MON 03 :%8 AM Security Sate Bank Hub b

FAX N0, 16418643119 P, (~ l

FOR INSTRUCTIONS, SEE BACK OF FORM Reset Fo~m FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

(Rev. 12/2005) REPORT
COMMTTTEE NAME (Must be same as on Statement of Organization)

For Office Use One

Comm . #

IMPORTANT: indicate by 4 type of committee you are reporting for Logged In

( 1 )Statewidel~ egislative/Judge Standing for Retention Candidate ( : )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 (1100 )School Board or Other Political Computer
bdivision PAC
Audited

jMgCL0SURE BOARD
Political Party (if applicable) File with:
Iowa Ethics and Campaign
Disclosure Board
510 E . 12'", Ste. 1A
Des Moines, Iowa 50319
Fax: 515-281-3701
'I-ate reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B.32A(7)
the cap4dnte, for a candid ntos committee, and the chairperson, for any other type of committee, is the
al responsil for fi
timely and accurate reports .

6 C</ in (-/ zz ~,iY fld ,o~

TU OF PERSON FILING REPORT TELEPHONE DATE SIGNED

IAVFILING
GA L~ REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR,

r (report dale) Indicate by # a

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

[7 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
County & Local Committees, enter County it
(You must continue to file reports until a DR-3 is filed .)
which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND a" the beginning of the reporting period . (Total of all funds held by the
committee . Tnis amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero ifthis is first report filed.) . .. . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . Ct

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 ~. Total Sales of Campaign Property (Attach ScheduleH),

. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .

'Schedule H applies to Candidates' Committees Only)

SUB-TOTAL . . . . . . . . . . . . . . . . .. . . . . . $

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

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

Schedule F Loan Repayments total (Attach Schedule F) . . . . . . . ., . . . . . . . . . . . ., . . . ., .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---

CASH ON HAND at the end of this reporting period (if final report balance must
De zero) (Attach DR-3). . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

-UNPAID BILLS (From Schedule D - All Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . .5

"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ., ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . .$

-OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ... . . . . . . . . . . . . . . . . . . . . .5

CONSULTANT BREAKDOWN (Schedule G Attached?) _

CANDIDATE COMMITTEES ONLY

VALUE OF CAMPAIGN PROPERTY(From Schedule H - Attach Schedule H)

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
 T'JL - 10-2 - n6 SON 09 ; 28 AN Security State Bank Hubb FAX NO, 16418643119
F, 02

For Instructions, See Back of Form SCHEDULE

.
Reset-,Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(In,,-lading candidate's personal funds)
F7 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 DESIGNATED COLUMN A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISC-OSURE BOARD

NOTE: ANY PERSON, OTHER THAN AN INDVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION : Section 688 .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 NAME AND ADDRESS

OFCONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED I (if applicable) TO CANDIDATE" RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
ar 17 G~+ 14 2f7 ~~C- /~
$
4-0 5.X -7
1
Q~1JC uff' f -r--p .rJ ,a1
ID# n
K l C "A4 .4-0 ,7/LA2-L' C

3a3 E#fT- 5T_

aL CK#
- Zt
2~9DCc_4 -C~

'707
~u ol~.oao ..~ is l d
I D# ~p<_ ~-
q2l- CK# i a7 I-4-f~~do$0~I.

~V ~Q9L~ Z ~
lo#
Cti~ .G~ .e-rz . s
Z ~ ~ I CK# ; lml $
76 Loor r y r c .Y- .-t.

ID#
G

/L.4O G GC ~ ~
I D# 9~I t 9 Q t C. sc, 0

JJ CK# ~O d C-A-T~4 U t 5
A O USG c- ~ van
ID# I ~~~~~J ~5~ iiL2 I
740 7
f (- s6
I D#
4 /L,C ~ " Av
C O

CK# 2S G o dv 6~r~J sat

ID# I
I
C K# I
I I

Z S

TOTAL (f last page of this schedule)

' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee Relationsnip must be shown to the third degree of consancuinlty (blood relatives) and affinity (relat)ves by
marriage) . If surname of contributor is the same as candidate, bu'there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 JUL-10-2r'36 NON 09 :29 AN Security
State Bank Hubb FAX NO, 16418643119 P. 03

FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form ':

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 D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE A LIST OF ID NUMBFRS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

e.C bb.4j Ae- 4-L4iv .~ ceez .0

CANDIDATE I NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if apolicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# oir l~4bGc~~fc 77, 77T-7~% 4~a--
Ury

Iii / "0 ( -d r. ,a-

Dr
6U L fl C[., Fr- 7~-
I D# C_11" 2 4_
or- _-s G
"SJ G
N
i .v7r
2l Ayen
P/L

cK# ,QAc~ P v S T".~-y-

c v'~ <'~
ID#
N
~l8 NAYw'OZ0 I ..-.--
CK# ~~ i " ~ . r S
O
Pos., ~i 01" T 53 ..
oaS_

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ivo G I ~~,(,,o~
/Z ~ /~ nc Sam' ~~'
Cr.# --
ID# AD .6- Q

FAST C&tifTAjfA-i' ~- d
C K# Za l
/O L

SUB-TOTAL $ / I r7 J L)2
'
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

PJrchasez o' ce"tair , campaign property costng $500 or morr, must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to personslentities providine consulting, advertising, tund-raising, polling, managing, organizing services must also be detail itemized on
Schedule by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Rete° to
Schedule G Instructions and Iowa Code 68A 402(3)(i).)

(for Schedule B)
 JI!L-'C'-20"6 MON 09 :29 AM Security State Bank Hubb FAX NO, 16418643119 P, 04

FOR INSTRUCTIONS, SEE BACK OF FORM Reset For 'n__ SCHEDULE

B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR'_EGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBEF IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NJMHcR FOR EACH EX°ENDITURE . A LIST OF ID NUMRERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement o` Organization)

CANDIDATE NAME AND ADDRESS 10 WHOM PURPOSE AMOUNT

DATE IC NUMBER EXPENDITJRE (DESCRIBE TRANSACTION) EXPENDED
EXDENDEC (if applicable) (Disbursement) VJAS MADE
(MM/DD!YP) AND PAC
CHECK
NUMBER
. ID# t3 44 C_44-v- -d- 1-
7//G
Z7
--7
. .~
CK#
166 s $

ID#

C K#

ID#

' CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $/~~(Z7
T
TOTAL (iflast page of this schedule) $ l tv
752-

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases o` certain campaign property costing $500 or more must also be inventoried on Schedule H, (Refer to Schedule H instructions .)
Expenditures to pe-sonstentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Scneduic 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),)

(for Scnedufe B)