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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2004) I REPORT
For Office Use Only
May for Iowa House Comm. #
IMPORTANT : Indicate by # type of committee you are reporting for: I 1 I Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable)
Late reports are subject to
Mike May ,~ r.t - ; L005 Republican
E Ii possible civil and criminal
Office Sought District (if Senate or House) penalties.
Iowa House of Representatives 6th District-House

SIGNATURE OF PERSON FLING REPORT TELEPHONE DAT SIGNED

October 29, 2004


I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by # 0
Local Committees, enter Date of Election
O CHECK IF AMENDMENT TO REPORT DATED October 29, 2004

171 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 DR-3 is filed .)

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 4,836.76'' Q_u.
of the last reporting period or must be zero if this is first report filed .) .. .. . . . .. .. .. .. .. .. .. .. . . . .. .. .. ..$
ADD TOTAL MONEY TAKEN IN THIS PERIOD Qttcr S (~<\
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . .. . . . . .. 121 966.81 10 - A- C->`}
Schedule F: Loans Received total (Attach Schedule F) . .. .. .. .. .. .. .. .... .. .. .. . . . .. .. .. ......... .. .. .. .. . . . . 0
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ..... .. .. .. .. .. .. ....... .. .. .. .. .. 0
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL ..... $ 17,803 .57
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . .. . 16,999 .41

Schedule F: Loan Repayments total (Attach Schedule F) . .. .. .. .... .. .. .. .. .. .. .. .. .. . . . .. .. .. ... .. .. .. .. .. . 0


CASH ON HAND at the end of this reporting period (if final report balance must ilk A
it+- C~--tYt1i ~-
804.16 =~ C_ _ C",
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) .... . . . .. .... .... .. .. .. .. ........... .. .. .. . . . .. .. .. $
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES F__] NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
DRAND'3 LAW!LIFELINK -:, ID :r123362408 04 17 :33 N1 o . 006 P . 02
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2
(Rev, 07/2004)
COMMITTEE NAME (Must be same as on Statomont of Organization)

M!ty fur luwo 11ouse Comm . fl

IMPORTANT. Indicate by tI type of committee you are reporting for: Logged In


(1 )StatewidelLegislative/Judge Standing for Relontlon Candidate (2 )Stale PAC (3 )Stale Party Scanned
(a )County Central Committee ( 5 )County Candidate ( 6 )City Candidate (7 )School Board or Other
Political Subdivision Candidate ( t3 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :

Candidate Name Political Party (if applicable)


Late reports are subject to
Mike May Republican
possible civil and criminal
Office Sought District (if Senate or House) penalties.
I owa I louse Of R e i recentalivcs 6th District-House

~11 1--tAa-1 - ~2 1 a . 10 i!"i U 14


SIGNATURE OF PE N FILING REPORT' F'TELEPHONE DATE IGN D

Outohcr 29, 20U4


I AM FILING A /(2)NON-ELECTION YEAR .
j Indicate by # ILL
I

{, '',cal Commlttoos, enter Data of Election


L]CHECK IF AMENDMENT TO REPORTDATED.---- --,~=----fife--bs-- I `JO
!lE unity & Local Committees, enter County In
[] Check If this is final (termination) report and attach Ndtt~e :gtDissoluliea Form,-DR- :- ich Election is held
(You must continue to file reports until a DR-3 IMflle4})'f

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning cf 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 5,1116 .04
of (lie 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) ...... . 12,966 .81
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
Schedule H : Total Sales of Campaign Property (Attach Schedule 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
(Schedule H applies to Candidates' Committoos Only)
SUB-TOTAL . . . . . $ 17,982 .8 .5

SUBTRACT TOTAL MONEY SPENT THIS PERIOD


Schedule B, Expenditures total (Attach Schedule B) ( -'also see debts and loans below) . . 16 .999 .41

Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0


CASH ON HAND at the end of this reporting period (If final report balance must
983 .44
be zero) (Attach DR-3) . . . . . ., ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . . .  , . . . . . ., . ., . ., .,$

- UNPAID BILLS (Front Schedule D - Attach Schedule D) . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I . . . . . . . . . .$ 0

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


., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . .$ 9,784 .90

"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 0

CAND,J_QATE COMMITTEES ONLY :


CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule 1i - Attach Schedule H)


BRAhIDSD LAW/LIFELINKB ID :7123362408 OI:T 2'9'04 17 :34 No .006 F .()>
May for Iowa House
Supplementary Contributions Report--Schedule A
October 15 through October 26, 2004

