FOR I,(VSTRUCTIONS, SEE BACK OF FORM

FORM
I
Resd Form
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use Oniv

Kids First '2
Comm . # ~~ (II
1,4/

IMPORTANT: Indicate by #type of committee you are reporting for: 0 Logged In

(1 )Statewide/Legislative/Judge Standing for Retention Candidate (2 )State PAC (3 )State Party
(4 )County Central Committee (5 )CountyCandidate (8 )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
Audited
CANDIDATE COMMITTEES ONLY : a

Candidate Name Political Party (if applicable)

Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties.

-- 8 - 0
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

March 8, 2005
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # 01

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

March 15, 2005
El 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
Linn, Johnson and Benton County

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.) ..... ... .. ... ...... ... ... .. ... ... . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ("also see in-kind below) . ... ... .. . 645
Schedule F: Loans Received total (Attach Schedule F) ... ... ..... ........ . ..... ... .. ... ... .. ... ... ..... ... . 00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .... ... .. ... ... ..... ... ..... ... . .. 00
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .....$ 645
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) ... . 363 .60
Schedule F: Loan Repayments total (Attach Schedule F) . ... ... ... .. ...... .. ... ... ..... ... ..... ...... . ... . 00
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) .. ..... . .. ... ... ..... ... .. ... ........ .. ...... ...... . .... ...... .. ... ..... ... ... ..... .. ... . ..... ... ..... . .. .$ 281 .40

"UNPAID BILLS (From Schedule D -Attach Schedule D) .... ... .. . .. ...... ... ..... ...... .. ...... .. ... ... ... ....$ 00
"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... ... ..... ... .. ... ...... ... ... .. ... ... .. ... . $ 45
'*OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. ... ..... .... .. .. . .. ... ..... ... ... ..... ... .. ...... $ 00
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
For Instructions, See Back of Form SCHEDULE
Reset Foan
CONTRIBUTIONS - MONEY TAKEN IN
A MONETARY
(Rev . 07/03) RECEIPTS
Qncluding candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Kids First

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE 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 Qf applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK Qf applicable) RAISER
NUMBER INCOME
ID# Sandy Flatgard
01/06/05 1348 Hickory Hollow RD NE $40
CK#
Solon, IA 52333

E]
ID#
Dick Whitehead
01/06/05 522 Uthoff Drive 25
CK#
Walford, IA 52351

EJ
ID#
Kristie Fisher
01/13/05 CK# 1432 Hickory Hollow Rd. NE 35
Solon, IA 52333

E]
ID#
Vicki Hyland
01/13/05 CK# 1575 Shady Court NW 50
Swisher, IA 52338

EJ
ID#
John Titler
01/13/05 2803 Deer Valley Drive NW 50
CK#
Swisher, lA 52338

EJ
ID#
Kelly Zbanek
01115105 1785 State Street 50
CK#
Ely, IA 52227

EJ
ID#
Harger Acoustics
01115105 2245 State Street 100
CK#
Ely, lA 52227
ID#
Julie Farmer
01/16/05 3121 Deerfield Dr . NE 100
CK#
Swisher, IA 52338
ID#
Jim Rotter
01/18/05 3212 Mohawk Road 25
CK#
Solon IA 52333
ID#
Laurene Lamch
01/18/05 3618 Meadow Knolls Rd 25
CK#
Marion, IA 52302

Disclosure lawrequires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives by 1 2
marriage) . Hsurname 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)
 I
For Instructions, See Back of Form SCHEDULE
Reset Form
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

Kids First

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 688.32A(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/DDYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Mary Gudenkauf
02/16/05 PO Box 326 a25
CK#
Swisher, IA 52338
ID#

ED
Vicki Hyland
02/16/05 1575 Shady Court NW 25
CK#
Swisher, IA 52338
ID#

EJ
Mick Starcevich
02/17/05 6409 Meadowlark Court SW 25
CK#
Cedar Raids, IA 52404
ID#

EJ
Steve Doser
02/17/05 4975 Valley View Dr. SW 20
CK#
Cedar Raids, lA 52404
ID#
Greg Leytem
02/18105 1275 Pacific Street 25
CK#
Ely, IA 52227
ID#
Kevin Behrends
02/18/05 1558 Sequoya Drive NE 25
CK#
Solon, IA 52333
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

' Disclosure law requires candidate committees to disclose the relationship of any relative making a cordribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 2 2
. if surname of contributor is the same as candidate, but there is no
marriage) Page of _
familial relationship, enter "not applicable' in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM ReM FOrM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(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 .

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

Kids First

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED Cd applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
I fw Fisher Reimbursement for $7.10 for
03/07/05 1432 Hickory Hollow Rd . NE highlighters for postcards and $356 .50 $ 363 .60
CK#
Solon, lA 52333 for postage for postcards

1D#

CK#

ID#

CK#

1D#

CK#

ID#

CK#

ID#

CK#

1D#

CK#

1D#

CK#

SUB-TOTAL $ 363 .60

TOTAL (If last page of this schedule) $ 363 .60

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

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 persontentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 66A.402(3)(i) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Mustbe same as on Statement of Orgarrizzation) Rev.O B/9 CONTRIBUTIONS
Kids First
Q CHECK THIS BOX IF
AMENDING FORM
React Form

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME ANDADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD(YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

F-1
$
Rockwell Collins Printing and 45 .0()
02/02/05 400 Collins Road NE cutting 400 post
Cedar Rapids, IA 52498 rardc

F-1
F-1
F-1
F-1
F-1
F-1
F-1
F-1
F-1

'Disclosure lawrequires candidates to disclose the relationship of any relative making an in kind contribution to the I
Page of I
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate, butthere is no
familial relationship, enter"not applicable" in the relationship column .