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I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2D05) REPORT
(4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate (7 )School Board or Other Scanned
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Is ssyp_
CAA O ES LY: Audited
m CHECK IF AMENDMENT TO REPORT DATED 4W' O C T / q"'~,?GYl(`o Local Committees, enter Date of Election
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .)
which Election is held
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.
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), 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
6244 Clinton Labor Congress C.O.P.E.
7/22/06 $500.00
CK# 247 P O Box 461 Clinton Ia 52732
ID#
8177 Laborer's Local Union 309 PAC
7/21/06 250 .00
CK# 28.35 7th Ave Rock Island 11. 61201
3314
ID#
8262 Bridge Structual and ornamental Iron Workers
7/10/06 100 .00
CK# Local 111 800 29th St W Rock Island 1161201
1927
I
8077 Heartland Regional Council of Carpenters
7/24/06 250 .00
C 201 E 3rd St Sterling 1161081-3945
865
ID#
8178 Local #150 I.U.O.E. 500 .00
8/2/06 CK# 6200 Joliet Road Country side 1160525 °
3433 ;t
ID# .J l1f *;R .,
Joe Farrell L9,t,' :$0 .00
8/8/06 CK# P O Box 52 DeWitt Ia. 52742
589
ID#
T.J.and Melodie Schueller 30.00
8/15/06 CK# 503 W. platt St Maquoketa Ia 52060
5338
ID# a
Molly Regan 17.00
8/15/06 CK# P O Box 486 Princeton Ia 52768
cash
ID#
Rob and Heather Thompson 200 .00
8/26/06 CK# 2298 160th Ave Calamus Ia 52729 neighbor
ID#
Max Kauffman 150 .00
8/26/06 11480 Coonhunters Road Blue Grass Ia 52726 brother
CK#
SUB-TOTAL
* 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 1 6
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 ScheduleA)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must he same as on Statement of Organization) AMENDING FORM
Elect Reg Kauffman
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.
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), 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
ID#
Anna M . Fi $100 .00
8/26/06 526 N Utah Davenport Ia 52603 mother
CK# cash
ID#
Dave and Maggie Kitzman 100 .00 ,/
8/26/06 CK# 18700 Virga Ave Bloomfield Ia 52537
ID#
Tom Engelman 100 .00
8/26/06 CK# 4552 N . Main St Davenport Ia . 52806
ID#
Leslie Caster 100.00
8/26/06 CK# 1295 Neisse St . Bluegrass Ia. 52726
ID#
Jerold and Carol Moiser 75 .00
8/26/06 cousins
CK# 1724 S . Vermont Ave Davenport Ia 52802
ID#
Chris Schroeder - _ 50.00
8/26/06 CK# 16823 275th St Long Grove Ia. 52756 '
ID#
r
s,
John Smith N
crfl~l,, , 50. 00
a
8/26/06 408 N . Juamta St Blue Grass Ia . 52726
CK#
ID#
Jam' and Debbie Elvert 50.00
8/26/06 cousins
CK# 5110 Nobis Drive Davenport Ia 52802
1D#
8/26/06 CK#
Hugh McAleer
410 6th Ave DeWitt Ia. 52742
50 .00 r
ID#
Ronald and Sue Stalder 50 . 00
8/26/06 cousins
CK# 11930 100th Ave Davenport Iowa 52804
SUB-TOTAL
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 2 6
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 ScheduleA)
For Instructions, See Back of Form SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (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
Elect Reg Kauffman
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.
