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10/19/2006 01 :43 7122563213 HABITAT OF CO BLUFFS PAGE 02

FOR INSTRUCTIONS, SEE BACK OF FORM


I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSUfIC
COMMITTEE NAME (Must be s®me as on Steternerd of Orgenizebon) (Rev, 122005) REPORT

For OM** Uss Only


Vila11WaS f'0r [Own Nuu,%~
Comet . #
IMPORTANT: Indicate by # type of committee you are reporting for; Logged In ~
( 1 )Statewiden.eyislative/Judge Standing for Retention Candidate (2 )Stale PAC (3 )State Party
( 4 )County Central Committee ( 6 )County Candidate ( 6 )City Candidate ( 7 )School Board a Other Sesoned
Political Subdivision Candidate (8 )Cou A ... 9 )City PAC ( 10 )School Board or Other Political Computer
Subdlvislon PAC 11) Local Ballot 1
Audited

File with :
Sully \'itutnvas Iowa Ethics end Cartlpaign
Office Sought
Disclosure Board
510 E. 12", SIl9 . 1A
Legislative Askmbly RenrtwentaTI pea Wlo~noa, lovro ;,0319
Fax , 515-281-3701
Late reports are subject to possible civil and criminal pendf9 mnt to Iowa Code section 680.32A(7)
Ma ranflWata . fnr w ranrliAala'c rivr~r~klCO, and tho chaiip~on, for ony Other typo of commitioo, io 1110
individual responsible for bung timely and accurate reports.
712-525-9137 10/18/2006
SIGNAIURE F=90N RLING AMT TELEPHOW DATE 81G101R)

I AM FILING A Ottoha r 1 y, 2()0`1


REPORT FOR (1) Ell ECT1AN /(2)NMB.ECTION YEAR .
(report date) Indicate by it
nCHECK IF MCTlDMENT TO REPORT DATED Local Committees, enter Date of Election

Check if this is final (termination) report and attach Notice of Dissolution Foam OR-3 .
County & Local Commlgasc, sntor County in
(Yuu nlustcontinue to Me reports unto a DR-3 IS Mod.)
which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at ftw lywyirmiriy of Um vwWrtiny purlrx]. (Total of all funds held by the
commitlae, This amount MlJST be the same as the cash on trend al the and
1,242.13
of the last reporting period or must be zero if this is first report filed.) .. . ... .... . .... .. . ..... .. . .. ... ... . ... . ..... .. . .5
ADD TOTAL MONEY TAKEN IN TINE PERIOD
2.8(.15.00
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) ..... .. . ..... ... .. ... ... .
Schedule F Loans Received total (Attach Schodub F) . . . . . . . . . . . . . . . . . , ., . . . . . . . . . . . , . .-, . .- . . . . . . . . . . . . . . . , ., . . . . , . . . . . . . . .
Schedule 11: Trial Sales of Campaign Propetty (Attach Sctstduld H) .. .... ... . ........ ... ..... ........... .. .. ... .......

t8shttilo H applies to Candidature' COMmMeef On1Y1


StBTOTAL ....................... 5 4,(W7.13
S(JBTRACT 70TAL MONEY SPENT 7NIS PERIOD
1 .979,25
SchedW@ 8: Expenditures total (Attach Schedule B) ("also see debts and loans below).... . . ... .... . ....
Schedule F Loan Repayments total (Attach Schedule F) .. . .. . . . . . .... .... . ... .. .. . . ... ... . . .. ..... ... .... . .... . ..-- .... ... ..
CASH ON HAND at the end of this reoorlIna period (if final report balance must 2 .167 .88
be zero) (Attach DR-3).. . .. . . ... ... . . ... ...,-.... ... .. . . .... . ....... . . ..,. . ., . . . . ... . . . . ... . . . . . ... . . . . . ... . . ... .. . . . . . .. . . ... ... . . ... S

"MPAID BIIl1(From Schedule 0 - Attach Schedule 0) ... ...... . . . .. ... .. . ... . .. . . ... . . ... . ... .... . ... .... . .. ... . . . . .. . . .... .. ... .. ..S
'1N KM CONTRMUTIONS (From Schedule E - Attach Schedule Q ... .... . .. . ., . . .. .. ... .. ., . . . . ., . . ., ., . . ... . . S
"OIJTSTANOM LOANS (From Schedule F - Attach Schedule . . .. . . . . . ... . ... . . .. . ... . . ... ... ..... .. . ... .. . . . ... . .. . . ... .. . .S
CONSULTANTBREAKDOVM (Schedule G Attached?) YES NO
CANDIDATE COMWTMES ONLY:
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S

