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1ADISCLOSURE
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enter
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FOR FORM
DISCLOSURE DR-2
COMMITTEE (Rev . I REPORT
For
Denise
Comm .
IMPORTANT : : Logged
(
( Scanned
Political Computer
Subdivision (
Audited '
CANDIDATE :
Candidate Political File :
Denise Democrat Iowa
Disclosure
Office District 510 . .
Secretary Des
Fax:
Late . .32A(7)
the
individual

712 DZ 6
SIGNATURE TELEPHONE DATE

January
I REPORT .
(report Indicate
.06
g] Local

Check Form~'f~-3`.
.) Cbbnt &
(You I r; . .. whic

E
-H-074-HAND
STATEMENT
CASH .
committee .
of .) .. .. ......... . ...... . . ......... . . ....... . . ...... .$ 0 .00

ADD
18,205.06
Schedule : ....... . . ....... . . ...... .
Schedule : ... .. . ........ .. ....... .. . . ......... . ...... . . . . ....... .. ....... . . ....... 0.00
Schedule : . . . . .... . .... . . ....... . . .... . .... . ....... . . ..... . . . 0 .00
(Schedule
SUB-TOTAL ....... ......... ....... 18,205.06
SUBTRACT
. . . . . .. .. . . . ... ... 8,348.87
Schedule :
Schedule : .. . ........ .. ....... .. .. ......... . ...... . . .. ....... ......... . . ...... .
CASH 9,856.19
be . . . .... . . ... .. . . . . . .. ... . . . ....... . . ......... . . ....... .. .. ....... .. ......... . . ......... . ...... . . ......... . . ....... . . ...... .$
*'UNPAID ...... . ........ .. .. ....... .. ........ . .. ......... ....... . . ......... ........ . . ....... .$ 0.00
*IN .. . . . ...... .. . ........ . . ......... . ...... . . ......... ........ . . . ...... .$ 0.00
"*OUTSTANDING .. .. . ........ .. ..... . . . . ... ... . .. . . . .... .. . . ....... . . . ... .. .. .. . ...... .$ 0.00
CONSULTANT YES
CANDIDATE :
VALUE
STATE : .
For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN A MONETARY
(Rev . 07/03) RECEIPTS
(Indudkp candkiata's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Mu be same as on Statement of Organization) AMENDING FORM
L`l f(JV I -?/Vi 4-r Df
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NIMtBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Seclion 68B.32A(8), tom Code, prohibits the use of Information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political oomm)ttees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDO
t f'~) S ban K
611 l IOS CK t fIt" r~~- 1luvt--h sclrxz ~ 1Qd .tom
ZDt %L Crd mb,e ' I e TA
IDAI

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IDh Lli"ufA to ci ty."

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Slll1 ,;, t ,e
SUB-TOTAL
1 .//S-0.00
TOTAL (N Isst page of this schedule)
i=
Disclosure low requires cerAidses oomnftftoto disclose the relationship of sny relanos no" a contribuffon to the
oommffe. Relationship must be show to the third degree of conswpulMty (blood rsbtves) end antrgty (rewilves by
muffle") . I( surnarns of contributor Is the same as candidate, butthere Is no Page I-of
faflial relationship, enter'not applicable' in the relationship colurm, (for Schedule A)
For Instrucitlons, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . oros) RECEIPTS
(Including ardldats's pemorml funds)
t~ CHECK THIS BOX IF
COMMITTEE NAME (M at be same as on menf of AMENDING FORM
~i e n S_~ e -e r .,
STATE CAN DIDATES NOTE'. IF A CONTRIBUTION IS RECE D FROFA A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN. A LIST OF 10NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), town Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory poNcal committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT " IF FOR
RECEIVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(MNUDDIYR) AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
IDIR

CK# ~j 3l eafros! Ave ,


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urn
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CK# i
f-15'50 Do . 00

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3rd
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SUB-TOTAL
d
TOTAL (K fastFsge of t1Ns Schedrde) 1/ofb. OC
11
Disclosure low squires candidate, oomrwYmn to disclose the relationship of arty rNstM rrlaldnQ a contrtbulbn to the
ccrternittee . Relationship must be shown to" third degroe ofeonaaNIQUIMNY (blood relatNes) and aMnlty (rs1asves by 11
. if surname of contributor is the same as candidate, but then is no
marriage) Page . of ,
familial relationship, enter'not applicable' inthe relationship column . (for Schedule A)
For Instructions, Sae Back of Form SCHEDULE
Rae Form
CONTRIBUTIONS -- ANONEY TAKEN IN
A MONETARY
(Rev.07 3) RECEIPTS
(Including candidate's personal funds)
7/ CHECK THIS BOX IF
COMMITTEE NAME (M be as on Statement of Organization) AMENDING FORM
rt - e
I' re n -jr- /+ C?
STATE CANDIDATES N04 : IF A CONTRIBUTION IS ECJIVED FROM A STA AC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DE8ICNA D GOLt1MN . A L18T OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B .32A(6), Iowa Code, prohibb the use of information copied torn reports and statements for solicIft contributions or
for any Commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (ii applicable) TO CANDIDATE" RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

s- Str2el"
~a
-La )
IDO
-Z> unhCL L-arSe.Irv

CKS ; . .7 to `F P& I e o ^ /~- v g .


