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I NSTRUCTI ONS, SEE BACK OF F ORMDI SCLOSURE SUMMARY PAGEMI TTEE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )n e s s L e a d e r s h i p C o u n c i l PAC # 9 7 1 1TANT 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 .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 ( 9 ) S t a t e P a r t yC e n t r a l C o mmi t t e e ( 6 ) C o u n t y C a n d i d a t e ( S ) C i t y C a n d i d a t e ( T ) S c h o o l B o a r d o r O t h e r

S u b d i v i s i o n C a n d i d a t e ( B ) C o u n t y PAC ( 9 ) C i t y PA C ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lPAC ( 1 1 ) L o c a l _ B a l l o t I s e u sI DATE COMMI TTEES ONL Y :d a t e NameS o u g h t

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

P o l i t i c a l P a r t y ( i f a p p l i c a b l e )D i s t r i c t ( I f S e n a t e o r H o u s e )

HECK I F AMENDMENT T O REPORT DATEDI f t h i s I s f i n a l ( t e r mi 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( Y o u must 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 . )

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( Re v . 0 7 / 2 0 0 4 )F o r CNf l e t Us e On l yCo mm. 0L o p p e d I nS c a n n e dC o mp u t e rA u d i t e d

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 a n d c r i mi n a lp e n a l t i e s .

RI =PORr F 0 ' f ( 1 ) ELECTI ON 1 ( 2 ) NON- ELECT I ON YEAR.1 r I n d i c a t e b y#

ST AT EMENT OF CASH ON HANDON 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 ec o mm i t t e e . T h i s amoun t 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 e n 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . $

b e z e r o ) ( A t t a c h D R - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . " . $

Z ' d OEEE 1 3 C d 3 S d - 1 d H

L o c a l C o mmi 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 mmi 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

0ADD TOTAL MONEY TAKEN I N THI S PERI 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 Camp a i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . .

( S c h e d u l e H a n e l l e s t o C a n d i d a t e s ' Commi t t e e s O n l y )SUB- TOTAL . . . . $ 0

SUBT RACT TOTAL MONEY SPENT T HI S PERI 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 a n d l o a n s b e l o w ) . , .S c h e d u l e F L o a n Repa ymen t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . "

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 mu s t

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P A I D BI LLS ( 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 ) . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4 . 9 5 3 . 0 5ND CONTRI BUTI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7 . 3 8 9 . 5 0

TSTANDI NG L OANS ( 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0I DATE COMMI TTEES ONL Y ;

L T ANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )OF CAMPA I 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) 0

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JNOWd L O : 2 ~ 0 0 2 6 T ' 4 0 0

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NSTRUCTI ONS, SEEBACK OF FORMMI TT EE NAME ( M u s t b e s ame a s o n St a t e me n t o f O r g a n l z o 0 o n )

s L e a d e r s h i p C o u n c i l PAC # 9 7 1 1: De b t s p r e v i o u s l y r e p o r t e d t h a t r e m a i n u n p a i d m u s t b e I n c l u d e d a n a i l sS c h e d u l e , a s w e l l a s a ny n e w o b l i g n t l a n s I n c u r r e d I n t h i s p e r i o d .

SCHEDULED I NCURRED( R e v , 0 8 1 9 8 ) 1 I NDt =STEDNESSCHECK THI S BOXI F AMENDI NGFORM

A n ' l n c u r r e d d e b t I s a d e b t f o rBTS/ OBLI GATI ONS REMAI NI NG THI S REPORTI NG PERI OD g o o d s o r s e r v i c e s o r d e r e d o rNOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F ) r e c e i v e d , b u t n o t p a i d f o r b y t h ee nd o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f w h e t h e r a n I n v o i c eh a s b e e n r e c e l v a d .

f i g u r e I s u n k n o w n , s h o w ' e s t i ma t e d " b e s i d e t h e f i g u r e . P a g e 1 o f 1( f o r S c h e d u l e D)I DATE COMMI TTEES NOTMI n d e b t e d n e s s a l s o I n c l u d e s e a c h p a r s o n / e n t i t y w i t h w h om t h e c a n d i d a t e ' s c o mm i t t e e h i s s e n t e r e d I n t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r ep e r f o r m a n c e . E n t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r I t e m s s u c h a s 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 rs e r v i c e s . R e p o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r m a n c e e n d t h e e s t i m a t e d p e r f o r m a n c e r e a s o n a b y , e x p e c t e d o f t h e c o n s u l t a n t .

