06 / 14,2005 16 :0 4 FAY 15632 434362 CLINTON NAT BNK LYONS 002

C- 92-~Or~--

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOS URE SUMMARY PAGE

COMMITTEE NAME (Must be same as on Statement of Organization)
Late reports are DR-2
s (Rev, 07/2004)
U
I DISCLOSURE
REPORT

CL/N7oN Poi-ice PACjGiri C-IWtmt7Tk C b For OffLtzg Use Only_,

1 Comm . f<

act to possible civil and criminal penalties . Logged in

Scanned
Computer
Audited
CANDIDATE COMMITTEES ONLY: S
Candidate Name Political Party (if applicable) IGNATURE OF P
REPORT n
TELEPHONE S61 " l4f-af ! r DATE SIGNED 6 - A. - L Ua S .J

IAMFILiNGA Cwt?-SA`-1 LiaeP'A" Ecxmarv REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR,
(report date) Indicate by #

Local Committees. enter Date of Election

CHECK IF AMENDMENT TO REPORT DATED
(, - 14"- l vo s
County & Local Committees, enter County In
Check If this is final (termination) report and attach Notice of Olssolution Form DR-3,
(You must continue to file reports until a DR-3 is flied .)

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 .) $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see In-kind below) S2SO .0o
Schedule F : Loans Received total (Attach Schedule F)
Schedule H : Total Sales of Campaign Property (Attach Schedule H)
(Schedule H applies to Candidates' Committees Onlyi
SUB-TOTAL $ S 2.K0 - 0 D
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : 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 reporting period (if final report balance must
be zero) (Attach DR-3) 3, 7/ b. g4

"UNPAID BILLS (From Schedule D - Attach Schedule D) S 9

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) 3
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES ,- NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S
06!14 /2005 16 :04 FAX 15632434362 CLINTON NAT BNIi LYONS
Z003
iff-M

I
SCHEDULE
For Instructions, See Back of Form
A MONETARY
(Rev . O7103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
COMMITTEE NAME (Must be same as an Statement of Organization) STATE
ANDIDATES
CL.JN'rON POL-ICE r-A-ULlTJ (OfLA tM);'r7 EE NOTE : IF A C
NUMBER IN
ONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION NUMBER AND THE PAC CHECK
THE DESIGNATED COLUMN . A LIST Of 10 NUMBERS US AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD

CAUTION: Section 688.32A(6) . Iowa Code, prohibits the use of information copled from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees,

PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR

DATE
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

ID#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

10#

CK#

ID#

CK#

ID#

C K#

ID#

CK#

I DN

CK#

SUB-TOTAL
S
TOTAL (if last page of this
schedule) $SASo
`OIseloaure law reoulres candidate committees to dlsdoae the rVatlonehip of any relative making a cortribupon to the
committee . Relationship must be shown to the third degree or consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor LS the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
06/14/2005 16 :04 FAX 15632434362 CLINTON NAT BNK LIONS
004

NAMES & ADDRESSES OF DONATIONS

RECEIVED
CLINTON POLICE FACILITY COMMITTEE

1. David J . Ramnath $100 .00 S- a- a.oos

904 Pleasant Valley Lane
Clinton IA 52732
S- it- 10DC-
2. Louise Laurent $100 .00
884 Pheasant Run
Clinton IA 52732
s'- I1 -1009
3. James K . Durgin $300 .00
814 13th Ave . N #8A
Clinton IA 52732
5; _ 12 -2-005
4. Dr. . Elpidio G . Mariano $100 .00
Gateway Pathology Associates
1410 N 4th St . .
Clinton IA 52723

5. Jack C. Pringle $50 .00 5-16 - Zoos

712 N 13th St .
Clinton IA 52732
5 - I b- zcrur
6. Brian D. Guy $200 .00
1038 Carriage Hill Drive
Clinton IA 52732

7. S- (b - Zvos
Dennis R. Duerling $25,00
3330 Valley Oaks Drive
Clinton IA 52732
_ 2-ms
8. John Frey, Jr. $100.00
3221 McKinley St. .
Clinton IA 52732
06/14/20 05 16 :04 FAY 156 3 24343 62 CLINTON NAT BNI{ LIONS [005

lh1E 9LEGe%uc .D

9. Greg Lauz, M.D . $50 .00 5- /b- yoo f

3 Rose Lane
Fulton IL 61252

10 . Richard Phelan $50 .00 Ib-io0I

3209 McKinley St .
Clinton IA 52732

11 . Jurgen Duhr $50 .00 5 - Ib- -'L. UV ~

563 Meadowview Dr. .
Clinton IA 52732

12 . G. Wylie Pillers $100 .00 5 - 1b - - -00 ~-

915 Ikes Peak Rd
Clinton IA 52732

13 . Thea S . Engleson $25.00 S- 16-zoos

1113 N 13th St .
Clinton IA 52732

14 . W. Tom Kelly $100 .00 S^_ 1b-Lour

3911 2nd Ave. S

Clinton IA 52732
S- I b " Loos'
15. Bart Baker $100 .00
Frontier Management Group
2300 Lincolnway
Clinton IA 52732
S. t -) - Zour
16 . Kenneth P. Carlson, D.D .S . $50 .00
2228 N 2nd St.
Clinton IA 52732
l "1 - zcly S
17. Randall Clegg $100 .00
604 12th Ave . N
Clinton IA 52732
- I ts- Z O %)i
18 . Gerald W. Wheeler $50.00
1002 8th Ave N
Clinton IA 52732
06/14 /2005 16 :04 FAX 15632434362 CLINTON NAT BNK LYONS
0006

