United Steelworkers of America Local 3106139scanned

8/7/2019 United Steelworkers of America Local 310__6139__scanned

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FOR I NSTRUCT I ONS, SEE BACK OF FORM

DISCLOSURESUMMARYPAGE1 1COMMI TTEE NAME ( 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 aUn i t e d St e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0I MPORTANT : I n d i c a t e t y p e o f c o m m 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 t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C( 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 i 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( 8 j S u g q o r t S l a t e o f Ca n d i d ^ s ~ /

PURE OF TREASURER ( r p er s o n f i l i n g t h i s r e p o r t )

I AM F I L I NG A

J AN 1 3 2 0 0 6F I L ED0~' ' Z

TELEPHONE DATE S I GNEDRou t i n e P e n a l t i e s Du e F o r L a t e F i l e d Re p or t s Ra n g e f r o m $ 2 0 t o $ 8 0 0

SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE FOLLOWI NGSENTENCE :J a n ua r y 1 9 , 2 0 0 6

( r e p o r t d a t e )CHECK I F AMENDMENT TOREPORT DATED

0Ch 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 o r m DR- 3 .( Y o u must 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 . )

FORMDR-2 I DI SCLOSURE( Re v . 0 1 / 9 8 ) REPORT

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0 1 - 1 1 - 0 6

REPORT FOR AN/ A ( 1 ) E L E CT I ON I ( 2 ) NON- E L ECT I ON YEAR .I n d i c a t e o n e

STATEMENT OF CASH ON HAND

L o c a l C o m m i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , 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

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 lo f a l l mo n i e s 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 es ame a s t h e c a s h o n h a n 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 r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5 . 7 7 0 . 7 6ADDTOTAL MONEY TAKEN I N T HI S PERI ODSc h e d ul e A: Cash C o 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 d ul e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 , 0 61 . 5 0Sc h e d ul e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0Sc h e d ul 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 h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0

( Sc h e du l e H a p p l i e s t o Ca n d i d at e s ' Commi t t e e s On l y ) 9 8 3 2 . 2 6SUB- TOTAL . . . . . $SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d ul 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 Sc h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d ul e F . Loa n Re p a yme n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0

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 mu s tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2 , 2 12 . 0 0

7 , 6 20 . 2 6

UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d ul e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N K I ND CONTRI BUTI ONS ( F r o m Sc h e d ul e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m Sc h e d ul e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d ul e H - A t t a c h Sc h e d u l e H)


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Fo r I n s t r u c t i on s , See B a c k o f Fo r 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 o n S t a t eme n t o f O r g a n i z a t i o n )Un i t ed St ee l wo r k er s o f Amer i c a L o c a l 3 1 0 Cope Accoun t -

STATE CANDI DATES NOTE : I FA CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CAL ACT I ON COMMI TTEE) . L I S T THEPAC I DENT I F I CATI ONNUMBER ANDTHEPAC CHECKNUMBER I N THEDESI GNATED COLUMN . A L I ST OF I D NUMBERS_ I S AVA I LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSUREBOARD . - - - -

CAUTI ON : S e 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 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 m e n t s f o r - s o l i c i f n g c o n t r i b u t i o n s o r _ - -f o r a n y c o mme r c i a l p u r p os 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 m m i t t e e s - .

SUB- TOTAL 3 0 5 8 . 0 0_ 1 $ _ -TOTAL ( i f f a s t p a g e o f t h i ss c h e d u l e )` D I S C I 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 m m 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 ym a n 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 s u mame c f , c o n t r i b u t o r i s t h e s ame a s c ~ r i d i d a t e , b u t t h e r e i s n o - `f 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 i i c . = b l e i n t h e r e l a t t i o n s h i p c o l u m n . P a g e 1 o f _ _ 2 _ 3( f o r S c h e d u l e A )

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECEI PTSQCHECK THI S BOX

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STATE?AC' I P 6 L! T J CALAC-, . - , N Cq Mr A I T T E E ) , L I S T 7 1 1 H E PAC I DENT I F I CA T ] ON' NUMPERANP T 1 ~ E PACCHECKNUI ASER I N THEDESI GNATEDCOLUMN- A L T S T 0 F F ; D [ 1 1 U M6 E S ; S A VA I L A B L EFROM _ i H E ; OWA E T HI C S ANb C A MP A I GNDI S Cf QSURE- BOARD.

CAUTI ON : . SeNon 6 1 1 3 Z N6 ) , 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 m a t i o n c op i e d f r o m r e p o r t s a n d S t 2 t e r r i t - I 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 b mr n e r c i a l p u r p o s e b y a ny p er 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 .

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10/26

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11/26

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12/26

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1 1 0 0 1 N . E St . -I nd i a no l a- I A . - 5 0 1 2 5 - I

I I D# -12 - 2 0 - 0 5 L a r r y L ewi s ~ 5 _ 0 0CKi 6 1 _ ` 7 E , Sh a wn e e Ave .Des Mo i n e s TA . 5 0 3 1 3

10 # John Yo r i3080 191s t S t , " - 5 . 0 0: 001 2 - 2 0 - OS _ -CI ~< i # Des Mo i ne s , I A : : 50309 - . I

F ! D -44 Ph i l Andebe r j1 Z - 2 0 - 0 5 ~ c K g 915 S . 11 t h St . 2 0 . 0 0

Ad el , I A . 50003I D# P h i l l i p C r e e s e I4 0 5 5 - t h S t . - ' R \ 7 1 , Bo x 1 4 7 5 . 0 012 - 2 0 - 0 5 - C ; C TI Woodwa r d , I A . 50276_ _I I D S R a l d y Ha v e s

12 - 2 0 - 0 5 1 C r C : r- 1725 Neb r a s k a 5 . 0 0_ Ac k : , ~ o r t h , ! A . 5 0 0 0 1I D r J u d d St ebben3 9 2 3 T i f f i n 5 . 0 012 - 2 0 - 0 5 ~CKT - _ _De s Mo i ne s . . , I A . 5 0 3 1 1

12 - 2 0 - 0 5 ` _e yRa ym on d- 1 0 0 0 . 4 0 t h 5. ' I , _ . 5 . 0 0_I : TM c. : i E s 3y 0i '


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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 a t e ' s p e r s o n al f u n ds )COMMI TTEE NAME ; Mu s t b e same a s o n St at emen t o f Or g a n i z at i o n )Un i t ed St e el wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n tSTATE CANDI DATES NOTE' I F A CONTRI BUT I ON I S RECE I VED FROMA STATE PAC ( POL I T I CAL ACT I ON COMMI TT E E ) , L I ST THEPAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I N THEDESI GNATEDCOLUMN A L I ST OF ! D NUMBERS I S AVA I LABLE FROM- HE I OWA ETH I CS AND CAMPA I GND I SCLOSURE BOARD.CAUTI ON : Sec t i o n 688 . 3 2 A( 6 ) , I o wa Code , p r o hi b i t s t h e u s e o f i n f o r ma t i on c op i ed f r o m r e po 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 on t r i bu t i on s o rf o r an y c o mme r c i a l p u r p o s e b y an 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 .