ro 01710 _ ()
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CK* gn' w
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I (
t ;G
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CKM j D ~. I~eo~ G Mkn AVe,


_ as 1 a
IDS o SS LWe-Am !' 1o" r
w ;- .~- A5 0.6t7
3-obo
IDIf G Tq4 Wt--- r~tA1S
l o s CK# i rr Ito r-~ A-ve .
e ao ~~'.oo Q
ID+ti
CKtf StJDc~O
fb D I N t GA 3
IDS I1 n q
! 'T or I
CYAN a23o 1
/"l b _ ~_ bD "Mrw~~ ~~ _ loo .o~ 0
rorr Spn
. ' av'4 t--aA)fa- S~~ra,th
Y, ORS~f. 2-^
O cKS ao ~ 3 ' coca
- o357^
t3U&TOTAL

TOTAL (if hat pale off figs schadute)

DNadowrs law mqukes osnddots OMMMses Io disclose the rbbonship of any miative makings contrRxdbn Io iho
oomrniteee . Relasonsh4 rnust be shown to the third degree of consanguinity (Mood relaaws) and sfMNy (rolatlws by
marriage) . N twmerne of oontribubr Is the seals as candidale, but there Is no Page of
familial relationship, efltor - not applicable' in the relationship colurm. (for Schedule A
For Instructions, See Back of Form Reset Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07(03) RECEIPTS
(Incladlng csndiduse-s persona! hxos)
_- on CHECK THIS BOX IF
COMM AM( as Stmt of Om"zedogF AM7=NDING FORM

STATE C NO : A CONTRIBUTION IS REC IVED F ANtIOTESf STATE


S PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
tNlM6ER AMTHE PAC C CK tN1MflER M+1 THE DESt('a1dATED COIWK A LIST OF 1D NlJ1NIER$ t3 AVAILABLE FROM THE IpV11A ETHK:S AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 8tl8.3214(a), lows Code, prohNib 1Ae use at information copied from sports and statements for sdicltlnp contributions or
for any oommerdal purpose by any, pemo^ other tt>!sn etahNory potifoal oommitlees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT :' IF FOR
RECEIVED (d applicable) TO CANDIDATE' RECEIVED FUND-
(MMIOOIYR) AND PAC CHECK (if spplicabie)
rein
RAISER
NUMBER INCOME
_-
of
4-+3 Ton4twa4a" s
y /o S cK#
br%VC-

IDiI w .+~
Q ~^AY
V: go
?.tr oS" CK* 02,7S4, P, N, l3
Crre e  oo . o u
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A

9Z_4/
4 CtCA (P'7~'/ fo ~'U s tYe ca f"
m ~tf 4 T 3 O. D U
IDII qr w,
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O . OCR
Ale V& d 4 L S O,t a l
IDAI 1 'V ' I rA
Lre I - a~
n
cKS 1 13 o)c _
4-3 a K. -L-&- S7/S--;K-4 00 .a
/Zy~ IDIr SaKic-t . ~, jo~'l "rs 9n '
w .ezi 1sw&T-+' " t~dod
oS CK#

mowY~ : ihieleti . 51S r


~~y KS
of ~ ~", Ct r
~, ~r k 130 ADO . vo
TD-
0 Qr ~c 6AIr . her
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L .uu
IDO 6n MA »Y.
~° 5~ Clc* l 7,;7-'Y_ wY,
al ft - S o o. v v
IDO CcAdre4 C o s vl c -ZT
s .
CKV f0~ ' I
41W l~l ~ ~' r Sd. a o
3UB TOTAL
TOTAL (N Iss!pltpe of 04s acfMdfiM)

" Oisdosus lour requires, oorrrridess b diecbss 1M nfa0onahip of any nlsdvs making a eontl~uffor+ b the
conrnlaee . RelseonsAlpm»t be sfwvrrt b the third degree ofoonsenguinitY (bbod -left-) anti WllnftY (nlstives bY
nramsge) . it sameme of contributor is the same as candWaOe, but them is no Page ~~ of~
familial relationship, enter "real applicable' in the rolationship cohunn . ((a'Schedulc A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev 07/03) RECEIPTS
(Including candidate's personal funds)
I 1 CHECK THIS BOX IF
COMMITTEE VIA (Iwuist 8tin»e ea on SM>~terrlenf ojOr~anizalion) AMENDING FORM

~gr-!~e& a
f ,- -
STATE CANOIDA NOTE : IF A CONTRIBUTION 1 RECEWd FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE AC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements to soliciting contributions or
for any commerriM purpose by any person other than sIatubry poWM committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMIDDYR) AND PAC CHECK (if applicable) RAISER

ce
NUMBER INCOME

I
cK~ w ~ ~' ~free 0
d vs ~1 ~~ ~ s- o.do

~ 04. K
IDS I
t f1 -

0 CKIv K
~ r
o
a ( Ceo rr"1
0
ll `~
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5" g153A n ~ s 2s,0 0
(10 )17
_
IDN

