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  • 8/7/2019 Rielly Tom__1516__scanned

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    0 1 / 1 9 / 2 00 7 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7

    FOR I N S T RUCT I ONS , S EE BACK OF FORMDI SCLOSURESUMMARYPAGE

    COMMI TT EE NAME( Mus 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 )R i e l l y f o r S e n a t eI MPORTANT: I n d i c a t e b y t ! t y p e o f c o( 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( a ) C o u n t y C e n t r a l Co mmi l i d e ( 5 ) CP 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 ( 8S u b d i v i s i o n PAC J 1 1 1 L o c a l B a l l o t I s s u e - V ( / , CCOMMI TT EESC a n d i d a t e NameTom R i e l l yO f f i c e S o u g h tS t a t e S en a t e

    L a t e r e p o r t s a r e s u b j e c t t o p 2t h e c a n d i d a t e , f o r a c ai n d i v i d u a l r e s p o

    ( r e p o r t d a t e )CHECK I F AMENDMENT T O REPOR T DATED

    f l e e y o u a r e r e p o r t i n g f o r : L-Je n t i 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, 0 ) 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 r) ( w j 1 ' y r j ~ C ( 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

    TOM RI ELLY PAGE 01

    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

    D i s t r i c t ( I f S e n a t e o r House)

    F1 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 an 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 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 i v i l a n 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 w a C o d e s e c t i o n 8 8 B . 3 2 A ( 7 )m l t t e e , an 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 ean d a c c u r a t e r e p o r t s . l~ Gy I _( 07 ~ - 5 , 7REPORT FO R ( 1 ) E LEC T I ON / ( 2 ) N ON - E L EC T I ON YEAR .

    I n d i c a t e b y #

    CONSULTAN T BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )CANDI DATE COMMI TT EES ONLY :VA LU E O F CAMPA I GN PROPER TY ( 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)STATECOMMI TTEES : S u b mi 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

    FORMDR- 2 DI SCLOSURE( R e v . 1 2 / 2 0 0 5) REPORT

    Fo r o x l g ! l U s ! my - I ~~Comm #L o g g e d I DS c 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 a n d Campa i g nD i s c l o s u r e Bo a r d5 1 0 E . 1 2 1 " , S t e . 1 ADes Mo i n e s , I o w a 50319F a x : 5 1 5 - 2 8 1 - 3 7 0 1

    TELEPHONE DATE S I GNED

    L o c a l C o m m i t t e e s , e n t e r D a t e o f E l e c t i o nCo u n t y & L o c a l C o m m 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

    YES - NO

    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 e

    c o m m i t t e e . T h i s amount MUST b e t h e some a s t h e c a s h o n h a n d a t t h e e n d 1 2 , 5 7 9 . 7 1o 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 r i l e d . ) . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TO TAL MONEY TAKEN I N T HI S PER I O D 2 2, 2 35 . 0 0S c h ed 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 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 : L o a n s Re 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 amp a 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 ) . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    I c ha du l e H a p c l l e s - t o C an d i d a t e s ' C o mmi t t e e s On l y )S U B- T O T A L . . . . . . . . . . . . . . . . . . . . . . . # 3 4 , 8 14 . 7 1

    SUBTRAC T T O T AL MONEY SPENT T HI S PER I 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 ul e S ) ( " 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 ) . . . . . . . . . . . . . . . . . . 3 3, 5 33 , 7 4S c h e d u l e F : L o a n R e 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 ) . . . . , . . . . , . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    CASH ONHAND 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 m u s t 1 , 2 8 0 . 9 7b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $UNPA I D BI L L S ( 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 N DC ON T R I BU T I ON S ( F r o m S c h e d u l e E - A t t a c h S c he d u l e E ) . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 98 , 1 9' * OU T S T AN DI N G LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . $

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    0 1 / 1 9 / 2 0 0 7 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7 TOM RI EL L Y PAGE 0 2

    F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTR 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 ( 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 )R i e l l y f o r S e n a t e

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S TA TE PA C ( P OL I T I C AL ACTI ON COMMI T T E E ) , US T T HE P AC I D EN T I F I C AT I O NNUMBER AND THE PA C CHECK NUMBER I N THE DES I GNATED COLUMN . A L I $ T OF I D NUMBERS 1 6 A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD -NOTE : ANY PERSON, OT HE R T HA N A N I NDI V I DUA L . THAT CONTR I BUTES MORE THAN $ 7 5 0 TOYOUR CAMPA I GN MA Y HA VE F I L I NGRESPONS I B I L I T I E S ANDSHOULD I MMEDI A TE LY 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 m a t i o n c o p i e d f r o m r e p o r t s e 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 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 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 - TOTAL $ $ 1 , 6 7 5TOTAL ( 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 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 r 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 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 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 .P a g e o f( f o r c h e d u l e A }

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECE I P T S0 CHECK T HI S BOX I FAMENDI NG FORM

    I r AV T I _ h o l y _ 1 . 1W1sT I l i 0 0 Z" l ~ 1 t i 0 4 s 1 ( e 1 : , I u h l 1 U I F FORRECE I V ED . ( i f `a p p l i c a b l e ) _ TO CANDI DATE" RECE I VED FUND"( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S E RNUMBER I NCOMEKOCHPAC $ 1 0 0 0CK# 4 7 8 3 6 5 5 1 5 t h S t r e e t NWWa s h i n g t o n DC 2 0 0 0 5

    1 A u d r y &J o h n me r man $ 2 53 - 6 - 6 CK# 1 6 2 5 P a r k S t r e e t , G r i n n e l l , I o wa9 6 7 1I D# Dr J o h n P a u l s o n $ 1 0 03 - 6 - 6 CK# 1 0 5 M e a d o w Ln D r , Mo n t e z uma I o wa 5 0 1 7 17 6 4 7I D# Do n Smi t h $ 1 0 03 - 6 - 6 CK# 5 1 0 6 1 4 2 0 Su mme r S t r e e t , G r i n n e l l , I o wa 5 01 1275W-- A l a n &J e a n J o n e s $ 1 0 03 - 6 - 6 CK# 7 1 1 P a r k S t r e e t , G r i n n e l l , I o wa 5 01 122 ' 1 4 2

    _ - I D# S i g mu n d &J u d i t h B a r b e r $ 1 0 03 - 1 0 - 6 CK# 1 4 0 2 Ma i n S t r e e t , G r i n n e l l , I o wa 5 01 1 24 4 6 1I D# R o b e r t Smi t h $ 1 0 03 - 1 0 - 6 CK# 2 0 0 5 S p r i n g S t r e e t , G r i n n e l l , I o wa 5 0 1 1 23 0 8 5I D # J o h n Dawson $ 5 03 - 1 0 - 6 CK# $ 4 1 1 4 2 6 West S t r e e t , G r i n n e l l , I o wa 5 0 1 1 2I D#

    To mHaas $ 5 03 - 1 0 - 6 CK# 7 2 2 B r o a d S t r e e t , G r i n n e l l , I o wa 5 0 1 1 26 0 5 0

    J o h n &D e l o r e s M u l v i h i l l $ 5 03 - 1 0 - 6 CK# 9 0 8 E l m S t r e e t , G r i n n e l l , I o wa 5 0 1 1 23 4 1 4