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), 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 (rf applicable) RAISER
NUMBER INCOME
ID#
Bruce and Ksy Ingham $50 .00
8/26/06 203 Cragmore Drive Clinton Ia 52732
CK#
ID#
Roger and deb Richardson 50.00
8/26/06 CK# 403 Davenport st Dixon Ia. 52745
ID#
Polly Bukta 50.00
8/26/06 CK# 604 S . 32 St Clinton Ia 52732
ID#
Roger Stewart 50.00
8/26/06 CK# 3936 317th St. Preston Ia. 52069
ID#
Sue Frembgren 50.00
8/26/06 CK# 1033 Kirkwood Blvd. Davenport Ia 52803 J,Q
/V "
ID# a
Dennis DeDecker 50.00
8/26/06 CK# 3400 central Ave Bettendorf Ia.52722
ID#
Todd and Carrie Kauffman 50.00
8/26/06 CK# 2216 160th Ave Calamus Ia. 52729 nephew
ID#
Cathleen Hart 50.00
8/26/06 CK# No address available
ID#
Jim Lykam 25.00
8/26/06 CK# 2906 W. 35thSt Davenport Ia. 52806
ID#
Judy Kauffman 25.00
8/26/06 CK# 5310 Friendship Dr. Davenport Ia 52804
SUB-TOTAL
$ 450 .00
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 3 6
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 ScheduleA)
For Instructions, See Back of Form SCHEDULE
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 .
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), 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
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Frank Wood $25 .00
8/26/06 1135 W Davies St Eldridge Ia.52748
CK#
ID#
Mike Boland 25.00
8/26/06 CK# 4416 River Dr. Moline 11. 62706
I D# _
Sheri Camahan 25.00
8/26/06 CK# 2007 Emerald Dr. Davenport la 52804,x
i
ID# "/,y /r
Jacqueline Jacobs 25.00
8126/06 CK# E-Mail Jac Jacobs @mchsi .co m
I D# ;'
Roxanna Moritz 25,00
8/26/06 CK# 226 Elmwood Davenport Is 52802
I D#
Tracy Waterman 25.00
8/26/06 CK# 1606 116th Ave. Milan 1161264
ID#
Jean Pardee 25.00
8/26106 CK# 608 meadowview Dr. Clinton Ia. 52732
ID#
Chris Gallin 25.00
8/26/06 CK# 227E. 45th St Davenport Ia. 52807
ID#
Walt Knapper 3497 292nd St. Camanche Ia. 25.00 J
8/26/06 CK#
ID#
Andrea Judge 25.00
8/26!06 CK# 114 2nd Ave Carbon Cliff 1161239
SUB-TOTAL
" 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 4 6
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 ScheduleA)
For Instructions, See Back of Form SCHEDULE
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.
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), 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 .
ID#
Mark and Michelle Berger 20.00
8/26/06 CK# 4875 296th St. Dixon Ia. 'niece
f
ID#
cash donation at fund raiser event 100 .00
8/26/06 CK#
cash
ID#
8177 Laborer's Local 309
8/23/06 500.00
CK# 2835 7th Ave . Rock Island 11. 61201
3321 r
ID#
8350 OP and CMIA Local Union 18 Area 544
8/23/06 250 .00
CK# 7909 42nd St W. Rock Island 11 . 61201-7322
1176
ID#
8170 Iowa Federation of Labor
8/24/06 150 .00
CK# 2000 Walker St. Des Moines Ia 50317-5290
ID#
Dennis and Sally Starling 25.00
8/24/06 CK# 201 Corvette Ct Calamus Ia. 52729
I
8048 ~ Millwrights Local 2168
9/13/06 200 .00
CK# 2707 62nd St Court Bettendorf Ia. 52722
1161
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
marriage) . If surname of contributor is the same as candidate, but there is no Page 5 of 6
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
For Instructions, See Back of Form SCHEDULE
Reset.Form
CONTRIBUTIONS -- MONEY TAKEN IN
A MONETARY
(Rev.07/03) I RECEIPTS
(Including candidate's personal funds)
m CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Elect Reg Kauffman
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 .
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), 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 .