SUB- TOTAL

TOTAL ( i f f a s t page o f t h i ss c h e d u l e )D i s c l o s u r e l aw r e q u i r e s c a n di d at e c o mmi t t e 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 o n t r i b u t i o n t o t h e

c o mmi t t e e . R e l a t i o n s h i p mu 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 f c on s an gu i n i t y ( b l o o d r e l a t i v e s ) a n d a f t + n i t y ( r e ! a t i v e s byma r r i a g e) ( Se e P ag e 2 o f f o r ms pa cke t . ) . I f sur name o f c o n t r i b u t o r i s t h e same as c a n di d at e ; bu t t h e r e i s n o P a c e 1 2 o f 23f 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 e t a pp l i c a bl 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 e A)

SCHEDULEMONETARY

( Re v . 0 6 i 9 7 ) RECEI PTSCHECK T HI S BOX

I FAMENDI NG FORM

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MMI DDi YR) AND PAC CHECK _ ( i f a p p l i c a b l e ) RAI

NUMBER I NCI I D# J e r r y 0 . Wi l l i ams

1 2 - 2 0 - 0 5 CK# 8 3 5 7 NW 3 0 t h 2 . 0 0A n k e n y , I A . 5 0 0 2 1I D# Mi c h a el 0 Ri l e y

H 3 0 1 0 NW 7 6 t h Av e . 2 . 0 01 2 - 2 0 - 0 5 CK# A n k e n y , I A . 5 0 0 2 1I D# K i r k A . Gi n n

1 2 - 2 0 - 0 5 2 6 1 0 Sh e r wo o d Dr 2 . 0 0CK# Des Mo i n e s ; I A 5 0 3 1 0I D# . J ames Obe r h o l t z

3 4 2 3 Ke l s e y Road 2 . 0 01 2 - 2 0 - OS CK# Cas ey , I A . 5 0 0 4 8I D# Robe r t G . Hood 2 . 0 01 2 - 2 0 - 0 5 CK# 2 0 4 0 L y o n S t .Des Mo i n e s I A . 5 0 3 1 7' D# Gar y D . Her r i n g - 2 . 0 0

1 2 - 2 0 - 0 5 CK# 1 5 4 6 5 5 t h StDes Mo i n e s , I A 5 0 3 1 1I D# Ca s s i e L . Smi t h 2 . 0 01 2 - 2 0 - 0 5 1 8 9 1 Camden CtCK# Des Mo i n e s , I A 5 0 3 2 0! D# Re gg i e L . L ewi s 2 . 0 01 2 - 2 0 - 0 5 CK# 4 0 3 7 Amh e r s t

Des Mo i n e s TA . 5 0 3 1 3I D # Kev i n L . Be n n e t t 2 . 0 01 0 3 7 t h S t .1 2 - 2 0 - 0 5 CK# ( Boone , I A 5 0 0 3 6 -I D # Ri c h a r d Fo r ema n 2 . 0 01 2 - 2 0 - 0 5 CK4 f 5 6 0 5 _ : At k i n s o nT r u r o , I A 5 0 2 5 7


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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 Fo 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 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 )Un i t e d St e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Co p e Ac c o un t

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

STATE CANDI DATES NOTE : I F ACONTR I BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I CAL ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER ; = a N D THEPAC CHECK NUMBER I N THE DESi GNATED COLUMN . A L I S T OF ! D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : S e 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 m a 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 rf o r a n y c o mme r c i a l p ur p o s e b y a ny 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 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 di d at 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 o n t o t h ec o mmi t t e e . R e l a t i c n s h i p mus t b e s h ow n t o t h e t h i r d d e gr e e c f c on s a ng ui 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 yma r r i a g e) ( S e e Pa ge 2 o f f o r ms p a c k e t . ) . 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 an d i d a t e , b u t t h er e ; s n o P a c e . 1 3 o f _f 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 pp l i c a bl 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 S c h ed u l e A)

2 3

SCHEDULEA MONETARY

( R e v . 0 6 / 9 7 ) RECEI PTSCI CHECK T HI S BOX

I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e } TO CANDI DATE' RECEI VED FU( MMI DDl YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER I I NCU D # J ame s J . Ma y

1 2 - 2 0 - 0 5 CK# 8 1 2 Da l l a s St . 2 . 0 0DeSOt o , . I A . 5 0 0 6 9~

Thomas C . Gas s 2 . 0 01 2 - 2 0 - 0 5 CK# 2 3 7 4 3 0 t h PlL a c o n a I A . 5 0 1 3 9 iD#

Wa y n e B i r k i n b i n e 2 . 0 01 2 - 2 0 - 0 5 CK# 6 9 3 0 NE 5 6 t h - L o t 5 0- - * I t 7 o ~ , 1 A . 5 0 0 0 9I D # Rodg e r C Bu r r1 2 - 2 0 - 0 5 CK# 4 0 3 8 4 1 s t 2 . 0 0De s Mo i n e s , I A 5 0 3 1 0I D # Thomas E . Ch i a1 2 - 2 0 - 0 5 3 3 9 E . Be l l 2 . 0 0C K# De s Mo i n e s , I A . 5 0 3 1 3

I D # I L y n da S . Co x 2 . 0 01 2 - 2 0 - 0 5 CK# , 3 8 1 0 L e y d e n

_ ! t e e s Mo i n e s , I A . 5 0 3 1 7D# Ka y Kh a n t h a v o n g 2 . 0 0

1 2 - 2 0 - 0 5 CK# 8 0 6 E . 2 3 r d Ct .( 1 e s Mo i n e s I A . 5 0 3 1 7I D # Mi c h a e l De s Pl a n q u e s 2 . 0 01 2 - 2 0 - 0 5 4 0 2 0 Hu b be l l Av e . Ap t 2 0 1CK# De s Mo i n e s , I A . 5 0 3 1 7D# .1 2 - 2 0 - 0 5 Ma r k T : Gl e n n 2 . 0 0CK# 3 0 2 SE Ue h l a ma r Dr .

