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Fle wth . fect caron | [SD Scone ors SOE 120 14 Det Mores, on 5039 FOR INSTRUCTIONS, SEE BACK OF FORM 2009 40) Fen st8 201-4079 DISCLOSURE SUMMARY PAGE“ -9 tit}: [COMMITTEE NAME (st be sme as on Statoment of Organization) IOWA TURKEY FEDERATION PAC pone DR2__ | oisciosune PORTANT nat yet coion owe eg fear cecal aero (1 Statowiden.ogisltvel)udge Standing for Retonion Candidate (2 Sale PAC (3 )Sate Paty [county ont Commitee (5 County Candiate (6 Cty Carcsate (7 )School Board or ther Potca eis cone crate eo Syme Sa ta On Pees Saco aah ied ears El SNGnaTe ComaTTE OWT eon eccatees eee coma ream Ge eoromartiney | [pe Late reports are subject to posible civ and cinal penates, Pursuant to lowa Code sections 688.32A(7) and 68A.401(3), the candidate, fora Setter () 515-232-1472 1/1/07 SIGRATURE OF PERSOW FILING REPORT TELEPHONE DATE SIGNED tam ring A JANUARY JUNE30,2009__ REPORT FOR (1) ELECTION /(2/NON-ELECTION YEAR. (report dato) Indicate by # 2} CicHEck iF AMENDMENT TO REPORT DATED cat Camis. eter Date of Bacbon {check nse final termination) report and stach Note of Dissolution Form DRS. cca Waa Gorinan wer CO (You must continue fle reports ntl 8 DF sled) \wnarecionisha OOM ‘STATEMENT OF CASH ON HAND CASH ON HAND at the begining ofthe reporting period. (Total of all funds held bythe ‘committee. This amount MUST be the seme as the cash on hand at the end 4,902.21 ofthe last reporting period or must be zero if this is first report fled) oo [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) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H). {Schedule H applies to Candidates’ Committees Only) 5,700.32 ‘SUB-TOTAL... 10,602.53 SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule 8: Expenditures total (Atach Schedule B) (“also see debts and loans below). ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the end ofthis reporting pried (final report balance must be zero) 147.13 10,455.40 $ "UNPAID BILLS (From Schedule D - Attach Schedule D) $ “IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) s “OUTSTANDING LOANS (From Schedule F-Altach Schedule F). s CONSULTANT BREAKDOWN (Schedule G Attached?) YES __NO (CANDIDATE COMMITTEES ONLY: VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) 5 STATE COMMITTEES: Submit a reconciled campaign account bank statement in January of each year. For instructions, See Back of Form Eze SCHEDULE A MONETARY CONTRIBUTIONS -- MONEY TAKEN IN (Rev. o7m) | “RECEIPTS (cling candidate's personal funds) CD creck THs 60x [COMMITTEE NAME (Must be same as on Statement of Organization) [AMENDING FORM, IOWA TURKEY FEDERATION PAC STATE CANDIDATES NOTE: IFA CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION NUlBer aN mee PAC SHEGK NUMBER IN THE DESIGNATED COLUMN, A LIST OF 1D NUMBERS i AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DiseLosuRE BonRO. 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 688.324(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 commitees, RECENED acer (@appicble) RAISER AUSTIN HERRIG $100.00 0372409 | ct ersie 716 BARTON ST STORM LAKE, IA 50588 oF AUSTIN HERRIG 50.00 Ssn909 Cke. ‘716 BARTON ST 29h STORM LAKE.1A_S0S88 TOF BRIAN JANSEN s0.00 6123/09 Ke 302 STH ST PLACE SE ‘ CASH ALTOONA, LA $0009 oF CHAD LARSON 260.00 v wom | ck sy 3366 TOLLMAN AVE ELLSWORTH.IA $007: oF CHAD LARSON 115.00 v 120/09 CE 559 3366 TOLLMAN AVE ELLSWORTH, IA 50075 oF CHAD LARSON 50.00 v 623/09 coke, 3366 TOLLMAN AVE ‘CASH ELLSWORTH, 1A 50075, oF DONALD DAUFELDT 100.00 4109 oe, 215 ELIASON AVE kd WEST LIBERTY, IA 52776 oF GLENN ELZEY 100.00 611109 Ct 91g 2121 BROWN DEER RD CORALVILLE.IA_ 52241 1% : GREG GRABER 50.00 4/1109 xe, 3170 UNDERWOOD AVE 5001 ‘CRAWFORDSVILLE, IA 52621 oF HANS KOEHNK 50.00 v 400 FOUNTAIN BLVD JEWEL, 1A 50130 ‘SUB-TOTAL TOTAL (if last page of this schedule) + Disctowur aw requires candidate commits to dcloe the relatonship of any relative making contrbon tothe ‘cammites. Relstonship mus be shown the third dogree of consanguinity (lod reaives) and iy (labves by 1 3 ‘martage) _Ifsumame of controuto ls the same as candedate but there is Page. of famiil relationship, enter “not applicable inthe relatonship cok. Tor Schedule AY For Instructions, See Back of Form [SCHEDULE A MONETARY CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07m | “RECEIPTS \Uneluing cada’ personal funds) 0 creck THis 80x iF [COMMITTEE NAME (Must be samo as on Statement of Organization) [AMENDING FORM, IOWA TURKEY FEDERATION PAC NOTE: 1 A CONTRGUTION 6 RECEIVED FROM ASTATE PAG POLITICAL ACTION COMMITEE) LST THE PAC IDENTIFICATION STATE CANDIDATES, Sozeiciéeht NTE SESTONATED COLUMN, A LST OF 6 NOMBERG 6 AVAILABLE PROM THE 1OWM ETMES AND CAMPAIGN DISCLOSURE BOARO. 