verizon iowa state government club6038scanned

8/7/2019 Verizon Iowa State Government Club__6038__scanned

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O1 : 1 1 : ' 2 00 ^ 1 5 : 2 5 5412595599 VERI ZOH

FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

COMMI TTEE NAME( Mus t b e same a s o n St a t emen t o f O r g a n i z a t i o n )v e r i z o n I o wa S t a t e Go v e r nme n t Cl u bI MPORTANT : I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e St a nd i n g f o r R e t e n t i o n Ca nd i d a t e ( 2 ) S t a e AC ( 3 ) S t a t e P a r t y( 4 ) Co u n t y C e n t r a l Commi t t e e ( 5 ) Co u n t y Ca n d i d a t e ( 6 ) C i t y Ca nd i d a t e ( 7 ) S c h o o l B o ar d o rOt h e r P o l i t i c a l S u b d i v i s i o n Ca nd i d a t e ( 8 ) Coun AC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o ar d o r Ot h e rP o l i t i c a l S u b d i v i s i o n PAC ( 1 1 ) L o c a l B e l l o t a s

I CANDI DATE COMMI TTEES ONLY :Ca nd i d a t e Name _

I F AMENDMENT TO REPORT DATED

P o l A a l P a r t y ( I f a p p l i c a b l e )

O f f i c e S o u g h t ~ ' ' ~ , - 8 t t tIf f Se n a t e o r H o u s e )L a t e r e p o r t s a r e s u b j e c t t o p d . % e f M -e c i v i l an d c r i m i n a l p e n a l t i e s . P u r s u a n t t o I o wa Co d e s e c t i o n68 B . 3 2 ( 7 ) t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e , an d t h e c h a i r p e r s o n , f o r an y o t h e r t y p e o fc o mmi t t e e , i s t h e I n d i v i d u a l r e s p o n s i b l e f o r f i l i n g t i m e l y an d a c c u r a t e r e p o r t s .

SI GN TORE OF PERSON F I RI NG REPORT TELEPHONEI AM F I L I NG A 1 0 1 1 8/ 2 0 0 6 REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- ELECTI ON YEAR .

( r e p o r t d a t e ) I n d i c a t e b y #1 0 / 1 8 / 2 0 06

Che c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 . ,( Y o u mu s t c o n t i n u e t o f i e r e p o r t s u n t i l a N o t i c e o f D + Sa o l u t i o n i s f i l e d . )

a

SUB- TOTAL $

FORMDR- 2

( R e v . 1 2 1 2 0 0 5 )DI SCL OSUREREPORT

F o r O f f i c e u s e o nl yComm . #L o g g e d I nScanne dCompu t e rA u d i t e dF i l e w i t h :I o w a E t h i c s a n d Campa i gnD i s c l o s u r e B o a r d51 0 E . 1 2 t h . S i t e . 1 ADe s Mo n i e s , I o wa 5 0 3 1 9 -

I L F ax : 5 1 5- 2 8 1 - 3 7 0 1

D TE I GNED

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d ( T o t a l o f a l l f u n d s h e l d b yt h e c o mmi t t e e . T h i s amoun t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h ee n d o f t h e l a s t r e p o r t i n g p e r i o d o r must b e z e r o i f t h i s I s f i r s t r e p o r t f i l e d . ) $ 1 3 3 1 8 . 9 8ADD TOTAL MONEYTAKEN I N T HI S PERI ODSc h e d u l e A Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) ( ' a l s o s e e i n - k i n d b e l o w) 2 6 54 3 , 0 2Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) , . . . . . . , . . . , . 0 , 0 0Sc h e d u l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . , 0 . 0 0t S c h a d u l e H a p p l i e s t o C a n d i d a t e ' s C _ o mmi _ t t e e %On l y )

SUBTRACT TOTAL MONEYSPENT TH I S PERI ODSc h e d u l e B : Ex p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B) ( " ' a l s o s e e d e b t s an d l o a n s b e l o w) 7 4 5 0 . 0 0Sc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . _ , . . _ , . . . . . . . . , . _ . , . _ . , . . . . . . . . . . . . 0 , 0 0CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b al a nc e mu s t b e z e r o )( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 2 4 1 2 . 0 0

" UNPAI D B I L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) $ 0 . 0 0' I N K I ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e d u l e E) $ 0 . 0 0" OUTSTANDI NG LOANS( Fr om Sc h e d u l e F - A t t a c h Sc h e d u l e F ) $ 0 . 0 0CONSULTANT BREAKDOWN ( Sc h e d ul e G a t t a c h e d ? ) F 7 , Ye s F X NoCANDI DATE COMMI TTEES ONLY:VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H ) $ 0 . 0 0STAT COMMI TTEES : Submi t a r e c o n c i l e d c amp a i g n a c c o u n t b a n k s t a t e me n t i n J a n u ar y o f e a c h y e a r .

