Generated On: 1/8/2010 9:15:11 AM

DR-2 Disclosure Summary Page DR-2

Committee for the Progressive Future of Hampton Status: Amended
Committee Type: Local Ballot Issue Statutory Due Date 1/19/2010

County: Franklin Adjusted Due Date

District: 0 Filed Date 1/5/2010 8:39:37 AM

Committee Code: 21530 Postmark Date

Political Party: Not Available Amendment Date 1/8/2010 8:26:48 AM

Report Date: 2009 Candidate Name:

Treasurer
Last Name: Guldberg First Name: Ted MI:
Address: 114 1st Ave SE
City: Hampton State: IA Zip Code: 50441 Phone: 641-456-3484
E-Mail: sticktree@q.com

Chairperson
Last Name: Brower First Name: Jay MI:
Address: 1105 4th St SE, Ste 201 PO Box 412
City: Hampton State: IA Zip Code: 50441-0412 Phone: 641-456-3822
E-Mail: jbrow@rconnect.com

Statement of Cash On Hand

Cash on Hand at Start of Period $12.65
Schedule A: Cash Contributions Total $1,600.00
Schedule F1: Loans Received Total $0.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $1,612.65

Schedule B: Expenditure Total $1,612.65

Schedule F2: Cash Loan Repayments $0.00
Cash on Hand at End of Period $0.00

Additional Assets and Liabilities

Loans in Place at Start of Period $0.00
Schedule D: Unpaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F2: Forgiven Loans $0.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown No
Schedule H1: Campaign Property Value $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
 Generated On: 1/8/2010 9:15:13 AM

Schedule A: Contributions Sch-A

Committee for the Progressive Future of Hampton Status: Filed
Committee Type: Local Ballot Issue Statutory Due Date 1/19/2010

County: Franklin Adjusted Due Date

District: 0 Filed Date 1/8/2010 8:28:10 AM

Committee Code: 21530 Postmark Date

Political Party: Not Available Amendment Date

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Brower, Jay
11/16/2009 1105 4th St SE, Ste 201 PO Box 412 None $125.00
Hampton, IA 50441-0412
Check # Grote, Richard
11/16/2009 920 4th Ave SE None $500.00
Hampton, IA 50441
Check # Guldberg, Ted
11/16/2009 114 1st Ave SE None $125.00
Hampton, IA 50441
Check # Kent, James
11/16/2009 107 17th Ave NE None $150.00
Hampton, IA 50441
Check # Hampton Trading Post
11/16/2009 420 4th Street NE None $600.00
Hampton, IA 50441
Check # Spring Creek Co.
11/16/2009 420 4th Street NE None $100.00
Hampton, IA 50441

Total Regular Contributions $1,600.00

Total Fundraiser Contributions $0.00
Grand Total All Contributions $1,600.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
 Generated On: 1/8/2010 9:15:14 AM

Schedule B: Expenditures Sch-B

Committee for the Progressive Future of Hampton Status: Amended
Committee Type: Local Ballot Issue Statutory Due Date 1/19/2010

County: Franklin Adjusted Due Date

District: 0 Filed Date 1/8/2010 8:28:10 AM

Committee Code: 21530 Postmark Date

Political Party: Not Available Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure

Date Committee ID Amount
Check # United Bank & Trust Co
10/31/2009 N/A 400 Central Ave E Bank Charges $3.21
Hampton, IA 50441
Check # Brower, Jay
11/23/2009 712 1105 4th St SE, Ste 201 PO Box 412 Other Expenditure $1,600.00
Hampton, IA 50441-0412
pymt of previous report "Sched D: unpaid bills" = loan from Jay Brower
Check # United Bank & Trust Co
11/30/2009 N/A 400 Central Ave E Bank Charges $2.46
Hampton, IA 50441
Check # Brower, Jay
12/8/2009 CASH 1105 4th St SE, Ste 201 PO Box 412 Interest on Loan $6.98
WITHDRAWAL Hampton, IA 50441-0412

interest paid to Jay Brower, Account Closed

Total Amount $1,612.65

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
 Generated On: 1/8/2010 9:15:15 AM

Schedule F2: Loans Paid or Forgiven Sch-F2

Committee for the Progressive Future of Hampton Status: Amended
Committee Type: Local Ballot Issue Statutory Due Date 1/19/2010

County: Franklin Adjusted Due Date

District: 0 Filed Date 1/8/2010 8:28:10 AM

Committee Code: 21530 Postmark Date

Political Party: Not Available Amendment Date

Date Loan Amount

Paid / Name and Address of Lender Relationship To Candidate
Paid/Forgiven
Forgiven
11/23/2009 Brower, Jay None $0.00
1105 4th St SE, Ste 201 PO Box 412
Hampton, IA 50441-0412

Total Loans Paid This Period $0.00

Total Forgiven This Period $0.00
Total Unpaid Loans from Last Period $0.00
Total Received This Period $0.00
Total Outstanding Loans End Of Reporting Period $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1