03-31-05 15 :29 COMMUNITY STATE BANK ID=563 942 3938

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev. 0712004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Qfflce Use On)v
Comm. # ,~;,2 /
_r
IMPORTANT : Indicate by # type of committee you are reporting for: Logged In ~ 2~1
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate (2 )State PAC (3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC (11 )Local Ballot Issue 1 t Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

CC~ x'63-7q a- 3 3 ~f y 3-3i--{",S

SIGNATU F PERSON FILING EPORT TELEPHONE DATE SIGNED

I AM FILING A - ) - 0S REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.

(report date) Indicate by #

Local Committees, enter Date of Election

OCHECK IF AMENDMENT TO REPORT DATED
3 - aa _ 0J
County & Local Committees, enter County In
Check if this is final (termination) report and attach Notice. of Dissolution Form DR-3. which Elect Is held
(You must continue to file reports until a DR-3 is filed .)
C a.r

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 .) ... ...... . ..... ... ... .. ... ........ $ 59
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) ..,~. .
Schedule F: Loans Received total (Attach Schedule F) .... ... .. .. ... .......... ... ........ . ........ ... .. . .. ...
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . ............. ......... ... .. . .. ...
i~
LSchedule H applies to Candidates' Committees Only) sly 7-~ 7 .
SUB-TOTAL .....$ t
SUBTRACT TOTAL MONEY SPENT THIS PERIOD 5 k9l
1,

Schedule B : Expenditures total (Attach Schedule B) ('"also see debts and loans below).... 11

Schedule F: Loan Repayments total (Attach Schedule F)........ .. ..... ... ........... ... .. ... . ........ ..... .
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) .. ..... .. . .. .................. ... ........... ... .. ............... .......... . . ..__....._.._. . ...._...... ... .S ,

"UNPAID BILLS (From Schedule D - Attach Schedule D).. ... .. . ..... .... . .... . .. .. . .. ... .. ... ...... ... ... ........... ....$
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. ... ... . . ..... ...... ... .. ... ........ . ........ . $
"OUTSTANDING LOANS (From Schedule F-Attach Schedule F)... . .. .. . ... . . .... . ...... ..... ... .. .... .. .. . ... ... .$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) S
YES a NO
03-31-05 15 :29 COMMUNITY STATE BANK ID=563 942 3938 P04/06

For Instructions, See Back of Form SCHEDULE

MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION: Section 68B.32A(6). Iowa Code, prohlbits 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
(if applicable) TO CANDIDATE' RECEIVED FUND-
RECEIVED
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

I D#

3-30-05 ~,o 13ox at . s qa-(a

CK#
Sto.nwood, "ZA SaB ~~'1
I D#

CK#

ID#

CK#

10#

CK#

ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

1D#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
commlnee . Relationship must be shown to the third degree of conaanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page ~~ of
(for Schedule A)
familial relationship, enter "not applicable" In the relationship column .
05-25-05 16 :45 COMMUNITY STATE BANK ID=563 942 3938 P04/05

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

North Ceda.r k1
STATE CANDIDATES NOTE: IF ACONTRIBUTION 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 683.32A(6), Iowa Code, prohlbits 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/ODYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

=d QwnLCe
e.
t~- (-p5 CK#
30
r7 'o1-4J
C
C:1 at-~nce '~ S a t~
I D#

CK#

ID#

CK#
ID#
CK#
ID#
CK#
1D#
CK#
ID#

CK#

ID#

CK#

ID#

CK#

10#

CK#

SUB-TOTAL

TOTAL (Iflast page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
commitco. Relationship must be ahown to the third degree of consanguinity (blood relatives) arsd affinity IralatiVCS by
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)
03-31-05 15 :29 COMMUNITY STATE BANK ID=563 942 3938 P05/06

FOR INSTRUCTIONS, SEE BACK OF FORM akcseG; ±urm` SCHEDULE

B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
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 AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD(YR) AND PAC
CHECK
NUMBER
ID# Mt-vexnor`,-Lisbon SU.rti ZnSRr~S f~r news, 2r
;I9
[ PO fox
CK#
AA+ .Vernon~ 5a3)
ID# nht.Ykrmn-usbon Sun. AcWw~Mn9 -rre .~tcngs
Cx# P6 acv- t aq 3~'-f''~ i
M.+ . Vern0n MA a3 i ~'~I~Vo~ . .o~d
ID# F,
* 3 Colnmunick-t-i wS C.a. .iotE ~d
CK# 5 pa Box 3oq If btb
3-3&-05 W he i~ 1k

CK#

ID#

CK# ..

ID#
CK#
ID#

CK#

ID#
CK#
SUB-TOTAL $
54-
TOTAL (iflast page of this schedule) $ 55lrl
(o

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 personslentities providing consulting, advertising, fund-raising, pollLng, managing . organizing services must also be detail itemized on
Schedule G by the amount, purpose. and date o! 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)(1) .)

(for Schedule B)
D5-25-05 16 :45 COMMUNITY STATE BANK ID=563 942 3936 P05/05

W"A1R'1'TNWl
FOR INSTRUCTIONS, SEE BACK OF FORM il . SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07103) 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.

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

North Cedar k I DS
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Dlsbursemenp WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
ID#
y_i-a5 S,L~_ t~ea.e)S -4 AdverjtSer S,VIS,QT'fSIF!y QP'S
CK# :~c acx "m
$ 5a .a s
L_ow deJ, , xA s :lt z ss
ID#
_rip{on i^OhSer'v0
.~-1`~le
mt~t ~
L ri -o5 CK# ~~ Qn I r+ f~ t1UYr~'iSt
Ot u . ~0
XA
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ rl~ .

TOTAL (iflast page of this schedule) $

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 personstentities 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3xi),)

Page

(for Schedule B)
0-5-25-95 16 :44 COMMUNITY STATE BANK ID=563 942 3938 P03/05

a'v
Notice of Dissolution FORM

DR-3
(Rev . 07/03)

NOTICE OF
DISSOLUTION
Mail to .
IECDB

J
510 East 12`1', Suite 1A For Office Use Only
Des Moines, Iowa 50319
Comm. #
Indexed
Audited
Computer
Certified Date of Dissolution

COMMITTEE NAME

Nwrfih Ced.a..r K l DS
Official Name of Committee

PC
Street

7:[A !5a33 -1-00 3°7

City, State, Zip Code

(545 it' ga , 3 3y 14
Area Telephone
Code

WHEN TO FILE:
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following:

1. All debts, loans and obligations have been paid or transferred ;

2. All campaign funds have been spent ;
3. All campaign property sold or transferred (candidates only); and
4. A final report disclosing all transactions closing the committee .

For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as soon as
possible if the bank statement is not available at the time the Notice of Dissolution is filed .

~d , A1
.-&-4
Signature f andidate or Treasure (if candidate's committee)ISignature of Chair or Treasurer (if PAC)

s-a4-OS
Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM

This form is not applicable to statutory political committees .