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  • 8/7/2019 Emilys List - IA__6406__scanned

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    FORI NSTRUCTI ONS, SEEBACKOF FORMDI SCLOSURE SUMMARY PAGE

    AM F I L I NG A Oc t o b e r 1 9 , 2 0 0 6( r e p o r t d a t e )

    CHECK I F AMENDMENT TOREPORT DATED

    0 Chec k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h No t i c e o f D i s s o l u t i o n F o r m DR- 3( Yo u mu s 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 . )

    LAP5 4ax ; ~ De cy l ~ F Zd a~ i . o i . 9 r oReset F o r m

    COMMI TTEE NAME ( Mu s t be 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)

    EMI LY' s L i s t - I AI MPORTANT : I n d i c a t e by # t y p e o f c ommi t t e e y o u a r e r e p o r t i n g f o r LJ( 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 Re t e n t i o n Ca 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 ) Co u nt y Ce n t r a l Commi t t e e ( 5 ) Co un t y Ca n di d a t e ( 6 ) C i t y Ca n d i d a t e ( 7 ) S c h o o l B oa r d o r Ot he rP o l i t i c a l Su bd i v i s i o n Ca n d i d a t e ( 8 ) Co u nt y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h oo l B oa r d o r Ot he r P o l i t i c a lSu bd i v i s i o n PAC ( 1 1 ) L o c a l B a l ~ ~. . _ ,r r ~ .CANDI DATE COMMI TTEES ONLCa n d i d a t e Name

    O f f i c e So u g h t

    P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

    L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s . P ur s u a n t t o I o wa Code s e c t i o n 68B. 32 A( 7 )t h e c a n d i d a t e , f o r a c an d i d a t e ' s c ommi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c ommi t t e e , i s t h ei n d i v i d u a l r e s p o ng b l e f o r f i l i n g t i r r ~ e l y a n d a cc u r a t e r e p o r t s

    SI GNATURE OF PERSON F I L I NG REPORT TELEPHONE DATE I GNI ED

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

    STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b eg i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n ds h e l d b y t h e

    c o mmi t t e e. T h i s amoun 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 he e n do f t he 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 THI S PERI ODS c he d u l e A: C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h S ch e du l e A) ( * a l s o s e e i n - k i n d b e l o w) . . . . . . . . . . . . . . . . . . . . . . . . .S c he d u l e F: L o a n s Re ce i v e d t o t a l ( A t t a c h S ch ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . ,S c he d u l e H : T o t a l Sa l e s o f Ca mp a i g n P r o p e r t y ( A t t a c h S c he d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ( Sc h ed u l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . . . . . . . . . . . . . . . . . . $ 2 7 , 0 4 1 . 2 4

    SUBTRACT TOTAL MONEYSPENT THI S PERI ODSc h ed u l e B: E x p en d i t u r e s t o t a l ( A t t a c h S ch e du l e B) ( * * a l s o s ee d eb t s a n d l o a ns b e l o w) . . . . . . . . . . . . . . . . . 2 6 , 5 2 2 . 4 8S c he d u l e F L o a n Re p a y men t s t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0

    CASHON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mustbe z er o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    * * UN PA I D BI LLS ( F r o m S ch e du l e D - At t a c h S c he d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . $* I N KI N D CONTRI BUTI ONS ( F r o m S c he d u l e E - A t t a c h S c he d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . $* ' OUTSTANDI NG LOANS ( F r o m S c he d ul e F - A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . $CONSUL TANT BREAKDOWN ( Sc h ed ul e GAt t a c he d? )CANDI DATE COMMI TTEES ONLY :VALUEOF CAMPAI GN PROPERTY ( F r o m S c he du l e H - A t t a ch S c he d u l e H)STATE COMMI TTEES : Submi t a r e c o n c i l e d c a mp a i g n a c c o u n t ban k s t a t e me n t i n J a n u ar y o f ea c h y e a r .