A n k e n I A . 5 0 0 2 1i D # Ro b e r t G . Na v i n1 2 - 2 0 - 0 5 CK# 1 4 4 5 9 E . 2 6 t h St . - 2 : 0 0De s Mo i n e s , I A . 5 0 3 1 7 r


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F o r I n s t r u c t i o n s , See Back o f Fo 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 al 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 O r g a n i z a t i o n )Un i t e d S t e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 C o p e A c c o u n t

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMAS TATE PAC ( POL I T I CAL ACTI ON COMMI T T E E ) , L I S T THEPAC I DENT I F I CAT I ONNUMBER ANDTHEPACCHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF i D NUMBERS I S AVA I L 4 6 LE =ROMTHEI OWA ETHI CS ANOCAMPA I GNDI SCLOSURE SOARD.CAUTI ON : Se c t i o n 68B . 3 2 A( 6 ) , I o wa C o d e , p r o h i b i t s t h e us e o f i n f o r mat 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 on t r i b u t i o ns o rf o r an y c 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- TOTALTOTAL ( i f l as t page o f t h i ss c h ed u l e )

D i s c l o s u r e l aw r e q u i r e s c an d i d at e c cmmi 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 mak 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 . R e l a t i o n s 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 cr e e o f c on s an g u i n i t y ( b l o o d r e l a t i v e s ) an d 2 i- ~ n i t V ( r e l a t i v e s b yma r r i a g e ) ( S e e Pag e 2 o f f o r ms p a c k e t . ) . ! f su r n2me o f c o nt 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 P a c e 1 4 o f 2 3f 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 ao p i c ab 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 c r S ch e d u l e A)

SCHEDULEMONETARY

( Re v . 0 6 / 9 7 ) RECEI PTSI CHECKTHI S BOXI FAMENDI NG FORM

DATE PACI D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT " a I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MMI DDI YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER I NCI D# Te r r y L . Mo r g a n1 2 - 2 0 - 0 5 4 1 1 P i n eCK# Mi l o , I A . 5 0 1 6 6 2 . 0 0I D# Ma r k R . Babb1 2 - 2 0 - 0 5CK# 40 1 1 0 t h 2 . 0 0W. D . M I A . 5 0 2 6I D #

Sh e l l e y L . Macy 2 . 0 01 2 - 2 0 - 0 5 CK# 1 2 0 S . E . Di e h ln e s Mo i n e s , ! A 5 0 3 1 5D# Ro y D . L e e ' 2 . 0 01 2 - 2 0 - 0 5 CK# 2 5 0 3 E . 3 6t h S t . Ct . .De s Mo i n e s I A 5 0 3 1 7I D# Ga r y L . I n g r a m 2 . 0 0CK# 1 2 9 4 8 NE Y o d e r Dr .1 2 - 2 0 - 0 5 F1k ' hqr f _ TA_ 90071

I D - r ~ KH . S o u l i n t h av o n g 2 . 0 04 0 1 6 E . Hu l l Av e1 2 - 2 0 - 0 5 CK# De s Mo i n e s , I A 5 0 3 1 7I D#

1 2 - 2 0 - 0 5 Do y l e C . Be e r s 2 . 0 0CK# 8 1 0 P a y t o n Av e # 1 71 - u ~ m : Ai Y1 3 1 5I D# Vi s i t h Vo n g x a y 2 . 0 05 6 1 9 S E 3 2 n d S t .1 2 - 2 0 - 0 5 CK# De s Mo i n e s , I A . 5 0 3 2 0

I D#1 2 - 2 0 - 0 5 L a r r y S . Re i d 2 . 0 0CK# 60 8 1 4 t h S t .

W. D . M . I A . 5 0 2 6 5I I D # ( S t e p h e n C . Ri o s 2 . 0 01 2 - 2 0 - 0 5 I GK=r R_SQ2I I n d i a n o l a ,

Qc r e n l a Ct _I A 5 0 1 2 5


16/26


( 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 be 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 )Un i t e d St eel wo r k er s o f Ame r i c a L o c a l 3 1 0 Co p e A c c o u n tSTATE CANDI DAI ES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T ICAL ACTI ON COMi b i f r T EE ) , L I S T THE PAC I DENTI F I CATI ONNUMBER AND THEPAC 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 ANO CAMPAI GNDI SCLOSURE BOARD.

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , 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 n s o rf o r any c 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 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 an 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 mmi t t e e . R e l a t i o n s h i p mu s t b e shown t o t h e t h i r d d e g r e e o f c on s a ng 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 m i t y ( r e l a t i v e s b y 1 5 2 3ma r ^ a c e) ( Se e P a g e 2 o f f o r ms p ac k et . ) . I f su r name o f c o n t r i b u t o r i s t h e s ame a s c an d i d a t e , b u t t h er e i s n o - P a c e o f =f 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 op i i c ab 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 e A)

( SCHEDULEMONETARY

( Re v 0 6 / 9 7 ) RECEI PTSCI CHECK T HI S BOXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a pp l i c ab l e } TO CANDI DATE' RECEI VED FUN( MMI DDI YR) AND PACCHECK ( i f a p p l i c a b l e )

IRAI

NUMBER I NCI D # J ame s L . Cl a r k

1 2 - 2 0 - 0 5 CK# 2 3 5 1 E . 1 2 t h St . 2 . 0 0De s Mo i n e s , I A . 5 0 3 1 6I D # Ri c k y D Ri c h a r d s 2 . 0 0

1 2 - 2 0 - 0 5 CK# 1 2 5 N . W . B r o a d wa yDes Mo i n eq , TA 5 0 3- 3I D # St e p h e n Sh e l t o n 2 . 0 01 2 - 2 0 - 0 5 CK# 7 1 0 S . E . Di e h lDe s Mo i n e s , I A . 5 0 3 1 5

D# Khamke Sy s o mb a t h 2 . 0 01 2 - 2 0 - 0 5 CK# 1 2 5 N . W . Br o a d wa y

I I D # Br i a n W. K e n t 2 . 0 01 2 - 2 0 - 0 5 8 2 3 2 Un i o n S t .CK# Ne w Vi r g i n i a , I A 5 0 2 2 0

