Hammond Johnie46scanned

8/7/2019 Hammond Johnie__46__scanned

1/12

DI SCL OSURE SUMMARY PAGEFORSTATEWI DEANDGENERAL ASSEMBLY g q f f ~ D~ 7 ~5 &

f; - L ~CAND I DAT E' S COMMI TTEENAME ( Mu s t b e s ame a s o n St a t e me n t ~O r g a n i z a t i o n )G~ t a _ z . e n s f o r Ha n n n n d

5 1 5 , 2 9 2 - 5 3 5 3

$ 1 , 0 0 0 o r mor e f o r g e n e r a l a s s e mb l y c a n d i d a t e s .0 C h e c k i f Amendmen t t o r e p o r t d a t e d 19-0 C h e c k i f f i n a l ( t e r m i n a t i o n ) r e p o r t . ( 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 )

FORMDR- 2SCCANDI DATE

CAUTI ON: Pe na l t i e s Due Fo r L at e F i l e d Re po r t s Ran ge Fr om $ 1 0 t o $ 4 0 0

T u e s . P r e c e d i n g E l e c t i o n t h r uDe c . 3 1 , 1 9 o r 0 1J a n . 1 - De c . 3 1 , *9- LNOTE : Th e s e s u p pl e me n t a l r e p o r t s a r e r e q u i r e d I f c o n t r i b u t i o n s r e c e i v e d I n t h e c o v e r e d p e r i o d e q u a l $ 1 0 , 0 00 o r mo r e f o r g ov e r n or , $ 5, 0 0 0 o r mo r e f o r o t h e r s t a t e wi d e c a nd i d a t e s ;

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 h i s i s t h e t o t a l o f a l lmo n i e s h e l d b y t h e c o mmi t t e e . T h i s amou n t MUST b e t h e s ame a s t h e c a s ho n h an d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d , o r must b e z e r o i f t h i s i s f i r s t 2 , 06 4 . 8 6r e p o r t f i l e d ) $ADDTOTAL MONEY TAKEN I N T HI S PER I OD ) S 4 6 1 5 . O0Sc h e du l e A : Ca sh Co n t r i b u t i o n s t o t a l A t t a c h Sc h e du l e A . . . . . . . . . . . a. . r d, , , ,Sc h e du l e C: Fu nd r a i s i n g Ev e n t s t o t a l ( A t t a c h Sc h e du l e C) . . . . . . . . . . . . . . . . . . .Sc h e du l e F : L o a n s Re c ei v e d t o t a l ( A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . .

.Sc h e du l e H: T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc e d u l H) . . . . . . . . . . .i n t e r e s t SST. Q7

SUB- TOTAL $ 6 , 1 0 6 . 9 3

Fo r o f f i c e u s e o n l y .Comm. No .I n d ex e d Ou lAu d i t e dCheckedComput er

J a n u ar y 1 8 , 2 00 2

SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e du l e B : Ex p e n d i t u r e s t o t a l ( A t t a c h Sc h e du l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 9 9 . 0 3Sc h e du l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . .CASH ON 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 m u s t b e z e r o )( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 4 0 7 . 9 0

DI SCLOSUREREPORT

RE OF TREASURER. ( o r r s o n f i l i n g t h i s r e p o r t ) ' TELEPHONE DATE S I GNED

UNPAI D BI L L S ( F r o m S ch ed u l e D - A t t a c h Sc h e du l e D) $I N KI ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e du l e E ) $OUTSTANDI NGLOANS ( F r o m Sc h e du l e F - A t t a c h Sc h e du l e F ) $CONSULTANT BREAKDOWN ( Sc h ed u l e Ga t t a c h e d ? ) 1 3 Ye s NoVALUEOF CAMPAI GN PROPERTY ( F r o m Sc h e du l e H - At t ac h Sc h e du l e H) $` REMI NDER: Th e l a w p l a c e s r e s p o n s i b i l i t y s o l e l y u p o n t h e c a n d i d a t e f o r t h e t i m e l i n e s s an d a c c u r a c y o f r e p o r t s f i l e d b y t h e c o mm i t t e et r e a s u r e r . 1 4 0 - 0 0 3 4 / CPK- 0 2 0 5 2 2 ( R e v . 1 9 9 3 )