PAGE 0 2

L o c a l Commi t t e e s , e n t e r Da t e o f E l e c t i o n1 1 / 0 7 1 20 0 6

Co u n t y & L o c a l Commi t t e e s , e n t e r Co u n t y i nwh i c h E l e c t i o n i s He l d

3 9 8 6 2 . 0 0


2/182

CONTRIBUTIONS - MONEY TAKEN IN

SCHEDULE

A MONETARYRECEIPTS

(including candidate's personal funds)

Verizon Iowa State Government Club

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

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o

DATE NAME AND ADDRESS OF CONTRIBUTOR

or any commercial purpose by any person other than statutory political committees.

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.

PAC I.D. NUMBER

(if applicable)REC'D

RELATIONSHIPTO CANDIDATE*

AMOUNTRECEIVED(if applicable)

AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)

For Instructions, See Back of Form

X

IF FORFUND-RAISERINCOME

MM/DD/YR)

07/21/2006 Grosenbach Andrew J.

1116 Reed St Apt 101

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Hanssen Ann M.

1003 Old 6 Rd #215

Grinnell, IA 50112

6.00

ID#

CK#

07/21/2006 De Vilder Anna

1404 West St #3

Grinnell, IA 50112

2.36

ID#

CK#

07/21/2006 Schultz Barbara J.

510 Pearl St

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Byriel Charmaine

2105 Country Club Dr

Grinnell, IA 50112

1.00ID#

CK#

07/21/2006 Christinson Cheryl A.

1428 Reed Street

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Dudley Cindy A.

174 380 Ave.

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Cloyed Cynthia S.

1221 Prince Street

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Weaver David L.

179 Walnut Road

Grinnell, IA 50112

2.50

ID#

CK#

87

23.86SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must

Page1

of(for Schedule A)

e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the

elationship column.


3/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Walker Deborah D.

238 Horseshoe Dr

Montezuma, IA 50171

4.98

ID#

CK#

07/21/2006 Amo Dena L.

304 Williams Street Po Box FPC W

Brooklyn, IA 52211

1.00

ID#

CK#

07/21/2006 Scott Denise D.

1255 430th Ave

Malcom, IA 50157

1.00

ID#

CK#

07/21/2006 Webster Diana J.

317 E 9th St N 1

Newton, IA 50208

2.50

ID#

CK#

07/21/2006 Keenan Diane J.

1228 West St

Grinnell, IA 50112

1.00ID#

CK#

07/21/2006 Graff Ellen T.

700 Garfield St

Tama, IA 52339

4.00

ID#

CK#

07/21/2006 Lender Ellen T.

372 Ewart Rd

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Hodina Eric D.

1498 Old 6 Rd 1

Brooklyn, IA 52211

2.50

ID#

CK#

07/21/2006 Hull Evelyn M.

1358 Roland Ave

Chariton, IA 50049

2.00

ID#

CK#

87

19.98SUB-TOTAL



Page2

of(for Schedule A)


elationship column.


4/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Prince Fredrick C.

1706 8th Ave

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Reimer Holly L.

1121 Prince St

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Knerr Jama M.

1825 6th Ave

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Phelps James R.

1602 10th Avenue Place

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Gunderson Jennifer

409 Clay St

Malcom, IA 50157

2.50ID#

CK#

07/21/2006 Wells Joann L.

256 Newburg Road

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Blackford Jodi

4466 32nd Street

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Flannery John S.

1024 21st

W. Des Moines, IA 50265

12.50

ID#

CK#

07/21/2006 Cummings Joy M.

1408 Old 6 Rd. 1

Malcom, IA 50157

2.50

ID#

CK#

87

30.50SUB-TOTAL



Page3

of(for Schedule A)


elationship column.


5/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Smith Judith E.

4266 20th St

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Mcdowell Julie A.

Po Box 123

Malcom, IA 50157

1.00

ID#

CK#

07/21/2006 Wells Justin B.

256 Newburg Rd

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Van Soelen Karen

12695 S 92nd Ave E

Sully, IA 50251

2.50

ID#

CK#

07/21/2006 Vanderleest Karla L.

15270 N 75th Ave E UP

Grinnell, IA 50112

2.00ID#

CK#

07/21/2006 Patten Kathryn J.