CKS

IDO
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CK . ~a y _ 5~ ' ~~rkn
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CK*

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5 r), 2K rJ e.
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_
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run 6rn(d rs 4rrotu
5fr~"~ .
CKS ADD l'Ls"b lA

rX 0010o
IDAI
r4 e-
44
, jS: . k/r dK S
to
gds-x
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X00- DV
SUB-TOTAL D

TOTAL (JI list page of this schedule))

' Oisdosure lea requires candidate oommigsee to disclose the rslatkxahip of any reisUvs making a oonsiDuYon b sls
pormuan . Rstsgaahlp must be shown to the tMd dsgres of eoneengllMay (blood nhaws) and sfllnlty (roragvee by
. M wmame of oonbibutor Is the same as candidate. but then is no
marriage) Page ~ of ON
famNial relationship, enter not applicable* in the relationship column
. (for Schedule A)
For Inatructlons, Sae Back of Form Reset Farm SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A


(Rev, 07/03)
MONETARY
RECEIPTS
(Including candidate's pwsonel funds)
IJ CHECK THIS BOX IF
COMMITTEE NAiN~,,(Must be same asan Statement ofOrgarlizaliorr) AMENDING FORM

STATE CANDIOATEd A CONTRIBUTION S RECEIV D FROM A STATE PAC(POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC NOTE:
CHECK IFNUMBER IN THE DE IGNATED COLUMN. A LIST OF IDNUMBERS 13 AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION. Section 88B.32A(8), Iowa Code, prohibits the use ofinformation copied from reports and statements for soliciting contributions or
for any comnlerdal purpose by any person other than statutory PONtiad committees.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-

r
(MMlDDIYR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME

to &/ s c~

/
Lr
IDIK
~hr 4 in 50 h s
33a V !I~ ,~~ .
_ _ moo
IDAI n -rho t- F1 b-e
CKO p. . '-ao~.r-
v& CC 1±1 i Y

'D* en n ~ r 4, :Ck~nS
~1
36 .'o 0
CKO

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IDS
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d Sr ctcs 3 3 7 m et r e ( ,v ~~
L JV " O
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/0 CKS c '' 'D f e-lr8-it ~'e
a I< _
log kh4rK LAve
cKS I L~ 3ao Ta
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IDIf ..
mh~ r~e' .
Y"h

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3 -
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5' CKS 2- -z 7,
. /00-1010
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SUB-TOTAL
TOTAL (iflast ptDs of Ws schedule)
taw wglina carMdab
" Disctmaa. Relallonahlp conxnttt es a dodo" the relationship of am relative making a corrtributon loft
moat be shown to f VNrd OW" Ofoon6WipuYllty (Wood reMves) end ~y (rMatiVSs by
. If sumame of contributor is the earns as csndkfets, but there is no
marriage) Page A of A)
familial relationship, enter *not applicable' in the relationship cokum . (for Schedule
For Inatrucdons, See Back of Fort SCHEDULE
Reset FDim

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07103) RECEIPTS
(Induding candldats's personal finds)
I!'II CHECK THIS BOX IF
AMENDING FORM

STATE CANDIDATES NOTE. IF A CONTRIBUTION IS RECEOVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 66S.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions a
for any commercial purpose by any person other than statutory pofcal committees .

DATE PAC ID NUMBER NAME AND ADDRESS OFCONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDDl1'R) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

v IDO /j?4rk k.)% nne- ' $


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16 . , o "P S"a o
r CKIIL #7 l 0
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" Disclosure low requires asndldab comrnidses to disclose the relationship of any reletive making a aonhrbution to the
commisse . Reblonship rant be shown b the third degree of conrnpulIft (blood ribdvss) and afnnlty (relatives by
rnantage) . If surname of contributor is the same as candidate, but then is no Page of
farnilial relationship, enter'not applicable' in the relationship column. (for Schedule
For Inebwetlons, See Back of Form Beset Fame SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 07103) RECEIPTS
(Inoiudin9 candidale's personal funds)
CHECK THIS BOX IF
Comm E 7Mu be Same as an Statement of OrWrIl AMENDING FORM

STATE CANDIDATES NO : !F A CONTRIBUTION 18 RECE FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUSIN . A UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 689.3?A(6), lows Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other the statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDVYR) AND PAC CHECK (If applicable) RAISER