bA;ti Z&BIyac

S-Ig-Laos
19. NelsonCorp Wealth Management $150 .00
880 13th Ave. N
Clinton IA 52732
S . z 0 - z-ao T
20 . Lenis & Susan Weih $50 .00
1324 9th St. NW
Clinton IA 52732
r-zo , 2~aor
21 . Air Control Inc. $100.00
80 14th Ave . N
Clinton IA 52732
S 7.o - z"w s"
22 . Voss Bros . Plumbing & Heating $100 .00
301 S 2nd St.
Clinton IA 52732
S- Zo_z .ws
23 . Scott A. Lange $25.00
315 36th Ave . N
Clinton IA 52732
S _ z o-zMt
24 . Ridgewell L .T .D . $50.00
DBA Happy Joe's Pizza
408 S 1 st St.
Clinton IA 52732
-Lo - 7, U0 Y

25. 1st Gateway Credit Union $100 .00

2306 Camanche Industrial Park Dr.
1504 N 2nd St .
Clinton IA 52732
~1-.,o , nor
26. Dan & Julie Mulholland $25.00
402 Myra Place (243-3620)
Clinton IA 52732
S,,,o-ztmL
27 . Stephen M. Coppess $50 .00
764 10th Ave . S (242-8107)
Clinton IA 52732
08%14 %2005 16 :04 FAY 15 632434362 CLINTON NAT BNK LYONS 16007

DPrT~ ?.icelvajD

S - zo- zw r
28 . Sarah Harding $50 .00
308 S Bluff Blvd .
Clinton IA 52732

29. Derald D . Dosland $100 .00

400 S 2nd St.
Clinton IA 52732 2, V40

30. Gary L. Foster $300 .00

2148 Camanche Ave .
Clinton IA 52732 S--_ LO-LwY

31 . W. P . Cotter $25.00
1018 9th Ave . N
Clinton IA 52732 , 1,0 . LVV5-
,:~

32 . Grey M . Woodman $25.00

212 Wilson Bldg .
Clinton IA 52732 ~ - 1,6 - LVor

33 . U .S . Bank $300 .00

405 S 3rd St.
Clinton IA 52732 Z o _ Z.wI-

34 . Christy Jordan $25.00

1923 Pershing Blvd .
Clinton IA 52732
, Zv0 r
Zo
35 . Clinton Ford Lincoln Mercury $100.00
2716 S 19th St.
Clinton IA 52732 zws
36 . Robert J . Soesbe $50 .00
900 S 6th St.
Clinton (A 52732
S
37. Marvin L . Lindquist $25 .00
706 12th Ave . S
Clinton IA 52732
06/14/ 2005 16 :04 FAX 1 56324 34362 CLINTON NAT BNk LYONS 008

17w I?Ecciva-,o

S-Z~-2,f,oY
38 . Harlan J Gluesing $25 .00
2335 N 6th St .
Clinton IA 52732 LQP - ?itro Y

39 . William Raab $25 .00

1721 N 8th St .
Clinton IA 52732
ion s
40 . Police Academy Alum $20 .00
Arnold & Pat Outzen (cash)
1212 S 10th
Clinton IA 52732
g-24,-iv3r
41 . Karrine Thoraldsen $25.00
809 S 32nd St . (cash)
Clinton IA 52732

$175 .00 S- Zb-ZUOr

42. Valley Bluff Corporation
345 5th Ave . S
Clinton IA 52732
zCb l-
43. J .T. Cullen Company Inc. $200 .00
901 31 st Ave
Fulton IL 61252
-,~ , Lr . '1LTo Y
44 . Classic Body Works Inc . $100 .00
213 17th Ave N
Clinton IA 52732
S , 2 1, 2A7v ~r
45 . Irwin & Gates Ins . Service Inc. $50 .00
408 S 2nd St
Clinton IA 52732
S-t,v- a,(MY
46 . Sterling Federal Bank $100 .00
110 E 4th St
Sterling IL 61081

47 . John L . Parkinson $50 .00

3303 McKinley St
Clinton IA 52732
08!14/2005 16 :05 FAX 15632434362 CLINTON NAT BNI{ LYONS
2009
Ge e ve--D

Marie D . Mallicot $100 .00

~-LG-ZwoY

48 .
10198thAveN
Clinton IA 52732
s - 2,b-z-,W-T,
49 . H. G . LaMont $25 .00
2100 21 st St
Clinton IA 52732