4310 Shady Lane Dr

Brooklyn, IA 52211

2.50

ID#

CK#

07/21/2006 Stanek Kathy V.

Po Box 926

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Morrison Kim R.

517 Spring St

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Kriegel Kimberly K.

616 Main St

Brooklyn, IA 52211

2.50

ID#

CK#

87

23.00SUB-TOTAL



Page4

of(for Schedule A)


elationship column.


6/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Winchell Linda J.

315 2nd Avenue

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Davis Linda M.

1617 Reed

Grinnell, IA 50112

1.50

ID#

CK#

07/21/2006 Pease Linda M.

1108 Summer St

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Tarvin Marcia

5027 Hwy 63

Montezuma, IA 50171

2.50

ID#

CK#

07/21/2006 Van Zante Marlis R.

14017 Hwy F-62 E

Lynnville, IA 50153

2.50ID#

CK#

07/21/2006 Pawlowski Michael D.

902 Hanover Drive

South Lake, TX 76092

5.00

ID#

CK#

07/21/2006 Goodin Michele L.

1421 4th Ave

Grinnell, IA 50112

3.00

ID#

CK#

07/21/2006 Saunders Miriam L.

1820 Prince St

Grinnell, IA 50112

1.00

ID#

CK#

07/21/2006 Couper Nancy D.

606 E 12th St N

Newton, IA 50208

2.50

ID#

CK#

87

25.50SUB-TOTAL



Page5

of(for Schedule A)


elationship column.


7/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Yuska Nicki J.

706 E Ross

Toledo, IA 52342

2.50

ID#

CK#

07/21/2006 Story Nicole M.

1131 Reed St N/A

Grinnell, IA 501121336

2.50

ID#

CK#

07/21/2006 Kessler Pamela L.

255 420th Ave STE 2

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Manatt Patricia A.

4098 90th St DBAC

Malcom, IA 50157

2.50

ID#

CK#

07/21/2006 Sharp Pauline K.

523 Center St

Grinnell, IA 50112

2.50ID#

CK#

07/21/2006 Jantzen Peggy A.

522 9th Avenue 241

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Northcutt Rebecca L.

705 E Wood St Box 819

Montezuma, IA 50171

2.50

ID#

CK#

07/21/2006 Moyes Rhonda R.

1409 Prince St

Grinnell, IA 50112

5.00

ID#

CK#

07/21/2006 Fenner Romaine K.

4234 20th Street SUITE2

Grinnell, IA 50112

2.50

ID#

CK#

87

27.50SUB-TOTAL



Page6

of(for Schedule A)


elationship column.


8/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Brown Ronald D.

Po Box 226

New Sharon, IA 50207

2.50

ID#

CK#

07/21/2006 Krumm Sharon L.

15415 N 75th Ave E

Grinnell, IA 50112

2.50

ID#

CK#

07/21/2006 Novak Sharon S.

212 Second Street P.o. Box 192

Hartwick, IA 52232

2.00

ID#

CK#

07/21/2006 Mc Cain Susan J.

4370 Highway 63, Box 8

Malcom, IA 50157

2.50

ID#

CK#

07/21/2006 Edelen Susan M.

3630 90th St

Grinnell, IA 50112

4.00ID#

CK#

07/21/2006 Kriegel Teresa M.

1892 385th Ave

Brooklyn, IA 52211

1.00

ID#

CK#

07/21/2006 Yoder Theresa A.

406 Clay St Po Box 82

Malcom, IA 50157

1.00

ID#

CK#

07/21/2006 Guinane Thomas E.

1934 Reed Street

Grinnell, IA 50112

2.00

ID#

CK#

07/21/2006 Guthrie Traci A.

121 Adair St

Kellogg, IA 50135

8.00

ID#

CK#

87

25.50SUB-TOTAL



Page7

of(for Schedule A)


elationship column.


9/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/21/2006 Van Wyk Vicki L.

5368 Sawmill Rd


1.00

ID#

CK#

07/24/2006 Seng Amber

1619 Grande Ave Se

Cedar Rapids, IA 52403-2221

1.00

ID#

CK#

07/24/2006 Claiborne Amilynn

209 Sand Ln Nw


1.00

ID#

CK#

07/24/2006 Issa Angela

1331 11th St Nw


2.00

ID#

CK#

07/24/2006 Appleby Anna

60 Clive Dr Nw


5.00ID#

CK#

07/24/2006 Gilmourlarimer Audra

Po Box 36

Shellsburg, IA 52332-0036

10.00

ID#

CK#

07/24/2006 Combs Beth

540 S 22nd St

Marion, IA 52302-4992

3.00

ID#

CK#

07/24/2006 Stonewall Brett

1300 Acacia Dr Ne


5.00

ID#

CK#

07/24/2006 Hodges Bruce

1705 W Le Moyne St Apt A

Chicago, IL 60622-2111

1.00

ID#

CK#

87

29.00SUB-TOTAL



Page8

of(for Schedule A)


elationship column.