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    0 1 / 1 9 / 2 0 07 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7 TOM RI EL L Y PAGE 0 3F o r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTR 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 ( M u s t b e same 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 )R i e l l y f o r Se n a t e

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I P TSC J CHECK T HI S BOX I FAMENDI NG FORM

    STATE CA NDI DA T E S NOT E : I F A CONTR I BUT I ON I S RECE I VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TT EE ) L I ST THE PAC I DENT I F I CA T I ONNUMBER AND T HE P AC CHECK NUMBER I N THE DES I GNATED COLUMN, A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS ANDCAMPA I GNDI SCLOSURE BOARDNOTE ANY PERSON, OTHER T HA N A N I NDI V I D UA L , THAT CONTR I BUTES MORE THAN $ 7 5 0 TO YOUR CAMPA I GN MAY HAVE F I L I N GRES PONS I B I L I T I E S AND SHOULD I MMEDI A T E LY CONTACT T HE 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 m a t i o n c o p i e d f r o m r e p o r t s a nd 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 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 h e r t h e 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 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 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 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 & Mn l t y ( r e l a t i v e s b y 2ma 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 am e 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 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 he d u l eA)

    DATE PAC I D NUMBER N~Pu l _ 1 a ~L 1 a l a 7 ; t ~3P] P I P 7 ~Y ~3 L 1 ! J d" 1 : { RELA T I ONSHI P U I F F ORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DAT E ' RECE I VED FUND( MM/ DD/ YR) AND PAC CHECK ( I f a p p l i c a b l e ) RAI S ERNUMBER I NCOMEI D#3 - 1 6 - 6 Un i t e mi z e d C a s h - P a s s t h e Ha t 3 - 1 6 - 0 6 f u n d r a i s e r $ 1 3 0CK#

    I D*3 - 1 6 - 6 Sa r a Adams $ 5 0CK# 3 4 9 3 1 4 3 3 E l m S t , G r i n n e l l , ) o w a 5 0 1 1 2

    I D#3 - 1 6 - 6 R i t a Ba u s t a i n $ 2 0CK# 1 7 3 5 1 0 t h A v e , G r i n n e l l , I o wa 5 0 1 1 21 2 1 0

    3 - 1 6 - 6 CK# Wi l l i a m F e r g u s o n $ 5 05 5 9 4 4 0 7 1 6 t h Av e , G r i n n e l l , I o wa 5 0 1 1 2

    3 - 1 6 - 6 Ga i l Ho n a t h 5 0 1 1 2 $ 5 0CK# 1 5 0 3 Ma i n , G r i n n e l l , I o w a2 9 2 5I # Sa r a h J o a n B a k e r $ 5 03 - 1 6 - 6 CK# 6 1 9 Pa r k S t r e e t # 2 2 0 , G r i n n e l l , I o wa 5 0 1 1 21 3 0 8

    7 1 5 5 - - - -3 - 1 6 - 6 Doug & l o r n a Ca u l k i n s $ 1 0 0CK# 8 5 9 2 1 3 1 4 E l m S t r e e t , G r i n n e l l , I o wa 5 0 1 1 2

    3 - 1 6 - 6I D# Ke v i n S t $ 5 0 aCK# 6 2 8 H i g hg k th S t r e e t , # 8 , G r i n n e l l , I o wa 5 0 1 1 21 6 1 4I D# H a r r i e t t Di c k e y - Ch a s i n s $ 5 03 - 1 6 - 6 CK# 1 4 2 1 B r o a d S t r e e t , G r i n n e l l , I o wa 5 0 ) 1 27 3 7 3

    E l i z a be t h Dobbs $ 2 53 - 1 6 - 6 CK# 1 4 0 2 S u r n me r S t r e e t , G r i n n e l l , I o wa 5 0 1 1 22 0 9 5

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    0 1 / 1 , 9 / 2 00 7 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7 T OM RI EL L Y PAGE 0 4

    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 TT EE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )R i e l l y f o r S e n a t e

    STATE CANDI DATES NOTE ; I F A CONTRI BUTI ON I S 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 DENTI FI CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I N DI V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E SP ON S I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD.CAUTI ON : S e c t i o n 6 8B . 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 l e l t l 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 mm i 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 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 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 ) e n d a f f i n i t y ( r e l a t i v e s b y 3m 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 am e 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 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 )

    SCHEDULEA MONETARY( R e v , 0 7 1 0 3 ) RECEI PTSQCHECK T H I S BOX I FAMENDI NG FORM

    - DATE- _ PAC I D NUMBER 1 & 1 0 1 1 I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUNb( MM/ DDNR) AND PAC CHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# J e f f r e y &J u d i t h Ga r l a n d $ 1 0 03 - 1 6 - 6 CK# 5 4 6 0 1 7 0 3 P a r k S t r e e t , G r i n n e l l , I o wa 5 01 1 2

    N e i l G o l t z $ 503 - 1 6 - 6 CK# 1 4 1 9 S p e n c e r S t r e e t , G r i n n e l l , I o wa 50 1 122 9 4 1i v w Su s a n Ha r b u r $ 2 03 - 1 6 - 6 CK# 7 3 0 F e r g u s o n Rd , G r i n n e l l , I o wa 5 0 1 1 22 8 1 4I D#

    Eugene Her man $ 4 03 - 1 6 - 6 CK# 1 1 0 0 6 9 1 3 Hi g h S t r e e t , G r i n n e l l , I o wa 5 0 1 1 2I D# J u d i t h Hu n t e r $ 1 0 03 - 1 6 - 6 CK# 1 4 2 1 El m S t r e e t , G r i n n e l l , I o wa 5 0 1 1 29 7 7 4 -I D# R u s s e l l e L e g g e t t $ 2 53 - 1 6 - 6 CK# 6 5 7 5 9 C o l l e g e P a r k R o a d , G r i n n e l l , I o wa 50 1 12I D# Br a d Ma n a t t $ 2 5 03 - 1 6 - 6 CK# 9 3 7 0 1 3 1 9 S , 1 2 t h Av eW. , Newt o n I o wa 5 0 2 0 8I D# Kent Mc C l e l l a n d $ 5 03 - 1 6 - 6 CK# 1 5 2 1 7 t h A v e , G r i n n e l l , I o wa 50 1 121 4 0 0

    S h a r o n Mea l e y $ 2 53 - 1 6 - 6 CK# 9 2 3 C e n t e r S t r e e t , G r i n n e l l , I o wa 50 1 124 3 5 0I D# Ma u r a S t r a s s b e r g $ 1 0 03 - 1 6 - 6 CK# 1 4 3 0 Br o a d S t r e e t , G r i n n e l l , I o wa 5 0 1 1 21 0 5 4 5

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    0 1 / 1 9 / 2 0 0 7 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7 TOM RI EL L Y PAGE 0 5F o r I n s t r u c t i o n s , Se e Ba c k o f F or mC ON T R I B U T I ON S - - 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 TTEENAME( Mus t b e s ame a s o n St a t ement o f Or g a ni z a t i o n)R i e l l y f o r S e n a t e

