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  • 8/7/2019 Verizon Iowa State Good Government__6038__scanned

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    FOR INSTRUCTIONS, SEE BACK OF FORM

    DISCLOSURE SUMMARY PAGECOMMITTEE NAME

    CANDIDATE COMMITTEES ONLY:

    Candidate Name

    Office Sought

    Political Party (if applicable)

    District (If Senate or House)

    Comm. #

    Logged in

    Scanned

    Computer

    For Office Use Only

    FORM

    DR-2(Rev. 12/2005)

    DISCLOSUREREPORT(Must be same as on Statement of Organization)

    IMPORTANT: Indicate by # type of committee you are reporting for:

    (1)Statewide/Legislative/Judge Standing for Retention Candidate (2)State PAC (3)State Party(4) CountyCentral Commiittee (5)County Candidate (6)City Candidate (7)School Board or Other

    Political Subdivision Candidate (8)County PAC (9)City PAC (10) School Board or Other Political

    SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

    I AM FILING A REPORT FOR (1) ELECTION /(2) NON-ELECTION YEAR.

    CHECK IF AMENDMENT TO REPORT DATED

    (Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.

    (You must continue to file reports until a DR-3 is filed.)

    (report date) Indicate by #

    Local Committees, enter Date of Election

    County & Local Committee, enter County inwhich Election is held

    STATEMENT OF CASH ON HAND

    CASH ON HAND

    MUST

    at the beginning of the reporting period. (Total of all funds held

    by the committee. This amount be the same as the cash on hand at the endof the last reporting period, or must be zero if this is first report filed.)

    ADD TOTAL MONEY TAKEN IN THIS PERIOD

    Schedule A: Cash Contributions total (Attached Schedule A) (*also see in-kind below)

    Schedule F: Loan Received total (Attach Schedule F)

    Schedule H: Total Sales of Campaign Property (Attach Schedule H)

    Schedule H applies to Candidates' Committees Only)

    SUB-TOTAL

    CASH ON HAND at the end of this reporting period (if final report, balance must

    be zero)(Attach DR-3)

    SUBTRACT TOTAL MONEY SPENT THIS PERIOD

    Schedule B: Expenditures total ( Attach Schedule B) (**also see debts and loans below)

    Schedule F: Loans Repayments total (Attach Schedule F)

    **UNPAID BILLS

    *IN KIND CONTRIBUTIONS

    **OUTSTANDING LOANS

    CANDIDATE COMMITTEES ONLY:

    CONSULTANT BREAKDOWN

    VALUE OF CAMPAIGN PROPERTY

    (From Schedule D - Attach Schedule D)

    (From Schedule E - Attach Schedule E)

    (From Schedule F - Attach Schedule F)

    (Schedule G Attached ?)

    (From Schedule H - Attach Schedule H)

    YES NO

    $

    $

    $

    $

    $

    $

    $

    2

    Verizon Iowa State Good Government Club

    01/01/2008 - 05/14/2008

    1

    X

    16,782.06

    2,952.00

    0.00

    0.00

    19,734.06

    200.00

    0.00

    19,534.06

    0.00

    0.00

    0.00

    0.00

    Audited

    STATE COMMITTEES:Submit a reconciled campaign account bank statement in January of each year.

    Late reports are subject to possible civil and criminal penalities. Pursuant to Iowa Code section 68B.32A(7)the candidate, for a candidate's committee and the chairperson, for any other type of committee, is theindividual responsible for filing timely and accurate reports.