10/182


11/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/24/2006 Sylver Dusty

1431 Franklin St

Center Point, IA 522139654

0.50

ID#

CK#

07/24/2006 Staub Elizabeth

2927 Woodland Dr Sw

Cedar Rapids, IA 52404

1.00

ID#

CK#

07/24/2006 Riniker Heather

929a Willow Ln

Lisbon, IA 52253-9812

1.00

ID#

CK#

07/24/2006 Hall Janan

1905 Sugaridge Dr

Marion, IA 523026162

5.00

ID#

CK#

07/24/2006 Ray Jane

4225 Dalewood Ave Se


10.00ID#

CK#

07/24/2006 Graham Jean

4824 Lorraine Ave

Sioux City, IA 51106

2.00

ID#

CK#

07/24/2006 Holderness Jennifer

1225 1st Ave N Trlr 9

Mount Vernon, IA 52314-9725

2.00

ID#

CK#

07/24/2006 Jubeck Jennifer

419 Truman Street

Lisbon, IA 52253

1.00

ID#

CK#

07/24/2006 Brubaker John

4510 Sloan Rdg

Cumming, GA 30040-8103

2.00

ID#

CK#

87

24.50SUB-TOTAL



Page10

of(for Schedule A)


elationship column.


12/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/24/2006 Lawrence Jonathan

1217 4th St Nw


1.00

ID#

CK#

07/24/2006 Nefzger Joni

Po Box 34

Delhi, IA 52223-0034

3.00

ID#

CK#

07/24/2006 Pape Julie

615 Huntington Ridge Road Ne


2.00

ID#

CK#

07/24/2006 Jacque Kara

7292 28th Ave

Newhall, IA 52315-9643

10.00

ID#

CK#

07/24/2006 Rotter Karmela

824 31st Ave

Amana, IA 52203-8202

2.00ID#

CK#

07/24/2006 Schramp Kyle

4039 Cedar Grove Ct Ne


10.00

ID#

CK#

07/24/2006 Haas Linda

1100 D St Ne

Independence, IA 50644

1.00

ID#

CK#

07/24/2006 Handley Lori

1526 Matterhorn Dr Ne


30.00

ID#

CK#

07/24/2006 Halverson Michelle

1325 Phoenix Dr

Iowa City, IA 52246-8697

5.00

ID#

CK#

87

64.00SUB-TOTAL



Page11

of(for Schedule A)


elationship column.


13/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/24/2006 Staab Mindy

344 13th St Sw


5.00

ID#

CK#

07/24/2006 Grimm Nancy

622 Westwood Dr Nw C/o Shannan Wilson


1.00

ID#

CK#

07/24/2006 Ramoska Pamela

2325 Ridge Trail Ne


1.00

ID#

CK#

07/24/2006 Fitzgerald Patricia

1397 Austin Road

Springville, IA 52336

3.00

ID#

CK#

07/24/2006 Walker Patricia

1122 28th St Se


5.00ID#

CK#

07/24/2006 Graham Paul

2307 Camelot Ave Nw


4.00

ID#

CK#

07/24/2006 Jakoubek Paula

3405 Blue Pointe Court Sw


5.00

ID#

CK#

07/24/2006 Schramp Philip



10.00

ID#

CK#

07/24/2006 Jacobo Rafael

1501 D Ave Ne


1.00

ID#

CK#

87

35.00SUB-TOTAL



Page12

of(for Schedule A)


elationship column.


14/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/24/2006 Wenger Sara

125 1st St Lot 1

Keystone, IA 52249

1.00

ID#

CK#

07/24/2006 Brown Scot

1645 Charleston Dr

Marion, IA 52302-1781

5.00

ID#

CK#

07/24/2006 Brady Scott

6616 Ashwood Ct Ne


5.00

ID#

CK#

07/24/2006 Wilson Shannan

622 Westwood Dr Nw


2.00

ID#

CK#

07/24/2006 Holmquist Shannon

5001 1st Ave Sw Apt 7


2.00ID#

CK#

07/24/2006 Mohrfeld Shannonchristine

4420 Bowling St Sw Lot E3


1.00

ID#

CK#

07/24/2006 Smith Steven

205 Stephanie Dr.

Central City, IA 52214

5.00

ID#

CK#

07/24/2006 Baker Talika

571 Country Hill Ln Ne Apt 2


1.00

ID#

CK#

07/24/2006 Murphy Thomas

819 Kerry Lane Se


5.00

ID#

CK#

87

27.00SUB-TOTAL



Page13

of(for Schedule A)


elationship column.


