National Federation of Independent Business-Iowa SAFE Trust__6218__scanned

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    NF I B POL I T I CA L A F FAI RS F a x : 2 02 - 4 8 4 - 9 26 7 Oc t 1 8 2 0 0 4 1 5 : 3 3 P . 0 7

    FORI NSTRUCTI ONS, SEE BACKOFFORMDI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( M u 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 o n)N a t i o n a l F e d e r a t i o n o f I n d e p e n d e n t B u s i n e s s / I o w a S a v e A me r i c a s F r e e E n t e r p r i s e T r u s tI MPORTANT : I n d i c a t e t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S l a l e w l d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h l s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 6 ) S u p p p o r t S l a t e o f C a n d i d a t e sCANDI DATE COMMI TT EES ONLY:C a n d i d a t e Name P o l i t i c a l P a r t yO f f i c e S o u g h t

    _ SI AM F I L I NG A 0 7 / 1 5 1 2 0 0 4 - 1 0 / 1 4 / 2 0 0 4( r e p o r t d a t e )

    CHECK I F AMENDMENT TO REPORT DATED

    L a t e f i l e d r e p o r t s a r e s u b j ec t t o p os si b l e c i v i l a nd c r i m i n a l p e n a l t i e s .

    ( C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F or m DR- 3 .( Y o 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 N o t i c e o f D i s s o l u t i o n I s f i l e d . )

    CASH ON HAND a t t h e b e g I n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mm i t t e e . T h i s amou nt MUST b e t h e same a s t h e c a s h o n h and a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d , o r mu st 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 . ) t t

    r . . ,D i s t r i c t ( I f Se n a t e o r H o u s e )

    ND COMPLETE THE FOLLREPORT FORA N/ A ELECTI ON / ( 2 ) NOWELECTI ON YEAR .I n d i c a t e o n e

    STATEMENT OF CASH ON HAND

    FORMDR2 - 2 DI SCLOSURE( R e v . 0 1 / 2 0 0 3 REPORT

    F o r O Mi c e We O r d vComm . aI n d e xA u d i t e dC o m p u t e r

    L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o n

    C o u n t y & L o c a l C o mmi t t e e , e n t e r C o u n t y I nw h i c h E l e c t i o n i s h e l d

    5 5 , 2 7 0 . 6 4

    SUBTRACT TOTAL MONEYSPENT THI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( ' " a l s o s e e d e b t s a n d l o a n sS c h e d u l e F : Lo an s Rep a ymen t s t o t a l ( A t t a c h S c h e d u l e F )

    CASH ON HAND e t t h e end 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 mu s tb e z e r o ) ( A t t a c h DR- 3 ) -

    b e l o w )

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    5 6 , 0 0 0 . 0 0$ 0 . 0 0

    S 1 , 3 9 0 . 6 4

    ` * UNPAI D BI L LS ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) 3 S 0- 00' I N KI ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h S c h e d u l e E ) So=- OUTSTANDI NG LOANS ( F r om S c h e d u l e F - A t t a c h S c h e d u l e F ) ; $ 0 . 0 0CANDI DATE COMMI TT EES ONLY :CONSULTANT BREAKDOWN S c h e d u l e G A t t a c h e d 7 YES 1 3 NOVALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $ 0 . 0 0

    ADD TOTAL MONEYYAKEN I N THI S PERI ODS c h e d u l e A : Cash C o n t 6 b u t i o n e t o t a l ( A t t a c h e d S c h e d u l e A ) ( ' a l s o s ee i n - k i n d b e l o w ) 5 2 , 1 2 0 . 0 0S c h e d u l e F : Loans R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F )S c h e d u l e H , T o t a l S a l e s o f Campa i gn P r o p e r t y ( A t t a c h S c h e d u l e H) $ 0 . 0 0

    Sc h e du l e H a p p l i e s f g Ca n d a t e s ' C mwI t b e s O n l y )SUB - TOTAL = 5 7 , 3 9 0 . 6 4

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    NF I B POL I T I CAL AFFAI RS Fax : 2 02 - 4 84 - 9 26 7 Oc t 1 8 2 0 0 4 1 5 : 3 3 P . 0 8

