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House Journal: Page 279: Monday, February 6, 1995

29     If you are employed by an individual, state the
30  name of the individual employer, the nature of the
    Page 18
 1  business, and your position.
 2     If you are self-employed and are not incorporated
 3  or are not doing business under a particular business
 4  name, state that you are self-employed, the nature of
 5  the business, and your position.
 6     If you own your own corporation, are employed by a
 7  corporation, or are doing business under a particular
 8  business name, state the name and nature of the
 9  business or corporation and your position.
10  1_____________________________________________________
11  2_____________________________________________________
12  3_____________________________________________________
13  4_____________________________________________________
14  5_____________________________________________________
15  6_____________________________________________________
16  Division II.  Commissions from Sales of Goods or
17  Services to Political Subdivisions.
18     This part is to be completed only by Legislators.
19  If you received income in the form of a commission
20  from the sale of goods or services to a political
21  subdivision, state the name of the purchasing
22  political subdivision.  The amount of commission
23  earned is not required to be listed.
24  1_____________________________________________________
25  2_____________________________________________________
26  3_____________________________________________________
27  4_____________________________________________________
28  5_____________________________________________________
29  6_____________________________________________________
30  Division III.  Sources of Gross Income.
    Page  19
 1     In each one of the following categories list each
 2  source which produces more than $1,000 in annual gross
 3  income, if the revenue produced by the source was
 4  subject to federal or state income taxes last year.
 5  List the nature or type of each company, business,
 6  financial institution, corporation, partnership, or
 7  other entity which produces more than $1,000 of annual
 8  gross income.  Neither the amount of income produced
 9  nor value of the holding is required to be listed in
10  any of the items.
11  A.  Securities:  State the nature of the business of
12  any company in which you hold stock, bonds, or other
13  pecuniary interests that generate more than $1,000 in
14  annual gross income.  Income generated by multiple
15  holdings in a single company are deemed received from
16  a single source.

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 1)

© 1995 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Sun Jan 14 21:05:02 CST 1996
URL: /DOCS/GA/76GA/Session.1/HJournal/00200/00279.html
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