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  • 8/7/2019 Heckroth William__1608__scanned

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    FOR I N ST RUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

    P o l i t i c a l P a r t y ( i f a p p l i c a b l e )De mo c r a t i c

    COMMI TTEE NAME Mu t b e s ame a sS t a t e e n t o f Or g i z t i o n ~( . ~ a d ~ ~~V o l l !He c k r o t h f o r S en a t eI MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n( 4 ) C o u n t y C e n t r a l Co mmi t t e e ( 5 ) C o u n t y C a n d iP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) CoS u b d i v i s i o n PA C ( 1 1 ) L o c a l B 3 l k t t - r A

    d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t yV t C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l

    L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i mi n a l p e n a l t i e s . P u r s u a n t t o I o wa C o d e s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i v i d u a l r e s p o n s i b l e f q A f i l i n g t i me l y a n d a c c u r a t e r e p o r t s .

    S I GNATURE OF PERSON F I L I N G REPOR

    I AM F I L I N G A May 3 0( r e p o r t d a t e )

    r 7 CHECK I F AMENDMENT T O REPORT DATEDC h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n Fo r m DR - 3 .( Yo u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR - 3 i s f i l e d . )

    C AS H ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s amou n t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PER I OD

    STATEMENT OF CASH ON HAND

    ' . R e s e t - F o r n i

    TELEPHONE DATE S I GNED

    REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- EL EC TI ON YEAR .I n d i c a t e b y #

    C AS H ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mus tb e z e r o ) ( A t t a c h DR - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    FORMDR- 2 D I SCLOSURE( R e v . 1 2 1 2 0 0 5 ) REPORTFo r O f f i c e Us e On l yComm . #L o gg e dl n i _ _ __ _ _S c a n n e dComp u t e r - - - - - - - - - - - - - - - - - - - - - -A u d i t e d

    F i l e w i t h :I o wa E t h i c s a n d Ca mp a i g nD i s c l o s u r e B oa r d5 1 0 E . 1 2 ' h , S t e . 1 ADe s Mo i n e s , I o w a 5 0 3 1 9Fa x : 5 1 5 - 2 8 1 - 3 7 0 1

    ( 3 19 ) 3 5 2 - 1 6 37 J u n e I , 2 0 0 6

    L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n

    Co u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

    1 2 , 4 8 5 . 5 8- - - - - - - - - - - - - - - - - - - - - - -

    1 1, 0 9 5 . 2 6

    ' S c h e d u l e A : C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c he d u l e A) ( * a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . . . . . . . . . . . . .S c he d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f C a mp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ( Sc h e du l e H a p p l e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )

    1 , 6 0 0 . 0 0- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -

    - - - - - - - - - - - - - - - - - - - - - - - -

    S UB- T O T AL . . . . . . . . . . . . . . . . . . . . . . . $ 1 4 , 0 8 5 . 5 8SUBTRACT TOTAL MONEY SPENT T HI S PER I OD

    2 , 9 9 0 . 3 2Sc h e d u l e B E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - -Sc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    * " UNPAI D BI L LS ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D )* I N KI N D CON TR I BU T I O NS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $- OUT S TAND I NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    $ 1 . 1 1 9 . 0 6 - - - - - _ - - _ - - - - - - _ - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -

    CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) YES VNOCANDI DATE COMMI TT EES ONLY: 0 . 0 0VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $ - - - - - - - - - - - - - - - - - - - - - - -S TA TE COMMI TT EES : Su bmi t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .

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    Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r mCONTRI BUTI ONS - - MONEY TAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )H e c k r o t h f o r S e n a t e

    D i s c l o s u r e l a w r e q u i r e s c a nd i d a t e c ommi t t e es t o d i s c l o s e t h e r e l a t i o n s h i p o f an y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p must b e s h ow n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c an d i d at e , b ut t h e r e i s n of a mi l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn .

    SUB- TOTAL

    TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI FI CATI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I NDI V I DUAL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI ON : Se ct i o n 68B . 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 ma t i o n c op i e d f r om r e po r t s a n d s t a t e me n t s f o r s o l i c i t i n g c on t r i b u t i o ns o r f o r a n yc omme r c i a l p u r p o s e b y a ny p er s o n o t h er t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

    1P a g e - - - - - - o f 2_ _ - - - - - -( f o r Sc h e d u l e A)

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

    DATE P AC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT I F FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUN( MM/ DD/ YR) AND P AC CHECK ( i f a p p l i c a b l e ) RAI SNUMBER I NCOI D# S u s a n J o h n s o n $ 2 5 0 . 0 00 5 / 1 5 / 0 6 CK# 3 0 2 G a r n e r D r i v e , Wa v e r l y , I A 5 0 6 7 7I D# 6 0 6 0 I o w a C o mmi t t e e o n P o l i t i c a l E d u c a t i o n , AF L - CI O $ 3 0 0 . 0 00 5 / 1 5 / 0 6 CK# 2 0 0 0 Wa l k e r , S u i t e A , D e s Mo i n e s , I A 5 0 3 1 72 3 9 3I D# E d w a r d Adams $ 2 5 . 0 00 5 / 1 8 / 0 6 CK# 7 0 9 W e s t B r e m e r A v e n u e , Wa v e r l y , I A 5 0 6 7 7D# D e n n i s D i c k m a n $ 1 0 0 . 0 00 5 / 1 8 / 0 6 CK# 1 2 0 2 F r a n k S t r e e t N . W . , Wa v e r l y , I A 5 0 6 7 7