STAW CI AITMfS_ Submit a reconciled campaign account bank statement in January of each year .
10/19/2006 01 :43 7122563213 HABITAT OF CO BLUFFS PAGE 03

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY


(Rev . 07103) RECEIPTS
(Including oendbata's personal furls)

COMMITTEE NAME (Must be Same as on Statement of Oroaniretion,) ICI CHECK THIS 13OX IF
rl,AWpIN4 LV1=[M
\' Ilani% ati Il)r loA'a 1'0tlK:

STATE CANDIDATES NOTE_ IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC IPOLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
nuti qtn ANIJ I Ht WA%, I.HLI A NUMMM IN I Mh. LWNUNA I kIJ 4OLUMN A LIST Of ID WJMBERS IS AVAILABLE FROM IHI; IOWA LIHICS ANU CAMPAIGN
UINULUNUMk NUANL1
NOTE : ANY PERSON. OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD,

CAUTION : Section 6AB .32A(6), prohibits the use of information wpied from reports and statements for soliciting contributions or for any
commercial purpose by any parson other then statutory political comminoes .

_ ,TUT _
PAC a7r; I / T Mf_'I ' n 114O~r~Il , IF FOR
RECEIVED (if applicable) " TO CANDIDATF - RECEIVED FUND-
(MM/DDNR) AND PAC CNC-CK (if appUoable) RAISER
NUMBER INCOME
I~.»
I)onna C . Tamer 525.1x1
'( i ), CK#~ 1,; 7321 W. Well% decal
W01JI Aat01.0" WI 53213

Ilalen('e-vi
K t lf(l
j~ILIIU
CKt1 104Q N. MaI A%enue
(17 1 5111

Cu .un C " Iiulnlr~ S?5 .(x)


K ()(' CK* N120 1b 134W Frcisludt Rtxrd
i7?0 (i~t7tt,YnIC~Nn . W'I ~,U)22
ID#
R, Michael M(Wire S500)
K t )F CK# 121 12111 I1% enue
2 3112
:i:fi3.'
I
KAthImn DaNll Marquardt S5l) .(100
ix t 1, CK# 21)51 N. Maryland AVCtlue
?(lt9
Milv" :ulkr~, w 1 4i? 1 1
ID*
Harbura Hurko 525.(X)
CK# 2340 N . Summit A\enuc
2v.lo
M ilN iukee. W1 53211
In#
Poll :mallalnic ('1) I.kmocrllic Central Committee S250 .I1U
X 1'_ (XI
CK# Pt) laox 2~3
(1(>f,
l C(luneil UlullN . IA 51 S()2
CK
N A unilemv..cd runtribtuiun \Iwx)
925 06

IDaX
1uwa Cunr11IiUee Oil PuliliCill Education. AFL-CIO S150 .60
42506 CK# _'1X11) Walker. Suite A
21(15 Iks Moines, lo%%a 5()317

Rehrcca ilc Wearin full, S500)


9-15015 56381 221NI Sireel
CK#
2675 Ol( : m ood, IA 51534

' Disclosure low regulm Candidate Commitlim to dlwose the relaboriaNp of any rtilative making a Contribution to the
corrirnrflae . Relationship must be shown to the third dooms or nensarwanRy (blood mlabwe) and affinity (relat"s by I
InerTIegs) If sumoYne Of COntrlbutClr 18 the 191119 00 CandlOate, bUl there Ie rb PeHQ yr
fam4W raiationsiNp . ~"not applicable" in the refabonship column . (~or c~tledrls~',1
10/19/2006 01 :43 7122563213 HABITAT OF CO BLUFFS PAGE 04

For Instructions, go* Back of Form SCHEDULE


CONTRIBUTIONS "- MONEY TAKEN IN A MOWTARY

0
nnekidlnp pretendAsdi) (Rev . 07/03) RECEIPTS

CHECK THs Box 1F


COMMITTEE NAME (Must be same as on StatomontofOrWisation) AMENDING FORM
vitamt :Ls for Iowa Houtie

STATS CANDIOAT<S NOT& 'F A CawrmauTioN is RECCIVEO FROM A STATE PAC (POLITICAL ACTION COMMITTG[) . LILT TOM PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE KYWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
NOTE: ANY PERSON, OTHER THAN AN MDNIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSAILITIES AND SHOULD VMIAEDIATELY CONTACT THE BOARD .

