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FOR I NSTRUCTI ONS, SEEBACKOF FORMDI SCLOSURE SUMMARY PAGE

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 )C i t i z e n ' s f o r Maddo xI 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 :0( 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 Co mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l Bo 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 ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o

I AMF I L I NG A 1 0 / 1 5 t o 1 0 / 2 6 / 2 0 04( r e p o r t d a t e )

OCHECK I F AMENDMENT TO REPORT DATEDEl Che 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 an 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 or m DR- 3 .( Y ou mus t 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 . )

) l i t i c a l P a r t y ( i f a p p l i c a b l e )- p u b l i c a ns t r i c t ( i f Se n a t e o r H o u s e )

FORMDR- 2 I DI SCLOSURE( Re v . 0 7 / 2 0 0 4 ) REPORTF o r Of f i c e Us e OnNComm . #L o g g e d MauScannedCompu t e rA u d i t e d

L at e r e p or t s a r e s u b j e c t t op os s i b l e c i v i l a n d c r i mi n a lp en al t i e s .

DATE SI GNED

REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT I ON YEAR .I n d i c a t e b y #

L o c a l C o mmi t t e e s , e n t e r Da t e o f E l e c t i o nCo u n t y & L o c a l C o mmi t t e e s , e n t e r Co u n t y i nw h i c h E l e c t i o n i s h e l l

STATEMENT OF CASH ON HANDCASHONHAND 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 nd s h e l d b y t h ec o mmi t t e e . T hi s amou n t MUST b e t h e s ame 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 mu s 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 du 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 du l e A) ( * a l s o s e e i n - k i n d b e l o w) . . . . . . . . .Sc h e du 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 du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . .Sc h e du l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e du l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 Sc h e du l e H a p p l i e s t o Ca nd i d at e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . $ 1 9 , 4 0 3 . 6 2

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e du l e B : Ex 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 ) ( * * a l s o s e e d eb t s an d l o an s b e l o w) . . . 5 , 0 0 0 . 0 0Sc 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 du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - -

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 ce mus tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

* * UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e du l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N KI ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e du l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" " OUTSTANDI NG LOANS ( F r o m Sc h e du l e F - A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h ed u l e G At t a c he d ? )VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e du l e H - A t t a c h Sc h e du l e H) $

1 7 , 9 5 3 . 6 2

1 , 4 5 0 . 0 0

1 4 , 4 0 3 . 6 2

3 , 0 0 0

YES r -D NO

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Fo r I n s t r u c t i o n s , Se e Bac k o f F o r mCONTRI BUTI ONS - MONEYTAKEN 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 TTEENAME ( Mu s t b e s ame as o n S t a t eme n t o f O r g a n i z a t i o n )C i t i z e n ' s f o r Maddox

R e a e t Fo r m

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I ST THEPAC I DENT I F I CATI ONNUMBER ANDTHE PAC CHECKNUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GND I SCLOSURE BOARD.CAUTI ON : Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e us e o f i n f o r ma t i o n c op i e d f r om r e p or t s an d s t a t e me nt s f o r s o l i c i t i n g c ont r i b ut i o ns o rf o r a ny 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 an 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 .

SUB- TOTAL

D i s c l o s u r e l aw 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 any r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p mus 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 l a t i v e s b ym a r r i a g e ) . I f s umame 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 no Pa gef a mi l i a l r e l a t i o n s h i p , e nt 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 umn .

TOTAL ( i f l a s t pag e o f t h i s s c h e du l e ) $ 1 , 4 5 0 . 0 01 1- o f -( f o r S ch e du l e A)

A MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSQCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ENUMBER I NCOMI D# 6 0 5 8 I o wa C h i r o p r a c t i c S o c i e t y PAC, 1 6 0 5 NAnkeny1 0 / 1 5 / 2 0 0 4 CK# B l v d , S u i t e 1 0 0 , Ankeny , I A 5 00 21 - 4 1 59 N/ A $ 2 0 0 . 0 02 4 8 5I D# 9 6 2 8 P o l k Co u n t y R e p u b l i c a n Wome n , 4 3 0 1 P a r k Av ,1 0 / 1 5 / 2 0 0 4 CK# # 8 3 0 , De s Mo i n e s , I A 5 0 3 2 1 N/ A 2 0 0 . 0 01 0 5 5l D # 6 3 2 3 M a s t e r B u i l d e r s o f I o wa PAC, 2 2 1 P a r k S t , De s1 0 / 1 5 / 2 0 0 4 CK# Mo i n e s , I A 5 0 3 0 3 N/ A 2 5 0 . 0 02 9 0 2l D l i 6 0 7 0 I o wa LawPAC, 5 2 1 E L o c u s t S t , F 1 3 r d , De s1 0 / 1 5 / 2 0 0 4 CK# Mo i n e s , I A 5 0 3 0 9 - 1 9 3 9 N/ A 2 0 0 . 0 03 1 0 7I D # 6 0 8 2 Mi d Ame r i c a n E n e r g y E f f e c t i v e Gov er nment PAC,1 0 / 1 5 / 2 0 0 4 CK# 6 6 6 Gr a n d Av , PO Bo x 6 5 7 , De s Mo i n e s , I A N/ A 2 5 0 . 0 01 0 3 2 5 0 3 0 3 - 0 6 5 7I D# 8 3 3 8 FASPAC, 2 3 0 0 E 8 t h S t , Bo o n e , I A 5 0 0 3 61 0 / 1 9 / 2 0 0 4 CK# N/ A 1 0 0 . 0 05 1 3 0I D I I 6 0 5 9 I o wa Commi t g t e o f Au t o R e t a i l e r s PAC, 1 1 1 Of f i c e1 0 / 2 5 / 2 0 0 4 CK# Pa r k Rd , We s t De s Mo i n e s , I A 5 0 2 6 5 N/ A 2 5 0 . 0 02 6 4 7I D#CK #I D#CK#I D #CK #

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THI SBOXAPPLI ESTO 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 mus 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 . )Ex p en d i t u r e s t o p e r s o n s t 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 nSc h e d u l e Gb y t h e amo u n t , p u r p o s e , a n d d at e o f e a c h t y p e o f e x pe nd i t u r e mad e b y t h e p e r s o n / e n t i t y o n b e ha 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 Gi n s t r u c t i o n s a n d I o wa Cod e 68A . 4 0 2 ( 3 ) ( i ) . )

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM Rese t Fo r m I SCHEDULEEXPENDI TURES B MONETARY- MONEYSPENTFROMCOMMI TTEEACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATE PACCOMMI TTE ES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK THI S BOX I FPAC CHECK NUMBE R FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .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 )C i t i z e n ' s f o r Mad do x

CANDI DATE NAME ANDADDRESS TOWHOM 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 m e n t ) WAS MADE( MWDD/ YR) ANDPACCHECKNUMBER

I D# L e g i s l a t i v e Ma j o r i t y Fund , L i b by Co n t r i b u t i o n t o Re p ub l i c a n p a r t y1 0 / 2 0 / 2 0 04 CK# a c o b s , 8 0 8 5 8 t h S t , Wes t De s Mo i n e s , $ 5 0 00 , 0 05 0 2 6 6

I D#CK#

I D#CK#I D#CK#

I D#CK#I D#CK#

I D#CK#I D#CK#

SUB- TOTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $ 5 , 0 00 . 0 0

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FORI NSTRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME ( 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 )

C i t i z e n ' s f o r Mad do x

Reset Fcmn

SCHEDULEE I N K I ND( R e v . 0 6 / 9 7 ) CONTRI BUTI ONSdCHECK THI S BOX I F

AMENDI NG FORM

* 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 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 n i n k i n d c o n t r i b u t i o n t o t h e Pa ge 1 o f 1c o m m i 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 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 l a t i v e s ( f o r S c h e d u l e E )b y ma r r i a g e ) . ( S e e P a g e 2 o f f o r m s p a c k e t . ) 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 .

DATERECEI VED( MM/ DD/ YR) NAMEANDADDRESSOF CONTRI BUTORRELATI ONSHI PTO CANDI DATE* ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ONESTI MATEDF AI R MARKETVALUE

4 I F FORFUND- RAI SERCONTRI BUTI ON

1 0 / 1 3 / 2 0 04Re p ub l i c a n P a r t yY o f I o wa , 6 2 1 Ea s t 9 t h S t ,De s Mo i n e s , I A 5 0 3 0 9 N/ A P r i n t i n g c o s t f o rf l y e r 1 , 5 0 0 . 0 0

1 0 / 1 3 / 2 0 04 Re p ub l i c a n P a r t y o f I o wa , 6 2 1 Ea s t 9 t h S t ,De s Mo i n e s , I A 5 0 3 0 9 N/ A P os t a g e f o rma i l i n g f l y e r 1 , 5 0 0 . 0 0 F-1F - 1F- 1F -1F -1F - 1F]F - 1F -1