    L o c a l Commi t t e e s , e n t e r Da t e o f E l e c t i o n

    Co u n t y & L o c a l Commi t t e e s , e n t e r Coun t y i nwh i c h E l e c t i o n i s h e l d

    YES

    FORMDR- 2 D I S C L O S U R E( Re v 1 2 / 2 0 0 5) REPORTF o r O f f i c e Us e O~my~~Comm . #L o g g e d I nS c a n n e dComp u t e rAu d i t e d

    F i l e w i t h :I o wa E t h i c s a n d Camp a i g nDi s c l o s u r e B oa r d5 1 0 E. 1 2 ` " , St e . 1 ADes Mo i n e s , I o wa 5 0 3 1 9F a x : 5 1 5 - 2 8 1 - 3 7 0 1

    1 4 0 . 3 6

    2 6 , 9 0 0 . 8 80 . 0 00 . 0 0

    5 1 8 . 7 60 . 0 00 . 0 00 . 0 0

    0 . 0 0NO

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

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f O r g a n i z a t i o n )EMI L Y ' s L i s t - I A

    R e s e t F o r m SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSQCHECK THI S BOX I F

    AMENDI NG FORM

    STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT IONNUMBER ANDTHEPAC CHECK NUMBER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCL OSURE BOARD.NOTE : ANY PERSON, OTHER THAN AN I ND I V I DUA L , 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 ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD.CAUTI ON : Se ct i o n 68B . 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 nd 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 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 l c o mmi t t e e s .

    SUB- TOTAL $ . 6 90 0 . "$ a b~ 0 ~ . ~8

    TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e )Di s c l o s u r e l a w r e q u i r e s c a nd 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 ns h i p o f a n y r e l a t i v e ma k i n g a c on t r i b u t i o n t o t h ec o mmi t t e e . Re l a t i o ns h i p mus t b e shown t o t h e t h i r d d e gr e e o f c o ns a n gu i n i t y ( b l o od 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 yma r r i a g e) . I f s u r n ame o f c on t r i b u t o r i 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 Page l 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 ot a p pl i c ab l e " i n t h e r e l a t i o ns h i p c o l umn . ( f o r Sc h e d ul eA)

    DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 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 ) ANDPAC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI D#

    9 / 1 5 / 0 6 An n B a r u c h $1 500 . 0 0CK# 2 3 0 L a u r e l L a n eH a v e r f o r d , PA 1 9 0 4 1I D#

    1 0 / 0 6 / 0 6 K a t h e r i n e B o r s e c n i k 500 . 0 0CK# 4 7 1 1 E s s e x Av eChev C h a s e MD 2 0 8 1 5I D# Ru t h Do n8 / 4 / 0 6 CK# 1 5 9 S h e r i d a n Rd 5 0 7 7 . 8 8K e n i l w o r t h , I L 6 0 0 4 3I D#

    8 / 3 1 / 0 6 CK# B a r b a r a F o r e s t e r 3 0 0 0 . 0 07 0 0 S 2 n d S t r e e t Ap t 7 1- M i n n e a n o l i s - MN 5 5 4 0 1I D# L o i s H a r r i s o n1 0 / 1 3 / 0 6 CK# 2 3 1 1 Neveda Rd 1 0 0 0 . 0 0L a k e l a n d , FL 3 3 8 0 3I D#

    8 / 2 5 / 0 6 J ame s Ma n n i n g 3 0 0 0 . 0 0CK# Cook A v e n u e C o t t a g e 3 1 0Se a I s l a n d , GA 3 1 5 6 1I D#8 / 4 / 0 6 Nancy P a s t r o f f 4 8 2 3 . 0 0CK# 6 4 2 0 SW5 0 S t r e e tM i a mi , FL 3 3 1 5 5I D# C l y d e S h o r e y1 0 / 0 6 / 0 6 CK# 3 0 3 3 Wes t L a n e K e y s NW 2 5 0 0 . 0 0Wa s h i n g t o n , DC 20007

