Buschkamp Jim__1694__scanned

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    P r i n t e d u s i n g t h e I ECDB Web p o r t i n g Sy s t e m o n 1 0 1 1 8 / 2 0 0 6 1 0 : 2 4 : 0 5

    FORM DR - 2 : D i s c l o s u r e S umma r y Pa g eS t a t u s F i l e d

    I D # 1 6 9 4Commi t t e e l o wa n s f o r B u s c h k a m pComm T y p e S t a t e Se n a t eDa t e Du e 1 0 / 1 9 / 2 0 0 6R e p o r t Yea r 2 0 0 6

    T r e a s u r e r Ba r b K r i z e kPr i ma r y Ph ( 3 1 9) 2 3 3 - 8 7 30 Se c o n d a r y Ph . ( n u l ) I n u - n u l lC h a i r

    Co u n t y NAAmen d e d

    St a t e me n t o f Cash o n Han d

    A d d i t i o n a l As s e t s a n d L i a b i l i t i e s

    FORM DR - 2 l o wa n s f o r Bu s c h k amp

    DR-2

    P r i n t e d u s i n g t h e I ECDB Web R e p o r t i n g Sy s t e m o n 1 0 / 1 8 / 2 0 0 6 1 0 : 2 4 : 0 9 P a g e 1 o f 1I OWA E THI CS AND CAMPAI GN DI SCLOSURE BOARD 1 5 1 0 EAST 1 2 t h , SUI T E 1 A I DES MOI NES, I A 5 0 3 1 9 1 ( 5 1 5 ) 2 8 1 - 4 0 2 8

    c i ew ~p d~ ) - 1

    S t a t u t o r y Du e Da t e 1 0 / 1 9 / 2 0 0 6A d j u s t e d Du e Da t e / /

    Re c e i v e d Da t e 1 0 / 1 8 / 2 0 0 6P os t ma r k Da t e 1 0 / 1 7 / 2 0 0 6

    Ame n d e d / /

    Ca sh o n Han d a t S t a r t o f P e r i o d $ 0 . 0 0S c h e d u l e A Ca sh c o n t r i b u t i o n s T o t a l $ 1 , 6 9 6 . 0 0Sc h ed u l e F L o a n s Re c e i v e d T o t a l $ 0 . 0 0S c h e d u l e H Camp a i g n P r o p e r t y Sa l e s $ 0 . 0 0SUB - TOTAL $ 1 , 6 9 6 . 0 0- 1S c h e d u l e B E x p e n d i t u r e T o t a l $ 1 , 3 4 3 . 3 5Sc h ed u l e F Ca s h Loan R e pa yme n t sCa sh o n Han d A t En d o f P e r i o d 3 5 2 . 6 5 1

    L o a n s i n P l a c e a t S t a r t o f P e r i o d $ 0 . 0 0S c h e d u l e D Un P a i d B i l l s $ 0 . 0 0Sc h ed u l e E I n - K i n d C o n t r i b u t i o n s $ 0 . 0 0S c h e d u l e F F o r g i v e n Loa n sSc h ed u l e F Ou t s t a n d i n g L o a n s $ 0 . 0 0S c h e d u l e G C o n s u l t a n t Br e a k d o wn ? NoSc h ed u l e H Campa i g n P r o p e r t y V a l u e $ 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 r iCONTRI 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 TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )I OWANS FOR BUSCHKAMP

    STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARDNOTE : ANY PERSON, OTHER THAN AN I N DI V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONS 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 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 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 o mmi t t e e s

    SUB- TOTAL

    TOTAL ( i f l a s t page o f t h i s s c h e du l e )* 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 i o n t o t h ec o mm 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 b y ] 2m 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 am e a s c a n d i d a t e , b u t t h e r e i s n o Page o ff 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)

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

    CHECK THI S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI 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 SERNUMBER I NCOME

    I D# Bl a c k Hawk Co . Re p ub l i c a n Ce n t r a l Co mmi t t e e $ 5 0 0 .9 / 2 2 / 0 6 CK# P . O . Bo x 2 3 1 41 2 6 9 Wa t e r l o o , l a 5 0 7 0 4I D# Ge o r g e Wa r r e n 1 0 0 .9 / 2 4/ 0 6 CK# 3 6 3 8 I n v e r n e s s Rd i ` A3 5 3 6 Wa t e r l o o l a 5 0 7 0 1I D# De n ni s Kr u g e r ` ' RD 1 0 0 .9 / 2 4/ 0 6 CK# 9 8 0 Fo x Rd { - T

    ' )3 5 2 0 Di k e , l a 5 0 6 2 4 ~0S t e p h e n S h o we r s 5 0 .9 / 2 4/ 0 6 CK# P . O . Bo x 4 4 72 3 4 4 4

