2006-04-13 DR2 Summary Amended

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FEDERAT I Ot l BAC lK Pr-1(3E 01

04 .1" 13 :` 210136 15 : 35 13135532'636

FOR INSTRUCT70NS, SEE BACK OF FORM


DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Cr9anrzation)

Washington Good To Grcat


IMPORTANT: Indicate by # type of committee you ere reporting for: 11
( 1 )Statewldo1LegIsletIvelJucge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Perly
( 4 CCount ; Central Committee ( 5 )Count' Idate ( 6 )City Candidate ( 7 )School Board or Other
Pollfcel Subdivision Candidate ( 8 )Co4rtt . PAC ( 10 )School Board or Other Political
Subd vsoon PAC( -_, 11ILocalBallot lss e F~. ; .
CAN ATE COM EES DNL s

Candidate Name File with :


r Iowa Ethics and Campaign
Disclosure Board
Office Sought 510 E. 1211 , Ste. 1A
Des Moines, Iowa 50319
Fax: 515-281-3701
Late reports 9re subject to possible civil and criminal penalties. P'u ant to Iowa Code section 68B.32A(7)
ate, for a candidate's committee, and the chairperson, for any other type of committee, is the
esponsible for filing timely a d accurate reports.

TURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A April 8, 2 006 REPORT FOR (1) ELECTION i(2)NON-ELECTION YEAR


(report date) Indicate by N
8, `1706
joCHECK IF AMENDMQJT TO REPORT DATED Apnl Local Committees. enter Date of Elecllpn

F7 Check if this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County R Local Committees . enter County In
(You must continue to file report., until e DR-3 is filed,) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at Iho beginning of the reporting period . (Total of all funds held by the
commitee
te . This amount MUST bthsamee as thhe cason hand t the ed
0 .00
of the last reporting period or must be zero If this Is first report filed.) .... . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
15,199 .00
Schedule A : Cash Contributions total (Attach Schedule A) ('also see kind below) . . . . .. ..... . . ... . . .
F: Loans Received total (Attach Schedule F) . . . . .. . ...... . . ...... . .. in-Schedul ., ., .. . . . . ......... . ......... . ... ....... . . ... 0 .00
Schedule H: Total Salos of Campaign Property (Attach Schedule H) . . . . ... .., . .. . .. ... . . ..., ....., ..,.. ...... . 0 .00

lSch~dutsapnlle9 to Can~atW Committees Only)


SUB-TOTAL . . . . . . .. . . . . . . . . .. . . . . . $ 15,199 .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schodule B: Expenditures total (Attach Schedule B) ("also see debts nd loans below) . . . ,... . . . .... 4,367 .36

Schodule F: Loan Repayments total (Attach Schedule F) .. 0 .00


CASH ON HAND at the end of this reporting period (If final report balance must
10,831 .64
be zero) (Attach DI . . . . . ., ..... . . .... . . . . . . . . .... . . . . .., ., .. .. . .... . ..... . . . . . ., ., . .. ... ..., . .. . ....... . . ..... . . . . . ......... . .$

"UNPAID BILLS (From Sr7hedule D - Attach Srhedute D) . . .. ... . . ....... . .. .. ...... . . ..... . . ....... . . . . ...... . . . . ........ . . .... . . . .$ 9~0_7J_2 t4- `__-
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ..... . . ., . ..., .., .. . .. .. . ... ..... . . . ..., .... . . . .. . .. . . . . ., ., .. .$
-OUTSTANDING LOANS (Fmm Schedule F - Attach Schedule F) . .. . .... . .., ..... . . .. ... . . ... .  .. .. . . ... . ... 0.00
CONSULTANT BREAKDOWN (Schedule G Attached?) -YES 6" NO
CANDIDATE COMMfTTEES QNLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - .Attach Schedule H) $ 0.00

SIAM COMMITTEES- Submit a reconciled campaign account bank statement in January of each year.
PAGE 12'
13195532636 FEDEFATIOhd SA*'
k]a : 13 :'2006 15 : 35

