o'brien denise5119scanned

8/7/2019 O'Brien Denise__5119__scanned

1/56

FOR I NSTRUCTI ONS,SEE BACK OF FORM

DI SCL OSURE SUMMARY PAGE

COMMI TT EE NAME ( Mu s tb e same a s o nSt a t eme n t o f Or g a n i z a t i o n )

O' B r i e nf o rS e c r e t a r yo fA g r i c u l t u r e

I MPORTANT: I n d i c a t eb y # t y p eo f c ommi t t e ey o ua r e r e p or t i n g f o r: I 1( 1 ) S t a t e wi d e / L e g i s l a t i v e / J u d g eS t a n d i n gf o rRe t e n t i o nCa n d i d a t e( 2 ) S t a t ePAC ( 3 ) S t a t eP a r t y( 4 ) C o u n t yC e n t r a lCommi t t e e ( 5 ) C ou n t y Ca n d i d a t e( 6 ) C i t yC a n d i d a t e( 7 ) S c h o o lB o a r do rOt h e rP o l i t i c a lS u b d i v i s i o nCa n d i d a t. ( .. F

1, C d 1 ! n t y. , P. AC. k. 8. } G i l y _ PA C. ( 1 0 ) S c h o o lBo a r do rOt h e rP o l i t i c a lS u b d i v i s i o nPAC ( 1 1 ) L o c a lSBi t oL l s s u e . . ..

P o l i t i c a lP a r t y( i fa p p l i c a b l e )Demo c r a t

O f f i c eSou g h t i~ L, _ D i s t r i c t( i fSe n a t e o r House )S e c r e t a r yo f A g r i c u l t u r e ' ~ . . - - ` - - - - - - ~

L a t er e p o r t sa r e s u b j e c tt o p o s s i b l ec i v i lan d c r i m i n a lp e n a l t i e s. P u r s u a n tt o I o waCo d e s e c t i o n6 8B. 3 2 A ( 7 )t h ec a nd i d a t e ,f o r ac a n d i d a t e ' sc o mmi t t e e ,a n d t h e c h a i r p e r s o n ,f o ran y o t h e rt y p eo f c o mmi t t e e ,i s t h ei n d i v i d u a lr e s p on s i b l ef o rf i l i n gt i m e l yan d a c c u r a t er e p o r t

2e, 6 -, ~ \ 0 e& , ,~SI GNATUREOF PERSON F I L I N GREPORT

I AM F I L I NGA Nov embe r 3 , 2 0 0 6

( r e p o r td a t e )

F1 CHECK I FAMENDMENT TO REPORTDATED

0 Ch e c k i ft h i si sf i n a l( t e r m i n a t i o n )r e p o r tan d a t t a c hN o t i c eo f D i s s o l u t i o nFo r mDR- 3.( Yo umust c o n t i n u et o f i l er e p o r t su n t i la DR- 3 i s f i l e d. )

Rese t Fo r m

7 1 a r - 7 a l 1 ~~TELEPHONE

REPORT FOR ( 1 )ELECTI ON/ ( 2 ) NON- ELECT I ONYEAR .

I n d i c a t eb y #

ST AT EMENT OF CASH ON HAND

CASH ON HAND a t t h eb e g i n n i n go f t h er e p or t i n g p e r i o d. ( T o t a lo f a l lf u nd sh e l db y t h ec ommi t t e e. T h i samou nt MUST b e t h esame a s t h ec as h o nh a n d a t t h e e n do f t h e l a s tr e p o r t i n gp e r i o do r must b e z e r oi ft h i si s f i r s tr e p o r tf i l e d. ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $

CASH ON HAND a t t h ee n d o ft h i sr e p o r t i n gp e r i o d( i ff i n a lr e p o r tb a l a n c emustb e z e r o ) ( A t t a c hDR- 3 ) .. . . . .. . . .. . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. $

' UNPAI DBI LL S( F r o mSc h e d u l eD - A t t a c hSc h e d u l e D) . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . . . . . .. ,. . . . . . .. ,. . . . . . . . . . . . . . . . . . . . . . . .. $

* I NK I NDCONTRI BUTI ONS( F r o m Sc h ed u l eE - A t t a c hSc h e d u l eE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $

* * OUTSTANDI NGL OANS ( F r o mSc h ed ul e F- A t t a c hSc h e d u l e F ) . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. ,. . . . . . . . . . . . . . .. . . . . .. $

CONSULTANT BREAKDOWN ( Sc h ed u l eG At t a c h e d? )

CANDI DATECOMMI TT EES ONLY :

VALUE OF CAMPAI GN PROPERTY ( F r o mS c he d u l eH - A t t a c hSc h e d u l eH)

STATE COMMI TT EES : Submi t a r e c o n c i l e dc amp a i g n a c c o u n tb a n k s t a t e m e n ti nJ a n u ar y o f e a c h y e a r

.

FORM

DR- 2 I DI SCLOSURE( Re v . 1 2 / 2 0 0 5 ) REPORT

Fo rO f f i c eUs e On l yComm . # _-

L o g g e d I n

S c a n n e d

Compu t e r

A u d i t e d- - - - - - - -

F i l ew i t h:I o waE t h i c sa n dCampa i gnD i s c l o s u r eBo a r d5 1 0 E. 1 2 h ,S t e. 1 ADe s Mo i n e s ,I o wa5 0 3 1 9Fa x: 5 1 5 - 2 8 1 - 3 7 0 1

0 . 0 0

0 . 0 0

YES

L o c a lCo mmi t t e e s ,e n t e rDa t eo f E l e c t i o n

Co u n t y& L o c a lCo mmi t t e e s ,e n t e rCo u n t yi nwh i c hE l e c t i o ni s h e l d

1 0 1, 2 5 7. 7 9

ADD TOTAL MONEY TAKEN I NTHI SPERI OD

Sc h e d u l eA : Cash C o n t r i b u t i o n st o t a l( A t t a c hSc h e d u l eA) ( * a l s os e e i n - k i n db e l o w). . . . . . . . . . . . . . . . . . . . . . . . .

Sc h e d u l e F: Lo a n s Re c e i v e dt o t a l( A t t a c hSc h e d u l e F ). . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . .

Sc h e d u l eH: To t a lSa l e so fCampa i g n P r o p e r t y( A t t a c hSc h e d u l e H) . . . . . .. . . . . . . .. . . . . . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . ..

( Sc h e du l eH ap p l i e s t o Ca nd i d at e s ' Commi t t e e s On l y )

SUB- TOTAL. . . . . .. . . . . . . .. . . . . . . . .$ 2 1 4, 2 80. 8 1SUBTRACT TOTAL MONEY SPENT THI SPERI OD

Sc h e d u l e B: E x p e nd i t u r e st o t a l( A t t a c hSc h e d u l e B) ( * * a l s os ee d e bt s a n dl o a n s b e l o w). . . . . . . . . . . . . .. . . . 1 9 3 , 7 3 3. 8 4

Sc h e d u l e F: Loan Rep a y men t s t o t a l( A t t a c hSc h e d u l e F ) . . . .. . . .. . . . . . . .. . . . . . . . .. . . . . . .. .. . . . . . .. . . . . . . .. . . . . . . .. . . . .. , . ,. . . 0 .0 0

1 1 3, 0 2 3. 0 2

2 0 , 5 4 6. 9 7

5, 1 2 8. 6 1

1, 9 6 8. 6 4

0. 0 0

NO


2/56

Fo r I n s t r u c t i o n s , Se e Ba ck o f For m

CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n gc a nd i d a t e ' s p e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s on St a t ement of Or g an i z a t i o n)

O' Br i e nf o rS e c r e t a r yo f A g r i c u l t u r e

SCHEDULE

A MONETARY( Re v. 0 7 / 0 3 ) I RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I SRECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I ST OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r mat i o nc o p i e d f r o m r e p or t s and s t a t e me nt s f o r s o l i c i t i n gc ont r i but i ons o r f o ran yc omme r c i a l p u r p o s e b y an 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 lc o mmi t t e es .

SUB- TOTAL L94. 00TOTAL ( i fl as t page o f t h i s s c h ed u l e)

' Di s c l o s u r el aw r e q u i r e sc an di d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f any r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s h own t o t h e t h i r dd e gr e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sbyma r r i a g e) . I f s u r n ame o f c on t r i b ut o ri s t h e s ame as c a nd i d a t e , bu t t h e r e i sn o Page 1 o ff a m i l i a lr e l a t i o n s h i p ,e n t e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l e A)

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI S

NUMBER I NCI D#

1 0 / 1 7 / 0 6 ZyWei nber g $ 1 0 0. 0 0

CK# 6 4 1 2Count y Rd 1 1 6 ,B u r n e tTX 7 8 6 11

I D#

1 0 / 1 7 / 0 6Mi c h e l l ePeacock 2 50. 0 0

CK# 1 3 4 6 5Oak Br ookDr ,Ur bandal e I A 5 0 3 2 3

I D#

E l a i n eSzymon i a k 2 5 . 0 01 0 / 1 7 / 0 6 CK# 2 9 0 9 Wood l a n dAv e # 1 0 11 ,Des Moi nes I A5 0 3 1 2

ID#

1 0 / 1 7 / 0 6 CK#J e a nHaugl and 1 0 0. 0 06 7 5 0 S c h o o lS t # 1 4 0 2 ,Des Moi nes I A 5 0 3 11

I D#

1 0 / 1 7 / 0 6Dav i d S t e w a r t

1 0 0. 0 0CK# 2 0 0 4Ca s pe r Av e ,Wav er l yI A5 0 6 7 7

ID#

1 0 / 1 7 / 0 6Gl ennSchon 2 0. 0 0

CK# 1 0 0 2 S k y l i n eDr ,Ca r r o l lI A 5 1 4 0 1

I D#

1 0 / 1 7 / 0 6Conni e Ru s s e l l 5 0. 0 0

CK# 7 5 3 3 3I ndependence Rd , An i t aI A 5 0 0 2 0

I D#

1 0 / 1 7 / 0 6C r a i gCox 2 0 0. 0 0

CK# 3 3 0 1Ross

Rd , Ames I A5 0 0 1 4

I D#

Ge r a l dL a r s o n 8 3 5 S l i g oCr eek Pk y 5 0. 0 01 0 / 1 7 / 0 6 CK# Takoma P a r kMD 2 0 9 1 2

I D#

1 0 / 1 7 / 0 6Ch e r y l lJ o n e s 50 . 0 0

CK# 2 9 7 4 3Hwy 6 3 ,Bl o omf i e l dI A5 2 5 3 7


3/56

Fo r I n s t r u c t i o n s , See Back of Fo r m

CONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t emen t of Or g an i z a t i o n)

O' B r i e nf o rS e c r e t a r yo f A g r i c u l t u r e

STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se ct i o n 68 B . 3 2A( 6 ) , p r oh i b i t st h e u s e o f i nf or ma t i onc 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 gc ont r i b ut i o ns o r f o r an y

c omme r c i a l p u r p o s e by an y p e r s o n o t h e r t h an s t a t ut or y p o l i t i c a lc o mmi t t e es .