15/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

07/24/2006 Safley Thomas

4552 Orchard Dr Nw


3.00

ID#

CK#

07/24/2006 Salven Timothy

27 Dartmouth St Sw


3.00

ID#

CK#

07/24/2006 Gerber Tom

5673 22nd Ave Trail

Vinton, IA 52349

2.00

ID#

CK#

07/24/2006 Wood Warren

119 Ray's Court

Manchester, IA 52057

1.00

ID#

CK#

07/24/2006 Debord William

16166 Port Of Nantucket Dr

Grover, MO 63040-1530

1.00ID#

CK#

08/04/2006 Seng Amber

1619 Grande Ave Se


1.00

ID#

CK#

08/04/2006 Claiborne Amilynn

209 Sand Ln Nw


1.00

ID#

CK#

08/04/2006 Grosenbach Andrew J.

1116 Reed St Apt 101

Grinnell, IA 50112

5.00

ID#

CK#

08/04/2006 Issa Angela

1331 11th St Nw


2.00

ID#

CK#

87

19.00SUB-TOTAL



Page14

of(for Schedule A)


elationship column.


16/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Hanssen Ann M.

1003 Old 6 Rd #215

Grinnell, IA 50112

6.00

ID#

CK#

08/04/2006 Appleby Anna

60 Clive Dr Nw


5.00

ID#

CK#

08/04/2006 De Vilder Anna

1404 West St #3

Grinnell, IA 50112

2.36

ID#

CK#

08/04/2006 Gilmourlarimer Audra

Po Box 36

Shellsburg, IA 52332-0036

10.00

ID#

CK#

08/04/2006 Schultz Barbara J.

510 Pearl St

Grinnell, IA 50112

2.50ID#

CK#


540 S 22nd St

Marion, IA 52302-4992

3.00

ID#

CK#


1300 Acacia Dr Ne


5.00

ID#

CK#




1.00

ID#

CK#

08/04/2006 Franks Carol

1238 Ellis Blvd Nw


1.00

ID#

CK#

87

35.86SUB-TOTAL



Page15

of(for Schedule A)


elationship column.


17/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Riniker Chad

929a Willow Ln

Lisbon, IA 52253-9812

2.00

ID#

CK#



Grinnell, IA 50112

1.00

ID#

CK#


1428 Reed Street

Grinnell, IA 50112

2.50

ID#

CK#

08/04/2006 Hart Christy

140 Brentwood Dr Ne


2.00

ID#

CK#


174 380 Ave.

Grinnell, IA 50112

1.00ID#

CK#


1221 Prince Street

Grinnell, IA 50112

1.00

ID#

CK#

08/04/2006 Cranny Daniel

4185 Willowbrook Drive

Marion, IA 52302

5.00

ID#

CK#


179 Walnut Road

Grinnell, IA 50112

2.50

ID#

CK#

08/04/2006 Lloyd David

4114 M Avenue Nw


2.00

ID#

CK#

87

19.00SUB-TOTAL



Page16

of(for Schedule A)


elationship column.


18/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


238 Horseshoe Dr

Montezuma, IA 50171

4.98

ID#

CK#

08/04/2006 Briley Debra

6817 Devonshire Dr Ne


1.00

ID#

CK#

08/04/2006 Hankins Debra

241 18th St Nw


1.00

ID#

CK#

08/04/2006 Amo Dena L.


Brooklyn, IA 52211

1.00

ID#

CK#


1255 430th Ave

Malcom, IA 50157

1.00ID#

CK#


317 E 9th St N 1

Newton, IA 50208

2.50

ID#

CK#


1228 West St

Grinnell, IA 50112

1.00

ID#

CK#

08/04/2006 Schaul Diane

280 Peace Ave Nw


2.00

ID#

CK#

08/04/2006 Mike Donna

3007 Old Orchard Rd Ne


5.00

ID#

CK#

87

19.48SUB-TOTAL



Page17

of(for Schedule A)


elationship column.