    7 7 SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I PTSCHECK T H I S BOX I FAMENDI NG FORMSTATE C AND I D A TE S NOTE : I F A CONTRI BUT I ON I S RECE I V ED FROMA STATE PAC ( P OL I T I CA L A CT I ON COMMI TTEE ) , L I S T THEPAC I DE NT I F I C AT I ONNUMBER AND THE PACCHECK NUMBER I N THE DES I GNATED COL UMN, A L I S T OF I D NUMBERS I S AVA I L AB LE FROMTHE I OWA ETHI CS AND CAMPA I GND I SC LOSURE BOARDNOTE : ANY PERSON, OTHER THAN AN I N D I V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E SP ON S I B I L I T I E S 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 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 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 s ,

    SUB - TOTAL $ 4 4 5TOTAL ( 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 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 t e e . R e l a t i o n s h i p must 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 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 a g e 4 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 l 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- )

    DATE PAC I D NUMBED I I M _ 1 d M z L I L" L l 0 1 1 CONTRI BUTOR I AM! 1 1 Lr

    I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECEI VED FUND( MM / D D / Y R ) AND PAC CHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D #3 - 1 6 - 6 E r i c &J e n n i f e r M i c h a c l s $ 5 0CK# 1 4 4 5 8 1 7 1 1 P r a i r i e , G r i n n e l l , I o wa 5 0 1 1 2

    I D#3 - 1 6 - 6 O r l a n M i t c h e l l $ 2 5CK# 1 1 1 5 7 2 5 P a r k S t r e e t G r i n n e l l , I o wa 5 0 1 1 2

    I D#3 - 1 6 - 6 Emi l y P f t s c h $ 2 5CK# 5 2 8 9 t h A v e , G r i n n e l l , I o wa 5 0 1 1 22 0 5 63 - 1 6 - 6 CK# Ma r y R i e l l y2 0 0 8 S ou t h 1 1 t h S t r e e t , Os k a l o o s a , I o wa 5 2 57 7 Mo t h e r $ 1 0 05 4 7 33 - 1 6 - 6 Di a n e Ro b e r t s o n $ 5 0CK# 1 3 2 7 P a r k S t r e e t , G r i n n e l l , I o wa 5 01 126 4 4 8

    I U#3 - 1 6 - 6 Do n S c h i l d $ 1 0 0CK# 1 0 1 8 7 2 4 B r o a d S t r e e t , G r i n n e l l , I o wa 5 0 1 1 2

    I D # - -3 - 1 6 - 6 Do u g S h u t t s $ 2 5CK# 2 9 0 7 4 6 7 3 6 0 t h A v e , G r i n n e l l , I o wa 5 0 1 1 2

    I D#3 - 1 G - 0 6 B a r b a r a Anne A s zm a n S t o n e $ 2 5CK# 8 9 8 4 1 2 1 6 E l m S t r e e t , G r i n n e l l , I o wa 5 01 12

    D# -3 - 1 6 - 6 Donna Wi n b um $ 2 0CK# 1 7 0 6 ' t e n t h Av e P l . , G r i n n e l l , I o wa 5 0 1 1 22 0 1 7

    I D# - -J e a n Wi s s m i l l e r $ 2 53 - 1 6 - 6 CK# 2 13 5 Co unt r y Cl u b Dr . , G r i n n e l l , I o wa 5 0 11 28 2 6 8

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    ( 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( Mus t be 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 )

    R i e l l y f o r S e n a t e

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSO CHECK THI S BOX I FAMENDI NG FORMSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.NOTE: ANY PERSON, OTHER THAN AN I NDI V I D UA L , THAT CONTRI BUTES MORE THAN $ 750 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONSI B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .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 me n t s f o r e o l l e 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 ycommer 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 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 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 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 e n g u l n l 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 5m 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 Page 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 eA)

    DATE PAC -I D NUMBER - I J s 1 ~ d : 1 ~ L"I L1I : ' i T 3 l f i l a i 1 : 1 1 ~ ! k [ i L _ ` I p A , M0 1 . I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND( MMI DO/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# S h a n e Cook $ 1 0 03 - 2 4 - 0 6 CK# 1 9 9 4 9 1 3 7 t h A v e , G r i n n e l l , I o w a 5 0112

    3 - 2 4 - 6 _T. O l i v a Wr i g h t $ 1 0 0CK# 5473 1 4 1 4 Ma i n S t r e e t , G r i n n e l l , I o w a 5 0 1 1 2I D # -D a v i d C r a n s t o n $ 5 03 - 2 4 " 6 CK# 1 8 S h o r e l i n e D r , G r i n n e l l , I o w a 5 01123 2 6 9I D # J o e C o o n e y $ 203 - 2 4 - 0 6 CK# 1 3 1 3 Mi c h a e l A v e , G r i n n e l l , I o wa 501121 5 6 0I D# C h a r l e s Ma n l e y I I I $ 2 53 - 2 4 - 0 6 CK# 7 3 4 1 6 t h Av e # 6 , G r i n n e l l , I o w a 5 0 1 1 21 7 0 4

    B a r b a r a Br o wn $ 5 03 - 2 4 - 0 6 CK# 2921 1 2 2 5 El m S t r e e t , G r i n n e l l , I o w a 5 0 1 1 2D# T o d d L i n d e n $ 1 0 04 - 3 - 0 6 CK# 6 06 V a n H o r n C i r . , G r i n n e l l , I o w a 5 0 1 1 22 9 0 3I D # W J o s e p h Cummi n s $ 5 04 - 3 - 0 6 CK# 6 2 6 1 3 2 7 Ma i n S t r e e t , G r i n n e l l , I o w a 5 0 1 1 2I D # Lamoy nc G a a r d $ 5 04 - 1 0 - 0 6 CK# 9 3 1 Summer S t r e e t , G r i n n e l l , I o w a 5 0 1 1 23 0 7 4I D # P h i l i p K i t n e r $ 2 54 - 1 3 - 0 6 CK# 7 1 6 B r o a d S t r e e t , G r i n n e l l , I o w a 5 0 1 1 28 6 2 6

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    ( 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 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 )R i e l l y f o r S e n a t e

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T ICAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI FI CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .NOTE ANY PERSON, OTHER THAN AN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E S PO N S I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI ON : S e c t 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 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 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 m m i 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 ed u l e )

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSQCHECK T H I S BOX I FAMENDI NG FORM

    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 ) e n d a f f i n i t y ( r e l a t i v e s b y 6m 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 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 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)

    "~i hl ~ I _ 1 u 1 ~ _ 1 ae 7 1" 7 ~ 7 i 3 ! T 3! Z! QI 1 > i G t l"1Q[ ~L t l _ ~ I ! P F . ' AVi l " ) . I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM / D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