T77
NUMBER INCOME
IDIN OQ,t; G c~ 0.57,C(itb
yo~.~-f -
flS,~
I V's $O
(a Cotsr1-1-
o
CK# `
f
[DO
t 6w vrt
t ~ ~tZ Gl3 ~-. A/. (tern e s ne.
~- 2
CK
b~
IDg
~l
1A d~ CKs
- .:. f_ .ofo s a
IDlti

cKrl ~3
~~ a JAC - ono ~".aa
IIAh

711/ -
klig;- C" -3 ,/,03
:_'_ 'G /D O a rs

13 3 jl
CKS
rj5"o, v
IDs r

CK#

too
~/ ~~
CK#

1138

CKO a

IDrr
1
t, oI CKS~rO~ b
1/ l 7 , )0 .
8U13-TOTAL '
i
TOTAL_ (H last page of this schedule)

Diedwue lew wquine gndidafs commklsas b dhcloee the nhlbmtAp of any nhtive maWnp s contrbuton b 1M
oolmrwe. Relation" moat be tithown m the iNla dsp+ea of oons .nglrnity (blood relatfvaa) and atRnlty (relatives by
,on .iege) . If surname, of coMr)butor Is the same as candidate, but them Is no Page 9 of -
familial relationship, enter rat appWostlle' in the relationship column. (for Schedule A)
For Instfuctlons, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A MONETARY


(Rev 073) RECEIPTS
(Inckidinpcandidi fs's personal Ands)
COMMITTEE NAME { ust be same as on Statment of Org 'zetlon) it AMENDING
CHECK THIS BOX IF
FORM

STATE CANDIDATES VOTE: IF A CONTRIBUTION IIIItECCi11ED FROMA STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PACMHECK NUMBER IN THE DESIGNA COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARO.
CAUTION: Section 68B.32A(8), Iowa Code, prohibibz the use ofinformation copied tom reports and statements for solicitin(i contributions or
for any commercial purpose by any person other than statutory political comn*Wes.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ~~ IF FOR
RECEIVED (if applicabls) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
IDO
s-
F77/tp CKS
5'-
_
1/02o ~1 S'b~ ' "o a

CKIr o-on 10
lDi
I
laS7oS CK#I 1 Y3 .A 0

a
o s Ctc#
a~ An
p. G' `f tj
oZ . D O
IDS ~~

P/0
r
v©. 00
IDO

/ 00.Ue)

I-AI65-
IDp . V
ctCa>f _
rl~s $ . ~~ s' 37~ o v

'-Nos-
100

CKO

ID"
ZfA
I Y~o,x'
CKO
_ _
for
1,44.4V
CK# 7 ~~
n (4
'"-Laloc
irm -0 1 QO . UC?
SUB-TOTAL
TOTAL (If Nat~ ofthls sclrodbW
Disciowae law r"Wes candidele conunitlless to disclose to miationship ofany relative mski+p a contrfbutbn to the
cornnttase. Roletbnehlp mwt be shown tD 1M third dOWse a oonsanQAnItY (bloodrelatives) and smdtlr (rsiaevsa by r
7 f -~~ (I~ju~ i9
0
rrartisge) . Itsurname of contributor is the same as candidate, but there is no Papa
%ITOisl rellaatIonship, enter "not applicable' inthe relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
Reset Porn+
CONTRIBUTIONS -- MONEY TAKEN IN
A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal Nrnds)
CHECK THIS BOX IF
AMENDING FORM

IF A CONTRIBUTION IS RECEIVED F A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
CK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS 18 AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN

CAUTION: Section US .32A(6), Iowa Code, prohibit the use of informalkm copied from reports and statements for soliciting oontibutions a
for any wrnmercW purpose by any person other than statutory political commifes.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (it applicable) RAISER

7~
NUMBER INCOME
1DN Cdd-
~ Z
CK# ~to ~7
, '_- .
ID6 ,
.
1*os- CKtt D-1 0 -4
xs ~ DO

''v 5 CI(

~
" l~o s ID1t
C
S a ~~ ~ - S. o u
IDS

Ciclre ~
IDw
CKO
,~ . .~.. m'0
, _
l
c u
ID6
CK6, #
,~
IDS
trK#
_
Ias .
3 ,, .r
r~ ~ pdV

A L i0

" Disclosure law raqulres candidate cornrnitte" to disclose the rolasonahip of arty relative mskip a conhiblAon to to
oomniaee. Relatlonatwp must a shown to the third dsgrw of oonsanpulrNty (blood misUvss) and a11nKy (mtasves by d
nlsrtiap) . If sumems of contributor is the same as candidate, but there is no Page / of A7
familial relationship, enter 'not applicable" in the relationship column. (for Schedule A)
For Instructions, Sae Back of Fonn SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidab's personal hrnds)
I% CHECK THIS BOX IF
AMENDING FORM

STATE CANDIDATES I TE : IF A CONTRIBUTION IS RE OM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CF CK NUMBER IN THE DESIGNA LIMN . A UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 88B .32A(8), Iwa Code, prohibits the use of information copied from reports and statements for soliciting contributions a
for any commercial purpose by any person other than statutory political committees.

DATE PAC iD NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
IDA1

lD7~ _
CKt

IDS .