__
DAT PACID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT +l IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
9710 Communications workers of America AFL-CIO, $100.00
9/14/06 CK# CLC Local 7110 P O Box 1367 Dubuque Ia
192 52004-1367
ID#
Scott County Democratic Party 872.46
9/19/06 CK# Jim king Commitee
1689 P 0 Davenport Ia 52809
ID#
Martin P . or Patricia O"Boyle 75 .00
9/20/06 CK# 505 N. 6th St . Eldridge Ia 52748
9172
ID#
6127 First Congressional District of Iowa C.O .P.E. AFL- 100.00
9/21/06 CK# CIO 797 Alta Vista St. Dubuque Ia 52001-6545
753
ID#
9629 First District Democratic Congressional Comm . 375 .00
9/20/06 CK#586 801 Sheridan Rd . Waterloo Ia. 50701-4943
ID#
8466 All American PAC 100.00
9/22/06 CK# 607 14th St NW Suite 800 Washington D.C . 2005
2280
ID#
8026 IBEW Educational Comm. 200.00
9127/06 CK# 90Q_ 7th St NW Washington D.C . 2001
10756
ID# ,.
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
* 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 6 6
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 ScheduleA)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
ID#
Go Van Goghs Elect Reg Kauffman Tee shirts for
7/25/06 CK#461 921 6th Ave DeWitt Ia. 52742 canvassers and door knockers 156.22
ID#
Review Printing Cowboy cards for door knockers
9/1/06 311 21st St. Rock Island 11. 61201 209.00
CK#465
ID#
Scott County Democrats My committee share of our multi -
9/13/06 16th and Fillmore St Davenport Ia. candidate mailer 200.00
CK#466
ID#
Check number 467 was voided
9/20/06 CK# 467
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT EXPENDITURES
(Rev. 07/03)
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.
ID#
Shirley Kauffman Reimbursed for parade candy, float
10/17/06 1607 230th St. Calamus Ia. 52729 supplies and signs 100 .12
CK#471
ID# J4 Lit47
CK#
ID#
CK#
SUB-TOTAL $ 2024.92
TOTAL (if last page of this schedule) $ 3658.14
Expenditures to persons/entifes 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 personlentity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
of Page ^A
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97)1 CONTRIBUTIONS
Elect Reg Kauffman
CHECK THIS BOX IF
AMENDING FORM
Reset Form
F-1
Reg Kauffman same Fair tickets 23 .00
7/20/06 1607 230th St
Calamus Ia. 52729
8/5/06
Scott County Democrats
16th and fillmore St. Davenport Iowa
150 new sign
frames .64 ea
96 .00
F1 -
10/7/06
Jim klingarnan
411 Holland St .
LeClaire Iowa 52753
4 Dinner tickets
2 Beef Supper
finkatc
36 .00
F1 -
8/26/06
Shirley Kauffman
1607 230th St Calamus Ia .52729
wife liqueurs, wine
mixers
100.00
F1
F1 -
F7
SUB-TOTAL
"Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of 1
committee. Relationship must be shown to the third-degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of fortes packet.) If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column.
FOR INSTRUCTIONS, SEE aACK OF FORM
DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organizabon)
Reset Form I FORM
DR-2
(Rev. 12/2006)
I DISCLOSURE
REPORT
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must 3,913 .97
be zero) (Attach DR-3) . . . . . ... . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . ... . . . . . .. . . . . . . . ... . . . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . ... . . . . . . ... .$
STATE COMMITTFCS : Submit a reconciled campaign account bank statement in January of each year .
For Instructions, See Back of Form SCHEDULE
Res et Form
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.
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), 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 .
ID#
8177 Laborer's Local Union 309 PAC 250 .00
7/21/06 CK# 2835 7th Ave Rock Island 1161201
3314
ID#
8262 Bridge Structual & Ornamental Iron Workers 10 , 00
?/I0106 CK# Local 111 800 29th St . W. Rock Island 1161201
1927
ID#
8077 Heartland Region/ Council Carpenter's 250 .00
7/24/06 CK# 201 E . 3rd St. Sterling 11. 61081-3945
865
ID#
8178 Local 150 I.U .O .E . 500 .00
8/2/06 CK# 6200 Joliet Road Countyside 1160525
3433
ID#
Joe Farrell 50.00
818/06 CK# P .O . Box 52 DeWitt Ia . 52742
589
ID#
T .J. &Melodie Schueller 30 .00
8/15/06 503 W. Platt St. Maquoketa Ia. 52060
CK# 5338
ID#
Molly Regan 17 .00
8/15!06 CK# cash P.O. Box 486 Princetono Ia. 52768
ID#
Rob & Heather Thompson 200 . 00 ,/
8/26/06 neighbor
CK# 2298 160th Ave Calamus Ia. 52729
1
Max Kauffman _ 150 .00
8/26/06 brother
CK# 11480 Coonhunters Rd . Blue Grass Ia.52726
SUB-TOTAL
* 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 1 6
Page
A)
of
marriage) . If sumame of contributor is the same as candidate, but there is no
familial relationship, enter *not applicable" in the relationship column. (for Schedule
I
For Instructions, See Back of Form SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
0
(Rev. 07/W) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Mustbe same as on Statement of Organization) AMENDING FORM
Elect Reg Kauffman
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.