    File WithIowa Ethics and Campai nDisclosure Board510 E. 12th, Ste. 1ADes Moines, Iowa 50319fax: 515-281-3701

    Subdivision PAC (11)Local Ballot Issue

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    ID#

    CK#

    01/04/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    01/18/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    02/01/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    02/15/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    02/29/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    03/14/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive NorthwestAppleby, Anna

    ID#

    CK#

    03/28/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    04/11/2008 $5.00

    Cedar Rapids, IA 52405-4537

    60 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    04/25/2008 $5.00

    Cedar Rapids, IA 52405-453760 Clive Drive Northwest

    Appleby, Anna

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd Avenue

    Appleby, Anna

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $50.00

    361

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    ID#

    CK#

    01/04/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    01/18/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    02/01/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    02/15/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    02/29/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    03/14/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale PlaceBeach, Michael

    ID#

    CK#

    03/28/2008 $5.00

    Aurora, CO 80016-5216

    23762 East Hinsdale Place

    Beach, Michael

    ID#

    CK#

    01/04/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    01/18/2008 $5.00

    Cedar Rapids, IA 52411-77576616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    02/01/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $50.00

    362

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    ID#

    CK#

    02/15/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    02/29/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    03/14/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    03/28/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    04/11/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court Northeast

    Brady, Scott

    ID#

    CK#

    04/25/2008 $5.00

    Cedar Rapids, IA 52411-7757

    6616 Ashwood Court NortheastBrady, Scott

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd Avenue

    Brady, Scott

    ID#

    CK#

    01/04/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    01/18/2008 $5.00

    Marion, IA 52302-17811645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    02/01/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $50.00

    363

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    ID#

    CK#

    02/15/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    02/29/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    03/14/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    03/28/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    04/11/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston Drive

    Brown, Scot

    ID#

    CK#

    04/25/2008 $5.00

    Marion, IA 52302-1781

    1645 Charleston DriveBrown, Scot

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd Avenue

    Brown, Scot

    ID#

    CK#

    01/18/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    02/01/2008 $15.00

    North Liberty, IA 52317-9412115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    02/15/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $80.00

    364

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    ID#

    CK#

    02/29/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    03/14/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    03/28/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    04/11/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    04/25/2008 $15.00

    North Liberty, IA 52317-9412

    115 Elm Ridge Drive

    Childs, Amanda

    ID#

    CK#

    05/09/2008 $15.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueChilds, Amanda

    ID#

    CK#

    01/04/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    01/18/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    02/01/2008 $3.00

    Marion, IA 52302-4992540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    02/15/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $102.00

    365

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    ID#

    CK#

    02/29/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    03/14/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    03/28/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    04/11/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    04/25/2008 $3.00

    Marion, IA 52302-4992

    540 S 22nd Street

    Combs, Beth

    ID#

    CK#

    05/09/2008 $3.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueCombs, Beth

    ID#

    CK#

    01/04/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    01/18/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    02/01/2008 $5.00

    Marion, IA 52302-61664185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    02/15/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $38.00

    366

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    ID#

    CK#

    02/29/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    03/14/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    03/28/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    04/11/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    04/25/2008 $5.00

    Marion, IA 52302-6166

    4185 Willowbrook Drive

    Cranny, Daniel

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueCranny, Daniel

    ID#

    CK#

    01/04/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    01/18/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    02/01/2008 $2.75

    Malcom, IA 50157-80331408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    02/15/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $41.00

    367

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    ID#

    CK#

    02/29/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    03/14/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    03/28/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    04/11/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    04/25/2008 $2.75

    Malcom, IA 50157-8033

    1408 Old 6 Road

    Cummings, Joy

    ID#

    CK#

    05/09/2008 $2.75

    Grinnell, IA 50112-2604

    101 11th AvenueCummings, Joy

    ID#

    CK#

    01/04/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    01/18/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    02/01/2008 $4.00

    Grinnell, IA 50112-83483630 90th Street

    Edelen, Susan

    ID#

    CK#

    02/15/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $32.50

    368

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    10/38

    ID#

    CK#

    02/29/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    03/14/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    03/28/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    04/11/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    04/25/2008 $4.00

    Grinnell, IA 50112-8348

    3630 90th Street

    Edelen, Susan

    ID#

    CK#

    05/09/2008 $4.00

    Grinnell, IA 50112-2604

    101 11th AvenueEdelen, Susan

    ID#

    CK#

    01/04/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    01/18/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    02/01/2008 $25.00