19/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


1431 Franklin St


0.50

ID#

CK#


2927 Woodland Dr Sw


1.00

ID#

CK#


700 Garfield St

Tama, IA 52339

4.00

ID#

CK#


372 Ewart Rd

Grinnell, IA 50112

1.00

ID#

CK#


1498 Old 6 Rd 1

Brooklyn, IA 52211

2.50ID#

CK#


1358 Roland Ave

Chariton, IA 50049

2.00

ID#

CK#


1706 8th Ave

Grinnell, IA 50112

1.00

ID#

CK#


929a Willow Ln

Lisbon, IA 52253-9812

1.00

ID#

CK#


1121 Prince St

Grinnell, IA 50112

2.50

ID#

CK#

87

15.50SUB-TOTAL



Page18

of(for Schedule A)


elationship column.


20/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


1825 6th Ave

Grinnell, IA 50112

1.00

ID#

CK#



Grinnell, IA 50112

2.50

ID#

CK#


1905 Sugaridge Dr


5.00

ID#

CK#

08/04/2006 Ray Jane



10.00

ID#

CK#


4824 Lorraine Ave


2.00ID#

CK#


409 Clay St

Malcom, IA 50157

2.50

ID#

CK#




2.00

ID#

CK#


419 Truman Street

Lisbon, IA 52253

1.00

ID#

CK#


256 Newburg Road

Grinnell, IA 50112

5.00

ID#

CK#

87

31.00SUB-TOTAL



Page19

of(for Schedule A)


elationship column.


21/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


4466 32nd Street

Grinnell, IA 50112

1.00

ID#

CK#


4510 Sloan Rdg


2.00

ID#

CK#


1024 21st


12.50

ID#

CK#

08/04/2006 Lawrence Jonathan

1217 4th St Nw


1.00

ID#

CK#

08/04/2006 Nefzger Joni

Po Box 34

Delhi, IA 52223-0034

3.00ID#

CK#


1408 Old 6 Rd. 1

Malcom, IA 50157

2.50

ID#

CK#


4266 20th St

Grinnell, IA 50112

2.50

ID#

CK#


Po Box 123

Malcom, IA 50157

1.00

ID#

CK#




2.00

ID#

CK#

87

27.50SUB-TOTAL



Page20

of(for Schedule A)


elationship column.


22/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


256 Newburg Rd

Grinnell, IA 50112

5.00

ID#

CK#


7292 28th Ave


10.00

ID#

CK#


12695 S 92nd Ave E

Sully, IA 50251

2.50

ID#

CK#



Grinnell, IA 50112

2.00

ID#

CK#


824 31st Ave

Amana, IA 52203-8202

2.00ID#

CK#


4310 Shady Lane Dr

Brooklyn, IA 52211

2.50

ID#

CK#


Po Box 926

Grinnell, IA 50112

2.50

ID#

CK#


517 Spring St

Grinnell, IA 50112

2.50

ID#

CK#


616 Main St

Brooklyn, IA 52211

2.50

ID#

CK#

87

31.50SUB-TOTAL



Page21

of(for Schedule A)


elationship column.


23/182


24/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Goodin Michele L.

1421 4th Ave

Grinnell, IA 50112

3.00

ID#

CK#

08/04/2006 Halverson Michelle

1325 Phoenix Dr

Iowa City, IA 52246-8697

5.00

ID#

CK#

08/04/2006 Staab Mindy

344 13th St Sw


5.00

ID#

CK#

08/04/2006 Saunders Miriam L.

1820 Prince St

Grinnell, IA 50112

1.00

ID#

CK#

08/04/2006 Couper Nancy D.

606 E 12th St N

Newton, IA 50208

2.50ID#

CK#

08/04/2006 Grimm Nancy

622 Westwood Dr Nw C/o Shannan Wilson


1.00

ID#

CK#

08/04/2006 Yuska Nicki J.

706 E Ross

Toledo, IA 52342

2.50

ID#

CK#

08/04/2006 Story Nicole M.

1131 Reed St N/A

Grinnell, IA 501121336

2.50

ID#

CK#

08/04/2006 Kessler Pamela L.

255 420th Ave STE 2

Grinnell, IA 50112

5.00

ID#

CK#

87

27.50SUB-TOTAL



Page23

of(for Schedule A)


elationship column.


25/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Ramoska Pamela

2325 Ridge Trail Ne


1.00

ID#

CK#

08/04/2006 Manatt Patricia A.

4098 90th St DBAC

Malcom, IA 50157

2.50

ID#

CK#

08/04/2006 Fitzgerald Patricia

1397 Austin Road

Springville, IA 52336

3.00

ID#

CK#

08/04/2006 Walker Patricia

1122 28th St Se


5.00

ID#

CK#

08/04/2006 Graham Paul

2307 Camelot Ave Nw


4.00ID#

CK#

08/04/2006 Jakoubek Paula

3405 Blue Pointe Court Sw


5.00

ID#

CK#

08/04/2006 Sharp Pauline K.

