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

    ( I n c l u d i n g c a nd i d at e ' s p er s o n al f u n ds )

    COMMI TTEE NAME ( Mu s t b e s ame as o n St a t e me n t o f O r g a n i z a t i o n )#C c , ' - 1 6 - D , -~DI SCLOSURE BOARD

    z - a l BS668EEBTE

    R e s e t Fo r m

    STATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S RECEI VED FROM A STATE PAC ( P OL I T I CA L ACT I ON COMMI T TEE) , L I ST THE PAC I DENT I F I CAT I ONNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA E T HI C S ANDCAMPAI GNNOTE : ANY PERSON, OTHER THAN AN I N D I V I D U AL , THAT CONTRI BUTESMORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD.CAUTI ON : Se c t i o n 6 8 8 3 2 A ( 6 ) , p r oh i b i t s t h e us 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 or t s and 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 ns o r f o r a n yc omme r c i a l p u r p o s e by any p e r s o n o t h er t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

    J a c i we g 3 e a j d R41D emoI

    SUB - TOTALTOTAL ( i f l a s t page o f t h i s s c h e d u l e )

    ' 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 c o mmi t t e es t o d i s c l o se 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 o n 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 n sh i p m u s t be s h o w n t o t h e t h i r d d e g r e e o r 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 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 sa me a s c a n d i d a t e , b u t t h er e i s no Pagef a m i l i a l r 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 ns h i p c o l u mn . ( f o r Sc h e d u l e A )

    d9E: Zi Lo 61 u e c

    SCHEDULEA MONETARY( Re v . 0 7 1 0 3 ) RECEI PTS

    CHECK T H I S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a pp l i c ab l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f ap p l i c ab l e ) RAI SERNUMBER I NCOMEI D# P a u l Os t e r h o l t S10 01 0 / 2 5 / 0 6 CK# 1 1 5 Vi x e n L a n e No r t h L i b e r t y , I A 5 2 3 1 7I D#

    1 0 / 2 7 / 0 6 Paul B u r n s $ 2 5CK# 4 2 5 B e l d o n Ave I o wa Ci t y , I A 5 2 2 4 6I D #

    Ma r l e ne Ci h a $ 1 0 01 0 / 2 7 / 0 6 CK# 1309 L o c u s t Ave Ka l o na , I A 5 22 47D#

    Nanc y S w i f t $ 2 51 0 / 2 9 / 0 6 CK# 5 0 7 L e n n o n St r e e t Mou n t S h a s t a , CA 9 6 0 6 7I D # Ro n Cr a wf o r d $ 5 01 0 / 2 0 / 0 6 CK# P . O . Bo x 8 8 7 Wa s h i n g t o n , I A 5 23 5 3I D #

    J u d i t h Qu i n n $ 5 01 0 / 2 0 / 0 6 CK# P . O . Bo x 8 8 7 Wa s h i n g t o n , I A 5 2 3 5 3I D#

    L au r a Wes t emc y e r $ 5 01 0 / 2 1 / 0 6 CK# 4 6 9 6 Oak Cr e s t H i l l RD I o wa C i t y , I A 5 2 2 4 0I D#

    J a n e t L y n e s s $ 5 01 0 1 2 2 1 0 6 CK# 3 0 1 0 Cr e i gh t o n Dr i ve I o w a C i t y , I A 5 22 45I D # J o h n s o n Co u n t y Demo c r a t i c Ce n t r a l Comm $ 3 0 51 0 / 2 5 / 0 6 CK# PO Bo x 1 7 7 3 I o wa C i t y , I A 5 2 2 4 4I D# J o Ann Zager $ 1 0 01 0 / 2 6 / 0 6 CK# l R0 4 3 15 t h St Br i g h t o n , I A 5 2 5 4 0

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    Fo r I n s t r u c t i o n s , Se e Ba 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 ( M u s t b e same a s o n S t a t e m e n t o f O r g a n i z a t i o n )

    / GY7STATE CANDI 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 D EN TI F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPA I GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I N DI V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONSI BI L I T I ES AND SHOUL D I MMEDI ATELY CONTACT THE BOARD .CAUTI 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 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 r f o r a n yc omme r c i a l p ur p o s e b 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 l c o m m i t t e e s

    E - a l

    ' 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 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 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 m m 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 ym 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 same a s c a n d i d a t e , b u t t h e r e i s n of 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 .

