culver chet5083scanned__amendment

8/7/2019 Culver Chet__5083__scanned__amendment

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i C M NDI SCLOSURE BOARD

FEB 16 2 0 0 6F I L E t 7 H- ! )

To : I o wa E t h i c s & Ca mp a i g n D i s c l o s u r e Bo a r dF r o m C h e t C u l v e r Co mmi t t e eDa t e : F e b r u a r y 1 3 , 2 0 0 6Re : Ca mp a i g n F i n a n c e R e p o r t - Ca l e n d a r Y e a r 2 0 0 5

Chet Cu l ve r Commi t tPO. Bo x 6 0 6 8 ` De s Mo i n e s , I o wa

P h o n e : ( 5 1 5 ) 2 4 4 - 5 1 5 1 , Fa x : ( 5 1 5) 2 8 8www. c h e t c u l v e r . c o m c h e t @c h e t c u l v e

P l e a s e f i n d e n c l o s e d " a me n d e d " p a g e s f o r t h e 2 0 0 5 r e p o r t f o r t h e C h e t C u l v e rCo mmi t t e eTh e r e a r e n i n e p a g e s f o r Sc h e d ul e A - mi n o r c o r r e c t i o n s i n t h e s t a t e o r z i p c o d ei n t h e c o n t r i b u t o r ' s a d d r e s s ( c h a ng e s a r e h i g h l i g h t e d i n y e l l o w ) . On e p a g e i s a nam e n dm e n t f o r Sc h e d ul e B I t c o r r e c t s t h e i t e m i z e d e x p e n s e s f o r a n e x p e n s ep a i d t o J o n i K l a a s s e n ( a l s o h i g h l i g h t e d i n y e l l o w ) .I f y o u h a v e a n y q u e s t i o n s , p l e a s e a d d r e s s c o r r e s po n d e n c e t o t h e C h e t C u l v e rCo mmi t t e e a t t h e a d d r e s s a b o v eT h a n k y o u

Chet Cu l v e r Ge t t i n g t h e J o b DoneAu t h o r i z e d a n d p a i d f o r b y C h e t Cu l v e r Co mmi t t e e 1 2


2/11

CONTRI BUTI ONS - MONEY TAKEN I N( I n c l u d i n g c a n di d at e ' s p er s o n a l f u n d s )i C T C MP A I GNDI SCL OSURE BOARD

COMMI TTE E NAME ( M u s t b e s a m e a s o n S t a t e me n t o f O r g a n i z e t i ) F EB 6 2 0 0 6Chet Cu l v e r Co mmi t t e e

SCHEDUL EA Mo n e t a r y( Re v . O T 1 0 3 ) Re c e i p t sCh e c k t h i s b o x i fa me n d i n g f o r m

STATE CANDI DATES NOT E : I F A CONTRI B UTI ON I S R EC EI VE D FROM A STATE PAC A C T I O N - C O M M I T T E E ) , L I ST THE PAC I DE NT I F I CA TI ON NUMBERAND THEPAC CHECK NUMBER I N THE DE SI GN AT E D COLUMN . A L I ST OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ET HI CS AND CAMPAI GN DI SCLOSUREBOARDCAUTI ON S e c t i o n 6 8 B. 3 2 A ( 6 ) , I o wa C o d 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 o p i e d f r o m r e p o r t s a n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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 .

S u b - t o t a l $ 4 0 0 0 . 0 0T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e ) - L $ -

' 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s 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 i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n o f a mi l i a l r e l a t i o n s h i p , e n t e r P a g e Of 2 0 8e 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 Sc h e d u l e A)

Da t e PAC I D n u m b e r Name a n d Ad d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p A m o u n t V i f f o rRe c e i v e d ( i f a p p l i c a b l e ) t o Ca n d i d a t e ' Re c e i v e d F u n d - r a i s e r( MM/ DDNR) a n d PAC C h e c k ( i f a p p l i c a b l e ) I n c o men u mb e rI D # S a ma n t h a Wi g g i n s5 / 1 6 / 2 0 0 5 1 W S u p e r i o r S t U n i t 5 0 5 1 0 0 . 0 0CK # C h i c a g o , I L 6 0 6 1 0

I D # Ra l p h Z a n i5 / 1 6 / 2 0 0 5 2 5 5 C o mmo n w e a l t h A v e 5 0 . 0 0CK # B o s t o n , MA 0 2 1 1 6I 1 D# M i c h a e l A G i u d i c e s s i

