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    FROM : BUSSRNMASPHONE NO . : 5 1 5 4 6 2 4 4 1 3Nov . 0 3 2 0 0 6 0 4 : 0 9 PM P2FORM7RUC77ONa SEE8 4CI rOFF OI Z I N

    DI SCLOSURESUMMARYPAGECOWOl f l 7 T d = NAW( Ur s t ee sams a s o n

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    J t r f t e St an dl f f o r P4Wat i MCan4Oa t e ( a ) 3 ' t s t e PAC ( 3 ) S l s 1 e Pa r t( < ) Comb C m r t r a l Co mmi t t e e ( S ) Co wr 0 Cmr Ad a t e ( 6 ) C g ~ r C a n d i d a t e ( 7 ) SOWd B o a r d o r O t h e rP o 1 Wc a 1 3 u b o l v i s i o n C a c r d i d a m a ( S) ComWPAC ( 6 ) Xy PAC ( 1 0) s at WOONd o r Cl OW P o t l t l c w lPAC

    I t

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    1 o Pa l e d % 4 1 an d awww e i pear ; . Pu mr md t o t o ws ( '. Od e aeQ0n 6 8 B- ' PAMt h e c a n d i d a t e , f o r a c s n d i d a t a ' s c o m r n i t t e a . an d t h e C h a i r p e r s o n , f o r an y o t h e r t y p e o f c o m m i t t e e , i s t h e

    l r h d i v i

    t n 9 s p o n wb l e f o r t e 0 p I N f y a n d a c c u r a t e r e P o n s .

    CASHONHMSa t t h e b e g i n r d n g o f t h e r e p o r t i n g t om- ( c o r a l o f a n f u n d s h e l d b y t h ec m t r n i 8 e e . 7 T t f s a m o t a t t I I X W b e t h e s a 1 t h e a s f t c a s h o n h a n d a t t h e e n di f f i r s t r e p o r t t i e d . ) . . . . . . . . . . . . . . . . . _ . _ _ . ~ . _ . _ _ . . _ _ . - . _ . . . . . . $

    L ACSCa ma l f t e " . c r a w0Mo f e l e c t i o nCo u n t y n L o c a l Co mmi f t e " , e n t e r C o u n p r i nwh i c h r a do n 1 s h e l d

    STATEMENT OF CASH ON HAND

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    o f t h eWwepor f p e r i o d o r mr t A b e z e r o Of t i s F R O M B U S S A N M A S P H O N E N O 5 1 5 4 6 2 4 4 1 3N o v 0 3 2 0 0 6 0 4 : 1 0 P M P 3F o r I n s t r u c t i o n s , S e e B a c k o f F o r mC O N T R I B U T I O N S - - M O N E Y T A K E N I Np n d u d n g c a n d O a D e ' s p e r s o n a l f w x f s )C O M M I T T E E N A M E ( M u s t b e s a m e a s o n s t a t e m e n t o f O r g a n i z a t i o n )A V ~ ~ 5 4 , 9 S - 4- 4 7 2 -S T A T E C A N D I D A T E S N O T E F A C O N T R I B U T I O N I S R E C E I V E D F R O M A S T A T E P A C ( P O L I T I C A L A C T I O N C O M M I T T E = E ) L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C H E C K N U M B E R I N T H E D E S I G N A T E D C O L U M N A L I S T O F I D N U M B E R S S A V A I L A B L E = F R O M T H E I O W A E T H I C S A N D C A M P A I G ND I S C L O S U R E B O A R DN O T E A N Y P E R S O N , O T H E R T H A N A N I N D I V I D U A L , T H A T C O N T R I B U T E S M O R E T H A N $ 7 5 0 T O Y O U R C A M P A I G N M A Y H A V E F I L I N GR E S P O N S I B I L I T I E S A N D S H O U L D I M M E D I A T E L Y C O N T A C T T H E B O A R DC A U T I O N S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f I n f o r m a t l o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l l c i t i n g c o n t r i b u t i o n s o r f o r a n yc o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e sSCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I PTSD C i - 1 E a c T H I S s o x I FAMENDI NG FORM_"Y. ' } ~ T b l N_ TT : T = , 1 \ ' 1 = lu~ T _ \ 1, L _ 1 1 ! 7 L _ _ Z '- . ~ . 1 .: "_ : t r y- _Y~u~L _ ' 7 - . . . z .~ . ~. . : t t I t t I I r T ' " J I F FORRECE I VED ( d a p p l i c a D i e ) TO CANDI DATE' RECEI VED FUND( MMI DOMR) ANDPAC CHECK ( i f apps ) R A I S E RM. A I A I M R I NCOME_ I D # C ' _ATHRI wE u , s s ANa l As s l s 7 e , e - $ / d p , 0 6CI A 2 - 5 1-s t - c i e v o As 5 -PA o L ~ - 2 -- - 0 9 - 1 0 a : 7 7 A l A e f f ~ e. AY / , l / 0 0 1 . J E s wA ~4 - r 5 ~6 . OaCK# t o s H. K~n r NaET~ ~~v a

    I D f I Q A1 6 A4 / 1 I < V ,l 6 l L L CK# ~ ~ - - . 3 o S - 5 ' r C RX~ , CI D I I - , ~ ~~ o y ~ - e e ~ oe + 9 ) 0 7 9 ; 0 L 3 A ( - A l" . _P A U L E E L p 5 , W R N l v O aQ ( ~ C K # ; 2 9 0 6 ~ ; R N D w r E l Q C1 s _l S i ~ s O ~ D a