ELECTI ONYEAR REPORTI NGDATES SPECI AL ELECTI ON REPORTI NGDATESRe p o r t Du e Co v e r e d P e r i o d - I n c l u s i v e DATE OF E L E CT I ON 19-0 May 20, 19- J a n . 1 - May 1 5 , 1 9 Re p o r t Du e Co v e r e d Pe r i o d - I n c l u s i v e0 F r i d a y p r e c e d i n g p r i ma r y May 1 6 - Tu e s d a y p r e c e d i n g 0 1 4 t h d a y p r i o r t o e l e c t i o n C u r r e n t t h r u 1 9 d a y s p r i o r( S e e N o t e ) p r i ma r y . 19- t o e l e c t i o nO J u l y 20, 19- May 1 6 o r Wedne sda y p r e c e d i n g 0 F r i d a y p r e c e d i n g e l e c t i o n 1 8 t h day p r e c e d i n g e l e c t i o np r i m a r y - J u l y 15, 19- ( S e e N o t e ) t h r u T u e s d a y p r e c e d i n g19- e l e c t i o n0 Oc t . 20, 19- J u l y 1 6 - Oc t . 15, 19-0 F r i d a y p r e c e d i n g g e n e r a l Oc t . 1 6 - Tu e s d a y NONEL ECTI ONYEAR REPORTI NG DATES( S e e N o t e ) p r e c e d i n g g e n e r a l R e p o r t Du e C o v e r e d P e r i o d - I n c l u s i v e0 J a n . 2 0 , 62002 Oc t . 1 6 o r Wedne sda y p r e c e d i n g J a n . 20 , ) * ~ - ~ 1 2 Oc t . 1 6 - De c . 3 1 , 1 9g e n e r a l - D e c . 3 1 , 19- o r


2/12

CONTRI 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 ds )

CANDI DATE' S COMMI TTEE NAME ( Mu s t b e s ame 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 )Ci t i z en s f o r Ham on d

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CA TI ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NOCOST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , 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 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 on t r i b u t i o n s o r f o r a n y c o mme r cp 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 .

' Di s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . Re l a t i o n s h i p mu s tshown t o t h e t h i r d d e g r e e o f c o n s an 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 ma r r i a g e) .L - 0 5 8 2 8 / 1 4 0 - 0 0 5 4 - L / ( R e y . 1 9 9 3 )

SCHEDULES!AT ESTATE RECE I P T SCANDI DATE

F o r o f f i c e u s e o n l y

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

DATERECD PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( i f p r o c e e d s f r o m f u n d r a i s e r , s h o w f u n d r a i s e r s p o n s o r ) RELATI ONSHI PTOCANDI DATE'1 1 a p p l i c a b l e )AMOUNTRECEI VED

- 8 - 0 1 El l e n Hadwi e r 5 0 . 0 0$1 1 1 8 Sc h o l l Rd . ; Ames I A 50014

- 9 - 0 1 3 0 . 0 03 6 2 0 Wood l and ; Ames I A 5 0 0 1 4

- 1 0 - 0 . -JHamilton" - . . e . , - 2 0 . 0 02200D. ; Ames I A 5 0 0 1 4- 1 0 - 0 Ri c h ar d Sq ui r e s 100 . 0 02 3 4 5 Hi l t on Ct ; Ame s TA 5 0 0 1 4

- 1 1 - 0 St e war t Bu r g e r 5 0 . 0 06 2 3 Cr y s t al S t . ; Awe s I A 5 0 0 1 4

1 2- 0 J o h n &El ai n e Ande r s o n 2 5 . 0 01 8 0 1 2 0t h St . ; Ame s I A 5 0 0 1 0

1 2- 0 a aW . . : . ~ . : . - 50 . 0 02 1 5 0 As hmr e Ct . ; Ames I A 5 0 0 1 4

Ph i l i Be r e r 5 0 . 0 02 518 Ke l l og g Av e . ; Ames I A 5 0 0 1 0

1 2- 0 ~ _. 5 0 . 0 01 0 2 6 Gas k i l l Dr . ; Ames I A 5 0 0 1 4

SUB- TOTAL $ 4 2 5 . 0 0

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 ) $


3/12

CONTRI BUTI ONS - MONEY TAKEN I N( i n c l u d i n g c an d i d at e ' s p e r s o n a l f u n ds )

CANDI DATE' S COMMI TTEE NAME ( Mu s t be s ame a s on S t a t e me n t o f Or g an i z a t i o n )Ci t i z ens f o r Ha i mnnd

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A PAC ( POL I T I CA L ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CA TI ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NOCOST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD.

