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TRANSCRIPT
FOR INSTRUCTIONS, SEEBACK OF FORMDISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)
IMPORTANT: Indicate by # type -ofcommittee you are reporting for.0( 1 )Statewide/Legislafve/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party{ 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other PoliticalSubdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC11 ) Local Ballot Issue
CANDIDATECOMMITTEES ONLY:Candidate Name
Political Party (if applicable)
Office Sought
Late reports are subject to possible civil an
U7ATURE OF PERSON43LING REPORT
-CHECK IF AMENDMENTTO REPORT DATED
istrict (if Senate or House)
I AM FILING A
IZ r 3 I" [) ~i
REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .(report date)
Indicate by# M
U Check if this is final (termination) report and attach Notice of Dissolution Fort DR-3.(You must continue to file reports until a DR-3 is filed .)
( -G -~) -3Q - ZG 7Z
l7 C~tr.TELEPHONE
DATE SIGNED
STATEMENT OF CASH ON HANDCASH ON HAND at the beginning ofthe reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the endof the last reporting period or must be zero if this is first report filed .) . .. . . . . .. . . . ... . . ... . . . . .. . . . . . . . . . . . . . ... . $
2frZ.
ADD TOTALMONEYTAKEN IN THIS PERIODSchedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .. . . . . . . . . . . . . . . ..Schedule F: Loans Received total (Attach Schedule F) . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . .Schedule H: Total Sates of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ..
(Schedule H applies to Candidates' Committees_Only)
SUBTRACT TOTAL MONEY SPENTTHIS PERIODSchedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . .. . . . .Schedule F: Loan Repayments total (Attach Schedule F) .. . . . . . . . . . .. . . . . . . . . ... . . . . . . . . ... . . . . . . . . . .. . . . .. . . . . .. . . . .
CASH ON HAND at the end of this reporting period (if final report balance mustbe zero) (Attach DR-3) . . . . . . . . . . . .. . . . .. . . . . .. . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . $
FORMDR-2
I DISCLOSURE(Rev . =2004)
REPORT
ScannedComputerAudited
Local Committees, enterDate of Election
County & Local Committees, enter County Inwhich Election is held
SUB-TOTAL.. . . ... . . ... . . .. $
3`7 7̀. `7
~7 3 tr
1 'Z
*"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . .. . . . .. . . . . . . . . . .. . . . .. . . . . .. . . . .$*IN KIND CONTRIBUTIONS (From Schedule E-Attach Schedule E) . . . . . . . .. . . . ... . . . .. . . . ... . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . .$
Z. 94,*"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . .$CONSULTANT BREAKDOWN (ScheduleGAttached?)
-YES -NOCANDIDATE COMMITTEES ONLY:VALUEOF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
$STATECOMMITTEES : Submit a reconciled campaign account bank statement in Januaryof each year .
