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( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Scanned
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer.
Subdivision PAC ( 11 ) Local Ballot Issue
CANDIDATE COMMITTEES ONLY : Audited ~.k
TELEPHONE
July 19
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.)
which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must
31,288 .19
be zero) (Attach DR-3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
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.
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Marty Schmitt $10.00
05/18/06 2506 Kingman, Des Moines, IA
CK#cash
ID#
Marc Campbell 20.00
05/18/06 300 Grand Ave #1015, Des Moines, IA 50312
CK#
cash
ID#
Carole F. Tormollan 20.00
05/19/06 1829 Friendship St., Iowa City, IA 52245
CK#
2205
ID#
Don E. Brazelton
25 .00
05/19/06 CK# 1510 NE Trilein Dr ., Ankeny, IA 50021
2283
ID#
Alta Price, M .D . 300 .00
05/19/06 4888 School House Rd ., Bettendorf, IA 52722
CK#
1363
ID#
Ophir Agassi 180.00
05/19/06 100 S. 4th St . #3A, Brooklyn, NY 11211
CK#
390
I D#
Lonna Nachtigal 25 .00
5/19/06 3700 Onion Creek Ln ., Ames, IA 50014
CK#
5101
I D#
William G. Myers
20 .00
5/19/06 1026 N . Court St ., Carroll, IA 51401
CK#
9349
ID#
Joan Conradi
5/19/06 50 .00
CK# 113 Island View Dr., Waverly, IA 50677
2139
ID#
Jerome Leininger
25 .00
5/19/06 2352 Kentucky Ave, Corning, IA 50841
CK#
2976
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 1
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
' ( CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O'Brien for Secretary of Agriculture
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Kim Foresman $25'00
05/ 19/06
CK 4 2176 2110 Oak St ., Atlantic, IA 50022
I D#
Judith M . LaBelle 100.00
05/25/06 350 W 57th St . #3D, New York, NY 10019
CK#
WebDon
I D#
Jack Hatch 100.00
05/25/06 1623 Woodland Ave ., Des Moines, IA 50309
CK#
WebDon
I D#
Jonathan M . Taiber 50 .00
05/24/06 CK# 1001 Iowa St ., Cedar Falls, IA 50613
WebDon
I D#
Matthew W . Russell 25 .00
05/22/06 1841 20th PI ., Lacona, IA 50139
CK# ~, ebDon
ID#
Marti Anderson 50 .00
05/18/06 1717 Mar Ella Trail, Des Moines, IA 50310
CK# WebDon
ID#
Nancy G . creamer 50 .00
05/15/06
CK# 357 Luther Rd ., Apex, NC 27523
WebDon
I D#
Carole Simmons 25 .00
05/25/06 104 S . Maple St ., Fairfield, IA 52556
CK# WebDon
I D#
Shannon Cassidy 10 .00
05/25/06 143 Potomac Dr ., Iowa City, IA 52245
CK#
1751
ID#
Jean A . Basinger 50 .00
05/25/06 1335 48th St ., Des Moines, IA 50311
CK#
2052
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O'Brien for Secretary of Agriculture
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Gus Nelson $20.00
05/25/06 1141 Cummins Cir ., Des Moines, IA 50311
CK# cas h
ID#
Donna Rourick 25 .00
05/25/06 1700 Bryn Mawr Dr., Atlantic, IA 50022
CK#
11417
I D#
Helen Pigg 25 .00
05/28/06 602 E . 8th St ., Atlantic, IA 50022
CK#
2421
ID#
Erma Lange 25 .00
05/28/06 CK# 103 W . 9th St ., Atlantic, IA 50022
5386
I D#
A & G Gillespie 25 .00
06/01/06 144 Coy Glen Rd ., Ithaca, NY 14850
CK#
WebDon
ID#
Colleen M Armstrong 50 .00
05/31/06 6563 Orchard Dr ., West Des Moines, IA 50266
CK# WebDon
ID#
Caia Harris 300 .00
05/30/06 2570 E. Caramillo St ., Colorado Springs, CO 80909 niece
CK# 1215
ID#
Marian Taylor 25 .00
06/01/06 1200 Brookridge Cir #206, Atlantic, IA 50022
CK# 6342
I D#
Darleen Euken 25 .00
06/01/06 1100 Brookridge Cir ., Atlantic, IA 50022
CK#
3389
ID#
Marilyn Burmeister 25 .00
06/01/06 104 E . 22nd St . #1, Atlantic, IA 50022
CK#
4724
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
I
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Floyd E.Pearce $25.00
06/01/06 Box 205, Cumberland, IA 50843
CK#2808
ID#
Ron Zike 25 .00
06/01/06 1603 E. 14th St . #2, Atlantic, IA 50022
CK#
1203
I D#
Joseph Joyce
25 .00
06/01/06 905 Poplar St ., Atlantic, IA 50022
CK#
8969
I D#
Izetta Bopp 25 .00
06/01/06 1609 e. 14th St ., Atlantic, IA 50022
CK#
1964
ID#
Jacqueline Briggs Martin
25 .00
06/01/06 312 2nd Ave. N ., Mt . Vernon, IA 52314
CK#
1288
ID#
John Tapscott 50 .00
06/01/06 7364 Jesup St ., Indianola, IA 50125
CK#
1765
I D#
Patrick D . Bosold 25 .00
06/01/06 202 N 5th St ., Fairfeld, IA 525.56
CK#
4081
I D#
Teresa Opheim 25 .00
06/01/06 1614 Morningside Dr., Iowa City, IA 52245
CK#
105
ID#
Michele McNabb 20 .00
06/02/06 507 E 6th St ., Atlantic, IA 50022
CK#
1488
I D#
Michelle A. Linn
06/02/06 100.00
CK# 1645 Territory Tr ., Colorado Springs, CO 80919
7641
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 4 30
marriage) . If surname of contributor is the same as candidate, but there is no Page of _M_
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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 .
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Jean Ann Thompson $30.00
06/02/06 4222 Harmony Ln SE, Iowa City, IA 52240
CK#4605
ID#
Brett S . Cloyd 25 .00
06/01/06 1008 E. Bloomington St., Iowa City, IA 52245
CK#
WebDon
ID#
Kate R . Reding 100 .00
06/08/06 CK# 2009 Ashland Ave . #2, St. Paul, MN 55104
WebDon
ID#
Barbara M . Leach 100 .00
06/07/06 CK# 610 Constitution Ave . NE Washington, DC 20002
WebDon
I D#
Mary Garst 500 .00
06/07/06 CK# WebDon 1700 130th St., Coon Rapids, IA 50058
I D#
Katherine A . Ozer, 19021 Kaloratna Rd . NW #401, 50.00
0608/06 Washington DC 20009
CK# 2002
ID#
Roger J . Wilson 25 .00
06/08/06 402 Locust, Anita, IA 50020
CK# 4153
ID#
Margaret Rawland
06/08/06 20.00
CK# 4452 5903 New York Ave, Des Moines, IA 50322
ID#
Barbara S . Dale 30.00
06/08/06 909 Vernon St ., Decorah, IA 52 101
CK# 986
ID#
Shana Platt
06/08/06 25 .00
CK# 75555 Seattle Rd ., Massena, IA 50853
WebDon
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
p CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Molly Regan S~li~ 5 RI &ey J~f 43 $50.00
06/09/06 e'uid®~ JAQe.
