Verizon Iowa State Good Government - 6038 - Scanned

FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 12/2005) REPORT
Verizon Iowa State Good Government Club
For Office Use Only
IMPORTANT: Indicate by # type of committee you are reporting for: 2 Comm. #
(1)Statewide/Legislative/Judge Standing for Retention Candidate (2)State PAC (3)State Party
(4) CountyCentral Commiittee (5)County Candidate (6)City Candidate (7)School Board or Other Logged in
Political Subdivision Candidate (8)County PAC (9)City PAC (10) School Board or Other Political
Scanned
Subdivision PAC (11)Local Ballot Issue
CANDIDATE COMMITTEES ONLY: Computer
Candidate Name Political Party (if applicable)
Audited
Office Sought District (If Senate or House)

File With
Iowa Ethics and Campaign
Disclosure Board
Late reports are subject to possible civil and criminal penalities. Pursuant to Iowa Code section 68B.32A(7) 510 E. 12th, Ste. 1A
the candidate, for a candidate's committee and the chairperson, for any other type of committee, is the Des Moines, Iowa 50319
individual responsible for filing timely and accurate reports. fax: 515-281-3701
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED
I AM FILING A 01/01/2008 - 05/14/2008 REPORT FOR (1) ELECTION /(2) NON-ELECTION YEAR.
(report date) Indicate by # 1
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
(Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committee, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held
STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (Total of all funds held
by the committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period, or must be zero if this is first report filed.) $ 16,782.06
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attached Schedule A) (*also see in-kind below) 2,952.00
Schedule F: Loan Received total (Attach Schedule F) 0.00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) 0.00

Schedule H applies to Candidates' Committees Only)
SUB-TOTAL $ 19,734.06
SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total ( Attach Schedule B) (**also see debts and loans below) 200.00
Schedule F: Loans Repayments total (Attach Schedule F) 0.00

CASH ON HAND at the end of this reporting period (if final report, balance must
$ 19,534.06
be zero)(Attach DR-3)
**UNPAID BILLS (From Schedule D - Attach Schedule D) $ 0.00
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $ 0.00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) $ 0.00

CONSULTANT BREAKDOWN (Schedule G Attached ?)
CANDIDATE COMMITTEES ONLY: YES X NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 0.00
STATE COMMITTEES:Submit a reconciled campaign account bank statement in January of each year.
For Instructions, See Back of Form SCHEDULE
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
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 DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.
DATE PAC ID NUMBER (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
01/04/2008 ID# Appleby, Anna $5.00
60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537
01/18/2008 ID# Appleby, Anna $5.00

CK#
02/01/2008 ID# Appleby, Anna $5.00

CK#
02/15/2008 ID# Appleby, Anna $5.00

CK#
02/29/2008 ID# Appleby, Anna $5.00

CK#
03/14/2008 ID# Appleby, Anna $5.00

CK#
03/28/2008 ID# Appleby, Anna $5.00

CK#
04/11/2008 ID# Appleby, Anna $5.00

CK#
04/25/2008 ID# Appleby, Anna $5.00

CK#
05/09/2008 ID# Appleby, Anna $5.00

500 2nd Avenue
CK#
SUB-TOTAL $ $50.00
TOTAL (if last page of this schedule)

$
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 1
Page ________of 36
________
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)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
01/04/2008 ID# Beach, Michael $5.00
23762 East Hinsdale Place
CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216

CK#
Aurora, CO 80016-5216
01/04/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
01/18/2008 ID# Brady, Scott $5.00

CK#
02/01/2008 ID# Brady, Scott $5.00

CK#
SUB-TOTAL $ $50.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/15/2008 ID# Brady, Scott $5.00
CK#
02/29/2008 ID# Brady, Scott $5.00

CK#
03/14/2008 ID# Brady, Scott $5.00

CK#
03/28/2008 ID# Brady, Scott $5.00

CK#
04/11/2008 ID# Brady, Scott $5.00

CK#
04/25/2008 ID# Brady, Scott $5.00

CK#
05/09/2008 ID# Brady, Scott $5.00

500 2nd Avenue
CK#
01/04/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781
01/18/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
02/01/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
SUB-TOTAL $ $50.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/15/2008 ID# Brown, Scot $5.00
CK#
Marion, IA 52302-1781
02/29/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
03/14/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
03/28/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
04/11/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
04/25/2008 ID# Brown, Scot $5.00

