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OJJ 7004 0 5 - 5 -L I 0 000 3 - 2 5 - ~FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s ame 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 )Do c k e n do r f f E l e c t i o n Commi t t e eI 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 :0( 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 t e P a r t y( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 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 o u AW) Cd y PAC ( 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 lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s uCANDI DATE COMMI TTEES ONLY : .Ca n di d at e NameSandy Do c k e n do r f fO f f i c e S o u g h tI o wa H o u s e o f R %r e s e n t a t i v e s

I AM F I L I NG A Oc t o b e r 1 9 , 2 0 0 4( r e p o r t d a t e )

FI CHECK I F AMENDMENT TOREPORT DATED

/ D ~~ D i s t r i c t ( i f Se n a t e o r H o u s e )s

3 l 9 392 . PJ PC-SI Sb1ATURE OF PERSOWf ( LI NGREPORT TELEPHONE

0C 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 No t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y ou mus 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 . )

STATEMENT OF CASH ON HANDCASHON HAND a t t h e b eg 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 mmi t t e e . T h i s amou n t MUST b e t h e s ame a s t h e c a s h o n ha 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 DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* " UNPAI D BI 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N KI ND CONTRI BUTI ONS ( F r o m Sc h ed u l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTANDI NG LOANS ( F r o m Sc h ed u l e F - A t t ac h Sc he du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h ed u l e G At t a ch e d? )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) $

FORMDR- 2( Re v . 0 7 / 2 0 04 )

Comm . #L o g g e d I nScannedCompu t e rA u d i t e d

ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Cas h 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 du l e A ) ( * a l s o s e e i n - k i n d b e l o w) . . . . . . . . . .Sc 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e du l e H ap p l i e s t o Ca n di d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . $ 1 0 3 2 . 5 0

SUBTRACT TOTAL MONEY SPENT THI 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 a n d l o an s b e l o w) . . . .Sc h e du 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 du 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 al a nc e mus t

L at e r e p o r t s a r e s u bj e c t t op os s i b l e c i v i l a n d c r i mi n a lp en al t i e s .

REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- EL ECT I ON YEAR .I n d i c a t e b y # F]

L o c a l C o mmi t t e e s , e n t e r Da 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

1 1 1 . 5 0

9 2 1 . 0 0

4 8 1 . 6 3

5 5 0 . 8 76 7 4 . 4 6

DI SCLOSUREREPORT

b. 44 - / 2d0DATE SI GN

YES F - ] NO

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Fo r I n s t r u c t i o ns , See Back o f Fo r mCONTRI 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 TTEENAME( Mu 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 )Do c k e n d o r f f E l e c t i o n Commi t t e e

R e s e t F or m

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI T T EE ) , L I S T THEPAC I DENT I F I CAT I ONNUMBER AND THEPACCHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LAB LE FROMTHEI OWA ETH I C S AND CAMPAI GND I SCL OSURE BOARD.CAUTI ON : S ec t i o n 68B. 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 op i e d f r o m r e p o r t s an d 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 an y c o mme r c i a l p u r p o s e b y an y 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 e s .

SUB- TOTAL I $ 5 5 1 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e du 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 nd 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 must b e s hown 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 ) an d a f f i n i t y ( r e l a t i v e s b y 1 2m 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 as c a n d i d a t e , b u t t h e r e i s n o P ag e - o ff a mi 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 umn . ( f o r S c h ed u l e A)

SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSQCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND( MM/ DD / YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SENUMBER I NCOMI~ J e a nMH e s s b u r g7 / 1 7 / 0 4 4 6 0 1 Ch a mb e r l a i n Dr . $5 0 . 0 0CK# 2 3 2 8 De s Mo i n e s , I A 5 0 3 1 2I D# R . D . D i s t e l h o r s t

7 / 1 7 / 0 4 CK# 1 0 4 Gr eenwood D r i v e 2 5 . 0 06 1 5 6 B u r l i n g t o n , I A 5 26 0 1I D# S h e i l a M. R i g g s7 / 2 5 / 0 4 CK# 4 0 5 S . Wi l mo t h Av e . 3 5 . 0 08 1 9 1 Ames, I A 5 0 0 1 4

8 / 8 / 0 4I D#CK#

R i c h a r d L a t t a4 0 8 S . 1 s t Av e . 5 0 . 0 0 E ]6 4 3 D a n v i l l e , I A 5 2 6 2 3I D# U n i t e mi z e d C a s h C o n t r i b u t i o n s

8 / 8 / 0 4 CK# 2 6 . 0 0CashI D# L e o & S h e r y l Ri n e y

9 / 6 / 0 4 CK# 3 1 5 Br oadway 2 5 . 0 03 2 0 3 We s t B u r l i n g t o n , I A 5 2 6 5 5I D# J e f f r e y &C y n t h i a H e l a n d9 / 6 / 0 4 CK# 2 0 0 Emme t t S t . 7 5 . 0 01 2 7 3 1 B u r l i n g t o n , 1 A 5 2 6 0 1I D# U n i t e mi z e d Cash C o n t r i b u t i o n

