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FOR I NSTRUCTI ONS, SEE BACKOF FORMDI SCLOSURE SUMMARY PAGECOMMI TT EE 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 )

e n y l ~y f ' 1 f l f t ~A F _ - e ' - 4 A . ) , L- f ~a I I J . uA~I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y ou 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 L e g i s l e f i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e eCANDI DATE COMMI TTEES ONLY :C a n d i d a t e Name/ 1&&AA~ P . t i - J I &C-_f '

O f f i c e S o u g h tC, CCA t a. l Ul - 9 1 ~

() L41 ~ t : 5 b 3 ) ~ b 3 - 7 ' qS I ATURE OF TREASURER ( o r p e on f i l i n g t h i s r e p o r t ) TELEPHONE

L a t e f i l e d 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 and c r i m i n a l p e n a l t i e sSEE I NSTRUCTI ONS ON BACK ANDCOMPL ETE THE FOL LOWI NG SENTENCE :I AMF I L I N G A - REPORT FORAN/ A ( 1 ) ELECTI ON 1 ( 2 ) NON- ELECT I ON YEAR_

I n d i c a t e one9; ( . '; ' H E C K I F AMENDMENT TOREPORT DATEDl b

( r e p o r t d a t e )

D i s t r i c t ( i f Se n a t e o r H o u s e )

( ~ Check 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 and 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 F or m DR- 3 .( Y o u mus 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 N o t i c e o f D i s s o l u t i o n i s f i l e d . )

R e s e t Fo r m "A

STATEMENT OF CASH ON HANDCASH 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 h i s i s t h e t o t a l o f a l l mon i e s h e l db y t h e c o mm i t t e e . T h i s amoun t MUST b e t h e s ame a s t h e c a s h on h and a t t h e endo 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 mus t be 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADDTOTAL MONEYTAKEN I N THI S PERI ODS c h e d u l e A: Cas 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 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 ) . . . . . . . . . . ,S c h e d u l e F : Loans R e c e i v e d t o t a l ( A t t a c h S c 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a p p l i e s t o Ca n d i d a t e s ' Commi t t e es O n l y )SUB- TOTAL . . . . . $

SUBTRACT TOTAL MONEY SPENT THI S PERI ODS c 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 S c h e d u l e B ) ( " a l s o s ee d e b t s and l o a n s b e l o w ) . . . .S c h e d u l e F : L o an Re p a ymen t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e end 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 tb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" UNPAI D BI L LS ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _" I N KI ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3" * OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY:CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( F r om S c h e d u l e H - A t t a c h Sc h e d u l e H) $

FORMDR- 2 I DI SCLOSURE( Rev . 0 7 / 2 0 0 3 ) REPORTF o r O f f i c e Us e o 1Comm . #L o g g e d i nS c a n n e dC o mp u t e rA u d i t e d

` ? Z O Q

DATE SI GNED

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 nC o 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

' 7 ~T: 7q3 . ? 46/ 1 9 - 7 1 . Y q -


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P a g ea o f 4 9-

FOR I NSTRUCTI ONS, SEE BACKOF FORM t R e s e t : - o r m , SCHEDULEEXPENDI TURES B MONETARY- MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . ( 1 7 1 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DEORLEGI SLATI VE EGK T HI S BOX I FCANDI DATES . UST THE CANDI DATE I DENTI FI CATI ON NUMBER I N THE DESI GNATED COLUMNAND THEPAC CHECKNUMBERFOR EACH EXPENDI TURE . A UST OF i D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f Or g a ni z a t i o n )~ a m r r n ' ' * ~ . .CANDI DATE NAME AND ADDRESS TOWHOM _ PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTK) N) EXPENDEDEXPENDED ( f a p p l i c a b i e ) ( Di s b u r s e me r * WASMADE( MMI DDI YR) AND PACCHECK

NUMBERI D# S y Ct t t . r t i t . i D<


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( ~ ~ `7Wt ~ 1 ) ~0 00 Of f . . - a7-2aFOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARYPAGECOMMI TTEE NAME ( Mu s t b e s ame as o n St a t e me n t o f O r g a n i z a t i o n )

Lemof f ee t Cf ed ) U l t hm Pe i c t i e d ,I MPORTANT : I n d i c a t e 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 :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) i t l u a h a QAm . C e n t r a l C o mm i t t e eCANDI DATE COMMI TTEES