SUB- TOTAL

TOTAL ( i fl as t page o f t h i s s c h ed u l e)

* Di s c l o s u r el awr e q u i r e sc a nd i d a t ec ommi t t e es t o d i s c l o s et h er e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmust b e s h own t o t h et h i r dd e g r e e o f c on sa ng ui n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sby 2ma r r i a g e) . I f s ur name o f c o nt r i b ut o ri s t h e s ame as c an d i d a t e , but t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e 'i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d ul e A)

SCHEDULE

A MONETARY( Rev . 0 7/ 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE* RECEI VED FUND( MM/ DD/ YR) AND PAC CHECK ( i fa p p l i c a b l e ) RAI S

NUMBER I NCO

I D#James Mu r p h y $50 . 0 01 0 / 1 7 / 0 6

CK# 1 9 2 5SE 8 2 n d S t , Ru n n e l l sI A 5 0 2 3 7

I D#

S h e i l aS t e g e r 1 , 0 0 0. 0 01 0 / 1 8 / 0 6 CK# 72 4 S Neg l eyAv e # 4 , P i t t s b u r g hPA 1 5 2 3 2

I D#And r e T Hei nz 1 0 , 0 0 0. 0 01 0 / 1 8 / 0 6 CK# 1 9 0 5SquawRun Rd, P i t t s b u r gPA 1 5 2 3 8

I D#

Ch r i s t o p h e rDr a k e He i nz 1 1 0 1P en n s y l v a n i aAv e 5 , 0 0 0. 0 01 0 / 1 8 / 0 6 CK# NW S t e. 3 5 0 , Wash i n g t o nDC 2 0 0 0 4

ID#J u d i t hWi c k s 1 0 0. 0 01 0 / 1 6 / 0 6 CK# 3 4 2 2 Samson S t ,P h i l a d e l p h i aPA 1 9 1 0 4

I D#Dan Bednar 7 . 0 0

1 0 / 1 6 / 0 6 CK# 1 3 0 7 S 2 8 t hS t ,F t Dodge I A 50501

I D#He l en M i l l e r 2 0. 0 010 / 1 6 / 0 6

CK# 1 9 3 61 5 t hAv e N, F tDodge I A 50501

I D#Wi l l i am K er n s 1 0 0. 0 01 0 / 1 6 / 0 6 CK# 1 3 0 11 0 t hAv e N, F t Dodge I A 50501

I D#L o i sDenck l an 2 5 . 0 0

1 0 / 1 6 / 0 6 CK# 2 0 2 1N 1 4 t hCt . # 4 , F tDodge I A50501

I D#Ru t h Edwa rd s 1 0. 0 01 0 / 1 6 / 0 6 CK# 1 9 0 97 t hAv e N, F tDodge I A50501


4/56

Fo r I n st r u c t i o ns , See Back o f Fo r m


( I n c l u d i n gc a n d i d a t e ' sp er s o n al f u n d s)

COMMI TTEE NAME ( Mu s t be s ame a s on St a t ement o f Or g a ni z a t i o n)


STATE CANDI DATES NOTE: I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i on 68 B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i nf or ma t i onc op i e d f r o m r e p o r t s and s t a t e me n t s f o r s o l i c i t i n gc ont r i b ut i ons o r f o ranyc omme r c i a l p u r p o s e b y any p e r s o n o t h e r t h an s t a t ut or y p o l i t i c a lc ommi t t e e s.

SUB- TOTAL

TOTAL ( i fl as t page o f t h i s s c h ed u l e )

Di s c l o s u r e l a wr e q u i r e sc an di d at e c ommi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmust b e s hown t o t h e t h i r dd e g r e e o f c o ns an gu i n i t y ( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 3ma r r i a ge ) . I f s ur name o f c o n t r i b u t o ri s t h e s ame a s c a nd i d at e , b u t t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n ot a pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d ul e A)

SCHEDULE

A MONET ARY( Re v . 0 7/ 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I FRECEI VED ( i fap p l i c ab l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI S

NUMBER I NCO

I D#Mar y Hea l d Be h $ 2 5 0. 0 01 0 / 1 7 / 0 6

CK# 5 4 1 0Gr andAve , Des Moi nes I A 5 0 3 1 2

I D#

1 0 / 1 7 / 0 6B u r tCho j nowsk i 2 5. 0 0

CK# Bo x 1 1 7 6 ,F a i r f i e l dI A 52 556

I D#

P a s s t h eH a t ,h o u s ep a r t y f u n d r a i s e ra t home o f J i m 2 0 . 0 01 0 / 1 7 / 0 6 CK# & Ba r b Da l e ,De c o r a h ,I A

ID#

1 0 / 1 7 / 0 6 CK#Susan O t t e 2 5. 0 03 06 Ce n t e rAv e , De cor a hI A 5 2 1 0 1

I D#Ha r l a nd Ne l s on 1 0 0. 0 01 0 / 1 7 / 0 6 CK# 2 07 Oh i o S t # 5 , Deco r ah I A 5 21 0 1

I D#

L e s l i eSand 2 00. 0 01 0 / 1 7 / 0 6 CK# 2 5 9 7 Qu ar r y H i l lRd , Deco r ah I A5 21 0 1

I D#

B r i a nDe p ew 2 5. 0 01 0 / 2 0 / 0 6 CK# 3 1 9 S Cl emens , L an s i n gMI 4 8 9 1 2

ID#

Thomas F i n e 2 5. 0 01 0 / 2 0 / 0 6 CK# Bo x 6 4 , B r a d d y v i l l eI A5 1 6 3 1

I D#

J a n eRi e s s e n 2 6. 0 01 0 / 2 0 / 0 6 CK# 1 0 0E 3 5 t h ,Des Moi nes I A 5 0 3 1 7

ID#S y l v i aNe al - Toml i n so n 2 0 . 0 01 0 / 1 8 / 0 6 CK# 2 0 0 0 N Co u r t# 18A , F a i r f i e l dI A5 2 5 5 6


5/56

Fo r I n s t r u c t i o n s , See Back of Fo r m


( I n c l u d i n gc a n d i d a t e ' s p e r s o n a l f u n ds )

COMMI TTEE NAME ( Mu s t b e s ame as on St a t ement of Or g an i z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I ST OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Sec t i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i o nc op i e d f r omr e p or t s and s t a t e me nt s f o r s o l i c i t i n gc ont r i but i ons or f o ran yc omme r c i a l p ur p o seb y an 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 lc o mmi t t e es .

SUB- TOTAL

TOTAL ( i fl a st page of t h i s s c h ed u l e)

* Di s c l o s u r el a wr e q u i r e sc and i d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s hown t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 4ma r r i a g e). I f s ur name o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , bu t t h e r e i s n o Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e du l e A)

SCHEDULE

A MONETARY( Re v. 0 7/ 0 3 ) RECEI PTS


DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NCID#

Gr eg Ko e t h e r $ 2 0 0. 0 01 0 / 1 8 / 0 6CK# 2 6 0 4 6Gi a r d Rd ,McGr egor I A 5 2 1 5 7

I D#

P h i l i pSp e c h t 2 8 3 0 4P l e a s an tRi d g eRd 1 00. 0 01 0 / 1 8 / 0 6 CK# McGr egor I A 5 2 1 5 7

I D#

1 0 / 1 8 / 0 6Da n i e lSp e c h t 1 00. 0 0

CK# 1 2 0 8 2 I r i sAve , McGr egor I A 5 2 1 5 7

ID#

1 0 / 1 8 / 0 6 CK#J a s on Kl i n ge1 9 ` 1 &q / 3 - P u r

"

r e y ';1 6 ' y 6 ' ! q6 5 . 0 0

" r " -7ID#

1 0 / 1 8 / 0 6J e f fKl i n ge 2 50. 0 0

CK# 1 6 6 0 9Hwy 1 3 , Fa r me r s bu r g I A5 2 0 4 7

I D#Be v er l yHannon 1 5. 0 01 0 / 1 8 / 0 6 CK# 6 0 4 9 1 8 t hAve , Anamosa I A 5 2 2 0 5

I D#

Suzanne Z i l b e r 8 0. 0 01 0 / 1 8 / 0 6 CK# 8 0 1C r y s t a lS t , Ames I A 5 0 0 1 0

I D#

1 0 / 1 8 / 0 6J a n eBush 1 5 0. 0 0

CK# 1 3 0 0Mt Hope Hwy, Ch a r l o t t eMI 4 8 8 1 3

I D#G Da v i dHur d 2 50. 0 0

1 0 / 1 8 / 0 6 CK# 3 00 Wal nu t S t # 1 8 3 , De s Mo i n es I A 5 0 3 0 9

I D#

1 0 / 1 8 / 0 6Dan Cohen 2 5. 0 0

CK# 4 07Wood l a n dDr , Ha z el t o nI A 5 0 6 4 1


6/56




COMMI TTEE NAME ( Mu s t be s ame a s on St a t ement o f Or g a ni z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se c t i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i nf or ma t i onc op i e d f r o mr e p o r t s an d s t a t e me n t s f o r s o l i c i t i n gc ont r i b ut i ons o r f o ran yc omme r c i a l p ur p o seb y an 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 lc ommi t t e e s.

