AHSA PAGE 01

01/18/2006 12 :27 6419426502

FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PACE

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

Iowans For Claghorn

IMPORTANT : Indicate by # type of committee you are reporting for. I I
( I )StatewidelLegislative/Judge Standing far Retention Candidate ( 2 )State PAC ( 3 )State Party
(4 )County Central Committee ( S )County Csrideate ( 8 )City Candidate (7 )School Board or Other Political
Subdivision Candidate (8 )County PAC ( 6 )City PAC (10 )School Board or Other Political Subdivision PAC
( 11 ) Local Ballot Issue
CANDIDATE COMMITTEES ONLY .
Candidate Name
Karey Clagborn
Office Sought
Secretary of Agriculture -"

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee,
and the chairperson, for any outer type of committee, is the individual responsible for I'lllng timely and accurate reports .

TELEPHONE DATE SIGNED

I AM FILING A Jamuary 19, 2006 REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR .
(report date) Indicate by # Q

Local Committees, enter Date of Election

QCHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County In

0 Check if this is final (termination) report and attach Notice of Dissolution Form OR-3 .
vAlch Election is held
(You must continue to file reports until a DR-3 Is filed.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero If this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 0 .00
5575-00
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . nd
na
Schedule H ; Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . .
1$aheduls H anolles to Clndt#Mr Committees Only l
SUB-TOTAL ... .. . . ... .5
5575-17110
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
470 .60
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below)- . ., . . . . .,
na
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
must
CASH ON HAND at the end of this reporting period (If final report balance
. . . . . . . . . .  ., . . . . . . ., ., ., ., .  . . .  . . . . . . .  , . ., ., . ., . . . ., . . . . . . . . . . . . ., ., . . .5 5104-40
.
be zero) (Attach DR-3) . .  ., . . . . . . . . . . . . . . . .  ., . . ., . . .

. . . .. . ..$ 2788 .4n

'"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .
3206 .98
" :N KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
... ... . . ... ... ... . . $ na
-OUTSTANDING LOANS (From Schedule F-Attach Schedule F) , . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . .
X_ YES -NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
CANDIOAT5 COMMITTEES ONLY :
Schedule H) $ na
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach
in January of each year .
STATE COM MITTEES,, Submit a reconciled campaign account bank statement
01/18/2006 12 :27 6419426502

For Instructions, See Back of Form

SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

(Including candidate's personal funds)
A
(Rev . 07103) I MONETARY
RECEIPTS

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

CI CHECK THIS BOX IF
AMENDING FORM

Iowan s For claghorn

STATE CANDIDATES NOTP,; 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/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER
_ INCOME
ID# John Ruan III
10/05/05
465 Foster Dr $500-00
CK#
Des Moines, TA 50 31 2
ID#
10/10/05 Jodi Tymeson
CK# 1524 Hwy 169 $ 50 .00
Winterseti TA 50273
Ip#
Bruce McGuire
10/13/05 CK#
1301 SE Hayes Dr $100 .00
Ankeny, IA 50021-3837
I D#
Bob Kim
10/13/05 CK# 1636 W Ave $ 50 .00
D sari, IA 52224-9583
I D#
Jack Byers
10/22/05 $150 .00
CK# 17039 173rd Ave

ID# Douglas Stong

10/25/05 $100 .00
CK# 11720 W Co Rd 300 S
Yorktown, IN 47396
ID# Melinda Bales
10/25/05 323 Main St, PO Box 48 $100 .00
CK#
Milo, IA 50166
ID#
Katherine H Gabriel
10/25/05 12601 Long Green Pike $100 .00
CK#
Glen Arm, MD 21057
ID# Charlotte Crestman
11/01/05 CK# 2832 Hwy 130 E $100 .00
Shelbyville, TN 37'160
lo# Dr Amy Osenbaugh-Roosterfield
117 NE Trilein Dr $ 50 .00
11/01/05 CK#
Ankeny, IA 50021
SUB-TOTAL

TOTAL (if last page of this schedule)

' Diaeloaure law requirea candidate committees to olacloae the relationship of any relative making a contribution to this
committee, Relationship must be shown to the third degree W consanguinity Iblood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page _ 1 .- _ of
familial relationship, enter 'not applicable' In the relationship column . (for Schedule A)
 6419426502 AHSA PAGE 03
01/18/2006 12 :27

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Iowans For Cla horn

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 GTHICS AND CAMPAIGN
DI$CLOSURE SOARD .