    Di a n n e L a t i m e r $ 1004 - 1 3 - 0 6 CK# 4 6 7 1 2110 Co u n t r y Cl u b Dr . , G r i n n e l l , I o wa 50112I # B r i e r l y C h a r n e t s k i L L P $ 1004 - 1 3 - 6 CK# 1 0 2 2 Br o a d S t r e e t , G r i n n e l l , I o wa 501124 5 6 8 1I D# 80285 Mo n s a n t o C i t i z c n s h i p F u n d $ 5 0 06 - 1 9 - 0 6 CK# 8 0 0 N. L i n d b e r g h B l v d , S t L o u i s MO . 631 672012I D# Dr J o h n Ha r t u n g $ 1 0 0 r6 - 2 3 - 0 6 CK# 1 0 1 1 S c o t t F e l t o n Rd , I n d i a n o l a , I o w a 5 0 1 2 51 3 4 3I D# 8 2 5 1 P r i n p a c $ 7 5 06 - 3 0 - 6 CK# 7 1 1 H i g h S t r e e t , Dcs Mo i n e s , I o wa 503921 6 5 5I u # C r a i g N e i l s o n $ 7 5 06 - 3 0 - 6 CK# 8 6 2 0 T i t l e i s t C i r c L a s V e g a s , Nevada 891171 1 3 8 9

    w605 6 B . U . 1 . L . D PAC # 605 6 $ 1 , 0 0 06 - 3 0 - 6 CK# 8 8 0 0NW6 2 n d Av e J o h n s t o n , I o w a 5 0 1 3 13 4 90l u g 6 0 5 8 I o wa C h i r o p r a c t i c S o c i e t y PAC $ 1 0 06 - 3 0 - 6 CK# 1 6 0 5 N, An k e n y B l v d , A n k e n y I o w a 5 0 0 2 12819I D# 6 4 3 0 I o wa R u r a l Wat er PAC $ 1 0 06 - 3 0 - 0 6 CK# 4 2 2 1 S 22 n d Av e E a s t , N e w t o n , I o w a 5 0 2 0 81 3 9 9I D# TomCope . A v e n s o n O a k l e y & C o p e $ 1 0 0 r6 - 3 0 - 0 6 CK# 8532 Ne w b u r y C o u r t , J o h n s t o n , I o wa 5 0 1 3 11 6 4 7

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    ( 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 n o n S t a t e me n t o f O r g a n i z a t i o n )

    R i e l l y f o r S e na t e

    DI SCLOSURE BOARD .

    RESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT T HE SOARO,

    STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A S T A TE PAC ( P OL I T I CA L ACT I O N COMMI TTEE) , L I S T THE PAC I DENT I F I CA T I ONNUMBERAND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S A VAI L A BLE FROMTHE I OWA ETHI CS AND CAMPA I GNNOTE : ANY PERSON, OTHER THAN AN I N DI V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TOYOUR CAMPA I GN MAY HAVE F I L I N GCAUT I O N: S e c t 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 m a t i o n c o p i e d f r o m r e p o r t s a nd 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 ny 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 - TOTA LTOTAL ( I f l a s t page o f t h l o 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 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 e 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 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 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 ame 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 7 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 Sc h e d u l eA)

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSEj CHECK THI S BOX I FAMENDI NG FORM

    RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED . FUND( MM/ DDI YR) AND PACCHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI D# 6118 I o wa Op t o me t r i c A s s n PAC $ 2 0 06 - 3 0 - 0 6 CK# 2 3 2 4 1 4 5 4 3 0t h S t r e e t We s t De s Mo i n e s I o wa 5 0 2 6 6I D#

    6 - 3 0 - 66 0 5 2 I o wa I n d e p e nd e n t I n s u r a n c e Ag en t s o f l a $ 2 5 0CK# 3012 4 0 0 0 We s t o w n PKWYWe s t De s Mo i n e s I a 5 026 5

    I #6 - 3 0 - 0 6 S t e v e O v a l $ 5 0CK# 2 2 5 9 Wa s h i n g t o n Av e C e d a r Ra p i d s , I o w a 5 2 4 0 35 4 9 1

    I D#6 - 3 0 - 6 CK# R a n d y P t e i ma $ 5 01 3 2 2 2 1 1 N . 9 t h S t r e e t , Os k a l o o s a , I o wa 5 2 5 7 7 .

    I D#6 - 3 0 - Ob CK# Ho b t e n8 0 1 Gr a n d S u i t e 3 90 0 , De s Mo i n e s I o wa 5 0 3 0 9 $ 5 04 3 4 6

    I D#6 - 3 0 - 0 6 H e a v y Hi g h wa y PAC $ 2 5 0CK# 2 4 1 5 I n g e r s o l A v e , De s Mo i n e s I o wa2 0 3 7

    I D#7 - 2 0- 0 6 Uni t e r n i z e d Ca s h - P a s s t h e Ha t 7 - 2 0- 06 F u n d Ra i s e r 4 5CK#

    I D#7 - 2 0 - 0 6 D a v i d J a c k s o n $ 2 0 0CK# 4 4 5 8 K e o k u k I o wa Rd No r t h En g l i s h I o wa 52316

    7 - 2 0- 0 6 CK#4 2 8 7

    T o n e t n a n3 1 6 7 1 2 1 s t S t . Ama g a I o wa 52203 $ 5 0

    I D#7 - 2 0 - 0 6 J u d y L i l l i s $ 5 0CK# 4 08 L o n g S t r e e t , Wi l l i a ms b u r g I o wa 5 2 3 6 16 0 5 7

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    ( I n c l u d i n g c a nd i d a t e s p e r s o n a l f u n d s )

    TOM RI ELLY

    COMMI TTEE NAME ( Mus t b e s ame a s o n St a t e me nt o f Or g a ni z a t i o n)R i e l l y f o r Sen a t e

    PAGE 0 9

    SCHEDULEA MONETARY( Re v . 0 7 1 0 3 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

    STATE CANDI DATES NOTE ; I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TT EE) . L I S T THEPAC I DENT I F I CAT I ONNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS 1 9 AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.NOTE : ANY PERSON, OTHERTHAN AN I N D I V I D U AL , 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 ES AND SHOULD I MMEDI ATEL Y CONTACT THE BOARD .CAUT I ON : S e c t i o n e8 8 . 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 nd 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 a n yc omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h e 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 ,

    SUB- TOTAL $ 2 4 5 0TOTAL ( I f l a st page o f t h i s s c h ed u l e)

    " D i s c l o s u r e l o w r e q u i r e s c a nd i d a t e c o mmi 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 a ny 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 must 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 8m 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 Page 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 pp 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 eA)

    DATE -PAC I V waWI VEm r , " a - I ~ l 3 e Z ] ~ T l u ( ; 3 1 = 1 ! 1 I I [ ~ L i a- WeVi ' k r u L e l 4 I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MMI DDI YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEMi c h a c l S t a r c e v i c h $ 5 06 - 3 0 - 0 6 CK# 3 0 0 7 6 4 0 1 k i r k wo od Bl v d SW, Ceda r Ra p i d s , l a 5 2 4 0 4

    l D# 8 3 6 3 S y n g en t a Co p r . PAC $ 2 5 07 - 2 1 - 0 6 C K# 2 Ri g h t c r Pa r k wa y , Wi l mi ng t o n DR 1 5 4 5 80 0 2 9 6D# Br a d Ma na t t $ 5 0 07 - 2 1 - 0 6 CK# 1 3 1 9 1 2 t h , Av e Ne wt o n I o wa 5 02 089 4 9 5I D#