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 688.32A(6), 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 vNUMBER
NUMBER NT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Anna M . Figg $100 .00
8/26/06 mother
CK# cam 526 N . Utah Davenport Iowa 52706
ID#
Dave & Maggi Kitzman 100,00
8/26/06 CK# 18700Virga Ave Bloomfield Ia. 52537
ID#
8/26/06 CK#
Tom Engelman
4552 N. Main St Davenport, Ia 52806
100 . 00 r
ID#
Leslie Caster 100,00
8!26/06 CK# 1295 Neisse St. Blue Grass Ia. 52726
ID#
Jerold & Carole Mosier 50 .00
8/26/06 CK# 1724 S . Vermont Ave . Davenport Ia . 52802 cousins
ID#
Cris Schroeder 50.00
8/26/06 CK# 16823 275th St . Long Grove Ia . 52756
ID#
Jerry & Debbie Elvert 50 .00
8/26/06 cousins
CK# 5110 Nobis Drive Davenport Ia. 52802
o
ID#
Hugh McAleer 50 .00
8/26/06 CK# 410 6th Ave . DeWitt Ia . 52742
ID#
Ronald & Sue Stalder ,/
8!26!06 CK# 11930 100th Ave. Davenport Ia. 52804 cousins 50.0c)
SUB-TOTAL
* 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 2 6
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 . A)
(for Schedule
For Instructions, See Back of Fonn SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (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
Elect Reg Kauffman
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.
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION- Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for any
commercial purpose by any person other than statutory political committees .
ID#
Roger & Deb Richardson 50 .00
8/26/06 CK# 403 Davenport St . Dixon Ia. 52745
ID#
Polly Bukta 50.00
8/26/06 CK# 604 S . 32nd St Clinton Ia 52732
a
ID#
8/26/06 CK#
Roger sterwart 50 .00 r
3936 317th Ave Preston Ia 52069
ID#
Sue Frembgen 50 .00
8/26/06 CK# 1033 Kirkwood Blvd Davenport Ia 52803
ID#
Dennis DeDecker 50.00
8/26/06 3400 Central Ave. Bettendorf Ia . 52722
CK#
ID#
Todd & Carrie Kauffinan 50 .00
8/26/06 nephew
CK# 2216160th Ave Calamus 1a. 52729
ID#
Cathleen Hart 50 .00
8/26/06 CK# No Address Available
ID#
Jim L kam 25 .00
8/26/06 CK#Cf}$ ,' 2906 W.35th St Davenport Ia .52806
ID#
Judy Kauffman 25 .00 ,/
8/26/06 Ex-sister in law
CK# 5310 Friendship Dr. Davenport Ia 52804
SUB-TOTAL
$ 450 .00
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 3 6
Page of
marriage) . If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column. A)
(for Schedule
For Instructions, See Back of Form SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07W) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Elect Reg Kauffman
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.
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), 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 .