SUB- TOTAL

TOTAL ( i fl a st page o f t h i s s c h ed u l e )

* D i s c l o s u r el aw r e q u i r e sc an di d at e c ommi t t e e st o d i s c l o s et h er e l a t i o n s h i po f a ny r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmu st b e s h own t o t h et h i r dd e g r e e o f c on s an gu i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 5ma r r i a ge ) . I f su r name o f c on t r i b ut o ri s t h e s ame as c a nd i d a t e , b ut t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l umn. ( f o rSc h e d ul e A)

SCHEDULE


0 CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#Rut h Ha r d i n $1 0 . 0 01 0 / 1 8 / 0 6

CK# 1 8 0 B u r rOak B l v d ,P l e a s an tH i l lI A 50327

I D#

Ross Bl o u nt 5 0. 0 01 0 / 1 8 / 0 6 CK# 4 05 N Ce n t r a l , A l l e r t o nI A 50008

ID#Tamar a Lo r enz 3 0. 0 01 0 / 1 8 / 0 6 CK# 3 1 1 SMap l e Ave , Ame s I A50010

I D#

Da l e Sc h r o e de r 1 2 5. 0 01 0 /1 8 / 0 6 CK# 1 70 9 2 7t hS t , Des Moi ne s I A50310

I D#Rhonda Ri o r d a n 1 0 0. 0 01 0 / 1 8 / 0 6 CK# 7707 As hwo r t hRd , West Des Moi nes I A 50 26 6

I D#Ne i lAnd e r s e n 4 2 7 6Co t t a geGr o v e Pkwy SE, 1 0. 0 01 0 / 1 8 / 0 6 CK# Cedar Ra p i d sI A52 40 3

I D#C . J. N i l e s 1 0 0. 0 01 0 / 1 9 / 0 6 CK# 1 2 0W Ra nd a l l Rd ,C a r r o l lI A 51401

I D#

Rhonda Br a k k e 2 50 . 0 01 0 / 1 9 / 0 6 CK# 5 6 1 4 3 1 0 t hS t , Cl e a rLak e I A50428

I D#Da l l a sCo . Demo c r a t s ,c / oDa v i dMcFar l a n d 1 00 . 0 0

1 0 / 1 9 / 0 6 CK# 1 3 0 56 t hS t , P e r r yI A 50 22 0

I D#C l a i r eS p o n s l e r 1 0 0. 0 01 0 / 1 9 / 0 6

CK# 4 13 N G i l b e r tS t , I owa C i t yI A 5 2 2 4 5


7/56

For I n st r u c t i o ns , See Back of Fo r m



COMMI TTEE NAME ( Mus t b e s ame a s on S t a t e me n t o f Or g a n i z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRES PONS I BI L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i nf or ma t i on c op i e d f r omr e p o r t s an d s t a t e me n t s f o rs o l i c i t i n gc ont r i b ut i ons or f o ran yc omme r c i a l p ur p o se b y an 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 lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s t page of t h i ss c h ed ul e )

* D i s c l o s u r el a wr e q u i r e sc a nd i d a t e c ommi t t e e s t o d i s c l o s et h er e l a t i o n s h i po f a ny r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s h own t o t h et h i r dd e g r e e o f c on s an gu i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 6

7~ma r r i a g e ) . I f su r name o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , b ut t h e r e i s no P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c ab l e " i n t h e r e l a t i o n s h i pc o l umn . ( f o rSc h e d ul e A)

SCHEDULE

A MONETARY( Re v . 0 7/ 0 3 ) RECEI PTS


DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

ID#L i a neNi c h o l s $2 5. 0 01 0 / 1 9 / 0 6

CK# 2 0 1 3 Mi n ne t o n i a Rd ,Cedar F a l l sI A 5 0 6 1 3

I D#

Te r e s aHa y McMah on 1 0 0. 0 01 0 / 1 9 / 0 6 CK# 1 3 3 1 5 I r i sAve , McGr eg o r I A 5 2 1 5 7

I D#

L i nd aNeuman 1 00. 0 01 0 / 1 9 / 0 6 CK# 2 1 8 5 5Gr e a t Ri v e r Rd ,Le C l a i r eI A52753

ID#

E l l e nWi d i s s 1 0 0. 0 01 0 / 1 9 / 0 6 CK# 3 1 6 Ki mb al l Rd ,I owa C i t yI A5 2 2 4 5

I D#Ma r yDoer r 5 0. 0 01 0 / 1 9 / 0 6 CK# 6 8 6 3Count y 1 2 B l v d ,Kenyon MN 5 5 9 4 6

ID#Do r i sRi v e r a 1 0 0. 0 01 0 / 1 9 / 0 6 CK# 6 1 She r man P I , I r v i n g t o nNJ 0 7 111

ID#Edwa r dMa l l oy 5 0. 0 01 0 / 1 9 / 0 6 CK# 11 0 5L ak e v i e wDr , F a i r f i e l dI A 5 2 5 5 6

ID#St e p h e nFr obouck 2 , 0 0 0. 0 01 0 / 2 0 / 0 6 CK# 1 0 9 0Fo x Chape l Rd, P i t t s b u r g hPA 1 5 2 3 8

I D#G i l l i a nBr own 1 00. 0 0

1 0 / 2 0 / 0 6 CK# FM 1 0 9 3M . U. M. F a i r f i e l dI A 5 25 57

ID#B i l lWi t h e r s p o on 1 5 000. 0 01 0 / 2 0 / 0 6

CK# Bo x 1 7 3 5 , F a i r f i e l dI A 52556


8/56




COMMI TTEE NAME ( Mu s t be s ame a s on S t a t eme n t of Or g a n i z a t i o n)


Re s e tF o r m

STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se ct i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i nf or ma t i onc op i ed f r omr e p o r t s an d s t a t e me nt s f o r s o l i c i t i n gc ont r i b ut i ons o r f or an yc omme r c i a l p ur p o seb y a ny 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 lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s tpage o f t h i ss c h e du l e )

* D i s c l o s u r el a wr e q u i r e sc a nd i d a t e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmu st b e s h own t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sby 7ma r r i a g e). I fs ur name o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , bu t t h e r e i s no P a g e o f 4f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l umn. ( f o rS ch e d ul e A)

SCHEDULE

A MONET ARY( Re v . 0 7/ 0 3 ) RECEI PTS


DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE* RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI S

NUMBER I NC

I D#C a r o lFuch s $ 3 0 0. 0 01 0 / 2 0 / 0 6

CK# 8 06 B r o o k r i d g eAve, Ames I A50010

I D#

L i nd aZ a h r t 2 2 1 3 3L a r p e n t e u rMemor i a l Rd 50 . 0 01 0 / 2 0 / 0 6 CK# Tu r i nI A 5 1040

I D#

Maya Hageg e 1 5. 0 01 0 / 2 0 / 0 6 CK# 1 71 1 F e d e r a lAve , L os An g el eCA 9 0 0 2 5

I D#

Wi l l i amF ur l o ng 50 . 0 01 0 / 2 0 / 0 6 CK# 3 2 6Hu t c h i n s o n Av e ,I owa C i t yI A 5 2 2 4 6

I D#Rodney Mar go l 2 00. 0 01 0 / 2 0 / 0 6 CK# 11 0 6 2Ri v e r p o r tDr W, J a c k s o n v i l l eFL 3 2 2 2 3

I D#L i n daAp p el g a t e 5 0. 0 01 0 / 2 0 / 0 6 CK# 2 8 3 5 4 6 t hS t , Des Moi nes I A 5 03 1 0

I D#

Mr s. P h i l i pLehman 1 0. 0 01 0 / 2 0 / 0 6 CK# 1 4 2 8 2NW 1 6 t hS t , S l a t e rI A 5 0 2 4 4

ID#Be ve r l y Br i n k 2 5 . 0 01 0 / 2 0 / 0 6 CK# 1 0 6Hi g h S t NE, El k a d erI A 5 2 0 4 3

ID#An n Schodde 1 0 0. 0 0

1 0 / 2 0 / 0 6 CK# 9 04 5 4 t hS t , West Des Moi ne s I A5 0 2 6 6

I D#Geor ge We l c h 5 0. 0 01 0 / 2 0 / 0 6 CK# 4000 Co t t a geGr ov eAve , Des Moi nes I A 5 0 3 11


9/56


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

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t emen t o f Or g a ni z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Sec t i o n 6 8B . 3 2 A( 6 ) , p r oh i bi t st h e u s e o f i nf or ma t i on c op i e d f r omr e p o r t s an d s t a t e me nt s f o rs o l i c i t i n gc ont r i but i ons or f o ran yc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es.