I D # No u a n e Sy l a l om 2 . 0 01 2 - 2 0 - 0 5 CK# 1 8 0 1 S E K i n g Av eDe s Mo i n e s I A 501WI D # Sc o t t A . Vo n St e i n1 2 - 2 0 - 0 5 1 9 3 7 5 0 t h P l a c e 2 : 0 0C K# De s Mo i n e s , I A . 5 0 3 1 0

I D # J i mmy L . Gr u we l l 2 . 0 01 2 - 2 0 - 0 5 CK# 2 2 8 7 2 90 t h S t .P er u , I A . 5 0 2 2 2I D # Roge r G . Mi l l s . _1 2 - 2 0 - 0 5 7 1 3 WA l d o 2 . 0 0CK#

IP o l k Ci t y , I A . 5 0 2 2 6

I D # l Ch i e n N . N g u y e n 2 . 0 01 2 =2 0 - 0 5 CK- PO( D e s Bo x 2 0 8 1Mo i n e s I A . 5 0 3 0 1 SUB- TOTALS 2 , 1 1 _ 1 T 1 ,

TOTAL ( i f l a s t p a g e o f t h i ss c h ed u l e ) 3


17/26


( I n c l u d i n g c a nd i d a t e ' s p e r s o n a l f u n ds )COMMI TTEENAME ( 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 )Un i t e d St e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n tSTATE CANDI DATES NOTE : ; F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CALACT I ON COMMI TTEE) . L I S T THEPAC I DENTI F I CAT I ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE =ROMTHE ! OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD . -CAUTI ON : Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code, p r oh i b i t s t h e u s e o f i n f o r ma t i o n c op i e d f r om 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 ns o rf o r any c o mme r c i a l p ur p o s e b y any 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 ss c h e du l e )O i s c ! 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 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 mmi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e g r c e o f c on s a ng 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 1 6 2 3ma r r i a g e ) ( Se e Pa g e 2 o f f o r ms p a c k e t . ) . I f su r name o f c on t r i b u t o r i s t h e s ame a s c an d i d a t e , b u t t h e r e i s n o P a c e 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 ? a t i o n s h i p c o l u mn . _ ( f o r Sc h e d u l e : ; )

SCHEDULEA MONETARY

( Re v . D6 i 9 7 ) RECEI PTSE l CHECK T HI S BOXI F I

AMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT i I FRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MMI DDI YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCD# St e v e J . Ga l e t i c h $ 2 . 0 01 2 - 2 0 - 0 5 CK# 7 1 1 3 3 34 t h Rd .I D# .Mi c h a e l F r i e d e l 2 . 0 01 2 - 2 0 - 0 5

I c K# 4 3 0 1 NE Br o a d wa y , L o t 3 2De s Mo i n e s , I A . 5 0 3 1 71 D # Ge r a l d W . D u B o s e 2 : 0 01 2 - 2 0 - 0 5 CK# 2 0 8 W . 7 t h S t .I D# Do n a l d . L . Coe 2 . 0 01 7 3 3 De s Mo i n e s S t1 2 - 2 0 - 0 5 C r C # De s Mo i n e s , I A . 5 0 3 1 6I D# Cl a r k L . Ho d g e I s 2 . 0 01 2 - 2 0 - 0 5 CK# 4 1 0 6 Ox f o r d

UMMI I D # ~Vi l a y_

R a s s a v o n g ( 2 . 0 01 2 - 2 0 - 0 5 2 3 2 1 Ca u l d e r Ct .CK# De s Mo i n e s , I A . 5 0 3 1 5I D#

1 2 - 2 0 - 0 5 Wi l l i a m Gi l l a s p y 2 . 0 0CK# 30 3 1 1 t h S t r e e t SEI D# Al t o oCe c i l nW

a l h I l j '. T r uma n 2 . 0 01 7 8 6 1 30 t h Av e .1 2 - 2 0 - 0 5 CK# I n d i a n o l a , I A 5 0 1 2 5

I D# : - - .L a r r y G . Ch i r i 2 . 0 01 2 - 2 0 - 0 5 CK# 1 2 2 3 P a r k Av eCh a r i t o n I A 5 0 0 4 9I D # Ro b e r t A . P i e h l 12 . 0 01 2 - 2 0 - 0 5 I CK # 4 0 8 3 r d St . SEAl t o o n a , I A . 5 0 0 0 9


18/26

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

( I n c l u d i n g c a nd i d a t e ' s p e r s o n a l f u n ds )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 )n i t e d St e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Co p e A c c o u n tSTATE CANDI DATES NOTE : s F A CONTRI BUTI ON I S RECEI VED F ROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI TT E E ) , L I S T THE PAC I D E N 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 AVAI LABLE F ROM THE ; OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 3 8 . 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 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 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 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 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 an d i d at e c o mmi t t e es t o d i s c l o s e t h e r e l 2 t i c n s h i p o f a n y , 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 c mmi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d eg r e e o f c o r s 2 n g ui n i t y ( b l o o d r e l a t i v e s ) a n d a l t -m: t y ( r e l a t i v e s b ym2maoe) ( Se e P a g e 2 o f f o r ms p a c k e t . ) . I f su r name o f c on t r i b u t o r i s t h e s ame a s c a n di d at e , b u t t h e r e i s n o P a g e 1 7 o f 2 3f 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 pp l i c ab l e " i n t h e r e i a i i o n s h i p c o l u mn . ( f o r Sc h e du l e A)

( SCHEDULEMONETARY

( Re v . 0 6 ; 9 7 ) RECEI PTS[ l CHECK THI S BOXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I FRECEI VED ( i f a pp l i c ab l e ) TO CANDI DAT E ' RECEI VED F U( MM/ DDI YR) AND PACCHECK ( i f a pp l i c a bl e ) RA INUMBER I NC

1 D # Mi k e Ba l l a r d ( s 2 . 0 01 2 - 2 0 - 0 5 CK# 5 0 9 6 t h St . NWAl t o o n a , I A . 5 0 0 9I D # J o h n St e v e n s o n

2 9 0 6 SE 2 0 t h St 2 . 0 02 - 2 0 - 0 5 CK# De s Mo i n e s , I A . 5 0 3 2 0I D # Do u g l a s Smi t h 2 . 0 02 - 2 0 - 0 5 CK# RR1

