wells fargo financial services inc pac6106scanned

8/7/2019 Wells Fargo Financial Services Inc PAC__6106__scanned

1/6

OCT - , 1 8 - 2 0 0 4 MON 0 4 : 2 0 P M WF F I N ANCI A L - CON TROL LERS FAX NO . 5 1 5 5 5 7 7 6 9 1

FOR I N ST R UC T I O NS , SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

COMMI T T E E NAME ( M u s t b e same as o n S t a t eme n t o f O r g a n i z a t i o n )We l l s F a r g o F i n a n c i a l S c t v i c e s , I n c . P o l i t i c a l A c t i o n C ommi t t e eI MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r : 1 2 1( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a l e P a r t y( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( 5 ) C o u n t C o nd l d a t 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 c h B o a r d o r Ot h e r P o l i t i c a lS u b d i v i s i o n PA C ( 1 1 ) L o c a l B a l l o t s u A=CANDI DA T E COMMI T T E E S ON-i Y.U" J" - rC a n d i d a t e NameO f f i c e S o u g h t

2y 3 - z V3 1S I GNATURE OF PERSON F I L I N G REPORT TE LEPHONE

I AMF I L I N G A O c t o b c r 1 9 , 2 0 0 4( r e p o r t d a t e )

CHECK I F AMENDMENT T O REPORT DATED

SI s

C 1 C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t an d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m OR- 3 .( Y o u m u s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

REPORT FOR ( 1 ) E L EC T I ON / ( 2 ) NON- EL ECT I ON YEAR .I n d i c a t e b y #0

STATEMENTOFCASHONHANDCASH 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 y t h e

c o mm i t t e e . T h i s amount MUST b e t h e same a s t h e c a s h o n h a n d a t t h e en do f t h e l a s t r e p o r t i n g p e r i o d o r mu s t 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 _ ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD T O T A L MONEY TAKEN I N THI S P ERI ODS c 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 S c h e d u l e A ) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . .S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e I - I ) . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . .

( S c h e 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 ommi t t e e s O n l y )SUB- TO TA L . . . . . $

SUBTRACT T O T A L _ MONEYSPENT THI S P ERI ODS c h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( " a l s o s e e d e b t s an d l o a n s b e l o w ) . . _ .S c h e d u l e F : L o a n Repay men t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH 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 a l a n c e m u s tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $" UNP AI D BI L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . _ _ _ . _ . . . . . . , . _ _ _ _ _ _ $" I N KI ND CONTR I BUT I ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . $" OUT S T A NDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DA T E COMMI T T E E S ON LY :CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )VALUE O F C AMP AI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $

F o r Of f i c e Use D IComm . # ` L ~/ t '/ DL o g g e d I nS c a n n e dC o mp u t e rA u d i t e d

) t

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l an d c r i m i n a lp e n a l t i e s .

DATE S I GNED

L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y I nw h i c h E l e c t i o n I s h e l d

4 0 , 6 3 0 . 5 8

2 0 . 3 1 0 . 0 0

6 0 , 9 4 0 . 5 85 , 2 9 1 . 0 6

5 5 , 6 4 9 . 5 2

4 5 . 0 0

P 0 2 / 0 7

YES 0 NO


2/6

OCT - 1 8 - 2 0 0 4 MON 04 : 2 1 PM WF FI NANCI AL- CONTROLL ERS FAX NO . 5 1 5 5 5 7 7 6 9 1 P . 0 3/ 0 7

Fo r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f Or g a ni z a t i o n)We l l s c a r g o F i n a n c i a l S e r v i c e s , I n c . P o l i t i c a l A c t i o n Commi t t ee

J t e s e t r t a r m _ . 9

SUB- TOTALTOTAL ( I f l a s t p a g e o f t h i s s c h e d ul e )

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 5 RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONNUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p ur p o se by any p er s o n o t h er t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e es .

1 1 , 2 7 0 . 0 0

D i s c l o s u r e l a w r o q u l r o s c a n d i d a t e c ommi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a ny r u l a l l v e mak i n g a c o n t r i b u t i o n t o t h ec omml t t e o . R u l a l l o n s h i p must b e s h o w n t o t h e t h i r d d eg r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y 1 3m a r r i a g e ) . I f s u r n ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s no P a g e o ff a m i l i a l r e l a t i o n s h i p , e nt e r " n o t a p p l i c a b l e - i n t h e r e l a t i o n s h i p c o l umn , ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY

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

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOME

I D# Mi c h a e l McCo y $O R / 1 0 ! 0 4 CK# 4 3 2 6 Oakwood Dr 1 , 3 0 0 . 0 0West Des Mo i n e s , I A 5 0 2 6 5I D# P a t r i c i a Mc F a r l a n d0 8 / 1 0 / 0 4 CK# 2 1 7 - 4 9 t h S t r e e t 1 , 3 4 5 . 0 0Des Mo i n e s , TA 50312I D# Thomas Sh i p p c e08 / . 1 0 / 0 4 CK# 5 3 0 0 Ha r wo o d Dr . 1 , 9 0 0 . 0 0Des Mo i n e s , I A 50312I D# Gr e g J a n a s k o0 8 / 2 4 / 0 4 CK# 6 2 0 4 W a t e r f o r d Ct . 1 , 1 2 5 . 0 0J o h n s t o n , TA 5 0 1 3 1 - 2 8 2 3I D# Da v i d Kv a i nme0 8 / 2 4 / 0 4 CK# 1 0 7 7 T u l i p T r e e Ln . 1 , 4 0 0 . 0 0Wes t Des Mo i n e s , I A 5 0 2 6 6 - 6 6 4 1I D # O r i o l S e g a r r a

0 8 / 2 4 / 0 4 CK# P . O . Bo x 71504 1 , 0 0 0 . 0 0Sa n J u a n , PR 00 93 6D a n i e l A b b o t t0 8 / 3 1 / 0 4 CK# 9 2 1 3 H u n t i n g t o n C i r c l e 1 , 1 0 0 . 0 0J o h n s t o n , I A 5 01 31

1 1 3 # J e f f C a s h0 8 / 3 1 / 0 4 CK# 4 8 2 3 - 6 5 t h S t r e e t 8 0 0 . 0 0Des Mo i n e s , l A 5 0 3 2 2 - 8 0 1 8

I D# Anne J a c k s o n0 8 / 3 1 / 0 4 CK# 12900 T i m b e r l i n e D r i v e 8 0 0 . 0 0U r b a n d a l e , I A 5 0 3 2 3

I N And r e w Mca r s0 8 / 3 1 / 0 4 CK# 1 5 4 4 0 Ri dgemont Av e . 5 0 0 , 0 0 EllU r b a n d a l e , I A 50323


3/6

OCT - 1 8 - 2 0 0 4 MON 04 : 2 1 PM WF FI NANCI AL- CONTROLL ERS FAX NO . 5 1 5 5 5 7 7 6 9 1 P . 0 4/ 0 7

F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )We l l s Fa r g o F i n a n c i a l S e r v i c e s , I n c . P o l i t i c a l Ac t i o n Co mmi t t e e

k e s e c Fo i m ; _ ~

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

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECI - I VED FROM ASTATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENTI F I CATI ONNUMBER ANDTHE PACCHECK NUMBER I N 1 ' 1 1 1 : DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSUMBOARD,CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f I n f o r m a t i o n c o p i e d f r o m r e p o r t s a nd s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a ny c o mme r c i a l p ur p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SUB- TOTAL I $ 6 , 1 9 0 . 0 0D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o mml n e o . R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u l n l t y ( b l o o d r e l a t i v e s ) a n d a f f l n l l y ( r e l a t i v e s b y 2 3m a r r i a g e ). I f s u r n ame o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o P a g e ---of ____f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A)

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

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

I D# To d Mo r i a r t y0 8/ 3 1 / 0 4 CK# 9 3 0 9 Hu nt i ng t o n C i r c l e 7 5 0 . 0 0J o h n s t o n , I A 5 0 1 3 1I D# J o h n Da n g o i a

0 9 / 1 0 / 0 4 CK# 1 9 Wo o d s v i c w Dr i v e 89 0 . 0 0B o o t h wy n , PA 1 9 0 6 1I o f f Pe t e r D e l a n o i t0 9 / 1 0 / 0 4 CK# 1 0 ( 1 9 NE Fo u nt a i nv i c w Ct . 6 00 . 0 0A n k e n , I A 50021I DA Ri c h a r d H a i T i s0 9 / 1 0 / 0 4 CK# 6 1 5 0 B r a n d y wi n e Dr . 200 . 0 0J o h n s t o n , 1A 5 0 1 3 1I D# Mi c h a e l Hi b c r0 9 / 1 0 / 0 4 CK# 1 3 6 0 4 NW4 6 t h Ct . 75 0 . 0 0V a nc o u v e r , WA9 8 6 8 5I D# Manue l S i p r a t

0 9 / 1 0 / 0 4 CK# P . O . Bo x 21207 2 5 0 . 0 0De s Mo i n e s , I A 5 03 2 1- 9 4 04I D# Mi c h a e l R o e s