    Cu r t Man a t t $ 5 0 07 - 2 1 - 0 6 CK# 7 2 3 0 Hy p er i o n Po i n t e J o h n s t o n I o wa 5 0 1 3 )2 2 2 8D# An t h o n y Man a t t $ 2 5 07 - 2 1 - 0 6 CK# De wi t t , I o wa 5 2 7 4 26 4 9 3D# . l o An n Man a t t $ 2 5 07 - 2 1 - 0 6 CK# 40 8 W. 2 n d Ave , Br o k l y n I o wa 5 2 2 1 15 7 5 4

    Mona B o n d $ 2 0 07 - 2 1 - 0 6 CK# 2 8 1 8 W. 1 s t S t r e e t An ken y I o wa 5 0 0 2 11 3 6 4_ - J c Mi l l e r $ 1 0 07 - 2 1 - 0 6 CK# 5 7 1 3 0 1 3 E L a k e sh o r e Dr , Br o o k l y n 5 2 2 1 1

    6 4 8 6 I o wa Tc l e c o m PAC $ 2 5 07 - 3 1 - 0 6 . CK# 1 1 5 S . 2 nd Av eW. Ne wt o n I o wa 5 0 2 0 81 5 7 1

    St e v e Ac l er s o n 1 0 08 - 7 - 0 6 CK# 1 6 3 4NW1 3 1 s t S t Cl i v e I o wa 5 0 3 2 53 3 6 6

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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 l d a l e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e men t o f Or g a n i z a t i o n )R i e l l y f o r S e n a t e

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

    STATECANDI 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 THE PAC I DENTI F I CATI ONNUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .N O T E ' . ANY PERSON, OTHER THAN AN I N DI V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E SP ON S I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD .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 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 e 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 .

    SUB- TOTAL 2 7 5 0$,TOTAL ( 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 l o n s h l 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 b y 9m 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 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 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 C~1i 1T0 A RELATI ONSHI P AMOUNT Y I F FORRECEI VED ( I f a pp l i c a bl e ) TO CANDI DATE' RECEI VED FUND.( MM I D D f Y R ) ANDPACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# 60 67 I o wa H e a l t h PAC

    -$ 2 0 08 - 7 - 0 6 CK# 3 4 9 5 6 7 5 0 Wes t ow n Pkwy , We s t De s Mo i ne s l a 5 0 2 6 6

    I D# 6027 Dee r e PAC $ 5 0 08 - 2 2 - 0 6 CK# 6 6 6 Gr a n d Av e De s Mo i ne s I o wa 503092 4 8 1 'I D# 6 1 6 0 I o wa I n d e p e n d e n t B a n k e r s PAC $ 5 0 09 - 1 4 - 0 6 CK# 1 6 0 3 22 nd S t . # 2 0 2 Wes t De s Mo i u n e s l a 5026 622 4 9I D# 6 0 7 2 I F APAC $ 3 5 09 - 2 ' 7 - 0 6 CK# 4 3 1 EAST I OCUST s T # 3 0 0 D e s Mo i ne s I D. 503091 1 8 1I D# 8 4 7 4 A l l s t a t e PAC $ 2 5 09 - 2 7 - 0 6 CK# 8 6 7 4 2775 S a n d e r s Rd # AS No r t h b r o o k 1 L 60062I D# 6 0 5 8 I o wa C h i r o p r a c t i c S o c i e t y $ 2 0 09 - 2 7 - 0 6 CK# 1 6 0 5 N . An k n e y Bl v d #1 00 An k n e y I D. 500212910I D# 8 4 6 6 A l l Ame r i c a n PAC $ 2 5 01 0 - 0 3 - 0 6 CK# 6 07 1 4 t h S t NW# 8 0 0 Wa s h i n g t o n DC 200052 3 0 0t U 9 7 3 7 I o wa H a r n e s s Hor s emans ASSN $ 1 5 01 0 - 0 9 - 0 6 CK# Gr i n n e l l I o wa1 0 2 2

    I D# 8 1 4 0 P f i z e r PAC $ 1 5 01 0 - 1 0 - 0 6 CK# 2 3 5 E a s t 4 2 n d S t r e e t New Yo r k NY 100173 8 5 1I D # 8 3 7 2 C r o p l i f e Ame r i c a $ 2 0 01 0 - 1 2 - 0 6 CK# 1 1 5 6 1 5 t h S t NW# 4 0 0 Was h i n g t o n DC 200052 2 5 9

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    0 1 / 1 9 / 2 0 0 7 1 8 : 2 6 5 1 5 6 7 3 2 9 5 7 TOM RI EL L Y PAGE 1 1F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEYT AKEN 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 TT EE 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 l Z a t l o n )

    R i e l l y f o r S en a t eS T AT E CANDI DAT ES NOTE ; I F ACONTRI BUT I ON I S RECEI VED FROM A S TATE PAC ( P O L I T I C A L AC T I ON COMMI T T EE ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND T HE PAC CHECK NUMBER I N THE DES I GNATED COL UMN, A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E THI CS AND CAMPAI GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I N DI V I DU AL , THAT CONTR I BUTES MORE THAN $ 7 5 0 T O YOUR CAMPA I GN MAY HAVE F I L I N GRE SPONS I B I L I T I E S AND SHOUL D I MMEDI A T E LY CONTACT T HE BOARD .CAUT I ON : S e c t i o n ( 5 8 8 . 3 2 A ( 8 ) 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 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 f a s t p a g e o f t h i s s c he 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 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 n l t y ( r e l a t i v e s b y 1 0m 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 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 mn ( f o r S c he d u l e A )

    SCHEDUL EA MONETARY( R e v . 0 7 1 0 3 ) RECE I P TSpCHECK T HI S B o x I FAMENDI NG F ORM

    DATE PA C I D NUMBER NAME AND ADDRE SS O FC~~MfO 1 M: 1 1 ` _ I ` d q i I F FORRECE I VED ( i f a p p l i c a b l e ) T O CANDI DATE ' RECE I VED FUND-( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S E RNUMBER I NCOMEI D# Mi d we s t G r a i n P r o c e s s o r s PAC $ 4 0 01 0- 2 5- 0 6 CK# 1 0 6 1 6 6 0 2 4 8 t h S t L a k o t a I o wa 5 04 5 1D# Si o ux l a nd En e r gy / L i v e s t o c k COOP PAC $ 3 0 01 0 - 2 5 - 0 6 CK# 3 8 9 0 Ga r f i e l d Av e So u i x Ce n t e r l a 5 1 2 5 01 0 3 1I D#

    Go l d e n Gr a i n En e r g y PAC $ 4 0 01 0 " 2 5 - 0 6 CK # 1 8 2 2 4 3r d S tW. M a s o n Ci t y I o wa 5 0 4 0 11 0 2 21 D#

    1 0 - 2 5 - 0 6 D u P o n t G o o d Go v e r n me n t F u nd $ 2 0 0CK# 5 4 3 0 1 0 0 7 Ma r k e t S t r e e t RmD- 1 1 0 7 8 Wi l mi n g t o n DI D# 9 7 4 8 Mi d we s t PAC1 0 - 2 5 - 0 6 CK # 1 6 3 6 NW1 1 4 t h S t C l i v e I o w a 5 0 3 2 5 $ 5 0 01 0 0 5I U# Ma r k Mc C u l l e y $ 2 5 01 0 - 2 5- 0 6 CK# 4 2 5 A s p e n R i d g e , Amos l a 5 0 0 1 01 0 5 6D# Ra n d a l l Pf l u m $ 5 0 01 0 - 2 5 - 0 6 CK# 4 0 0 1 8 0 5 6 1 39 t h S t , Bu r l i n gt o n I a 5 2 6 0 1I D# Ge r a l d L y n c h $ 2 5 01 0 - 2 5 - 0 6 CK# 3 3 1 3 r d S t r e e t NW, Wau c oma , l a 5 2 1 7 11 0 - 2 5 - 0 6I D# Ke n Va n G i l s t \ $ 2 5 01 0 - 2 5 - 0 6 CK# 3 0 2 NI Ot h S t r e e t Os k a l o o s a l a 5 2 5 7 7