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    FROM : BUSSANMASPHONE NO . : 515 462 4413Nov . 03 2006 04 : 1 0 PM P4Fo r I n e t r v r c t i o n s , See Bac k o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

    ( t n c e ' d M V w r d r t 3 1 1 6%D e r s o r i a 0 f i n e s )seama s a n St a t e me nt o f Of g a na at i o n)

    SCHEDULEA( R e v _ 0 7 / 0 8 MONETARYRECEI PTS0CHECK TH I S BOX I FAMEJ" NGFORM, TAI L OANDI DATF. $ NOTE : I F A CONTRI BUTI ON I S RECENEO FROM A k i T A TE PAC POL r 1TACT I ON COMMf TTEE , L I S T THE PAC I D EN T I F I C AT I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D ~I UMBUM, S A V AI L A R I a FROMTHE I OWA E T HI C S ANO CAMPAI GNDI SCLOSURE BOARD .NOTE ANY PERSON, OTHER THANAN 04D DUAL THAT CONTRI BUTES MORE THI N $ 7 5 0 TOYOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I UTES AND SNOULD I MMEDI ATELY CONTACT TH E BOARD .CAUT I ON : S e c t i o n 6 8 B_ 3 2 A( B ) , p r o h i b i t s t h e u s e o f I n f o r ma f l o n c o p i e d f r o m r e p o r t s and s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n yc o mme r c i a l p u r p o s e b y a n y p e r s o n o t t e r t h a n s t a t u t o r y p o l i t i c a l c o m r n i t t e s s _

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    ROM BUSSANNAS

    PHONE NO 5 1 5 4 6 2 4 4 1 3

    No v 0 3 2 0 0 6 0 4 : 1 1PN P5

    FOR 1NSTRUC77ONS, SEEa AC J C OF FORM : , R a a e ! o r i r i SCHEDULE

    EXPEND I TURES - - MONEYSPENT FROMCORMYI=ACCOUNT MONETARYSTATE I "~~TWIC CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH E . A L I S T OF I D r p S I S AHARA9LE FRAA THE t d M d 1 AMEND I NG FORME i NC 3 & CAMPAI GN DI SCLOSURE .COWWTEnNAeE b e s e n s e a s a n S' h dme r S a r 0 r l i o t t )

    ' CAND I DATE NAME ANDADDRESS TOV4 4 0M V __PUS SUMDATE I DKW-R E 1TURE TRANSAGT10N) EXPENDEDEXPENE* D ( i f s p pk e b l e ) ( D f $ b 1 a 8 9 n W* VMSMADE( M M I D Q I Y R ) AND PACCHWKBERr A~M4 4 4 A f f i C. D " 1 1 , 4 4 , 0C i ~o i ~. ~ . E ma r , ~a

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    FROM BUSSANMAS

    FOR I NSTRUCT I ONS , SEE BACK OF FORM

    PHONE NO 5 1 5 4 6 2 4 4 1 3 No v 0 3 2 0 0 6 0 4 : 1 2 PN P6

    SCHEDULE IE _ i " I NO( R e v CONTRI BUT I ONSQCHECK THI S BOX I FAMENDI NGFORM

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    FOR I N ST RU Cr ON S, S EE SACK OF FORMCOWI TTEE NME( Mus r b e s a me a s c r r S t a t e me n t o f 0 r 9 M N z 0 N a r r )A , I x l j v , ! 5 Ad 5 5 RNr n , ~. ~rmSTr4T~' ~NOTE : T h i s s d ma d u l e r e p o r t s money l o v ed t o t h e b o mml d t e w h I c h I s d a p a r l t e d i n t h e c 4 mml t t e e a c c o u n t ,TOTAL UNPA I D LOANS FROM =REPORTI NG PERI OD $

    a00 1 4 0 dPART - MONETARY LOANS RECEI VED= REPORTI NGPERI OD( O r t g Wt s o r t o f f o a m s u c h a s a b a n k , m u s t b e s h o w n t l a Mr d p a r t y I st n v a a e d I n d r a d e l o a n s f r o m c m d W a t e a p e n o n a r t a r d a ) - _--

    TOTAL ( P ART 0

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    ' 0 f t c l o a u r e l a w r e q u i t e s c a n d l d a l s c o mmi t 6 a a s t o d i o d o s e t h e r e l a t i m t t 9 p o f ON r e l a a Mr n a l s h r g a a o n Mb u l l o n t o t h e c mn ml i t e e . R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o fo m i a a n g l d n l l y ( b ~ r e i s l h r e a ) a n d e" ( r e l a f i m b y r n e n l a g a ) ,

    s u r n a m e a t f COR I l I bUFCT i st h e a c m e a s c a n d i d a t e , b u t I h s r e I s n o f a r n l l l a l r e l a f o m h l p , e n t e r ' f M a p p l i c a b W I n t h er e l a l l o n s h r p c o l u mn wh o I t a p p l l a s ,

    PART I I - HOMARY LOAN REPAYMENTS NLADE=REPORT I NG P E RI O D( L o a n s t o r g k a n mus t b e r r s p a r W o n S c h e d u l e E- l n 4 a r r d C o n t r f b e d l a f r s . )

    TOTAL CASH REPAYMENTS ( P A RT R )

    $

    F r o m S c h e d u l e E - TOTAL LOANS FORGI VEN

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    TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD

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    AMOUNTOF LOAM DATE P A I D( MMf DDNR) NAME AND ADDRESSOF LENDER( I n c M e E n d o s e r ' s N a m e , I f A p p l i c a b l e ) RELATI ONSHI PTO C A N DI D A T E 'I f A p p l i c a b l e )

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