CK #cash
I D#
Cathy L Hermes 35 .00
06/09/06 2307 Grove St ., Davenport, IA 52804
CK#
1574
I D#
Jared Hall 500.00
06/09/06 CK# 112 10th St . #309, Des Moines IA 50309
1137
ID#
James W Dinkle 500.00
06/09/06 CK# 14210 Augusta Ct . Dubuque, IA 52202
1163
ID#
Ruby Littleton 50 .00
06/06/06 CK# 2209 610 Chestnut St ., Anita, IA 50020
ID#
Heartland PAC Iowa 10,000 .00
06/07/09 2813 Virginia PI ., Des Moines, IA 50321
CK#
0993
I D#
Starry Krueger 25 .00
06/12/06 300 Mercer St . Apt. 29G, NY, NY 10003
CK#
2815
ID#
Carol W deProsse 100.00
06/12/06 5281 Wapsi Ave SE, Lone Tree, IA 52755
CK# 3803
I D#
Elizabeth Garst 500.00
06/13/06 CK# . 1313 Fig Ave., Coon Rapids, IA 50058
8896
I D#
Ralph Rosenberg 50.00
06/13/06 811 Ridgewood Ave., Ames, IA 50010
CK#
22626
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 6
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 Schedule A) .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
ID#
Phyllis Ehle $25 .00
06/13/06 69384 Lyman St ., Griswold, IA 51535
CK#5986
ID#
Nancy Bonfils 50 .00
06/14/06 1579 P Ave., Madrid, IA 50156
CK#
3703
ID#
Bonnie Campbell
500.00
06/14/06 3131 Fleur Dr ., Apt. 702, Des Moines, IA 50321
CK#
2382
ID#
Dickenson County Democrats 500.00
6/15/06 P.O . Box 44, Spirit Lake, IA 51360
CK#
707
ID#
Robert Gronski
30 .00
06/15/06 3121 Kingman Blvd #14, Des Moines, IA 50311
CK#
1621
I D#
Carol Kochheiser 20 .00
06/16/06 3001 Woodland Ave #4, Des Moines, IA 50312
CK#
5016
ID#
Helen Pigg
20 .00
06/20/06 602 E 8th, Atlantic, IA 50022
C K#
2453
ID#
Raquel L Bournhonesque 20 .00
06/20/06 1801 19th St., Apt . A, Santa Monica, CA 90404
CK#
824
ID#
Maya Hagege 25 .00
06/20/06 1711 Federal Ave., Los Angeles, CA 90025
CK#
873
I D#
Susan K Boyd 30 .00
06/20/06
CK# 620 River St ., Iowa City, IA 52246
I
3713
13
SUB-TOTAL $ 1,220.00
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 7
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 Schedule
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.
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Marjorie B Roswell $1,000 .00
06/22/06 3443 Guilford Tern, Baltimore, MD 21218
CK#WebDon
I D#
Kyle B Gracey 5 .00
06/25/06 201 Nadona Ave., Johstown, PA 15904-2417
CK#
WebDon
I D#
Pass the hat, Lake Rathbun Fundraiser w/ 20 .00
06/23/06 Appanoosa, Wayne & Davis Co . Democrats
CK#
cash
ID#
Lorrie Whitaker 50 .00
06/23/06 32500 145th St ., Hillsboro, IA 52630
CK#
4894
ID#
Brian McDonald 100 .00
06/23/06 609 Pleasant Plain Rd ., Fairfield, IA 52556
CK#
1555
I D#
James E Bailey 10 .00
06/23/06 16126 Yak Blvd ., Floris, IA 52566
CK#
5022
I D#
Mary Gaskill 25 .00
06/23/06 509 E 4th St ., Ottumwa, IA 52501
CK# 1278
ID#
Cheryl] A Jones 25 .00
06/23/06 29743 Hwy 63, Bloomfield, IA 52537
CK# 10711
I D#
Daniel T Spencer 100 . 00
06/23/06 2905 Highland Dr., Missoula, MT 59802
CK#
1846
ID#
Seth Benziger 100.00
06/29/06 265 Dayton Ave ., Apt . H, St Paul, MN 55102
CK#
WebDon
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 8
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Jean D Caster $10.00
06/28/06
932 29th St ., West Des Moines, IA 50265
CK#5379
I D#
Pass the Hat, fundraiser at O'Brien-Harris farm, 88 .00
06/30/06 59624 Chicago, Rd ., Atlantic, IA 50022
CK#
cash
ID#
Richard M Clark 10 .00
06/30/06 2422 Vine Rd ., Manilla, IA 51454
CK#
7070
ID#
Armando Rosales 20. ()0
06/30/06 CK# 1602 Lincoln Dr., Atlantic, IA 50022
4534
ID#
Molly Hruska Ketchum 25 .00
06/30/06 101 Plum St ., Boone, IA 50036
CK# 3318
ID#
Karl Christensen 25 .00
06/30/06 P.O .Box 195, Kimballton, IA 51543
CK#
817
ID#
Dale Rourick 75 .00
06/30/06
CK# 1700 Bryn Mawr Dr ., Atlantic, IA 50022
11630
ID#
Sherry Templeman 50 .00
06/30/06 51608 650th St ., Atlantic, IA 50022
CK#
3193
I D.4
Alberta C Gade 50 .00
06/30/06 114 E 10th St ., Cedar Falls, IA 50613
CK#
1088
I D#
Judy Mamin 100.00
06/30/06 52635 770th St ., Anita, IA 50020
CK#
8869
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
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 .
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Gary Larsen 100 . 00
06/30/06
CK#79 14 2764 Falcon Ave, Exira, IA 50076
I D#
Tim O'Brien 100.00
06/30/06 940 8th St. SE, Mason City, IA 50401 brother
CK# 4722
I D#
Joseph L Bolkcom 100 .00
06/30/06 728 2nd Ave, Iowa City, IA 52245
CK#
3423
ID#
Carole E Keeling 25 .00
07/03/06 6950 SE 45th St ., Des Moines, IA 50320
CK# 4726
I D#
R . Michael McGuire 50 .00
07/03/06 121 12th Ave ., Council Bluffs, IA 51503
CK# 2551
I D#
Mary Swander 50 .00
07/04/06 931 Carroll Ave, Ames . IA 50010
CK#
8608
ID#
Catherine E Booth 100 .00
07/04/06 Box 422, Atlantic, IA 50022
CK# 1723
ID#
Steve Hanken 75 .00
07/04/06
CK# 1337 1508 5th Ave SE, Cedar Rapids, IA 52403
ID#
Robert C Bahrenfuse 50 .00
07/04/06 15365 S 12th Ave. E, Grinnell, IA 50112
CK#
1724
ID#
Sondra K Feldstein 250.00
07/05/06 9095 NE 72nd St ., Bondurant, IA 50035
CK#
WebDon
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 10
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 Schedule A)
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 .