CK#
Marion, IA 52302-1781
05/09/2008 ID# Brown, Scot $5.00

500 2nd Avenue
CK#
01/18/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412
02/01/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
02/15/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
SUB-TOTAL $ $80.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Childs, Amanda $15.00
115 Elm Ridge Drive
CK#
03/14/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
03/28/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
04/11/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
04/25/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
05/09/2008 ID# Childs, Amanda $15.00

500 2nd Avenue
CK#
01/04/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
01/18/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
02/01/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
02/15/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
SUB-TOTAL $ $102.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Combs, Beth $3.00
540 S 22nd Street
CK#
Marion, IA 52302-4992
03/14/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
03/28/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
04/11/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
04/25/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992
05/09/2008 ID# Combs, Beth $3.00

500 2nd Avenue
CK#
01/04/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166
SUB-TOTAL $ $38.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

CK#
Marion, IA 52302-6166

500 2nd Avenue
CK#
01/04/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
01/18/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
02/01/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
02/15/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
SUB-TOTAL $ $41.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Cummings, Joy $2.75
1408 Old 6 Road
CK#
Malcom, IA 50157-8033
03/14/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
03/28/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
04/11/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
04/25/2008 ID# Cummings, Joy $2.75

1408 Old 6 Road
CK#
Malcom, IA 50157-8033
05/09/2008 ID# Cummings, Joy $2.75

101 11th Avenue
CK#
Grinnell, IA 50112-2604
01/04/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
01/18/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
02/01/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
02/15/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
SUB-TOTAL $ $32.50

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Edelen, Susan $4.00
3630 90th Street
CK#
03/14/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
03/28/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
04/11/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
04/25/2008 ID# Edelen, Susan $4.00

3630 90th Street
CK#
05/09/2008 ID# Edelen, Susan $4.00

101 11th Avenue
CK#
01/04/2008 ID# Flannery, John $25.00

1024 21st
CK#
West Des Moines, IA 50265-2213
01/18/2008 ID# Flannery, John $25.00

1024 21st
CK#
02/01/2008 ID# Flannery, John $25.00

1024 21st
CK#
02/15/2008 ID# Flannery, John $25.00

1024 21st
CK#
SUB-TOTAL $ $124.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Flannery, John $25.00
1024 21st
CK#
03/14/2008 ID# Flannery, John $25.00

1024 21st
CK#
03/28/2008 ID# Flannery, John $25.00

1024 21st
CK#
04/11/2008 ID# Flannery, John $25.00

1024 21st
CK#
04/25/2008 ID# Flannery, John $25.00

1024 21st
CK#
05/09/2008 ID# Flannery, John $25.00

1024 W 21st Street
CK#
01/04/2008 ID# Goodin, Michele $3.00

1421 4th Avenue
CK#

1421 4th Avenue
CK#

1421 4th Avenue
CK#

1421 4th Avenue
CK#
SUB-TOTAL $ $162.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
1421 4th Avenue
CK#

1421 4th Avenue
CK#

1421 4th Avenue
CK#

1421 4th Avenue
CK#

1421 4th Avenue
CK#

101 11th Avenue
CK#
01/04/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
01/18/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
02/01/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
02/15/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
SUB-TOTAL $ $34.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Graff, Ellen $4.00
700 Garfield Street
CK#
Tama, IA 52339-2208
03/14/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
03/28/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
04/11/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
04/25/2008 ID# Graff, Ellen $4.00