    Fo r I n s t r u ct i on s , Se e Back o f F or mCONTRI BUTI ONS - MONEYTAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t eme n t o f O r g a n i z a t i o n )N a t i o n a l F e d e r a l i o n o f I n d e p e n d e n t B u e i n e s a l I o wa S a v e A me r i c a s F r e e E n t e r p r i s e T r u s t

    SCHEDULEAI MONETARY( R e v . 1 1 0 / 9 7 ) RECEI PTS0 CHECKT HI S BOX I FAMENDI NGFORMSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A ST AT E PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T TH E PAC I D E N T I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNTAED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA E T HI C SAND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t l o n 6 8 B . 3 2 a ( B ) , I o w a 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 c o p l e d f r o m r e p o r t s an d s t a t e m e 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 rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s a t u t o r y p o l i t i c a l c ommi t t e e s .

    - 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 o w c o mmi t t e e s t o d i s c l o s e t h e r e t e t b 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 m s h ec o mmi t t e e . R e m9 o n c h i p mu 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 l n l t y ( b l o o d r e l a t i v e s ) a n d a Mn R Y ( r e l a t i v e s b ym a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I t s u r n a m e o f c o n t r i b u t o r i s I n s 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 f a mi l i a lr 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 " t o t h e r e l a t i o n s h i p c o l u mn .

    SUB- TOTAL ; $ 1 , 1 8 0 5 . 0 0TOTAL ( I f l a s t page o f t h i s s c h ed u l e )

    s

    Page 1 o1-( f o r S c h e d u l e A )

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    DATE F j I D NUMBER NAME AND ADDRESS OF CO I BUTOR RELAT I ONSH I P AMOUNT o I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME7 / 2 2 / 2 0 0 4 I D S B r a s h e r . D a v i d $ 1 0 . 0 0

    CK * a t 9 E a s t s t n s t r t 1D e s Mo i n e s I A , 5 0 3 0 9 - 1 9 2 77 / 3 0 / 2 0 0 4 I D S B r a s h e r , D a v i d 5 1 0 . 0 0

    CK# 3 1 9 E a s t 6 N S n o tD e s Mo l r m 1 A , 6 0 3 0 9 - 1 9 2 78 / 1 9 / 2 0 0 4 I DS C a r l s o n , Gene $ 1 0 0 . 0 0

    CK S N o . 3 6 Wo o d s h i r s D rO t t u mw a I A , 6 2 6 0 18 / 1 9 / 2 0 0 4 I D S l o a m, Ro n $ 3 0 0 . 1 1 0

    C I ( a g 8 3 9 7 New L i b e r t y RdWa l o o t t I A , 5 2 7 7 38 / 3 0 / 2 0 0 4 I D S K n I B , B a r b $ 1 0 0 . 0 00 6 > WC K I V

    P a l m I A . 5 0 2 1 9 :8 / 1 0 1 2 0 0 4 I D S B r a s h e r , D a v l d 1 ; 1 0 , 0 0CK A 3 1 9 E a s t 5 t h S t r e e tD e s Mo i n e s I A , 5 0 3 0 9 - 1 9 2 79 / 1 0 / 2 0 0 4 I D S D u n c a n , Ma r y An n 8 2 0 0 . 0 0

    C K I Y I b ( Si t - (t v' 6L s} -A l t o o n a I A, 5 0 0 0 9 - 0 5 1 39 / 1 4 1 2 0 0 4 I DS L a r s o n . B r i a n $ 2 5 . 0 0

    CK S 1 4 9 0 Ma d i s o n Av e .F o r t D o d g e I A , 6 0 5 0 19 1 2 1 / 2 0 0 4 I DS B e c k w i t h . F . $ 1 , 0 0 0 . 0 0

    CKN 2 3 0 0 e t h s t r e e tB o o n e I A , 5 0 0 3 6 - 0 0 7 09 / 2 1 1 2 0 0 4 I D S B u r k , C h a r l e s $ 6 0 . 0 0

