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  • 8/7/2019 Hoth Andrew__1642__scanned

    1/5

    OCT - 1 8 - 2 0 0 6 1 1 : 25 AM HOTH L AW OFFI CE

    FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI 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 )Ho l h f o r Hous eI MPORTANT I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r : UJ( 1 ) S t a t e w i d e / L e g i e l a l i v e ) J u d g e S t a n d i n g f a r R e t a n t l o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l Co mmi t t e e 1 5 ) C o u n t y C a n d i d a t e ( e ) C i t y 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 rP o l i t i c a l Su b di v i s i o n Ca n d i d a t e ( B ) C r a u n t y PAC ( 9 ) C i t y PAC ( 10 ) S c h o o l Bo a r d o r O t h e r P o l l t i c s i

    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 an d c r i m i 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 Cod e s e c t i o n 686 . 3 2 A ( 7 )t h e c a n d i d a t e , f o r e c a n d i d a t e ' s c o m m i 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 m m i 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 o r f i l i n g t i m e l y a n d a c c u r a t e r e p o r t s .

    SI GNATURE OF PERSON F I L I N G REPORT TELEPHONE

    I AM F I L I N G A Oc t o b e r 1 9 , 2006( r e p o r t d a t e )

    [ CHECK I F AMENDMENT TOREPORT DATED

    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

    Che c k i f t h i s i s f i n a l ( t e r m i 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 .( Y o u m u 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 . )

    3 1 9 7 5 4 1 9 6 0

    ( 3 1 9) 7 5 4 - 5 0 0 0 1 0/ 1 8/ 0 6

    REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON -E LECT I ON YEAR .I n d i c a t e b y #

    STATEMENT OF CASH ON HANDCASH ONHAND 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 m m i t t e e . T h i s am o u n t MUST b e t h e same 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 must 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 . ) . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . $ 112 . 3 7

    ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) ( ` a l s o s e e I n - k i n d b e l o w) . . . . . . . . . . . . . . . . . . . . .Sc h ed u l e F : L o an s Re c e i v e d t o t a l ( A t t a c h Sc h e 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 Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,

    ( S c he o y l e H a p p I ~ i e A t o Ca n di d a t e s ' Commi t t e e s On l y )SUB- TOTAL . . . . . . . . . . . . . . . . . . . . . . . $ 8 6 2 . 3 7

    SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e du 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) . . . . . , . . . . . . . . . . . 5 0 5 . 1 0Sc h ed u l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . 0 , 0 0

    FORMDR- 2( R e v 1 2 1 2 0 0 5 ) DI SCLOSUREREPORT

    F o r O f f i c e Us e O n l yComm # _ _Logged I n , , - _ __ _ _ _Sc a n n e dCompu t e rA u d i t e d

    F i l e w i t h :I o wa E t h i c s an d Campa i gnD i s c l o s u r e B o a r d, 9 1 0 E . 1 2 " ' , S t e 1 ADe s Mo i n e s , I o w a 5 1 ) 3 1 9F a x : 5 1 5 - 2 6 1 - 3 7 0 1

    C o u n t y & L o c a l C o mm i 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

    75 0 . 0 1 10 . 0 00 . 0 ( )

    DATE SI GNED

    CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) ____YES J NOCANDI DATE COMMI TTEES ONLY :VA LU E OF CAMPA I GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H ) $ 0 . 0 0TATE COMMI TTEES : S u b m i t a r e c o n c i l e d c amp 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 ,

    P . 02

    CASHON 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 mu s t 3 5 7 . 2 7b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . , . . . . . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . $" ' UNPA I D BI L LS ( F r o m S c h e d u l e D - A t t a c h Sc h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . , . . . . . . . . . . . . $ 7 5 . 0 0' I N KI ND CONTRI BUTI ONS ( 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 ) $ 1 . 0 8 5 , 8 1' " OUTSTANDI NG LOANS ( F r o m Sc h ed u l e F - A t t a c h S c he d u l e F ) . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0

  • 8/7/2019 Hoth Andrew__1642__scanned

    2/5

    OCT- 18- 2006 1 1 : 26 AM HOTH LAW OFFI CE 3197541960 P, 03

    F o r I n s t r u c t i o n s , Sa o B a c k o f F o r mCONTRI BUT I 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 s ame 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 )Hu t h f o r h o u s e

    DI SCLOSURE BOARD

    RESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD.

    SCHEDULEA MONETARY( Re v 0 7 1 0 3 ) RECEI PTS[ ~ CHECK THI S BOX I FAMENDI NG FORM

    STATE CANDI DATES NOTE! I F A CONTRI BUTI ON I B RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PACCHECK NUMg6N I N I HE I J F S I V NA 1 E L I COLUMN A1. , 1 $ T OF I n NI , I MRFRq I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNNOTE ANY PERSON, OTHER THAN AN I N DI V I DU AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N G

    CAUTI 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 m a t i 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 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 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 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 e s .