5 / 1 7 / 2 0 0 5 9 4 1 0 G r e e n b e l t D r i v e 5 0 0 . 0 0CK # D e s Mo i n e s , I A 5 0 3 2 2I D # A n d r e w L o e w i5 / 1 7 / 2 0 0 5 1 0 0 1 P o n t i a c S t 2 5 0 . 0 0CK # D e n v e r , CO 8 0 2 2 0I D # N i c h o l a s T M i t r o p o u l o s5 / 1 7 / 2 0 0 5 9 C o o l i d g e H i l l R o a d 5 0 0 . 0 0CK # C a mb r i d g e , MA 0 2 1 3 8I D # J o h n R . S a s s o

5 / 1 7 / 2 0 0 5 4 C o n s t e l l a t i o n W h a r f 5 0 0 . 0 0CK # C h a r l e s t o n , MA 0 2 1 2 9I D # S a m F S c h e i d l e r5 / 1 7 / 2 0 0 5 3 6 4 9 R e d Oa k L a n e 5 0 0 . 0 0CK # C u mmi n g , I A 5 0 0 6 1 - 9 0 0 0I D # A l a n S o l o mo n t5 / 1 7 / 2 0 0 5 On e G a t e w a y C e n t e r S u i t e 9 0 2 1 0 0 0 . 0 0CK # N e wt o n , MA 0 2 4 5 8

D # B r u c e L Wa l k e r5 / 1 7 / 2 0 0 5 1 9 D u r h a m C o u r t 1 0 0 . 0 0CK # I o wa C i t y , I A 5 2 2 4 0

I D # S t a n l e y We i s s5 / 1 7 / 2 0 0 5 1 7 T r e g u n t e r R o a d 5 0 0 . 0 0CK # L o n d o n SW1 0 - 9 L S , E n g l a n d


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CONTRI 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 TTE E NAME ( Mu s t b e s a me a s o n S t a t e me n t o f O r g a n i z a t i oC h e t C u l v e r Co mmi t t e e

I A E T H IDI SCL OSURE BOARD7 6 2 0 0 6r: 11 - 9 : 1 J - SCHEDULEA M o n e t a r y( R e v 0 7 / 0 3 ) R e c e i p t sC h e c k t h i s b o x i fa me n d i n g f o r mSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P O L I T I C A L ACTI ON COMMI TTEE) , L I S T THE PA C I D E N T I F I C A T I O N NUMBERA ND T HE P A C CHECK NUMBER I N TH E DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GN DI SCLOSUREBOARDCAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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 .

S u b - t o t a l $ 3 5 5 0 . 0 0T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e ) $

' 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s m u 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 an g u i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a me 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 n o 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 P a g e 0 o f 2 0 8e 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 )

Da t e PAC I D n u m b e r Name a n d A d d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p Amou n t ~ i f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o Ca n d i d a t e ' R e c e i v e d F u n d - r a i s e r( MM I D D / Y R ) a n d PA C C h e c k ( i f a p p l i c a b l e ) I n c o m en u m b e rI D # V i c t o r J o n e s5 / 2 6 / 2 0 0 5 1 7 8 1 9 S e d o n a Wa y 1 0 0 0 . 0 0CK # C o r n e l i u s , NC 2 8 0 3 1I D # N a t h a n K K o t z5 / 2 6 / 2 0 0 5 G a l e mo n t , P . O B o x 1 0 4 1 0 0 0 . 0 0CK # B r o a d R u n , VA 2 0 1 3 7 - 0 1 0 4I D # W D e a n Smi t h

5 1 2 6 / 2 0 0 5 4 9 6 0 R o c k w o o d P a r k w a y NW 1 0 0 . 0 0CK # Wa s h i n g t o n , DC 2 0 0 1 6[ D# R e n i e Y o s h i d a G r o h l5 / 2 6 / 2 0 0 5 6 1 2 9 O v e r l e a R o a d 5 0 0 . 0 0CK # B e t h e s d a , MD 2 0 8 1 7I D # J a m e s A b o u r e z k

5 / 2 7 / 2 0 0 5 P . O B o x 1 1 6 4 1 5 0 . 0 0CK # S i o u x F a l l s , SD 5 7 1 0 1I D # F r a n k V C a h o u e t

5 1 2 7 / 2 0 0 5 On e M e l l o n B a n k Ce n t e r 1 0 0 . 0 0CK # P i t t s b u r g h , PA 1 5 2 5 8 - 0 0 0 1[ D# J a m e s L C o f f e y