L - 0 5 8 2 8 / 1 4 0 - 0 0 5 4 - L / ( Re v . 1 9 93 )

SCHEDULEMONETARSTATE RECEI PTS

CANDI DATE ~Fo r o f f i c e u se on l y

Se ct i on 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , 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 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 on t r i bu t i on s o r f o r a n y c o mme rp u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

' Di s c l o s ur e l aw r e q u i r e s c a nd i d at e s t o d i s c l os 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 e c o mmi t t e e . Re l a t i on sh i p musshown t o t h e t h i r d d e g r e e o f c on s an 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 y ma r r i a g e) .Page2- o f( f o r Sc h e d u l e A)

DATERECD PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f p r o c e e d s f r o m f u nd r a i s e r , s h o w f u nd r a i s e r s p o n s or )RELATI ONSHI PTOCANDI DATE'I f a p p l i c a b l e )

AMOUNTRECEI VED

Max Exner $ 3 5 . 0 0- 1 2 - 0 Moi m. u ng s i ; Ames I A 50010L -- 1 2 - 0 Tom& Sha r o n Fen t o n 2 0 . 0 0

3523 Ar mear St . ; Ames I A 50014

- 1 2 - 0 I s a be l Ma . ~ o 2 5 . 0 02 4 3 2 Hami l t o n Dr . ; Ames I A 5 0 0 1 4

- 1 2 - 0 u 1 4 1 1 0 1 0 - = . u - 25 . 0 03 9 2 0 Dawes Dr . ; Ames I A 5 0 0 1 0

- 1 2 - 0 . e . "_ _ . ~ . 50 . 0 02 1 1 7 Gr aebe r St . ; Ames I A 5 0 0 1 4

Mar i l y n Sea l i n e 50 . 0 01 6 1 5 Woo dh a v en Ci r . ; Ames I A 5 0 0 1 4

- 1 3 - 0 Ba r b ar a Ko e s t e r 2 5 . 0 03038 Aspen Rd . ; Amme s I A 50014

- 1 3 - 0 Da l e Ro s s 2 5 . 0 09 09 Hunz i k er Dr . ; Ames I A 5 0 0 1 0

- 1 4 - 0 2 5 . 0 073313 Mo r n i n s i d e St . ; Ames I A 5 0 0 1 0

SUB- TOTAL $ 2 $ 0 , OOTOTAL ( i f l a s t p a g e o f t h i s s c h ed ul e ) $


4/12

L - 0 5 8 2 8 / 1 4 0 - 0 0 5 4 - L / ( R e v . 1 9 9 3 )

CONTRI BUTI ONS - MONEY TAKEN I N( i n c l u d i n g c an d i d at e ' s p e r s o n a l f u n ds )

CANDI DATE' S COMMI TTEE NAME ( Mu s t b e s ame as on S t a t e me n t o f Or g ani z a t i on)Ci t i z ens f or HanmondNOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST

THE PAC I DENT I F I CA TI ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NOCOST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

SCHEDULEA MONETARSTATE RECEI PTSCANDI DATE ~F o r o f f i c eus e one

Se c t i on 6 8 B . 3 2 A ( 6 ) , I o wa Code , 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 on f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c on t r i b u t i o n s o r f o r a n y c o mme rp u r p o s e b y a n y p er s o n ot 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 .

' Di s c l os ur e l a w r e q u i r e s c a nd i d at 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 on t r i b u t i o n t o t h e c o mmi t t e e . Re l a t i on sh i p musshown t o t h e t h i r d d e gr e e o f c on s an gu i n i t y ( b l ood 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 by ma r r i a ge ) .

Page 3 o f rO( f o r Sc h e d ul e A )

DATERECD PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( i f pr o c ee ds f r o m f u n d r a i s e r , show f u nd r a i s e r sponso r )RELATI ONSHI PTOCANDI DATE'I f a p p l i c a b l e )

AMOUNTRECEI VED- 1 6 .