ID#
Mike Boland 25,00
8/26/06 CK# 4416 River Dr . Moline 1162706
ID#
Sheri Carnahan 25 .00
8/26/06 CK# 2007 Emerald Dr . Davenport Ia . 52804
ID#
Jaqueline Jacobs 25 .00
8/26!06 CK# e-mail jacja@mchsi.com
ID#
Roxanna Moritz 25 .00
8/26 .06 CK#
226 W . Ehnwood davenport Ia. 52802
ID#
Tracy Waterman 25 .00
8/26106 CK# 1606 116th Ave Milan 11 . 61264
ID#
Jean Pardee 25 .00
8/26/06 CK# 608 Meadowview Dr. Clinton Ia. 52732
ID#
Chris Gallin 25 .00
8/26/06 CK# 227 E . 45th St . Davenport Ia. 52807
ID#
Walt Knapper 25 .00
8/Z6/06 CK# 3497 292nd St . Camanche Ia .
_
ID#
Anorea Judge 25 .00
8/26/06 CK# 114 2nd Ave . Carbon Cliff 11. 61239
SUB-TOTAL
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 4 6
marriage) . If surname of contributor is the same as candidate, but there is no
fan~lial relationship, enter 'not applicable' in the relationship column.
Page
A)
of
(for Schedule
I
For Instructions, See Back of Form SCHEDULE
Reset Form ,
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07M) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Elect reg Kauffman
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.
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), 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 .
. - 40-- . -
DATE PAC 1v NUMBER Mk- r k, . ,; - a ,( IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
OAAIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Elysha Gayman $20.00
8/26/06 1515 Kenosha Ct. Davenport Ia. 52804
CK#
ID#
Pat Outzen 20.00
8/26/06 CK# 1212 S . 10th St. Clinton Ia . 52732
ID#
Terry & Jackie Wilcox 20 .00
8/26/06 CK# 4875 Cadda St Long Grove Ia. 52756
ID#
Mark & Michelle Berger 20,00 ,/
8/26/06 CK# niece/nephew
4875 296th St . Dixon Ia .
ID#
Cash Donation at Fund Raiser Event 100 .00
8/26!06 CK#
ID#
8177 Laborer's Local 309 500 .00
8/23106 CK# 2835 7th Ave Rock Island 11 . 61201
3321
ID#
8350 O .P .&CMIA Local Union 18 Area 544 250 .00
8/23/06 CK# 7909 42 St. W. Rock Island 11. 61201-7322
1176
ID#
8170 Iowa Federation of Labor 150 .00
8/24/06 CK# 2000 Walker St Suite A Des Moines Ia. 50317-5290
ID#
Dennis & Sally Starling 25 .00
8/24/06 CK# 201 Corvette Ct . Calamus Ia 52729
$ 1305 .00
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 5 6
of
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable" in the relationship column .
Page
(for ScheduleA)
For Instructions, See Back of Form SCHEDULE
A
Reset Form
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev .07103) RECEIPTS
(including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Elect Reg Kauffman
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.
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), 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 .
a
ID#
8026 I.B .E .W. Educational Committee 200 .00
9!27/06 CK# 900 7th St N>W.
10756
Washington D C 20001
ID#
CK#
_
ID#
CK#
CK#
SUB-TOTAL
$ 1822 .46
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 6 6
Page of
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
ID#
Precisiono Signz 250 Yard signs (no frames)
7/31/06 1055 Valley Drive 556.40
CK#463
Bettendorf, Ia 52722
ID# Stamps for Mailings
U S Postal
8/17/06 Calamus Ia. 52729 19 .50
CK#464
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07103)
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 .
1D#
Shirley Kauffman Reimbursed for Parade Candy, float
10/17/06 1607 230th St . supplies and signs 100.12
CK#471
Calamus Ia 52729
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 2024,92
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 68A .402(3)(i).)
Page of 2
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E I IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97) CONTRIBUTIONS
Elect Reg Kauffman
d AMENDING
CHECK THIS BOX IF
FORM
Reset Form
171
Carpenters Local 4 union use of union hall, 250.00
8/26/06 6623 W. Kimberly Roas members labor (Fund
Davenport Ia. 52806 Raiser)
F7
Reg Kauffman same Fair Tickets 23 .00
7/20/06 1607 230th St
Calamus Ia . 52729
8/5/06
Scott County Democrats
16th and Fillmore
Davenport Ia .
240 used sign
frames
(est . 32 cent cal
76 .80
F1 -
F1
a
-
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page I of I
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column.