CAUTION: Section 686 .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
RECErVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDlYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
11/01/05 CK# 12and Lewis
13698 40th St . $ 50-00
Lime Springs, IA 52155
ID# Kathleen Miller
11/01/05
CK# 423 Chestnut St 50 .00
Milo, IA 50166
ID# Jerrie Bruce
11/01/05 105 Bennett Rd sister-in- 500,00
CK#
Linden, IN 47955 law
ID#
Charlotte J Chance
11/01/05 500 .00
CK# RR 2 Box 94
Norman, IN 47264
Ib# Lowell Bence
11/01/05 2728 State Hwy 92 100 .00
CK#
Winterset, IA 50273
ID# Lisa Hunter
11/01/05 CK# 15646 173rd Ave 50 .00
Milo, 1A 50166
I D#
11/01/05 Ronald D Pearson 500 .00
CK# 5534 Glen Oaks Pt
West Des vines IA 50266
Ib#
Bill Dohrmann
100 .00
11/08/05 CK# PO Box 502
Fa ette IA 52142
lD# sandra .Kandris
100 .00
11/08/05 CK# 811. Burr Oaks Dr, Unit 403
West Des Moines, IA 50 266
ID# William Turnquist
11/08/05 100 .00
CK# 236 Windy Ridge Rd
Caneyville, KY 42721
SUB-TOTAL

TOTAL (iflast page of this schedule)

- Dizclosurs law requires oandidate committees to disclose the relotlonshlp or any relative making a contnoUilipn to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and efflnlty (relatives by
of --_~--
marrlagc) . If surname of contributor is the same as candidate, but there is no Page
(for Schedule Al
familial relationship, enter "not applicable" in the relationship column,
 12 :27 6419426502 AHSA PAGE 04
0111812006

For Instructions, See Hack of Form

SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN MONETARY

(Inciudln9 candidate's personal funds) (Rev, 07/03) RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAMIE (Must be same as on Statement of Organization)
AMENDING FORM
Iowans For Claghorn

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

CAUTION : Section 688 .32A(S), 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 polltlcal committees,

GATE PAC ID NUMBF-R NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUNO-

14/
/DDIYR) AND PAC CHECK (Ifapplicable) RAISER
' NUMBER INCOME
#
Kenneth
h ',E Keeney
z
kill $100-00
CK# 21787 G58 Hwy,
Milo, 1A 50166
#
Terri Schaeuble
K# 3725 Hampshire Ln 50 .00
1 o Bloomington, IN 47401
ID#
George Murdock _
11/10/0 CK# 1042 NW 12th No C 250 .00
Pendleton, OR 97801
ID#
Linda Leanhart
11/16/0 C K# 1737 14wy 205 25-00
Milo, IA 50166
ID#
Judith A Johnson
11/16/0 1874 Falcon Ridge Dr aunt 100 .00
CK#
Petaluma, CA 94954
ID#
Gerald D Judkins
11/16/0 CK# 18606 Tyler St 500 .00
Lacona, IA 50139
ID# Pearce R McKinney
11/16/0 CK# 3361 State Rd 55E 50 .00
Win ate, IN 47994
ID# Gary M Erickson
11/28/0 C0 1896 220th St 50-00
Humboldt, IA 50548
ID# ,lack Buffington
12/04/0 100 .00
PO Box 36, 15102 Buffalo Rd
cK#
Springfield, NE 68059
ID# Loren Jacobsen
12/05/0 1 2393 240th Sit 50-00
CK#
Dallas Center, IA 50063
SUB-TOTAL,

TOTAL (if last page of this schedule)

' 2ifsciosure law recuires candidate committees to disclose the relationanla of any relative making a contribution to the
oommirte®, Reiatonlhip ,ust be shov+n to the tniro osgrss of consargulnlty (otood rciativcsi aria affinity (relatives by
Page of --4__
'namagel , If Surname Cf contributor is the same as candidate, but there is no
(for Schedule A)
familial relationship, enter 'not applicable' in the relationship column .
01/18/2006 12 :27 6419426502 AHSA PAGE 05

For Instructions, See Back of Form

SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY
(Including candidate's personal funds)
(Rev. 07103) RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Iowans For Claghorn

STATE CANDIDATES NOTE ; IF A CONTRIBUTION Is RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE), LIST THE PAC
NUMBER ANO THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IDENTIFICATION
IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOAR4.

CAUTION; Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting
oontributons 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/DDfYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
' ID# Thomas' Terrell
X2/14/05 2710 W CR 200 N 500 .00
CK#
New Castle, IN 47362
!Q# Peggy Shattuck
12/21/05 CK# 8196 NW 86th St 100 .00
Johnston, IA 50131
ID# Gary Nealson
12/29/05 CK# 1454 100th St 150 .00
West Liberty, IA 52776
ID#
Don Hunerdosse
12/29/05 17587 173rd Ave 100 .00
C K#
Milo, IA 50166

12/30/05 ID#
Douglas E Homer
CK#
16384 G58 Hwy 100 .00
Milo, IA 50166
I D#

CK#

ION

CK#

ID#

CK#

I Q# I

CK#

IQ#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Diwosure law requires candidate committees to disclose the ralat)onsnio of any relative making a contribution TO the
committee. Relation*hio must De anown to the !nlr(j aegree or consanguinity 07lood raiativesl ana aMnity , relanvcs 'ay
marriage) . If surname of contributor is the same as candidate, Out there is no Page ,....,_4...-_ of _~
farnllial relationship, enter 'not aoplicable" in the relatlanshlp column . (for Schedule <<i
01/18/2006 12 :27 6419426502 AHSA PAGE 06

FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07103) 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)

Iowans For Claghorn
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUM6ER
ID# 5126 Liberty Hank
10/18/05 6139 Ashworth Rd Order checks
CK# W Des Moines, IA 50266 $ 20 .60