523 Center St

Grinnell, IA 50112

2.50

ID#

CK#

08/04/2006 Jantzen Peggy A.

522 9th Avenue 241

Grinnell, IA 50112

2.50

ID#

CK#

08/04/2006 Schramp Philip



10.00

ID#

CK#

87

35.50SUB-TOTAL



Page24

of(for Schedule A)


elationship column.


26/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Jacobo Rafael

1501 D Ave Ne


1.00

ID#

CK#

08/04/2006 Northcutt Rebecca L.

705 E Wood St Box 819

Montezuma, IA 50171

2.50

ID#

CK#

08/04/2006 Moyes Rhonda R.

1409 Prince St

Grinnell, IA 50112

5.00

ID#

CK#

08/04/2006 Brown Ronald D.

Po Box 226


2.50

ID#

CK#

08/04/2006 Wenger Sara

125 1st St Lot 1

Keystone, IA 52249

1.00ID#

CK#

08/04/2006 Brown Scot

1645 Charleston Dr

Marion, IA 52302-1781

5.00

ID#

CK#

08/04/2006 Brady Scott

6616 Ashwood Ct Ne


5.00

ID#

CK#

08/04/2006 Wilson Shannan

622 Westwood Dr Nw


2.00

ID#

CK#

08/04/2006 Holmquist Shannon

5001 1st Ave Sw Apt 7


2.00

ID#

CK#

87

26.00SUB-TOTAL



Page25

of(for Schedule A)


elationship column.


27/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Mohrfeld Shannonchristine

4420 Bowling St Sw Lot E3


1.00

ID#

CK#

08/04/2006 Krumm Sharon L.

15415 N 75th Ave E

Grinnell, IA 50112

2.50

ID#

CK#

08/04/2006 Novak Sharon S.

212 Second Street P.o. Box 192

Hartwick, IA 52232

2.00

ID#

CK#

08/04/2006 Smith Steven

205 Stephanie Dr.

Central City, IA 52214

5.00

ID#

CK#

08/04/2006 Mc Cain Susan J.

4370 Highway 63, Box 8

Malcom, IA 50157

2.50ID#

CK#

08/04/2006 Edelen Susan M.

3630 90th St

Grinnell, IA 50112

4.00

ID#

CK#

08/04/2006 Baker Talika

571 Country Hill Ln Ne Apt 2


1.00

ID#

CK#

08/04/2006 Kriegel Teresa M.

1892 385th Ave

Brooklyn, IA 52211

1.00

ID#

CK#

08/04/2006 Yoder Theresa A.

406 Clay St Po Box 82

Malcom, IA 50157

1.00

ID#

CK#

87

20.00SUB-TOTAL



Page26

of(for Schedule A)


elationship column.


28/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)

08/04/2006 Guinane Thomas E.

1934 Reed Street

Grinnell, IA 50112

2.00

ID#

CK#

08/04/2006 Murphy Thomas

819 Kerry Lane Se


5.00

ID#

CK#

08/04/2006 Safley Thomas

4552 Orchard Dr Nw


3.00

ID#

CK#

08/04/2006 Salven Timothy

27 Dartmouth St Sw


3.00

ID#

CK#

08/04/2006 Gerber Tom

5673 22nd Ave Trail

Vinton, IA 52349

2.00ID#

CK#

08/04/2006 Guthrie Traci A.

121 Adair St

Kellogg, IA 50135

8.00

ID#

CK#

08/04/2006 Van Wyk Vicki L.

5368 Sawmill Rd


1.00

ID#

CK#

08/04/2006 Wood Warren

119 Ray's Court

Manchester, IA 52057

1.00

ID#

CK#

08/04/2006 Debord William

16166 Port Of Nantucket Dr

Grover, MO 63040-1530

1.00

ID#

CK#

87

26.00SUB-TOTAL



Page27

of(for Schedule A)


elationship column.


29/182


30/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


540 S 22nd St

Marion, IA 52302-4992

3.00

ID#

CK#


1300 Acacia Dr Ne


5.00

ID#

CK#




1.00

ID#

CK#

08/18/2006 Franks Carol

1238 Ellis Blvd Nw


1.00

ID#

CK#

08/18/2006 Riniker Chad

929a Willow Ln

Lisbon, IA 52253-9812

2.00ID#

CK#



Grinnell, IA 50112

1.00

ID#

CK#


1428 Reed Street

Grinnell, IA 50112

2.50

ID#

CK#

08/18/2006 Hart Christy

140 Brentwood Dr Ne


2.00

ID#

CK#


174 380 Ave.