For Instructions, See Back of Form


A
CONTRIBUTIONS -- MONEY TAKEN IN
(IndUdirg can(lidate's personal funds)
(Rev 07i03) I MONETARY
RECEIPTS

Q CHECK THIS 131-1/ IF


' COMMITTEE NAME (Must be .same as on Statement of Organization) AMENDING FORM

Washington Good To Great

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECCIMEC FROfs A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICA7InN
NUr.16E R .4PJD THE PAC CHECK, NI,MBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS Arto CAt!PAIGr ;
DISG_Q:3URE EoASD .

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for sollaiting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE FAr ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT "! IF FOR
RECEIVED (if appIlcahlel TO CANDIDATE' RECEIVED FI!rjD-
AlMiDD :YR) AND PAC CHECK (if applicable
;" RAISER
NUMBER IN COf,tE
ID#
Dick Gallagher 5250 .00
2 .17/06 CK# 2672 260th .
Washington . 1A 52-3 53
ID#
Janet Gallagher 250 .00
2:' .1706 2672 260th
CK#
Washin,ton, IA 52353
10#
l .ori lcc 1\4i! Is
orilcc 300 . 00
2?22 .,'0 6 605 South \+fnri0n Av+c
CK#
Washington, 1 52353 _
ID#
Michael and Karen Van Csdol 300.00
?;2? :Ot;
CK# 1314 Woodland Court
NVashin~ton, 1A 52353
IDo
I Eric Tumor 100 .00
2 2? :'llh 906 Sotlth I Oth Avenue
CK#
Washlnzw .IA 52 .353
ID#
~ ,~2 Sh<rwn and Steptiante Ellingson, 5011 .00
0b 809 North 2nd Avenue
CK#
Washington, TA 52353
I D#
John and Raren Nfoenck 500.00
~!22 ;'Oh 613 South A venUC D
CK#
Washington . TA 52353
Oft
Christina Buchholz 100.00
1, 22/00 CK# 2480 Huy 92
Washington, IA 52353
IDtt

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

' Disclosure la,v roquiras cgndlr±ate committees to dlsclp ." !he relst:onOlp of and relative roakirg a conttibution to the
cornmit'ee . Rnlavonehip must be sr+own to the third degree o' consanguinity (blood relatives) and affinity (relatives by
riarrlagr) . If eurnamo of contributor to the same ea candidate, but there io no page
Nmlllal relationship . enter'not applicable' in the relationship column . (for Schedule A)
BAI`1K PAGE
13135532535 FEDEPATIOr,1
0 42ID35 15 : 35

For Instructions, See Back of Form

CONTRIBUTIONS -- MONEY TAKEN IN


(including randidste's personal fl)nds'1

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

Washtnrtpn Good To Great

STATE CANDIDATES NOTE , IF, CONTRIBUTION IS RECEI VED FROrl A STATE DAC (POLITICAL ACTIOrl COMMITTEE) . LIST THE PAC !DENTIFICrnr0N
HUMBER AND THE PAC CHECK ,NUh1BEP IN 'HE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHIC6 AND CAPAPA ;Gri
DISCLOSURE B0ARD