ID# 5126 Christian Coalition

Table rent for event
10/27/05 PO Box 65066
CK# 1001 of 10-29-05 250 .00
W Des Moines, 1A 50265

ID# 5126 Carrie Taylor Set tap website

12/07/05 15603 173rd Avenue voteclaghorn .com 200 .00
CK# 1002
Milo, IA 50166
ID#

CK#

ID#

CK#

1D#

CK#

ID#

CK#

ID#

CK#

_ - SUB-TOTAL $

TOTAL (if last page of this schedule) $ 470 .60

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

on Schedule H . (Refer to Schedule H instructions .)
Purchases of certain campaign property Costing $500 or more must also be inventoried
organizing services must also be detail itemized on
Expenditures to persons/entities providing consulting, advenlsing, fund-raising, polling, managing,
purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's corntrlttee . (Refer to
schedule G by the amount,
Schedule G Instructions and Iowa Code 68A .402(3)(i) .)

(for Schedule B)
 AHSA PAGE 07
01/18/2006 12 :27 6419426502

FOR 1NSTRUC7fONS, SEE BACK OF FORM SCHEDULE

D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev, 08/98) INDEBTEDNE=SS

Iowans For Claghorn CHECK THIS BOX

IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations Incurred in this period .

An -incurred debt' Is a debt for

DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period 
regardless of whether an invoice
has been received,
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIOWYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

07/01/05 The concept works $ 2750 .00

- 1001 Office Park Road, Suite 119 communication
10/31/05 West Des Moines, IA 50265, services

The Concept Works

09/09/05 1001 Office Park Road, Suite 119 post office
33 .40
West Des Moines, IA 50265 Box rental

SUB-TOTAL $

PERIOD
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING $ 2783 .40

Page I - of I
'If actual figure is unknown, show "estimated" beside the figure . (for Schedule 0)

CANDIDATE COMMITTEES NOTE :

has entered Into a contract during the reporting period for future
'Incurred indebtedness also includes each person/entity with whom the candidate's committee
for items such as advertising, fund-raising, polling, managing, or
or continuing performance. Enter the name of the consultant who provides or procures services
performance and the estimated performance reasonab ly expected of the consultant .
orgsnlzJng Services . Report on Sc hedule G the nature of
 FOR (NS7RUCTIONS. SEE BA CA OF FORM SCHEDULE
G BREAKDOWN
OF MONETARY
00
m (Rev. 02196) EXPENDITURES
BY CONSULTANT
W COMMITTEE NAME (Must be same as or? Ste(emeot of Organizatio")
C'3
a CHECK THIS BOX IF
IL
1 AMENDImG FORM
Iowans For Claghorn

PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT

TO OTHERS 1N PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART 1- NAME AND ADDRESS OF CONSULTANT reported on Schadube B, as they are direct payment from ft cormultant.)

Name of Consultant DATE

EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
The Concept Works MMIDOIYR Dishursarra n WAS MADE PURPOSE EXPENDED
Mailing Addr*ss

1001 Office Park Road, Suite 139

City State Zip Code

West Des Moines IA 50265

a
d TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD IMW13WRI PERFORMANCE

From 7-1-05
$ 2783 .40

N
m ESTNAATES OF PERFORMANCE
un
W
N
v Consultant will provide professional
SUB-TOTAL
v media services .
S
TOTAL (If last page of this schedule)

N
N

LO Page _- I _ of-A
mN (For Schedule G)
l
~-i

m
01118/2006 12 :27 6419426502 AHSA PAGE 09

FOR IN STRU CTIONS, SEE BACK OF FORM SCHEDULE

E IN-KIND
COMMITTEE NAME (Must be some as on Statement of Organization) (Rev, 0697)1 CONTRIBUTIONS

Iowans For Claghorn

ED CHECK THIS SOX IF
AMENDING FORM

PATE RELATIONSHIP DESCRIPTION ESTIMATED -i IF FOR

RECEIVEQ NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDIYR) OF CONTRIBUTOR ' if applicable) CONTRIBUTION VALUE CONTRIBUTION

F7
Karey Claghorn 382 .00
09/12/05 15603 173rd Ave self Postage
Milo 1A 50166
Karey Claghorn
10/07/05 set Photos 99 .64
15603 173rd Ave
Milo, TA 50166
Karey Claghorn
09/14/051 15603 173rd Ave self T-shirts 269 .24
Milo, IA 50166
9/15/05 Karey Claghorn Merchandise/ 120 .50
through 15603 173rd Ave Self
supplies
10/15/05 Milo, 1A 50166
7/1/05 Karey Claghorn 11,678 miles 2335 .60
through 15603 173rd Ave self _20/mile
12/31/05 Milo, IA 50166

1
4

a
7

SUB-TOTAL

TOTAL (if fast

page of this
schedule)

`;.' :solcsure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page I of ,___1_
z^nrritte&, 4elationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (far Schedule =i
no
;)y :narriagei (See Page 2 of forms packet) If surname of contributor Is the same as candidate, but there is
`arr ;Ital relationship, enter "not applicable" in the relationship column .