-

Vo l k Ci t y , . I A . 5 0 2 2 6 . _ _1 2 - 2 0 - 0 5 I D # Thomas He s t o n 2 . 0 07 0 1 SE 2 6 t h Ct .CK# De s Mo i n e s , I A . 5 0 3 1 7

D#1 2 - 2 0 - 0 5 J o a n Ro b i n s o n 2 . 0 0CK# 2 9 1 5 2 n d Av e .De s Mo i n e s . i l lID#Robert F . Ma t h e n y1 2 - 2 0 - 0 5 2 2 8 3 Hwy 6 9 2 . 0 0CK# I n d i a n o l a , I A . 5 0 1 2 5

I D #1 2 - 2 0 - 0 5 Ro n a l d W . Gl e n n 2 . 0 0CK# 1 9 1 5 Wes t 4 t h

Pe r r I A . 5 0 2 2 0I D# Mi c h a e l Mu l v a n i a

1 2 - 2 0 - 0 5 CK# 4 6 4 NW 7 0 t h PI 2 . 0 0A n k e n y , I A . 5 0 0 2 1I D # J o h n I . Ra n k i n1 2 - 2 0 - 0 5 7 1 0 5 Ai r l i n e Rd . 2 . 0 0C K ~

De s Mo i n e s , I A . 5 0 3 2 2I I D# Cr a i g L . D e v a n 2 . 0 0~ 1 2 - 2 0 - 0 5 - - ~ CK ; ' ; ' 1 7 1 ' 5 Wa l k e r 'De s Mo i n e s , I A . 5 0 3 1 6SUB- TOTAL I

TOTAL ( i f l a s t page o f t h i ss c h ed u l e ) S


19/26


( 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 TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g an i z a t i o n)Un i t e d S t e e l wo r k e r s o f Ame r i c a . L oc a l 3 1 0 Cope A c c o u n tSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C AL ACTI ON COMMI TT E E ) , L I S T THE PAC I D E N T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF i D NUMBERS I S AVAI LABLE FROM THE i 0 A , 1 V A E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON_ S e 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 m a 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 rf o r a ny c omme r c i a l p u r p o s e b y a ny 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 .

' D i s c l o s u r e l a w r e q u i t 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 c n t r i b u t i a n t o t h ec o mm i t t e e . R El a t i e n s h i p must b e s hown 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 yma r r i a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) . 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 Pac e 1 8 o f __23f 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 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 umn . ( f o r Sc h e du l e A )

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTSCHECK THI S BOX

I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT . a I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUN( MM/ DD/ - R) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NC

I D# To ny So u v anna c h i t1 2 - 2 0 - 0 5 CK# 3 2 1 5 Amh e r s t S t . X 2 . 0 0De s Mo i n e s , I A . 5 0 3 1 3

I D# So u t h Phommavong 2 . 0 01 2 - 2 0 - 0 5 CK# 3 2 01 SE 2 3 r d

"I D# Randy Cr o u s e

1 2 - 2 0 - 0 5 CK# 3 2 1 6 E . 4 1 s t Ct . 2 . 0 0De s Mo i ne s , I A . 5 0 3 1 7I D#1 2 - 2 0- 0 5 Ma r e L ov an 2 . 0 0CK# 1 8 3 5 Gl e n wo o d Cr . 0I D # Wi l l i a m A : r Na v i n

1 2 - 2 0- 0 5 CK# 1 3 4 6 He n d e r s o n 2 . 0 0De s Mo i n e s , I A . 5 0 3 1 6I D#

_P . S e ng s i r i v a n h 2 . 0 01 2 - 2 0 - 05 CK# 1 2 4 9 E . 1 6 S t .e

I D# S . Pi c h 2 . 0 01 2 - 2 0 - 0 5 1017 E . 4 0t h S t .CK# y e s Mo i n e s , I A . 5 0 3 1 7I D #1 2 - 2 0 - 0 5 S e u a n g L o v a n 2 . 0 0CK# 3 3 0 0 E . 5 3r d Ct .. M . I A . 5 1 3 1 7I D # 2 k n d r z Fa l c z y ns k i 2 . 0 01 2- 2 0 - 0 5 8 6 1 0 Cr e s c e n t Chas e 1 9 BCK# J o h ns t o n, I A . 5 0 1 3 1

Pa t r i c k J . L u t z 2 . 0 01 2- 2 0 - 0 5 CK~ RR 1B ; Bo x 5 1 1Pa n or a , I A 5 0 2 1 6SUB- TOTAL

5 2 0 . 0TOTAL ( i f f a s t p ag e o f t h i ss c hedu l e ) S


20/26

Fo r I n s t r u c t i o ns , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a nd i d a t e ' s p e r s o n a l f u n ds )COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )Un i t e d S t e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cop e A c c o u n tSTATE CANDI DATES NOTE : I F ACONTRI BUT I ON I S RECEI VED FROMASTATEPAC ( POL I T I C AL ACTI ON COMMI TTEE) , L I ST THEPACI DENT I RCATI ONNUMBERAND THE PACCHECKNUMBER I N THEDES i GNATEO COLUMN. A L I ST OF i D NUMBERS ! S AVAI LABLE FROMTHE ! OWA ETHI CS AND CAMPAI GNDI SCLOSURE SOARD.CAUTI ON : S ec t i o n 68B . 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 mat i o n c o p i e d f r om r e p or 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 on t r i b ut i on s o rf o r a n y c omme 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 .

' D i s c l o s u r e l a w r e q u i r e s c an d i d at 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 an y r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec o . ^ m i t t e e R s l a t i o n s h i p mu s t b e s h o w n t b t h e t h i r d d e g r e e o f c e ns an ou i n i t y ( b l o o d r e ! a t i v e s ) a n d a f f i n i t y 1 , r e l a t i v e s b yma r r i a g e ) ( S e e Pa g e 2 o f f o r ms Packe t . ) . I f su r name o f c o n t r i b u t o r i s t h e s ame a s c an d i d at e , b u t t h e r e i s n o P a c e1o f -23f 2 M i l i a i r e l a t i o n s h i p , e n t e r " n o t aop i i c ab 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 S ch e d u l e A)

( SCHEDULEMONETARY( R e v . 0 6 1 9 7 ) RECEI PTSn CHECK THI S BOXI F

AMENDI NG FORM

DATE P AC l D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ; I FRECEI VED ( i f a pp l i c ab l e ) TOCANDI DAT E ' RECEI VED FUN( MMI DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA INUMBER I NCI I D# P h e n g Z Mo r k