CAUTION: Sor-hcn 58B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contrlbut~vns or
for any commercial purpose by any person other than ,tntutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applhable) TO CANDIDATE" RECEIVED FUND-
AND PAC CHECK (If applirahlo) RAISER
NUMBER INCCi .4E
ID#
2'2 306
I Edward D . Raber S2n0 .00
CK# 513 South Towa Ave
Washington, IA 52353
I D#
Vilest Chester Savings Bank 250.00
2!23/06 P.O . Box. 5l'
CK#
Washington, IA 52353
I I Dtt
Kollcr &Company LLP 25(),(10
2,2 0 , 0 CK# 206 South Iowa Ave
Washin on, lA 52353
I D#
. David C Bruns 500 00
-1 1 P .O . Box 22
CI
Washin tun, IA _523i3
I Dry
"LS'OC_ Karen Armstrong I 250 .00
I~ CK# 106 South 1'd, :3vc
Washin tor., 1A 52353
ID#
Almstron,g Heating &Air Conditioning, Inc.
,, . ., _ 116 250 .00
`/ `, CK# 220 South 14th Avcnuc
W.'tshington TA 52353
I Dtt
Renee n.
St cren 1 .3 .00
"2_ OG CK# 146 210th Street
i
Keota, TA 52242
I DIV
. i Steve R . Green 5000
~, ..~1ri16
CI 903 Paradise D-ri. v c I
Washington, 1A 52353
~ ID# I
John D. Tebockhorst 25 .00
2~3~1'06 ( CK# 1121 East 3rd Street
W ashinern n . T A S23S3
ID#
Jeffrey S . crock 35,00
2/24 ;06
I CK# 501 North 7th Avenue
WashinpTon .1A 5235 ;1
SUB-TOTAL
1,825.00
1 11
TOTAL (if last page of this schedule)
S
' D;SCIOSUre la .a" squires c:mdniste committees to dlsiaosa the ral.nIinn",hIp of any relative making 1 contribution to the
comr-iotes ~,ern11onnhlp must be shown to the third degrrh of r-onsangulnity (bleed relallves) and aftlnlty (relative; by 2
marr!age) It Surname of Contributcr is the same as card-date, but there is no Page of -17 __,
famlllol relallonBnlp enter' not applicable In tha relationship ,dump (for Schedule A)
FEDERATION! EAI1k;: PALE h'4
04 ;13 :2006 15 :35 13195532636

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A
(Rev . 07/03) I MONETARY
RECEIPTS

0
(lnriudmg candidate's peronal funds)

CHECK THIS BOX IF


COMMITTEE NAME (MUSt be same as on Statement of OrganIzabon) AMENDING FORM

W .,3shington Good To Great

STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECEIVE0 FRON4 A STATE PAC (POLITICAL ACTION COrAMITTEE), LIST THE PAC IDENTIFICATtr?rl
'Q'U':1EER , .ND THE ?r"C CHECK rIUVRER IN TrtE DESIGr"IrTrC ,;OLUMN A LIST OF ID rJUMBERS IS AVAILABLE FROM THE 10'&A ETHICS AND -~ANIFAI ,N
DISCLOSURE EO,:RO

CAUTION : Soctlon 68B ._2A1,), lows Code, prohibits the use or information copied from reports and statements for soliciting contnbutlcns or
for ,n~,- -ommerclal purpose by any person other than ,iotutory political committees .

DATE PAC ID NUMBED NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP I AMOUNT If= FCR
RECEIVED Of applicable) TO CANDIDATE' RECEIVED FUrID-
(MIvUDDiYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCO'v1E
ID#
Ruthella English g2 00 .On
n% 1 ,'06 815 North i`larion
CK#
Washington, TA 52.353
IDo
Kevin E . r'osekany 50 .00
/24-06 401 East 13th Street
CK#
Washin tnn, IA 52353
ID#
Doug Dunlap 200,00
2;2 ;:'06 509 W'cst w'ashington
CK#
'Washington, 1A 52353
lot
Stcvcn C. Olson 10o .n0
3 1'06 CK# ??4g East Trio Lane
Washin ton 1;1 52353
I D#
Nancy Clawson

F-
20 .00
" 28 ' 06 CK# 1000 West 516 I
Washington, irk 52353
ID#
T~t1CVS 500 . oo
2.2k (lb outh ':5th Avenue
~ CK# 2

ington, IA 52353
ID#
John 34', Hel .scher, D .D S . 500.00
;I01;
'11 CK# 205 South ~-tanon Avenue
Washington, TA 52353
I ID# I
David J Schmitt 500 .00
3, l. o6 S00 South 14Th Avenue
C K#
Washington, 1A 52353
IDt