5 / 2 7 1 2 0 0 5 3 1 0 8 S i x t h S t 1 0 0 . 0 0CK # E mme t s b u r g , I A 5 0 5 3 6I D # J i m C o l l i s o n5 / 2 7 / 2 0 0 5 3 1 0 Me a d o w L a n e 1 0 0 . 0 0CK # M a s o n C i t y , I A 5 0 4 0 1[ D# B r e t H e a l y5 / 2 7 / 2 0 0 5 PO B o x 6 7 2 2 5 0 . 0 0CK # F r e d e r i c k , SD 5 7 4 4 11 D# A n t o n i a L e e5 / 2 7 / 2 0 0 5 1 3 T w y f o r d A v e n u e 2 5 0 . 0 0CK # L o n d o n , EN W3 9 PY


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CONTRI BUTI ONS - MONEYTAKENI 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 be s ame as o n St a t e me n t o f Or g an i z at iC h e t C u l v e r Commi t t e e

' C ' S & CAMPDI SCLOSURE BOARD SCHEDULEA Mo n e t a r y( R e v . 0 7 1 0 3 ) R e c e i p t s

C h e c k t h i s b o x i fa me n d i n g f o r mSTATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O N NUMBEANDT HE PAC 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 GN DI SCLOSUREBOARD .CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o w a C o 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 n d 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 r a n y c o mme r c i a l p u r p o s e b y ap 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 .


' 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e R e l a t i o n s h i p s m u s t b e s h o wn 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 ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a m e 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 n o 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 Page L / 5 o f 2 0 8e 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 Sc h e d ul e A)

D a t e PAC I D n u m b e r Name a n d A d d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p Amount V i f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o C a n d i d a t e ' R e c e i v e d F u n d - r a i s e r( MM/ D D/ Y R) a n d PAC C h e c k ( i f a p p l i c a b l e ) I n c o m en u m b e rI D # L y n n G. C u t l e r

6 1 1 3 1 2 0 0 5 1 3 1 S o u t h De ar b o r n S t r e e t 1 0 0 0 . 0 0CK# Ch i c a g o , I L 6 0 6 0 3I D # P e t e D' A l e s s a n d r o

6 1 1 3 1 2 0 0 5 7 9 5 0 W. L a wr e n c e Av e 2 5 0 . 0 0CK# N o r r i d g e , I L 6 0 7 0 6

I D # Ge o r g e Da v i s6 1 1 3 1 2 0 0 5 2 6 5 4 L eg en ds Way 3 0 0 . 0 0CK# E l l i c o t t C i t y , MD 2 1 0 4 2

I D # A l a n S . Du b i n6 1 1 3 1 2 0 0 5 1 1 0 2 7 Faws e t t Road 1 5 0 . 0 0

CK# Po t omac , MD 2 0 8 5 4I D # Da v i d Du b r o w

6 1 1 3/ 2 0 0 5 5 0 1 Wes t 1 2 3 r d S t r e e t , Ap t . 8 - G 1 0 0 0 . 0 0CK # New Y o r k , NY 1 0 0 2 7I D # St e v e n E l r o d

6 / 1 3 / 2 0 0 5 8 1 2 N o r t h Av e . 1 0 0 . 0 0CK# Hi g h l a n d P a r k , I L 6 0 0 3 5I D # C r a i g M. E n g l e

6 / 1 3 / 2 0 0 5 4 2 3 6 - 4 7 t h S t r e e t NW 2 5 0 . 0 0CK# Was h i n g t o n , DC 2 0 0 1 6I D # S t e p ha n i e Gl e n n T e c h a u

6 / 1 3 / 2 0 0 5 1 1 1 8 - 4 4 t h S t r e e t 1 0 0 . 0 0CK# De s Mo i n e s , I A 5 0 3 1 1I D # J o h n F . Gr a y b e a l

6 1 1 3 / 2 0 0 5 3 3 9 6 A l s t o n Cha p e l Road 1 0 0 . 0 0CK# P i t t s b o r o , NC 2 7 3 1 2I D # Mi c h a e l Gr o w

6 1 1 3 / 2 0 0 5 1 0 5 0 C o n n e c f i c u t Av e . NW 5 0 0 . 0 0CK # Was h i n g t o n , DC 2 0 0 3 6


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CONTRI 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 ) FEB 16 2 0 0 6

