CHECK NUMBER I N THE DES I GNATED COL UMN A L I S T OF I D NUMBERS I S A V A IDI SCL OSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TRESPONSI B I L I T I ES AND SHOUL D I MMEDI ATELY CONTACT THE BOARD.

    OMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONBL E FROM THE I OWA ETHI CS AND CAMPAI GN

    YOUR CAMPA I GN MAY HAVE F I L I N G

    CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t 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 r f o r a n yc o mme r c i a l p u r p o s e b y a n y p er 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 ommi t t e es .

    TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )n t o t h ev e s b yD 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 mmi 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 ec o mmi t t e e . R e l a t i o n s h i p m u s t b e s h o wn 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 lm a r r i a g e ) . I f s u r n ame o f c o n t r i b u t o r i s t h e same 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 . ( f o r S c h e du l e A )Page I o f 3

    SCHEDUL EA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS0 CHECK THI S BOX I FAMENDI NG FORM

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    Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I N

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    STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CA L ACTI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN A L I ST OF I D NUMBERS I S AVA IDI SCLOSURE BOARD .NOTE: A NY PERSON, OTHER THAN AN I N DI V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TRESPONSI B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD.

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    CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 o p i e d f r o m r e p o r t s a n d s t a t e m e n t 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 r f o r a n yc o mme r c i a l p u r p o s e b y a ny p er 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 mmi t t e e s .

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    ' 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 mm 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 m a k i n g a c o n t r i b u t ic o mm 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 w 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 lm a r r i a g e ) . I f s u r n a me o f c o n t r i b 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 . ( f o r Sc h e d u l eA)2Page o f3

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

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    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CA L ACTI ONNUMBER ANDTHE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN . A L I ST OF I D NUMBERS I S AVA IDI SCLOSURE BOARD .NOTE : ANYPERSON, OTHER THAN AN I N D I V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 o p i e d f r o m r e p o r t s a n d s t a t e mc 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 ommi t t e es .

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    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS

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    ( f o r S c h ed u l e B)

    FOR I NSTRUCTI ONS, SEE BACK OF FORM ( SCHEDULEEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUN B MONETARY( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PACCOMMI TT EES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DEOR LEGI S LA TI V ECANDI DATES, L I S T THECANDI DATE I DENT I F I CATI ON NUMBER I N THE DES I GNATED COLUMN AND E CHECKTHI S BOXI FPACCHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I i r r j W A AMENDI NGFORMETHI CS &CAMPAI GN DI SCLOSURE BOARD.

    COMMI TT EE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )F r a n k E . A f f a n n a t o Campa i g n F u n dCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

    DATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b ur s e me n t ) WASMADE( MM/ DD/ YR) AND PAC

    CHECKNUMBERI D # US P o s t a l S e r v i c e P o s t a g e f o r Campa i g n ma i l i n g s a n d4 / 1 7 / 2 0 0 6 4 0 0 L o c u s t t h a n k y o u s $ 3 9 . 0 0CK# 1 0 0 4 Des Mo i n e s , I A 5 0 3 0 9I D # B a n k e r s T r u s t Mo n t h l y S e r v i c e Ch a r g e f o r c a mp a i g n5 / 1 2 / 2 0 0 6 CK#na

    6 6 5 L o c u s t S t c h e c k i n g a c c o u n t 1 3 . 7 7De s Mo i n e s , I A 5 0 3 0 9D#CK#I D #CK#I D #CK#I D #CK#I D #CK#I D #CK#

    SUB- TOTAL $ 5 2 . 7 7TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) $ 1 6 3 0 . 7 2

    T HI S BOXAPPL I ES TO CANDI DATES' COMMI TT EES ONL Y :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 mus t a l s o be i n v e n t o r i e d o n S c h ed u l e . ( R e f e r t o S c h ed u l e H i n s t r u c t i o n s . )Ex p en 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 mus t a l s o b e d e t a i l i t e mi z e d o nS c h ed u l e Gby 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 pe nd i t u r e made by t h e p e r s o n / e n t i t y n b eh 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 h ed u l e G i n s t r u c t i o n s a n d I o wa C o d e 68A. 4 0 2 ( 3 ) ( i ) . )

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    FORI NSTRUCTI ONS, SEEBACKOF FORM SCHEDULED I NCURREDCOMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n ) ( R e v . 0 8 / 9 8 ) I NDEBTEDNESSF r a n k E. A f f a nn at o Camp a i g n F u n d F EW CHECKTHI S BOX

    I F AMENDI NGNOTE : D e b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n p a i d must b e i n c l u d e d o n t h i s FORMS c h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .An " i n c u r r e d d e b t " i s a d e b t f o r

    DEBTSI OBL I GAT I ONS REMAI NI NGTHI S REPORTI NG PERI OD g o o d s o r s e r v i c e s o r d e r e d o r( DO NOT I NCLUDE LOANS r e c e i v e d , b u t n o t p a i d f o r b y t h e- - SHOWLOANS ON SCHEDULE F ) e n d o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f w h e t h e r a n i n v o i c eh a s b e e n r e c e i v e d .DATE DESCRI PTI O OF GOODS OR BALANCE OWED A TI NCURRED NAME AND ADDRESS OF PERSON SERVI CES PROVI DED OR CLOSE OF( MWDD/ YR) TO WHOMDEBT OR OBLI GATI ON I S OWED PUR HASED REPORTI NGPERI OD'$

    F r a n k A f f a nn at o Vo t e r Re c o r d s Pu r c h a s ed f r o m8 / 1 7 / 2 0 0 5 1 1 2 8 2 2 n d S t r e e t I o wa S e c r e t a r y o f S t a t e 4 8 . 4 1De s Mo i n e s , I A 5 0 3 1 1

    F r a n k A f f a nn at o P r i n t i n g e x p e n e s p a i d t o1 / 2 0 / 2 0 0 6 1 1 2 8 2 2 n d S t r e e t Ha r v e s t P r i n t Co py Ce n t e r 6 8 . 9 0De s Mo i n e s , I A 5 0 3 1 1 2 3 1 6 U n i v e r s i t y , De s Mo i n e s , I A

    F r a n k A f f a nn at o P r i n t i n g e x p e n s e s p a i d t o1 / 2 7 / 2 0 0 6 1 1 2 8 2 2 n d S t r e e t Ha r v e s t P r i n t Copy Ce n t e r 3 9 . 2 2De s Mo i n e s , I A 5 0 3 1 1 2 3 1 6 U n i v e r s i t y , De s Mo i n e s , I A

    SUB- TOTAL $1 5 6 . 5 3

    TOTAL DEBTS OWED BY COMMI TTEE AT THE END OF THI S REPORTI NG PERI OD $ 1 5 6 . 5 3

    ' I f a c t u a l f i g u r e i s u n k n o w n , s h o w " e s t i ma t e d " b e s i d e t h e f i g u r e . Page 1 o f 1( f o r S c h e d u l e D)

    CANDI DATE COMMI TTEES NOTE:' I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e s e a c h p e r s o n / e n t i t y w i t h w h om t h e c a n d i d a t e ' s c o mmi t t e e h a s e n t e r e d t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u i n g p e r f o r m a n c e E n t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e ms s a s 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 ro r g a n i z i n g s e r v i c e s . R e p o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r m a n c e a n d t h e e s t i ma t e d p e r f o r m a n c e r e a a b l y e x p e c t e d o f t h e c o n s u l t a n t