SI GNATU E OF TREASURER ( o r p er s f i l i n g t h i s r e p o r t TELEPHONE DATE SI GNED

a

( ~ C h e 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 and a t t a c h No t i c e o f D i s s o l u t i o n F or m DR- 3( Yo u mus t c ont i n ue t o f i l e r e p o r t s u n t i l a No t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HAND

R e s e t F o r m

L a t e f i l e d 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 and c r i m i n a l p e n a l t i e s .SEE I NSTRUCTI ONS ON BACK AND COMPL ETE THE FOLL OWI NG SENTENCEI AMF I L I NG A ( ( _ - ~ 4 5 1CA 1 n[:-Q6 / &` 4 REPORT FOR AN/ A ( 1 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .

( r e p o r t d a t e ) I n d i c a t e o ne[ : CHECK I F AMENDMENT TOREPORT DATED

a

CASH ON HAND a t t h e b eg i n ni n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mmi t t ee . T h i s amoun t MUST be t h e s ame a s t h e c a s h on h a n d a t t h e endo 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 be 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ l - 7, -, 3ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Ca 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 Sc h e d u l e A) ( ' a l s o s ee i n - k i n d b e l o w) . . . . . . . . .Sc h e d u l e F : L oan 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Camp 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 ed u l e H ap pl i es t o Ca nd i d a t e s ' Co mmi t t e e s On l y )

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSUB- TOTAL . . . . . $

s l g i ~ k , a7 3 , $ t (Sc h e d u l e B : Ex p e nd 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 ee d eb t s and l o a ns b e l o w) . . . .Sc h e d u l e F : Loan 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e end 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 al a nc e mu s tbe z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2 DI SCLOSURE

( Re v . 0 7 / 2 0 0 3) REPORTF o r O f f i c e Us e On l yComm. # 1 IL ogge dScannedCompu t e rA u d i t e d

L o c a l C o mm i 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 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

521 1 1 ) 4 00G Q

( m i l / 744%

UNPAI D BI L L S ( F r o m Sc h ed u l e D - At t ac h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $' I N KI ND CONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h Sc h e d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 0 . 3 . 1- t a ' . . On- OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h ed u l e G At t a c he d? )VALUE OF CAMPAI 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)

1 - 1 YES NO


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Fn r I n s t r u c t i o ns , See Back o f FourCONTR I 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 a me a s o n S t a t eme n t o f O r g a n i z a t i o n )Commi t t e e t o E l e c t Na t h a n R e i c h e r tSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CAL ACTI ON COMMI T TEE) , L I ST THE PAC I DENT I F I CA TI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .

CAUT I ON : S e c t i o n 6 t 3 B . 3 2 A ( 6 ) , I o w a C o d e , 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 an 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 rf o r an y c 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 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 .PAC i D NUMBER NAME AND ADDRESS OF CONTRI BUTOR( i f a p p l i c a b l e )AND PAC CHECKNUMBER

Qu ad C i t y F e d e r a t i o n o f L a b o rC . O . P . E . Ac c o u n t 3 l l 1 / 2 2 1 s t S t r e e tR o c k I s l a n d , I L 6 1 2 0 1S h oms h o r , J r . , P a u l3 0 1 8 Av e . M.Co u n c i l B l u f f s , I a . 5 1 5 0 1T oml o n o vi c , C e c i l i a J .1 2 4 5 4 0 t h S t r e e tDe s Mo i n es , I a , 5 0 3 1 1AI e s , Da vi d E .4 1 2 W. 2 n d S t .Mu s c a t i n e , I a . 5 2 7 6 1S m i t h , B e t t y A1 8 0 0 Br i a r wo o dMu s c a t i n e , I a . 5 2 7 6 1

B a l l a s , E l l e n K .1 9 5 8 S . Ri d g e Dr .C o r a l v i l l e , I a . 5 2 2 4 1 - 1 0 5 7

e a c h , J ames S .1 7 2 7 Pe a r l v i e w Co u r tMu s c a t i n e , I a . 5 2 7 6 1

F r o s t , Ga r y L .6 1 5 6 t h Av e .C o r a l v i t l e , I a . 5 2 2 4 1 - 1 9 3 8K e s s l e r , Cr a i g A .1 0 Sp r i n g V a l l e y Dr i v e N . E .I o wa C i t y , I a 5 2 2 4 0Ma r s h a l l , L e s l i eU , o f I Co l l eg e o f Nu r s i n gI o wa C i t y , I a . 5 2 2 4 2