3'1 .06 CK#


lulic Grotewold
807 High Avcnuc East
I 300 00 I

Oskaloosa. IA 525"
I D9 Rehecca Harman 100 00
CK# 594 Pcrdock Coourt
Washington, TA 52353

' Dlsc~pslre ,sw requi , Os condIdaie cornmiBee3 to disclo=.e the ra,~~lirngh'p cf any rolative msklna a contrlbullon to the
=ommthee Relationship must be shown to the third degmo ,~f 20ns .9ngtjlrity Wood r0arlvoe) grid affniry (relstlves by 3
marr'age) If surname of contributor Is the same as con,7 :date, nut there is no Page of - . _-
tamdlal mlatlenship, enter "not appilcoble' in the rnl.3tlonshlp column (rot Scheduler\)
FEDEPAT I ChJ BA*'' PAt ;E 135
1319 h5=12536

For Instructions, See Back of Form SCHEDULE


A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
ilnCludinn csndldale's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME ("Must be samo as on Statement of Organization) AMENDING FOR(,.1
\k ashingtor, Good To Grrat

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEI` 1 ED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC !DENTIFICATIOri
rlurt16EF AND Tr1E PAC CHECK NUf~laER IN THE DESIGNATED C01- .~Mri . .A LIST OF lD NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAIdP.NJGf .I
DISCLDSURE r3C,ARD .

CAUTION, Section 68B .32A(6), Iowa Code . prohibits the use of Information copied from reports and statements for soliciting contributions or
for any rrmmercial purpose by any person other than statutory political committees

DATE PAC ID NL MBER f NA,',IE AND ADDRESS OF CONTRIBUTOR I RELATIONSHIP AMOUNT v IF FOR
RECEI',1 ED (if applicable) TO CANDIDATE' RECEIVCD FIJr1D-
(IVI,N1 ;DDrYR1 AND PAC CHECK (If apPIICable) RAISER
NUh1BER Ir` .COt,1E
` ID#
Sidney D . N9snfall
2'23~Oti S 500 .(1(1
, P .C . Box Q66
I CK#
\Vashington, TA 52353
2,125,,06
' I D#

CK# 605 South 1 Stlt Avenue


Washington, (A 52353
ID#
T-T . Winifred \Tarsliall ,ooo .on
2 ?=i,tt(~ I CK# 1203 E :~st Washtnrton Street
Washin on, T/\ 52353

Tracy A . Strabsla 10,00


2; 1 ~h
CK# 336 South Avenue B
Washin on .1A 52353
' ID#
VC . . TnC . I 300 .00
12 .4'06 C Kr 1405 Ridgcvick, Court
Washington
.I A 5'353 _

Jones Funcra ; Homc . Inc . 1 200 .00


;'Oh I t 6 East Main
CK#
Washington, T ,1 52353

Unitemi2.cd Contributions 103 .00


2!2'>>Of
CKt

ID#
TJnitemizcd Contribitions 10 .00
CK#

' I D#

C K9

Ip#
1

CK#

SUB-TOTAL

TOTAL (if Iasi page of this schedule)

Disrlesuro 13- ~cqulrAS ,-endidarc corimlttees to disclose the relationship of any relative meklnp e rontrlbutlon to Ino
-~m,,itten . Relationship mua be shown to the third aogroo cf ,_ onsanquInity (blood relallves) and afflnlty Irelatlve!. by 4
msrrsgn ;! . If surname of contributor Is the same as cand :dste, hill there Ie no Page ------ of_ _
rar,lllat relauonship, enter "not appjICaVIO' in the rdallons llp column . (far Scnerlule AI
FEDERATII11h1 E4PJK FA( -:: E '
O4 13 :' 006 15 :35 1319553'2535

For Instructions, See Back of Form SCHEDULE


lt~":ef Fc,rm
Anon[=Tr,4 ,
CONTRIBUTIONS -- MONEY TAKEN IN (Rev 07io3r RREr_4:I

a CH
:
;
Inci" :r,irq c.srd" oata' persnn ;I F .nas)
(-, K THIS 6ni :
i COMMITTEE NAME (Must bR game as on Statement of Organization) AMENDING FORM