    CK # 1 7 5 7 L o s t C r e e k R o a dW e v e r I A, 5 2 8 5 8 - 9 6 6 0

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    NF I B POL I T I CA L A F FA I RS F a x : 2 02 - 4 84 - 9 26 7 Oc t 1 8 2 0 0 4 1 5 : 3 3 P . 0 9

    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 mC ONT R I B UT I ON S - MONEY T AKEN 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 T TEE NA ME ( Mu s t b e same 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 )N a t i o n a l F e d e r a l i o n o f I n d e p e n d e n t B u s i n e s s / I o w a Sa ve A me r i c a s F r e e E n t e r p r i s e T r u s t

    SCHEDULEA MONETARY( R e v . 0 6 1 9 7 ) 1 RECEI PTSF CHECKT HI S BOX I FAMENDI NG F ORM

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I B RECEI VED FROM A STATE PAC ( P O L I T I C A L A C T I ON COMMI TTEE) , L I S T THE PAC I D E N T I F I C AT I ONNUMBERAND THE PAC CHECK NUMBER I N T HE DESI GNTAED COLUMN A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : s e c t i o n 6 8 B . 3 2 a ( B ) , 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 m a 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 m e 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 rf o r a ny c omme r c i a l p u r p o se b y a n y p e r s o n o t h e r t h a n s a t u t o r y p o l i t i c a l c o mmi t t e es .

    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 e m m l 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 o o n l r l b u t i o n t o t h ec o mmi t t e e . R a l e f i o n s h l p mu 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 @ ) e n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f sumame o f c o n l r 1 b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e l a n o 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 p p l k 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 .

    SUB- TOTAL . $ $ 3 1 5 . 0 0TOTAL ( r l f l a s t p o p e o f t h i s s c h ed u l e ) 1 2 , 1 2 0 . 0 0

    Page - - - ! - Of 2( f o r S c h e d u l e A )

    DATE PAC I D NU R NA ME AND ADDRESS O CONTRI BUTOR RELATI ONSH I P AMOUNT w I F F ORRECE I V ED ( i f a p p l i c a b l e TO CANDI DATE ' RECE I V ED FUND-( MM/ DDI YR) AND PAC CHECK ( I f a p p l i c a b l e ) RA I SERNUMBER I NCOME9 ! 2 1 / 2 0 0 4 I D l 1 J e n s e n , J e f f $ 1 0 0 . 0 0

    CK# 2 7 5 4 2 6 0 t h S t r e e tC h a r l e s C i t y I A , 5 0 6 1 6 - 0 9 3 49 1 2 1 1 2 0 0 4 I D S P ed r l c k , R o b e r t $ 5 0 . 0 0

    ` 7 0 Br o a d Sf - ,o we I A , 5 2 5 6 59 / 2 3 / 2 0 0 4 I D # J a c k A . O' B r i e n , C . P . A . 5 5 0 . 0 0

    CKp 6 2 3 L o r i L a n eC o u n c i l B N t f e W, 5 1 5 0 3 " 7 7 6 79 / 3W0 5 4 I D # B r a s t l e r , D a v i d $ 1 0 . 0 0

    CI A 3 1 9 E a s t 6 t h S t r e e tD e s Mo i n e sK5 0 3 0 9 - 1 9 2 71 0 / 1 4 / 2 0 0 4 I D A I U n i t e m i z e d C o n t r i b u t i o n s $ 1 0 6 . 0 0

    Cwe

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    NF I B POL I T I CA L A F FA I RS F a x : 2 02 - 4 84 - 9 26 7 Oc t 1 8 2 0 0 4 1 5 : 3 3 P, 1 0

    FOR I NSTRUCT I ONS , SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROMCOMMI TT EE ACCOUNT

    STATE PAC COMMnl TEE S : NOTE : F OR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DE NT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPA C CHECK NUMBERFOREACH EXPEND I TURE . L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .

    SCHEDULEMONETARY( R e v . 0 9 1 9 7 ) 1 EXPENDI TURESQCHECK T HI S BOX I FAMEND I NG FORM

    THI S BOXAPPESTO 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 6 0 0 o r mo l 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 o t o 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 mo n s / e n t i 6 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 m u s t a l s o b e 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 mo 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 wa Code 5 8 . 8 ( 3 ) ( 0 . )

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

    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 Or g a ni z a t i o n)N a t i o n a l F e d e r a t i o n o f I n d e p e n d e n ( B u a n e s s / I o w a S av e A me r i c a s F r e e E n t e r p r i s e T r u s t

    CANDI DATEDATE I D NUMBER NAME AND ADDRESS TOWHOM PURPOSE AMOUNTEXPENDED ( i f a p p I l c a b l e ) EXPEND I TURE ( D ESCRI BE TRANSACTI ON) EXPENDED( MM/ DD/ YR) AND PAC ( D i s b u r s e m e n t ) WAS MADECHECKNUMBER

    1 0 ! 1 2 / 2 0 0 4 I D 1 1 5 2 2 Ami e Bo p s f o r I o w a House 5 5 0 0 . 0 0C K A I

    11 1 9 3 3 2 1 6 0 A m h a r s t P l a c eI o n i a I A , 5 0 6 4 51 1 / 1 2 1 2 0 0 4 I D 1 1 Be h n f o r S e n a t e - Comm . # 9 8 4 $ 2 5 0 . 0 0

    CK*1 1 9 3 2 ' 1 3 1 3 q u i l l A v e ,B o o n s l A , 5 0 0 3 61 0 / 1 2 / 2 0 0 4 I D r k / 5 7 7 B r a u n s f o r S t a t e House 1 1 1 5 1 7 3 2 5 0 . 0 0CKK1 1 9 3 4 2 8 6 4 A u n t P o l l y L a n eMu s c a t n e I A , 5 2 7 6 11 0 / 1 2 1 2 0 04 I D O C o mm i t t e e t o E l e c t J i m H a h n $ 4 0 0 . 0 0

    1 1C3 7 1 1 0 9 W a s t 4 t h s t r e e tMusc f ne I A . 5 2 7 5 11 0 / 1 2 1 2 0 0 4 I D* / s - L ' _ U Do wi e f o r S e n a t e 1 ! 1 5 5 0 $ 6 0 0 . 1 3 0

    C K i t1 1 9 3 8 1 5 3 4 Ol y mp i c Dr i v eWa t e r l o o I A , 5 0 7 0 1

    1 0 / 1 2 1 2 0 0 4 I D 1 b / Ho sc h f o r S t a t e S e n a t e Co mmi t t e e 1 1 1 4 3 8 $ 2 6 0 . 0 0C I C /

    1 1 9 3 6 2 2 1 1 5 2 B u t t e r r i e l d R o a dC a s c a d e I A, 5 0 23 31 0 / 1 2 / 2 0 0 4 I D # J e f f Kau f mann f o r S t a t e R e p r e s e n t a t i v e 5 2 5 0 . 0 0

    CK* 2 1 2 6 Ol d Mu s a t i n e R o a d1 1 9 3 9 W l l t o n I A , 5 2 7 7 61 0 1 1 2 1 2 0 0 4 I D * 1 5 - 0 9 Ma y f o r I o w a House ( Wi l l i a m Mi k e Ma y ) $ 5 0 0 . 0 0

    CKf 1 7024 2 5 5t H A v e n u e1 1 9 4 2 S p i r i t L a k e I A , 6 1 3 6 0SUB- TOTAL $ 2 , 9 0 0 . 0 0

    TOTAL ( l f l a s t p a l e o f t h i s s c h ed u l e ) $

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    NF I B P OL I T I CA L A F F AI R S F a x : 2 0 2 - 4 8 4 - 9 2 6 7 Oc t 1 8 2 0 0 4 1 5 : 3 4 P . 1 1

    FOR I NS T RUC T I O NS , SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

    S T A T E PAC COMMI T T EES : NOTE : F OR CONTR I BUT I ONS MADE TO STA TEWI DE OR L E GI S L AT I V ECANDI DATES , L I ST T HE CANDI DA TE I DENT I F I C AT I ON NUMBER I N T HE DES I GNATED COLUMN AND T HEP A C CHECK NUMBER FOREACH EXPENDI TURE . L I S T OF I D NUMBERS I S A V AI L A BL E FROM T HE I OWAETHI C S & CAMPA I GND I S C LOSURE BOARD .

