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0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County 8 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 .
1
SUB-TOTAL
1020.00
TOTAL (iflast 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 i
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
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
0
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Mustbe same as on Statementof Organization) AMENDING FORM
Lynne Gentry for Iowa House
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#
10/22/06 CK#
Mrs. Betty Jones
133 Stewart
20 .00 r
Rockwell City, lA 50579
ID#
Richard E. Grannan 25,00
10/22/06 CK# 841 Main Street
Rockwell City, IA 50579
ID#
Richard Black 25 .00
10/22106 CK# 3228 Xenia Avenue
Farnhamville IA 50538
ID#
D P Wills 25 .00
10/22/06 CK# 507 S Oak
Jefferson, IA 50129
ID#
Diane B Patton 25 .00
10/22/06 CK# 106 E Austin
Rockwell City, IA 50579
ID#
Helen Miller 25 .00
10/22/06 CK# 1936 15th Avenue North
Fort Dodge, IA 50501
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
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 .
CK#
SUB-TOTAL
75.00
.00
Rockwell City Public Library room use fee - 5th fund raiser
10/19/06 426 5th Street 10.00
CK# Rockwell City, IA 50579
ID# newspaper ads
Lake City Graphic
10/26/06 103 N. Center Street 60.00
CK# Lake City, IA 51449
ID#
Calhoun County Journal/Herald newspaper ads
10/26/06 PO Box 40 42.50
CK# Manson, IA 50563
ID# Dayton Review newspaper ads
10/26/06 Box 6 86.00
CK# Dayton, IA 50530
ID# KIAQ/KTLB radio ads
10/26/06 200 N. 10th Street 766 .00
CK# Fort Dodge, IA 50501
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) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ 2429,20
TOTAL (if last page of this schedule) $ 5820.60
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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
Page 2 of 2
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/971 CONTRIB UTIONS
Lynne Gentry for Iowa House
d CHECK THIS BOX IF
AMENDING FORM
F
Nathan Gentry son paper supplies for 22 .74
10/26/06 318 Washington fund raiser
Rockwell City, IA 50579
F
Dale Gentry husband food for fund raiser 52 .09
10/26/06 3120 Kingsley Avenue
Rockwell City, IA 50579
10/27/06
Chris Brinkman
4024 Hubbell Ave.
Des Moines, IA 50318
postage 51 .90
F
Chris Brinkman postage 24 .00
10/30/06 4024 Hubbell Ave.
Des Moines, IA 50318
10/31/06
Truman Fund
5661 Fleur Drive
Des Moines, IA 50322
contribution 5,533 .45
F
10/31/06
Truman Fund
5661 Fleur Drive
Des Moines, IA 50322
contribution 5,533 .45
F
10/31/06
Truman Fund
5661 Fleur Drive
Des Moines, IA 50322
contribution 5,533.45
F
F 1 -
F1 -
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 forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter'not applicable' in the relationship column .
SCHEDULE
FOR INSTRUCTIONS, SEE BACK OF FORM
G BREAKDOWN
OF MONETARY
(Rev . 02/96) EXPENDITURES
BY CONSULTANT
COM MITTEE NAME(Must be same as on Statement of Organization)
L! CHECK THIS BOX IF
Lynne Gentry for Iowa House AMENDING FORM
-
City State Zip Code
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MMIDDIYR) PERFORMANCE
From
To
ESTIMATES OF PERFORMANCE
SUB-TOTAL $ 0 .00
Page I of I
(for Schedule G)