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 4 IF FOR
RECEIVED (if applicable) TO CANQIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Chuck H Hassebrook $25 .00
07/03/06
CK# WcbDon 250 N 3rd St, Lyons, NE 68038
I D#
Jerry M Peckumn 100 .00
07/03/06 1200 Westwood Dr ., Jefferson, IA 50129
CK#
WebDon
ID#
Ardy H Gillespie 25 .00
07/03/06 144 Coy Glen Rd ., Ithaca, NY 14850
CK#
WebDon
ID#
Edward Flaherty 20 .00
07/06/06 CK# 2601 Friendship St ., Iowa City, IA 52245
9298
ID#
David V McCalley 50 .00
07/06/06 1915 Grand Blvd, Cedar Falls, IA 50613
CK#
3519
ID#
Charles R Felling 20 .0()
07/06/06 825 7th Ave, Iowa City, IA 52240
CK# 3040
ID#
Patrick Bosold 25 .00
07/06/06 202 N 5th St., Fairfeld, IA 52556
CK# 4139
ID#
Ortha Harstad, Cottage Grove Place 170.00
07/06/06 2115 1 st Ave SE, Cedar Rapids, IA 52402
CK#
cash
I D#
Mark D Peters 400.00
07/12/06 14716 Brasswood Blvd, Edmond, OK 73013
CK#
WebDon
I D#
Christine L Scheetz 25 .00
07/12/06 2060 Lynnerest Dr ., Coralville, IA 52241
CK#
WebDon
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 1 1
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
.,'..:.:Ts~'.~,t~W
CONTRIBUTIONS -- MONEY TAKEN IN
A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O'Brien for Secretary of Agriculture
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Tommi OMakila $ 100 . 00
07/12/06 932 NE Kamies Ln, Ankeny, IA 50021
CK#WebDon
ID#
Patricia Harms 25 .00
07/12/06 318 W Garfield St ., Laurens, IA 50554
CK#
WebDon
I D#
Laura R Belin 100 .00
007/11/06 1705 Plaza Circle, Windsor Hieghts, IA 50322
CK#
WebDon
I D#
Rebecca J Greenwald 100 .00
07/11/06 CK# 14267 F Ave, Perry, IA 50220
WebDon
ID#
William J Teaford 100 .00
07/12/06 3913 Carlton Dr ., Cedar Falls, IA 50613
CK# 7274
I D#
Leslie Sand 500 .00
07/12/06 2597 Quarry Hill Rd ., Decorah, IA 52 101
CK#
246
ID#
Julie Fischer 50 .00
07/12/06 1010 College, Cedar Falls, IA 50613
CK# 1920
ID#
Jay E Howe 100 .00
07/12/06 401 SW 2nd St.
CK# 2666
Greenfield, IA 50849
ID#
Myron Hill 100 .00
07/12/06 2651 O'Brien Ave, Clarion, IA 50525
CK#
5804
ID#
Irene Kreimeyer 100 .00
07/12/06 2360 Vine Ave, Dougherty, IA 50433
CK#
5472
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
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.
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 V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Bruce Bjorn 50 .00
07/12/06
CK#4288 2656 Pinewood Ave, Greenfield, IA 50849
ID#
Ellen B Hadwiger 30.00
07/12/06 1118 Scholl Rd, Ames, IA 50014
CK#
9439
ID#
Rita O Hohenshell 25 .00
07/12/06 7205 SW 16th St., Des Moines, IA 50315 ,
CK#
7528
ID#
Dick Dearden 50.00
07/12/06 CK# 3113 Kinsey Ave, Des Moines, IA 50317
5208
I D#
Steven Siegel 30 .00
07/12/06
CK# 11136 411 N Court, Ottumwa, IA 52501
ID#
Larry Larson 100 .00
07/12/06 3316 Woodland St, Ames, IA 50014
CK#
4337
I D#
Debra A Ryun 25 .00
07/13/06 48961 277 Trl ., Chariton, IA 50049
CK# 1194
I D#
Lavon Griffeon 100 .00
07/13/06 11655 NE 6th St., Ankeny, IA 50021
CK# 2626
ID#
Norma Randau 10.00
07/13/06 13241 GW Carver Ave, Story City, IA 50248
CK#
9499
ID#
Thomas Weber 20 .00
07/13/06 430 Lynn Ave, Ames, IA 50014
CK#
3965
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
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.
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Kathryn Dawley $100 .00
07/13/06
CK# 5481 900 52nd St ., West Des Moines, IA 50265
I D#
Sue Crull 10 .00
07/13/06 817 Ridgewood Ave, Ames, IA 50010
CK#
5481
I C#
Marguerite A Fitch 50 .00
07/13/06
CK# 3816 Cottage Grove Ave, Des Moines, IA 50311
2643
I D#
Margaret E Richardson 35 .00
07/13/06 CK# 214 Hutchinson, Iowa City, IA 52246
7030
I D#
Gary Lamb 50 .00
07/13/06 CK# 3829 Q Ave. Chelsea, IA 52215
6956
ID#
Carol Morgan 1()0 .00
07/13/06 3320 Monticello Ave, Waterloo, IA 50701
CK#
2171
I D#
G. David Hurd 1,000 .00
07/13/06 300 Walnut St, #183, Des Moines, IA 50309
CK#
13641
ID#
Mary Pamela Jochum 50 .00
07/13/06 2368 Jackson St, Dubuque, IA 52001
CK#
6592
ID#
Robert D Nelson 150 .00
07/13/06 Box 367, Exira, IA 50076
CK#
5531
I D#
Penny Fee 60 .00
07/13/06 2901 Nebraska St, Sioux City, IA 51104
CK#
9301
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O'Brien for Secretary of Agriculture
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Bonita Harrington Paige $50 .00
07/13/06 209 W Washington, Clarinda, IA 51632
CK#4350
I D#
Vernon A Harper 50 .00
07/13/06 2138 160th Stl, Hampton, IA 50441
CK#
2855
I D#
Lori Sokolowski 30 .00
07/13/06 6545 T Ave, Holstein, IA 51025
CK#
2305
ID#
Janice Underwood 35 .00
07/13/06 CK# 945 S 28th St, Ft . Dodge, IA 50501
14971
I D#
John N Moreland, Jr. 50.00
07/13/06 4425 Amick Ave, Des Moines, IA 50310
CK# 1668
I D#
Randi Peters 50 .00
07/13/06 3127 Greenwood Rd, Ames, 1A 50014
CK#
5590
ID#
Staci Wildwbour Appel 1,000 .00
07/13/06 10901 180th Ave, Ackworth, IA 50001
CK# 2837
ID#
C .J . Niles 50 .00
07/13/06 120 W Randall Rd, Carroll, IA 51401
CK# 5891
I D#
John F Hall 50.00
07/13/06 2605 NE 118th Ave, Ankeny, IA 50021
CK#
5734
ID#
5119 Forward Together PAC Multi Candidate Committee 10,000.00
07/14/06 201 N Union St Suite 350, Alexandria, VA 22314
CK#
2164
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 15
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 Schedule
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.
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Robert O Butler $500 .00
07/14/06
CK# 1471 4015 Mathews Rd, Ames, IA 50014
I D#
Jane E Bush 150.00
07/ 14/06 1300 Mt Hope Hwy, Charlotte, MI 48813
CK#
3366
I D#
Clara Oleson 50 .00
07/14/06 1888 Fox Ave, West Branch, IA 52358
CK#
5260
I D#
Faith Finnemore 50 .00
07/14/06 CK# 3312 Oakland St, Ames, IA 50014
I D#
Jane Nagy 50 .00
07/14/06 104 Sunland Ct, Forest City, IA 50436
CK#
I D#
Stephen Tees 58 .00
07/14/06 904 W Chestnut, Bloomfield, IA 52537
CK#
I D#
Jon Arnold 50 .00
07/14/06
CK# 200 39th, West Des Moines, IA 50265
I D#
George Eddy 35 .00
07/14/06 501 SE 6th St ., Greenfield, IA 50849
CK#
I D#
Harland Nelson 50 .00
07/14/06 207 Ohio St . #5, Decorah, IA 52 101
CK#
I D#
Rachel Garst 500.00
07/14/06 1702 130th St, Coon Rapids, IA 50058
CK#
We bDon
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 16
marriage) . If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter "not applicable" in the relationship column .