9 / 6 / 0 4 CK# 1 2 5 . 0 0C a s hI D# 8 0 2 6 I n t e r n a t i o n a l B r o t h e r h o o d E l e c t r i c a l Wo r k e r s PAC9 / 2 0 / 0 4 CK# 1 1 2 5 1 5 t h S t r e e t , NW 1 0 0 . 0 07 3 9 7 Wa s h i n g t o n , DC 2 0 0 0 5I D# My r o n &J o a n i H a l v e r s o n

9 / 2 0 / 0 4 CK# 2 1 9 3 7 1 1 4 t h L an e 4 0 . 0 0Cash B l o o mf i e l d , I A 5 2 5 3 7

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Fo r I n s t r u c t i o n s , Se e Bac 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 S t a t e me n t o f O r g a n i z a t i o n ) -Do c k en d o r f f E l e c t i o n Commi t t e e

R e s e t Fa r m

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER ANDTHEPACCHECK 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 ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 B . 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 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 rf o r an y c o mme r c i a l p u r p o s e b y an y 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 $ 3 7 0 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $ 9 2 1 . 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 m m 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p 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 s ) a n d a f f i n i t y ( r e l a t i v e s b y 2 2m a r r i a g e ) . I f s u mame 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 Page 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 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 PTSCHECK 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 FORECEI 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 SENUMBER I NCOMI D# Gl o r i a B . New e l l

1 0 / 4 / 0 4 P . O . Bo x 1 8 8 $ 1 0 0 . 0 0CK # 6 7 6 4 Co l u mb u s J u n c t i o n , I A 5 2 7 3 8I D# I SEA - PAC

1 0 / 4 / 0 4 CK # 7 7 7 3 r d S t r e e t 2 5 0 . 0 01 3 2 2 5 De s Mo i n e s , 1 A 5 0 3 0 9I D# Don B e c k

1 0 / 1 2 / 0 4 CK # 1 8 9 2 9 1 10 t h S t r e e t 2 0 . 0 0C a s h D a n v i l l e , I A 5 2 6 2 3I D#CK #I D#CK#

I D#CK#

I D#CK# oI D#CK#

I D#CK#I D#

CK#

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THI S BOXAPPLI ESTO CANDI DATES' COMMI TTEES ONLY :P ur 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 pe r t y c o s t i n g $ 5 0 0 o r mo r e mus t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H. ( R e 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 . )E x pe nd i t u r e s t o p e r s o n s t e n t i t i 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 mus t a l s o be d e t a i l i t e m i z e d o nSc h e d u l e G b y t h e a mo un t , p u r p o s e , a n d d at e o f e a c h t y p e o f e x pe nd i t u r e mad e by 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 t e ' s c o mmi t t e e . ( R e f e r t oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Code 68A. 4 0 2 ( 3 ) ( i ) . )

( f o r Sc h e d u l e B)

FOR I NSTRUCTI ONS, SEE BACKOF FORM R e s e t F or m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DEOR L EGI SLAT I V ECANDI DATES, L I ST THECANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHE CHECKTHI S BOXI FPACCHECKNUMBER FOR EACHEXPENDI TURE . A L I ST OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e sa me a s o n St a t e me n t o f Or g a ni z a t i o n)

Do c k e n d o r f f E l e c t i o n Commi t t e eCANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI 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 ) WASMADE( MM/ DD/ YR) AND PAC

CHECKNUMBERI D # o u i s a Co u n t y F a i r Bo a r d T r a c t o r P u l l A d v e r t i s i n g

7 / 2 1 / 0 4 1 9 1 7 2 Hwy . 9 2 2 0 . 0 0CK# 1 0 0 4 Co l umbus J u n c t i o n , I A 5 2 7 3 8 $I D # S P o s t m a s t e r S t a mp s

7 / 2 2 / 0 4 a n v i l l e , I A 5 2 6 2 3 3 7 . 0 0CK#1005I D# u s c a t i n e Coun t y D e mo c r a t i c Comm. Mu s c a t i n e Co u n t y F a i r Ra d i o Ad s

7 / 2 2 / 0 4 CK#1006 4 0 . 0 0I D# S a n d y Do c k e n d o r f f C e l l p h o n e u s a g e

7 / 3 1 / 0 4 2 9 2 1 1 3 5 t h S t r e e t 5 2 . 5 4CK#1007 a n v i l l e , I A 5 2 6 2 3I D # VOI DCK# 1 0 0 8 0 . 0 0I D # a n v i l l e S t a t e S a v i n g s Bank Ban k S e r v i c e Ch a r g e s

9 / 2 0 / 0 4 a n v i l l e , I A 5 2 6 2 3 2 . 1 4CK#1 D # J o h n R. Do c k e n d o r f f P a r a d e I t e m s