CAUTION : Section 688.32A(B), prohibits the use of information copied from reports and statements for soliciting contributions or for any
Commercial purpose by any parson other than statutory pofcal Committees .
_
DA'rE r+~ t ~ 'S';=''.r
' A 1T % IF FOR
RECEIVED (it applicable) Tn "AF' RECEIVED Cl1NQ
( a) ANn~ CH Cd appYoaEian RAISER
INCOME
IDR
June F . McMahill S I 5.W
y?4''( [DO 101I N. Lm:ucl
I 'y' I Glcnwood . IA 51534

,v^ Family Sue I_en


9.129106 CKW
523.00
1U20 M . 26th Street
147()
c cn
1130
Harold Swangn
9'Z~~llf~ S100-00
CKAI 210 k. Florence
3210 (;ICnwood, Iowa 51534

y;?y/( .v^ Charle% 1.. Wredt S2S_00


CKR 13575 Berry Hill Avenue
2545
ILM
)can Marie Hartwell
9:29 ,06 CKX 19KIK, :91hh Street
5762 McClelland . Iowa 51548
Sandra 1. Smith S20Ax) ,/
9r'_9,Oh CK4 31 522 Ridge Road North
Council Bluff's, Iowa 51503
ID#
Jim Young 550.00
9129/(X) CKO Pt) Box 144
7,19
Silc Cr 01N, Iowa 51571
1130
1?on Rcn aw . S2 .5100
9''rq/( CKO 1 167 225th Serest
(ileltwYxx). h'Awtt J 1 JJq

Nancy Bleth 550.(00


9129'(16 CKA1 25266 Idlew(wtl Road
ftl 7 Lnderwwd. Iowa 5157(+

Marilyn Leggio 525.00


9;29;(.)6 CKO 183(7 North Line Drive
5(07 Council Bluffs, Iowa 51503
__ __ . ._ ' S 375.00

TOTAL (MAW papa of We ached&* I

' Dlnclosure law mgwras qerdidah cano llwssto OWCIO" ths w~*Onsrp of sny mien" mnary a comAkalicwi w Ow
commaes. Rolsbonshfp must be shown to to third oonra+ of conswei ty (bbod meows) OW OWNy (felathose by _1
n,r+ .) . N ~un.~ma o1 oone+~..te. !Jw pima ea cenALl~a. Ird term is m Pme of ,4
fan-Ad raldionsltip . ettter'not applicable" in the relatlortatW cohxnn . (for Schedtde A) .
10/19/2006 01 :43 7122563213 HABITAT OF CO BLUFFS PAGE 05

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 07103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be aame as on Statement of Organization) AMENDING FORM
Vitamvas for Iowa House

STATE CANDIDATES NOTta : 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,

NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION: Section 68B,32A(6), prohlbhs 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 .
_ _ "U. __" q IF FOR
RECEIVED . I(f applicable) TO CANDIDATE' RECEIVED FUND-
(MMtDLVYR) AND PAC CHECK g1appNcaW) RAISER
NUH,1BEri INCOME
I [~
Linda Steensland $25 .00
9/29/06 19351 Monument Road
CK# 838
Council Bluffs, Iowa 51503
I
T. Falkenhainer
9/29/06 CK# 2714 Tara Hills Street $100'0
6306
_ e:1~?iT~1.~:Jl?LiLiCI:'F'~1FYt
Ronald P. Pierce $50 .00
9/29106 CK# 4317 Cottage Row
7104 Council Bluffs Iowa 51501
It7M
Ed Fallon $50.00
9/29/06 CK# 1321 8th Shvet,
cash
- TD#
Dale F. Shultz $25 .00
10/10/Ob CK#29~ 822 Elliot Court
Iowa Ci 1A 52246
ID#
Mam Anderson $75 .00
10/10/06 CK# 1717 Mar F.iln Trail
2198 Des Moines, Iowa 50310
ID#
8026 1BEW Educational Comtnittee $200.00
10/10/06 CK# 900 Seventh Stroct NW
10784 Waslu )X; 20001
ID#
Jan Van Slokle $100,00
10/10/06 brother
CK# 2264 PO Box 300492
Denver, CO 80203
ID#
Jody M. Stem $200_00
10/I2/06 CK# 6945 Grand Prairie Drive daughter in law
2510 Colorado S to CO 8018
6439 CWA Council of State ofIowa Cope Fund $100_00
10/10/06 CK# 369 Califvrrua Street
2045 Watedon, TA 50703
SUB-TOTAL
$ 925 .00
TOTAL (If saw page ofthis schedule)
$
Disclosure law requires candidate Commute" I'D CISCI0Ea the relationship of Buy relative making a wrAlit"Aun (u thv
commiltae . Relationship must be shown to IN third degree of eonsarquinKy (blood relatives) and alllnlty (rolatlvrs by of
4
marriage), If eumame of contributor is the same as candidate, but there is no Pays 3
A)
r oAeaule
familial MAtlonshlp, arfr -not appNoaoW In the reNRlononlp column .
10/19/2006 0 1 :13 7122563213 HABITAT OF CO BLUFFS PAGE 06