700 Garfield Street
CK#
Tama, IA 52339-2208
05/09/2008 ID# Graff, Ellen $4.00

101 11th Avenue
CK#
01/04/2008 ID# Guthrie, Traci $8.00

121 Adair Street
CK#
Kellogg, IA 50135-1116

121 Adair Street
CK#

121 Adair Street
CK#

121 Adair Street
CK#
SUB-TOTAL $ $56.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
121 Adair Street
CK#

121 Adair Street
CK#

121 Adair Street
CK#

121 Adair Street
CK#

121 Adair Street
CK#

101 11th Avenue
CK#
01/04/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162
01/18/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
02/01/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
02/15/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
SUB-TOTAL $ $68.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Hall, Janan $5.00
CK#
Marion, IA 52302-6162
03/14/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
03/28/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
04/11/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
04/25/2008 ID# Hall, Janan $5.00

CK#
Marion, IA 52302-6162
05/09/2008 ID# Hall, Janan $5.00

500 2nd Avenue
CK#
01/04/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#
SUB-TOTAL $ $50.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#

1325 Phoenix Drive
CK#

500 2nd Avenue
CK#
01/04/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
01/18/2008 ID# Handley, Lori $30.00

CK#
02/01/2008 ID# Handley, Lori $30.00

CK#
02/15/2008 ID# Handley, Lori $30.00

CK#
SUB-TOTAL $ $150.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Handley, Lori $30.00
CK#
03/14/2008 ID# Handley, Lori $30.00

CK#
03/28/2008 ID# Handley, Lori $30.00

CK#
04/11/2008 ID# Handley, Lori $30.00

CK#
04/25/2008 ID# Handley, Lori $30.00

CK#
05/09/2008 ID# Handley, Lori $30.00

500 2nd Avenue
CK#
01/04/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
01/18/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
02/01/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
02/15/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
SUB-TOTAL $ $204.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Hanssen, Ann $6.00
1003 Old 6 Road
CK#
03/14/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
03/28/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
04/11/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
04/25/2008 ID# Hanssen, Ann $6.00

1003 Old 6 Road
CK#
05/09/2008 ID# Hanssen, Ann $6.00

101 11th Avenue
CK#
01/04/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
Brooklyn, IA 52211-8602
01/18/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
02/01/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
02/15/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
SUB-TOTAL $ $56.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Hodina, Eric $5.00
1498 Old 6 Road
CK#
03/14/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
03/28/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
04/11/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
04/25/2008 ID# Hodina, Eric $5.00

1498 Old 6 Road
CK#
05/09/2008 ID# Hodina, Eric $5.00

101 11th Avenue
CK#
01/04/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#

CK#

CK#

CK#
SUB-TOTAL $ $60.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#

CK#

CK#

CK#

CK#

500 2nd Avenue
CK#
01/04/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643
01/18/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
02/01/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
02/15/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
SUB-TOTAL $ $85.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Jacque, Kara $10.00
7292 28th Avenue
CK#
03/14/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
03/28/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
04/11/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
04/25/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
05/09/2008 ID# Jacque, Kara $10.00

500 2nd Avenue
CK#
01/04/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#

CK#

CK#

CK#
SUB-TOTAL $ $80.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#

CK#

CK#

CK#

CK#

500 2nd Avenue
CK#
01/04/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
Shellsburg, IA 52332-0266
01/18/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
02/01/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
02/15/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
SUB-TOTAL $ $70.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Larimer, Audra $10.00
PO Box 266
CK#
03/14/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
03/28/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
04/11/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
04/25/2008 ID# Larimer, Audra $10.00

PO Box 266
CK#
05/09/2008 ID# Larimer, Audra $10.00

500 2nd Avenue
CK#
01/04/2008 ID# Manatt, Patricia $3.00

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101
SUB-TOTAL $ $72.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

4098 90th Street
CK#
Malcom, IA 50157-8101

101 11th Avenue
CK#
01/04/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
01/18/2008 ID# Mike, Donna $7.50

CK#
02/01/2008 ID# Mike, Donna $7.50

CK#
02/15/2008 ID# Mike, Donna $7.50

CK#
SUB-TOTAL $ $48.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Mike, Donna $7.50
CK#
03/14/2008 ID# Mike, Donna $7.50