COMMI TTEE NAME ( M u 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 oC h e t C u l v e r Commi t t e e

i f l I C &CAMPAI GNI 3 1 ^ C: . p St 1 RF ROARQ

S u b - t o t a l

SCHEDULEMo n e t a r y( R e v . 0 7 1 0 3 ) Re c e i p t s

C h e c k t h i s b o x i fa me n d i n g f o r m sSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C AT I O N NUMBEAND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF t o NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GN DI SCLOSUREBOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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

T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e )$ 5 2 7 5 . 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s m u 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 i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a me 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 n o 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 P a g e 8 8 o f 2 0 8e 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 Sc h e d u l e A )

D a t e PAC I D n u m b e r Name a n d A d d r e s s o f C o n t r i b u t o r R e l a t i o n s Np A m o u n t I / i f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o C a n d i d a t e * R e c e i v e d F u n d - r a i s e r( MM / D DI Y R ) a n d PAC C h e c k ( i f a p p l i c a b l e ) I n c o men u m b e rI D # S a l l y Mi n a r d6 / 1 4 / 2 0 0 5 1 3 3 E a s t 6 2 n d S t 5 0 0 . 0 0CK # New Y o r k , NY 1 0 0 2 1I D # M a r k N i c h o l s6 / 1 4 / 2 0 0 5 3 5 S h e r r i l l R o a d 1 0 0 0 . 0 0CK # L i t t l e R o c k , AR 7 2 2 0 2[ D# J a c o b J P e t e r s

6 / 1 4 1 2 0 0 5 1 3 0 S u n n y R i d g e D r i v e 2 5 0 . 0 0CK # C o u n c i l B l u f f s , I A 5 1 5 0 3I D # E m i l y G R e e d6 / 1 4 1 2 0 0 5 2 2 4 1 - 1 6 5 t h S t r e e t 5 0 0 . 0 0CK # S p i r i t L a k e , I A 5 1 3 6 0I D # V e r o n i c a R i v e r a6 1 1 4 / 2 0 0 5 1 4 6 0 1 S p r i n g s E d g e Dr 2 5 . 0 0CK # A u s t i n , T X 7 8 7 1 7I D # B y r o n Ro t h6 1 1 4 / 2 0 0 5 2 4 C o r p o r a t e P l a z a D r 2 5 0 . 0 0CK # N e w p o r t B e a c h , CA 9 2 6 6 0I D # G a r y Ru b i n6 1 1 4 / 2 0 0 5 1 5 2 E s c a l a n t e R o a d 2 5 0 . 0 0CK # C a r b o n d a l e , CO 8 1 6 2 3I D # G a r y S a n d q u i s t6 / 1 4 / 2 0 0 5 8 0 0 9 H e a t h e r Bo w 1 0 0 0 . 0 0CK # J o h n s t o n , I A 5 0 1 3 1I D # S t e v e S a n d q u i s t

6 / 1 4 / 2 0 0 5 PO B o x 3 4 7 1 0 0 0 . 0 0CK # J o h n s t o n , I A 5 0 1 3 1I D # J a m e s S a w t e l l e6 / 1 4 1 2 0 0 5 3 5 3 5 C a s t l e P e a k A v e 5 0 0 . 0 0CK # S u p e r i o r , CO 8 0 0 2 7


6/11


7/11

VCI SC , , 7 S UnBnR [ ?CONTRI BUTI ONS - MONEY TAKEN I N j 1FEB s 2 0 0 6( 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 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

Chet Cu l v e r Commi t t e e

SCHEDULEA Mo n et a r y( R e v . 0 7 1 0 3 ) Re c ei p t s

C h e c k t h i s b o x i fa me n d i n g f o r mSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P O L I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O N NUMBERAND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSUREBOARD .CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 8 ) , I o w a C o 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 n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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


` 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s m u 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 i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a m e 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 n o 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 Page 1 3 3 o f 2 0 8e 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 Sc h e du l e A )

D a t e PA C I D n u m b e r Name a n d A d d r e s s o f Co n t r i b u t o r R e l a t i o n s h i p Amou nt Vi f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o Ca n d i d a t e * R e c e i v e d F u n d - r a i s e r( MM/ D D/ Y R) a n d PAC C h e c k ( i f a p p l i c a b l e ) I n c o m en u m b e rI D # E l l e n K o l l a r9 1 2 8 1 2 0 0 5 1 2 2 2 B a l l a n t r a e L a n e 1 2 5 . 0 0CK # Mc L e a n , VA 2 2 1 0 1I D # D a n i e l K r a c o v9 1 2 8 1 2 0 0 5 1 3 0 0 0 C l e v e l a n d D r i v e 1 2 5 . 0 0CK # R o c k v i l l e , MD 2 0 8 5 0I D # M a r k L a n d a