1 0 / 7 / 0 4 2 9 2 1 1 3 5 t h S t r e e t 1 6 1 . 7 6CK# 1 0 0 9 D a n v i l l e , I A 5 2 6 2 31D# F a r m Ki n g Ya r d s i g n s u p p l i e s

1 0 / 9 / 0 4 0 9 Gear Av e 5 . 9 7CK# 1 0 1 0 W e s t B u r l i n g t o n , I A 5 2 6 5 5SUB- TOTAL $ 3 1 9 . 4 1

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

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THI S BOXAPPLI ESTO CANDI DATES' COMMI TTEES ONLY:P ur 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 er 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 e n t o r i e d o n Sc h e d u l e H. ( R e 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 . )E x pe nd i t u r e s t o p e r s o n s / e n t i t i 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 mu s t a l s o b e d e t a i l i t e m i z e d o nSc 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 at e o f e a c h t y p e o f e x pe nd i t u r e 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 di d a t e ' s c o mmi t t e e . ( Re f e r t oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Code 68A. 4 0 2 ( 3 ) ( i ) . )

( f o r Sc h e d u l e B )

FOR I NSTRUCTI ONS, SEE BACK OF FORM Re s e t Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEYSPENT FROMCOMMI TTEEACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATEPAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TOSTATEWI DEOR LEGI SLATI V ECANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THEDESI GNATED COLUMN ANDTHE CHECKTHI S BOX I FPACCHECK NUMBERFOREACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI L ABL E FROMTHE I OWA AMENDI NGFORMETHI CS &CAMPAI GN DI SCL OSURE 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 an i z a t i o n)Do c k e nd o r f f E l e c t i o n Commi t t ee

CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ YR) AND PAC

CHECKNUMBERI D# J o h n R. Do c k e n d o r f f Ya r d s i g n s up pl i e s , p a r a d e s up pl i e s ,

1 0 / 1 2 / 0 4 22921 1 35 t h St r e e t c e l l phone u s a g e 1 6 2 . 2 2CK# 1 0 1 1 Da nv i l l e , I A 52623 $I D#CK#

I D#CK#I D#CK#1D#CK#I D#CK#I D#CK#1D#CK#

SUB- TOTAL $ 1 62 . 2 2TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $ 481 . 6 3

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FOR I NSTRUCTI ONS, SEEBACKOF FORMCOMMI TTEE NAME ( Mu s t b e s ame as o n St a t e me n t o f O r g a n i z a t i o n )Do c k e n do r f f El e ct i o n Commi t t e e

NOTE : 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 mai n u np ai d mus t b e i n c l u d e d o n t h i sSc h e du l e , as w e l l a s an y new o b l i g a t i o 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( Re v . 0 8 / 9 8 ) 1 I NDEBTEDNESS

CHECKTHI S BOXI F AMENDI NGFORM

An " i n c u r r e d d e b t " i s a deb t f o rDEBTS/ OBLI GATI ONS REMAI NI NG T HI 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 r( DONOT I NCLUDE LOANS - - SHOWLOANSON 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 n d 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 wh e t h e r an i n v o i c eh as b e e n r e c e i v e d .

* I f a c t u a l 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 . Page I o f I( f o r Sc h e d u l e D)

CANDI DATE COMMI TTEES NOTE :* I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e s eac h p e r s o n / e n t i t y w i t h w h o m t h e c a n d i d a t e ' s c ommi t t e e h as 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 eo r c o n t i n u i n g p e r f o r ma n ce . En t e r t h e name o f t h e c o n s u l t a n t who 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 dv 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 , manag i ng , o ro r g a n i z i n g s e r v i c e s . Re po r t o n Sc h e d u l e G t h e n a t u r e o f p e r f o rma n c e an d t h e e s t i ma t e d p e r f o rma n c e r e a s o n ab l y e x p e ct e d o f t h e c o n s u l t a n t .

DATE DESCRI PTI ONOF GOODS OR BALANCEOWED ATI NCURRED NAME ANDADDRESS OF PERSON SERVI CES PROVI DED OR CLOSE OF( MM/ DDNR) TOWHOMDEBT OR OBLI GATI ON I S OWED PURCHASED REPORTI NGPERI OD*

Sandy Do c k e n do r f f Mi l e ag e&a c c o mo d a t i o n s t o6 / 2 7 / 0 4 22921 1 35 t h St r e e t c an di d at e t r a i n i n g 1 6 7 . 0 5Dan v i l l e , I A 52623

Sandy Do c k e nd o r f f Ce l l phone u s a g e9 / 2 8 / 0 4 22921 1 35 t h St r e e t 5 2 . 6 6

Dan v i l l e , I A 5 2 6 2 3

Cr a f t s ma n P r e s s Ya r d s i g ns1 0 / 1 2 / 0 4 20 3N. 3 r d St r e e t 4 54 . 7 5

Bu r l i n gt o n, I A 52601

SUB- TOTAL $6 74 . 4 6

TOTAL DEBTS OWED BY COMMI TTEEAT THE ENDOF T HI S REPORTI NGPERI OD $6 74 . 4 6