0 9 / 2 0 / 0 4 CK# 4614 Ashwo o d Dr i v e 3 00 . 0 0Ur b a nd a l e , I A 5 0 3 2 2- 8 3 1 8I D# - .T h om a s Gr e t e ma n0 9 / 2 0 / 0 4 CK# 5 2 3 7 Cl e a t wa t c r Dr i v e 1 , 0 0 0 . 0 0No r wa l k , I A 5 0 2 1 1 - 1 7 7 6I DO _F e r r y a - l z c nd e gc r0 9 / 2 0 / 0 4 CK# 9 3 9 6 Te ws b u t y G a t e N . 6 00 . 0 0 E jMa l e Gr o v e , MN5 5 3 1 1I D# J o h n Ke i l h o l z

0 9 / 2 0 / 0 4 CK# 2 3 0 9 Ro o s e v e l t A v e n u e 8 5 0 0 0 1 7 ]Si o u x F a l l s , SD 5 71 0 6


4/6

OCT - , 1 8 - 2 0 0 4 MON 0 4 : 2 1 PM WF F I NANCI AL - CONTROLLERS F AX N 0 , 5 1 5 5 5 7 7 6 9 1 P . 0 5 / 0 7

F a r I n s t r u c t i o n s , Se e Ba c k o f F or mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n)We l l s F a r g o F i n a n c i a l S e r v i c e s , I n c . P o l i t i c a l A c t i o n Commi t t e e

STATECANDI DATES NOTE: I F A CONTRI BUT I ON I S RECEI VED FROMASTATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBERAND THL PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLI : FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , I o wa Cod e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c op i e d f r o m r e p o r t s and s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r any c o mme r c i a l p u r p o s e by a ny p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es .

SUB- TOTAL I $ 2 , 8 5 0 . 0 0TOTAL ( i f l a st page o f t h i s s c h e du l e ) I $ 2 0 , 3 1 0 . 0 0

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c ommi t t e e s t o d i s c l o s e t h e r e l a t i o n s hi p o f a ny r e l a t i v e mak i n g a c o n t r l b u l l o n t o t h ec ommi t l o e. R e l a t i o n s h i p must b e snown t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y 3 3ma r r i a g e ) . f f s umame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s no P a g e ^ , - - - _ o f -f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " I n t h e r e l a t i o n s h i p co l umn , ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY

( Rev . 0 7 / 0 3 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESSOF CONTRI BUTOR RELAT I ONSH I P AMOUNT I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FVND-( MMI DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOMEI D# Roger K i ng $0 9 / 2 0 ! 0 4 CK # 8 3 9 4 Gopher C t . 1 , 1 0 0 . 0 0P a r k e r , CO 8 0 1 3 4

0 9 / 2 0 / 0 4I D#CK #

P a t r i c k L i n k2 5 0 Au c k l a n d Ru n 750 . 0 0 E ]A l p h a r e t t a , GA 3 0 0 0 4I D # Mi c h a e l Wo l v e r t o n0 9 / 2 0 / 0 4 CK # 36W2 7 5 Oa k P o i n t D r i v c 1 , 0 0 0 , 0 0S t C h a r l c s , I L 6 0 1 7 5I D #CK #I D#CK #I D #CK #I D #CK#I D#CK #I D#CK 6

-I D # _CK #


5/6

OCT- . 1 8 - 2 0 0 4 MON 0 4 ; 2 1 PM WF FI NANCI AL- CONTROLL ERS F AX NO . 5 1 5 5 5 7 7 6 9 1 P . 0 6 / 0 7

TH I S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e m u s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t l e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d l t u r o made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a l e ' s c o mm i t t e e . ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a Co d o 6 6 A . 4 0 2 ( 3 ) ( I ) . )

P a g e - - - o f 1~_

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM . ' R t w s z c . ~ : ! P ! J SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 1 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VE CHECK T HI S BOX I FCANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N TH E DESI GNATEDCOLUMN AND T H I SPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e same a s o n St a t e me n t o f Or g a n i z a t i o n )We l l s F a r g o F i n a n c i a l S e r v i c e s , I n c . P o l i t i c a l A c t i o n Commi t t e e

CANDI DATE - NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MMI DD/ YR) AND PACCHECKNUMBERI D # US B a n k S e r v i c e Ch a r g e0 7 / 1 5 / 0 4 CK#Bank D e b i t 52 0 Wa l n u t S t r e e t $ 1 4 . 8 2De s Mo i n e s , T A 5 0 3 0 9

I D#E a r l e y f o r Se n a t e C o n t r i b u t i o n0 8 / 3 1 / 0 4 CK# 1 2 7 8 2 1 2 5W. 1 9 t h S t r e e t 2 5 0 . 0 0Si o u x F a l l s , SD 5 7 1 0 5

I D# US Bank S e r v i c e C h a r g e0 8 / 1 3 / 0 4 5 2 0 Wa l n u t S t r e e t 1 2 . 1 1CK#Bonk D e b i t De s Mo i n e s , T A 5 0 3 0 9

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