Wa,dlmtrton Good To Cnatt

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICALACT)ON COMMITTEE) . LIST THF PAC iDENTII"CATIk;N
NLIYOSR AND THE PA(; CHECK NUMBER IN THE DESIGNATED r_CLUMN, A LIST OF tr) NUMBERS Is AVAILABLE FROM THE IOWA ETHICS AND CAMFAICti
_)'SC,LCSURE BgARD

CAUTION : SecbOn 688 .32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting Contrlbuhgn ; or
`or any commercial purpose by any person other than statutory polibcal committees.

D;`'E PAC It, NUMBER I'gAr , ,IE ArID ADDRESS OF CCr`!TRI8UT0 R RELATI0Pd5HIP AMOUNT IF FOR
PFCFf !ED L( apphc,-nl~' TO CANDIDATE' RFe7EIVEU FL r ~-
_ .. r~ ~.t10 rat- ;H,EC: I,: (j "Ipplicat'It .') 1':! ER

I D#
Shelly L. Etoffnlan $100 .00
iC6 1105 North Marion Avenue
r,K#
Washington, IA :2353

Edward A. Brtmll
~,.? .li0f 5f)U .(10
CK1f 2214 250th Street i
Washington, IA 52353
IDS
Fral,cls I. , Inhcstolt I )t)U .00

1.1 ,I,!)in ._,t,,, . ;2 i5 ?,


ID#
Donald B VV~lk IOU t1p
3101 ;00 C'K# ,705 285Lh Slr,, L:t

ID#
~ ,11,I,n OrCtI~I 500 .(1(1
I C K#

IDh
I Unitetnnrd Contributumv 31,t)t)
.I
CK#

ID# ~-
l2(mald E_ Cioo(lwtn 200 ' 00
;1!05!06 i CK# 726 East Jefferson
Washingnnn, TA 52353

Robert Koller, CPA ~U


15
.00
;;'01/06 ' CK# 615 South klarion
Washington, (A 523_"'3
I Dz r---
3j1)fl :t)(i 6fl i Vl cnt M mit
CKit

Oil
Debbie S. Crri~.
3'00!06 I l South 2nd Av
CK# .,
Washin flan, La 52 .353
SUB-TOTAL

T07AL (if Jasr page of this schediuir


.)

' Dlsao^ :rs taw requires candAatc committees to d,scraee the ratatlonnnip of any relatwc making, a corltribAion to the
< .w-ridtee Rr:otionship n1ust be shown ro the Ihird degree of consanyuirity (bloori " datives) ann 8rfmRy (refatlur"._e by j ,-
w1,anIege It surname of contrlbulor is me same as candidate . but there is no page or __
farndral rrlwlonship . enter 'not 3policabla - in the rclaponsh,p column . (for SChedule A)
131135532635 FEDEPATIOH BAllk PAGE 07
X34 : 13 :'243a 6 15 :35

For Instructions, See Back of Form SCHEDULE


A NAONETARY
CONTRIBUTIONS "- MONEY TAKEN IN (Rev, 071031 L RECEIPTS
r ;ncluding candidate's personal funds)

Q CHECK THI:3 BOX IF


COMMITTEE NAME (Must be same es an Statement of Organization) AMENDING FCRf4

%Vashinrtnn Cood To Great

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED rROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATir)N
NUMBER AND THE PAC, CHECK NUMBER IN THE DCSIGNAT[O COLUMN, A LIST OF ID NUMBERS IS AVAILABLE FROM THE 10VJA ETHICS AND CANIPAIGr , i
DISCLOSURE BOARD

CAUTION : SPCtion 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements ror soliching contrlhution' of
for a ny commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AtvlOlJrJT \I IF F0 P