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 salicting contributions or for any ‘Commercial purpose by any person other than statutory poltical committees. RECEIVED (applicable) RAISER INCOME HANS KOEHNK, $50.00 v cx. 400 FOUNTAIN BLVD aa JEWELL, 1A 50130 TOF JOHN VOLKMANN 250.00 sai cKe 3569 OLSEN AVE JEWELL IA 50130. TOF KEITH TROYER 100.00 si19/09 cKe 1684 JOHNSON/WASHINGTON SW 1563 KALONA, A. 52247 TOF LOWELL UNRUH 100.00 4/109 Kt oog 1114 FRANKLIN AVE LAND. IA 52654 TOF ‘MARK DORENBUSH 100.00 3/24/09 ke 2699 300TH STREET JEWEL, 1A 50130 oF MARK HERRICK 50.00 7, 623/09 cKe 407 2ND STREET NW oF ‘CASH DAYTON, IA $0530. T MICHAEL ROTH 100.00 Cie) Kt. 507 WEST MAIN STREET eee WAYLAND, 1A. $2654 F MIKE BATES 4728109 CK 5967 2909 HWY 1 Toe - WASHINGTON, IA. 52353, T , PATRICIA DAUFELDT 50.00 4/1109 cK#, 1307 HWY 6 2494 WEST LIBERTY, 1A 52776 OF RANDY OLSON 150.00 2989 315TH STREET, P.O. BOX 305 ELLSWORTH, 1A. 50075, TOTAL (it last page of this schedule) + Disctoaura aw requires candidate commites to diciose the relatonship of any relative making a contusion tthe commen, Reiaionehip must be shown ite tres degree of consanguinity (ood relatives) and afity (rlabve by 2 5 ‘mamtage) _Ifsurame of controuto is the same as candidate, but there 6 no Page: of famital relationship, enter ‘not applicable inthe elatonship column Wor Scheu AY For Instructions, See Back of Form [SCHEDULE A MONETARY CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07) | “RECEIPTS \Wnlucing condate's personal funds) TD creck THis 80x iF [COMMITTEE NAME (Must be samo as on Statement of Organization) [AMENDING FORM, IOWA TURKEY FEDERATION PAC STATE CANDIDATES NOTE: IF A CONTRIGUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LST TME PAC IDENTIFICATION, NUMBER AND Tae PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 1D NUMBERS iS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DisetosuRe BOAR. 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 fr slicing contributions or for any ‘commercial purpose by ary person other than statutory poltical committees. FF rerereo | warrmaney Toououne | recewen | runs furor | mb ccreak (aria) pase woe Rowe fare ROBERT ACHEN, $85.00 v oe 1409-15071 STREET WAYLAND. TA.52654 TOF ROBERT ACHEN 20000 | 169301 STREET 98 Mi : OF Semmes RUSS YODER 12009 | Ks 1542 BENTON AVE oe Y 347 WAYLAND, IA_ 52654 1D STEVE DALLUGE 100.00 anew fom, S06 3RD ST GEABTON 1A sossa OF ‘TIM GRABER 4/1609 CKi 3g. 3349 WAYLAND RD ee WAYLAND.18. 32584 10 ‘TODD HILL 100.00 sn | xe 3967 270TH STREET - 4334 ELLSWORTH, 1A_ 50075, i = UNITEMIZED CASH CONTRIBUTIONS AT seaso0 [fv CKgagy, | SOMMER MEETING -PAC FUNDRAISER TOF INTEREST EARNED ON BANK ACCOUNT = «3009 | ox T1109 TO 63009 SUETOTAL § 3.72532 $_$,70032 + Decosur law equres candidate commitaes to dicioee the rations of any relabve making a contibuton tthe ‘commitee. Reaioneip must be shown to to ir degree of consangunty (co relatives) and at (eaves by 3 3 mariage) _Ifsurame of cortrbulr i the same as candidate, but there is no Page: ‘TOTAL (iflast page of this schedule) et {ama relationship, ertr “act applicable" inthe relationship column. Tor Schedule Ay FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE B MONETARY EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT rev.o7m3) | EXPENOITURES STATE PAG COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, IST THE CANDIOATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANO THE 1 check THis 80x iF PAC CHECK NUMBER FOR EACH EXPENDITURE. A LISTOF ID NUMBERS IS AVAILABLE FROM THE IOWA "AMENDING FORM ETHIGS 8 CAMPAIGN DISCLOSURE BOARD (COMMITTEE NAME (Must be same as on Statement of Organization) IOWA TURKEY FEDERATION PAC CANDIDATE TRAME AND ADDRESS TO WHOM ANOUNT pate IDNUMBER EXPENDITURE EXPENDED EXPENDED | _¢appicable) (Dispursement) WAS MADE camo) | “ano pac ‘CHECK NUMBER |SHEILA LARSON ‘CASH FOR SUMMER MEETING 13366 TOLLMAN AVENUE FUNDRAISER $150.00 - ALL ELLSWORTH, IA 50075 REDEPOSITED ON 6/23/09 $150.00 SIGN PRO SIGN FOR SUMMER MEETING \619 S 4TH PAC FUNDRAISER - Wil |AMES, IA 50010 CHALLENGE TOTAL (if last page of this schedule) | $ 147.13 [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 personsienties providing consulting, advertising, und aisng, poling, managing, organizing services must also be deta temized on Schedule G bythe amount, purpose, and dae of each type of expenditure made by the personventiy on behalf ofthe candiate's commitee. (Refer to Schedule G isirucions and lowe Code 68A 4021310.) Page a (for Schedule B)

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