R c a e , E Fu h . SCHEDULEJ ; f a Q MONETARY( R e v . 0 7 / 0 3 ) 1 RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

RELAT I ONSHI P AMOUNT I J I F FORTO CANDI DATE` RECEI VED FUND-( i f a p p l i c a b l e ) RAI SERI NCOME

' 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 m m 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 mmi t i e e . R e l a t i o n s h i 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 n i t y ( r e l a t i v e s b y 1ma r r i a g e ) . I F s u mame 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 o p a g e o ff a l n i i i a i 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 m n . ( f o r S c h e d u l e A )

El


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Fa r I n s t r u c t i o ns , Se e Back o f Fo r i nCONTRI 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 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 )Co mmi t t e e t o E l e c t Na t h a n R e i c h e r tL

AT : . T E CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT I ONNUMBER AND THE PACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, 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 rf o r a n y c 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 mmi t t e e s .

SUB- TOTALTOTAL ( i ' f l a s t p a g e o f t h i s s c h e du 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 m m 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 m m i t t e e R e l a t i o n s h i 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 n i t y ( r e l a t i v e s t r y 2m a r r i a g e ) . I f s u mame 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 o page o f _f 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 m n ( f o r S c h e d u l e A )

DATERECEI VED( MM/ DD/ YR)

I PAC I D NUMBER( i f a p p l i c a b l e )AND PAC CHECKNUMBER

NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNTTO CANDI DATE* RECEI VED( i f a p p l i c a b l e )

V I F FORFUND-RAI S ERI NCOME- ! ~ _ _ _

M a r t i n ,_

J . Da v i d1 0 / 1 8 / 2 0 0 4 1 6 1 4 Some r s e t L a n e $ 5 0 . 0 0CK# I a . C i t y , I a . 5 2 2 4 0

I D# Mc g u i n n e s s , P e t e r G.1 0 / 1 8 / 2 0 0 4 CK# 2 1 3 0 5 t h Av e . 1 5 . 0 0 1 E j-

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Mu s c at i n e , I a . 5 2 7 6 1

Me a n s J u l i a1 0 / 1 8 / 2 0 0 4 CK# 1 5 0 7 Co l l e ge S t . 2 5 . 0 0! D# Mean s , J u l i a

1 0 / 1 8 / 2 0 04 CK# 1 5 0 7 Co l l e ge S t . 1 2 . 0 0I a , C i t y , I a . 5 2 2 4 5_ I D#~__-_Pa u l e y > A.Cy n t h i a f " I1 0 / 1 8 / 2 0 0 4 CK# 1 4 2 2 E . Co l l e g e S t 2 5 . 0 0I a . C i t y , I a . 5 2 2 4 5_

!~ S h o u l t z , J u d i t1 0 / 1 8 / 2 0 0 4 CK# 5 8 0 1 6 t h Av e . W. 3 0 . 0 0Mu s c a t i n e , I a , 5 2 7 6 1

I D# Un i t e mi z e d C o n t r i b u t i o n1 0 / 1 8 / 2 0 0 4 CK# P a s s t h e h a t 3 1 2 . 0 0Ha r k i n Ev e n t _

! D# D a v i s , Mr s . L a n e1 0 / 2 0 / 2 0 0 4 CK# 2 4 9 Mag owa n Av e . 2 5 . 0 0 GVa . C i t y , I a . 5 2 2 4 6 _

I D# Ha n s e n , P e t e r J . -1 0 / 2 0 / 2 0 0 4 CK# 1 2 0 3 Ca mb r i a Cr t . 5 0 . 0 0 EDI a . C i t y , I a 5 2 2 4 6

I ( : ? # I n g r a i n , P a t r i c k E .1 0 / 2 0 / 2 0 0 4 CK# 8 Wr ex Ham 5 0 , 0 0 EjI a . C i t y , I a . 5 2 2 4 6


6/10

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 ( M u 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 )Co mmi t t e e t o E l e c t Na t h a n R e i c h e r t

SUB- TOTAL

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

. r ` : ANDI D. A". - "=: 7. ; A STATE .-AC I r OL I T I C AL ACTI ON COMMI TTEE) , L I ST THE PAC I DE NT I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THEDESI GNATEDCOLUMN. A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , Io wa C o d e , 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 rf o r a n y c 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 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 .