    I D# J e a n S t e i n8 / 4 / 0 6 CK# 1 0 G r a c i e S q u a r e 2 5 0 0 . 0 0New Y o r k , NY 1 0 0 2 8I D# A n n a T i mmo n s9 / 1 3 / 0 6 CK# PO Bo x 4 2 8 3 0 0 0 . 0 0Ma c k i n a c I s l a n d , MI 4 9 757

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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 S c h e d 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 er 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 made 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 mmi 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 ) . )

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

    FOR I NSTRUCT I ONS , SEE BACK OF FORM R e s e t F o r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    S T A T E PAC COMMI TT EES : NOT E : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI S LAT I V ECANDI DATES, L I S T T HE CANDI DATE I D E NT I F I C A T I O N NUMBER I N T HE DESI GNATED COL UMN AND T HE 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 FROM THE I OWA AMENDI NG FORMETH I CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s am 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 )EMI L Y' s L i s t - I A

    CANDI DATE NAME AND ADDRESS T OWHOM 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 me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

    I D# B a n k o f Ame r i c a B a n k Fee s7 / 3 1 / 0 6 CK# PO Bo x 3 1 7 $ 1 0 . 0 0De s Mo i n e s , I A 5 0 3 0 4I D# B a n k o f Ame r i c a B a n k Fee s8 / 3 1 / 0 6 CK# PO Bo x 3 1 7 3 . 0 0De s Mo i n e s , I A 5 0 3 0 4

    I D# B a n k o f Ame r i c a B a n k F e e s9 / 3 0 / 0 6 PO Bo x 3 1 7 3 . 0 0CK# De s Mo i n e s , I A 5 0 3 0 4I D# 5 1 1 9 De n i s e O' Br i e n f o r I o wa S e c r e t a r y o f Co n t r i b u t i o n8 / 1 0 / 0 6 CK# 1 0 6 9 A g r i c u l t u r e 2 5 0 0 . 0 0PO Bo x 9 4I D# Ma r i a Y u a n Camp a i g n S t a f f8 / 7 / 0 6 CK# 2 4 0 E 4 6 t h S t r e e t # 1 0- F I n - k i n d t o A p p e l f o r Se n a t e # 1 6 0 3 8 6 6 . 8 4New Y o r k , NY1 0 0 1 7I D# De b b i e T i n n i r e l l o Camp a i g n S t a f f8 / 7 / 0 6 CK# 1 2 1 Gr a n t Av e I n - k i n d t o S ch mi t z f o r S en a t e # 1 6 0 6 8 6 6 . 8 4I s l i p , NY1 1 7 5 1I D# Mi c h a e l Cz i n Camp a i g n S t a f f8 / 7 / 0 6 CK# 1 2 C h u r c h i l l Dr i v e I n - k i n d t o O' Br i e n f o r Se c o f 8 6 6 . 8 4Ol d T a p p a n , NJ 0 7 6 7 5 A g r i c u l t u r e # 5 1 1 9I D# B r e t t S t i n a r Camp a i g n S t a f f8 / 7 / 0 6 CK# 4 4 6 4 9 We s t mi n i s t e r Way I n - k i n d t o V o t e R a d k e # 1 6 4 0 8 6 6 . 8 4Ca n t o n , MI 4 8 1 8 7

    SUB- TOTAL $ 5 1 9 ,3 ' 3 ~TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $

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    THI S BOX A PP L I E S TO CANDI DATES' COMMI TTE ES ONL Y:P ur 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 . )E x pe nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d o nSc h e d u l e Gb 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 pe n di 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 mmi t t e e . ( R e f e r t oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Cod e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

