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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5/38
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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6/38
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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8/38
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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9/38
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
-
8/7/2019 Verizon Iowa State Good Government__6038__scanned
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
-
8/7/2019 Verizon Iowa State Good Government__6038__scanned
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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16/38
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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18/38
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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21/38
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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22/38
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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23/38
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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24/38
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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25/38
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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26/38
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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27/38
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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28/38
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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30/38
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