RECEIVED (i( applicable) TO CANDIDATE - RECEIVED Funr)-
In'l(V1lDD'vR! AND PAC CHECK (if applicablel RAISER
NUrv1BER IIICOME
ID#
~, Horak Insurance $500 0(1
10~0F
CK# 115 East %Washington
W'ashin,gtvn, IA 52353
ID9
Donald Klinc 300 .(10
3~22~n6 909 South 12th Avc
CK#
Washington, IA 52353
ID#
Marianne and .fim ilanshaw 250 .00
3 8 ; OG
CK#f 11 I West 10th Street
Washington, [A 52353
ID#
)Jon Snhaski 180 .00 I
3 22'On 3245 Dogwood Ave
CK#
Bri Ivott .I :'~ 52540

C~
IDk
Michael rVIL)orc 250 .00
3'2_t,'Ot' CK# 1101 East Wa :hi.ngton Stmct
Washington, l,-\ 5235'

Judith Dri^.colt 500 .0171


1
' 2 2, 06
CK# C I ? 'kVcst \Vashin2ton Blvd
Washington, IA 52353
ID#
Cathy Ricli 250 .00
.i'25i0ti CK# P O . Box 21 ,E
BriRliton, TA 52740
ID#
Lauren and David Powers
:1'2')'Oti 100 .00
CK# 714 N 2nd A'vc
Washington, LA 52353
ID#
5hanc Ehresman 200.00
3%29106 CKIO 315 W=st rd Street
Wasltinutnn IA 12353
ID#
Unitemized Comnloutions 20 .00
a : 3 ; Or,
CKtt

SUB-TOTAL
2,550 00
g
TOTAL_ (if last page of this schedule)

' DISCIoxiro 1911- rn ;auires candidwe Comrnittees to disclose the rolarionobip of any relafivo making 4 Contribution to tine
COrnmlrr?o Rel»tignship mu5r, be shown to the fhIrd dogree of corSengulnlty (blood relatives) end affinity Iretatives by
n,nrrlngo) If yurnomo of oontrlbufor i, the sai" as candl(Jalc . but there to no Page __,_
farnihal rcIntionehip . enter - not apphcablP" In the relationship rolurnn (for Schedule Al
FEDEPATIOFJ SA1J4C PAGE
13/ ?00h 15 : 35 -31'355321335

For Instructions, See Back of Form SCHEDULE


A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. CV03), RECEIPTS J
(InrJuding randidntP's paMonsl tends)
CHECK THIS BOY, IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Washington Good To Grear

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECE".'ED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFI ;ATION
NUMBER AND THF PAC CHECK NUMBER Ird THE DESIGNATED COLUMN A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAAdPA,N
DIS :L0SUPE BOARD

CAUTION : Section 688 .32A(6), lciWa Code, prohibits the use of information copied from reports and statement:: for soliciting contributions or
for any commercial pl .lrpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT "' IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECCIVED FLIND-
iMrs1/00;YRj AND PAC CHI=CK (If applioab)P) RAISER
NLIVIeER INCCI`,tE
ID#
Vemon Hosktnson $5000
4!3 Clf 1302 Last Washington St
CK#
Washington, TA 52353
ID#
Lclsha A . binge 150 .00
4!5lOG 902 South Towa Ave
CK#
Washington, lA 52353
ID#
N.P .K .K . Pork, L C . 500 .00
~~C 0( 1806 250th .Srreci
CK#
Washington, IA 57..353
ID#

CK#

ID# I

C0
I

ID#

CK#

I D#

CK#

I D#

CK#

ID I

CK#
I I

CKA 0

SUB-TOTAL

TOTAL (If lost page of this schadule)

' Disc ;esure law recuirea ~-Indldete c,:rnrnittees to disclose the relelonshlp of erg relative making A contricution to Ine
rpmm hee, Rolationship must be shown to the third degroe of consgnqulnlty (olood rrlatlves) and affinity (relatives by 7 7
n,2rr :a .an) . If surnnrnc cf contributor is the same as candidate, but there ig no Page ------- of
(zimlllal tuletiunshlp, rnter - net applicable" In (no rolatlonshlp column . (rot Scnecule A)
I_
PAGE
FEDERATIOH BAPIh :
ea :,' 13 ' 20t~r, 15 : 35 13135532535