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

    FOR I NSTRUCTI ONS, SEE BACK OF F ORM R e s e t F or m SCHEDUL EEXPENDI TURES B MONETARY- - MONEY SPENT F ROM COMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEE S : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR L EGI SLAT I V ECANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOXI FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S A VA I L A B L E F ROM THE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTE E NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )E MI L Y' s L i s t - I A

    CANDI DATE NAME AND ADDRESS TO WHOM 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 me n t ) WAS MADE( MM/ DDNR) AND PACCHECK

    NUMBERI D# Ma r i a Y u a n H e a l t h I n s u r a n c e8 / 1 7 / 0 6 2 4 0 E 4 6 t h S t r e e t # 1 0 - F I n - k i n d t o Ap p e l f o r S e n a t e # 1 6 0 3 8 5 . 0 0CK# 1 0 7 2 Ne w Y o r k , NY 1 0 0 1 7 $I D# D e b b i e T i n n i r e l l o H e a l t h I n s u r a n c e8 / 1 7 / 0 6 CK# 1 2 1 G r a n t Av e I n - k i n d t o S c h mi t z f o r S e n a t e # 1 6 0 6 8 5 . 0 01 0 7 1 I s l i p , NY 1 1 7 5 1I D# Mi c h a e l C z i n H e a l t h I n s u r a n c e I n - k i n d t o O ' B r i e n8 / 1 7 / 0 6 1 2 C h u r c h i l l D r i v e f o r S e c o f A g r i c u l t u r e # 5 1 1 9 8 5 . 0 0CK# 1 0 7 0 Ol d T a p p a n , NJ 0 7 6 7 5I D# 1 6 0 3 A p p e l f o r S e n a t e C o n t r i b u t i o n8 / 3 1 / 0 6 CK# 1 0 9 0 1 1 8 0 t h Av e 1 0 0 0 . 0 01 0 7 3 A c k w o r t h , I A 5 0 0 0 1I D# 1 6 4 0 V o t e Rad k e C o n t r i b u t i o n8 / 3 1 / 0 6 CK# 6 3 8 5 5 2 5 0 t h S t r e e t 1 0 0 0 . 0 01 0 7 4 N e v a d a , I A 5 0 2 0 1I D# 1 6 0 6 S c h m i t z f o r S e n a t e C o n t r i b u t i o n8 / 3 1 / 0 6 CK# 4 0 4WWa s h i n g t o n , 1 0 0 0 . 0 01 0 7 5 F a i r f i e l d , I A 5 2 5 5 6I D# Ame r i c a n E x p r e s s N o r t h w e s t A i r l i n e s T r a v e l

    8 / 7 / 0 6 7 5 0 0 A i r l i n e D r i v e I n - k i n d t o A p p e l f o r S e n a t e # 1 6 0 3 4 0 2 . 4 0CK# 1 0 7 7 M i n n e a p o l i s , MN 5 5 4 5 0I D# Ame r i c a n E x p r e s s N o r t h w e s t A i r l i n e s T r a v e l8 / 7 / 0 6 CK# 7 5 0 0 A i r l i n e D r i v e I n - k i n d t o S c h m i t z f o r S e n a t e # 1 6 0 6 4 0 2 . 4 01 0 7 7 M i n n e a p o l i s , MN 5 5 4 5 0

    SUB- TOTAL 1 4 0 5 7 . ToTOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $

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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 m u 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 S c h e d 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 er 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 m u s t a l s o b e d e t a i l i t e mi 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 made 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 mmi 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 Co d e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

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

    FOR I NSTRUCT I ONS , SEE BACKOF FORM Re se t Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N T HE 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 FROM THE I OWA AMENDI NG FORME THI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f O r g a n i z a t i o n )EMI L Y' s L i s t - I A

    CANDI DATE NAME ANDADDRESS TO WHOM 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 me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