SUB- TOTAL$ 79 5. 0 0

TOTAL ( i fl as t page of t h i s s c h ed u l e)

Di s c l o s u r el aw r e q u i r e sc an di d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s h own t o t h e t h i r dd e gr e e o f c o n s an g ui n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 8 Li nma r r i a g e). I f s ur name o f c on t r i b ut o ri s t h e s ame as c a nd i d a t e , b u t t h e r e i s n o Page o f - 7 Vf a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d ul e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ~ 1I FRECEI VED ( i fa p pl i c ab l e ) TO CANDI DATE" RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

I D#S h i r l e yDa ns k i n -Wh i t e $100 . 0 01 0 / 2 0 / 0 6

CK# 2 9 2 6W F i r s tS t , Ankeny I A 50023

ID#

I z e t t eBopp 5 0. 0 01 0 / 2 0 / 0 6 CK# 1 6 0 9 E 1 4 t h S t# 1 2 , A t l a n t i c ,I A5 0022

I D#He l e n P i g g 2 0 . 0 01 0 / 2 0 / 0 6 CK# 6 02 E 8 t hS t , A t l a n t i c ,I A 5 00 22

I D#

Hancock Co . Dem . P a r t y ,c / oDan R o l l i n g 1 0 0. 0 01 0 / 2 1 / 0 6 CK# 53 2 SE El mS t ,Cor wi t hI A 5 04 30

I D#K a t h r y nDawl ey 1 0 0. 0 01 0 / 2 1 / 0 6 CK# 9 00 52nd S t . ,West Des Moi ne s I A 5 0 2 6 5

I D#Su s a nC o l l i n s 2 5. 0 010 / 2 1 / 0 6

CK# 7 3 4 9Mt Ver non Rd SE,Cedar Ra p i d sI A5 2 4 0 3

I D#James L i n s da y 1 0 0. 0 010 / 2 1 / 0 6

CK# 6 9 0 F en e l o nP l ,Dubuque I A 5 2 0 0 1

I D#Emi l yReed 100. 0 01 0 / 2 1 / 0 6

CK# 2 2 4 11 6 5 t hS t ,S p i r i tLake I A 5 1 36 0

ID#I r e n eKr e i me y e r 1 0 0. 0 0

1 0 / 2 1 / 0 6 CK# 2 3 60 Vi neAve , Dough e r t y I A 5 0 4 3 3

I D#Ang el a Tedesco 1 0 0. 0 01 0 / 2 1 / 0 6

CK# 7 2 6 0 NW 5 8 t hS t , J o h n s t o n ,I A 5 0 1 3 1


10/56

For I n s t r u c t i on s , See Bac k of Fo r m



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 an i z a t i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I N GRES PONS I BI L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i o n6 8B . 3 2A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i o nc op i e d f r omr e p o r t san d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i o nso r f o r an yc o mme r c i a l p u r p o s eb y an y p e r s o n o t h er t h an s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s t page o f t h i ss c h e du l e )

Di s c l o s u r el a w r e q u i r e sc a nd i d at ec o mmi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec o mmi t t e e. Re l a t i o n s h i pmust b e s h o w n t o t h e t h i r dd e gr e e o f c o ns a ng u i n i t y( b l o o dr 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 sb y 9ma r r i a g e ) . I f s ur name o f c o n t r i b u t o ri s t h e s ame a s c a nd i d at e , b u t t h e r e i s n o P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l eA)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#

Ro n a l dMcDan i e l $1 5. 0 01 0 / 2 1 / 0 6CK# 4 8 4 0 Be l mon t Rd ,B e t t e n d o r f ,I A5 2 7 2 2

I D#

Co n n i eDi e k e ma 1 0 0. 0 01 0 / 2 1 / 0 6 CK# 6 7 3 3 Ce r e sC i r ,J o h n s t o nI A5 0 1 3 1

ID#Thomas S l a u g h t e r 1 00. 0 01 0 / 2 1 / 0 6 CK# 1 2 03 5 t hS t , Des Mo i n e sI A5 0 3 1 2

ID#

Ro b e r tJ o s t e n 2 00. 0 01 0 / 2 1 / 0 6 CK# 8 0 1G r a n d ,S t e3 9 0 0 ,Des Mo i n e sI A503 09

ID#Na n c y B r o u i l l e t t e 1 0 0. 0 01 0 / 2 1 / 0 6 CK# Bo x 6 7 , Ar n o l d sP a r k ,I A5 1 3 3 1

ID#Sus anWes t 2 5. 0 01 0 / 2 1 / 0 6 CK# 1 55 1 Cu r r yB l v d ,F a i r b a n kI A 50 62 9

ID#Li n da Sc h n e p f 50. 0 01 0 / 2 3 / 0 6 CK# 5 0 3 0 Cl e b ur n eC t ,P l e a s an tHi lI A5 0 3 2 7

I D#Da a v i dMo r g a n 1 0 0. 0 01 0 / 2 3 / 0 6 CK# 3 3 2 0Mo n t i c e l l oAv e , Wa t e r l o oI A50701

I D#James P r i t c h a r d 2 5 . 0 0

1 0 / 2 3 / 0 6 CK# 1 2 0 6Or c h a r dDr . Ame s I A5 0 0 1 0

I D#Na n c y Th oma s 50 . 0 01 0 / 2 3 / 0 6

CK# 4 1 8 A2 n d Av e S , Mt Ve r n o nI A 52 3 14


11/56


CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a l f u n d s )



STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT IONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NG

RESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Sec t i o n 6 8B . 3 2 A ( 6 ) ,p r oh i b i t st h e u s e o f i nf or mat i onc 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 rs o l i c i t i n gc ont r i but i ons or f o r anyc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es .

SUB- TOTAL$ 2 2 0. 0 0


* Di s c l o su r el aw r e q u i r e sc an di d at e c ommi t t e e s t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v emak i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmust be s h own t o t h e t h i r dd e gr e e o f c o ns an gu i n i t y ( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 1 0 l ) ~ ~ma r r i a g e) . I f s ur name o f c o nt r i b ut o ri s t h e s ame as c a nd i d a t e , b u t t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d ul e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa p pl i c ab l e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

ID#P r i s c i l l aSl i wa $3 0. 0 01 0 / 2 3 / 0 6

CK# 2 6 8 2 Lannon H i l lRd , Decor ah I A 52101

ID#Wi l l i amP i e r c e 1 0. 0 01 0 / 2 0 / 0 6 CK# 3 28 N H o l t ,Ot t umwaI A525 01

I D#Ti mEn n i s 2 0. 0 01 0 / 2 0 / 0 6 CK# 2 11 3 Co r n i n gC a r lRd , Co r n i n g I A 5 0 8 4 1

I D#

P h y l l i sDean 2 0 . 0 01 0 / 2 0 / 0 6 CK# 1 4 1 3 2 1 3 5 t hS t ,Ot t umwa1A 52501

I D#Donal d S h a f f e r 2 0 . 0 01 0 / 2 0 / 0 6 CK# 4 1 6 Cor y Dr ,Ot t umwaI A 52501

I D#Ch e r y l !J o n e s 2 0 . 0 0 ,

1 0 / 2 0 / 0 6 CK# 2 9 7 4 2Hwy 6 3 ,B l o omf i e l d ,I A5 2 5 3 7

I D#Tom Bo x 2 0. 0 0

1 0 / 2 0 / 0 6 CK# Bo x 2 7 3 ,El d o n I A

ID#J o y c eHass 2 0. 0 01 0 / 2 0 / 0 6 CK# 1 0 5 3 79 0 t hS t ,Ot t umwa1A 52501

I D#K ev i nHass 2 0. 0 0

1 0 / 2 0 / 0 6 CK# 10537 9 0 t hS t ,Ot t umwa1A 52501

ID#Tom & Peg L az i o 4 0. 0 0

1 0. 2 0. 0 6 CK# 2 3 0 1 N C o u r t ,Ot t umwaI A 52501


12/56

For I n s t r u c t i o n s , See Back o f For m



COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f Or g a n i z a t i o n)


STATE CANDI DATES NOTE: I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I STOF I D NUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i n f o r ma t i o nc op i e d f r omr e p o r t s an d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i o ns o r f o ran yc omme r c i a l p u r p o s e b y an 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 lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s t page of t h i ss c h e du l e )

* D i s c l o s u r el a wr e q u i r e sc a nd i d a t e c ommi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s h own t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 1 1ma r r i a g e). I f su r name o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , b u t t h e r e i s no P a g e o f 4f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l umn . ( f o rSc h e d ul e A)

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE* RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#R K u r tSwa i m $2 0. 0 01 0 / 2 0 / 0 6

CK# 504 N Da v i s ,Bl o omf i e l dI A 5 2 5 3 7

ID#

Max i n eCh i d e s t e r 2 0 . 0 01 0 / 2 0 / 0 6 CK# Bo x 6 2 , Bl a k e s bu r gI A 5 2 5 3 6

ID#E z ek i e lFu r l o ng 2 5. 0 01 0 / 2 0 / 0 6 CK# 6 8 6 1 9 t hS t # 2 ,De s Mo i n e s I A 5 0 3 1 4

ID#

K e i t hK r e i ma n 2 5 . 0 01 0 / 2 0 / 0 6 CK# 4 06 Pa r k v i e wDr ,Bl o omf i e l dI A5 2 5 3 7

I D#

J u d i t hBe i s c h 2 5 . 0 01 0 / 2 0 / 0 6 CK# 1 3 1Br y a n Rd ,Ot t umwaI A 52501

I D#Ma r y P e t e r s o n 2 5 . 0 01 0 / 2 0 / 0 6 CK# 2 7 1 7 E a s t r i d g eDr ,C e n t e r v i l l eI A 5 2 5 4 4

ID#Ma r y G a s k i l l 3 0 . 0 01 0 / 2 0 / 0 6 CK# 509 E 4 t hS t ,Ot t umwaI A 52501

I D#E r i cSc h wa r t z 2 0 , 0 0 0. 0 01 0 / 2 1 / 0 6 CK# 1 6 1 3 P l e a s an t P l a i nRd , F a i r f i e l dI A 52556

I D#Ma r y Su e Sc hwa r t z 1 5 , 0 0 0. 0 0

1 0 / 2 1 / 0 6 CK# 1 6 1 3P l e a s a n tP l a i nRd , F a i r f i e l dI A 52556

I D#L on n i eGamb l e 1 0 0. 0 01 0 / 2 1 / 0 6 CK# 1 8 6 0Wood l a n dRd , F a i r f i e l d52 55 6


13/56






SCHEDULE

A MONETARY( R ev . 0 7 / 0 3 ) I RECEI PTS


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CATI ONNUMBER ANDTHE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I ST OF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , p r oh i bi t st h e u s e o f i nf or ma t i on 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 rs o l i c i t i n gc ont r i but i ons or f o r anyc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es .