SUB-TOTALTOTAL(if last page of this schedule)
Page-1- of-14 -(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
1/17/2005 ID # Larry d'Autrmont4205 Kelling Ct
Ck # Davenport IA 52806 15 .001/17/2005 ID # Bill Gluba
2421 Gaines StCk # Davenport IA 52803 10.00
1/17/2005 ID # Frank Wood1135 W Davies St
Ck # Eldridge IA 52748 25 .001/17/2005 ID # Mark Henderson
4 Manor Dr Apt C-6Ck # Eldridge IA 52748 15 .00
1/17/2005 ID # Helen Roberson5410 Marquette
Ck # Davenport IA 52806 20.001/17/2005 ID # Joe Winckler
6 Thode CtCk # Davenport IA 52802 25.00
1/17/2005 ID # Tom Engelmann4552 Main St
Ck # Davenport IA 52806 50.001/17/2005 ID # Miscellaneous
UnitemizedCk # Cash 226.00
2/2/2005 ID # Leslie Cavendish1520 Terrace Park Dr
Ck # Bettendorf IA 52722 25.002/2/2005 ID # Mary Ann Roth
3319 MarquetteCk # Davenport IA 52806 100.00
2/2/2005 ID # Tom Engelmann4552 Main St
Ck # Davenport IA 52806 200.00
SUB-TOTALTOTAL(if last page of this schedule)
Page
2-of- 14(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/2/2005 ID # John Cameron4510 Apple Valley Dr
Ck # Bettendorf IA 52722 100.002/9/2005 ID # 8036 Electrical Workers LU 145 PAC
1700 52nd AveCk # 2502 Moline IL 61265 250 .00
2/9/2005 ID # Mark Henderson4 Manor Dr C-6
Ck # Eldridge IA 52748 50.002/9/2005 ID # Rebecca Oliver
3609 Somerset DrCk # Bettendorf IA 52722 25 .00
2/9/2005 ID # John Bowman18 Wildwood Tr
Ck # Bettendorf la 52722 100.002/9/2005 ID # Alta Price
4888 School House RdCk # Bettendorf IA 52722 100.00
2/9/2005 ID # MiscellaneousUnitemized
Ck # Cash 14.472/9/2005 ID # Karl Rhomberg
3330 TremontCk # Davenport IA 52803 100.00
2/9/2005 ID # Elizabeth Brooke5605 wisconsin Ave
Ck # Davenport IA 52806 100.002/9/2005 ID # Winstein, Kavensky & Wallace
224 18th StreetCk # Rock Island IL 61201 200.00
2/9/2005 ID # Friends of Bill GlubaP .O. Box 2205
Ck # Davenport IA 52809 100.00
SUB-TOTALTOTAL(if last page of this schedule)
Page
3-of- 14(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/11/2005 ID # Lou Waechter2127 Marquette
Ck # Davenport IA 52804 50.002/11/2005 ID # Ernest Klingaman
411 Holland StCk # LeClaire IA 52753 50.00
2/11/2005 ID # Caroline Vernon1704 Farnum St
Ck # Davenport IA 52803 25 .002/11/2005 ID # Tom Frizsche
2815 E Central ParkCk # Davenport IA 52803 100 .00
2/11/2005 ID # Joe Seng4804 Northwest Blvd
Ck # Davenport IA 52806 25.002/11/2005 ID # Frank Wood
1135 DaviesCk # Eldridge la 52748 100.00
2/11/2005 ID # Cathy Hermes2307 Grove St
Ck # Davenport IA 52804 50.002/11/2005 ID # 8048 Millwright LU 2148 PAC
2707 62nd Street CtCk # 1138 Bettendorf IA 52722 350.00
2/11/2005 ID # Braley for CongressP .O . Box 390
Ck # Waterloo IA 50704 200.002/14/2005 ID # Kenton Allen
6522 Thomas CtCk # Bettendorf IA 52722 100 .00
2/14/2005 ID # Betty Drumm611 Northbrook Dr
Ck # Davenport IA 52806 25.00
SUB-TOTALTOTAL(if last page of this schedule)
Page
4-of-14(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/14/2005 ID # Calvin Drumm611 Norhtbrook Dr