1 2 - 2 0 - 0 5 GK# , 3 1 0 1 SW 3 9 t h S t . , 2 . 0 0De s Mo i n e s , I A . 5 0 3 2 1I D #1 2 - 2 0 - 0 5 Ch r i s t i n e S h e l t o nCK# 2 0 2 9 SE Di e h l 2 . 0 0De s Mo i n e s , i l lI D# P e t e r J . P r i n c e

1 2 - 2 0 - 0 5 1 1 2 4 SW Emma 2 . 0 0` CK# De s Mo i n e s , I A . 5 0 3 1 5I D# K e r r y W . Ca r l b e r g 2 . 0 01 2 - 2 0 - 0 5 CK# 4 4 0 5 SW 6 8 t h S t .Ur b an d a l e I A . 5 0 3 2 2I D# L ou i s J . P a z z i

1 2 - 2 0 - 0 5 3 7 0 1 SE 2 1 s t Ct 2 . 0 0CK# De s Mo i n e s , I A . 5 0 3 2 0D# -I

~CK#Da n n y L . Owens 2 . 0 01 2 - 2 0 - 0 5 PO~Mo n t e z uma ,Bo x 1 8 5 I A . 5 0 1 7 1I D #Ke v i n D . Wood 2 . 0 01 2 - 2 0 - 0 5 CK# 90 1 E . 1 Av d .

I D# 1 2 5Ma r l o n L . J a c kma n1 2 - 2 0 - 0 5 CK# 1 2 5 N . W . Br o a dw a y 2 . 0 0De s Mo i n e s , I A . 5 0 3 1 3I D # Ch r i s t o p h e r Humphr ey1 2 - 2 0 - 0 5 2 9 3 5 S co t t Av e . 2 . 0 0C r C # De s Mo i n e s , I A 5 0 3 1 7l I D # Ro n a l d A . Do b s o n I 2 . 0 01 2 - 2 0 - 0 5 CK# 3 9 2 4 Ur b an d a l e AVe .( De s Mo i n e s , I A . 5 0 3 1 0

SUB- TOTAL S 2 0 . 0 0TOTAL ( i f l a s t p a g e o f t h i ss c he d u l e ) S


21/26

Fo r I n s t r u c t i o n s , Se e B a c k o f Fo 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 S t a t e me n t o f Or g a n i z a t i o n)Un i t e d S t e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n tSTATE CANDI DATES NOTE : l F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACT I O N COMMI 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 ! D NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : 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 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 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 rf o r a ny c omme 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 .

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 mu s t b e s h own t o t h e t h i r d d e g r e e c 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 yma r r i a g e ) ( S e e Pag e 2 o f f o r m s p a c k e t . ) . 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 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 mi 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 .

SUB- TOTALTOTAL ( i f l a s t p a g e o f t h i s

s c h ed ul e )

P_ a o 2 0 o f 2 3V ~ ( f o r Sc h e d u l e A )

SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS( - I CHECK THI S BOXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECE I VED ( i f a p p l i c a b l e ) TO CAND I DAT E ' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA INUMBER I NCI I D# Ro b e r t R . Pa d g e t t - 2 . 0 0

1 2 - 2 0 - 0 5 CK# 3 1 0 4 E . 7 t h S t .De s Mo i n e s , I A . 5 0 3 1 6D# J o s e p h A . Bauman1 2 - 2 0 - 0 5 CK# 7 0 4 Hwy 2 8 2 . 0 0NI D # J e r o me R . Po r t e r

1 2 - 2 0 - 0 5 CK# P : 0 . Bo k , 9 7 2 . 0 0Wood wa r d , I A . 5 0 2 7 6I D#

1 2 - 2 0 - 0 50 5 Sc o t t L . Bu c k r o y d 2 . 0 0CK# 1 6 0 2 SE H a y e sAn k e n I A . 2 1I D# Ha ng Vo n g1 2 - 2 0 - 0 5 j CK# 2 3 2 0 E . Gl e n n wo o d Dr . 2 . 0 0De s Mo i n e s , I A . 5 0 3 2 01 2 - 2 0 - 0 5

I D# L e l a n d D . Ca r t e r 2 . 0 0CK# 2 0 6 W. Wa s h i n g t o nKn ox v i l l e , I A . 5 0 1 3 81 2 - 2 0 - 0 5 I D# S t e v e n M Canoe3 9 0 5 Ea s t : - 8 t h S t . 2 . 0 0CK# De s Mo i n e s , I A . 5 0 3 1 61 2 - 2 0 - 0 5 D# Ri c k L a i r dCK# 3 4 1 0 SE 4 t h S t 2 . 0 0De s Mo i n e s , I A . 5 0 3 1 5

I D# Br u c e A . Mi c h a e l " 2 . 0 01 2 - 2 0 - 0 5 1 8 1 3 E . Gr a n d Av e .CK# De s Mo i n e s , I A . 5 0 3 1 6

I D# K h a y S e n e a p h a y 2 . 0 0I 1 2 - 2 0 - 0 5 CK# SE 2 1 s t S tDe s1 3 2 2 2 Mo i n e s , I A 5 0 3 2 0


22/26

Fo r I n s t r u c t i on 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 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 eme n t o f O r g a n i z a t i o n )Un i t e d St e el wo r k er s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n t

STATE CANDt D AT ES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACT I ON COMMI Ti E E ) , L I S T THE PAC I D E NT 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 AVAI LABLE FROM THE 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 ( 6 ) , 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 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 rf o r an y c omme r c i a l p u r p o s e b y an y p er 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 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 o mm i t t e e s t o d i s c ! o s a 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 r n 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 ! a t i v e s b ym a r ^ a g e ) ( S e e Pa ge 2 o f f o r m s p a c k e t . ) . 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 s n o p a c e 2 1 o f 2 3f 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 S c h e d u l e A)

' SCHEDULEA MONETARY

( R e v . 0 6 / 9 7 ) RECEI PTSCHECK T HI S BOXI FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT d I FRECEI VED ( i f a p p l i c a b l e ) TO CAND I DATE' RECEI VED FU( MMI D DI Y R) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCI I D # Ch ar l e s T . Wy l i e