    SC HEDULEMONETARY( R e v . 0 9 / 9 7 ) EXPENDI TURESa CHECK T HI S BOX I FAMENDI NG FORM

    T HI S BOX A PP L I ES TO cANDI DATEWCOMMI 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 " 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 l e n t i l i e s p r o v i d i n g c o n s u l f i n g , a d v e r t i s i n g , f u n d - r a l s l 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 a e r A c e s mu s t a l s o b e i t e mi z e d o nS c he 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 ha 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 C o de 5 6 . 6 ( 3 ) ( 1 ) . )

    P a g e 2 Of

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

    2

    COMMI TTEE NAME ( Mu s t b e s ome 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 )N a t i o n a l F e d e r a t i o n o f I n d e p e n d e n t B u s i n e s s / I o w a S a v e A me r i c a s F r e e E n t e r p r i s e T r u s t

    CANDI DA TEDATE I D NUMBER NAME AND ADDRESS TOWHOM PURPOSE AMOUNTEXPENDED ( i f a p p l i c a b l e ) EXPEND I TURE ( DES C RI B E TRANSACT I ON) EXPENDED( MM/ DD/ YR ) AND PAC ( D i s b u r s e me n t ) WAS MADECHECKNUMBER1 0 / 1 2 / 2 0 0 4 , I D f f M . I s t e r l l n g f o r S t a t e Ho u se ( M a r y ) 5 5 0 0 . 0 0

    CK O1 1 ! 1 4 3 3 2 1 G r e e n V a l l e y T e r r a c e SE; C e d a r Ra p i d s I A , 524021 0 / 1 2 / 2 0 0 4 I D+ ~ 120' P e o p l e f o r Gene Man t ema c h - Co mmi t t e e s 5 6 0 0 . 0 01 2 0 8

    C i u r1 1 9 4 1 9 6 0 8 Ma p l e R o a dC a s c a d e I A . 6 2 03 31 0 / 1 2 1 2 0 0 4 I D l 1 Ra n L o n g mu i r f o r S t a t e S e n a t e 0 1 6 4 0 3 2 5 0 , 0 0

    CK #1 1 9 4 0 2 7 6 9 1 1 0 1 h S tAr UnWn I A , 5 0 9 0 61 0 / 1 2 1 2 0 0 4 I D S t i ' g 2 S c h u e r e r f o r S t a t e S en a t e ! 1 9 9 2 - $ 5 0 0 , 0 0

    CKO P O Bo x 2 9 01 1 9 4 4 A nt a n a 1 A, 5 2 2 0 3 - 0 2 9 01 0 / 1 2 / 2 0 0 4 I D # S e v e r s o n f o r S t a t e Ho u s e ( G a l e ) $ 2 5 0 , 0 0

    1 1 8 4 5 1 0 3 2 3 H i g h w a y 3S t r a w b e r r y P o l n l I A , $ 2 0 7 81 0 / 1 2 / 2 0 0 4 I D # S i e v e r s f o r S t a t e h o u s e 3 5 0 0 . 0 0

    CYW1 1 9 4 6 " 2 7 1 3 5 1 s t A v eNew L i b e r t y I A, 6 2 7 6 51 0 1 1 2 / 2 0 0 4 I D # S ' 7 3 T h e K a r e n B u t l e r f o r S t a t e Re p Co mmi f t s e $ 2 6 0 , 0 01 ! 1 6 7 3CKO1 1 9 3 5 2 0 0 3 D a n b u r D r i v eE s l h e r v u l e I A , 5 1 3 3 41 0 / 1 2 1 2 0 0 4 l o p Z a u n f o r I o w a S e n a t e # 1 5 2 1 $ 3 6 0 , 0 0

    C K*1 1 9 4 7 7 1 2 6 D o u g l a s A v eU r b a n d a l e I / 1 , 5 0 3 2 2SUB- TOTAL $ 3 , 1 0 0 . 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 ) : 5 8 , 0 0 0 . 0 0