9 1 2 8 1 2 0 0 5 8 0 1 G r a n d A v e S u i t e 3 5 0 0 1 5 0 . 0 0CK # D e s M o i n e s , I A 5 0 3 0 9I D # A n n e L i n t o n

9 1 2 8 1 2 0 0 5 4 6 0 1 N p a r k A v e # 7 1 0 1 0 0 . 0 0CK # C h e v y C h a s e , MD 2 0 8 1 5I D # D e b o r a h L o d g e

9 1 2 8 / 2 0 0 5 2 0 3 8 N T a y l o r S t r e e t 1 0 0 . 0 0CK # A r l i n g t o n , VA 2 2 2 0 7[ D# G o r d o n P Ma c D o u g a l l

9 1 2 8 1 2 0 0 5 1 0 2 5 Co n n e c t i c u t A v e NW S t e 4 1 0 2 5 0 . 0 0CK # Wa s h i n g t o n , DC 2 0 0 3 6D # Ch a r l e s T M a n a t t

9 1 2 8 1 2 0 0 5 1 5 0 1 M S t NW, S t e 7 0 0 1 0 0 0 . 0 0CK # Wa s h i n g t o n , DC 2 0 0 0 5I D # K a t h l e e n M a n a t t

9 1 2 8 1 2 0 0 5 4 8 1 4 Woo dwa y L a n e NW 1 0 0 0 . 0 0CK # Wa s h i n g t o n , DC 2 0 0 1 6I D # K a r e n L M a r a n g i

9 1 2 8 1 2 0 0 5 1 0 0 4 N o r t h D a n i e l S t r e e t 5 0 . 0 0CK # A r l i n g t o n , VA 2 2 2 0 1I D # S a s a n Ma t h i a s c h e c k9 1 2 8 / 2 0 0 5 3 9 4 4 R i c k o v e r R o a d 2 5 0 . 0 0CK # S i l v e r S p r i n g , MD 2 0 9 0 2


8/11

CONTRI 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 be s ame a s on St a t e me n t o f Or g a n i z a t i ,C h e t C u l v e r Commi t t e e

SCHEDULEA Mo n e t a r y

( R e v . 0 7 1 0 3 ) Re c ei p t sC h e c k t h i s b o x i fa me n d i n g f o r m

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I D EN T I F I C AT I O N NUMBEAND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GN DI SCLOSUREBOARDCAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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 .

T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e )S u b - t o t a l $ 6 7 0 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s m u 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 i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I 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 n o 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 Page ) b o f 2 0e 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 Sc h e d ul e A )

D a t e PAC I D n um b e r Name a n d A d d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p Amo u n t V i f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o Ca n d i d a t e ' R e c e i v e d F u n d - r a i s e r( MM/ D D/ Y R ) a n d PA C C h e c k ( i f a p p l i c a b l e ) I n c o m en u m b e rI D # R u s h C N i g u t9 / 3 0 1 2 0 0 5 5 0 1 0 Wo o d l a n d A v e n u e 5 0 0 . 0 0CK # De s Mo i n e s , I A 5 0 3 1 2[ D# R i c h a r d Os h l o9 1 3 0 / 2 0 0 5 3 8 1 8 L i n c o l n P l a c e D r i v e 1 0 0 . 0 0CK # D e s M o i n e s , I A 5 0 3 1 2I D # De n n i s P u c k e t t