1 1 1 9 2 5_ a . . e o . . . , . . $ 5 0 . 0 0

HLmz i k e r Dr . ; Ames I A 50 010

- 1 7 I r ene Beav er s 25 . 0 02 2 0 0 Hami l t on Dr . ; Ar i e s I A 50014- 1 7 ~" . " : . . y . . 1 00 . 0 0

2 2 2 0 Jensen Av e . ; Ames I A 5 0 0 10

- 1 7 Tom & Judy J a c k son 1 5 . 0 01 1 1 2 Ri dgewood ; Ames I A 5 0 0 10- 1 7 Ma r ' k : - T. i .,* 20 . 0 0

2223 Hami l t on Dr . ; Ames I A 5 0 0 14

- 1 7 . 0 0 . . : . . 2 5 . 0 04 235 Ei s enh ower Ct . ; Ames I A 5 0 0 10

- 1 7 Wa l l a c e &J 2 5 . 0 01 9 2 4 Nor t h c r e s t Ci r . ; Ames I A 50014

- 1 7

- 1 8

.241 0 Hami l t on Dr . ; Ames I A 5 0 0 14

- _ ~ . . - u i . - _ .1 8 0 1LotL20 th St . ; Ar ms I A 5 0 0 10 1 00 . 0 05 0 . 0 0SUB- TOTAL $ 410 . 0 0TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) $


5/12

L - 0 5 8 2 a / 1 4 0 - 0 0 5 4 - L / ( Re v . 1 9 93 )


CANDI DATE' S COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )Ci t i z e n s f o r Hanmnd

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NO COST FROM THE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

SCHEDULES!ATESTATE RECEI PT

CANDI DATEF o r o f f i c e u s e o n l y

Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , 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 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 ut i o n s o r f o r a n y c o mme rp u r p os e by 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 .

' Di s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c on t r i bu t i o n t o t h e c o mmi t t e e . Re l a t i o ns h i p mu sshown t o t h e t h i r d d e g r e e o f c o n s an g u 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 by ma r r i a g e ) .

P a g e 4 o f / O( f o r Sc h e d u l e A)

DATERECD PAC I . D . NUMBER( i f a p p l i c a b l e )NAME AND ADDRESS OF CONTRI BUTOR

( i f p r o c e e d s f r o m f u n d r a i s e r , s h ow f u n d r a i s e r s p o n s o r ) RELATI ONSHI PTO CANDI DATE'I f a p p l i c a b l e ) AMOUNTRECEI VED4 - 1 s Phy l l i s He n r y $ 1 0 0 . 0 0

4 - 1 8 J e f f L a k e 5 0 . 0 0r y t u s v t i i i I - " e

- 1 8 Pa t Mi l l e r 2 5 . 0 0R o s s . ; s 0- 1 8 J o rZen R a s mu s s e n 2 5 . 0 0As r e Dr Ame s I A 5 0 0 1 4- 1 8 Ca r l & Ta n i a T i t o n 2 5 . 0 04 1 5 Br i a r wo o d Pl Ame s I A 5 0 0 1 0- 1 8 Ma r l e n e We i s s h a a r 2 5 . 0 01 7 0 3 Pi e r c e Ct . ; Ar ms I A 5 0 0 1 0- 1 8 Br e n t & Ma i e ' a 5 0 . 0 0Hn z i k e r Dr . ; Ame s I A 5 0 0 1 0

- 2 2 J a n & Ne a l F l o r a 7 5 . 0 01 9 0 2 Ge o r g e Al l e n Dr . ; Ame s I A 5 0 0 1 0

- 2 4 Ru t h J o n e s 5 0 . 0 01 1 1 Hu n z i k e r Ci r ; Ame s I A 5 0 0 1 0

SUB- TOTAL $ 4 2 5 . 0 0 . ~TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $


6/12

L - 0 5 8 2 a / 1 4 0 - 0 0 5 4- L / ( R e v . 1 9 93 )

CONTRI BUT I ONS - MONEY TAKEN I N( i n c l u d i n g c a n di d a t e ' s p e r s o na l f u nd s )

CANDI DATE' S COMMI TTEE NAME ( Mu s t b e s a me a s on St a t e me n t o f O r g a n i z a t i o n )Ci t i z en s f o r Hammnd

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CA TI ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NO COST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

SCHEDULEMONETARYSTATE RECEI PTS

CANDI DATEFo r o f f i c e u s e o nl y

Se c t i on 6 8 B . 3 2 A ( 6 ) , I o wa Cod e , 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 on 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 on t r i b ut i on s o r f o r a n y c omme r cp u r p o s e b y a n y p e r s o n ot 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 .