SUB- TOTAL


$ 7 9 5. 0 0

* D i s c l o s u r el aw r e q u i r e sc an di d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f any r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu st b e s h own t o t h et h i r dd e gr e e o f c on sa ng ui n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sby 1 2ma r r i a g e) . I f s ur name o f c on t r i b ut o ri s t h e s ame as c an di d at e , bu t t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn . ( f o rSc h e d ul e A)

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa p pl i c ab l e ) TO CANDI DATE* RECEI VED FUN( MMI DDI YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NCO

I D#P . A. P $50. 0 01 0 / 2 1 / 0 6

CK# 1 9 3 7 P r a i r i eC i r ,F a i r f i e l dI A 52 55 6

I D#

Mar y J o C a r t e r 2 0. 0 01 0 / 2 1 / 0 6 CK# 1 7 7 3Osage Ave, F a i r f i e l dI A 52556

I D#

Ce s a r i eS i mmons 2 5 . 0 01 0 / 2 1 / 0 6 CK# 2 0 2 S Map l e S t ,F a i r f i e l dI A 5 2 5 5 6

I D#

Susan No l lT hi c k e 50 0. 0 01 0 / 2 1 / 0 6 CK# 1 7 4 5B r o o k v i l l eRd , F a i r f i e l dI A 5 2556

I D#P a t r i c kBosol d 2 5 . 0 01 0 20 / 0 6 CK# 2 0 2 N 5 t hS t ,F a i r f i e l dI A 5 25 56

ID#El d o nSnook 1 0. 0 0

1 0 / 2 2 1 0 6 CK# Bo x 7 0 1 ,Mont ez uma I A 5 0 1 7 0

I D#

N e i l lGo l t z 50 . 0 01 0 / 2 2 / 0 6 CK# 1 4 1 9Spencer S t ,G r i n n e l lI A 5 0 11 2

I D#R i t aBa u s t i a n 1 5. 0 01 0 / 2 2 / 0 6 CK# 1 7 3 5 1 0 t hAve , Gr i n n e l l1 A 5 0 11 2

I D#Gar y Lamb 5 0. 0 0

1 0 / 2 2 / 0 6 CK# 3 8 2 9 Q Av e , Ch el s eaI A 5 2 2 1 5

I D#P h y l l i sF r a n z e n 5 0. 0 0

1 0 / 2 2 / 0 6 CK# 2 0 6 4 1 s tAv e West , Newt on I A 5 0 2 0 8


14/56




COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t ement o f Or g a ni z a t i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I STTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I N GRES PONS I BI L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Sec t i o n 6 8B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i n f o r mat i o nc op i e d f r omr e p or t s an d s t a t e me nt s f o rs o l i c i t i n gc ont r i bu t i ons o r f o ran yc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es.

SUB- TOTAL

TOTAL ( i fl as t page o f t h i s s c h e du l e)

$ 54 0 . 0 0

* D i s c l o s u r el aw r e q u i r e sc a nd i d at e c ommi t t e est o d i s c l o s et h er e l a t i o n s h i po f any r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec o mmi t t e e. Re l a t i o n s h i pmus t b e s h own t o t h et h i r dd e gr e e o f c o n s an g ui n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sby 1 3ma r r i a ge ) . I f s ur name o f c on t r i b ut o ri s t h e s ame as c a nd i d at e , bu t t h e r e i s no Page o f

-7u

f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o tap p l i c abl e" i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ~ 1 I FRECEI VED ( i fa pp l i c abl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

ID#Gar y Hoskey $50 . 0 01 0 / 2 2 / 0 6

CK# 3 2 6 8Hwy T - 4 7 ,Mont ou r I A50 17 3

I D#

Ma r v i nS h i r l e y 5 0 . 0 0 r1 0 / 2 2 / 0 6 CK# 1 9 0 5L ex i ng t onRd ,Mi nbu r n I A5 0 1 6 7I D#

J e f f e r yGa r l a nd 5 0. 0 01 0 / 2 2 / 0 6 CK# 1 7 0 3P a r kS t ,G r i n n e l lI A5 0 11 2

I D#

Don Smi t h 50 . 0 01 0 / 2 2 / 0 6 CK# 1 4 2 0Su mmer S t ,G r i n n e l l1 A 5 01 1 2

I D#

Eugene Her man 1 0 0. 0 01 0 / 2 2 / 0 6 CK# 9 1 3 Hi g h S t ,G r i n n e l l1A 5 0 11 2

ID#S a r aAdams 2 5 . 0 01 0 / 2 2 / 0 6 CK# Bo x 4 4 4 ,G r i n n e l lI A5 0 11 2

I D#LamoyneGaa r d 2 5. 0 010 / 2 2 / 0 6 CK# 9 3 1 Su mmer S t ,G r i n n e l l1 A 5 0 11 2

I D#S a r aHo p k i n s 5 0. 0 01 0 / 2 2 / 0 6 CK# 7000 Cl a yS t ,Newt on I A5 02 08

I D#P a s st h eH at ,f u n d r a i s e ra t home o f Dwi gh t 7 Bev 4 0. 0 0

1 0 / 2 3 / 0 6 CK# R u t t e r si n S p e n c e r ,I A

ID#Cy n t h i aMu r p h y 1 0 0. 0 01 0 / 2 3 / 0 6 CK# Bo x 9 1 8 ,Okobo j i I A5 1 3 5 5


15/56

Fo r I n s t r u c t i o n s , See Back o f Fo r m



COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t eme n t of Or g a n i z a t i on)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENTI F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i o nc op i e d f r o m 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 gc ont r i b ut i ons o r f o ran yc omme r c i a l p u r p o s e b y an 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 lc o mmi t t e es .

SUB- TOTAL

TOTAL ( i fl a s tpage of t h i s s c h e d ul e )

* D i s c l o s u r el a wr e q u i r e sc a nd i d a t e c ommi t t e es t o d i s c l o s et h e r e l a t i o n sh i po f a ny r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmu st b e s h own t o t h et h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sby 1 4ma r r i a g e ) . I fs ur name o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , bu t t h e r e i s no P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l umn. ( f o rS ch e d ul e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#Cons t ance Cor y $200 . 0 01 0 / 2 3 / 0 6

CK# 6 8 09 L ak e sh or eDr ,Okoboj i I A 5 13 55

I D#

J a n e S h u t t l e wo r t h 500 . 0 01 0 / 2 3 / 0 6 CK# Bo x 6 6 2 ,Okoboj i I A 51355

I D#Susan He r r i c k 2 5. 0 01 0 / 2 3 / 0 6 CK# 1 8 4 02 8 t hS t ,Spencer I A 51301

I D#

J o h nLamb 50 . 0 01 0 / 2 3 / 0 6 CK# 4045 1 9 t hAve , Spencer I A 51301

I D#Ca t h y S t a a k e 1 0 0. 0 01 0 / 2 3 / 0 6 CK# 1 5 8 71 6 9 t hAv e, La k eP a r k1A 5 1 3 4 7

ID#V i v i a nHe i k e n sH e r b s t e r 2 5 . 0 01 0 / 2 3 / 0 6 CK# 2 1 2 2 Ok oboj iB l v d ,M i l f o r d ,I A 51351

ID#K at h yCh r i s t e n s e n 2 5 . 0 01 0 / 2 3 / 0 6 CK# 2 8 3 0 1 9 0 t hAv e , Sp en ce r I A 51301

ID#Be t t y Ch r i s t e n s e n 4 0 . 0 01 0 / 2 4 / 0 6 CK# 4516 7 0 t hS t ,Des Moi nes I A 5 0 3 2 2

l D#Duane A Sand 2 5. 0 0

1 0 / 2 4 / 0 6 CK# 8 9 98 Gol d enVa l l e yDr ,No r w al kI A 502 11

ID#M i c h e l l eL i n n 1 0 0. 0 01 0 / 2 4 / 0 6 CK# 1 6 4 5T e r r i t o r yt r ,Co l o r a d oS p r i n g sCO 8 0 9 1 9


16/56

Fo r I n s t r u c t i o n s , See Back o f For m


( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n ds )

COMMI TTEE NAME ( Mu s t b e s ame a s on St at ement o f Or g an i z a t i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I ST OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r mat i o nc op i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n gc ont r i b ut i ons o r f o ran yc omme r c i a l p ur p o seb y an 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 lc ommi t t e e s.