9 1 3 0 1 2 0 0 5 9 6 2 4 Q u a i l R i d g e D r i v e 1 0 0 . 0 0CK # U r b a n d a l e , I A 5 0 3 2 2I D # L a w r e n c e F S c a l i s e9 / 3 0 / 2 0 0 5 3 7 0 7 L i n c o l n P l a c e D r 2 5 0 . 0 0CK # D e s M o i n e s , I A 5 0 3 1 2I D # L a r r y D S i l v e r9 / 3 0 / 2 0 0 5 PO B o x 7 5 6 6 5 0 0 0 . 0 0CK # F r e d e r i c k s b u r g , VA 2 2 4 0 4I D # A l l i s o n S t e u t e r m a n9 / 3 0 1 2 0 0 5 2 8 3 2 4 4 t h S t r e e t 5 0 . 0 0CK # D e s M o i n e s , I A 5 0 3 1 0I D # F r a n k S t o r k9 1 3 0 / 2 0 0 5 3 9 1 6 G r e e n v i e w D r i v e 2 5 0 . 0 0CK # U r b a n d a l e , I A 5 0 3 2 2I D # G a i l L S u n n e r9 / 3 0 / 2 0 0 5 4 1 4 E a s t L a k e S t r e e t 1 0 0 . 0 0CK # V e n t u r a , I A 5 0 4 8 2I D # J o r d a n a T h i g p e n9 1 3 0 / 2 0 0 5 2 0 9 0 C h e s t n u t S t r e e t 5 0 . 0 0CK # S a n F r a n c i s c o , CA 9 4 1 2 3I D # T h o m a s Wa l t o n9 / 3 0 / 2 0 0 5 7 0 0 Wa l n u t S t r e e t 3 0 0 . 0 0CK # D e s M o i n e s , I A 5 0 3 0 9


9/11

CONTRI 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 TTEENAME ( Mu s t b e s ame as o n S t a t e me n t o f Or g an i z a

C h e t Cu l v e r Commi t t e e

SCHEDULEA M o n e t a r y

( R e v . 0 7 1 0 3 ) R e c e i p t sC h e c k t h i s b o x i famend i n g f o r m

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECE I VED FROMA STATEPAC ( P OL I T I C A L ACT I ON COMMI TTEE ) , L I S T THEPAC I DEN TI F I C AT I ON NUMBERAND THEPACCHECKNUMBER I N THEDESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVA I L ABL E FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSUREBOARD.CAUTI ON: S e c t i o n 6 8B . 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 m a t i o n c o p i e d f r o m r e p o r t s an d 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 r an y c o mme r c i a l p u r p o s e b y anp 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 ommi t t e e s .

T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e )S u b - t o t a l $ 1 6 5 0 . 0 0

' D i s c l o s u r e l aw 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 h i p o f an y r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p s mus 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 i n i t y ( b l o o d r e l a t i v e ) an d a f f i n i t y ( r e l a t i v e s b yma 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 as c a n d i d a t e , b u t t h e r e i s n o f a mi l i a l r e l a t i o n s h i p , e n t e r Page q ( P o f 208e 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 )

Da t e PAC I D numbe r Name an d A dd r e s s o f C o n t r i b u t o r R e l a t i o n s h i p Amou nt V i f f o rRe c e i v e d ( i f a p p l i c a b l e ) t o Ca n d i da t e ' Re c e i ve d F u n d - r a i s e r( MM/ DD/ YR) an d PACC h e c k ( i f a p p l i c a b l e ) I n c omenumbe rI D # C r y s t a l Me i e r1 0 1 6 1 2 0 0 5 2 8 0 S . Y o r k t o w n P i k e # 4 5 0 . 0 0CK# Mason C i t y , I A 5 0 4 0 1I D # J o h n O b e r d o r f e r

1 0 1 6 1 2 0 0 5 3 4 1 5 A s h l e y T e r r a c e NW 1 2 5 . 0 0 JCK# Wa s h i n g t o n , DC 2 0 0 0 8I D # J o s e p h P a s s a i c

1 0 1 6 1 2 0 0 5 2 5 5 0MS t r e e t NW 1 2 5 . 0 0CK# Wa s h i n g t o n , DC 2 0 0 3 7I D # C h r i s P e t e r s e n

1 0 1 6 1 2 0 0 5 7 6 4 5 1 80 t h S t 5 0 . 0 0CK# C l e a r L a k e , I A 5 0 4 2 8I D # R i c h a r d MT u c k e r1 0 1 6 1 2 0 0 5 5 5 B u t t e r n u t C o u r t 2 5 0 . 0 0CK# I o w a C i t y , I A 5 2 2 4 6I D # C a r l E Be n s o n

1 0 1 7 1 2 0 0 5 2 6 0 9 R i d g e t o p Rd 2 5 0 . 0 0CK # Ame s , I A 5 0 0 1 4I D # J u n e D e h a r t

1 0 1 7 1 2 0 0 5 8 1 2 Camer on S t r e e t 5 0 0 . 0 0CK # A l e x a n d r i a , VA 2 2 3 1 4I D # E i l e e n Gannon

1 0 1 7 1 2 0 0 5 2 9 2 3 SW3 0 t h 1 0 0 . 0 0CK# De s Mo i n e s , I A 5 0 3 2 1I D # S h e l l y K H i l l