50 . Dennis & Connie Heath $35 .00

315N9thSt
Clinton IA 52732
6- - 2cJUr

51 . Clausen Companies/Supply $100 .00

I

1219 S 2nd St
Clinton IA 52732
~-i
52 . Beverly A. Hermann $20 .00
829 12th Ave S
Clinton IA 52732

53 . The Lamson & Sessions Company $50 .00 4 - larr ?fin ~r

1001 S 2nd St
Clinton IA 52732
2 4-, zAu r
54 . Mark Mangler $25.00
724 N 2nd St
Clinton IA 52732
-J4-r 2cf 5-
55 . Mr. & Mrs . Arthur Ollie $25 .00
413 Ruth Place
Clinton lA 52732

56 . Charles E . & Brenda Thorton $100 .00 LIL t_Z4Y

1470 Main Ave
Clinton IA 52732

57 . Gateway State Bank $100 .00

1427 N 2nd St
Clinton IA 52732
08/1 4/2005 16 :05 FAY 15632434362
CLINTON NAT BNM LYONS
010

2.rc.erv~~

&- - 0,6- L ou r
58 . A. C . Root Insurance Co . $100.00
1127N2ndSt
Clinton IA 52732

59 . McEleney Auto Center $300 .00

2421 Lincolnway
Clinton IA 52732
-1_ zvor"
60. Equistar Chemicals $500.00 6
3400 Anamosa Road
Clinton IA 52732
~rg , Zcro~~
61 . Randy Current $25 .00
519 N 9th St
Clinton IA 52732

~, 9 , 2,V0 "f'
b 2-, ~roN kP-Aw&ZCK

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AL ~`i rVO~~
k eP+i et"' 6-1 3- 7.0o9

S~-1s Nit
: a~e-jv r
- SL112.
G~~~~ . lhs
06/14/2005 16 :05 FAY 156 3243436 2
CLINTON NAT BNK LYONS

T
p FOR INSTRUCTIONS, SEE BACK OF FORM T SCHEDULE
E P B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT C
A (Rev . 07/03) 1 EXPENDITURES
C 0
M M
ITTEES; NOTE; FOR CONTRIBUTIONS MADE TO STATEWIDE OR L_GISLATIVE CANDIDATES, LIST THE CHECK THIS BOX IF
CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization) C L .I H't m PuA (e ~~ t. . v`f Lm%ta#

C N PURPOSE AMOUNT
D A A (DESCRIBE EXPENDED
ATE NOMATE ME AND ADDRESS TO WHOM TRANSACTION)
EXPENDED ID NUMBER EXPENDITURE
(MMIODrYR) (if applicable) (Disbursement) WAS MADE
AND PAC
CHECK
NUMBER

4-0
ID#
Cti'tT GKt.trc`CL .
S-1 Caw'h^""S #"k
U4 (L-o-,
7,oI7f
a~r~a 19 s
I D# ,I 1

6' q 'ZO°~' CK#loo s ViE QT i .11 ~eel .

C ~ . f r`1 7 ~I'J I- L,A:, fl

ID#

CK#

!I D#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

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 Dersonslentities pravidlng 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 69A.A02(3)() .)

Page of

(for Schedule B)
06/14/ 2005 16 :06 FAY 15 632434362
CLINTON NAT BNK LYONS
014

FOP. INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

D INCURRED
COMMITTEE NAME ( ust be same on Statement of Organization) (Rev. 09188) INDEBTEDNESS
G ry ew ~oc,r LE tr IL. t rY C" t >>Z
CHECK THIS BOX
IF AMENDING
NOTE ; Debts previously reported that remain unpaid must be Included on this An "incLFt6lRNbt" is e debt for
DEBTSd3IiKGlT4EDlO RIAIhMNOd'OrtFMrREAORT" . PERIOD goods or servloes ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F)
and of the reporting period .,
red less of whether an invoice
DATE DESCRIPTION OF GOODS B
INCURRED NAME AND ADDRESS OF PERSON OR SERVICES PROVIDED OR ALANCE OWED AT
(MMICO YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED CLOSE OF
REPORTING
PERIOD'
a
Slt,~r ~ _ tir.
C l- / w 7 0 rJ P 424 wri ev ,I ~ RI N 7t rvCe P-raPelvv e ~. O 12-
2,40 ~
6 ~2,4

s~ ~"Y
k fZ v s P-Pr o, a AD yra.ru t ns
b~bps

301 um r

SUBTOTAL $
ar
2-gqI
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S
°5--
2'ag2
'it actual figure is unknown, show "estimated' beside the figure . Page of
(for Schedule
0)

CANDIDATE COMMITTEES NOTE :

'Incurred Indebtedness else Includes each personlohtlry with whom the candidate's committee has entered Into a contract during the reporting perod for ruturs