/O 3 CKO
e2 a~7l~~ o~,D O
IDt
1~'0/
0 S cKl e?
~... r 7 b" DU
i O IDt i

os CKt
6 .o d

t'ow
Iot
CK#
'/ 4
IDIIIt
r~10/
O S CKaf
_ vd
U
IDt
r'~r oS t 1 .2, ~
v~ .ov
cK# ~
i ION

13 d ~
cKt
o sa oo . vd
lot - ,'

r 3~as cK
~
_
a. D o ~So a
lot ~rr!"i!!! '
'
/ps cKe .1rl
 ~~
D UO " ov

' Dieolosue law rsquirss osndldit tr commitlese to disclose the relationship ct any rsla" making o contribudon to the
wrlxrAba . Rstaflonshdf MIM ba shoOm t o the Ihlrd deglas or consanguinity (blood relattvss) and al"nRy (rslalIves by
marriage) . If surname of contributor is the same as candidate, but then Is no
familial relationship, sater'not applicable' in the relationship column.
For Instructions, See Back of Form Reset Form SCHEDULE

CONTRIBUTIONS -MONEY TAKEN IN A MONETARY


(Rev . 07/03) RECEIPTS
(Indudinp Candidate's personal fwids)
CHECK THIS BOX IF
COMMI E NAME (M be as on Statement ofOrgMza " n) AMENDING FORM

8TATE CANINDATES A CONTRIBUTION


: IFNUMBER IS RE OM AASTATE PACID NUMBERS
(POLITICALACTION COMMITTEE), LIST THEETHICS
PAC IDENTIFICATION
NUMBER AND THE PAC CK IN THE DESIO LIMN. LIST OF IS AVAILABLE FROM THE IOWA AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 88B.32A(8), Iowa Code, prohibits the use ofinformation copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political commi teea.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
IDS

/i-I d 00.
ID#

CK# ~° l 77 v~lt oa . v
v
ID# r

I % of /00 .00
ID#
cK#
4 440 ". .0 6

ID#
..-
/ CK#
l~ f . -  o .ov
CK#
~fe74" _ 0 4 4103 0 o .n1)
ID#

CK#
'rte l . D . JX S
_ A 4-1-1
Aff
G .oo
/ IDS
f.~p
1I CK# o f Sr' >L

ID# ' _
-"
CK# C
!
qj v -60 . va
SUB-TOTAL G
s a~O.OG
TOTAL (NNat pegs of sA& *ch*&Af) 1
i
Disdoslm law mqums candidale oommitha to discba the relationship of sny nlative rnslanp a conVibubon to the
cortsnfe. Reladorehip nwst be afw vn loft Criddsgrae of conaanpuinity (Mood mistivaa) and afnnity (rslasvas by ,-
rmniapa) . N surname of contributor Is the same as candidate, but there Is no a
farniliat relationship, enter - not applicable' in the relationship Column . (for Schedule
For Inobttctlone, See Back of Fofn SCHEDULE
Reset Form
CONTRIBUTIONS - MONEY TAKEN IN A MONETARY
(Rev 07/03) RECEIPTS
(Including condidaf's personal funds)
LJ CHECK THIS BOX IF
AMENDNG FORM

STATE CANDIDATES POTE : IF A CONTRIBUTION IS R FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIO OLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(8), lows Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
__
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

os C0
946 a )h

ki&
r ff
o ,vo
ID# P-

(1/
0911" CK# -xzc~
Gf} ,
Ulf .S6 Ib - o a .o v
[DO

&/0
Cica
Z -- 5-
0
IDe

o ~ CK# i z5?'7
~o, 0U
IDO

CKO 444
- -1-4t. 0
Imp -- OOLQ! 17 .0 0
IDg

o .vo
IDIO

3 ~OS' CKS f~

r
J. AJA ~l0 r a ~O O
IDllf
f
CKS

IDS _

/b CK# a 1ti, _ .

_ /
s lot

a cKe 'f
31 '~'i ~'C D 0 . t~ U
SUB-TOTAL ,
Ii400.D0
TOTAL (K Mast page of this schedule) 1
s
' Diseloa" law mgldrss andidats cwnmitbas to disclose ew wistions* of any relative me" a contribution to the
oommiase. Rolaaorahip must be shown to the Oft degree oroonsangulnity (blood relelves) and &MRV (relatives by
narriape) . If surname of contributor is the same as candidate, butthere is no Page of
familial relationship, enter 'not applicable' in the relationship column. (for ScheduleA)
For Inatrucdons, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate'spersonal funds)
CHECK THIS BOX IF
?73E NAME ( bele as on Statement ol0rgani AMENDING FORM

STATE CANDIDATES ItIIITE: IF A CONTRIBUTION IS RECD, OM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNA C N. A LOST OF ID NUMBERS 13 AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section B88.32A(6), Iowa Code, prohbts the use of Information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
GATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDS KGB..- . _