Ck # Davenport IA 52806 25.002/14/2005 ID # Marla Lindemier
1514 PerryCk # Davenport IA 52803 50 .00
2/14/2005 ID # Friend of Jim Lykam2906 W 35th Street
Ck # Davenport IA 52806 100 .002/14/2005 ID # Daid Swim
3852 MarquetteCk # Davenport IA 52806 100.00
2/14/2005 ID # Tamara Van Hoosier3499 Fairview Dr
Ck # Bettendorf IA 52722 50 .002/14/2005 ID # Intl Assoc of Machinist LU 1191
Ck # Moline IL 61265 75 .002/16/2005 ID # Patrick Cummings
2703 Iowa StCk # Davenport IA 52803 25.00
2/16/2005 ID # Michael Shinners3602 N Linwood
Ck # Davenport la 52806 25 .002/16/2005 ID # William Chamberlin
514 W 16th StreetCk # Davenport IA 52803 50.00
2/16/2005 ID # Celia Rangel2514 McKinley
Ck # Davenport la 52804 50.002/16/2005 ID # Fitzsimmons for Auditor
3510 RockinghamCk # Davenport IA 52802 100 .00
SUB-TOTALTOTAL(if last page ofthis schedule)
Page
5-of_14-(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County Democrats
PAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNTDATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVED
RECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/16/2005 ID # MiscellaneousUnitemized
Ck # Cash 105 .002/16/2005 ID # Joe & Cindy Winckler
6 Thode StCk # Davenport IA 52802 200.00
2/16/2005 ID # Susan FF Pamperin2718 College
Ck # Davenport IA 52803 200 .002/16/2005 ID # United Autoworkers LU 1896
3102 RockinghamCk # Davenport IA 52802 250.00
2/16/2005 ID # United Steelworkers LU 105880 Deveils Glen
Ck # Bettendorf IA 52722 250.002/18/2005 ID # Cathy Berta
2831 Taylor StCk # Davenport IA 52804 25 .00
2/18/2005 ID # Donan McAuley1747 Cindy Ct
Ck # Bettendorf IA 52722 50.002/18/2005 ID # Margaret Mackin
3111 Parkwild DrCk # Bettendorf IA 52722 50.00
2/18/2005 ID # Ed Brown2615 Iowa St
Ck # Davenport IA 52803 100 .002/18/2005 ID # Martha Easter Wells
2630 Iowa StreetCk # Davenport IA 52803 200.00
2/18/2005 ID # Plumbers & Pipefitters LU25 Iowa State PAC4600 46th Avenue
Ck # Rock Island IL 61201 200.00
SUB-TOTALTOTAL(if last page ofthis schedule)
Page
6^of_14-(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/21/2005 ID # Patricia Sheller2514 Cypress Dr
Ck # Bettendorf IA 52722 25 .002/21/2005 ID # Cliff Day
3422 Adams StCk # Davenport IA 52807 25 .00
2/21/2005 ID # Regan for Scott CountyP.O . Box 486
Ck # Priinceton IA 52768 25 .002/21/2005 ID # June Gillespie
3416 W ColumbiaCk # Davenport IA 52804 25 .00
2/21/2005 ID # Tina Clawson2230 N linwood
Ck # Davenport IA 52804 25.002/21/2005 ID # Miscellaneous
UnitemizedCk # Cash 285 .00
2/21/2005 ID # Joel Franken1610 Prospect Terrace
Ck # Davenport IA 52803 25 .002/21/2005 ID # Tom Wolfe
1905 emerald DrCk # Davenport IA 52804 25 .00
2/21/2005 ID # Greg Fitzpatrick2104 Farnam St
Ck # Davenport IA 52803 25.002/21/2005 ID # Elesha Gayman
1515 Kenosha CtCk # Davenport IA 52804 25 .00
2/21/2005 ID # CliffDay3422 Adams St
Ck # Davenport IA 52807 25.00
SUB-TOTALTOTAL(if last page of this schedule)
Page