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.
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Bruce Espe $200 .00
07/14/06 3908 Cottage Grove Ave, Des Moines, IA 50311
CK# WebDon
I D#
Glen Hurley 25 .00
05/17/06 2000 12th St NW, Waverly, IA 50677
CK#
HBC
I D#
John Kline 20 .00
05/17/06
CK# P.O . Box 252, Strawberry Point, IA 52076
HBC
ID#
Linda Redler 30 .00
05/17/06
CK# P.O . Box 105, Mame, IA 51552
HBC
I D#
Patricia O'Neill 10 .00
05/17/06
CK# 3860 Locust Ridge Rd NE, North Liberty IA 52317
HBC
I D#
Lois Lowenberg 10 .00
05/17/06 418 Crestview Ave, Iowa City, IA 52245
CK#
HBC
I D#
Bryan Fogg
25 .00
05/17/06 3130 Turnberry Ct, Apt 209, Ames, IA 50014
CK#
HBC
I D#
Robert Bowie 10 .00
05/17/06 P.O . Box 213, Monroe, IA 50170
CK#HBC
ID#
Wanda Dunsbergen 10 .00
05/17/06 204 East St . #266, Lynnville, IA 50153
CK#
HBC
ID#
Alfred Willis 20 .00
-5/17/06 24645 210th Ave, Lacona, IA 50139
CK#
HBC
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O'Brien for Secretary of Agriculture
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Anne Jumonville $50.00
05/17/06 124 17th PI S, LaCrosse, WI 54601
CK#HBC
ID#
Carole Teator 30 .00
05/17/06 601 Carroll Dr SE, Cedar Rapids, IA 52403
CK#
HBC
ID#
Weldon Abarr 25 .00
05/20/06 CK# 707 V Ave, Boone, IA 50036
HBC
ID#
Sue Abromaitis 100 .00
05/20/06 CK# HBC 28309 Kemptown Rd, Damascus, MD 20872
I D#
Mark Ackelson 100 .00
05/20/06 5525 Schweiker Dr, Pleasant Hill, IA 50327
CK# HBC
ID#
Dan Cohen 25 .00
05/20/06 406 Woodland Dr, Hazleton, IA 50641
CK# HBC
ID#
Tom Frantzen
05/20/06 10.00
CK# 1155 Jasper Ave, New Hampton, IA 50659
HBC
I D#
Kathryn Ruhf 15 .00
05/20/06 P .O . Box 11, Belchertown, MA 01007
CK# HBC
I D#
Jill Vibhakar 25 .00
05/20/06 CK# P .O . Box 649, Iowa City, IA 52244
HBC
ID#
Lois Gerard 10 .00
05/20/06 317 Linden Ct, Iowa City, IA 52245
CK#
HBC
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Kathleen lanz $25 .00
05/20/06
328 Reno St, Iowa City, IA 52245
CK#HBC
I D#
Marcia Munz
10 .00
05/20/06 511 5th Ave, Iowa City, IA 52245
CK#HBC
I D#
Faye Strayer 25 .00
05/20/06 1504 1st Ave, Coralville, IA 52241
CK#
HBC
ID#
Linda Mildenstein
20 .00
05/20/06 CK# 1963 Rohret Ct SW, Iowa City, IA 52240
HBC
ID#
Robin Christianson 25 .00
05/20/06 805 Spencer Dr, Iowa City, IA 52246
CK#
HBC
ID#
Susan Jaecques 20 .00
05/20/06
CK#H 2207 J St ., Iowa City, IA 52240
BC
ID#
Kristin Sturdevant
5 .00
05/20/06 2143 Kountry Ln SW #2, Iowa City, IA 52240
CK#
HBC
ID#
Julie Blair
10 .00
05/20/06 181 Brentwood Dr ., Iowa City, IA 52245
CK#
HBC
ID#
Becky Daniel
10 .00
05/20/06 1639 Dover St ., Iowa City, IA 52240
CK#
HBC
ID#
Susan Peterson 50.00
05/20/06 5105 110th St NE, Solon, IA 52333
CK#
HBC
" 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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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.
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Shirley Smothers $20.00
05/20/06 P.O . Box 155, Lone Tree, IA 52755
CK# IIBC
I D#
Marietta Yoder 25 .00
05/20/06 4911 Sharon Center Rd SW, Iowa City, IA 52240
CK#
HBC
ID#
Tony Buchanan 20 .00
05/20/06 1824 G St, Iowa City, IA 52240
CK#
HBC
ID#
Robert Bahrenfuse 50 .00
05/20/06 15365 S 12th Ave E, Grinnell, IA 50112
CK#
HBC
ID#
Vanessa Rodriguez
50.00
05/20/06 808 W Kirkwood Ave, Fairfield, IA 52556
CK# HBC
ID#
Mary Dickins 5 .00
05/20/06 2211 Mint Blvd, Fairfeld, IA 52556
CK#
HBC
I D#
Linda Heaton 10 .00
05/20/06 1103 S D St ., Fairfield, IA 52556
CK#
HBC
ID#
Jodi Dansingburg 25 .00
05/20/06
CK# 30972 Zephyr Valley Ln, Rushford, MN 55971
HBC
I D#
Ellenn Livingstone
500.00
05/20/06 1045 Jasmine St . #4, Denver, CO 80220
CK#
HBC
I D#
Shirley Young 25 .00
05/20/06 WI 15544 County Road Cf, Randolph, WI 53956
CK#
I
HBC
SUB-TOTAL $ 730.00
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 20
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Martha Boesenberg $25 .00
05/20/06
CK#HBC 5660 Columbine Dr, Johnston, IA 50131
I D#
Janice Bums 25 .00
05/20/06 348 51st St, Des Moines, IA 50312
CK# HBC
I D#
Kaye Bair 25 .00
05120/06 3918 Muskogee Ave, Des Moines, IA 50312
CK#
HBC
I D#
Shawn Burke 100 .00
05/20/06 CK# 4423 Greenwood Dr, Des Moines, IA 50312
HBC
ID#
Peggy Fitch 100 .00
05120/06 3816 Gottage Grove Ave, Des Moines, IA 50311
CK# HBC
I D#
Kathryn Barnhill 50 .00
05/20/06 2075 S 7th Dr, West Des Moines, IA 50265
CK#
HBC
ID#
Karla Seeman 10.00
05/20/06 5091 NW 142nd Ave, Polk City, IA 50226
CK# HBC
ID#
Mary Loney Bichell 20 .00
05/24/06
CK#H BC 1106 Grove Ter, Dubuque, IA 52001
ID#
Kari Bachman 25 .00
05/21/06 11915 Soledad Canyon Rd, Las Cruces, NM 88011
CK#
HBC
1D#
Cornelia Flora 100 .00
05/27/06 1902 George Allen Ave, Ames, IA 50011
CK#
HBC
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 21
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 Schedule A)
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 .