    West Des Moines, IA 50265-22131024 21st

    Flannery, John

    ID#

    CK#

    02/15/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $124.00

    369

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    11/38

    ID#

    CK#

    02/29/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    03/14/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    03/28/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    04/11/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    04/25/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 21st

    Flannery, John

    ID#

    CK#

    05/09/2008 $25.00

    West Des Moines, IA 50265-2213

    1024 W 21st StreetFlannery, John

    ID#

    CK#

    01/04/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    01/18/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    02/01/2008 $3.00

    Grinnell, IA 50112-20211421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    02/15/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $162.00

    3610

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    12/38

    ID#

    CK#

    02/29/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    03/14/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    03/28/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    04/11/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    04/25/2008 $3.00

    Grinnell, IA 50112-2021

    1421 4th Avenue

    Goodin, Michele

    ID#

    CK#

    05/09/2008 $3.00

    Grinnell, IA 50112-2604

    101 11th AvenueGoodin, Michele

    ID#

    CK#

    01/04/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    01/18/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    02/01/2008 $4.00

    Tama, IA 52339-2208700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    02/15/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $34.00

    3611

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    13/38

    ID#

    CK#

    02/29/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    03/14/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    03/28/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    04/11/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    04/25/2008 $4.00

    Tama, IA 52339-2208

    700 Garfield Street

    Graff, Ellen

    ID#

    CK#

    05/09/2008 $4.00

    Grinnell, IA 50112-2604

    101 11th AvenueGraff, Ellen

    ID#

    CK#

    01/04/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    01/18/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    02/01/2008 $8.00

    Kellogg, IA 50135-1116121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    02/15/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $56.00

    3612

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    14/38

    ID#

    CK#

    02/29/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    03/14/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    03/28/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    04/11/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    04/25/2008 $8.00

    Kellogg, IA 50135-1116

    121 Adair Street

    Guthrie, Traci

    ID#

    CK#

    05/09/2008 $8.00

    Grinnell, IA 50112-2604

    101 11th AvenueGuthrie, Traci

    ID#

    CK#

    01/04/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    01/18/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    02/01/2008 $5.00

    Marion, IA 52302-61621905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    02/15/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $68.00

    3613

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    15/38

    ID#

    CK#

    02/29/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    03/14/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    03/28/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    04/11/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    04/25/2008 $5.00

    Marion, IA 52302-6162

    1905 Sugaridge Drive

    Hall, Janan

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueHall, Janan

    ID#

    CK#

    01/04/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    01/18/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    02/01/2008 $5.00

    Iowa City, IA 52246-86971325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    02/15/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $50.00

    3614

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    ID#

    CK#

    02/29/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    03/14/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    03/28/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    04/11/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    04/25/2008 $5.00

    Iowa City, IA 52246-8697

    1325 Phoenix Drive

    Halverson, Michelle

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueHalverson, Michelle

    ID#

    CK#

    01/04/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    01/18/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    02/01/2008 $30.00

    Cedar Rapids, IA 52402-33551526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    02/15/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $150.00

    3615

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    17/38

    ID#

    CK#

    02/29/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    03/14/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    03/28/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    04/11/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    04/25/2008 $30.00

    Cedar Rapids, IA 52402-3355

    1526 Matterhorn Drive Northeast

    Handley, Lori

    ID#

    CK#

    05/09/2008 $30.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueHandley, Lori

    ID#

    CK#

    01/04/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    01/18/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    02/01/2008 $6.00

    Grinnell, IA 50112-80071003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    02/15/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $204.00

    3616

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    ID#

    CK#

    02/29/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    03/14/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    03/28/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    04/11/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    04/25/2008 $6.00

    Grinnell, IA 50112-8007

    1003 Old 6 Road

    Hanssen, Ann

    ID#

    CK#

    05/09/2008 $6.00

    Grinnell, IA 50112-2604

    101 11th AvenueHanssen, Ann

    ID#

    CK#

    01/04/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    01/18/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    02/01/2008 $5.00