    I D# J u d y Es t a b r o o k 2 5 0 .9 / 2 4/ 0 6 CK# 1 29 Wi n d s o r Dr i v e3 3 4 9 Wa t e r l o o, l a 5 0 7 0 1I D# Ri c k Young 1 0 0 .9 / 2 7 / 0 6 CK# 7 5 0 S Ha c k e t t Rd5 0 5 1 Wa t e r l o o, l a 5 0 7 0 1I D# H . D . L e i g ht y 5 0 .9 / 2 7 / 0 6 CK# 1 5 5 2 Pi n na c l e P l a c e5 1 1 8 Wa t e r l o o, I a 5 0 7 0 1I D# S t e p h e n J a c k s o n 1 5 09 / 2 7 / 0 6 CK# 1 7 2 2 P a r t r i d g e L a n e3 8 3 5 Wa t e r l o o, l a 5 0 7 0 1I D# Ev a B u s c h k a m p 1 0 0 .9 / 2 7 / 0 6 CK# 9 0 1W4 t h Mo t h e r

    7 0 5 6 Cr o f t o n , NE 6 8 7 3 0I D# Un i t e mi z e d Co n t r i b u t i o n s 2 1 .9 / 2 6 / 0 6 CK# CASH

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    Fo r I n s t r u c t i on s , Se e Back o f For t . .CONTRI 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 TTEE NAME ( M u s t b e s ame 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 )I OWANS FOR BUSCHKAMP

    STATE CAND I DATES NOTE : I F A CONTR I BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACT I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T HI C S AND CAMPA I GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THANAN I N DI V I D UA L , THA T CONTR I BU T ES MORE THAN $ 7 5 0 T O YOUR CAMPA I GN MAY HAVE F I L I N GRE SPONS I B I L I T I E S AND SHOULD I MMEDI A T E LY CONTACT T HE BOARD .CAU T 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 an 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 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 o mmi t t e e s .

    SUB- TOTAL

    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 )* 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm 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 b y 2 2m 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 s ame a s c a n d i d a t e , b u t t h e r e i s n o Page o ff 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)

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I P T S0 CHECK T HI S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAMEAND ADDRESSOF CONTR I BUTOR R EL A T I ONS H I P AMOUNT J I F FORRECE I V ED ( i f a p p l i c a b l e ) T O CANDI DAT E* RECE I V ED FUND-( MM/ DD/ YR ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# Fr a n k Dowi e 1 1 1 $ 5 0 .9 / 2 9 / 0 6 CK# 1 5 3 4 Ol y mp i c Dr8 7 6 7 Wa t e r l o o, l a 5 0 7 0 1I D#

    Ca r l o Degomez 1 0 0 .9 / 2 9 / 0 6 CK# CASH 1 0 2 5 Do wn i n g Av eWa t e r l o o l a 5 0 7 0 1I D# Da v i d H a p p e l 2 5 .1 0 / 0 3 0 / 0 6 CK# 1 1 7 1 P r o s p e c t B l v d1 8 2 1 Wa t e r l o o, I a 5 0 7 0 1I D#

    R ob e r t He a t o n 1 0 01 0/ 0 7/ 0 6 CK# 1 6 3 8 Da k o t a Dr i v e sT 4 'r1 6 4 1 Wa t e r l o o, , .n 5 0 7 0 1 r L f r f 1C K#I D# ' ~CN~ ' f l yC K#I D#C K#I D#C K#I D#CK#

    I D#CK#

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    T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u 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 mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o Sc h ed u l e H i n s t r u c t i o n s . )E x p e n 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 mu s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y 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 p e n d i t u r e ma d e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a Code 6 8 A . 4 0 2 ( 3 ) ( i ) . )

    1Pa g e _ o f I

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

    FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t ' 1 o r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TT EE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI T TEES : NOTE : FOR CONTR I BUT I ONS MADE T O STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D ENT I F I CA T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( M u s t b e s a m e 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 )I OWANS FORBUSCHKAMP

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACT I ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DDNR) AND PACCHECKNUMBER

    I D # P r i n t Zo o Ya r d S i g n s1 0 / 0 4 / 0 6 CK# P . O Bo x 8 3 5 $ 8 6 1 . 3 51 0 0 A Wa t e r l o o , l a 5 0 7 0 4

    D# Re p ub l i c a n Women o f Bl a c k Hawk Co L u n c h e o n1 0 / 0 6 / 0 6 CK# 2 3 0 7 F a l l s Av e 8 . 0 0100B Wa t e r l o o , l a 5 0 7 0 1

    I D # Zo o l o g i c Ca mp a i g n L i t e r a t u r e1 0 / 0 7 / 0 6 3 2 7 E 4 t h S t 4 7 4 . 0 0CK# 1 0 0 0 Wa t e r l o o , l a 5 0 7 0 3

    D#CK#D#CK#I D #CK#

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    SUB- TOTAL $ 1 34 3 . 3 5TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $ 1 34 3 . 3 5