    I D# S a n d r a Hag eman n $ 2 0 0 . 0 00 5 / 1 8 / 0 6 CK# 1 3 0 7 C e d a r R i v e r D r i v e , Wa v e r l y , I A 5 0 6 7 7I D # L a v o n J u h l $ 1 0 0 . 0 00 5 / 1 8 / 0 6 CK# 1 6 0 2 C i r c l e D r i v e , Wa v e r l y , I A 5 0 6 7 7I D# Wi l b u r S c h i e l d $ 5 0 . 0 00 5 / 1 8 / 0 6 CK# 2 1 2 1 T h i r d S t r e e t S . W. , Wa v e r l y , I A 5 0 6 7 7I D# J e r r y M a h a c e k $ 2 5 . 0 00 5 / 1 8 / 0 6 CK# 6 0 1 B r o w n L a n e , Wa v e r l y , I A 5 0 6 7 7I D # T o d d T h o ma s $ 1 2 5 . 0 00 5 / 2 2 / 0 6 CK# 3 9 0 9 H e r i t a g e R o a d , C e d a r F a l l s , I A 5 0 6 1 3I D # Mi k e B o o k $ 1 0 0 . 0 00 5 / 2 2 / 0 6 CK# 1 2 0 3 B r i d l e S p u r C o u r t , Wa v e r l y , I A 5 0 6 7 7

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    Fo r I n s t r u c t i on s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s on St a t e me n t o f Or g a n i z a t i o n)He c k r o t h f o r Se n at e

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSa CHECKTHI S BOX I FAMENDI NG FORMSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM ASTATE PAC( POL I T I CAL ACT I ON COMMI TTEE ) , L I S T THEPAC I DENT I F I CAT I ONNUMBER AND TH E PACCHECK NUMBER I N THEDESI GNATED COL UMN A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETH I CS ANDCAMPAI GNDI SCLOSURE BOARDNOTE : ANY PERSON, OTHER THAN AN I NDI V I DUA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TOYOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I BI L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : 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 ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me 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 an yc omme r c i a l p u r p o s e b y an 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 mmi t t e es .

    TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p m u s t b e s how n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn .

    SUB- TOTAL

    Page _ 2 o f 2 - - - - - -( f o r Sc h e d u l e A )

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SNUMBER I NCO

    I D#Don Ho t h $ 2 5 0 . 0 00 5/ 2 4 / 0 6 CK# 1 0 0 Woodl awn Roa d, Wa t e r l o o, I A 5 0 7 01

    I D# Gl o r i a Campbe l l $ 2 5 . 0 00 5/ 2 5/ 0 6 CK# 1 6 0 7 H i l l s i d e Av e n ue , Wa v er l y , I A 5 0 6 7 7I D# P a t r i c i a Br own $ 5 0 . 0 00 5/ 2 5/ 0 6 CK# 2 0 8 Fou r t h A v e n u e S . E . , Wa v e r l y , I A 5 0 6 7 7I D#CK#

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    T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e m u s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e mi z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e mad e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c h e d u l e . G i n s t r u c t i o n s a n d I o w a Code 6 8 A . 4 0 2 ( 3 ) ( i ) . )

    P a g e 1_ _ _ _ _ _ _ _ _ _ o f 1- - - - - - - - -

    ( f o r S c h e d u l e B )

    FOR I NSTRUCT I ONS , SEE BACK OF FORM F c s c t , F o r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI T T EE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DE NT I F I CA T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TT EE NAME ( Mu s t b e s a m e a s o n S t a t e me n t o f O r g a n i z a t i o n )He c k r o t h f o r Se n a t e

    CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D # T h e P r i n t Z o o , L . L . C . P r i n t i n g o f c a mp a i g n s t a t i o n e r y a n d0 5 / 1 5 / 0 6 P . O. Bo x 8 3 5 p o s t c a r d s $ 2 , 0 2 7 . 6 5CK#

    Wa t e r l o o , I A 5 0 7 0 3I D # K a t i e I n g eb r e t s o n Re i mb u r s e me n t f o r p u r c h a s e o f

    0 5 / 1 5 / 0 6 8 0 9 We s t Fo ur t h S t r e e t , Ap t . 4C c a mp a i g n c o mmi t t e e o f f i c e s u p p l i e s $ 6 7 . 9 2CK#Wa t e r l o o , I A 5 0 7 0 2 a n d e v e n t r e f r e s hme n t s