SUB- TOTAL$ 53 0. 0 0


* D i s c l o s u r el a wr e q u i r e sc an di d at e c ommi t t e e s t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmus t b e s hown t o t h e t h i r dd e g r e e o f c o n sa n gu i n i t y( b l o o dr e l a t i v e s )an d a f f i n i t y( r e l a t i v e sb y 1 5ma r r i a g e). I f su r name o f c on t r i b u t o ri s t h e s ame as c a nd i d a t e , b ut t h e r e i s no Page o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rS ch e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

I D#Roger Al e x a n d er $50 . 0 01 0 / 2 4 / 0 6

CK# 2 2 2 1 St or mS t , ame s I A50014

I D#

Sar ah H a r t 5 0. 0 01 0 / 2 4 / 0 6 CK# 502 N 7 t hS t ,Oska l oos a I A 52577

I D#

L o r iSoko l owsk i 2 5. 0 01 0 / 2 5 / 0 6 CK# 6 5 4 5 T Ave , H o l s t e i nI A510 25

I D#

He l e nMi l l e r 2 5. 0 01 0 / 2 5 / 0 6 CK# 1 9 3 61 5 t hAv e N, F t Dodge I A 50501

I D#

Di ane We i l a nd 5 0. 0 01 0 / 2 5 / 0 6 CK# 4 02 NE 2 n d , Gr e e n f i e l dI A 50849

I D#I owa S i e r r aCl u b PAC 2 00. 0 01 0 / 2 5 / 0 6 CK# 3 8 3 9 Me r l eHay Rd S t e2 8 0 ,De s Moi ne s I A5 03 10

1 0 0 4ID#

Ka t h i eMa i l a nd e r 2 5. 0 01 0 / 2 5 / 0 6 CK# 6 94 2 4 Wh i t ePo l e Rd ,Wi o t a I A 50274

I D#E l i z a be t hMa yf i e l d 6 5. 0 01 0 / 2 5 / 0 6 CK# 3 3 0 6 Buchanan Ct ,Ames I A 50010

I D#

C h r i s t yK l e i n s c h n i t z 1 5. 0 01 0 / 2 5 / 0 6 CK# Bo x 2 4 9 4 ,F a i r f i e l dI A 52556

I D#S t a c i eJ ohn son 2 5. 0 0

1 0 / 2 5 / 0 6 CK# 1 8 1 1P a r kAv e SE,Cedar Ra p i d sI A52403


17/56

For I n s t r u c t i on s , See Bac k o f For m


( I n c l u d i n gc a nd i d a t e ' s p er s o n al f u n d s)

COMMI TTEE NAME ( Mu s t b e s ame a s on St a t ement o f Or g an i z at i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I STTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I ST OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I N GRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r mat i o nc o pi e d f r o m r e p or t s an d s t a t e me n t s f o r s o l i c i t i n gc on t r i b ut i on so r f o ran yc o mme r c i a l p u r p o se b y an 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 lc o mmi t t e e s.

SUB- TOTAL


" D i s c l o s u r el a wr e q u i r e sc an di d at ec o mmi t t e e st od i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmu s t b es hown t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )an d a f f i n i t y( r e l a t i v e sb y 1 6ma r r i a g e). I f su r name o f c on t r i b u t o ri s t h e s ame as c a nd i d at e , b u t t h e r e i s n o Page o f 4 0f a m i l i a lr e l a t i o n s h i p ,e n t e r " n o ta pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

ID#Ka y He r r i n g $2 5. 0 01 0 / 2 5 / 0 6

CK# 2 6 9 8 0Coun t y Hwy J - 6 6 ,Dav i s C i t y1A 50065

I D#

Mar y Swander 2 5. 0 01 0 / 2 5 / 0 6 CK# 9 3 1C a r r o l lAve , Ames I A 50010

ID#Ma r k Ku h n 1 0 0. 0 01 0 / 2 5 / 0 6 CK# 2 6 6 7 2 40 t hS t ,Ch a r l e sC i t yI A5 06 16

I D#

Rona l d P e t r a k 5 0. 0 01 0 / 2 5 / 0 6 CK# 1 5 0 7P en n s y l v a n i aAve , De s Mo i n e s I A 503 1 6

I D#Nor maRandau 2 5. 0 01 0 / 2 5 / 0 6 CK# 1 3 2 4 1GWCar v er Ave , S t o r yC i t y1A 50248

I D#Mi k e E a r l l 5 0. 0 0

1 0 / 2 5 / 0 6 CK# 5716 1 1 5 t hS t ,Bi g el owMN 5 6 11 7

I D#

Dr e wM i l l e r 2 5. 0 01 0 / 2 5 / 0 6 CK# 6 00 5 t hS t # 3 0 1 ,Ames 1A 50010

ID#Ka t h l e enRudney 5 , 0 0 0. 0 01 0 / 2 6 / 0 6 CK# 2 4 5 8 1 6 7 t hS t ,F a i r f i e l dI A52556

I D#J o h n He i n z 5 , 0 0 0. 0 0

1 0 / 2 6 / 0 6 CK# 6 1 1C a f f e r t yRd , Uppe r Bl a c kEddy PA 18972

I D#Te r e s aHe i n z 5 , 0 0 0. 0 0

1 0 / 2 6 / 0 6 CK# 1 9 L ou i s b ur gS q ,Bos t onMA 02108


18/56

For I n s t r u c t i o n s , Se e Ba ck o f For m

CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n gc a nd i d a t e ' s p er s o n al f u n d s )

COMMI TTEE NAME ( Mu s tb e same a s o nS t a t eme n t o fOr g a n i z a t i o n )


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CA LACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : S ec t i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i o nc op i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n gc ont r i b ut i ons o r f o ran yc omme r c i a l p u r p o s e b y an 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 lc o mmi t t e e s .

SUB- TOTAL$ 3 9 5 . 0 0

TOTAL ( i f l as t page of t h i s s c h ed u l e )

Di s c l o s u r el awr e q u i r e sc a nd i d a t e c ommi t t e e s t o d i s c l o s et h er e l a t i o n s h i po f a ny r e l a t i v emak i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmust b e s h own t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 1 7ma r r i a g e) . I f s u r n ame o f c on t r i b ut o ri s t h e s ame a s c a nd i d a t e , b u t t h e r e i s no P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l umn . ( f o rS c h e d ul eA)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED FUND( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#P a s st h e Ha t - f u n d r a i s e ra t t h eC i v i cCe n t e ri n $1 0. 0 01 0 / 2 5 / 0 6

CK# Wa v e r l yI A

I D#

J o a nC o n r a d i 100. 0 01 0 / 2 5 / 0 6 CK# 1 1 3I s l a n dVi e wDr ,Wa v e r l yI A 5 0677

I D#

J a c q u e l i n eJ u h l 2 0. 0 01 0 / 2 5 / 0 6 CK# 8 00 1 s tAv e SW, Wav e r l yI A5 0 6 7 7

I D#

L o i sHu r l e y 2 5 . 0 01 0 / 2 5 / 0 6 CK# 2 0 0 0 Twe l f t hS t NW, Wav e r l yI A 5 06 7 7

ID#T e r e s aMeye r 1 0 0. 0 01 0 / 2 5 / 0 6 CK# 2 1 0 7 W Br emer Ave , Wa v e r l yI A 50 67 7

I D#Cy n t h i aBane 2 0. 0 01 0 / 2 5 / 0 6

CK# 1 8 0 03 r dAv e NW, Wa v e r l y I A5 06 77

ID#C h r i sRed i s k e 5 0. 0 01 0 / 2 5 / 0 6

CK# 1 7 6 8Dako t a Ave ,Wa v e r l yI A 50677

I D#E a r l e n eHawl e y 2 5. 0 01 0 / 2 5 / 0 6 CK# 714 4 t hAv e NW, Wa v e r l yI A50677

I D#S h i r l e yWa l k e r 2 5. 0 0

1 0 / 2 5 / 0 6 CK# 4 02 Br ownLn ,Wa v er l yI A 50677

ID#K ar e nT ha l a c k e r 2 0. 0 01 0 / 2 5 / 0 6 CK# 2 3 0 2 1 s tAv e NW, Wa v e r l yI A 5 06 77


19/56




COMMI TTEE NAME ( Mu s t b es ame a s o n St a t e me n t o f Or g an i z a t i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I STTHE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I N GRES PONS I BI L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i n f o r ma t i o nc o pi e d f r o m r e p o r t san d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i o nso r f o ran yc o mme r c i a l p u r p o s eb y an y p e r s o n o t h e rt h an s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

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

TOTAL ( i f l as t page of t h i s s c h ed u l e )

D i s c l o s u r el a wr e q u i r e sc a nd i d at ec o mmi t t e e st o d i s c l o s et h er e l a t i o n s h i po f a n y r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec o mmi t t e e. Re l a t i o n s h i pmus t b e s h o w nt o t h et h i r dd e gr e eo f c on sa ng ui n i t y( b l o o dr 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 sb y 1 8ma r r i a g e) . I f s ur name o f c on t r i b ut o ri s t h e s ame a s c a nd i d at e , b u t t h e r e i s n o P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l eA)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c ab l e ) TO CANDI DATE" RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

I D#Ki m Wa h l $2 0. 0 01 0 / 2 6 / 0 6

CK# 6 2 4 W 9 t hS t ,Cedar F a l l sI A5 0 6 1 3

ID#Bu r n sWe s t o n 50 . 0 01 0 / 2 6 / 0 6 CK# 2 Wood l a n dHe i g h t sNE, I o waC i t yI A5 2 2 4 0

I D#Howa r dHo f e r 5 0. 0 01 0 / 2 6 / 0 6 CK# 2 9 3 9 97 30 t h Av e ,C o l l i n sI A 50055

ID#

Ly n n Cope 1 0 0. 0 01 0 / 2 6 / 0 6 CK# 8 5 3 2Newb u r yCt , J o h n s t o nI A5 0 1 3 1

I D#Wi l l i amWe l s h 50 . 0 01 0 / 2 6 / 0 6 CK# 52 0 DodgeS t ,La ns i n gI A5 2 1 5 1

I D#Ga r yWe l s h 1 00. 0 0

1 0 / 2 6 / 0 6 CK# 1 5 0 9Dr y Ri d g eDr ,La ns i n gI A 5 2 1 5 1

ID#Hol mes F o s t e r 1 , 0 0 0. 0 01 0 / 2 6 / 0 6 CK# 1 3 6 2 1Ba y H i l lDr ,De s Mo i n e s I A5 0 3 2 5

ID#

J e a nMa r t i n 1 5. 0 01 0 / 2 6 / 0 6 CK# 2 2 5 4 S R i v e r s i d eDr # 5 0 ,I o waC i t yI A5 2 2 4 6

I D#Su s a n R a v e n s c r o f t 2 0 0. 0 0

1 0 / 2 6 / 0 6 CK# 4 55We s t wo o dDr ,Ame s I A50 01 4

I D#K en n e t hP o l s l e y 2 5. 0 0

1 0 / 2 6 / 0 6CK# 2 0 2 4 3 0 0 t hS t ,Bl a n c h ar dI A 5 1 63 0


20/56


CONTRI BUTI ONS - - MONEYTAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t ement o f Or g a ni z a t i o n)


R e s e tF or m

STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CAT IONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I STOF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NG

RESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Sec t i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r mat i o nc o pi e d f r o m r e por t s an d s t a t e me nt s f o r s o l i c i t i n gc ont r i bu t i ons o r f o r an yc omme r c i a l p u r p o se by an 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 lc o mmi t t e es .