' Di s c l os ur e l a w r e q u i r e s c a nd i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . Re l a t i on sh i p mustshown t o t h e t h i r d d e g r e e o f c on s an gu i n i t y ( b l ood 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 ma r r i a g e ) .Pag e 5 o f / 0( f o r Sc h e d u l e A )

DATERECD PAC I . D . NUMBER( i t a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f p r o c e e d s f r o m f u n d r a i s e r , s h ow f u n d r a i s e r s p o n s o r ) RELATI ONSHI PTOCANDI DATE'I f a p p l i c a b l e )AMOUNTRECEI VED

4 - 2 4 Mar v i n &Maxi n e J ul i u s 25 . 0 0$o r we s t e r n ; s I A 50010

) 14 - 2 5 Jac k &Donna Cl eas b 2 5 . 0 00 5 Dover ; Ame s I A 5001

4 - 2 5 Mar ; or i e Har t mm-

2 5 . 0 02300 Ti mbe r l and Rd . ; Ame s I A 50014

4 - 2 5 No r m . ~ Y[ " ~ e b Y e S i 100 . 0 0339 Hi c k or y Dr . ; Ame s I A 50014

4 - 2 5 '"_ - .. - . , s - u ~ . : 3 5 . 0 02 3 1 9 Ti mbe r l and Rd . ; Ame s I A 50014

4 - 2 5 ~ l . - + 25 . 0 01 7 1 0 No r t h we s t e r n ; Ame s I A 500104 - 2 5 Mar y St e r l i n g 25 . 0 0

0 1 9 1-4

4 - 2 7 Mar y Cat h er i n e Fr e n c h 50 . 0 0o r *K- ' r e : iWfW. 1 1 1 1 1 1 1 j[~.

4 - 27 Mar l y s Po t t e r 5 0 . 0 0u t Dr . ; Ame s I A 50010

SUB- TOTAL $ 360 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e d ul e ) $


7/12

CONTRI BUT I 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 nd s )

CANDI DATE' 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)Ci t i z en s f o r Han=d

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I FI CAT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NO COST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

SCHEDULEASTATE

CANDI DATEMONETARRECEI PT

Fo r o f f i c e u s e o n e

Se c t i on 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e us e o f i n f o r ma t i on f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c on t r i b u t i o n s o r f o r a n y c o mme rp ur po se b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

' Di s c l os ur e l a w r e q u i r e s c a nd i d at 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 on t r i b u t i o n t o t h e c ommi t t e e . Re l a t i on sh i p musshown t o t h e t h i r d d e gr e e o f c on sa ng ui 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 by ma r r i a g e) .L - 0 5 8 2 8/ 1 4 0 - 0 0 5 4 - L / ( Re v . 1 9 93 ) Page 6 o f / 0( f o r Sc h e d u l e A )

DATERECD PA C I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f pr o c ee ds f r o m f u n d r a i s e r , s how f u n d r a i s e r s p o n s o r ) RELATI ONSHI PTO CANDI DATE'I f a p p l i c a b l e )AMOUNTRECEI VED

5- 1 Ar l i n Br an hagen $ 3 0 . 0 0t St . ; s ' k i f h a t l ,

5- 1 J o h n & J u d Cl e m 7 5 . 0 02307 T ' e r an Rd . ; Ames I A 50014

5- 1 Da v i d Gr adwohl 25 . 0 02 0 0 3 AsYmn r e Dr . ; Ames I A 50014

5- 1 50 . 0 02 4 3 8 Hami l t o n Dr . ; Ar ms I a 50014

5- 1 ' . 100 . 0 01 5 1 0 To p o Ho l l ow Rd . ; Ames I A 50010

5 - 1 Howa r d Shap i r o 50 . 0 0

5- 2 Ka r l & S l v i a Fo x 5 0 . 0 01 t St . ; Ames I A 50010

5 - 4 Gene & L e l l Do e r t 100 . 0 0920 Br ook r i dg e ; Ames I A 50010

5 - 5 - - . : . 50 . 0 01 5 1 5 St o ne br ook e Rd . ; Ames I A 50010

SUB- TOTAL $ S3 0 . 0 0TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) $


8/12


CANDI DATE' 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 a ni z a t i on)Ci t i z ens f or Hanmond