FOR INSTRUCTIONS, SF_ E BACK OF FORM ;,. SCHEDULE


MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(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 :HECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
FET~-IICS & CAMPAIGN DISCLOSURE BOARD,

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

Washington Good To Great

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOLIHT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disborser'tom) WAS MADE
(h1%11CD VR1 AND PAC
CHECK
NUMBER
' ID#
Pohaku Website 17cvclopment
3 . I,IO6 1201 Industrial Park Drivc ' Brochure Printing and $ 3(1(10 .00
CK# 501
Washington, TA 52353 Mailing
fD#
Farm Burcau T3uilding Rcntal
3'21 06 CK# 50 -1 427 Rwy I & 92 60 .00
Washington, TA 52353

ID#
Washington Evening Journal Advenuing
3 `4'00 111 North Marion Ave 145 .30
CK# 503 Washington, 1 .4 -52353

ID#
Heather Lujano TTanslare Advertising into Spaniah
,26'06 944 South Iowa Ave 110 .00
CK# 504
Washington, IA 52353

ID#
NIcdiaeorn TV Commercials and Advertising
; ;3 06 P .O . Box 9411 0 2000 .00
C K# 507, Palatine, IL 60094

ID#
Washington Evening Journal Advcnlcing
413%()(, CK# 1 I 1 North h,Tarion Av°__ 52 .06
S
0` Washington, TA 52353

ID#

CK#

ID#

C K#

SUB-TOTAL $ 4,367 .36

TOTAL (iflast page of this schedule) $ 4,367 .36

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases Y certain campaign property costing $500 or more must also be Inventoried on Schedule H (Refer to Schedule H instrurtlons )

Expendlrures to person Ventitles providing consulting . advertising. fund-raising, polling, managing . organizing services must also be detail itemized on
Schedule , by the amount, purpose, and dale of each type of eypendlture made by the parsonlentity on behalf of the candidate's commit+ee. (Refer to
Schedule G mstrurt , ons and Iowa Code 69A,402(3)(i) .)

1 ----- I
Page __ of _----___

(for Schedule 6 I
FEDEPAT I OtJ EAt JF' PAcaE 10
a4f13 " 20 F3 h 15 : 35 131'36532635

FOR INSTRUCTIONS, SF_E BACK OFFORM SCHEDULE


D INCURRED
COMMITTEE NAME (Must he same as on Statement of Organization) (Rev 08198) INDEBTEDNESS
Washington Good To Great
21 CHECK THIS BOX
IF AMENDING
NOTE: Debts previously reported that remain unpaid must be included on this
E"TM,Rt . FORM
Schedule, as well as any new obligations Incurred in this period .

An "Incurred debt" Is a debt for


DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ardereid or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid fcr by the
end of the reporting period .,
regardless of whether an Invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDD,^(R) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
S
Washington Evening Journal Newspaper Advertising
3/31 .'OG 2,320 .31
111 North Iviarion Avenue
Washington, TA 52353

Coralvillc Copy Works Copies of Flyers


4!4!06 6b9 .31i
309 2nd Street
Coralville, TA 52241

Washington Evening Journal Newspaper Advertising


41506 111 North Nfarion Avenue 3y5 .00
Washington, IA 52353

Washington Evening Journal Netivspaper Advertising


415106 131 .017)1
111 North Marion Avcnuc
Washington, TA 52353

PIP Printing Copies of Flyer


4i6.~ 06 401 .25
415 Highland Avenue
Iowa City, TA 52240

KCII Radio Radio Ads n


31~8, , 0~ 1,503 . . .8
110 East N'lain StTcct
Washington, TA 52353

EG Smats Window Clings


3/28!06 6(18 North Iris Street 484 .66
Mt, Pleasant, TA 52641

SUB-TOTAL S
5,884 .88

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S

'If actual figure Is unknown, show 'estlmstoe" beside the nguns . Page of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred Indebtedness also Includes each porsonlentlty with wham the candidate's commlttoo has entered Into a contract during the reporting Deriod for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as adverf,lslng, fund-raising, polling, managing, or
Organizing services . Re port on Sc hedule O the nature of performance and the ev1mated performance reasonably expected of the consultant .
13196512636 FEDERATIOtJ BAtJk PA ::E 11
04, 1 2006 15 : 35