SUB- TOTAL$ 2 , 7 1 5. 0 0


* D i s c l o s u r el a wr e q u i r e sc a nd i d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. Re l a t i o n s h i pmu s t be s hown t o t h e t h i r dd e g r e e o f c o n sa n gu i n i t y( b l o o dr e l a t i v e s )an d a f f i n i t y( r e l a t i v e sb y 1 9ma r r i a g e). I f s ur name o f c on t r i b u t o ri s t h e s ame as c a nd i d a t e , bu t t h e r e i s no Page o f

f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e du l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

I D#L i nd aJ o y c e $100 . 0 0

1 0 / 2 6 / 0 6CK# 6 7 2 3 9Tr o u b l e s omeCr k Rd ,A t l a n t i cI A 50 02 2

I D#

Ro be r t Da v i s 2 00. 0 01 0 / 2 6 / 0 6 CK# 7 93 2 Roc k l y nDr ,Ur bandal e I A5 0 3 2 2

1D#L i l l i a nDa v i s 4 0. 0 01 0 / 2 6 / 0 6 CK# Bo x 4 4 7 ,So l o n I A 5 2 3 3 3

I D#Ac t Bl u e Da v i dMi c h a el s o n 5 0. 0 01 0 / 2 6 / 0 6 CK# 1 9 5Ga r f i e l d P I # 1 1 ,Br o ok l y nNY 11 2 1 5I owa PAC

I D#Ac t Bl u e Tom F i n e 2 5. 0 01 0 / 2 6 / 0 6 CK#I owa

Bo x 6 4 ,B r a d d y v i l l eI A5 1 6 3 1PAC

I D#Kee p i n gAme r i c a ' sPr omi s e PAC 2 , 0 0 0. 0 0

1 0 / 2 7 / 0 6 CK# 6 07 1 4t h S tNW S t e8 0 0 ,Wash i n g t o nDC 200051 9 7 8

I D#Ro b e r tBeh 1 0 0. 0 01 0 / 2 7 / 0 6 CK# 1 6 0 0 Casady Dr , Des Moi nes I A 5 0 3 1 5

I D#Penny Fee 1 2 5. 0 0

1 0 / 2 7 / 0 6 CK# 2 9 0 1 Nebr aska S t ,Si ou xC i t yI A 5 1104

I D#Mar y Woo l s ey 2 5 . 0 0

1 0 / 1 7 / 0 6 CK# 3 58Magowan Ave, I owaC i t yI A 5 2 2 4 6

I D#J a nL i b be y 50 . 0 0

1 0 / 2 7 / 0 6 CK# 1 4 6 51 2 0 t hS t ,Kanawha I A5 0 4 4 7


21/56




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 an i z a t i o n)


STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CA LACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I STOF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE FI L I NGRESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i o nc o pi e d f r o mr e p o r t s an d s t a t e me n t s f o r s o l i c i t i n gc on t r i b ut i o nso r f o ran yc o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s t page o f t h i ss c h ed u l e )

$ 9 55. 0 0

" D i s c l o s u r el a wr e q u i r e sc a nd i d at ec o mmi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec o mmi t t e e. Re l a t i o n s h i pmust b e s h ow nt o t h et h i r dd e gr e eo f c o ns a ng u i n i t y( b l o o dr 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 sb y 2 0ma r r i a g e ). I f s ur name o f c on t r i b u t o ri s t h e s ame a s c a nd i d a t e , b u t t h e r e i s n o P a g e o ff a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l eA)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE" RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

ID#Ca r e yRyan $500 . 0 01 0 / 2 8 / 0 6

CK# 3 3 1 7 El mwoo dDr ,De s Mo i n e s I A5 0 3 1 2

I D#

Gl e n Evans 5 0. 0 01 0 / 2 8 / 0 6 CK# 550 Oa k l a n dDr ,Al d e nI A 5 00 06

I D#

Ed Br a u n 2 5. 0 01 0 / 2 8 / 0 6 CK# 1 2 1 9 9 t hS t ,Ames I A 50 01 0

ID#

J i m Po p ke n 7 5. 0 01 0 / 2 8 / 0 6 CK# 9 2 0 Cl a r kAve , Ames I A500 10

I D#P a s st h eH a t ,h o u s e p a r t ya t home o f 6 0. 0 0

1 0 / 2 7 / 0 6 CK# Ka r l aHansen i n Cl i v e ,I A

I D#Ka r l aHansen 1 00. 0 0

1 0 / 2 7 / 0 6 CK# 1 6 2 1NW 1 0 7 t h ,c l i v eI A5 0 3 2 5

I D#

Al a n aSt amas 2 0 . 0 01 0 / 2 7 / 0 6 CK# 6 75 3 8 t hS t ,Des Mo i n e s I A5 0 3 1 2

ID#C h a r l o t t eHu t c h i s o n 2 5 . 0 0

1 0 / 2 7 / 0 6 CK# 1 3 2 8Bi r c hL n ,De s Mo i n e sI A 5 0 3 1 5

I D#R i t aHo h e n s h e l l 2 5. 0 0

1 0 / 2 9 / 0 6 CK# 7 2 0 5 SW 1 5 t hS t ,Des Mo i n e sI A 5 0 3 1 5

1D#P a s st h eHa t , f u n d r a i s e ri nMa r s h a l l t o wn ,I A 7 5. 0 0

1 0 / 2 9 / 0 6 CK# o r g a n i z e db y S a l l yWi l s o n


22/56




COMMI TTEE NAME ( Mu s t be s ame a s on S t a t eme n t o f Or g a n i z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NG

RES PONS I BI L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i nf or ma t i on 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 rs o l i c i t i n gc on t r i b ut i o ns or f o r an yc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es .

SUB- TOTAL

TOTAL ( i fl a s tpage of t h i ss c h e d ul e )

* D i s c l o s u r el a wr e q u i r e sc a nd i d a t e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmu st b e s hown t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb y 2 1ma r r i a g e ) . I f s ur name o f c on t r i b u t o ri s t h e s ame a s c a nd i d a t e , but t h e r e i s no P a g e o f

f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l umn. ( f o rS ch e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa p pl i c abl e ) TO CANDI DATE* RECEI VED FUN( MM/ DDI YR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D#Ma r y S t e w a r t $1 0. 0 0 r

1 0 / 2 9 / 0 6CK# 2 N 1 9 t hS t ,Ma r s h a l l t ownI A 50158

I D#

J o a n n aVa t u n i g e r e - B a r n e s 100. 0 01 0 / 2 9 / 0 6 CK# 2 3 1 6Asp en Rd # 2 0 1 ,Ames I A5 0 0 1 0

ID#M Ma r i eH a r r i s 1 0 0. 0 0

1 0 / 2 9 / 0 6 CK# 1 2 0 0B r o o k r i d g e ,A t l a n t i cI A 5 0 0 2 2

I D#

Ger ene Genn i ng 2 00. 0 01 0 / 3 0 / 0 6 CK# 11 4 6Oake s Dr ,I owa C i t yI A5 2 2 4 5

I D#C h e r y lT ev i s 5 0. 0 0

1 0 / 3 0 / 0 6 CK# 1 8 7H Ave ,P i l o tMound I A 5 0 2 2 3

I D#Ku r t So de r l u nd 500 . 0 0

1 0 / 3 0 / 0 6 CK# 1 3 3 7F a i r f i e l dBeach Rd , F a i r f i e l dCT 0 6 8 2 4

ID#J a n e tS c h a r n b e r g 1 0. 0 0

1 0 / 3 0 / 0 6 CK# 4 1 9 N 3 r d Av e ,Mt Vernon I A 5 2 3 1 4

I D#J e a nn e Ca d or e t 7 5. 0 0

1 0 / 3 0 / 0 6 CK# 4 8 6 5 S u t l i f fRd NE, So l o n I A5 2 3 3 3

ID#Wi n i f r e dS t a n d i n g 2 5 . 0 0

1 0 / 3 0 / 0 6 CK# 3 5 2 2 0J Ct ,Ea r l h a mI A 50072

I D#Ni n a Benson 1 00. 0 0

1 0 / 2 9 / 0 6 CK# 2 4 5 4 Bi n f o r dAve, S t a t eCe n t e rI A 5 0 2 4 7


23/56


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



STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CAT IONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S TOF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Sec t i o n 6 8B . 3 2 A( 6 ) , p r oh i b i t st h e u s e o f i n f o r mat i o nc 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 rs o l i c i t i n gc on t r i b ut i o ns o r f o ranyc omme r c i a l p u r p o s e by an 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 lc o mmi t t e es .