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 )" 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 mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i 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 n i t y ( r e l a r t n e s b y 3 44m 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 o paw - - - o fo 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 NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ( I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM/ DD/ YR ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER_ NUMBER_ I NCOME_ - 1 D # -&UJ I' [ C' J u s t i c e f o r a l l PAC1 . 0 / 2 0 / 2 0 0 4 2 1 8 6 t h Av e . STE 5 2 6 $ 2 , . 5 0 0 . 0 0 tCK# ` - Des . Mo i n e s , I a . 5 0 3 0 9 4 0 9 1

` I D_

Me a r s , J u l i a_

1 0 / 2 0 / 2 0 04 CK# 1 50 7 Col l eg e S t . 1 5 . 0 0 L M - AI a . C i t y , I a . 5 2 2 4 5I D# Y e r k e s , B a r b a r a A.1 0/ 2 0 / 2 0 0 4 CK# 1 62 2 Mu s c a t i n e Av e, 2 5 . 0 0

__ _. _ J - 1

I a . C i t y , I a . 5 2 2 4 0 __-G r i f f e t h , V i c t o r i a M.

1 0 / 2 1 / 2 0 0 4 CK# 4 11 Pa r k i n g t o n Dr . 1 0 . 0 0Mu s c a t i n e , I a 5 2 7 6 1t Q# I o wa De mo c r a t i c P a r t y

_ _ -1 0 / 2 1 / 2 0 44 CK# 1 4 08 Loc u s t St . S t a t e A c c t . 4 9 , 0 0 0. 0 0Des Mo i n e s , I a . 5 2 7 6 1

~1 D# Dv or s k y , Ro be r t E . - _1 0 - 2 6 - 0 4 CK# 4 1 2 6 t h S t . 2 5 . 0 0C o r a l v i l l e , I a . 5 2 2 4 1

Ma c q uee n , G e r t r u d e1 0 - 2 6 - 0 4 CK# 45 4 Le x i n g t o n Ave . 2 5 0 . 0 0I o wa C i t y , I A 5 2 2 4 6- 2 4 1 7I ( } # Ma s c h e r , Ma r y

1 0 - 2 6 - f 1 4 40 Gr y n Co u r t 2 5 . 0 0t C y # I o wa C i t y , I a . 5 2 2 4 6__My er s , Ri c h ar d E .

1 0 - 2 6 - 0 4 CK# 2 8 1 2 Comme r c e Dr . 1 0 0 . 0 0C o r a l v i l l e , I a . 5 2 2 4 1I D# P u t ma n , Kel l e y L . _

1 0 - 2 6 - 0 4 CK# P . O . Bo x 1 5 8 0 5 0 . 0 0I a . C i t y , I a . 5 2 2 4 5


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- . v - i n s t r u c t i o n s . Se e Ba c k o f F o r m,CONTRI 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 St a t eme n t o f O r g a n i z a t i o n )Co mmi t t e e t o E l e c t N a t h a n R e i c h e r t

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 m m 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 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 i t t e e . R e l a t i o n s h i 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 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 m e o f c o n t r i b u t o r i s t h e s a m e 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 k u r m .

SUB- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )

v T A T E CAND I DATES NOTE : I F A C ON T RI B L I T I ON I S R E C E I V E D FROM R S T A T E PAC ( P O L I T I C A L A C T I O N C OMMI T T E E ) , L I S T T H E PAC I D E NT I F I C AT I ONNUMBER AND T H E P A C CHECK NUMBER I N T H E D E S I G N A T E D COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROMTHE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD.CAUTI ON . S e c t i o n 6 SB . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c o mm 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 mm i t t e e s .