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. D8/98)1 INDEBTEDNESS
Washington Good To Great
CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be Included on this
Schedule, as well as any new obligations incurred In this period .
FORM

An 'incurred debt" Is e debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period ,
regardless of whether an Involco
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDDrYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
$
Image Graphics Copies of 13rochurc
4l4%06
218 West Washington 10 .71)
Washington, IA 52353

Washington Community Y Meeting Room Rental


4!6.%06 121 East Main Street 25 .00
Washington, TA 52353

Poha k WebsiteDevelopment
3/13/06
31 1201 Industrial Park Drive Brochure Printing and Mailing 3,1 .50 .66
Washington, IA 52353

16-
SUB-TOTAL $

3,186 .36
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

9,071 .24

'If actual figure Is unknown, show 'estlmatod' beside the llguro . Page 2 of 2
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred Indebtedness eluo Indudee each person/entry with vriom the candidate's committee has entorod Into a contract during the reporting period for future
or rcononuing pertermanta . Enter the name of the consultant who provides or procures services for Items such as advertising, fund-raising, polling, mgneplng, or
argenlzlng services . Report on Schedule G the nature of performance and the estlma!ed performance reasonably expected of the consultant .
FEDERATIOtl BAtJK PF,c3E
X04/ 13 :-'23136 15 : 35 13196532636

FOR INSTRUCT(ONS, SEE BACK OF FORM

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


SCHEDULE
E I IN-KIND
(Rev, 06/97)1 CONTRIBUTIONS
Washington Good To Great
m CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
f,AMl0D1YR OF CO NTRIBUTOR - ITa IlEabte CONTRIBUTION VALUE CONTRIBUTION

3/28/06
Stephanie Ellingson
809 North 2nd Ave
Washington, IA 52353
Copies of info for
presentations
77,95
E]
Stephanie Ellingson Copies of info for 3.44
3110,'06 809 North 2nd Ave presentations
Washington, TA 52353

Stephanie Ellingson Copies of info for 10 .08


2!15106 809 North 2nd Ave presentations
Washington, TA 52353

Stephanie Ellingson Rcam of Paper 6.00


3/10106 809 North 2nd Ave
Washington, JA 52353

Stephanie Ellingson Printer Tnk 22 .00


3 :'10/06 R09 North 2nd Ave Cartridge
Washington, TA 52353

Horak Insurance Billboard 350 .00


4,,06/06 115 East Washington
Washington, TA 52353

Donald Kline Foam Poster Board 45 .00


3/30/06 909 South 12th Avc for Displays
Washington, IA 52353

Lonlee Mills Copy Works 84 .00


3/30.'06 605 South Marion Ave Copies of brochure
Washington . TA 52353

Lorilee Mills Supplies for High 33 .10


3/30,,06 605 South Marion Ave School Tour
Washington, TA 52353

West Chester Savings Box of Checks


1060 W Monroe 11 .95
2/23/06
Washington, IA 52353

TOTAL (If last


page of thIs
schedule)

- Disclosure law r"ulres candidates to disclose the relationship of any relative making an In kind contribution to the Page l of l
cemmltteo Relationship must be shown to the third degree of consanguinity (blood relatives) and affInlty (relatives (for Schedule E)
by mamage). (See Page 2 of forms pocket .) If surname of contributor Is the same as candidate, but there Is no
tamlli,91 relationship, enter 'not applicable" In the relationship column .

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