    SUB- TOTALTOTAL f l f l a s t p a g e o f t h i s s c h ed u l e ) $ 7 5 0 . 0 0

    ' 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 l l o n s h i p o f a n 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 o mm l t l e e R e l a t l o n s h l p m u 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 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 r l 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 ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o P age 1 o ff 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 . ( f o r S c h e d u l e A )

    DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND( MM/ UUr yN) AND PAC CHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D#

    7 / 1 7 / 0 f i Ga r y Pu t n a m $ 5 0 , 0 0CK# 2 5 0 1 A r t t 9 1 i A S t r e e tBu r l i n g t o n , l A 5 2 6 0 1I D#

    9 / 1 5 / 0 66 0 8 6 , I S EA PAC 1 0 0 . 0 0CK# 7 7 7 3 r d S t r e e t1 3 5 3 3 D e s Mo i n e s I A 5 0 3 0 9I D# 6 0 7 0 I o wa L a w P a c 5 1 . 1 ( 1 . 0 1 19 / 2 h / 0 6 CK# 5 2 1 E a s t L o c u s t S t . , F l , 3 r d3 3 9 0 De s Mo i n e s , 1 A 5 0 3 0 _ 9 - 1 9 3 9I D# 8 4 6 6 A l l Ame r i c a PAC 1 0 0 . 0 01 0 1 1 U / U 6 CK# 2 3 2 4 6 0 7 1 4 t h S t r e e t NW, S u i t e 8 0 0

    I D#C K i t

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    I D #CK#I L 1 #C K I 1I D# - . . . . . . . . , . _UK#

  • 8/7/2019 Hoth Andrew__1642__scanned

    3/5

    OCT- 18- 2006 1 1 ; 26 AM HOTH LAW OFFI CE 3197541960 P, 04

    T HI S BOX APPL I E S 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 mu s t a l s o b e i n v e n t o r i e d o n Sc h e d u l e 1 - 1 . ( 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 a / 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 mu s t a l s o b e d e t a i l i t e mi z e d o p tS 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 made 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 o5 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 68A . 4 0 2 ( 3 ) ( i ) . )

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

    FOR I NSTRUCTI ONS, SEEBACK OF FORM 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 L EGI S L AT I V ECANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I n N NI I MP I F R I N THE DESI GNATEDCOLUMNANDTHE L ] CHECKTHI S BOXI FPACCHECK NUMBER FOR EACH EXPENDI TURE A I . I S T n F I n N I . I MR FR R I S AVAI L ABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE_ BOARD,COMMI TTEE NAME ( Mo o t b e s e r v e a s o n S t a t e me n t o f Or ' g a ni z o t i o n)Ho t h f o r Huusc

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i u a L l c ) ( D i A ms v i v e o l ) WA9MADE( MM/ DD/ ' r ' R) ANDPACCHECKNVMUt K

    I D# Po s t ma s t e r Fe e f i ) r p o s t o f f i c e bo x8 / 1 6 / 0 6 CK# 1 0 3 0 B u r l i n g t o n , I A 5 2 6 0 1 $ 3 6 . 0 ( 1D# Cr a f t s ma n P r e s s En v e l o p e s

    1 6 / 1 3 / 0 6 CK# 2 0 3 N . 3 r d S t r e e t 2 6 7 . 5 01 0 2 1 Bu r l i n g t o n , I A 5 2 6 0 1I D I f De s Mo i n e s Co u n t y News News p a p e r a d s1 0 1 13 / 0 6 CK# 1 ( 1 2 2 F , Q , b o x I / ' / 2 0 1 . 6 0We s t Bu r l i n g t o n , I A 5 2 6 5 5

    I D#CK#D#CK#I D#CK#I n t lCK#I D#CK#

    SUB- TOTAL $TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) $ 5 0 . 1 0

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    4/5

    OCT - 1 8 - 2 0 0 6 1 1 : 27 AM HOTH L AW OFFI CE 3 1 9 7 5 4 1 9 6 0

    FOR I NSTRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ame 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 )Ho t h f o r H o u s cNOTE : D e b t s o r e v i o u s l v r e p o r t e d t h a t r e ma i n u n p a i d mu s 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 GATI ONS REMA I N I NG THI 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 .

    P . 0 5

    SCHEDULED I NCURRED( Re v . 0 e / 9 e ) I I NDEBTEDNESSQCHECK T HI S BOX

    I F AMENDI NGFORM

    A n " 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 _ __of _I( f o r S c h e d u l e D )CANDI DATE COMMI TTEES 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 w h o m t h e c a n d i d a t a ' s Wr n mi l l m h a s o n t c i c d i n t o a c o n u 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 i n u r n g p e r f o r ma 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 ms 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 an i z i n g s a r v i c a s Re po r t o n 5CPmd 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 ma 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 ec t e d o f t h e c o n s u l t a n t .