    I D# Ame r i c a n Ex p r e s s No r t h we s t A i r l i n e s T r a v e l8 / 7 / 0 6 CK# 1 0 7 7 7 5 0 0 A i r l i n e Dr i v e I n - k i n d t o V ot e Ra d k e # 1 6 4 0 $ 4 0 2 . 4 0Mi n n ea p o l i s , MN5 5 4 5 01 D# Ame r i c a n Ex p r e s s No r t h we s t A i r l i n e s T r a v e l

    8 / 7 / 0 6 CK# 7 5 0 0 A i r l i n e Dr i v e I n - k i n d t o O' Br i e n f o r Se c o f Ag 4 0 2 . 4 01 0 7 7 Mi n n ea p o l i s , MN5 5 4 5 0 # 5 1 1 9I D# 5 1 1 9 De n i s e O' Br i e n f o r I A Se c o f Ag C o n t r i b u t i o n9 / 1 4 / 0 6 CK# 1 0 7 9 PO Bo x 9 4 2 5 0 0 . 0 0A t l a n t i c , I A 5 0 0 2 2I D# Ma r i a Y u a n Ca mp a i g n S t a f f9 / 1 5 / 0 6 CK# 2 4 0 E 4 6 t h S t r e e t # 1 0- F I n - k i n d t o A p p e l f o r Se n a t e # 1 6 0 3 1 0 0 0 . 0 0New Yo r k , NY 1 0 0 1 7I D# De b b i e T i n n i r e l l o Ca mp a i g n S t a f f9 / 1 5 / 0 6 CK# 1 2 1 Gr a n t Av e I n - k i n d t o Sc h mi t z f o r S en a t e # 1 6 0 6 1 0 0 0 . 0 0I s l i p , NY1 1 7 5 1I D# Mi c h a e l Cz i n Ca mp a i g n S t a f f9 / 1 5 / 0 6 CK# 1 2 C h u r c h i l l Dr i v e I n - k i n d t o O' Br i e n f o r Se c o f 1 0 0 0 . 0 0Ol d T a p p a n , NJ 0 7 6 7 5 A g r i c u l t u r e # 5 1 1 9I D# B r e t t S t i n a r Ca mp a i g n S t a f f9 / 1 5 / 0 6 CK# 4 4 6 4 9 We s t m i n i s t e r Way I n - Ki n d t o V ot e Ra d k e # 1 6 4 0 1 0 0 0 . 0 0Ca n t o n , MI 4 8 1 8 7I D# 1 6 0 3 A p p e l f o r Se n a t e Co nt r i b u t i o n1 0 / 5 / 0 6 CK# 1 0 9 0 1 1 8 0 t h Av e 5 0 0 . 0 01 0 8 0 Ac k wo r t h , I A 5 0 0 0 1

    SUB- TOTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $

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    6/7

    THI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :P ur 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 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 . )E x pe nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e mi z e d o 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 a t 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 h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oSc h e d u l e G i 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 ) . )

    P a g e 9 - o f( f o r Sc h e d u l e B)

    FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o r m SCHEDUL EEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHE CHECKTHI S BOXI FPAC CHECK NUMBER FOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI L ABL E FROM THE I OWA AMENDI NGFORMETHI 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 )E MI L Y' s L i s t - I A

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI 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 ) WASMADE( MM/ DD/ Y R) AND PACCHECKNUMBER

    I D# I o wa S e n a t e M a j o r i t y F u n d C o n t r i b u t i o n1 0 / 5 / 0 6 CK# 1 0 8 1 5 6 6 1 F l e u r D r i v e $ 1 0 0 0 . 0 0De s Mo i n e s , I A 5 0 3 2 1I D# Ma r i a Y u a n Campa i g n S t a f f1 0 / 1 3 / 0 6CK#