    5 9 4 6 "I D# R u s s e l l Hi n d e r s $ 1 0 01 0 - 2 5 - 0 6 CK # 1 1 0 9 Pa r k Ac k l e y I o wa 5 06 0 12 0 2 2

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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 men t o f Or g a n i z a t i o n )

    R i e l l y f o r Se n a t e

    SCHEDULEA 0 3 ) I MONETARY( Re v . 0 7 A RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P O L I T I C AL ACTI ON COMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED, COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE: 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 GRESPONSI BI L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD.CAUT I ON : S e c t 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 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 l 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 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 .

    SUB- TOTAL

    TOTAL ( i f l e 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 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 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 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 1 1m 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 Pa ge - 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 Sc h e d u l e A )

    DATE PAC - I b - R I ~ 1 ~ 1 = 1 9 : r ~ , 1 , J , ) : I - ~ P 7 ~ KP L b ( : I l - _ 1 9 1 t ! : , RELATI CASAI P 1MM , 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 SERNUMBER I NCOMEI D#

    1 0 - 2 5 - 0 6 R u s s e l Wh i l e y $ 2 5 0CK# 8 2 7 0 1 6 0 1 H i d d e n V a l l e y ' D r , I o wa F a l l s I a 5 0 1 2 6I D #

    1 0 - 2 5 - 0 6 CK# Mi k e Ha g e2 5 0 3 L i n d e n A v e , I o w a F a l l s l a 5 0 1 2 6 $ 4 0 02 1 6 2D# J o h n P f i t s c h $ 5 01 0 - 2 5 - 0 6 CK# 2 1 0 9 ' 5 2 8 9 t h Av e G r i n n n e l l I a 5 0 1 1 2

    1 0 - 2 5 - 0 6. _CK# ML R a f f e t y8 2 0 T r n b e r r y Dr G r i n n e l l , l a 5 0 1 1 2 $ 2 0 08 9 7 115 # G r i n n e l l Mu t u a l PAC $ 2 5 01 0 - 2 5 - 0 6 CK# 4 2 1 5 Hi g h wa y 1 4 6 G r i n n e l l , l a 5 0 1 1 21 0 9 0D# A l l i e d G r o u p & F a r m l a n d PAC $ 5 0 0I O - 2 5 - 0 6 CK# 1 1 0 0 L o c u s t Rd D e s Mo i n e s l a 5 0 3 0 94 5 7 0 0 0 0 0 6 5I D # 6 4 7 5 C a s y e s PAC $ 4 0 01 0 - 2 5 - 0 6 CK# On e C o n v e n i e n c e D r , K n k n e y I o i w a 5 0 0 2 12 7 4 01 0 0 6 1 6 I o wa A g r i b u s i n e s s E mp l o y e e s PAC $ 5 0 01 0 - 3 1 - 0 6 CK# 9 0 0 De s Mo i n e s S t D e s Mo i n e s I o w a 5 0 3 0 91 3 7 2I D # 9 7 4 3 I o wa T u r k e y F ed e r a t i o n $ 5 0 01 0 - 3 1 - 0 6 CK# 1 0 4

    Ames I o wa 5 0 0 1 0I D# Don S c h i l d $ 3 0 01 0 - 3 1 - 0 6 CK# 7 2 4 B r o a d S t , G r i n n e l l l a %01121 1 1 3

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    For I ns t r uc t i ons , See Back of Form

    CONTRIBUTIONS - - MONEYTAKENI 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 St a t e me nt o f O r g a n i z a t i o n )R i e l l y f o r Se n a t e

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS0 CHECKTHI S BOX I FAMENDI NG FORM

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 5 RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENTI F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS 1 5 AVA I L AB LE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.NOTE : ANY PERSON, OTHER THANAN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONSI B I L I T I ES ANDSHOULD I MMEDI ATEL Y CONTACT THE BOARDCAUT I ON : S e c t 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 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 l c l t l 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 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- TOTAL 1 7 1 5TOTAL ( I f l e s t p a g e o f t h i s s c h e d u l e ) $ 2 2 , 2 3 2

    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 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 gu 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 1 2ma 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 am e a s c a n d i d a t e , b u t t h e r e i s n o Pa g e o f 1 2f 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 he d u l eA)

    DATE PAC - I D VREM -- I ~ 1 RELAMAJMIP- - - AMOUNT I F FORRECEI VED ( i f a pp l i c a bl e ) TO CANDI DATE' RECEI VED 4 FUND-( MM/ DDt YR) AND PA CCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D#1 1 - 0 6 - 0 6 J a s o n S a t o r i $ 1 0 0CK# 1 2 0 3 2 0 7 0 L a g e n S t r e e t , Du b u q u e , l a 5 2 0 0 2

    I D#1 1 - 0 6 - 0 6 J o s e p h R e c k e r $ 1 0 0CK# 5 4 1 7 3 1 4 4 2 3 5 t h S t r e e t E a r l v i l l c l a 5 2 0 4 1

    I D# 6 0 3 8 Ve r i z o n I o wa S t . Good Go v e r n me n t Cl u b $ 2 0 01 1 - 3 - 6 CK# 25 3 G r i n n e l l I o w aI D #

    1 1 - 3 0 " 0 6 CK# J a s o n Ma a s d a r n $ 1 0 02 6 6 8 21 4 Wes t L a r s o n S t r e e t K n o x v i l l e , l a 5 0 1 3 8I D

    1 2 ' 1 ' 6 Ra n d o l p h Be h ar r y $ 4 0CK# 1 7 4 7 2 6 2 5 C o l l i n s Av e Ap t 2 0 1 , Mi a mi B e a c h FL 3 3 1 4 06 0 5 2 I n d e pe n d en t I n us r a nc c A ge n t s o f I o wa 1 0 0 05 - 1 2 - 0 6 CK# 4 0 0 0 We s t Town Pa r k wa y , Wes t De s Mo i n e s I A2 9 7 6

    I D#Un i t e r n i z e d c a s h P a s s t h e h a t 6 - 3 0 - 0 6 F u n d r a i s e r 1 7 53 - 1 6 - 0 6 CK#

    I D#C K#I D#CK#I D#CK#

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    T HI S BOX APPLI 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 SSWo r mo r e mus t a l s o b e I n v e n t o r i e d o n Sc h ed u l e H. ( R e f e r t o S c he d ul e H I n s t , u c t l o n a . )Ex p en d i t u r e s t o p er s o n el e nd t l 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 i e n d - r a i s i n g , p o l l i n g , man a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d onS c he d ul eGb y t h e amo 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 pe nd i t u r e made b y t h e p er s o Ne nt f 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 he d ul eGi n s t r u c t I o n s a n d t o ws C o d e 6 8A . 4 0 2 ( 3 ) ( I . 1 -