    Brooklyn, IA 52211-86021498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    02/15/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $56.00

    3617

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    19/38

    ID#

    CK#

    02/29/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    03/14/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    03/28/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    04/11/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    04/25/2008 $5.00

    Brooklyn, IA 52211-8602

    1498 Old 6 Road

    Hodina, Eric

    ID#

    CK#

    05/09/2008 $5.00

    Grinnell, IA 50112-2604

    101 11th AvenueHodina, Eric

    ID#

    CK#

    01/04/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    01/18/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    02/01/2008 $7.50

    Cedar Rapids, IA 52402-70334710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    02/15/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $60.00

    3618

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    20/38

    ID#

    CK#

    02/29/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    03/14/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    03/28/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    04/11/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    04/25/2008 $7.50

    Cedar Rapids, IA 52402-7033

    4710 Coventry Lane Northeast

    Howard, William

    ID#

    CK#

    05/09/2008 $7.50

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueHoward, William

    ID#

    CK#

    01/04/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    01/18/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    02/01/2008 $10.00

    Newhall, IA 52315-96437292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    02/15/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $85.00

    3619

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    ID#

    CK#

    02/29/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    03/14/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    03/28/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    04/11/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    04/25/2008 $10.00

    Newhall, IA 52315-9643

    7292 28th Avenue

    Jacque, Kara

    ID#

    CK#

    05/09/2008 $10.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueJacque, Kara

    ID#

    CK#

    01/04/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    01/18/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    02/01/2008 $5.00

    Cedar Rapids, IA 52404-77093405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    02/15/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $80.00

    3620

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    ID#

    CK#

    02/29/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    03/14/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    03/28/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    04/11/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    04/25/2008 $5.00

    Cedar Rapids, IA 52404-7709

    3405 Blue Pointe Court Southwest

    Jakoubek, Paula

    ID#

    CK#

    05/09/2008 $5.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueJakoubek, Paula

    ID#

    CK#

    01/04/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    01/18/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    02/01/2008 $10.00

    Shellsburg, IA 52332-0266PO Box 266

    Larimer, Audra

    ID#

    CK#

    02/15/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $70.00

    3621

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    ID#

    CK#

    02/29/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    03/14/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    03/28/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    04/11/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    04/25/2008 $10.00

    Shellsburg, IA 52332-0266

    PO Box 266

    Larimer, Audra

    ID#

    CK#

    05/09/2008 $10.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueLarimer, Audra

    ID#

    CK#

    01/04/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    01/18/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    02/01/2008 $3.00

    Malcom, IA 50157-81014098 90th Street

    Manatt, Patricia

    ID#

    CK#

    02/15/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $72.00

    3622

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    ID#

    CK#

    02/29/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    03/14/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    03/28/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    04/11/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    04/25/2008 $3.00

    Malcom, IA 50157-8101

    4098 90th Street

    Manatt, Patricia

    ID#

    CK#

    05/09/2008 $3.00

    Grinnell, IA 50112-2604

    101 11th AvenueManatt, Patricia

    ID#

    CK#

    01/04/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    01/18/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    02/01/2008 $7.50

    Cedar Rapids, IA 52402-68013007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    02/15/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $48.00

    3623

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    ID#

    CK#

    02/29/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    03/14/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    03/28/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    04/11/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    04/25/2008 $7.50

    Cedar Rapids, IA 52402-6801

    3007 Old Orchard Road Northeast

    Mike, Donna

    ID#

    CK#

    05/09/2008 $7.50

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueMike, Donna

    ID#

    CK#

    01/04/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    01/18/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    02/01/2008 $5.00

    Grinnell, IA 50112-17511108 Summer Street

    Pease, Linda

    ID#

    CK#

    02/15/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $65.00

    3624

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    ID#

    CK#

    02/29/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    03/14/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    03/28/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    04/11/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    04/25/2008 $5.00