    I D # De a n Mi t c h e l l a n d A s s o c i a t e s U t i l i t i e s f o r c a mp a i g n c o mmi t t e e0 5 / 1 8 / 0 6 4 1 6 We s t Br e me r A v e n u e o f f i c e $ 5 2 . 0 6CK#

    Wa v e r l y , I A 5 0 6 7 7I D # Un i t e d S t a t e s P o s t a l S e r v i c e Po s t a g e0 5 / 1 8 / 0 6 CK# 1 2 4 S e c o n d S t r e e t S . E $ 5 . 6 1

    Wa v e r l y , I A 5 0 6 7 7I D # Un i t e d S t a t e s P o s t a l S e r v i c e Bu l k ma i l i n g c e r t i f i c a t e a n d p o s t a g e

    0 5 / 2 2/ 0 6 1 2 4 S e c o n d S t r e e t S . E . $ 4 5 5 . 0 0CK#Wa v e r l y , I A 5 0 6 7 7

    I D # Qwes t T e l e p h o ne s e r v i c e f o r c a mp a i g n0 5 / 2 5 / 0 6 , P . O. Box 9 1 1 0 4 c o mmi t t e e o f f i c e f o r May 2 0 0 6 $ 1 8 2 . 1 3CK#S e a t t l e , WA9 8 1 1 1

    I D # Ma t t h e w Ta y l o r De s i g n , u p k e e p , a n d h o s t c a mp a i g n0 5 / 2 5 / 0 6 9 3 6 B Bo s t o n Wa y , Ap t . 2 we b s i t e $ 1 9 9 . 9 5CK#

    C o r a l v i l l e , I A 5 2 2 4 1I D #CK #

    SUB - TOTAL $ 2 , 9 9 0 . 3 2TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ 2 , 9 90 . 3 2

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    FOR I NSTRUCT I ONS SEE BACK OF FORMCOMMI TT EE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )H e c k r o t h f o r S e n a t eNOTE : D e b t s p r e v i o u s l y r e p o r t e d t h a t r e m a i n u n p a i d mus t b e i n c l u d e d o n t h i sS c h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .

    DEBTS/ OBL I GAT I ONS REMAI N I NG T HI S REPORTI NG PERI OD( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F )

    ' I f a c t u a l f i g u r e i s u n k n o w n , s h o w " e s t i ma t e d " b e s i d e t h e f i g u r e .

    SCHEDULED I NCURRED( R e v . 0 8 / 9 8 ) I NDEBTEDNESSCHECK T HI S BOXI F AMENDI NGFORM

    An " i n c u r r e d d e b t " i s a d e b t f o rg o o d s o r s e r v i c e s o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f w h e t h e r a n i n v o i c eh a s b e e n r e c e i v e d .

    Page 1 o f 1( f o r S c h e d u l e D)

    CANDI DATE COMMI TT EES NOTE :' I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e s e a c h p e r s o n / e n t i t y w i t h whom t h e c a n d i d a t e ' s c o mmi t t e e h a s e n t e r e d i n t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u i n g p e r f o r m a n c e . E n t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e m s s u c h a s a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o ro r g a n i z i n g s e r v i c e s R e p o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r m a n c e a n d t h e e s t i m a t e d p e r f o r m a n c e r e a s o n a b l y e x p e c t e d o f t h e c o n s u l t a n t .

    DATE DESCRI PTI ON OF GOODS OR BALANCE OWED ATI NCURRED NAME AND ADDRESS OF PERSON SERVI CES PROVI DED OR CLOSE OF( MM/ DDI YR) TOWHOM DEBT OR OBL I GAT I ON I S OWED PURCHASED REPORTI NGPERI OD`$B i l l H e c k r o t h M i l e a g e o n p e r s o n a l v e h i c l e f o r0 5 / 1 4 / 0 6 1 0 1 0 Ri d g e wo o d B o u l e v a r d c a mp a i g n p u r p o s e s , 2 8 6 8 mi l e s a t 9 7 5 . 1 2Wa v e r l y , I A 5 0 6 7 7 $ 0 . 3 4 p e r mi l eC o l l e t t e B e e g h l y P o s t a g e0 5 / 2 4 / 0 6 P 0 Bo x 3 2 6 1 8 . 4 8C o n r a d , I A 5 0 6 2 1B i l l H e c k r o t h M i l e a g e o n p e r s o n a l v e h i c l e f o r0 5 / 3 0 / 0 6 1 0 1 0 Ri d g e wo o d B o u l e v a r d c a mp a i g n p u r p o s e s , 3 6 9 mi l e s a t $ 1 2 5 . 4 6Wa v e r l y , I A 5 0 6 7 7 0 . 3 4 p e r m i l e

    SUB- TOTAL $1 , 1 1 9 . 0 6

    TOTAL DEBTS OWED BY COMMI T TEE AT THE END OF T HI S REPORTI NG PERI OD $ 1 , 1 1 9 . 0 6