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 V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Marilyn Howe $50.00
05/27/06 6301 Urbandale Ave, Des Moines, IA 50322
CK#H B C
I D#
Kami Pothukuchi 25 .00
05/27/06 616 Miller Ave, Ann Arbor, MI 48103
CK#
HBC
I D#
Larry Stone 25 .00
05/27/06 23312 295th St, Elkader, IA 52043
CK#
HBC
I D#
Phil Thielen
05127/06 250 .00
CK# 2237 S 189th Ave Cir, Omaha, NE 68130
HBC
ID#
Angela Hayes 5 .00
05/27/06 CK# 3061 Hastings Ave, Iowa City, IA 52245
HBC
I D#
Linda Petersen 25 .(x)
05/27/06 907 N Gilbert St, Iowa City, IA 52245
CK#
HBC
I D#
Monique Washington 20 .00
05/27/06 142 Ravencrest Dr ., Iowa City, IA 52245
CK#
HBC
ID#
Karen Disbrow 20 .00
05/27/06 621 1/2 Brown St, Iowa City, IA 52245
CK#
HBC
ID#
Susan Totten 5 .00
05/27/06
CK# HBC 4529 Wonick Ln NE, Iowa City, IA 52240
ID#
Lea Karlssen 50 .00
05/27/06
CK# HBC 1591 Manawa Trail Rd, Decorah, IA 52 101
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 22 .40
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
a
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Keith wold $50.00
05/27/06 506 Standring St, Corwith, IA 50430
CK#HBC
ID#
Grace Anderson
5 .00
05/27/06 2405 E 28th St, Des Moines, IA 50317
CK#
HBC
ID#
Mary Harlan 5 .00
05/27/06 2509 35th St, Des Moines, IA 50310
CK#HBC
I D#
Susan Heathcote 50 .00
05/31/06 CK# 2012 E 12th St, Des Moines, IA 50316
HBC
ID#
Paul Willis 100.00
05/31/06 2228 Eagle Ave, Thornton, IA 50479
CK#
HBC
ID#
Helen Kottman
20 .00
05/31/06 4760 Rapid Creek Rd NE, Iowa City, IA 52240
CK#
HBC
I D#
Margaret Ellsworth
25 .00
05/31/06 1704 Glendale rd, Iowa City, IA 52245
CK#
HBC
ID#
Constance Brothers
25 .00
05/31/06 3948 Greencastle Ave SW, Oxford, IA 52322
CK#
HBC
ID#
Robin Chambers
25 .00
05/31/06 907 5th Ave, Iowa City, IA 52240
CK#
HBC
I D#
Jeanne Howorth
20 .00
05/31/06 201 1/2 Crombie PI, Atlantic, IA 50022
CK#
HBC
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 23
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 Schedule A)
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.
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Bertha Schroeter $10.00
05/31/06 3053 Heron PI, Brayton, IA 50042
CK#HBC
I D#
Michelle Peacock 100.00
05/31/06 13465 Oak Brook Dr, Urbandale, IA 50323
CK#
HBC
ID#
Rhonda McGriff 20.00
05/31/06 104 E Payton Ave, Des Moines, IA 50315
CK#
HBC
I D#
Marie Hutcheson 10 .00
05/31/06 201 N Ewing St, Grimes, IA 50111
CK#
HBC
ID#
Suzette Astley 100.00
06/03/06 703 5th Ave NW, MI Vernon, IA 52314
CK#
HBC
I D#
Marcia Bachmann 25 .00
06/03/06 2916 Highway 30, Denison, IA 51442
CK#
HBC
I D#
Larissa Keet 25 .00
06/03/06 12345 Briones Way, Los Altos, CA 94022
CK#
HBC
I D#
Linda Nicholson 20 .00
06/03/06 903 N C St ., Indianola, IA 50125
CK#H
BC
I D#
Stacy Maurer
10 .00
06/03/06 2151 185th St, Fairfield, IA 52556
CK#
HBC
ID#
Mary Jo Majerus 10 .00
06/03/06 703 E Center St, Rochester, MN 55904
CK#
HBC
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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
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 .
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 V IF FOR
RECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Jim Sutton
06/03/06 $30.00
24548 Temple Ave, Shell Rock, IA 50670
CK#HBC
ID#
Merrilee Beckman
50 .00
06/07/06 353 Ferson Ave, Iowa City, IA 52246
CK#
HBC
I D#
Ruth Osborn
15 .00
06/07/06 630 N Van buren St, Iowa City, IA 52245
CK#HBC
ID#
Helene Hembreiker 10 .00
06/07/06 CK# 3002 parkview Ave, Iowa City, IA 52240
HBC
ID#
Betty Grace 25 .00
06/07/06 3050 Ireland Ave NW, Tiffin, IA 52340
CK#
HBC
ID#
Miriam Troyer 15 .00
06/07/06 5060 James Ave SW, Kalona, IA 52247
CK#
HBC
ID#
Cheryl Cooper
10 .00
06/07/06 603 S 6th Ave W, Newton, IA 50208
CK#
HBC
ID#
Steven Sorden 20 .00
06/07/06 3421 320th St, Radcliffe, IA 50230
CK#HBC
ID#
Vickie Miklus
20 .00
06/07/06 5320 NE 5th St, Des Moines, IA 50313
CK#
HBC
ID#
Virginia Penton
25 .00
06/07/06 1908 Southlawn Dr, Des Moines, IA 50315
CK#
I
HBC
SUB-TOTAL $ 220,00
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
M
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 25
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 Schedule A)
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.
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Louise Scott $25.00
06/07/06
CK#H BC 527 Maggie Ln, Altoona, IA 50009
ID#
Mary Swalla Holmes 50 .00
06/10/06 12480 NW 146th Ave, Madrid, IA 50156
CK#
HBC
I D#
Rene Paine 20 .00
06/10/06 1937 Utah Ave NE, Solon, IA 52333
CK#
HBC
I D#
Susan Campney
06/10/06 25 .(10
CK# HBC 1725 Gleason Ave, Iowa City, IA 52240
I D#
Betty Ahrens 25 .00
06/10/06 717 11th Ave, Coralville, IA 52241
CK#
HBC
I D#
Delores Miller
42 .86
06/ 10/06 1426 1 st Ave E #6B, Newton, IA 50208
CK#
HBC
ID#
Frances Engr 50 .00
06/14/06
CK# P .O . Box 143, Randall, IA 50231
HBC
ID#
Judith Pascoe
06/14/06 20 .00
CK# 317 Fairchild St, Iowa City, IA 52245
HBC
ID#
Rose Sippy 10 .00
06/14/06
CK# 1544 Upper Old Hwy 6 Rd NW, Oxford, IA 52322
HBC
ID#
Hazel Schropp 20 .00
06/14/06 2629 120th St NW, Swisher, IA 52338
CK#
I
HBC
SUB-TOTAL $ 287.86
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 3D
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 Schedule A)
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 .
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 V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Darrel Brake $50 .00
06/14/06 6017 SW 38th St, Topeka, KS 66610
CK#HBC
ID#
Will Marie Porter
06/14/06 20 .00
CK# 3623 SW 7th St, Des Moines, IA 50315
HBC
I D#
Nancy Aquadro 25 .00
06/14/06 9816 Brookview Dr, Urbandale, IA 50322
CK# HBC
ID#
Jim Zaffiro 75 .00
06/14/06 928 Broadway, Pella, IA 50219
CK#
HBC
ID#
Annie Hallberg 10 .00
06/17/06 451 Park Dr #3B, Boston, MA 02215
CK#
HBC
I D#
Gaianne Marie Jocquin 30 .00
06/17/06 1362 Old Creamery Rd, Highlandville, IA 52149
CK#
HBC
ID#
Jil Vibhakar 25 .00
06/17/06 P.O. Box 649, Iowa City, IA 52244
CK#HBC
ID#
Arlyn Waddingham 35 .00
06/17/06 1420 Yale Ave, Meservey, IA 50457
CK#
HBC
I D#
Theresa Ullerich 25 .00
06/17/06 501 3rd Ave, Iowa City, IA 52245
CK#
HBC
ID#
Wayne Sapp 20.00
06/17/06 900 New Liberty Rd, Walcott, IA 52773
CK#
HBC
SUB-TOTAL $ 31500
.