    2 4 0 E 4 6 t h S t r e e t 1 0 - F I n - k i n d A p p e l f o r S e n a t e # 1 6 0 3 1 2 3 3 . 3 8New Y o r k , NY 1 0 0 1 7I D# De b b i e T i n n i r e l l o Campa i g n S t a f f1 0 / 1 3 / 0 6 1 2 1 G r a n t Av e I n - K i n d t o S c h mi t z f o r S e n a t e # 1 6 0 6 1 2 3 3 . 3 8CK# I s l i p , NY 1 0 0 1 7I D# Mi c h a e l C z i n Camp a i g n S t a f f1 0 / 1 3 / 0 6 CK# 1 2 C h u r c h i l l D r i v e I n - K i n d t o O ' B r i e n f o r S e c o f Ag 1 2 3 3 . 3 8Ol d T a p p a n , NJ 0 7 6 7 5 # 5 1 1 91D# B r e t t S t i n a r Campa i g n S t a f f1 0 / 1 3 / 0 6 CK# 4 4 6 4 9 We s t m i n i s t e r Way I n - k i n d t o V o t e Radk e # 1 6 4 0 1 2 3 3 . 3 8C a n t o n , MI 4 8 1 8 7D# 1 6 0 6 S c h m i t z f o r S e n a t e C o n t r i b u t i o n1 0 / 0 5 / 0 6 CK# 4 0 4WWa s h i n g t o n 1 0 0 0 . 0 01 0 8 3 F a i r f i e l d , I A 5 2 5 5 6I D# E l e s h a Gayman f o r I o wa House C o n t r i b u t i o n1 0 / 1 2 / 0 6 CK# POBo x 2 5 6 7 1 0 0 0 . 0 0D a v e n p o r t , I A 5 2 8 0 9I D# De b b i e T i n n i r e l l o H e a l t h I n s u r a n c e1 0 / 1 3 / 0 6 CK# 1 2 1 G r a n t Av e I n - K i n d t o S c h m i t z f o r S e n a t e # 1 6 0 6 1 5 4 . 0 0I s l i p , NY 1 0 0 1 7

    SUB- TOTAL Nov .TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $

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    7/7

    THI S BOXAPPLI ES TO CANDI DATES' COMMI TTEES ONLY :P ur 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 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 . )E x pe nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d o nSc 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 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 G i 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 R e s e t Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOX I FPAC CHECK NUMBER FOREACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )E MI L Y' s L i s t - I A

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ Y R) AND PACCHECKNUMBER

    I D# Ma r i a Y u a n Campa i g n S t a f f1 0 / 1 3 / 0 6 C K # 2 4 0 E 4 6 t h S t r e e t I 0 - F I n - k i n d Appe l f o r S e n a t e # 1 6 0 3 $ 1 7 0 . 0 0New Y o r k , NY 1 0 0 1 7I D# Mi c h a e l Cz i n Campa i g n S t a f f

    1 0 / 1 3 / 0 6 C K # 1 2 C h u r c h i l l D r i v e I n - K i n d t o O ' B r i e n f o r Se c o f Ag 1 7 0 . 0 0Ol d T a p p a n , NJ 0 7 6 7 5 # 5 1 1 9I D# Ma r i a Y u a n H e a l t h I n s u r a n c e9 / 1 5 / 0 6 2 4 0 E 4 6 t h S t r e e t 1 0 - F I n - k i n d Appe l f o r S e n a t e # 1 6 0 3 8 5 . 0 0C K # New Y o r k , NY 1 0 0 1 7ID# Mi c h a e l C z i n H e a l t h I n s u r a n c e9 / 1 5 / 0 6 C K # 1 2 C h u r c h i l l D r i v e I n - K i n d t o O ' B r i e n f o r Se c o f Ag 8 5 . 0 0Ol d T a p p a n , NJ 0 7 6 7 5 # 5 1 1 9I D# De b b i e T i n n i r e l l o H e a l t h I n s u r a n c e9 / 1 5 / 0 6 C K # 1 2 1 G r a n t Av e I n - K i n d t o S c h mi t z f o r S e n a t e # 5 1 1 9 7 7 . 0 0I s l i p , NY 1 1 7 5 1

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