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NO COST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

L - 0 5 82 a / 1 4 0 - 0 05 4 - L / ( Re v . 1 9 93 )

SCHEDULEMONETARSTATE RECEI PTCANDI DATE ~

F o r o f f i c e u s e o n l y

Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , 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 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 on t r i b u t i o n s o r f o r a n y c o mme rp u r p o s e by 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 .

' Di s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c on t r i bu t i o n t o t h e c o mmi t t e e . Re l a t i o ns h i p mu ss h o w n t o t h e t h i r d d e g r e e o f c o ns a n g u 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 by ma r r i a g e ) .P a g e 7 o f / 0( f o r Sc h e d u l e A)

DATERECD PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f p r o c e e d s f r o m f u n d r a i s e r , show f u n d r a i s e r sponso r )RELATI ONSHI PTOCANDI DATE'

i f a pp l i c a bl e )AMOUNTRECEI VED

5- 8 Chuck & Bonni e Gl a t z $ 5 0 . 0 01404 Car Av e . ; Ames I A 50010

5- 8 B i l l Robi ns on 5 0 . 0 03 0 0 2 Ev e r gr e en Ci r . ; Ames I A 50014

5- 8 John 50 . 0 02 9 24 Ei s e nh owe r Av e . ; Ames I A 50010

5 - 1 5 J e r r y &Ei l e en Kl on l a n 100 . 0 01 6 2 2 Max we l l ; Ames I A 50010

5 - 1 5 B i l l &Pol l i e Mal one 5 0 . 0 02 1 0 7 Count r y Cl u b ; Anmes I A 50014

6 - 1 : e . : . _ . 2 0 . 0 02312 St or m St . ; Ames I A 50014

- 1 Geor e &Do r o t h y Ki z er 5 0 . 0 03 9 1 9 Dawe s Dr . ; Ame s I A 50010

" Ma r g o & Sande 4. 6 k , 25 . 0 01 2 3 2 Wi s cons i n Av e . ; Ames I A 50014

Mas s oud Sh a h i d i 2 5 . 0 02 33 31 Wi nt h r op Ci r . ; Ames I A 50010

SUB- TOTAL $ 420 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $


9/12

CONTRI 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 nd s )

CANDI DATE' S 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 a n i z a t i o n)Ci t i z ens f o r Ha mnnd

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I FI CAT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D. NUMBERSI S AVAI LABLE AT NO COST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

SCHEDULES!ATESTATE RECEI PTCANDI DATE ~

F o r o f f l c e us e o n l y

Se c t i on 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e us e o f i n f o r ma t i on f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c on t r i b u t i o n s o r f o r a n y c o mme rp u r p o s e by a ny pe r s on 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 .

' Di s c l os ur e l a w r e qu i r e s c a nd i d at 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 an 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 e c o mmi t t e e . Re l a t i on sh i p muss h o w n t o t h e t h i r d d e gr e e o f c on sa ng ui 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 by ma r r i a g e) .L - 0 5 8 2 8 / 1 4 0 - 0 0 5 4 - L / ( R e v . 1 9 9 3 ) ( f o r Sc h e d ul e A )

DATEREC' D

PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f pr o c ee ds f r o m f u nd r a i s er , s h ow f u nd r a i s er s p o n s or )RELATI ONSHI PTO CANDI DATE'i f a p p l i c a b l e )

AMOUNTRECEI VED6-1 V _ San

o- RIWI T I $ 50 . 0 0

6 - 1 8 Howar d B . Bal l e i n 250 . 0 0P . O . Box 17 ; Ames I A 50010

6 - 1 8 100 . 0 01 1 7 S . Sp r i ng ; Ames I A 50014

6 - 2 5 P a u l & Ma r s h a Readh e ad 2 5 . 0 01 2 0 0 Ri dgewood ; Ames I A 5001 0