1 2 - 2 0 - 0 5 CK# RR2 2 . 0 0Mad r i d , I A . 5 0 1 5 6I D #

1 2 - 2 0 - 0 5 R o d n e y Da l t o n 2 . 0 0CK# 4 2 1 No r t h Ma i nMa d r i d I A . 5 0 15 6I D # Da r r o l d Fr i e d r i c h s e n ( 2 . 0 0

1 2 - 2 0 - 0 5 CK# 7 6 1 3 20 t h St .Wood wa r d , I A . 5 0 2 7 6I D# De n n i s Gr e e n 2 . 0 01 2 - 2 0 - 0 5 5 3 6 9 NE 3 r d St .CK De s Mo i n e s , I A 5 0 3 1 3I D# T e r r y Pe t e f i s h 2 . 0 01 2 - 2 0 - 0 5 CK# 5 2 0 9 SW 9 t hD . M . I A . i l lI D ' Ke n n e t h Bi l l s1 2 - 2 0 - 0 5 4 0 2 1 2 t h Av e NW 2 . 0 0CK# Al t o o n a , I A . 5 0 0 0 9I D# - Pa t r i c k Mc Na n e y 2 . 0 01 2 - 2 0 - 0 5 CK# 1 1 5 Do n n a Av e . , PO Bo x 2 4 3Be r wi c k A 5 C 1 1 3 2 -I D# Ri c k J o h n s o n

1 2 - 2 0 - 0 5 CK# 1914 4 t h S t . SW5 0 0 0 9 '2 . 0 0

Al t o o n a , I A .I D# .Dav i d K . Wa l k e r1 2 - 2 0 - 0 5: CK# 1 5 4 2 3 2 n d S t . 2 . 0 0

De s Mo i n e s I A . 5 0 3 1 1_

I I D # L a r r y E . Sp r a y , I I .1 4 0 1 0 t h c " ? . n n1 2 - 2 0 - 0 5 1 CK# ( Da l l a s Cen t e r , I A . 5 0 0 6 3SUB- TOTAL

S 2 0 . 0 0TOTAL ( i f l a s t page o f t h i s

i ss c he du l e )


23/26

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 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 S t a t e me n t o r Or g a ni z a t i o n )Un i t e d S t e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n tSTATE CANDI DA- 1ES NOTE . I F A CONTRI BUTI ON I S RECEI VE) F ROM A STATE PAC ( P OL I T I C AL ACTI ON COWLT 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 1 0 NUMBERS I S AVAI LABLE F ROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON : S e 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 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 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 rf o r a ny c omme r c i a l p u r p os e by 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 .

SUB- TOTAL

TOTAL ( i f l a s t p a g e o f t h i ss 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 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 ! 2 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 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 e n s 2 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 yma 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 s u r n a me 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 o P a g e _ 2 2 - - - o f - - - 2 3f a mi 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 o p i i c a b l e " i n t h e r e i a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A )

SCHEDULEMONETARY

f ( Re v . 0 6 1 9 7 ) RECEI PTSf ` l CHECK T HI S BOXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F- RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MMI DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I

NUMBER I NCI I D # J ac k Co r t

P . O . Bo x 7 1 5 2 . 0 01 2 - 2 0 - 0 5 CK# Me l c h e r , I A . 5 0 1 6 3Way n e H y d e 2 . 0 01 2 - 2 0 - 0 5

CK# 1 8 2 9 E . 1 2 t hV i e s Mo i n e s , I A . 5 0 3 1 6I D# Ra n d y L . Ch i r i1 2 - 2 0 - 0 5 C K t # 3 2 4 7 Ho me s t e a d Dr . 2 . 0 0 -Gr a n g e r , I A . 0 1 01 D# Ch a r l e s An d e r s o n 2 . 0 0

1 2 - 2 0 - 0 5 CK# 7 5 9 5 NW 2 6 t h S t .A n k e n , I A . 5 0 0 2 1I D# Be r y l B . An d e r s o n

1 2 - 2 0 - 0 5 CK# P . O . Bo x 4 5 5 3 2 . 0 0De s Mo i n e s , I A 5 0 3 0 6I D# Bi l l C . Pe r r i e r 2 . 0 01 2 - 2 0 - 0 5 1 3 0 E . 2 n d S t .CK# Ma d r i d , I A . 5 0 1 5 6I D# Bi l l y D . Bi d d l e 2 . 0 01 2 - 2 0 - 0 5 CK# Bo x 1 5Ru nn e l l s , I A . 5 0 2 3 7I D # P a u l V . Gr a h a m 2 . 0 01 2 - 2 0 - 0 5 1 3 0 9 3 r d Av e . S . E .Cr < # Al t o o n a , I A . 5 0 0 0 9I D# -De n n i s R Mu r r a y 2 . 0 0

1 2 - 2 0 - 0 5 CK#I D # Ti mo t h y Hun t e r 2 . 0 0 -1 2 - 2 0 - 0 5 CK# 1 4 2 6 5 NE 3 4 t h - Ct .De s Mo i n e s , I A . 5 0 3 1 7


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Fo . r I n s t r u c t i o ns , 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 n d i d a t e ' s p e r s o n a l f u n d s )

COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t emen t o f O r g a n i z a t i o n )Un i t e d St e e l wo r k er s o f Ame r i c a L o c a l 3 1 0 Cope A c c o u n t

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON C CMMI T T E E ) , L I S T THE PAC I D E N 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 AVAI LABLE FRCM THE ! O ` N A E T H I C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON : S e c t i o n 6 3 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 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 rf o r an y c omme r c i a l p u r p o s e b y an y p er 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 es .