    DATEI NCURRED( MM/ DD/ YR) NAMEANDADDRESS OF PERSONTO WHOMDEBT OR OBLI GATI ON I S OWED

    DESCR I PTI ON OF GOODS ORSERVI CES PROVI DED ORPURCHASED

    BALANCEOWED ATCLOSE OFREPORTI NGPERI OD'

    1 0 / 3 / 0 G C o l t l r n b u s . l u n c t i o n Ga z e t t eP . O . Bu s 267Co l u mb u s J u n c t i o n , I A 52 7 38

    Nc ws p a p e r L u i s 7 5 . 0 ( 1

    SUB- TOTAL $

    TOTAL DEBTS OWED BY COMMI TTEE AT THE END OF THI S REPORT I NG PERI OD $7 5 . 00

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    OCT - 1 8 - 2 0 0 6 1 1 : 28 AM HOTH L AW OFFI CE 3 1 9 7 5 4 1 9 6 0 P, 0 6

    FOR I NSTRUCTI ONS, SEE SACK OF FORMCOMMI TTEE NAME ( M u s t b e s a me a s o n S t a t e me n t o f O r g e n l z e f l o n )Ho t h f o r Ho u s e

    SUB- TOTAL 1 $TOTAL ( i f l a s t 1 $

    P~ f l e o 1 t h i cs c h e d u l e )

    SCHEDULEE I N- K I ND( Re v . O B / 6 7 ) CONTRI BUTI ONSQCHECK T HI S BOX I FAMENDI NG FORM

    1 , 0 1 1 9 . 1 3 1

    * 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 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 ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Pa ge T o f Ic a n1 n l l t t e e . R o l a t l a n s h l p Mus t b 3 a h , o w n t o t h e l l l i r d d e g r e e o r o o r r e a r r g u i r A y ( b l v u d i e l a l i v G S ) a c r d a f f i o i l y ( r e l a t i v e s ( f o r S c h e d u l e E )b y ma r r i a g e ) . ( S e e Pa ge 2 o f f o r m s p a c k e t . ) I f s u r n amo 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 or a r r u l i a l r v l a b u r r s h i p . v n t e r " r r u 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 .

    DATE RELAT I ONSHI P DESCRI PT I ON ESTI MATED I F FORRECEI VED NAME AND ADDRESS TO CANDI DATE OF I N K I ND F AI R MARKET FUND- RA I SER( MM/ DD/ YR ) OF CONTRI BUTOR ' ( I f a p p l i c a b l e ) CONTI RI DUTI ON VALUE CONTRI BUTI ON1 3 / 9 / 0 6 A nd r e w Ho t h Sc l f Pa y b i l l t o Ba n k e r s 503 . 9 74994 F e r r e s L a n e Adv e r t i s i n g f o rS U r l i n g l o n , I A 52601 y a r d s i gnsH / 1 6 / 0 6 A nd r e w H u l l ' So l f Pa y b i l l t o Ba u k c r s 215 . ( ) ( )4994 ~ c a r c s L a n e Adv e r t i s i n g f o rB u r l i n g t o n , I A 5 2 6 , ( ) 1 s t i c k e r s8 / 2 8 / 0 6 An i f v ` v l i u l . S u l f Pa y b i l l t o 258 . 9 44994 F e r r e s L a n e Cr a f t s ma n P r e s sB u r l i n g t o n , I A 52601 f o r pos t c ar d s8 / 3 0 / 0 f i An d r e w Hu t h Sc l f Pa y b i l l t o De s 1 3 . 0 04994 Fe r r e s Cane Mu i n c s Co un t y5 n d i r t g l . u n , 1 A , 52601 Aud i t o r f o r

    vot i ng r e c o r d

    9 / 2 9 / 0 6 S l . c v c n Hu t h F a t h e r T a p e &s a w f o r 9 , 3 86048 Ni k o n h a P l a c e y a r d ; s i g n sf 3 u r l i n g t u n , 1A 52601St e v e n Ho l . h F a ( h o r T a p e f o r y a r d 9 . 8 71 0/ 1 3/ 0 6 0 0 4 9 Ni k o n h a P l a c e Si g n sR u r l i n g t w i , TA 52601

    1 0/ 1 3/ 0 6 ' S t e v e n I l ot h6048, - [ B u r l i n g t o n ,

    Ni k u n ha P l a c e F a t h e r I I I i l a g c , 1 ' ) 0 t n i , 7 5 . 6 5 F IC i , . 4 4 5 p e r mi l eI A 52601F7F7