- 2 7 Zda An n Evans 50 . 0 0306 2 1 s t St . ; Ames I A 5001 0

- 2 8 50 . 0 0605 Sou t hwood Dr . ; An -pas I A 5001 4

- 3 0 _ . r . . . . 10 0 . 0 0-515 Ol i v er Ci r . ; Ames I A 5001 4

- 9 - . . . 2 5 0 01 0 0 2 1 7 7 " Ci r . ; Ames I A 5001 0 .- 1 1 : . . . " . . - _ r . . - 50 . 0 04 2 8 Pea r s on Av e . ; Ames I A 5001 4

SUB- TOTAL $ 700 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $


10/12

CANDI DATE' S 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 ni z a t i o n)Ci t i z ens f o r H a i n n o n dNOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NO COST FROMTHE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .Se c t i on 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e us e o f i n f o r ma t i on f r o m r e p o r t s a nd s t a t e me nt s f o r s o l i c i t i n g c ont r i bu t i ons or f o r a n y c o mme rp u r p o s e by a ny p er s on 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 es .

' Di s c l o s ur e l a w r e qu i r e s c a nd i d at es t o d i s c l os 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 ont r i bu t i on t o t h e c o mmi t t e e . Re l a t i ons h i p musshown t o t h e t h i r d d e g r e e o f c o ns a ng ui 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 by ma r r i a ge ) .L -0 5 6 2 9 / 1 4 0 - 0 0 5 4 - U ( R a v . 1 9 9 3 )

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

SCHEDULEMONETARSTATE RECEI PT

CANDI DATEFo r o f f i c e u s e o n l y

Pa g e 9 o f 10( f o r Sc h e d ul e A)

DATEREC' D

PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( ! f p r o c e ed s f r o m f u n d r a i s e r , s h ow f u n d r a i s e r s p o n s or )RELATI ONSHI PTO CANDI DATE'i f a p p l i c a b l e )

AMOUNTRECEI VED7 - 1 1

!Yee- $ 1 00 . 0 05 63 4 Ros ebe r Ri d e Ames I A 5 0 0 1 0aUl

7 - 1 1 J a c k & Ca r o l e Ho r owi t z 2 5 . 0 02 0 1 4 Cou n t r y c l u b Ames I A 5 0 0 1 47 - 1 6 e . _t i 1~ 6 0 . 0 01 7 1 8 5 GWCa r v e r ; Ames I A 5 0 0 1 47 - 1 7 . , e e 2 5 0 . 0 02 1 2 9 As h mo r e Dr . ; Ames I A 5 0 0 1 4- 5 - : . r. - d - 3 0 1 1 1 1 1 u . e . 1 0 0 . 0 0P . O . Bo x 2 2 7 1 5 ; A n o e s I A 5 0 0 1 0- 1 4 Ro y & Bo bb i e Wa r ma n 5 0 . 0 0

e : : I - XA& 1 1 1 0 1 4- 2 2 Bob & Pa t St e wa r t 3 0 . 0 0

ZZJJ : . l e 1 - r1n- 1 7 a y n e & Eve l Fu l l e r 5 0 . 0 0! w i Br i g gs i r . ; s I A 5 0 0 1 0

0 - 1 7 I A Hea l t h Ca r e As s o c i a t i o n PAC 2 0 0 . 0 06 7 5 0 We s t o wn Pa r k wa y # 1 0 0

SUB- TOTAL $ 865 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e d ul e ) $


11/12

CANDI DATE' S 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 )Ci t i z ens f o r Ham und

NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN . L I ST OF I . D . NUMBERSI S AVAI LABLE AT NOCOST FROM THE ETHI CS AND CAMPAI GN DI SCLOSURE BOARD .Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , 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 f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b ut i o n s o r f o r a n y c o mme rp ur p o s e by a n y p er 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 es .