7-of_14-(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/21/2005 ID # Bev Strayhall4407 E 48th Street
Ck # Davenport IA 52807 25.002/21/2005 ID # Virginia Lazio
5600 Jersey Ridge Rd Apt 03Ck # Davenport IA 52807 25.00
2/21/2005 ID # Larry Roberson5410 N Marquette
Ck # Davenport IA 52806 50 .002/21/2005 ID # Nancy McConnell
5376 Surrey DrCk # Bettendorf IA 52722 50 .00
2/21/2005 ID # Rebekah Gayman1515 Kenosha Ct
Ck # Davenport IA 52804 50.002/21/2005 ID # Florence Whisler
517 W Prairie Vista DrCk # Eldridge IA 52748 50.00
2/21/2005 ID # Ken Krayenhagen2822 Arlington
Ck # Davenport IA 52803 50.002/21/2005 ID # Julie M Ross
2421 Iowa StCk # Davenport IA 52803 50.00
2/21/2005 ID # Janice Boyd3751 Deer Spring Dr
Ck # Bettendorf IA 52722 50.002/21/2005 ID # Maragret M Deluhery
629 Foster DrCk # Des Moines IA 50312 50.00
2/21/2005 ID # Anna Gibeault4604 Spring St
Ck # Davenport IA 52807 100.00
SUB-TOTALTOTAL(if last page ofthis schedule)
Page _8- of_14-(for Schedule A)
CONTRIBUTIONS - MONEYTAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
2/21/2005 ID # Thomas K Anderson2202 E 48th Street
Ck # Davenport IA 52807 100.002/21/2005 ID # AFSCME Council 61 People
4320 NW 2ndCk # 3056 Des Moines IA 50313 200.00
2/28/2005 ID # 8178 Local 150 - Intl Union Oper Engineer - LAPAC6200 Joliet Rd
Ck # 2761 Countryside IL 60525 200.003/8/2005 ID # Miscellaneous
UnitemizedCk # Cash 97.00
3/11/2005 ID # MiscellaneousUnitemized
Ck # Cash 28.003/21/2005 ID # Larry d'Autrmont
4205 Kelling CtCk # Davenport IA 52806 20.00
3/21/2005 ID # Monica Kurth415 E 14th Street
Ck # Davenport IA 52803 20.003/21/2005 ID # Cliff Day
3422 Adams StCk # Davenport IA 52807 10.00
3/21/2005 ID # Elesah Gayman1515 Kenosha Ct
Ck # Davenport IA 52804 20.003/21/2005 ID # Ken Krayenhagen
2822 ArlingtonCk # Davenport IA 52803 10.00
3/21/2005 ID # Bill Gluba2421 Gaines
Ck # Davenport IA 52804 10 .00
SUB-TOTALTOTAL(if last page of this schedule)
Page
9-of-14-(for Schedule A)
CONTRIBUTIONS - MONEYTAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DDNR) Number
3/21/2005 ID # Anna Gibeault4604 Spring St
Ck # Davenport IA 52807 80.003/21/2005 ID # Miscellaneous
UnitemizedCk # Cash 608 .20
4/18/2005 ID # MiscellaneousUnitemized
Ck # Cash 10.004/19/2005 ID # Ken Krayenhagen
2822 ArlingtonCk # Davenport IA 52803 20.00
4/19/2005 ID # Alison Hart335 W 29th Street
Ck # Davenport IA 52803 10 .004/19/2005 ID # Miscellaneous
UnitemizedCk # Cash 200 .00
5/23/2005 ID # Susan FF Pamperin1011 1/2 E Central Park
Ck # Davenport IA 52803 10.005/23/2005 ID # Miscellaneous
UnitemizedCk # Cash 189.20
6/10/2005 ID # Audrey Linville1127 W 15th Street
Ck # Davenport IA 52804 10.006/10/2005 ID # Miscellaneous
UnitemizedCk # Cash 93.28
7/12/2005 ID # MiscellaneousUnitemized
Ck # Cash 11 .00
SUB-TOTALTOTAL(if last page of this schedule)
Page
10-of-14-(for Schedule A)
CONTRIBUTIONS - MONEYTAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DDNR) Number
7/12/2005 ID # Tom Engelmann4552 Main Street