SUB- TOTALTOTAL ( i f l e s t p a g e o f t h i s

s c h ed 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 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 mm i t t e e . R e l a t i o n s h i p mus t b e s hown 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 yma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . 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 ame a s c a n d i d a t e , b u t t h e r e i s n o Pace 2 3 o f 2 ~_f 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 umn . ( f o r Sc h e d u l e - )

SCHEDUL EMONETARY

( Re v . 0 6 / 9 7 ) RECEI PTSCHECK THI S BOXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT " ~ I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NC' I D # Ke n n y Th o r n b u r g 2 . 0 05 0 5 E . Mo n r o e1 2 - 2 0 - 0 5 CK# Pl e a s an t v i l l e , I A . 5 0 2 2 5

I D # De a n Ac k e l s o n 2 . 0 01 2 - 2 0 - 0 5 CK#2 7 4 0 Ki n s e y Av e .De s Mo i n e s I A . 5 0 3 1 7I I D # St e v e Smi t h 2 . 0 03 2 5 1 St a t e S t1 2 - 2 0 - 0 5 CK# De s Mo i n e s , I A . 5 0 3 1 7

D# Cu r t Cr a i g 2 . 0 01 2 - 2 0 - 0 5 CK# 2 2 2 Ch er r y - Ap t . # 4o l f a x , I A 5 0 0 5 4I I D # L a r r y Ba r n e t t1 2 - 2 0 - 0 5 3 6 1 9 Be l ma r Dr 2 . 0 0C K # De s Mo i n e s , I A 5 0 3 1 7

I I D # Va n Pa t h amma v o n g 2 . 0 01 2 - 2 0 - 0 5 CK# 3 5 0 0 B r o c ; k i ~ i e w DrDe s Mo i n e s , I A 5 0 3 1 7I D # Ol i n D . Cl a y t o n1 2 - 2 0 - 0 5 5 9 3 7 NE 3 r d 2 . 0 0CK# De s Mo i n e s , I A . 5 0 3 1 3

I D# Ca r o l Edwa r d s2 1 7 L o o mi s Av e . 5 . 0 01 2 - 2 0 - 0 5 CK# De s Mo i n e s , I A . 5 0 3 1 5

I D# Ca r r o l l Ki l g o r e1 2 - 2 0 - 0 5 CK# 9 1 0 N . E . Ba r r i n g t o n Co u r t 2 . 5 0A n k e n y , I A . 5 0 0 2 1i D # Mi k e Ha r k i n 1 0 . 0 01 2 - 2 0 - 0 5 CK# 3 2 2 3l Wo o d wa r d1 4 5 t h S t . . ' I I I f ~. Y 7: t i


25/26

[ T H I S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :Pu 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 a 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 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 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 p e n d i t u r e ma d e 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 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 C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEBEXPENDI TURES MONETARY- MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VE 0 CHECK THI S BOX I FCANDI DATES . L I ST THE CANDI DATE I DENT I F I CAT 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 AVAI LABLE FROMTHE I OWA AMENDI NG FORM IETHI CS 3 CAMPAI GN DI SCLOSURE BOARD . ICOMMI 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 )` [ ) n i t e d St e e l wo r k e r s o f Ame r i c a L o c a l 3 1 0 Cop e A c c o u n t

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( 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/ DOf YR) AND PACCHECKNUMBERI D# U . S . BANK0 7 - 2 9 - 0 5 1 1 5 E . EUCLI D BANK SERVI CE CHARGE $ 3 . 0 0CK # DES MOI NES, I A . 5 0 3 1 3

1 0 # 1 4 4 5 COMMI TT EE TO RE- ELECT DONATI ON 1 0 0 . 0 00 8 - 1 0 - 0 5 CK # HELEN MI LLER - PO BOX 6 752 2 4 2 FORT DODGE, I A . 5 0 5 0 1

I D # 1 6 0 4 I T I Z ENS FOR AKO- ABDUL-0 8 - 1 0 - 0 5 AMAD PO BOX 8 0 6 7 DONATI ON 1 0 0 . 0 0CK# 2 2 4 3 ES MOI NES, I A . 5 0 3 0 1 - 8 0 67I D# COMMI TT EE TO ELECT J EANE TE0 8 - 1 0 - 0 5 CK # 2 2 4 4 WOODS 3 2 0 4 - 4 T H DONATI ON 2 0 0 . 0 0DES MOI NES, I A . 5 0 3 1 3I D# U . S . BANK0 9 - 2 9 - 0 5 CK # 1 1 5 E . EUCL I D BANK SERV I CE CHARGE 3 . 0 0

DES MOI NES, I A . 5 0 3 1 3I D#1 0 - 2 0 - 0 5 1 5 3 5 CI T I Z ENS FOR Z I RKEL BACHc o 2 2 4 5 6 3 7 W . F I RST ST DONATI ON 2 0 0 0 0MONTI CELL O, I A . 5 2 3 1 0I D#0 - 2 0 - 0 5 K I SSI NGER FOR COUNCI L DONATI ON 2 0 0 . 0 0CK # 2 2 4 6 8 0 6 S . E . I NNSBRUCKANKENY, I A . 5 0 0 2 6I D# 9 1 5 5 POLK CO . DEMOCRATS TI CKETS TO FUNDRAI SER1 0 - 2 0 - 0 5 P . O . BOX 5 1 0 2 2 0 0 . 0 0CK # 2 2 4 7 DES MOI NES, I A . 5 0 3 0 6

SUB- TOTAL $ 1 0 0 6 . 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 ) $


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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :Pu 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 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 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 nSc h e d u l e G b y t h e a m o 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 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 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 Code 5 6 . 6 ( 3 ) ( i ) . )

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v , 0 9 1 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE QCHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE 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 )UNI TED STEELWORKERS OF AMERI CA L OCAL 3 1 0 COPE ACCOUNT

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( 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/ DD1 YR) AND PACCHECKNUMBER

I D# 9 0 9 8 I OWA DEMOCRATI C PARTY1 0 - 3 1 - 0 5 CK# 2 2 4 8 PO BOX 3 5 0 5 3 - 5 6 61 FLEUR D DONATI ON $ 1 , 0 0 0 . 0 0DES MOI NES, I A 5 0 3 . 1 5- 9 92I D# BRENT LAPONT FOR CI T Y DONATI ON 5 0 . 0 0

1 1 - 0 2 - 0 5 CK# COUNCI L - 1 5 6 N . WARD ST2 2 4 9 OTTUMWA, I A . 5 2 5 0 1I D# U . S . BANK 3 . 0 01 1 - 3 0 - 0 5 CK# 1 1 5 E . EUCL I D BANK SERV I CE CHARGEDES MOI NES, I A . 5 0 3 1 3I D# 9 1 5 5 POLK CO . DEMOCRAT S DONATI ON1 2 - 1 4 - 0 5 CK# P . O . BOX 5 1 0 2 1 5 0 . 0 02 2 5 0 DES MOI NES, I A . 5 0 3 0 6I D# U . S . BANK1 2 - 3 0 - 0 5 1 1 5 E . EUCL I D BANK SERV I CE CHARGE 3 . 0 0CK# DES MOI NES, I A . 5 0 3 1 3I D#CK#I D#CK#

I D#

CK#

SUB- T OTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $ 2 2 1 2 . 0 0

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