SUB- TOTAL$ 1 , 4 3 0. 0 0


" Di s c l o su r el aw r e q u i r e sc an di d at e c ommi t t e es t o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmu st b e s h own t o t h e t h i r dd e gr e e o f c o n sa n gu i n i t y( b l o o dr e l a t i v e s )an d a f f i n i t y( r e l a t i v e sb y 2 2ma r r i a g e). I f s ur name o f c o nt r i b ut o ri s t h e s ame as c a nd i d a t e , b u t t h e r e i s no Page o f

f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rS ch e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa p pl i c ab l e ) TO CANDI DATE' RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NC

I D#E m i l y ' sL i s t - NFFund PAC 11 2 0Co n n e c t i c u tAv e $ 1 , 0 0 0. 0 01 0 / 3 0 / 0 6

CK# NW S t e 1 1 0 0 ,Wash i n g t o nDC 2 0 0 3 21 0 8 8

I D#

AdamMason 50 . 0 01 0 / 3 0 / 0 6 CK# 1 41 4 4 8t hS t ,Des Moi nes I A

I D#Da v i dAndr ews 1 5 0. 0 01 0 / 3 0 / 0 6 CK# 1 2 7 1E 9 t hS t ,Des Moi ne s I A 5 0 3 1 6

I D#

C h a r l o t t eNe l son 2 5 . 0 01 0 / 3 0 / 0 6 CK# 1 1 4 1Cummi nsC i r ,Des Moi nes I A 5 0 3 11

ID#A u s t i nKennedy 2 5. 0 01 0 / 3 0 / 0 6 CK# 1 5 2 0Wood l a n dAv e # 2 1 2 ,Des Moi nes I A5 0 3 1 9

I D#Ab i g a i lL o n g s t r e e t 2 5. 0 0

1 0 / 3 0 / 0 6 CK# 1 5 2 0Wood l a n dAv e # 2 1 2 ,Des Moi nes I A5 0 3 1 9

I D#P a t r i c i aP e t e r s o n 2 5. 0 0

1 0 / 3 0 / 0 6 CK# 3 8 3 2C o t t a g eGr ov e Ave, Des Moi nes l A5 0 3 11

I D#Ac t Bl u e Mi chae l Cz i n 1 0. 0 01 0 / 3 0 / 0 6 CK# l o wa 1 2Ch ur c h i l l D r ,

Ol dTapp a n NJ 0 76 75PAC

I D#Ac t Bl u e S a r a hG a r s t 1 00. 0 0

1 0 / 3 0 / 0 6 CK# 1 0 6 3 2 1 s tS t ,West Des Moi ne s I A 5 0 2 6 5I owaPACI D#

Ac t Bl u e J o s e p hc l a i r 2 0 . 0 01 0 / 3 0 / 0 6 CK# 11 3 3Cor ona S t # 1 ,Denver CO 8 0 2 1 8

I owaPAC


24/56

For I n s t r u c t i on s , Se e Bac k o f Fo r m

CONTRI BUTI ONS - - MONEYTAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s on St a t e me n t o f Or g an i z a t i on )


R e s e tFo r m

STATE CANDI DATES NOTE: I FA CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I STOF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN I NDI VI DUAL ,THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .

CAUTI ON : Se c t i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i n f o r ma t i onc op i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n gc on t r i b ut i on so r f o ran y

c o mme r c i a l p u r p o s e b y an 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 lc o mmi t t e e s.

SUB- TOTAL

TOTAL ( i fl a s tpage of t h i ss c h e du l e )

73 0. 0 0

D i s c l o s u r el a wr e q u i r e sc a nd i d at e c ommi t t e est o d i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n ga c o n t r i b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmu s t b e s h own t o t h e t h i r dd e g r e e o f c o ns a ng u i n i t y( b l o o dr 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 sb y 2 3ma r r i a g e ). I fs ur name o f c o nt r i b ut o ri s t h e s ame a s c a nd i d at e , b u t t h e r e i s n o P a g e o f 4 0f a m i l i a lr e l a t i o n s h i p ,e nt e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED FUN( MM/ DDNR) AND PAC CHECK ( i fa pp l i c ab l e ) RAI

NUMBER I NC

I D# Ac t Bl u e J o h nS t r o u s s $ 50. 0 01 0 / 3 0 / 0 6CK# I owaPAC

1 9 3 7P r a i r i e C i r ,F a i r f i e l dI A 52 55 6

I D#Ac t Bl u e P h y l l i sSt e v e n s 2 50. 0 01 0 / 3 0 / 0 6 CK# 4 6 0 1P l e a s a n tS t # 3 5 3 ,We s t Des Mo i n e s I A5 0 2 6 6I owaPAC

I D#Ac t Bl u e Wi l l i amJ e n n i n g s 1 00. 0 01 0 / 3 0 / 0 6 CK# 3 1 1F a i r c h i l dS t ,I owa c i t yI A5 2 2 4 5I owaPAC

I D#Ac t Bl u e S t e v e n& Ra c h e lBoss 3 0. 0 01 0 / 3 0 / 0 6 CK# 1 7 4 4J u p i t e rAve ,F a i r f i e l dI A 52556I owa PAC

I D#Ac t Bl u e Tama r a Mau r y 2 5. 0 01 0 / 3 0 / 0 6 CK# 9 05 L au r e l ,Dubuqu e I A 520 03I owaPAC

I D#Ac t Bl u e Ch a r l o t t e S h i v v e r s 1 0 0. 0 0

1 0 / 3 0 / 0 6 CK# 575 Nevada S t ,K n o x v i l l eI A 5 0 1 3 8I owaPAC

I D#Ac t Bl u e J ame s Ga u n t 2 5. 0 01 0 / 3 0 / 0 6 CK#I owa

3 4 2 3 C l i n t o nC t ,Ames I A 5 0 0 1 0PAC

I D#Ac t Bl u e Di a nG o t t l o b 50 . 0 01 0 / 3 0 / 0 6 CK# I owa

1 0 2 31 4 t hS t ,Ka l o naI A 5 2 2 4 7PAC

I D#Ac t Bl u e Ma r yBe t hS a f f o 5 0. 0 0

1 0 / 3 0 / 0 6 CK# 7 7K i r k l a n dS t # l ,Camb r i d g e ,MA 0 2 1 3 8I owaPAC

ID#Ac t Bl u e Ro be r t Re ut e r 50 . 0 01 0 / 3 0 / 0 6 CK# 3 9 1 2 ASumme r f i e l dLn NE Cedar Rap i d s I A5 2 4 0 2I owa PAC


25/56

Fo r I n s t r u ct i o ns , See Back o f Fo r m


( I n c l u d i n gc a n d i d a t e ' sp er s o n al f u n d s )

COMMI TTEE NAME ( Mu s t be s ame a s o n S t a t emen t of Or g an i z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I SAVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se c t i on 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i nf or ma t i on c op i e d f r omr e p o r t s an d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i o ns o r f o ran yc omme r c i a l p ur p o seb y an 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 lc ommi t t e e s.

SUB- TOTAL$ 4 6 5 . 0 0

TOTAL ( i f l as t page of t h i s s c he d ul e )

* D i s c l o s u r el awr e q u i r e sc an di d at e c ommi t t e e st o d i s c l o s et h e r e l a t i o n sh i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec ommi t t e e. R e l a t i o n s h i pmust b e s h own t o t h et h i r dd e g r e e o f c on sa ng ui n i t y( b l o o dr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb yma r r i a g e). I fsu r name o f c on t r i b u t o ri s t h e s ame as c an d i d a t e , b ut t h e r e i s no Page

2 4o f

f a m i l i a lr e l a t i o n s h i p ,e n t e r " n o t a pp l i c ab l e "i n t h e r e l a t i o n s h i pc o l u mn . ( f o rS ch e d u l e A)

SCHEDULE



DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I FRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI

NUMBER I NCI D# Ac t Bl u e Tamr a S a s s $1 5 . 0 01 0 / 3 0 / 0 6CK# I owa

5 3 2 4 Co l t Dr ,We s t De s Moi ne s I A 5 0 2 6 6PAC

I D#

1 0 / 3 0 / 0 6Ac t Bl u e J o y c e De n s l ow 2 5. 0 0

CK# Bo x 3 13 No r t h En g l i s hI A 5 2 3 1 6I owaPAC

I D#Ac t Bl u e Mar gar e t J ohn son

1 0 / 3 0 / 0 6 CK# 4 1 0 Lavonne S t ,Gr eene I A 5 0 6 3 62 5. 0 0

I owa PACID#

Ac t Bl u e LaDawn Edwa rd s 3 0. 0 01 0 / 3 0 / 0 6 CK#I owa PAC 1 2 93 5 t hS t Dr SE, Cedar Rap i d s I A5 2 4 0 3

I D#Ac t Bl u e Renee We i n b e r g

1 0 / 3 0 / 0 6 CK# 3 9 0 5 Coun t r y c l u b B l v d ,Si o u xC i t yI A 5110450 . 0 0

I ow aPAC

I D#Ac t Bl u e Da l eP h i l l i p s 2 0 . 0 01 0 / 3 0 / 0 6

CK# 2 1 6 1 L e s l i eDr ,C o r a l v i l l eI A 5 2 2 4 1I ow aPAC

I D#Ac t Bl u e J i m& B a r b a r aKal b a ch 100. 0 01 0 / 3 0 / 0 6 CK# 3 2 8 0 1 8 0 t hS t ,De x t e rI A50070I owa PAC

I D#Ac t Bl u e Dar ca Boom

1 0 / 3 0 / 0 6 CK#I owa

5713 Asp enDr ,We st Des Moi nes I A 50 26 62 5. 0 0

PAC

I D#Ac t Bl u e L au r a Eng e l

1 0 / 3 0 / 0 6 CK# 514 S 6 t hAv e W, Newt on I A5 0 2 0 8 7 5. 0 0I owaPACI D#

1 0 / 3 0 / 0 6Ac t Bl u e K a t h e r i n eGl o e r 1 00 . 0 0

CK# 8 2 8 Cyp r e s sCt , I owaC i t yI A 5 2 2 4 5I owaPAC


26/56

Fo r I n s t r u ct i o ns , See Back o f Fo r m

CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t ement of Or g an i z a t i o n)


STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACTI ON COMMI TTEE) , L I S TTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A L I S T OF I DNUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .


CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , p r o h i b i t st h e u s e o f i nf or ma t i on c op i e d f r o m 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 gc on t r i b ut i o ns o r f o ran yc omme r c i a l p u r p o s e b y an 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 lc o mmi t

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