    Grinnell, IA 50112-1751

    1108 Summer Street

    Pease, Linda

    ID#

    CK#

    05/09/2008 $5.00

    Grinnell, IA 50112-2604

    101 11th AvenuePease, Linda

    ID#

    CK#

    01/04/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    01/18/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    02/01/2008 $10.00

    Cedar Rapids, IA 52403-43554225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    02/15/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $70.00

    3625

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    ID#

    CK#

    02/29/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    03/14/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    03/28/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    04/11/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    04/25/2008 $10.00

    Cedar Rapids, IA 52403-4355

    4225 Dalewood Avenue Southeast

    Ray, Jane

    ID#

    CK#

    05/09/2008 $10.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueRay, Jane

    ID#

    CK#

    01/04/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    01/18/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    02/01/2008 $3.00

    Cedar Rapids, IA 52405-28384552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    02/15/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $72.00

    3626

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    ID#

    CK#

    02/29/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    03/14/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    03/28/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    04/11/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    04/25/2008 $3.00

    Cedar Rapids, IA 52405-2838

    4552 Orchard Drive Northwest

    Safley, Thomas

    ID#

    CK#

    05/09/2008 $3.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueSafley, Thomas

    ID#

    CK#

    01/04/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    01/18/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    02/01/2008 $3.00

    Cedar Rapids, IA 52404-520127 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    02/15/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $30.00

    3627

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    ID#

    CK#

    02/29/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    03/14/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    03/28/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    04/11/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    04/25/2008 $3.00

    Cedar Rapids, IA 52404-5201

    27 Dartmouth Street Southwest

    Salven, Timothy

    ID#

    CK#

    05/09/2008 $3.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueSalven, Timothy

    ID#

    CK#

    01/04/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    01/18/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    02/01/2008 $10.00

    Cedar Rapids, IA 52411-76014039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    02/15/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $58.00

    3628

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    ID#

    CK#

    02/29/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    03/14/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    03/28/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    04/11/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    04/25/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Kyle

    ID#

    CK#

    05/09/2008 $10.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueSchramp, Kyle

    ID#

    CK#

    01/04/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    01/18/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    02/01/2008 $10.00

    Cedar Rapids, IA 52411-76014039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    02/15/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED

    RELATIONSHIPTO CANDIDATE*

    (if applicable)

    NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND

    PAC CHECKNUMBER

    a

    Verizon Iowa State Good Government Club

    * Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.

    TOTAL (if last page of this schedule)

    SUB-TOTAL $

    $

    Page ________of _______

    (for Schedule A)

    $100.00

    3629

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    ID#

    CK#

    02/29/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    03/14/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    03/28/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    04/11/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    04/25/2008 $10.00

    Cedar Rapids, IA 52411-7601

    4039 Cedar Grove Court Northeast

    Schramp, Philip

    ID#

    CK#

    05/09/2008 $10.00

    Cedar Rapids, IA 52401-1304

    500 2nd AvenueSchramp, Philip

    ID#

    CK#

    01/04/2008 $5.00

    Grinnell, IA 50112-0926

    PO Box 926

    Stanek, Kathy

    ID#

    CK#

    01/18/2008 $5.00

    Grinnell, IA 50112-0926

    PO Box 926

    Stanek, Kathy

    ID#

    CK#

    02/01/2008 $5.00

    Grinnell, IA 50112-0926PO Box 926

    Stanek, Kathy

    ID#

    CK#

    02/15/2008 $5.00

    Grinnell, IA 50112-0926

    PO Box 926

    Stanek, Kathy

    For Instructions, See Back of Form

    CONTRIBUTIONS -- MONEY TAKEN IN

    (Including candidate's personal funds)

    COMMITTEE NAME (Must be same as on Statement of Organization)

    SCHEDULE

    A(Rev. 07/03)

    MONETARYRECEIPTS

    CHECK THIS BOX IFAMENDING FORM

    STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

    CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

    DATERECEIVED

    (MM/DD/YR)

    IFURAINC

    AMOUNTRECEIVED