    BSGGBEE61E

    TOTAL ( i f l a s t p a g e o f t h i s s c he d u l e )

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    Pa g e 2 o f 2( f o r S c h e d u l e A )

    J L E " Z 1 L o G T ue r

    SCHEDUL EA MONETARY( R e v 07M) RECEI PTS

    CHECK T H I 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 NCOMEI D# Ha r o l d F r a k e s $ 1 0 01 0 / 2 7 / 0 6 CK# 3 1 8 5 F i r Av c B r i g h t o n , I A 5 2 5 4 0I D# Bo n n i e B a n n i s t e r $ 2 51 0 / 2 7 / 0 6 CK# 1 1 1 6 S . 3 r d S t Wa s h i n g t o n , I A 5 23 53I D# Wa s h i n g t o n Co u n t y Demo c r a t s C e n t a l Co mm $ 1 5 01 0 / 3 0 / 0 6 CK# PO Bo x 4 2 Wa s h i n g t o n , I A 5 23 53-F D- #

    Do n a l d Hahn $ 2 51 0 / 2 0 / 0 6 CK# 2 2 7 4 Ke o t a Wa s h i n g t o n RD K e o t a , 1 A 5 2 2 4 8I D #

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    FOR I NSTRUCTI ONS, SEE HACK OF FORMEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNT

    STATE PAC COMMI TTE ES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAET HI CS 8 CAMPAI GN DI SCLOSURE BOARD .

    SCHEDULEB MONETARY( R e v 0 7 / 0 3 ) EXPENDI TURESCHECK THI S BOX I FAMENDI NG FORM

    COMMI TTE E NAME ( M u s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )No l t e f o r I o wa Commi t t e e

    T HI S BOX APPL I ES TO CANDI DATES' COMMI TTE ES ONLY :

    BSI SSBEE6TE j agwey 0 eaJU R410 eMDI

    SUB- TOTAL $i s s c h e d u l e )

    1 4 1 0 ;TOTAL ( i f l a s t p a g e o f t h

    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 x 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 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 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 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 Co d e 6 8 A 4 0 2 ( 3 ) ( i ) )

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

    J LE : ZT LD GT UeC

    CANDI DATE NAME AND ADDRESS TOWHOM 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 m e n t ) WAS MADE( MM/ DDI YR) AND PACCHECKNUMBER

    l D# Ga s b y ' s D i c s c l F u e l f o r Campa i gn T r a v e l1 0 / 1 7 / 0 6 CK# 1 1 2 9 Hi g h wa y 1 WI o wa C i t y , I A 5 2 2 4 0 $ 4 5 . 1 5I D# Wa s h i n g t o n Ev e n i n g J o u r n a l A d v e r t i s i n g

    1 0 / 1 8 / 0 6 CK# B o x 4 7 1 Wa s h i n g t o n , I A 5 23 53 $ 5 4 . 2 41 1 2 8I D# Co n s ume r ' s COOP B i o d i e s e l1 0 / 1 9 / 0 6 Hi g h w ay 6 C o r a l v i l l e , I A 5 2 2 4 1 $ 6 2 . ( 1 6CK# 1 0 7 0I D# Z e p h r y C o p i e s P r i n t i n g / C o p i e s1 0 / 2 0 / 0 6 CK# 1 2 4 E . Wa s h i n g t o n s t . I o wa C i t y $ 1 1 7 61 0 7 1 5 2 2 4 0I D# Ka l o n a Ne w s A d v e r t i s i n g1 0 / 2 4 / 0 6 CK# Ma i n S t r e e t , K a l o n a , I A 5 22 4 7 $ 3 5 4 . 5 01 0 7 2I D# Wa s h i n g t o n Ev e n i n g J o u r n a l A d v e r t i s i n g

    1 0 / 2 5 / 0 6 CK# Bo x 4 7 1 Wa s h i n g t o n , I A 5 2 3 5 3 $ 2 5 5 . 31 0 7 3I D# Con s u me r s Coop B i o d i e s e l

    1 0 / 2 5 / 0 6 CK# Hi g h wa y 6 C o r a l v i l l e , I A 5 2 2 4 1 $ 5 3 . 9 41 0 7 4I D# Ho l y T r i n i t y C h u r c h F u n d r a i s e r At t e n de dI O i 2 2 / 0 6 5 4 6 H o wa r d S t $ 2 2CK# 1 0 7 2 Ka l o n a , I A 5 2 2 4 7

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    FOR I NSTRUCTI ONS, SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

    STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONSMADE 1 0 STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A VA I L A B L E F ROM THE I OWAET HI CS & CAMPAI GN DI SCLOSURE BOARDCOMMI TTE E 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 )No l t e f o r I o wa Co mmi t t e e

    T HI S BOX APPLI ES TO CANDI DATES' COMMI TTEE S ONLY :

    c ; - C 1 BS1368EE1316

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

    j agweHC eaj d R1tO emoI

    SCHEDULEB MONETARY( R e v . 0 7 1 0 3 ) EXPENDI TURES

    CHECK T HI S BOX I FAMENDI NG F ORM

    P u r c h a s e s o f c e r t a i n c a m p 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 i 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 made b y t h e p e r s o n l 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 66A . 4 0 2 ( 3 ) ( i ) . )

    P a g e - / ~ O f _ _ 5( f o r S c h e d u l e B )

    dLE : Z I LO 61 uer

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI 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/ DDI YR) AND PACCHECKNUMBER

    I D# H i l l s B a n k an d T r u s t B a n k F e e1 0 / 3 1 ! 0 6 CK# Se c o n d S t . C o r a l v i l l e , I A 5 2 2 4 1 $ 5I D# F u n d r a i s e r f o r P l e a s a n t v i e w Home F u n d r a i s e r At t e n de d1 0 / 3 0 / 0 6 CK# 1 0 9 1