" CKO .
.~I i v l0 Joe) . O O
IDS i

CKS "" 'c7 h` ~iy oo, a d


1130
os CK# ~ `-7
S©~3 as':oa
m
CKrr I l ~ 6t :~ .60
A- ~-es- ~I o0
ID# ~_

-  a CUa-od
IDvr
r
'- _ ~o .oa
O32-S

CKA
_ 5 szy 0-0 0
IDN

CK#

)Dill

CK#
i~ :ra>r'S~le r - w.
low
CK#
~/ O0 . 0 0

Disdoalxt taw rsquhescandidate commifesm dbadaa. the roYOonship ofany relatve meldn a contributionto the
commlase . Relatonship nwet be shown to the third degree ofoonsenguinity (blood relatives) OW atlty (neletves by
. If sumarne ofooMributor is the same as candidate, but there is no
manage) Page dof
familial relationship, enter not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
Reset Fottn

CONTRIBUTIONS -!MONEY TAKEN IN


A MONETARY
(Rev 07/03) RECEIPTS
(Including candidate's personal funds)
LJ CHECK THIS BOX IF
at be snrne as on Statement of Ory~aniz ' n) AMENDING FORM

6k~ . I
ATE CANDI A 13 ACTION THE
$TNUMB£R
FROM AND TDFIETPAC FIECKINUMBERTNITHE DESIGNATED f IJM
O N. A LIST NUMBERS IS AVAILABLE
C EETHE ISOW THIC ND FCAMPAGN
DISCLOSURE BOARD.

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions a
for any commercial purpose by any person other than statutory pollcal committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

: 77
IDO

_ __- +~r~~a7. "Js 1 i r

'Hj
IDO

CK#

IDO
70
AEXA 51 15 -e
4 CKIi

IDO
T~
. 5 LL-1 7 do. o cl

is CKO

100
y o

Clc# - '
.Z5':ov
IDS

CKO

IDO

ctcs
_ ih D OU
IDiI

4 .111,
4 CK# le -(.1U
N
IDO

CKO -
Y ° _ _  1i 4 O. dQ
IDO
1

SUB-TOTAL
i
TOTAL (if lW psye of this schedule)

" Diadwue law nequiws candidate commmeasthird to disclose, the relationship of any relative rmMty a contribulion to the
oornmlase . Roblbnddp must be shown to the degree ofoonsanpukNty (blood relatives) and amity (relatives by 9
. If surname of contributor Is the same as candidate, but there Is no
marriage) Page of , 1
familial relationship, enter 'not applicable' in the relationship column- (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
!~I CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Denise O'Brien for Secretary of Agriculture

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
James Freeland $200 .00
12/30/05 3107 Palm St., Atlantic, IA 50022
CK#2990

ID#
Leigh Rigby-Adcock 100.00
08/31/05 52384 150th St ., Gilbert, IA 50105
CK#

I D#
Steve Harris 100.00
09/01/05 CK# Box 177, Leadville, CO 80461 Brother-in-law

I D#
Francis Thicke 100.00
09/01/05 CK# 1745 Brookville Rd ., Fairfield, IA 52556

I D#
Dinah Yessne 100.00
10/10/OS CK# 101 HC 74 Box 4136, Mayer, AZ 86333

ID#
Margery Johnson 50 .00
10/12/05 1505 Baker St., Atlantic, IA 50022
CK#

I D#
Jackie Norris 50 .00
11/02/05 2805 38th St ., Des Moines, IA 50310
CK#

ID#
Don Brazelton 25 .00
11/12/05 1510 NE Trilien Dr., Ankeny, IA 50021
CK# 2206

I D#
Audrey Amer 10.00
11/13/05 CK# 9060 40th St. SW, Montevideo, MN 56265

I D#
Bonnie Haugen 20 .00
11/13/05 RR I, Box 89, Canton, MN 55922
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 16
marriage) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
!~I CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Denise O'Brien for Secretary of Agriculture

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Nancy Guthrie $20.00
11/17/05 58444 260th St ., Nevada, IA 50201
CK#

ID#
Teresa Opheim 25 .00
11/18/05 1614 Morningside Dr., Iowa City, IA 52245
CK#

I D#
Karen Disbrow 5 .00
12/12/05 621 1/2 Brown St ., Iowa City, IA 52245
CK#

ID#
Emma Anderson 100.00
12/22/05 CK# 332 43 St ., Des Moines, IA 50312

I D#
Winston Carroo 100 .00
12/29/05 513 7th St . NE, Washington, DC 20002
CK#

I D#
Carol DeProsse 25 .00
12/29/05 5280 Wapsi Ave SE, Lone Tree, IA 52755
CK#

I D#
Barbara Dudley
12/29/05 50 .00
CK# 7407 SW 33rd Ave ., Portland, OR 97219

I D#
Thomas Heiken _. 100-00
12/29/05 327 49th St ., Des Moines, IA 50312
CK#

I D#
Mozzie Johnson 25 .00
12/29/05 1970 E Tremont Ave., Bronx, NY 10462
CK#

I D#
Lynn Laws 25 .00
12/29/05 2205 E 9th St ., Des Moines, IA 50316
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

" Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 17
marriage) . If surname of contributor is the same as candidate, but there is no Page of /
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY


(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
!VI CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Denise O'Brien for Secretary of Agriculture

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Nancy Naples 100.00
12/29/05 82 Kenyon St ., Hartford, CT 06105
CK#

I D#
Jeri Neal
12/29/05 50 .00
CK# 916 Ridgewood Ave ., Ames, IA 50010

I D#
Shellie Orngard
12/29/05 50 .00
CK# 928 Burnett Ave ., Ames, IA 50010

I D#
Susan Andersen
12/30/05 50 .00
CK# 42 Dorset St., Portland, ME 04102

I D#
Zoe Anderson
12/30/05 25 .00
CK# 240 Hillview NE, Grand Rapids, MI 49503

ID#
Laura Belin
12/30/05 100 .00
CK# 1705 Plaza Cr., Windsor Heights, IA 50322

ID#
Jeremy Brown
12/30/05 25 .00
CK# 3217 Greenwood Ave ., Bellingham, WA 98225

I D#
Ed Cooney
12/30/05 100 .00
CK# 1234 N Vermont St ., Arlington, VA 22201

I D#
Keith Larsen
12/30/05 25 .00
CK# 2314 Sewell St ., Lincoln, NE 68502

I D#
Anne Mosness
12/30/( 25 .00
CK# 1081 Sudden Valley, Bellingham, WA 98229

SUB-TOTAL
550 .00

TOTAL (if last page of this schedule)


l
i
" Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
17
18
marriage) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
!~I CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Denise O'Brien for Secretary of Agriculture

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
ID#
Pass the Hat
12/ 18/05 $50 .00
CK# Fundraiser in Ames, Iowa

ID#
Fred Hoefner
12/31/05 50 .00
CK# 22 Montgomery Ave ., Takoma Park, MD 29012

I D#
Hugh Joseph 100 .00
12/31/05 CK# 676 Hammond St., Chestnut Hill, PA 02467

I D#
Nishna Valley Credit Union (interest on savings) 00 .01
07/31/05 CK# 200 Maple St ., Atlantic, IA 50022

I D#
Nishna Valley Credit Union (interest on savings) 00 .01
08/31/05 200 Maple St ., Atlantic, IA 50022
CK#

ID#
Nishna Valley Credit Union (interest on savings) 00 .01
09/30/05 200 Maple St ., Atlantic, IA 50022
CK#

ID#
Nishna Valley Credit Union (interest on savings) 00 .01
10/31/05
CK# 200 Maple St ., Atlantic, IA 50022

ID#
Nishna Valley Credit Union (interest on savings) 00 .01
11/30/05 200 Maple St ., Atlantic, IA 50022
CK#

ID#
Nishna Valley Credit Union (interest on savings) 00 .01
12/31/05 CK# 200 Maple St ., Atlantic, IA 50022

ID#
unattributed cash donation 10 .00
12/31/05
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)


,,: 'A vi , ).K,G~
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 19 19
marriage) . If sumame of contributor is the same as candidate, but there is no Page of -
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
The following items from Schedule B of this report were deemed to be unallowable
expenses . Denise has reimbursed the campaign account from her personal funds for
the following items, with a check dated 09/21/06 .

On Schedule B :
Page 2 09/19/05 Unique $16 .71
Page 4 12/16/05 Campaign expenses (food portion of 208.09) 94.67
FOR INSTRUCTIONS, SEE SACK OF FORM I SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE +r
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE ,~ "~' CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS d. CAMPAIGN DISCLOSURE BOARD .

C 1 rrE NAME (AI as on Statement of Orgenizafton)

64
CAND14ATE
re A rv
NAME AND ADORIISS TO PURPOSE NT
DATE ID NUMBER EXPEN TURE f (DESCRIBE TRANSACTION) PENDED
EXPENDED (ir appfiaribla) (LMbursemenf) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER

i
/00/ ~~
v v
ab
ID# ~ .i
CK#
1 ZOO),-
,

/ I crz) ~ . ~. y

oS IiV .2
-ylr.
fA
-n fi-41t- .-
45-4
v
v CK# (1 _ r1
r r W r
0~

C V
,
OS d-D _
ID# S~ vRCAVr~ n i- --,

ID# v v 1
I~ ~~
o da __ _
SUB-TOTAL
TOTAL (Iflostptpw ofLtds schtdkrW $
THIS BOXAPPLIES TO CANDIDATES' COIIANIITTEESONLY:
Purchases of certain campaign property coating $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to personstentides providing consuRUlg, advertising, fund-raising, poNing, managing, organizing services must also be detail itemized on
Schedule G by Ow amount, purpose, and date of each type of expendidme made by the POWMWtity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code SBA402(3xi). )

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM I K SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . OT/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

Cr/IAWME NAME (Must b same on SYaI~ment o )

N _
PURPOSE AMOUNT
DATE ~ (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Oiisbursemem) MADE _
(MMIDD/YR) AND PAC
CHECK
NUMBER
IDO

D CK# $
~= V ~ a0 . V O
~~y vl w
I L7r/'

