COMMIiii EE NAME (Must be same as on Statement of Orcarizsvor .

IMPORTANT: IndIcate type of committee you are reporting for

's \
( I )Statewide/Legislative Candidate ( Z )Statewide PAC ( 3 )State Party ( 4 )Countyil
( 5 )County PAC ( 6 )Ballot IssuelFfancftise Committee ( 7 )County/City Central Committee
( 8 )Support tate of Candidates

s
s63- 3_ ~= 3

SIG A E OF AS R (r person filing this report) TELEPHONE DATE SIGNED

7
Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A / - ) ~ -6
,3 RE=CRT FOR ANIA ( ;) ELECTION ,'(2)NCN-ELE=CTION ,, P .

(re,port date) Indicate one (

CHECK IF AMENDMENT TO REPORT DATED ! -,3, 1-c;3 L--call Committees, enter Date of E: ec-_cn

County & Local Committees, enter County in

7 Check if this is final (termination) report and attach Notice of Oissciudcn Form OR-3.
vvnich Elec5cn is held
(You must continue to file reports until a Notice of Dissolution is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (T-nis is the total
of all monies held by the committee . This amount MUST be the
same as the cash an hand at the end of the last reporting period,,'j 1
t
5, Oil
or must be zero if this is first report filed .) . . . . . . . . .. . . . . . . . . . . . . . . .. .. . . . .. .. . . . !g . . . . . . . . . . . --------------------- .5

ADD TOTAL MONEY TAKEN IN THIS PERIOD

6 Ssv' .J ;-
1

Schedule A : Cash Contributions total (Attach Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .----------

Schedule C : Fund-raising Events total (Attach Schedule C) . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .--------

Schedule F : Loans Received total (Attach Schedule F) . . . . . .. . .. .. .. . . . . . . . . . . . . . . . . .---- . . . ..---------------

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . .. . . . . . . . . . .. . . . . .. . . . . . . . . .

(Schedule H apolfes to Candidates' Committees On1Yl

SUB-TOTAL . . .. . . S

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule 8 : Expenditures total (Attach Schedule 8) . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .-- .- .- .--

.31, ~, ri S-_.
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . .-- .--------------------------

CASH ON HAND at the end of this reporting period (if final report, - balance must S'b 413 . 7 7
-73M-7 .
be zero) (Attach DR-3) . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. .. . .. .. . . .. . .. .. .. . . . . . . . . . . . . . . .. . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . S

5
UNPAID BILLS (From Schedule 0 - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . --------------- -------0--*

IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule~E . . .I . .} .! : .~.- --..--. . . . . . .. .-. . . .. . . .S

.

OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . .--- .--- .------- . .-- . . . . . . . . . .3

CANDIDATE COMMrTTEES ONLY :

CONSULTANT BREAKDOWN (Schedule G Attached?)

VALUE OF CAMPAIGN PROPER if (From Schedule H1 - Attacn Schecuie ^`,

AUG-23-2004 12 :21 FROM :HUCKFELDT 15633555272 TO :15152813701 P .3

FOR INSTRUCTIONS, SEE BACK OF ~~RAif SCHEDULE

E IN KIND
COMMITTEE NAME (Must be same as,$rr`,Statem,It~gO a a (Rev . 0t3197 CONTRIBUTIONS

Iowans for Van Fossen

m CHECK THIS BOX IF
AMENDING FORM
Reset Fonn

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN FAIR MARKET FUND-RAISER
(MMIDDIYR) OF CONTRIBUTOR ' (if applicable) "UTION VALUE CONTRIBUTION

2002
Republican Party of Iowa
521 East Locust
Des Moines, Iowa
Party
Affiliation I
Campaign
! Expenses
14,146,10
71

F1 -

F7
SUB-TOTAL a
14,161 .10

TOTAL pt Isst s
page of this 14,146 .10
schedule)

the Page I of I
'Disclosure law requires candidates to disclose the relationship of any relative making an In kind contribution to
(for Schedule E)
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
there Is no
by marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but
familial relationship, enter "not applicable" in the relationship column .
 SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02/96) 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 AND CAMPAIGN DISCLOSURE BOARD.

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

REPUBLICAN PARTY OF IOWA AND ITS EISENHOWER CLUB

I CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MMIDDNR) AND PAC 1,2,3)
CHECK NUMBER
ID# (Anderson Brothers Printing Co . In-Kind Prin ng- an
10118/02 14525 41st Street 7,687*09
CK# Sioux City, Iowa 51108-9604 ( ) $
I
ID# Anderson Brothers Printing Co . In-Kind Printing-Dennis
10118102 4525 41st Street 5,202.70
CK# j Sioux City, Iowa 51108-9604 ( ) $

I
SID# ~Anderson Brothers Printing Co . In-Kind Printing-Wieneke
10118102 14525 41st Street 2,740.14
CK# Sioux City, Iowa 51108-9604 ( ) $