Ck # Davenport IA 52806 200.007/15/2005 ID # Miscellaneous
UnitemizedCk # Cash 88.00
8/1/2005 ID # Ken Krayenhagen2822 Arlington
Ck # Davenport IA 52803 10.008/1/2005 ID # Miscellaneous
UnitemizedCk # Cash 53.72
8/12/2005 ID # Rita Vargas2724 LeClaire
Ck # Davenport IA 52803 45 .008/12/2005 ID # Tom Engelmann
4552 Main StreetCk # Davenport IA 52806 500.00
8/12/2005 ID # MiscellaneousUnitemized
Ck # Cash 90.008/24/2005 ID # Shawver & Shawver
2805 EasternCk # Davenport IA 52803 100.00
8/24/2005 ID # Dennis DeDecker3400 Central Ave
Ck # Bettendorf IA 52722 250.008/24/2005 ID # Paul Elgatian
4315 Jersey RidgeCk # Davenport IA 52807 50.00
8/24/2005 ID # Marlin H Volz2304 Wynnewood Ct
Ck # Davenport IA 52807 100.00
SUB-TOTALTOTAL(if last page of this schedule)
Page111- of,14`(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
8/24/2005 ID # Lou Waechter2127 Marquette
Ck # Davenport IA 52804 100.009/8/2005 ID # Chris Gallin
2217 E 45th StreetCk # Davenport IA 52807 25 .00
9/8/2005 ID # Achim Kukarans6012 116th Street
Ck # Blue Grass IA 52726 20 .009/8/2005 ID #8036 Electrical Worlers LU 145 PAC
1700 52nd AveCk # 2539 Moline IL 61265 500.00
9/12/2005 ID # Tom Engelmann4522 Main Street
Ck # Davenport IA 52806 25 .009/12/2005 ID # Friends of Bill Gluba
P.O . Box 2205Ck # Davenport IA 52809 25 .00
9/12/2005 ID # Cathy Hermes2307 Grove Street
Ck # Davenport IA 52804 25 .009/12/2005 ID # Audrey Linville
1127 W 15th StreetCk # Davenport IA 52804 25 .00
9/12/2005 ID # Dennis DeDecker3400 Central Ave
Ck # Bettendorf IA 52722 25.009/12/2005 ID # Cynthia Campbell
Ck # Davenport IA 52803 25.009/12/2005 ID # Marty O'Boyle
516 N 6th StreetCk # Eldridge IA 52748 25.00
(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
9/12/2005 ID # MiscellaneousUnitemized
Ck # Cash 63 .209/21/2005 ID # 8177 Laborer's Local 309 PAC
2835 7th AveCk # 3268 Rock Island IL 61201 500.00
9/21/2005 ID # MiscellaneousUnitemized
Ck # Cash 116.009/29/2005 ID # Dennis DeDecker
3400 Central AveCk # Bettendorf IA 52722 250.00
9/29/2005 ID # Bill Gluba2421 Gaines
Ck # Davenport IA 52804 25 .0010/17/2005 ID # Miscellaneous
UnitemizedCk # Cash 86.90
10/25/2005 ID # Rita Vargas2724 LeClaire
Ck # Davenport IA 52803 45.0010/25/2005 ID # Miscellaneous
UnitemizedCk # Cash 35.00
I1/l/2005 ID # Ken Krayenhagen2822 Arlington
Ck # Davenport IA 52803 20.00l1/l/2005 ID # Peter De Kock
3759 West 9th Apt 11Ck # Waterloo IA 50702 35.00
11/1/2005 ID # Braley for CongressP.O . Box 390
Ck # Waterloo IA 50704 20.00
SUB-TOTAL 1,196 .10TOTAL(if last page of this schedule)
Page _12 of-14-
SUB-TOTALTOTAL(if last page of this schedule)
Page -13
of_14-(for Schedule A)
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTS
COMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
11/1/2005 ID # Henry Vargas517 E Central Park
Ck # Davenport IA 52803 31 .0011/1/2005 ID # Tom Engelmann
4552 Main StreetCk # Davenport IA 52806 36.00
1l/l/2005 ID # Margo Marin5600 Jersey Ridge E-1