    I R J ' s

    $ 1 0I D# Ex p r e s s F u e l f o r c ampa i g n t r a v e l1 0 / 3 1 / 0 6 Hi g h wa y I W $ 2 5 . 2 2CK# 1 1 3 2 I o wa C i t y , I A 5 2 2 4 0I D* F u n d r a i s e r a t Un i t e d C h u r c h F u n d r a i s e r At t e n de d1 0 / 2 7 / 0 6 CK# 1 1 3 3 $ I 0I D# S t a p l e s O f f i c e S u p p l i e s1 0 / 3 1 / 0 6 CK# 9 1 1 Hi g h wa y l W I o wa C i t y , I A $ 3 2 . 5 31 1 3 3I D# I Paymen t CC P r o c e s s i n g F e e s

    H/ 1 / 0 6 4 0 B u r t o n H i l l s S4 2CK# N a s h v i l l e , TN 3 2 7 1 51 D# I o wa C i t y P r e s s C i t i z e n A d v e r t i s i n g

    1 0 / 2 9 / 0 6 CK# 1 7 2 5 N Dodge ST $ 2 1 51 0 7 5 I o wa C i t y , I A 5 22 45I D# R J ' s E x p r e s s F u e l f o r c ampa i g n t r a v e l1 1 / 1 / 0 6 Hi g h wa y 1 W $ 2 5 . 4 9CK# 1 1 3 5 I o wa C i t y , I A 5 22 40

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    7/99 ' d BSGBBEE61E

    T HI S BOX A PP L I E S TO CANDI DATES ' COMMI TT EES ONL Y :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 must a l s o b e i n v e n t o r i e d o n Sc h e d ul 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 . )Ex p e 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 must 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 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 p e n d i t u r e m a 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 oSc h e d u l e G i n s t r u c t i o n s a nd I o wa C o d e 6 8A . 4 0 2 ( 3 ) ( 1 ) , )

    j agweq3 eaj d Rj i j emoI

    P a g e

    ( f o r Sc h e d ul e B )

    d BE : Z T L o 6 1 uer

    FOR I NSTRUCT I ONS , SEE BACK OF FORM I Ke sla I i SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L E GI S L AT I V ECANn i DA TES, L I S T THE CANDI DATE I D EN TI F I C AT I ON NUMBER I N THE DES I GNATED COLUMN AND THE CHECK T HI S BOX I FPAC C I I EC K NUMBER FOR E ACH EXPEND I T URE . A L I S T OF I D NUMBERS I S A VA I L A BL E FROMTHE I OWA AMENDI NG FORME THI C S & C AMP A I GN D I SCLOSURE BOARDCOMMI TT EE 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 )No l t e f o r I o wa Commi t t e e

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( D ESCRI B E TRANSACT I 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 ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

    I D# US P o s t a l S e r v i c e P o s t a g e1 1 / 2 / 0 6 CK# 1 1 3 6 $ 6 2 . 4 0I D# Z e p h y r Co p i e s C o p i e s

    1 1 / 2 / 0 6 CK# 1 1 3 7 1 2 4 E . Wa s h i n g t o n S t $ 6 2 4 . 7 5I o wa C i t y , I A 5 22 4 0I D# US P os t a l Se r v i c e P os t a g e1 1 / 2 / 0 6 Ri v e r s i d e , I A $ 1 6 5 7 . 0 4CK# 1 1 3 8I D# Be n ef i t f o r Bo b C h a l u p a F un d r a i s e r A t t e n d e d1 1 / 2 / 0 6 CK# Wa s h i n g t o n , I A 5 23 53 $ 5 01 1 3 9I D# Wa s h i n g t o n Ev e n i n g J o u r n a l Ad v er t i s i n g

    1 1 / 3 / 0 6 CK# 1 0 9 2 PO Bo x 4 7 1 $ 1 3 6 . 1 0Wa s h i n g t o n , I A 5 23 53l D# Br i g h t o n L i o ns C l u b E v e n t F un d r a i s e r A t t e nd e d

    1 1 / 5 / 0 6 CK# 1 0 9 3 $ 5 . 5 0I D# We s t s i d e Pe t r o F u e l f o r Campa i gn T r a v e l

    1 1 / 6 / 0 6 CK# 1 0 3 1 s t Av e $ 2 5 . 5 81 1 4 1 Ka l o n a, I A 5 2 2 4 7I D# J e t S t o p F u e l f o r Ca mp a i g n T r a v e l1 1 / 8 / 0 6 1 2 0 E Bu r l i n gt o n $ 2 6 . 4 9CK# 1 0 9 4 F a i r f i e l d , I A

    SUB- TOTAL $ : ; k 5? - 7 .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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    FOR I NSTRUCTI ONS, SEE BACK OF FORM

    COMMI TT EE 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 )

    T HI S BOX A PP L I ES TO CANDI DATES' COMMI TTEES ONLY :

    L ' d BS66BEEGTE

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    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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