DATE PAC ID NAME AND ADDRESS RELATIONSHIP AMOUNT X IF FOR


RECEIVED NUMBER OF CONTRIBUTOR TO CANDIDATE' RECEIVED FUNDRAISER
(MM/DD/YR) (If applicable) (if applicable) INCOME
AND PAC
CHECK
NUMBER
10/15/2004 2192 Christensen, Delilah $25.00
2101 Denver Ave.
S irit Lake, IA 51360
10115/2004 268 Iowa Hospitality Assn . PAC $100 .00
PAC # 6400 3800 Merle Hay Road, Ste. 606
Des Moines, IA 50310
10/15/2004 1160 Iowa Priorities Action Committee $500 .00
PAC # 8427 P.O . Box 35
Manchester, IA 52057
10/15/2004 2904 Master Builders of Iowa, PAC $500 .00
PAC # 6323 P .O . Box 695
Des Moines, IA 50303
10115/2004 1096 Amy Pas $50.00
64 West Broadway St,
Amolds Park IA 51331
10/1512004 1464 Tomlinson, Janice S2000
100 E. 2nd St .
Spencer, IA 51301-5230
10/19/2004 3372 Bankers Unite in Legislative $1,000 .00
PAC # 6056 Decisions
8800 N .W. 62nd Ave.
Johnston . IA 50131-6200
10/19/2004 106 Engineer's PAC $300 .00
PAC # 6034 1000 Walnut St ., Ste 102
Des Moines, IA 50309
10/19/2004 2908 Iowa Soft Drink PAC $1,000 .00
PAC # 6163 801 Grand, Suite. 3100
Des Moines, IA 50309
10/19/2004 3113 Motor Carriers PAC $1,000,00
PAC # 6101 P .O . Box 6121
East Des Moines Station
Des Moines, IA 50309
10/19/2004 11942 NFIS-Iowa Safe Trust $500 .00
PAC # 6218 1201 F St ., NW Ste. 200
Washington, DC 20004
10/19/2004 22103 Republican Party of Iowa S7,158 .00
621 E. 9th St .
Des Moines, IA 50309
10/23/2004 Dewitt, Lisa Daughter $12000
601 W. 11 th Street
Spencer, IA 51301
10/23/2004 Miscellaneous unitemized $318,81
contributions X

SUBTOTAL $12,591 .81

Page 1 of 2
HRWJD'3 LAIJ/LIFELINKS ID :7123362408 OCT 29'04 17 :34 No .006 F .04
May for Iowa House
Supplementary Contributions Report--Schedule A
October 15 through October 26, 2004

DATE PAC ID NAME AND ADDRESS RELATIONSHIP AMOUNT X IF FOR


RECEIVED NUMBER OF CONTRIBUTOR TO CANDIDATE' RECEIVED FUNDRAISER
(MMIDD/YR) (if applicable) (If applicable) INCOME
AND PAC
CHECK
NUMBER
10/23/2004 2200 Christensen, Delilah $10.00
2101 Denver Ave .
Spirit Lake, IA 51360
10/2312004 2169 Smith, Susan $2500
308 2811) St .
Milford, IA 51351-7077
10/23/2004 2401 Maas, W. William $25.00
840 252nd Ave.
Spirit Lake, IA 51360
10/23/2004 1108 Calsbeek, John $20,00
16954 255th Ave.
Spirit Lake, IA 51360 X
10/23/2004 9737 Chambers, Mary $20.00
108128th St .
Spirit Lake, IA 51360-1143
X
10/23/2004 1153 Ahart, Linda $25,00
15420 215th Ave .
Spirit Lake, IA 51360-7233
10/26/2004 5165 Fareway Stores, Inc.--PAC 5250 .00
2600 E. 8th St.
Boone, IA 50036
SUBTOTAL $375 .00

GRAND $12,966.81
TOTAL
BRANDS LPPl,J/LIFELINK'S ID_7123362408 OhT 29'04 17 :36 No .006 P .07

May for Iowa House


Expenditures Report--Schedule B
October 15 through October 26, 2004

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

Bryan English
10/15/04 1084 410 E . 10'" Street Campaign staff salary $ 1,000 .00
Spencer, IA 51301

K000 FM
10/15104 1085 P .O . Box 528 Radio advertising $ 688.00
Spirit Lake, IA 51360

KICD
10/15/04 1086 Radio advertising $ 858 .00
Spencer, IA 51301

Custom Newspaper Advertising


c/o Matt Elliott
10/18/04 1059 Republican Party of Iowa Newspaper advertising $ 896 .40
621 E . 9"' Street
Des Moines, IA 50309

Victory Store .com


10/20/04 1087 5200 SW 30" Street Media $ 13,281 .48
Davenport, IA 52802

Spencer Signs
10/26/04 1088 1402 4' h Avenue W Election signs $ 275 .53
Spencer, IA 51301

SUBTOTAL $ 16,999 .41

GRAND VT 1 G 2u04
$ 16,999 .41
TOTAL
ERANDS LAU/'LIFELINKS ID :?1"2336)408 0(--T 29'04 17 :36 N0 .006 P .c .

rep INSTRUCTIONS . SEE BACK OF FORM SCHEDULE

COMMITTEE NAME (Must bo some as on Slatement of Oiganization)


E
(Rev . 06197)
I IN KIND
CONTRIBUTIONS
May for lo~va 11ouse
O CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
MMIDDrYR) OF CONTRIBUTOR ` (if applicable) CONTRIBUTION VALUE CONTRIBUTION

Republican Party of log+-:t M,


Printing, expenses 3,7511 .()0
101191011 621 Last 91h
Dcs Moines, 1A 50309

Republican Party of Iowa Poslagc expenses 3,750.00


10/19/04 621 Last 9th
17cs Moines, IA 503(19

loo a Farm BUreHU Fcdcraliun PAC Mailing expenses 1,984.80


10/22/04 5400 University Ave.
West lies Moines, 1A 50266-5997

Republican Parly of Iowa Radio ddvcrtising 300.OU


10/25/04 621 Fast 9th
Des Moines, 1A 50309

'Disclosure law requires candidates to disclose the relationship of any relalivo maklng an In kind contribution to the Page 1 of 1
commllloo Relatlonship 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 .

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