SID# Anderson Brothers Printing Co . In-Kind Printing-Drake, J

10118102 4525 41st Street 4,590.43
CK# Sioux City, Iowa 51108-9604 ( Y$
I

ID# Anderson Brothers Printing Co . In-Kind Printing-Rekow

10118102 14525 41st Street 6,814.16
ICK# jSioux City, Iowa 51108-9604 ( ) $

SID# Anderson Brothers Printing Co . 'in-Kind Printing-Palmer

10118102 !4525 41stStreet 6,954.58

j CK# Sioux City, Iowa 51108-9604 ( ) $

X
IID# Anderson Brothers Printing Co . In-Kind Printing-Manternach

10118102 '4525 41st Street ! 6,849.08

I CK# Sioux City, Iowa 51108-9604 ( ) $

SUE)-TOTAL
$ 40,838 .18
TOTAL (If last page of this schedule)
1$

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Campaign funds may be used only for:

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated w1ht duties of office .

Please insert the applicable number In the purpose column for each expediture .

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to personslentities providing cousulting, advertising, fund-raising, polling, managing, organiziing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee. (Refer to
I Schedule G instructions and Iowa Code 56 .6(3)(i) .)
Page 5 of 140
-- (for Sched6To-B
 SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02/96) EXPENDITURES

a
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 AND CAMPAIGN DISCLOSURE BOARD .
COMMITTEE NAME (Must be same as on Statement of Organization)
REPUBLICAN PARTY OF IOWA AND ITS EISENHOWER CLUB
CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW 8: ENTER
(MMIDD[YR) AND PAC 1 .2,3)
j CHECK NUMBER I
ID# Victory Enterprises In-Kind TV Ad-VanFossen

1~ ( )
10107/02 5200 SW 30th Street, Ste 7 187,50
CK# Davenport, IA 52802 r , ;

I
ID# jThe Mobilization Advantage r- nince Coordinator Seri
10107102 : ;4815 Grand Avenue j 1,750 .00
CK# *s Moines, IA 50312 ( ) $
i

ID# jI Dana Fortmann !Mileage/postage/Phone/Stationery/Sign Holders/Cop

10107102 14815 Grand Avenue 622 .88
CK# Des Moines, IA 50312 ( ) S
i i

ID# Victory Enterprises i In-Kind TV Ad-Manternach

10107102 5200 SW 30th Street, Ste 7 187 .50
CK# Davenport, IA 52802 ( ) S
ID# _ _
Victory Enterprises In-Kind TV Ad-Balderson
10/07102 5200 SW 30th Street, Ste 7 187 .50
CK# Davenport, IA 52802 ( )

_i
---'Victory Enterprises - In-Kind TV Ad-Glawe
10/07102 5200 SW 30th Street, Ste 7 187 .50
CK# Davenport, IA 52802 ( ) $

ID# Victory Enterprises In-Kind Media Buy-Lozier

10108102 5200 SW 30th Street, Ste 7 10,000 .00
CK# Davenport, [A 52802 ( ) $

SUP-TOTAL
$ __13__,_1_22_.8_ 8
TOTAL (If last page of this schedule)
1$

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Campaign funds may be used only for:

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated wiht duties of office.

Please Insert the applicable number in the purpose column for each expediture.

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 cousuiting, advertising, fund-raising, polling, managing, organiziing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee . (Refer to
I Schedule G Instructions and Iowa Code 56 .6(3)(1).)
Page 57 of 77
(for Schedule B)
 SCHEDULE
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02M) EXPENDITURES

MTE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

WDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE /O CHECK THIS BOX IF
%C CHECK NUMBER FOR EACH EXPENDITURE. A UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
'HICS AND CAMPAIGN DISCLOSURE BOARD .
DUM17TEE NAME (Must L» same as on Statsme n of 0rganW1tkM)
REPUBLICAN PARTY OF IOWA AND ITS EISENHOWER CLUB
CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE 10 NUMBER (Disbursement) WAS MADE (CANDIDATES SEE I EXPENDED
WENDED (if applicable) BELOW b ENTER
IM1DD1YR) AND PAC - j
1, 2 , 3 )
CHECK NUMBER I
IDS Christian Printers, Inc . In - Kind Printing-Miller for IA Senate
03114102 1411 21st Street i 1,001 .70
CK# Des Moines, IA 50311

IDS Christian Printers, Inc . In - Kind Printing-Miller for Senate

03114102 j 1411 21st Street 1,185.08
CK# Des Moines, IA 50311 ! ( ) $

~ID# ;Christian Printers, Inc . 'In-Kind Printing-Millerfor Senate

03114102 1411 21 at Street 420 .82
iCK# Des Moines, IA 50311 ( ) $

I IDS Christian Printers, Inc. In - Kind Palm Cards-Miller or IA Senate

03114102 ~ 1411 21 st Street j 496 .08
i CK# !Des Moines, IA 50311 ( ) $
i

j IDS ' Colorfx Marketing Services Data Processing

03114102 5085 N . E. 17th Street 3,578 .89
CK# Des Moines, IA 50313 ( ) $

ID* Reed Copywriting in - Kind Letter-talk for IA House

03114102 27 E . Broadway 110 .00
CK# Granville, OH 43023 ( )i $

ID# 'Reed Copywriting In -Kind Letter-Von Fosserl

03114102 1 327 E . Broadway I 110 .00
CK# Granville, OH 43023

r1LV_e,
L=6,902.57
TOTAL (If last page of this schedule)

'BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

ipaign funds may be used only for:

ampaign purposes,
:onstituency expenses, and
ducationai and other expenses associated w1ht duties of office.

se insert the applicable number in the purpose column for each expediture .

hases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

inditures to personslentities providing cousulting, advertising, fund-raising, polling, managing, organiziing services must also be detail itemized on
idule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee . (Refer to
idule G instructions and Iowa Code 56 .6(3)(i) .)
Page 14 of .24-- aa-
(fo ScheduTBj_- . .
___
 SCHEDULE
B MONETARY
_EXPENDITURES --.MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02/96) 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 AND CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)

REPUBLICAN PARTY OF IOWA AND ITS EISENHOWER CLUB

CANDIDATE NAME
AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MM/DDIYR) AND PAC 1, 2 , 3 )
CHECK NUMBER
ID# Mail House Inc. In-Kind Postage-Van Fosse
OJN0110/02 P. O. Box 1105 6,018.34
ICK# Sioux City, IA 51102-1105 ( ) $

!ID# IMail House Inc. In- n'Postage-Dennis

L 10110/02 j P. O. Box 1105 3,991.75
CK# Sioux City, IA 51102-1105 ( ) $

;ID# Mail House Inc. ~In-Kind Postage-Watts

10110102 P. O. Box 1105 ! 4,237.00
CK# Sioux City, IA 51102-1105 I ( ) $

ID# Mail House Inc. ~In-Kind Postage-Upmeyer

10110/02 P. O. Box 1105 j 5,149.75
CK# Sioux City, IA 51102-1105 ( ) ;

D# Mail House Inca_ In-Kind Postage-Rants

10/10/02 P. O. Box 1105 937.92
CK# Sioux City, IA 51102-1105 ( ). 3

ID# -
-Mail House Inc . In-Kind Postage-Jones
10/10/02 P. O. Box 1105 2,185.94
CK# Sioux City, IA 51102-1105 ( ) $

ID# Mail House Inc . In-Kind Postage-Glawe

'~%/10/02 P. O. Box 1105 3,420.13
CK# Sioux City, IA 51102-1105 ( ) $

- UU-TOTAL
$ _ _ __25_,94_0 .83_
TOTAL (If last page of this schedule)
j$

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Campaign funds may be used only for:

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated wiht duties of office .

Please insert the applicable number in the purpose column for each expediture.

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H Instructions .)

Expenditures to personslentities providing cousulting, advertising, fund-raising, polling, managing, organizling services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee. (Refer to
Schedule .G Instructions and Iowa Code 56.6(3)(i) .)

Pa 53 -
V (foe Schedule B)
 g0 ' 1441 SCHEDULE
MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02/96) 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 0/ CHECK THIS BOX IF
AMENDING FORM
ETHICS AND CAMPAIGN DISCLOSURE BOARD .
COMMITTEE NAME (Must be same as on Statement of Organization)
REPUBLICAN PARTY OF IOWA AND ITS EISENHOWER CLUB
CANDIDATE ! NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE j ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW 8 ENTER
(MMIDDNR) AND PAC 1, 2 , 3 )
CHECK NUMBER
!ID# IThe Copy Shop In-Kind Printing-Palmer
12/11102 1628 Harrison 143 .17
TI CK# (Davenport, IA 52803 - ( ) $

ID# The Copy Shop In-Kind Printing-VanFossen

12/11102 628 Harrison 143 .17
CK# I Davenport, IA 52803 ( II$

ID# The Copy Shop

12/11102 628 Harrison 143.17
CK# Davenport, IA 52803 ( )

IID# IThe Copy Shop 'Shipping Charges

12/111021 1628 Harrison 1,003 .13
CK# j Davenport, IA 52803 ( )

ID# ;The Copy Shop In-Kind Printing-Hosch

12/11102 1 628 Harrison 143 .17
CK# Davenport, IA 52803 ( ) $

ID# IThe Copy Shop In-Kind Printing-Paulson

12111/02,1 1628 Harrison 143 .17
CK# Davenport, IA 52803 ( )

ID# The Copy Shop In-Kind Printing-Sievers

121111021 1628 Harrison 106 .97
CK# Davenport, IA 52803 ( ) $

SUB-TOTAL
$ 1,825.95
TOTAL (If last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Campaign funds may be used only for :

(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated w1ht duties of office.

Please insert the applicable number in the purpose column for each expediture.

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H Instructions .)

Expenditures to personslentities providing cousulting, advertising, fund-raising, polling, managing, organiziing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

Page 108 of 140

(for - Schie- U-u-Ti B)-