CK#
03/28/2008 ID# Mike, Donna $7.50

CK#
04/11/2008 ID# Mike, Donna $7.50

CK#
04/25/2008 ID# Mike, Donna $7.50

CK#
05/09/2008 ID# Mike, Donna $7.50

500 2nd Avenue
CK#
01/04/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
01/18/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
02/01/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
02/15/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
SUB-TOTAL $ $65.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Pease, Linda $5.00
1108 Summer Street
CK#
03/14/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
03/28/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
04/11/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
04/25/2008 ID# Pease, Linda $5.00

1108 Summer Street
CK#
05/09/2008 ID# Pease, Linda $5.00

101 11th Avenue
CK#
01/04/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
01/18/2008 ID# Ray, Jane $10.00

CK#
02/01/2008 ID# Ray, Jane $10.00

CK#
02/15/2008 ID# Ray, Jane $10.00

CK#
SUB-TOTAL $ $70.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Ray, Jane $10.00
CK#
03/14/2008 ID# Ray, Jane $10.00

CK#
03/28/2008 ID# Ray, Jane $10.00

CK#
04/11/2008 ID# Ray, Jane $10.00

CK#
04/25/2008 ID# Ray, Jane $10.00

CK#
05/09/2008 ID# Ray, Jane $10.00

500 2nd Avenue
CK#
01/04/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#

CK#

CK#

CK#
SUB-TOTAL $ $72.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#

CK#

CK#

CK#

CK#

500 2nd Avenue
CK#
01/04/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#

CK#

CK#

CK#
SUB-TOTAL $ $30.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#

CK#

CK#

CK#

CK#

500 2nd Avenue
CK#
01/04/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
01/18/2008 ID# Schramp, Kyle $10.00

CK#
02/01/2008 ID# Schramp, Kyle $10.00

CK#
02/15/2008 ID# Schramp, Kyle $10.00

CK#
SUB-TOTAL $ $58.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Schramp, Kyle $10.00
CK#
03/14/2008 ID# Schramp, Kyle $10.00

CK#
03/28/2008 ID# Schramp, Kyle $10.00

CK#
04/11/2008 ID# Schramp, Kyle $10.00

CK#
04/25/2008 ID# Schramp, Kyle $10.00

CK#
05/09/2008 ID# Schramp, Kyle $10.00

500 2nd Avenue
CK#
01/04/2008 ID# Schramp, Philip $10.00

CK#

CK#

CK#

CK#
SUB-TOTAL $ $100.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
CK#

CK#

CK#

CK#

CK#

500 2nd Avenue
CK#
01/04/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
01/18/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
02/01/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
02/15/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
SUB-TOTAL $ $80.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Stanek, Kathy $5.00
PO Box 926
CK#
03/14/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
03/28/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
04/11/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
04/25/2008 ID# Stanek, Kathy $5.00

PO Box 926
CK#
05/09/2008 ID# Stanek, Kathy $5.00

101 11th Avenue
CK#
01/04/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
01/18/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
02/01/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
02/15/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
SUB-TOTAL $ $42.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Story, Nicole $3.00
1131 Reed Street
CK#
03/14/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
03/28/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
04/11/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
04/25/2008 ID# Story, Nicole $3.00

1131 Reed Street
CK#
05/09/2008 ID# Story, Nicole $3.00

101 11th Avenue
CK#
01/04/2008 ID# Walker, Deborah $5.00

238 Horseshoe Drive
CK#
Montezuma, IA 50171-8412

238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#
SUB-TOTAL $ $38.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#

238 Horseshoe Drive
CK#

101 11th Avenue
CK#
01/04/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
01/18/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
02/01/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
02/15/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
SUB-TOTAL $ $50.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Weaver, David $5.00
179 Walnut Road
CK#
03/14/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
03/28/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
04/11/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
04/25/2008 ID# Weaver, David $5.00

179 Walnut Road
CK#
05/09/2008 ID# Weaver, David $5.00

101 11th Avenue
CK#
01/04/2008 ID# Webster, Diana $2.75

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215
SUB-TOTAL $ $41.00

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

317 E 9th St. N
CK#
Newton, IA 50208-2215

101 11th Avenue
CK#
01/04/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
01/18/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
02/01/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
02/15/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
SUB-TOTAL $ $36.50