Grinnell, IA 50112

1.00

ID#

CK#

87

18.50SUB-TOTAL



Page29

of(for Schedule A)


elationship column.


31/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


1221 Prince Street

Grinnell, IA 50112

1.00

ID#

CK#

08/18/2006 Cranny Daniel

4185 Willowbrook Drive

Marion, IA 52302

5.00

ID#

CK#


179 Walnut Road

Grinnell, IA 50112

2.50

ID#

CK#

08/18/2006 Lloyd David

4114 M Avenue Nw


2.00

ID#

CK#


238 Horseshoe Dr

Montezuma, IA 50171

4.98ID#

CK#

08/18/2006 Hankins Debra

241 18th St Nw


1.00

ID#

CK#

08/18/2006 Amo Dena L.


Brooklyn, IA 52211

1.00

ID#

CK#


1255 430th Ave

Malcom, IA 50157

1.00

ID#

CK#


317 E 9th St N 1

Newton, IA 50208

2.50

ID#

CK#

87

20.98SUB-TOTAL



Page30

of(for Schedule A)


elationship column.


32/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


1228 West St

Grinnell, IA 50112

1.00

ID#

CK#

08/18/2006 Mike Donna

3007 Old Orchard Rd Ne


5.00

ID#

CK#


1431 Franklin St


0.50

ID#

CK#


2927 Woodland Dr Sw


1.00

ID#

CK#


700 Garfield St

Tama, IA 52339

4.00ID#

CK#


372 Ewart Rd

Grinnell, IA 50112

1.00

ID#

CK#


1498 Old 6 Rd 1

Brooklyn, IA 52211

2.50

ID#

CK#


1358 Roland Ave

Chariton, IA 50049

2.00

ID#

CK#


1706 8th Ave

Grinnell, IA 50112

1.00

ID#

CK#

87

18.00SUB-TOTAL



Page31

of(for Schedule A)


elationship column.


33/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


929a Willow Ln

Lisbon, IA 52253-9812

1.00

ID#

CK#


1121 Prince St

Grinnell, IA 50112

2.50

ID#

CK#


1825 6th Ave

Grinnell, IA 50112

1.00

ID#

CK#



Grinnell, IA 50112

2.50

ID#

CK#


1905 Sugaridge Dr


5.00ID#

CK#

08/18/2006 Ray Jane



10.00

ID#

CK#


4824 Lorraine Ave


2.00

ID#

CK#


409 Clay St

Malcom, IA 50157

2.50

ID#

CK#




2.00

ID#

CK#

87

28.50SUB-TOTAL



Page32

of(for Schedule A)


elationship column.


34/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


419 Truman Street

Lisbon, IA 52253

1.00

ID#

CK#


256 Newburg Road

Grinnell, IA 50112

5.00

ID#

CK#


4466 32nd Street

Grinnell, IA 50112

1.00

ID#

CK#


4510 Sloan Rdg


2.00

ID#

CK#


1024 21st


12.50ID#

CK#


1408 Old 6 Rd. 1

Malcom, IA 50157

2.50

ID#

CK#


4266 20th St

Grinnell, IA 50112

2.50

ID#

CK#


Po Box 123

Malcom, IA 50157

1.00

ID#

CK#




2.00

ID#

CK#

87

29.50SUB-TOTAL



Page33

of(for Schedule A)


elationship column.


35/182


SCHEDULE

A MONETARYRECEIPTS








PAC I.D. NUMBER




AND PAC CHECK

NUMBER

CHECK THIS BOX IF

AMENDING FORM

(Rev. 07/03)


X


MM/DD/YR)


256 Newburg Rd

Grinnell, IA 50112

5.00

ID#

CK#


7292 28th Ave


10.00

ID#

CK#


12695 S 92nd Ave E

Sully, IA 50251

2.50

ID#

CK#



Grinnell, IA 50112

2.00

ID#

CK#


824 31st Ave

Amana, IA 52203-8202

2.00ID#

CK#


4310 Shady Lane Dr

Brooklyn, IA 52211

2.50

ID#

CK#


Po Box 926

Grinnell, IA 50112

2.50

ID#

CK#


517 Spring St

Grinnell, IA 50112

2.50

ID#

CK#


616 Main St

Brooklyn, IA 52211

2.50

ID#

CK#

87

31.50SUB-TOTAL



Page34

of(for Schedule A)

e shown to the third degree of consanguinity (blood rel

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