CKX
'°"t ISO.
KA%Iru~1'14ft4i~

U1L - l S ~tti~~
't~hgm Sl ' _ f

I3 .,
y rlti 1
_
7clo '/j e)40 . oo
9, tics- ' C~~ ~
4 _ CAA .k-
-~, ?. 3 -7--
1 DAP
q y
._
I
CK#
r
IDN I% OP -606 u'r`n
_
CK#
f
o-L 0s-
-
rr' S ~ -
I[~ a;
r~ LQ r11 ~9
P
AS O-
CK# J
r
Qcr vtsrs 0~* S
I~ Rn c
SUBTOTAL . , , ~, .
l: l,~t.t
~, TOTAL Irrlist of this sch~e $
Pqw
4z1\lo°t$ " 1
THIS BOX APPLIES TO CANDIDATES' COAMIITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be Inventoried on Schedule H. (Refer to Schedule H instructions.)

Expenditures to persondentihes providing consulting, advertising, fund-raising, polling, managing, organmng services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlenbty on behalf of the candideWs corrrnithe . (Racer to
Schedule G instructions and laws Code t)SA.402(3xi).) __- -_

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM I Kam Form I SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 07103) EXPENDITURES
STATE PAC COMMITTEES : MOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMSERS IS AVAILABLE FROM THE IOWA
.
-
1 ----- - --
CHECK THi8 BOX W
AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

COMA E NAME (Mtr same as on moment of Orgianlza

lJ l r.en r ~,ee f o
CANDm*TE NAME AND ADDRESS OWFi PURPOSE AMOUNT
DATE ID NUMBER EXPENDITU (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (it applicable) (AisbursomerrQ WAS MADE
(MMIDDIYR) - AND PAC
CHECK
NUMBER
IDS Den ~ se d ISr~ e '~a ~~ sQ~
rtT11/749CK#
0 ,r rrL n i U2 ~e.W rn. try s
lo# r -
`
Ios
Ir
~A'

i
14 t-
CK# 73 n~ rn~
_ ~r~ ~' ny C/L .r,
of ~. . y

~~DS CK#~
l ay AA)
As A

D _
I" CK#
Dot / 0
IDO

r CK# p ail ~l1


O ' ~ 11 2~ o - da- o a
IDO

- " ~o
avZ ~ a b.
/ ID#

CKS ~'
' ~! dt Ox dU. v U
r SUB-TOTAL

TOTAL Ilf hat page of this schedule) 3

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures 1Io personslentibes providing consulting, advertising, land-raising. polling, managing, organizing services must also be detail ilerrdzed on
Schedule G by the amount, purpose, and data of each type of expenditure made by the penwNentity on behalf of the candidate's oommfe . (Refer to
Schedule G instructions and Iowa Code 6SA402 3 i .

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM I ~I SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev OT103) EXPENDITURES
STATE PAC COMMITTEES : NOTE . FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD .

(;'rIT E NAME ( ust be~i~ame as Statement of Organhadon)

~1 l 1 A 1j,
"` DIDA NAME TO WHOM PURPOSE AMOUNT
DATE I ~ UMBER E RE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (Ilio ie) (asburse S MADE
(MMIDDJYR) AND PAC
CHECK
NUMBER
_ ID#
IA 3?,
so CK#/ d. ~- $
,
)- C
ID# I

l ~OS CKS / y
lod 10
ID#

a Ov
ID#

s CK#
Imo_ o 7
C `r ,0
D .S~L --~kly
CKS VIC
/wZ U ~
~ ID#

'%
cK#
1/0! ,3p

0S CKS/493/

ID#

_ CK#
aS
I7'r)
su=:~r tir_

TOTAItiKkelt'ptl"~

330" 3

THIS BOX APPLIES TO CANDIDATES' COIi1MITTEES ONLY :

Purchases of certain campaign property costing 5500 or more nwst also be inventoried on Schedule H . (Refer to Schedule H instructions)

Expenditures to psreonslentities providing consulting, advertising, fund-raising, poling, managing, organizing serviees must also be detail itemized on
Schedule 0 by the amount, purpose, and date of each type of expenditure made by the persoNenfy on behalf of the candidate's committee . (Refer to
Schedule G Instructions and Iowa Code 88A .402(3)(i)1

Page

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)


Denise O'Brien for Secretary of Agriculture

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# Liberty Checks/Nishna Valley Credit Checks for campaign account
07/11/05 Union, 200 Maple St.
CK# Atlantic, IA 50022
$ 10 .98

ID# IATS Ticketmaster fees for credit card donations thru


12/05/05 iats .tickermaster .co m campaign website, deposited to
CK# checking after deposit made (mc/visa)
13 .75

ID# IATS Ticketmaster fees for credit card donations thru


12/31/05 iats .tickermaster .co m campaign website, deducted from
CK# donation before deposit (amex/disc)
10 .00

ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 34 .73

TOTAL (if last page of this schedule) $ 8,348.87

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 6BA .402(3)(i) .)

(for Schedule B)

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