    ( f r o S c he d ul e B)

    FOR I NSTRUCTI ONS , SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- MONEYSPENTFROMCOMMI TTEEACCOUNT ( R e v - o ~ r o s ) EXPENDI TURES

    STATE PAC COMM1r I TEES. NOTE . FORC ON T RI B UT I ON S MADE TO STATEWI DEOR LEGI SLATI VEC A ND I D A T E S, L I S T THE CANDI DATE I D EN TI F I C AT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHE CHECK T H I S BOX I FPACCHECK NUMBERFOREACHEXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA AMENDI NG FORMETH I CS R CAMPAI GNDI SCLOSURE BOARD.COMMI TTEE NAME ( Mus t b e same OS o n S t a t e m e n t o f O r y a n i z a t i o n )l j e l l y f o r S e n a t e

    C A ND I D A T E NAME ANDADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( I f a p p l i c a b l e ) ( D i s b u m e me n o WAS MADE( MM I D Df Y R ) AND PACCHECKNUMBERI D# _ _ -Us P o s t a l S e r v i c e P o s t a g e / S t a mp s3 - 1 7 - 0 6 CK# 1 1 2 8 Os k a l o ow 1 a 5 2 5 7 7 $ 1 1 7

    I D # Us P o s t a l S e r v i c e P o s t a g e / S t a mp s3 - 2 1 - 0 6 CK# 1 1 2 9 O s k a l o o s a , l o w a 5 2 5 7 7 3 9I D # Wha t C h e e r P a p e r S u b s c r i p t i o n4 - 1 3 - 0 6 P o B o x 4 1 4 Wba t C b e e r i s 5 0 2 6 8 2 0CK# 1 1 3 0I D i I S i g o r u r n e y News 8 t R e v i e w S u b s c r i p t i o n- 1 3 - 0 6 CKl 1 1 1 3 1 P o Bo x 2 8 5 S i g o u r n e y I o w a 5 2 5 9 1 3 1I D # C a r t e r P r i n t i n g L e t t e r h e a d & E n v e l o p s4 - 1 4 - 0 6 CK# 1 7 3 9 E C r r a n d D e s Mo i n e s l a 6 4 9 . 7 81 1 3 2I D # Wal man C a n d y Amana P a r a d e

    5 - 6 - 0 6 CK# 1 1 3 3 O s k a l o o s a , l a 5 2 5 7 7 3 6 . 0 2I D # S e n a t e M i k j o r i t y F u n d C o n t r i b u t i o n5 - 1 7 - 0 6 C K l 1 D e s Mo i n e s I o w a 1 0 , 0 0 01 1 3 4I D # Us P o s t a l S e r v i c e P o s t a g e5 - 1 7 - 0 6 CK# O s k a l o o s a , I o w a 5 2 5 7 7 1 4 . 4 01 1 3 5

    SUB- TOTAL $ OTOTAL ( i f l o s t p o p e o f t h i s s~We) $

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    T HI S Bo x APPL I ES TO CANDI DATESWCOMMMTEES ONLY .Pu r c h a s e s o f c e r t a i n Camp a i g n p r o p e r t y c o s t i n g $ 6 0 0 o r mo r e mus t a l s o b e I n v e n t o r i e d o n Sc h e d ul e H ( R e f e r t o Sc h e d ul e H i n s t r u c t i o n s )Ex p e nd i t u r e s t o p e r s o n We n t i t l 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 l s l 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 B e r v i c e s mus t a l s o b e d e t a i l k e ml z e d o nS c he 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 pe nd i t u r e mad e b y t h e p e r s o Ne n d t y o n b e ha 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 he d u l e 0 I n e h u c t i o n e a n d I o wa Cod e SB AA0 2 ( 3 ) ( i ) . ) _

    ( f o r SMdul e B)

    FOR I NSTRUCT I ONS , SEEBACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    STATEPACCOI ANI I T TEES : NOTE : FORCONTR I BUT I ONS MADE TO STATEWI DEOR LEGI SLAT I VE DCANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THEDESI GNATED COLUMN AND THE CHECK T HI S BOX I FPACCHECKNUMBER FOR EACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVA I LAB LE FROM THE I OWA AMENDI NG FORMETHI CS S CAMPAI GNDI SCLOSURE BOARD.C O I l i I I I 1 I I T T E E NAME ( Mo a t b e s ame a s o n S t a t e me n t o f O r g e n i z a f f b n )R i e l l y f o r Se n at e

    CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I 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( MMI DD( YR) AND PACCHECKNUMBERI D # I o w a D e mo c r a t i c P a t t y C o n t r i b u t i o n6 - 2 8 - 2 0 0 6 CK# 1 1 3 6 D e s Mo i n e s I o w a 5 0 3 0 9 $ 2 , 5 0 0

    I D # T r e a s u r e r S t a t e o f I o w a F l a g s7 - 1 4 - 0 6 CK4 1 1 3 7 D e s Mo i n e s I o w a 5 0 3 0 9 2 1 0I D # Ot t u mwa C o u r i e r S u b s c r i t p i o n7 - 1 - 0 6 2 1 3 E a s t 2 n d S t r e e t , Ot t u mwa l o w s 1 2 0CK# 1 1 3 8I D N F a r e w a y Wi l l a ms b u r g f u n d r a i s e r s u p p l i e s7 - 2 0 - 0 6 CK# O s k a l o o s a I o w a 5 2 5 7 7 5 4 . 3 51 1 3 9I D # HyV e e Wi l l a ma b u r g f u n d r a i s e r s u p p l i e s

    7 - 20 - 0 6 CK# O s k a l o o s a I o w a 5 2 5 7 7 2 1 . 0 51 1 4 0A D O D c l u x C h e c k s c h e c k r e p l e n i s b me n t6 - 3 0 - 0 6 3 1 . 9 0CK#I D # To m R i e l l y Mi l a g e r e i mb u t s mw t f o r r o a d s h o w7 - 3 1 - 0 6 3 0 4 No r t h B i b St . Ok s l a o o o s a i s 5 2 5 7 7 1 0 2 . 3 7CK# 1 1 4 1I D # Tom R i e l l y C e l l p h o n e r c i m b t u t s m e r t t f o r8 - 2 - 0 6 3 0 4 N o r t h 8 t h S t , O k s l a o o o s a l a 5 2 5 7 7 d e mo c r a t i c c a u c a s 3 5 . 1 9CK# 1 1 4 2

    SUB TOTAL $TOTAL ( I f l o s t p a v e o f t h i s # ~u f s ) $

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    T HI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :Pu r r i mr a e s o f c e na l n c a mp a i g n p r o p e r t y c o s t i n g 5 6 0 0 o r mo r e mus 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 Sc h e d ul e H I n s t n i c d an s . )Ex p e n di t u r e s t o p e r s omk 0 e n t Me s p r o v l Mn 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 t z l n g s e r v i c e s mus t a l s o b e d e t a l l I t e r r i R e d o nS c he 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 pe nd 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 he d u l e G I n s t r u c t i o n s a n d I o wa . Code 6 8 A A 0 2 ( 3 ) ( I ) . )