" 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 27 3
marriage) . If surname of contributor is the same as candidate, but there is no Page of _!Cw
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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 .
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Mary Hester 20 .00
06/17/06 8713 Sweetbriar Ln, Urbandale, IA 50322
CK#HBC
I D#
Naomi Guinn Johnson 50.00
06/17/06 909 thompson Ave, Des Moines, IA 50316
CK#
HBC
ID#
Diane Dodge 5 .00
07/09/06 1605 Charles #2, St . Paul, MN 55104
CK#
HBC
ID#
Mary Swalla Holmes 50 .00
07/09/06 CK# 12480 NW 146th Ave, Madrid, IA 50156
HBC
ID#
Elizabeth Ford 5 .00
07/09/06 10 Forest Gin, Iowa City, IA 52245
CK#
HBC
ID#
Rose Gilmore 10.00
07/09/06 4953 Rapid Creek Rd NE, Iowa City, IA 52240
CK#
HBC
ID#
Stacy Maurer 10 .00
07/09/06 2151 185th St, Fairfeld, IA 52556
CK# HBC
ID#
Kathleen Clemmons 10 .00
07/09/06 805 E Burlington Ave, Fairfield, IA 52556
CK# HBC
ID#
Delores Miller 42 .86
07/09/06 1426 1st Ave E #6B, Newton, IA 50208
CK#
HBC
ID#
Yvonne Farley 25 .00
07/09/06 16437 173rd Ave, Milo, IA 50166
CK#
HBC
` 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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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.
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 ,1 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Mary Jo Majerus 10 .00
07/09/06 703 E Center St, Rochester, MN 55904
CK#HBC
ID#
Jim Sutton
07/09/06 30 .00
CK# 24548 Temple Ave, Shell Rock, IA 50670
HBC
ID#
Jane Albaugh 25 .00
07/09!06 240 56th St, Des Moines, IA 50312
CK#
HBC
I D#
Jane Magers Fionof
07/09/06 20 .00
CK# 1922 Lincoln, Des Moines, IA 50314
HBC
ID#
Goldene Haendal 25 .00
07/12/06 402 McLean St, Iowa City, IA 52246
CK#
HBC
ID#
Daphne Fuhrmeister 5 .00
07/12/06
CK# HBC 2702 Wayne Ave, Iowa City, IA 52240
1D#
Diane Sondergard 20 .00
07/12/06 1304 Devon Dr NE, Iowa City, IA 52240
CK# HB C
I D#
Sandra Huedelohl
07/12/06 20.00
CK#HBC 1820 Curtis Bridge Rd NE, North Liberty, IA 52317
ID#
Angela Smith 10.00
07/12/06 3310 Lower West Branch, Iowa City, IA 52245
CK#
HBC
I D#
Jean Ambrose 10 .00
07/12/06 445 Sirucek Ln, Kalispell, MT 59901
CK#
HBC
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 29
marriage)- . If surname of contributor is the same as candidate, but there is no Page of 3
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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 .
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 q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Barbara Fischer $10 .00
07/ 12/06
CK#H BC 2025 Elm Cir, West Des Moines, IA 50265
ID#
Jean Haugland, 6750 School St., Unit 1402 250 .00
07/12/06 Windsor Heights, IA 50311
CK#
HBC
I D#
Ruth Shannon 10.00
07/12/06 CK# 3600 E Watrous Ave., Des Moines, IA 50320
HBC
ID#
Judy Murtle 5 .00
07/12/06 CK# 6602 SW 14th St ., Des Moines, IA 50315
HBC
I D#
Deanna Snyders 20 .00
07/12/06 CK# 1022 SE Uehlamar Dr., Ankeny, IA 50021
HBC
ID#
Carol Berrier 25 .00
07/12/06 530 NE 4th St ., Ankeny, IA 50021
CK#
HBC
I D#
Susan Steinbach 10.00
07/12/06 627 17th Ave . NW #7110, Altoona, IA 50009
CK# HBC
ID#
Nishna Valley Credit Union (interest of savings) 00.02
05/31/06 200 Maple St ., Atlantic, IA 50022
CK#
ID#
Nishna Valley Credit Union (interest of savings) 00 .02
06/30/06 200 Maple St ., Atlantic, IA 50022
CK#
I D#
CK#
SUB-TOTAL $ 330,04
` 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 30 30
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 Schedule A)
The following items from Schedule B of this report were deemed to be unallowable
expenses . Denise has reimbursed the campaign account from her personal funds for
the following items, with a check dated 09/21/06 .
ID#
Crazy Buffet Meal for Denise-campaiagn trail
05/19/06 3551 University Ave 23 .25
CK#Debit Waterloo, IA 50701
ID#
Blue Searchlight Group Campaign consultant fee
05/20/06 3617 N 113th Ct . #5 2,000,00
CK# 1 137
Omaha, NE 68164
ID#
Carrie Howard Reimburse campaign consultant for
05/20/06 3617 N 113th Ct . #5 3 lunches at 3rd Dist . Convention 15 .75
CK# 1138
Omaha, NE 68164 held 4/29/06
ID#
Carrie Howard Reimburse for campai~_n~ offc}e
05/20/06 3617 N 1 13th Ct . #5 supplies jk~ Cl1X) dq- 35 .28
CK# 1138 O ma ha , NE 68164
SE'" ~ `7
ID#
Carrie Howard Reimburse for meal at 5/12/06 CarrolI
05/20/06 3617 N 113 th Ct . #5 Co . Dem. Cent. Committee 25 .00
CK# 1138 Omaha, NE 68164
ID#
Panera Bread Meal for Field Director on campaign
05/21/06 3410 Elmore Ave trail 4 .25
CK# Debit Davenport, IA 52807
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) .)