E " d OEEE 13CH3Sd 1 dH WdLO " 2 1 7 0 0 2 1 3 1 14 0 0

MEMMENOWNEEMEWMM DESCRI PTI ON OF GOODS OR BALANCE OWEDATURRED NAME AND ADDRESS OF PERSON SERVI CES PROVI DED OR CLOSE OFDDI YR) TO WHOMDEBT OR OBLI GATI ON I S OWED PURCHASED REPORTI NGPERI OD'Ne t wo r k S e r v i c e s A s s o c i a t e s , LLC S i g n Wi r e4409 Wh i t e P i n e D r i v e NE 6 7 9 . 8 0C e d a r R a p i d s , I A 5 2 4 0 2Ne t wo r k S e r v i c e s A s s o c i a t e s , L LC Ya r d S i g n s4409 Wh i t e P i n e D r i v e NE 9 0 0 . 0 0C e d a r R a p i d s , 1 A 5 2 4 0 2Ne t wo r k S e r v i c e s A s s o c i a t e s , L L C B i l l b o a r d s4 4 0 9 Wh i t e P i n e D r i v e NE 2 , 4 9 0 , 0 0C e d a r R a p i d s , I A 5 2 4 0 2Ne t wo r k S e r v i c e s A s s o c i a t e s , L -LC F o o d a n d Be v e r a g e4409 Wh i t e P i n e D r i v e NE 5 8 3 . 2 5C e d a r R a p i d s . 1 A 5 2 4 0 2

SUB- TOTAL4 , 9 5 3 . 0 5

TOTAL DEBTS OWEDBY COMMI TTEE AT THEENDOF T HI S REPORTI NGPERI OD $ 4, 9 5 3 . 0 5

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NSTRUCTI ONS, SEE BACK OF FORMMI TTEE NAME ( Mu s t b e s ame e e o n St a t e me n t o f Or g en i r ef ) ON

L e a d e r s h i p C o u n c i l PAC # 9 7 1 1V7717

SCHEDULERI N K I ND( R e v . 0 6 / 9 7 ) 1 CONTRI BUTI ONS

QCHECK THI S BOX I FAMENDI NG FORM

l o w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g en i n k i n d c o n t r i b u t i o n t o t h e P a g e 1 o f 1t t ee . R e l a t i o n s h i p mu st be 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 ng u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f o r Sc h e d ul e E)i a g e) . ( Se e P a g e 2 o f f o r ms p a c k e t . ) I f sur name o f c o n t r i b u t o r I s t h e s am e a s c a n d i d a t e , b u t t h e r e l a n or 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 .

~, - d OEEE 13rd3Sd- 1 dH WdL0 : 2 b002 GT ZOO

VEDDDI YR NAME AND ADDRESSF CONTRI BUTORRELATI ONSHI PTO CANDI DATE' I f a pp l i c a bl e )

DESCRI PTI ONOF I N KI NDCONTRI BUTI ONESTI MATEDFAI RMARKETVALUE

I F FORFUND- RAI SERCONTRI BUTI ONSCr o s b y Wo r k s n a Gr a ph i c A r t s 1 , 9 6 7 . 5 03 2 0 5 Pebbl e Dr i v e SW De s i g n 8 i

Ced a r Ra p i d s , l A 5 2 4 0 4 - 3 8 5 7 P r n r i r - . f i r nMa k i n s t e r Ma r k e t i n g & C o r n r n u n i c a t i o n s2 5 8 0 We s t m i n s t e r P l a c e n a Med i a & P u b l i cR e l a t i o n s 4 0 0 , 0 0Ma r i o n , 1 A 5 2 3 0 2Ne t wo r k S e r v i c e s A s s o c i a t e s , LLC4 4 0 9 Wh i t e P i n e D r i v e NE n a C o n s u l t i n g 5 , 0 2 2 . 0 0C e d a r R a p i d s , l A 5 2 4 0 2

a0aa __SUB- TOTAL 8 7 , 3 8 9 . 5 0

TOTAL ( I f l a s t $p a g e o f t h l a 7 , 3 8 9 , 5 0s c h ed u l e )