$
Page ________of 36
________
(for Schedule A)
CHECK THIS BOX IF
DISCLOSURE BOARD.
NUMBER INCOME
02/29/2008 ID# Wells, Joann $5.00
256 Newburg Road
CK#
03/14/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
03/28/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
04/11/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
04/25/2008 ID# Wells, Joann $5.00

256 Newburg Road
CK#
05/09/2008 ID# Wells, Joann $5.00

101 11th Avenue
CK#
ID#
05/14/08 Unitemized Contributions $ 477.00
CK#
SUB-TOTAL $ $507.00

$ $2,952.00
Page ________of 36
________
(for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
03/18/2008 ID# 9098 Iowa Democratic Party (Non-Federal) 2008 Contribution $200.00
345 Whitmer Parkway
CK# 500 Des Moines, IA
50310
$ $200.00
SUB-TOTAL
TOTAL (if last page of this schedule) $ $200.00
THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)
1
Page ____________of 1
____________
(for Schedule B)

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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

Office Sought District (If Senate or House)

SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

STATEMENT OF CASH ON HAND

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule F: Loan Received total (Attach Schedule F) 0.00

Schedule H: Total Sales of Campaign Property (Attach Schedule H) 0.00

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule F: Loans Repayments total (Attach Schedule F) 0.00

**UNPAID BILLS (From Schedule D - Attach Schedule D) $ 0.00

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $ 0.00

**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) $ 0.00

CANDIDATE COMMITTEES ONLY: YES X NO

01/18/2008 ID# Appleby, Anna $5.00

02/01/2008 ID# Appleby, Anna $5.00

02/15/2008 ID# Appleby, Anna $5.00

02/29/2008 ID# Appleby, Anna $5.00

03/14/2008 ID# Appleby, Anna $5.00

03/28/2008 ID# Appleby, Anna $5.00

04/11/2008 ID# Appleby, Anna $5.00

04/25/2008 ID# Appleby, Anna $5.00

05/09/2008 ID# Appleby, Anna $5.00

TOTAL (if last page of this schedule)

01/18/2008 ID# Beach, Michael $5.00

02/01/2008 ID# Beach, Michael $5.00

02/15/2008 ID# Beach, Michael $5.00

02/29/2008 ID# Beach, Michael $5.00

03/14/2008 ID# Beach, Michael $5.00

03/28/2008 ID# Beach, Michael $5.00

01/04/2008 ID# Brady, Scott $5.00

01/18/2008 ID# Brady, Scott $5.00

02/01/2008 ID# Brady, Scott $5.00

TOTAL (if last page of this schedule)

02/29/2008 ID# Brady, Scott $5.00

03/14/2008 ID# Brady, Scott $5.00

03/28/2008 ID# Brady, Scott $5.00

04/11/2008 ID# Brady, Scott $5.00

04/25/2008 ID# Brady, Scott $5.00

05/09/2008 ID# Brady, Scott $5.00

01/04/2008 ID# Brown, Scot $5.00

01/18/2008 ID# Brown, Scot $5.00

02/01/2008 ID# Brown, Scot $5.00

TOTAL (if last page of this schedule)

02/29/2008 ID# Brown, Scot $5.00

03/14/2008 ID# Brown, Scot $5.00

03/28/2008 ID# Brown, Scot $5.00

04/11/2008 ID# Brown, Scot $5.00

04/25/2008 ID# Brown, Scot $5.00

05/09/2008 ID# Brown, Scot $5.00

01/18/2008 ID# Childs, Amanda $15.00

02/01/2008 ID# Childs, Amanda $15.00

02/15/2008 ID# Childs, Amanda $15.00

TOTAL (if last page of this schedule)

03/14/2008 ID# Childs, Amanda $15.00

03/28/2008 ID# Childs, Amanda $15.00

04/11/2008 ID# Childs, Amanda $15.00

04/25/2008 ID# Childs, Amanda $15.00

05/09/2008 ID# Childs, Amanda $15.00

01/04/2008 ID# Combs, Beth $3.00

01/18/2008 ID# Combs, Beth $3.00

02/01/2008 ID# Combs, Beth $3.00

02/15/2008 ID# Combs, Beth $3.00