    Pag e 4 _ o f

    ( t i e r Sc h e d ul e B)

    FOR I NSTRUCTI ONS , SEE BACK OFFORM SCHEDULEEXPENDI TURES B MONETARY- MONEYSPENT FROM COMMI TT EEACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATVPAC COSI 1NNTTM: NOTE, FORCONTRI BUT I ONS MADE TO STATEWI DE OR LEGI S LATNE CHECKTHI SBOXI FCANDI DATES , L I S T THECANDI DATE I D ENT I F I CAT I ON NU6A1BFR I N THE DES I GNATED COLUMN ANDTHEPACCHECKNUMBERFOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI CS d CAMPAI GN D I SCLOSURE BOARDCOMMI TTEE NAME ( M u s t b e s ame a s on S t a t e me n t o f O r g a n i s a t i o n )R i e l l y f o r S e n a t e

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p Gb l e ) ( D i s b u r s e me n t ) WAS MADE( MI MI ) D I Y R) AND PAC

    CHECKNUMBERI D # T r e a s u r e r S t a t e o f I o w a G i f t s f o r T a i w a n T r i p8 - 1 0 - 0 6 CK# 1 1 4 3 De s Mo i n e s , I o wa 5 0 3 0 9 $ 9 5I DN V o i dCK# 1 1 4 4 0DN O s k a l o o s a A r e a C h a m b e r & G i f t s f o r T a i w a n T r i p8 - 1 1 - 0 D e v e l o p me n t , OWa oo s a I o w a 5 2 . 9 9CK# 1 1 4 5I D # O s k a l o o s a H e r a l d S u b s c r i p t i o n8 - 3 0 - 0 6 CK# O s k a l o o s a , I o w a 5 2 5 7 7 8 81 1 4 6I D # Do l l a r Gc n c r a l C a n d y f o r D e l t a p a r a d e9 - 9 - 0 6 CK# O s k a l o o s a , I o w a 5 2 5 7 7 2 3 . 4 81 1 4 7I D # S e n a t e Ma j o r i t y F u n d C o n t r i b u t i o n

    9 - 1 9 - 0 6 CK# D e s Mo i n e s , I o w a 5 2 5 7 7 9 , 0 0 01 1 4 8I l l Tom P i e l l y Mi l e a g e r e i mb u r s e me n t f o r9 - 2 5 - 0 6 3 0 4 No r t h 8 t h S t r e e t R e n e wa b l e r a o d s h o w 6 0 . 9 0CK# 1 1 4 9 O s k a l o o s a , I o wa 5 2 5 7 7

    9 - 2 5 - 0 6I D d f TomR i e l l y0 4 No r t b 8 t h S t r e e t Mi l e a g eB i c i t yt y b m e e t i n g g S ma l lCK# 1 1 5 0 i n 4 5 . 2 4O s k a l o o s a , I o w a 5 2 5 7 Ma t s b a l l t o wn

    SUB- TOTALTOTAL ( NMa t p a ge o f t h i s s c A e d a l e )

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    FOR I NSTRUCT I ONS, SEE BACK OF FORMEXPENDI TURES - MONEY SPENT FROM COMMI TT EE ACCOUNT

    STATE PAC COMMI TTE ES : NOTE : FOR CONTR I BUT I ONS MADE TO STATEWI DE OR L EGI S LAT I V ECANDI DATE S . L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUM13ERS I S AVAI LABLE FROM THE I OWAETHI CS a CAMPAI GN DI SCLOSURE BOARD .

    Tom R i e l l y3 0 4 No r t h 8 t h S t r o v tOs k a ) o o s a , I o wa 5 25 77

    S U B - T OT A LTOTAL ( i f l e s t p a p * o f Ml s s d w d a t * )

    SCHEDUL EB MONETARY( R e v _ 0 71 03 ) 1 EXPENDI TURES

    El CHECK T HI S BOX I FAMENDI NG FORM

    T HI 8 BOXAPPL I E S TO CANDI DAT ES ' COMMI TTEES ONLY .P u r c h a l t e s a l c e r t a i n c a mp a i g n p r o p e r t y c o a t i n g $ 5 Ot l 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 a 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 l e n t l t l e s p r o v i d i n g c o n s u l t i n g , a d v a r t l 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 a r n t r e d o nS c he 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 t r y t h e p e r = V en t h 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 he d u l e G i n s t r u c t i o n s a n d I o wa Coda e 8 A . 4 0MR)

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

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    HI SBOX APPLI ES TO CANDI DATES' COMMRTFES 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 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 H . ( R e f e r I D 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 n wn s l e ml t l e s p r o v i d i n g o o n s u h i n g , e d v a r t t s i l 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 Mc 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 e n 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 m a d 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 Me c a n d i d a t e ' s c o mm 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 e n d I o wa C o d e BM. 4 0 2 ( 3 ) ( Q . )

    Pa g e 6 o f

    ( f o r S c h e d u l e 8 )

    FOR I N STRUCT I ONS , SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- MONEYSPENT FROM COMMI TT EEACCOUNT ( 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 D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE a CHECK T HI S BOX I FPACCHECKNUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS 1 3 AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS A CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n l z a d o n )R i e l l y f o r S e n s e s

    CANDI DATE NAME ANDADDRESS TOWHOM 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 t s e u r a e ms v h t ) WAS MADE( MM/ DDYR) ANDPACCHECKNUMBERI D # Ku m & Go F u e l f o r C a mp a i g n r o a d s l o w s1 1 - 2 3 - 0 6 CK# 1 9 1 1 1 7 t h Av e E a s t 1 1 91 1 5 9 Os k a l o o s a , I o wa 5 25 77

    I D 4 De s Mo i n e s R e g i s t e r S u b s c r i p t i o n1 2 - 0 1 - 0 6 CK#1160 7 1 5 L o c u s t S t 2 2 1

    D e s Mo i n e s , I o w a 5 0 3 0 9I D # Us P o s t a l S e r v i c e P o s t a g e / S t a mp s1 2 - 0 2 - 0 6 Os k a l o o s a ' I o w a 5 2 5 7 7 1 5 6CK# 1 1 6 1I D # I o w a C a g e G i v e r s A s s e t Ma s s a c h u s e t t s Da y r e g i s t r a t i o n1 2 - 1 5 - 0 6 CK# 1 1 1 7 P l e a s a mt S t 3 0De s Mo i n e s I o w a 5 0 3 0 9I D #CK#I D #CK#I D #CK#I D #CK#

    SUB- TOTAL aTOTAL ( i f A r s t p a u r e o f t h i s s c t e d n 1 s )

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    FOR I NSTRUCT I ONS, SEE BACK OF FORMCOMMI TT EE NAME ( M u s t b e s ome 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 )

    R i e l l y f o r S en a t e

    SUB - TOTA LTOTAL ( I f l a s tp a g e o f t h i s

    s c h e d u l e )

    SCHEDULEE I N- K I N D( R e v 0 6 1 9 7 ] CON TRI B UT I ON S

    E D CHECK THI S BOX I FAMENDI NG FORM

    ' 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 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 ( f o r Sc 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 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 .

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    E : 1o