Page 1
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM / FotTn SCHEDULE
ID#
Carter Printing Campaign cards
05/23/06 1738 east Grand Ave
CK# 1140 296 .80
Des Moines, IA 50316
ID#
Valley West Amoco Gas for Denise-campaign trail
05/24/06 1400 35th St 26 .75
CK# Debit West Des Moines, IA
1D#
Panera Bread Meal for Denise-campaign trail
05/24/06 2310 SE Delaware Ave 3 .26
CK#Debit
Ankeny, IA 50021
IN
Briana Harris Reiumburse Campaign field dir. for
05/25/06 59624 Chicago Rd gas (53 .000 and food (22 .93) 75 .93
CK# l 142
Atlantic, IA 50022 -campaign trail
ID#
Briana Harris Reiumburse for parts purchased for
05/25/06 59624 Chicago Rd the campaign bus 51 .94
CK# 1143 Atlantic, IA 50022
IN
Briana Harris Reimburse for postage supplies from
05/25/06 59624 Chicago Rd USPS, Atlantic, IA 78 .00
CK# 1143
Atlantic, IA 50022
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 II(eset Form SCHEDULE
1D#
Denise O'Brien Reiumburse for campaign office
05/25/06 59624 Chicago Rd , supplies-Office epo receipt( 64 .63
CK# 1144
Atlantic, IA 50022 I h.(L_ CG, ~Y Pl
~
ID#
Shop-n-Go Deisel fuel for campaign bus-
05/25/06 1863 Hwy 141 campaign trail 34 .00
CK#Debit
Sloan,IA 51055
I D#
Jet Wash Car wash-cam Wg trail IV",
05/26/06
CK# Debit
1402 East 7th St ,~~, 'rl
B I to
I 5 .00
Atlantic, IA 50022
t-A
ID#
VerizonWireless cell phone service for candidate and
05/30/06 777 Big Timer Rd field director 110 .21
CK# 1 145 Elgin, IL 60123
ID#
IATS Ticketmaster Web donation service fee
05/ 18/06 2 .50
CK#Debit
iats .tick etmaster .eom
ID# Nishna Valley Credit Union check order for checking acct .
05/30/06 200 Maple 12 .43
CK#Debit Atlantic, IA 50022
ID#
SapP Bros . Bin deisel fuel for campaign bus
05/30/06 9915 S 148th St 19 .00
CK# Debit
Omaha, NE 68138
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 Fo r m SCHEDULE
ID#
Casey's 1208 Avenue H gas for Denise-campaign trail
05/31/06 Ft Madison, IA 34 .15
CK#Debit
ID#
Briana Harris Weekly salary-campaign Field
06/02/06 59624 Chicago Rd Director 100 .00
CK# 1146
Atlantic, IA 50022
1D#
Briana Harris Reiumbuse : supplies for making
06/02/06 59624 Chicago Rd bio=deisel for the campaign bus, 6 .41
CK# 1147
Atlantic, IA 50022 receipt from Orscheln
ID#
Casey's Gas for Denise-campaign trail
06/02/06 110 S 5th St 32 .59
CK#Debit
Adair, IA 50002
ID#
Davenport Napa Campaign Field Director vehicle
06/03/06 3536 Brady St repair parts-campaign trail 7,76
CK# Debit
Davenport, IA 52806
ID#
Gordman's Bluegrass, IA parade--candy for
06/04/06 3860 elmore Ave candidate to throw to children 31 .97
CK#Debit Davenport, IA 52807
ID#
Centro Meal for candidate-campaign trail
06/04/06 131 W 2nd 35 .85
CK# Debit
Davenort, IA 52804
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 e.Set
°rm l SCHEDULE
MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev . 07/03) EXPENDITURES
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 $ CAMPAIGN DISCLOSURE BOARD.
ID#
Perkins Meal for candidate-campain trail
06/07/06 2000 SW McKinley Ave 29 .16
CK# Debit
Des Moines, IA 50315
I D#
Briana Harris Weekly salary-campaign Field
06/09/06 59624 Chicago Rd Director 100.00
CK# 1148
Atlantic, IA 50022
ID#
Briana Harris Primary win bonus-campaign Field
06/09/06 59624 Chicago Rd Director 500 .00
CK# 1149
Atlantic, IA 50022
ID#
Briana Harris Reimburse for gas-Campaign Field
06/09/06 59624 Chicago Rd Director-campaign trail 55 .51
CK# 1150
Atlantic, IA 50022
ID#
Quiktrip Gas for Denise-campaign trail
06/09/06 2221 E Euclid Ave 48 .50
CK#Debit Des Moines, IA
ID#
Latin King Restaurant Meal for candidate-campaign trail
06/09/06 2200 Hubbell Ave 10.54
CK# Debit
Des Moines, IA 50317
- -- -
SUB-TOTAL $ 851 .35
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 t Fog, SCHEDULE
I D#
Kum & Go Gas for Denise-campaign trail
06/12/06 1203 Guthrie 36.50
CK#Debit
Desoto, IA 50069
ID#
USPS stamps for campaign mailings
06/13/06 20 E 5th St . 9 .60
CK# Debit Atlantic, IA 50022
I D#
The Village Bean Meal for candidate-campaign trail
06/13/06 400 E Locust 4 .16
CK#Debit Des Moines, IA 50309
ID#
Lee's Standard Gas for Denise-campaign trail
06/13/06 1229 NW 86th St 27 .25
CK#Debit Des Moines, IA
ID#
The Pines Steakhouse Meal for candidate-campaign trail
06/13/06 1500 E 7th St 17 .12
CK#Debit
Atlantic, IA 50022
ID#
Blue Searchlight Group Campaign consulting tee
06/14/06 3615 N 113th Ct #5 1,000 .00
CK# 1 152
Omaha, NE 68164
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) .)
Page 6 -Of 14
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM t' Form SCHEDULE
1D#
Katrina Martin Bonus for primary win to campaign
06/15/06 806 Laurel website webmaster 200 .00
CK# 1154
Atlantic, IA 50022
ID#
Blue Searchlight Group Campaign consulting fee
06/20/06 3615 N 113th Ct #5 1,000 .00
CK# 1155
Omaha, NE 68164
1D#
Blue Searchlight Group Campaign consulting fee
06/21/06 3615 N 113th Ct #5 1,000 .00
CK# 1 156
Omaha, NE 68164
ID#
Quiktrip Gas for Denise-campaign trail
06/20/06 2221 E Eucid Ave 39 .06
CK#De bit Des Moines, IA
ID#
West End Diner Meal for candidate-campaign trail
06/20/06 3535 Westown Pkwy 14 .80
CK#Debit
West Des Moines, IA 50266
ID#
Briana Harris reiumburse postage for campaign
06/21/06 59624 Chicago Rd mailing ; receipt from USPS Atlantic 14 .40
CK# 1157 Atlantic, IA 50022
ID#
Briana Harris 3 weeks salary-campaign Field
06/21/06 59624 Chicago Rd Director 300.00
CK# 1158 Atlantic, IA 50022
SUB-TOTAL $ 2,612,40
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 t l oan' SCHEDULE
I D#
Carter Printing Campaign cards and lapel stickers
06/23/06 1739 East Grand Ave 301 .04
CK# 1159
Des Moines, IA 50316
ID#
USPS campaign mailing supplise
06/23/06 20E 5th St 29 .65
CK# Debit Atlantic, 1A 50022
I D#
Rex Pharmacy Phone for campaign office
06/23/06 507 Chestnut 38,52
CK#Debit Atlantic, IA 50022
ID#
Eastgate Amoco Gas for Denise-campaign trail
06/24/06 2711 Roemer 29 .51
CK#Debit Ottumwa, IA
ID#
Flying 1 Gas for Denise-campaign trail
06/24/06 11820 Hickman Rd 19 .10
CK# Debit Des Moines, IA 50325
ID#
Bosselmans Grandma Max's Meal for candidate and aide
06/24/06 Des Moines, IA -campaign trail 22 .02
CK#Debit
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) .)