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(IrldudN candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Vitamvas for Iowa House

STATE CANDIDATES NWE, IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PACCHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
.0 TO YOUn CwMI,AICN MAY HAVE FIUPIC
NIJTE; AN'T' F'F-RSOIV, OTHER TrIAN Af l INDIVIDUAL, THAT GONTRIUUTC3 MORC TI IAN $7r
.
RESPONSIBILI IIhS ANU SHOULD IMMEDIATELY CONTACT THE H0ARn

CAUTION: Section 688.32A(t3), prohibits the use of information copied from reports and statements for eolleflng contributions or for any
commercial purpose by any person other then statutory political committees.

rrW7IL'F,I :Ld : Ik1L1111C; ; J IF FOR


RECEIVED . (Ifapplkable) TO CANDIDATE' RECEIVED FUND
(MM/DD/YR) AND PAC CHECK Of applicable) RAISER
NUMBER INCOME
Id#
Iennifor Rhode«e 550_00
10/12/Ob CK#oash 712 Nuckotls Street
Glenwood, IA 51534
ID#
RULLdId P . PicMC $500,00
10/14/06 CK* 4317 Cottage Row
7113 501

Mtlls County Democratic Committee $200 . 00


10/14/06 CK# Glenwood, Iowa 51534
1201

Sally Vitatnvas $60.05


8/16/06 CK# self
PO Box 198, Silver City, Iowa 51571
online tr»nefelr
ID#

CK#

10#

CK#

ID#

CK#

ID#

CK#

ID#

CKO

TOTAL (Ir last page of ws scho&de) 2805 .00


' Disclosure law regLANS Candidate committees to dsdose ttw relationship of any relatlw making e corRrWlon to the
eommlltae . Relationship must be shown tb the third degree of consanguinity (blood relatives) and aflnlty (rslatNes by Page
4
of
4
.
marriage)
(fcr Schadulo A)
familial relationship, enter "not applicable' in the relatlorunlp Column .
10/19/2006 01 :43 7122563213 HABITAT OF CO BLUFFS PAGE 07

lwOR IN3TRUCTION3, 3CC DACI( Or roam CCI ICDULC


R "C%t,1ETbPV
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (ReV, 07/03) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE


CANDIDATES, UST 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 DISCUOSURE BOARD .

COMMITTEE NAMt (Must be same as on Sratement ot Organizatiun)


Vitanlvds for Iowa I Louse

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursemettt) WAS MADE
(MM/DDfYR) AND PAC
CHECK
NUMBER
I D# reimbursement lim postage
Sally Vilatrrvas
10/13/06 CK# 1032 I'0 Box 198, Silver City, IA 51 .571 $ 1950)

ID# Bolna Vxll,cy Rernrl.cr advertising inserts


13/14/06 CK# 1'1() Broadway, Carson . Iowa 51525 4:x8 (111
1()38

ID# X-Ti . a NcwS 4 You advertising inserts


10/)4/06 100h 'Ti nlber l,anc S15.00
CKA 1(134 (ilenwtx.xl. Iowa 51534

ID#
Oakland Herald advertising inserts
10/14/06 164 S Flan $t Avoca, IA 51521 $81 .25
CK# 1035

ID# advurtisiiag rn,crls


(. .ilwlw(xod (
:)pinion Tribune
10/14/06 Glunw(x .A, Iowa 51534 $I(N).00
00 1036

(D# Sally vitarnvati rcirnburseniunt. lor 501 shirts


10/14/00 CK# 1037 130 Iiox 198, Silverily, Iowa 51571 $100 .00

__
ID# Th e Daily Ni.n p %reil advertising,
I (1/ 13/(16 5 .35 West 13rua(Iway $1300-00
CK# 1()31 ('ouacil BlUITS . Iowa 5) 5()3

SUB-TOTAL $ 1871) .2 .5
TOTAL (iflast page of this schedule) $ 1879 .2_5

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 .)
moot also be detail itomlzed on
Expenditures to personslentItieS providing consuKlng,,advertising, funs-ralslng, pulli,ig, n~eiiayi~ry, urganizing aervioca candidate's
purpose, and date of each type of expenditure made by the personlentity on behalf of the committee, (Refer to
Schedule G by the amount,
Sched ule G Instructions and Iowa Code 6aA .40Z(3)(I) .)

(for Schedule B)

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