P a g e _ o f( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AN D ADDRESSOF CONTRI BUTOR R EL A T I ON SH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CAND I DATE ' RECEI VED FUND-( MMI D D/ Y R ) AND PACCHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D # R e e c e , L a u r e n1 0 - 2 6 - 0 4 9 0 1 Who s e Av e . $ 2 5 . 0 0CK # I a . C i t y , l a 5 2 2 4 6

I D# S t u t s m a n , S a l l y1 0 - 2 6 - 0 4 CK # 3 7 1 4 - 5 0 0 t h S t . SW 2 5 . 0 0R i v e r s i d e , I a . 5 2 3 2 7 - 9 7 2 4

J D # U l r i c k , Da v i d R . -_

1 0 - 2 6 - 0 4 CK # 5 1 4 T e r r a c e Rd 2 5 . 0 0I a . C i t y , I a . 5 2 2 4 6I D # U n i t e r n i z e d C o n t r i b u t i o n

1 0 - 2 6 - 0 4 CK # I a . C i t y E v e n t 2 4 . 0 0 E ~ ]CK #

CK # E : 1I D#CK #I D#CK #I D#CK #I D#CK #


8/10

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 mu 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 mu s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a m o 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 m m i 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 nd I o wa Code 6 8 A . 4 0 2 ( 3 ) ( i ) . )

Pa g e O f

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t ; Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TU RES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE D 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 FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TU RE ( 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 m e n t ) WAS MADE( MM/ DD/ YR) ANDPACCHECKNUMBERI D# ~wQC/ K

l 0 3 a ~ c e r y , L a 6 ~ c ~.d~C I 33z7~f c" Ki . ~ . c ~ ~ - 7 b 1 $~4 II D# j V I L . XSCc a %- t i k L . ~ ~wt v T"Wa.CK# 3 , ' Z o 5 c c r S~- . C~~ ( ~ ~~` 9 , 2 3 5 a - 7 .V V l u s c ' u . ~ i ~ L o . , J ` . Z . 7 ( o ( oC

l 0 ~ ~k . . 1 ) dwc a _Lv~~ ~ 0 5Y CK# l w o r b .s t t i "I D# C~~ VV\ VV t . %A-wy t 5 Cma- 0 .CK#-

/' I D# Cc r v`~~ C Us~~v~ CK# 1 -73 E0_6} ( r CLACl t r wz - O Sr~~ v b 1 v x v:1, C~~ ,I D#CK# uC ` - v - y e % 1MuS . ~-vu r Y N V1G~T' d u 5UC0' y o1 3 ' ` ~' S~ 1 ' ~ l u a c .I D# t i - ) I QCCK# US . Q r ( I c C~Q e lI D#

~~ ukbe- r ~- e. . v . a UCK# I ~oSoSUB - TOTAL $ a ~ .

TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $


9/10

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM r R e s e t Fo SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI SL A TI V ECANDI DATES, L I S T THE CANDI DATE I DENTI FI CATI ON NUMBER I N TH E DESI GNATED COLUMN AND TH E D CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AV AI L A BL E FROMTHE I OWA AMENDI NG FORMETHI CS 8 CAMPAI GN DI SCL OSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )( . omm : e . r r: . : r -CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DE SCRI B E TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me nt ) WASMADE( MM/ DD/ YR) AND PACCHECK

NUMBER

CK# e 2 ~ l h S ._ cuvwl >S~T $o w l ; , ~ . . say c f , t C~e . 0 0I D# C3' 015 CK#

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10/10

FORI NSTRUCTI ONS, S EE BACK OF FORMCOMMI TTEE NAME ( M u 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 )

i ; e - , . ~J E( t , Y A I

SUB- TOTAL

T OT AL ( i f l a s t / $

SCHEDUL EE I N K I ND( Re v . 0 6 1 9 7 ) 1 CONTRI BUTI ONSCHECK THI S BOX I FAMENDI NG FORM

p a g e o f t h i ss c h ed u l e [ 3 - 5 , 7 . 5 0 1 o o

' 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 Page o f(-c o mmi t t e e . R e l a t i o n s h i p mus 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 n i t y ( r e l a t i v e s ( f o r Sc h e d u l e E )b y ma r r i a g e ) . ( S e e Page 2 o f f o r m s p a c k e t . ) I f s umame 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 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 .

DATERECEI VED( MMI DDI YR) NAME AND ADDRESSOF CONT RI BUTORRELATI ONSHI PT OCANDI DATE' ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ONESTI MATEDFAI R MARKETVALUE

4 I F FORFUND- RAI SERCONTRI BUTI ONsowcs. 1 3 e Y 1AACY C t r

c 5 / n ~P $a y o a o~~

J J Uv F - 1YC2 1 Y _ j n 04Y F - 1

F - 1F - 1F - 1F - 1F - 1F - 1F - 1

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