Page
8 19
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM ,` ' t'Form' SCHEDULE
ID#
Subway Meal for candidate-campaign trail
06/27/06 1631 E Broad St 9.07
CK#Debit Story City, IA 50248
1D#
Nadings Service Gas for Rob Sand (campaign
06/28/06 281 Commercial st manager) -campaign trail 30.52
CK#Debit Strawberry Point, IA 52076
ID#
Quiktrip gas for Denise-campaign trail
06/28/06 2221 E Eucid Ave 31 . 02
CK#Debit Des Moines, IA
ID#
IATS Ticketmaster Web donation service fee
06/01/06 iats .ticketmaster.co m 5,00
CK#Debit
ID#
Panera Bread meal for candidate-campaign trail
06/28/06 1646 Sycamore St 12 .89
CK#Debit Iowa City, IA 52240
ID#
Olsen's Fuel gas for Denise-campaign trail
06/29/06 2nd & Locust 38'01
CK# Debit Atlantic, IA 50022
SUB-TOTAL $ 676,08
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 Inn SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX IF
AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
ID#
Hetrick Auto Sales rental car for campaign trail
06/29/06 502 Marne Rd 6/23/06 thru 6/26/06 156 .99
CK# 1162 Marne, 1A 51552
I D#
Rob Sand June salary for campaign manager
06/30/06 1110 Army Post Rd 1,055 .00
CK# 1 164
Des Moines, IA
ID#
Nishna Valley Credit Union fee for 2 additional debit cards for
06/22/06 200 Maple campaign staffers 10 .00
CK#Debit Atlantic, IA 50022
ID#
KM art Trash bags and food for fundraiser at
06/30/06 1405 Buckeye Ave the O'Brien'Harris farm on 6/30/06 14 .16
CK#Debit
Des Moines, IA 50010
ID#
Casey's gas for Denise-campaign trail
07/03/06 110 S 5th St 14 .65
CK#Debit Adair, IA 50002
ID#
Quiktrip gas for Denise, campaign trail
07/04/06 4600 Merle Hay Rd 26 .00
CK# Debit
Urbandale, IA
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) .)
10
Page of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM E0tm SCHEDULE
1D#
Flying J Gas for Denise-campaign trail
07/06/06 11820 Hickman Rd 34 .75
CK#Debit Clive, IA 50325
I D#
Iowa Democratic Party Payment for coordinated campaign
07/06/06 5661 Fleur Dr 2 , 000. 00
CK# 1165
Des Moines, IA 50321
ID#
Hetrick Auto Sales rental car for campaign trail
07/06/06 502 Mame Rd 6/27/06 thru 6/29/06 183 .24
CK# 1 166
Marne, IA 51552
ID#
Quiktrip Gas for Denise-campaign trail
07/08/06 802 East 1st 37 .05
CK#Debit Ankeny, IA
ID#
Rex Pharmacy (3) 8x 10 photos for campaign
07/10/06 507 Chestnut promotions
CK# Debit 16 .02
Atlantic, IA 50022
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 t Form SCHEDULE
I D#
USPS campaign mailings
07/10/06 20 E 5th St 5 .89
CK#Debit Atlantic, IA 50022
ID#
Quiktrip Gas for Denise-campaign trail
07/11/06 1501 E Grand 50 .60
CK#Debit Des Moines, IA
Oft
Culver's Meal for candidate-campaign trail
07/11/06 Newton, IA 5 .11
CK#Debit
ID#
Flying J Gas for Denise-campaign trail
07/12/06 11820 Hickman Rd 35 .02
CK#Debit Clive, IA 50325
I D#
Casey's Gas for Denise-campaign trail
07/12/06 110 S 5th St 20 .00
CK#Debit Adair, IA 50002
ID#
USPS stamps for campaign mailings
07/13/06 20 E 5th St 24 .00
CK#Debit Atlantic, IA 50022
ID#
Laurine Price reiumbursement for food and
07/13/06 1905 Hillcrest beverages for 6/30/06 fundraiser at 24 .76
CK# 1167
Atlantic, IA 50022 O'Brien-Harris farm
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
1D#
Carter Printing Printing envelopes, business cards,
07/13/06 1739 East Grand Ave brochures, letters, letterhead, 1,336 .66
CK# 1169
Des Moines, IA 50316 envelopes and buttons
ID#
Ampride Travel Plaza Gas for Denise-campaign trail
07/13/06 1701 Iowa Ave East 50 .00
CK# Debit Marshalltown, IA
ID#
Office Depot office supplies : printer ink, labels,
07/13/06 3910 University Dr #10 copy paper 118 .68
CK#Debit West Des Moines, IA 50266
ID#
LISPS mailing campaign packets
07/13/06 430 E McKinley Ave 20,85
CK#Debit Des Moines, IA 50315
ID#
Sapp Bros Petroleum Supplies to make bio-deisel for the
07/13/06 9915 S 148th St campaign bus 124 .75
CK#Debit Omaha, NE 68138
ID#
Univar Supplies to make bio-deisel for the
07/13/06 3002 F St campaign bus 98 .44
CK# Debit
Omaha, NE 68107
ID#
Git N Go Gas for Denise-campaign trail
07/14/06 1307 Army Post Rd 33 .05
CK# Debit Des Moines, IA 50315
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 t Form
SCHEDULE
ID#
Nishna Valley Credit Union ATM fee
07/14/06 200 Maple 2,00
CK#Debit
Atlantic, IA 50022
I D#
IATS Ticketmaster Web donation bankcard fee
07/13/06 iats .ticketmaster.com 12 .50
CK#Debit
ID#
Thinkhost website domain renewal fee
06/29/06 thinkhost.com 28 .95
CK#Debit
ID#
USPS postage for campaign mailing
07/09/06 Des Moines, IA 585.00
CK#Debit
ID#
NAPA Atlantic Motor Supply Parts for campaign bus
07/14/06 318 Chestnut 177.60
CK#Debit AtIantic,lA 50022
ID#
Cappels painting supplies for campaign bus
07/14/06 116 Chestnut 10 .99
CK# Debit
Atlantic, IA 50022
SUB-TOTAL $ 930.10
1
TOTAL (if last page of this schedule) 2t, -9 _94-N
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) .)
Page 14 of 14
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08/98)1 INDEBTEDNESS
Denise O'Brien for Secretary of Agriculture
m CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this
FORM
Schedule, as well as any new obligations incurred in this period .
Hudson Bay Company Note : this item fees and administrative expenses
04/30/06 2006 1 st Ave . North, Suite 206 appeared on the for contract to solicite pledges by 5,215 .52
Anoka, MN 55303 May 19 report phone and collect contributions
SUB-TOTAL $
13,980 .92
'If actual figure is unknown, show "estimated" beside the figure . Page 1 of 1
(for Schedule D)
F 1
Kenner McDermott Baxter Mail package to 4.05
06/09/06 P.O . Box 71, Marne, IA 51552 Hudson Bay -
F1
Kenner McDermott Baxter Mail package to " 4.05
06/21/06 P .O . Box 71, Mame, IA 51552 Hudson Bay -
F 1
Kenner McDermott Baxter Mail package to 4.05
07/07/06 P .O . Box 71, Mame, IA 51552 Hudson Bay -
F1 -
F~
F~
'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.
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
G BREAKDOWN
OF MONETARY
(Rev. 02/96) EXPENDITURES
BY CONSULTANT
COMMITTEE NAME(Must be same as on Statement of Organization)
CHECK THIS BOX IF
O'Brien for Secretary of Agriculture AMENDING FORM
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MM/DDNR) PERFORMANCE
From 06/07/06
06/30/06 5,000.00
To $
ESTIMATES OF PERFORMANCE
Fundraising 0 .00
TOTAL (If last page of this schedule)
Attending campaign events
Page 1 of 1
(for Schedule G)