' Di s c l o su r e l a w r e q u i r e s c a nd i d at es 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 on t r i b u t i o n t o t h e c o mmi t t e e . Re l a t i o ns h i p musshown t o t h e t h i r d d e g r e e o f c o ns an 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 by ma r r i a g e) .L - 0 5 6 2 8 / 1 4 0 - 0 0 5 4 - L / ( R e v . 1 9 9 3 )

CONTRI BUTI ONS - MONEY TAKEN I N( i n c l u d i n g c a nd i d at e ' s p e r s o n a l f u n d s )

SCHEDULEMONETARSTATE RECEI PTCANDI DATE ~

Fo r o f f i c e us e o nl y

Page 10 o f 1 0( f o r Sc h e d ul e A )

DATER EC' D PAC I . D . NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR( I f p r o c e ed s f r o m f u n d r a i s e r , s h ow f u nd r a i s er s p o ns o r )RELATI ONSHI PTOCANDI DATE'i f a p p l i c a b l e )

AMOUNTRECEI VED' - 1 9 I o wa Co n " n i t t e e of Aut o Re t a i l e r s PAC

$OS I Of f i c e Pa r k Rd : ' ; Des ' Mo i n es I A 100 . 0 0- 1 7 I o wa Pr ov i de r s PAC

LSI SS . ; Sui t e 5 ; Des Moi nes I A 100 . 0 0

SUB- TOTAL $ 200 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $ 4615 . 0 0 . ~ +


12/12

EXPENDI TURES - MONEY SPENT

CANDI DATE' S COMMI TTEE NAME ( Mu s t be s ame a s o n St a t e me n t o f Or g a ni z a t i on )Ci t i z ens f o r Haman nd

SCHEDULE MONETARYEXPENDI TURESCANDI DATEF o r o f f i c e u s e o n l y

Camp a i g n f u nd s may b e u s e d o nl y f o r c a mp a i g n p u r p os e s , c on s t i t u en cy e x pen di t u r es a nd e d uc a t i o na l a nd o t h e r e x p e n s e s a s s oc i a t edwi t h d u t i e s o f o f f i c e .P u r c h a s e s o f c a mp a i g n pr ope r t y mus t a l s o be I n v e n t o r i e d on Sc h e d u l e H .Ex p en d i t u r e s t o c ons u l t a nt s ( p e r s o n s / e n t i t i e s pr o v i d i n g c o ns 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 , or g an i z i ng s e r v i c e s ,e t c . ) mus t a l s o be d e t a i l i t emi z ed on Sc h e d u l e G b y t h e a mo u n t , p u r p os e , a n d d a t e o f e a c h t y pe o f ex pend i t u r e made by t h ec on s ul t a nt on b e h a l f o f t h e c a nd i d a t e ' s c o mmi t t e e . Se e ma n u a l f o r mo r e s p e c i f i c i n s t r u c t i o n s .L 0 5 8 2 2 / 1 4 0 - 0 0 5 5 - L / ( R e v . 1 9 9 3 ) P a g e _ J _ o f

DATEEXPENDED

NAME AND ADDRESS TOWHOM EXPENDI TURE( Di s b u r s e me nt ) WAS MADE PURPOSE

AMOUNTEXPENDED

4 - 5 - 01 St a l e sS . Du f f Av e . ; Ame s TA 50010 p a pe r , e n ve l o p es 1 6 . 9 7

4 - 1 0 - O1 - ' . . ~ s . p os t a ge 8 8 . 4 06 t h & Ke l l o gg ; Ames I A 50010

4 - 1 7- 0 1Fl u er Dr . ; Des Moi nes I A 50309 c on t r i b u t i on 1 2 0 0 . 0 0

4 - 2 9 - 0 1 Se n at e Tr L ml a n FundFl u er Dr . ; De s Mb i n e s I A 50309 c on t r i bu t i on 300 . 0 0

6 - 1 1 - 0 1 SS . Du f f Av e . ; Ames I A 50010 l abe l s f o r b u l k

ma i l i n g 6 0 . 9 18 - 2 - 0 1 Ame s Po s t ma s t e r

6 t h & Ke l l og g ; Ames I A 50010 bu l k ma i l - - e n d ofs es s i on s ummar y 1 5 5 9 . 3 5

8 - 1 3 - 0 1 J i gYmi R~ i t 1 . i o a3 4 3 1 Ross Rd . ; Ames I A 50014 r e i mbu r semen t f o r 2 3 . 0 0ove r s ee d s en t i n

1 2- 3 1- 0 1 " 1 1 - - . -7Mai n St . ; Ames I A 50010 a c c oun t f e e s 5 0 . 4 0

SUB- TOTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $3299 . 0 3

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