1 0 1 7 1 2 0 0 5 2 3 1 3 Ri d g e wo o d D r i v e 1 0 0 . 0 0CK# Wes t De s M a n e s , I A 5 0 2 6 5I D # G a r y K e n d e l l

1 0 1 7 1 2 0 0 5 5 0 6 We s t Sa l e m Av e 1 0 0 . 0 0CK # I n d i a n o l a , I A 5 0 1 2 5


10/11

CONTRI 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 be s ame a s on St a t eme n t o f Or g a ni ,

Chet Cu l v e r Co mmi t t e e

SCHEDULEA Mo n e t a r y( R e v . 0 7 1 0 3 ) Re c ei p t s

C h e c k t h i s b o x i fa me n d i n g f o r mSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PA C I D EN T I F I C AT I O N NUMBEAND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GN DI SCLOSUREBOARD .CAUTI ON : S e c t i o n 8 8 B . 3 2 A ( 8 ) , I o w a C o d 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 o p i e d f r o m r e p o r t s a n d 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 r a n y c o mme r c i a l p u r p o s e b y a np 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 .

S u b - t o t a l $ 6 8 0 0 . 0 0T o t a l ( i f l a s t p a g eo f t h i s s c h e d u l e )

' 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 o mmi 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p s m u 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 i n i t y ( b l o o d r e l a t i v e ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a m e 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 n o 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 Pa g e Of 2 0 8e 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 Sc h e d u l e A )

D a t e PA C I D n u m b e r Name a n d A d d r e s s o f C o n t r i b u t o r R e l a t i o n s h i p Amo u n t V i f f o rR e c e i v e d ( i f a p p l i c a b l e ) t o C a n d i d a t e ' R e c e i v e d F u n d - r a i s e r( MMI D DI Y R ) a n d PA C C h e c k ( i f a p p l i c a b l e ) I n c o m en u m b e rI D # Mi c h a e l S t a r c e v i c h1 2 1 2 2 1 2 0 0 5 6 4 0 9 Me a d o w l a r k D r 2 0 0 . 0 0CK # C e d a r R a p i d s , I A 5 2 4 0 4I D # M i c h a e l S t e v e n s1 2 1 2 2 1 2 0 0 5 2 8 0 1 B r a n d y w i n e S t NW 1 0 0 . 0 0CK # Wa s h i n g t o n , DC 2 0 0 0 8I D # D o u g V a i l

1 2 1 2 2 1 2 0 0 5 4 1 2 1 SE P o w e r s D r i v e 5 0 0 . 0 0CK # R u n n e l l s , I A 5 0 2 3 7I D # R o s e A V a s q u e z1 2 1 2 2 1 2 0 0 5 1 1 8 Wa t e r S t r e e t 2 5 0 . 0 0CK # De s Mo i n e s , I A 5 0 3 0 9I D # A l a b a ma V o i c e o f T e a c h e r s f o r E d u c a t i o n PAC1 2 1 2 3 1 2 0 0 5 P . O B o x 4 2 9 7 1 0 0 0 . 0 0CK # Mo n t g o me r y , AL 3 6 1 9 5I D # S c o t t D O u r t h

1 2 1 2 3 1 2 0 0 5 1 2 0 9 W e s t 2 n d A v e A p t 9 D 2 5 0 . 0 0CK # I n d i a n o l a , I A 5 0 1 2 5I D # T h e o d o r e P r i e s t e r

1 2 1 2 3 1 2 0 0 5 2 5 0 4 F a i r h a v e n Rd 2 5 0 . 0 0CK # D a v e n p o r t , I A 5 2 8 0 3D # C o r e y Wa l k e r1 2 1 2 3 1 2 0 0 5 PO B o x 1 5 7 2 5 0 . 0 0CK # N e wt o n , I A 5 0 2 0 8I D # Do n a l d B e a t t i e1 2 1 2 7 1 2 0 0 5 4 3 0 0 G r a n d A v e n u e 3 0 0 0 . 0 0CK # D e s Mo i n e s , I A 5 0 3 1 2I D # P h o e b e C r a n e1 2 1 2 7 1 2 0 0 5 1 5 8 5 N US Hw y 4 2 1 1 0 0 0 . 0 0CK # Wh i t e s t o w n , I N 4 6 0 7 5


