10/18/2004 08 :29 05635826970 USWA LOCAL 1861 PAGE 02

FOR INS7-RUCTIONS, SEE BACK OF FORM FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

For Office t se Only

COMMITTEE NAME (Must be same as on Statement of Organization) Comm . a
Dubuque Federation of Labor, AFL-CIO C .O .P .E . Committe e #6866 Index
Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
(5 )County PAC ( 8 )Ballot Issue/Franchise Committee (7 )County/City Central Committee
( 8 )Support Slate of Candidates

RAI-tiA2-tia3n 10-18-04
SIGNATURE OF EASURER (or person fl to this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND CQMPLETE THE FOLLOWINQ SENTENCE:

I AM FILING A October 19 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate one

CHECK IF AMENDMENT TO REPORT DATED 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
which Election Is held
(You must continue to file reports until a Notice of Dissolution is filed .)

STATEMENT O
CASH ON HAND at the beginning of the reporting period . (This is"the
of all monies held by the committee. This amount MUST 6 .e the
; P
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) ....
Schedule F : Loans Received total (Attach Schedule F)--------- .----------- . ..... .... .. . . . .. .. .. ... .. .. ......
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . .. .. .. .. ... . . ..... ...... . . . .... .. 0

(Schedule H applies to Candidates' Committees Onlvl

SUB-TOTAL. .....$ 882 .37
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) . ... ...... .. .. .. ... .. .. .. ... .. .... ....... ... ...... ....... .. 877 .55
Schedule F: Loan Repayments total (Attach Schedule F) . .. . .._ ... ....... .. .... .. ... ....... .. .... . .. .... . . .

CASH ON HAND at the end of this reporting period (if final report, balance must 4 .82
be zero) (Attach DR-3) .. ... .. .. ... .. ..... .. .. .. . . . .._ ... ..... .. .......... . .. .. .... ..... ............. .. ..... .. ... .. . . .. ... .. . . ..$

UNPAID BILLS (From Schedule D - Attach Schedule D) .._ .. .. .. ......... . ... .... ..... ......... .... ..... .... ..... .. .......$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . ......... ... ...... .. ..... .. . .. . . .. .. ... .. .. .. .. .$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. .. ......... . ... . .. .. .. .. .. . ....... .. .. .. . .. .. .. .. .$ 0
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
10/18/2004 08 :29 05635826970 USWA LOCAL 1861 PAGE 03

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 0&97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX
COMMITTEE NAME (Must be same as on Statement of Organization) IF
#6866 AMENDING FORM
Dubuque Federation of Labor, AFL-CIO C .O .P .E . Committe e
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,

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 IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID# Per capita from affiliated local
$235 .68
7-30-04 unions
CK#

ID# Per capita from affiliated local

unions $15 .04
8-31-04 CK#

ID# Per capita from affiliated local

9-30-04 unions $59 .44
CK#

IDO

CK#

ID#

CK#

I D#

CK#

10#

CK#

ID#

CK#

]DO

CK#

J D#

CK#

SUB-TOTAL
$310 .16
TOTAL (if last page of this schedule)
$310 .16
- Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
manage) (See Page Z or tomes packet.) . Ir sumame of oonlriDutor is the
(blood relatives) and affinity (relatives by
committee . Relationship must be shorn to the third degree of consanguinitysame as candidate, but there Is no Pose 1 of1
(for Schedule A)
familial relationship, enter 'not applicable' in the relationship column .
10/18/2004 08 :29 05635826970 USIAA LOCAL 1861 PAGE 04

f--ON INS FRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 09/97)
MONETARY
EXPENDITURES

0
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 6 CAMPAIGN DISCLOSURE BOARD .

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

Dubuque Federation of Labor, AFL-CIO C .O .P .E . Committe e #6866

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MfM/DDNR) AND PAC
CHECK
NUMBER
ID# Liberty Bank July 2004 maintenance fees
7-30-04 2201 Jackson Street
CK# $ 7'49
Dubuque, IA . 52001
ID#
Liberty Bank August 2004 maintenance fees
8-31-04 2201 Jackson Street $7 .49
CK#
Dubuque, IA 52001
ID# Liberty Bank September 2004 maintenance
2201 Jackson Street fees
9-30-04 CK# $7 .49
Dubuque, IA 52001

9-30-04 ID# 564 Murphy for State Rep . Campaign donation

155 North Grandview Ave . $100 .00
CK#1036 Dubuque, IA 52001

9-30-04 ID#1534 Citizens for Schoenjahn Campaign donation

1221 Park Ave . $100 .00
CK#1037 Arlington, IA 50606-0132
iD# lbU5
Citizens for Schueller Campaign donation
503 W Platt Street $100 .00
CK#1038 Maquokets, IA 52060
ID# 1255 rian Quirk or State Rep . Campaign donation
9-30-04
15 N Chestnut Ave . $100 .00
CK#1039 ew Hampton, IA 50659

II ID# 1535 t Zfns for Zirkelbach Campaign donation

637 W 1ST Street $100-00
CK#1040 Monticello, IA 52310

SUB-TOTAL $ 522 .47

TOTAL (If last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

instructions .)
Purchases of certain campaign property costing $500 or more must also be Inventoried on Schedule H . (Refer to Schedule H
on
Expenditures to personsientities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detall itemized to
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/ently on behalf of the candidate's committee. (Refer
Schedule G instructions and Iowa Code 56 .6(3)(1).)

(for Schedule B)
 10/18/2004 08 :29 05635826970 USWA LOCAL 1861 PAGE 05

f-UK INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE LE7 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 6 CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as an Statement of Organizadon)

Dubuque Federation of Labor, AFL-CIO C .O .P .E . Committee #6866

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (DIsbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER

9-30-04 ID# 1551 Friends for McMahon Campaign donation

CK# 1041 729 East Main Street $ 100 .00

Manchester, IA 52057

9-30-04 ID# 1502 Hancock for Senate Campaign donation

$100 .00
310 East Main Street
CK#1042
Epworth, IA 52045

ID# 3rd quarter 2004 per capita

1st District C .O .P .E .
797 Alta Vista $ 155 .08
10-6-04 CK#1043
Dubuque, IA 52001
ID# ,

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ 355 .08

TOTAL (If last page of this schedule) $ 877 .55

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property casting $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 58 .8(3)(1) .) __

Page 2 of ^ __2

(for Schedule 8)