11/11

EXPENDI TURES - MONEY SPENT FROM COMMI TTEE ASTATE PACCOMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DEL I ST THECANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THEFOR EACH EXPENDI TURE. A L I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCADI SCLOSURE BOARD.COMMI TTEE NAME ( M u 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 )C h e t C u l v e r C o mmi t t e e

SCHEDULEMo n e t a r y

( Re v . 0 7 1 0 3 ) Ex p en d i t u r e sCheck t h i s b o x i fame n d i n g f o r m

T HI S BOX APPL I ES TOCANDI DATES' COMMI TT EES ONLY :Pu r c h a s e s o f c er t a i n c a mp a i g n p r o pe r t y c os t i n g $ 5 0 0 o r mo r e mus t a l s o b e i n v en t o r i e d o n Sc h e d ul e H . ( Re f e r t o Sc h e d u l e H i n s t r u c t i o n s . )Ex p en d i t u r e s t o p e r s o n s / e n t i t i e s pr 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 an i z i n g s er v i c es mus t a l s o b e d e t a i l i t e mi z e d o nSc h e d u l e Gb y t h e a mo u n t , p u r p o s e , a n d d at e o f e a c h t y pe o f e x pe n di t u r e mad e b y t h e pe r s on / e n t i t y o n b e ha l f o f t h e c a nd i d a t e ' s c o mmi t t e e . ( Re f e rt o Sc h e d u l e Gi n s t r u c t i o n s an d I o wa Code 68A . 4 0 2 ( 3 ) ( i ) . )

Pa g e 7o f 5 1( f o r Sc h e d u l e B)

CANDI DATEDATE EXPENDED I D NUMBER NAME AND ADDRESS TO WHOM PURPOSE ( DESCRI BE TRANSACTI ON) AMOUNT( MM/ DD/ YR) ( i f a p p l i c a b l e ) EXPENDI TURE ( D i s b u r s e m e n t ) WAS MADE EXPENDED&PAC CHECKNUMBER E m i l y H a j e k $ 2 8 . 1 0 - F u n d - r a i s e r s u p p l i e s $ 1 8 2 . 0 0 - T r a v e l0 2 . 1 7 . 0 5 l D# 5 2 0 - 3 1 s t S t r e e t # 3 - o u t - o f - s t a t e ( W a s h D C ) - t a x i s ( c a n d i d a t e & $ 2 1 0 . 1 0CK#2120 D e s M o i n e s , I A 5 0 3 1 2 s t a f f )O m n i P a r k e r H o u s e H o t e l F u n d - r a i s e r - F o o d & B e v e r a g e0 2 . 2 3 . 0 5 I D# 6 0 S c h o o l S t r e e t $ 1 0 3 8 . 7 6

CK#2121 B o s t o n , MA 2 1 0 8E m i l y H a j e k P a y r o l l0 2 . 2 8 . 0 5 l D# 5 2 0 - 3 1 s t S t r e e t # 3 $ 1 2 7 3 . 4 6

CK#2122 D e s M o i n e s , I A 5 0 3 1 2R o b e r t B e mt s e n C o n t r a c t0 2 . 2 8 . 0 5 I D# 2 2 0 3 G r a n d A v e n u e $ 2 5 0 0 . 0 0

CK#2123 D e s Mo i n e s , I A 5 0 3 1 2R o l l C a l l S u b s c r i p t i o n

0 2 . 2 8 . 0 5 I D# 5 0 F S t r e e t NW, S u i t e 7 0 0 $ 3 9 5 . 0 0CK#2124 Wa s h i n g t o n , DC 2 0 0 0 1

A me r i c a n E x p r e s s O n - l i n e c o n t r i b u t i o n f e e0 3 . 0 3 . 0 5 l D# P . O B o x 5 3 8 5 2 $ 5 . 0 0CK#o P h o e n i x , AZ 8 5 0 7 2S p r i n t PCS C e l l P h o n e0 3 . 0 8 . 0 5 I D# P . O B o x 2 1 9 5 5 4 $ 3 0 8 . 5 8CK#2125 K a n s a s C i t y , MO 6 4 1 2 1J o n i K l a a s s e n $1 9 . 9 4 - Po s t a g e ; $6 4 . 9 8 - Of f i c e S u p p l i e s ; $4 0. 0 0-0 3 . 0 8 . 0 5 I D# 2 4 5 4 G l e n wo o d D r i v e C e l l Pho n e ; $1 3 4 3 . 7 0- T r a v e l - A i r f a r e ( c a n d i d a t e , $ 1 4 6 8 . 6 2

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culver chet5083scanned__amendment