Ck # Davenport IA 52807 10.001l/l/2005 ID # Ruth Quick
5723 Gaines StCk # Davenport IA 52806 10.00
l 1/1/2005 ID # Lou Waechter2127 Marquette
Ck # Davenport IA 52804 20.0011/1/2005 ID # Rick Dickinson for Congress
P.O. Box 566Ck # Dubuque IA 52004 20.00
11/1/2005 ID # Ken Krayenhagen2822 Arlington
Ck # Davenport IA 52803 40.0011/1/2005 ID # Molly Regan
P .O . Box 486Ck # Princeton IA 52768 10.00
11/1/2005 ID # Joe & Cindy Winckler6 Thode Ct
Ck # Davenport IA 52802 50.0011/1/2005 ID # James Hood
220 Emerson PICk # Davenport IA 52801 100.00
l1/l/2005 ID # Tom Engelmann4552 Main Street
Ck # Davenport IA 52806 50 .00
SUB-TOTALTOTAL(if last page of this schedule)
5,966.458,093 .42
Page _14
of-14(for Schedule A)
I CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE A MONETARY
RECEIPTSCOMMITTE NAME
Scott County DemocratsPAC ID # NAME AND ADDRESS RELATIONSHIP AMOUNT
DATE (if applicable) OF CONTRIBUTOR TO CANDIDATE* RECEIVEDRECEIVED PAC check (if applicable)(MM/DD/YR) Number
11/1/2005 ID # MiscellaneousUnitemized
Ck # Cash 287.0011/15/2005 ID # Davenport Democratic Party
4552 Main StreetCk # 944 Daveport IA 52806 60.12
11/15/2005 ID # MiscellaneousUnitemized
Ck # Cash 18 .0011/21/2005 ID # Citizens for Henderson
4 Manor Dr C-6Ck # Eldridge IA 52748 5,000.00
11/21/2005 ID # Martha Easter Wells2630 Iowa St
Ck # Davenport IA 52803 250.0011/21/2005 ID # Cathy Hermes
2307 Grove StreetCk # Davenport IA 52804 10.00
11/21/2005 ID # MiscellaneousUnitemized
Ck # Cash 64.0012/15/2005 ID # A Guard for State Representative
Attn H Volz 203 W 3rd StCk # Davenport IA 52803 17 .64
12/15/2005 ID # Davenport Democratic Party4552 Main Street
Ck # 945 Davenport IA 52806 201 .6912/22/2005 ID # Miscellaneous
UnitemizedCk # Cash 58.00ID #
Ck #
. EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT SCHEDULE B
SUB-TOTALTOTAL(if last page of this schedule)
MONETARY
EXPENDITURES
Page-1- of
8(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
1/3/2005 Postmaster933 W 2nd Street
1535 Davenport IA 52802 Postage 161 .001/7/2005 The Plaza
1416 W 16th Street1536 Davenport IA 52804 Rent 550.00
1/11/2005 Lisa Froelich3804 Chisolm Tr
1537 Davenport IA 52804 Election Day Work 99.001/11/2005 Shirley Jones
1538 Election Day Work 99.001/11/2005 Auto Owners Insurance
P .O . Box 303151539 Lansing MI 48909 Liability Ins 413 .00
1/11/2005 Postmaster933 W 2nd Street
1540 Davenport IA 52802 Permit 150 .001/11/2005 Review Printing Co
311 21st St1541 Rock Island IL 61201 Postcard printing 48.00
1/12/2005 Audrey Linville Ink 58.841127 W 15th Street Paper 25.67
1542 Davenport IA 52804 Postage 69 .00 153 .511/12/2005 Cathy Hermes
2307 Grove Street1543 Davenport IA 52804 Postage 23 .00
1/25/2005 Audrey Linville Postage 60.001127 W 15th Street Envelopes 26 .72
1544 Davenport IA 52804 86 .722/2/2005 Review Printing Co
311 21st St1545 Rock Island IL 61201 Tickets Printing 320.00
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT SCHEDULE B
SUB-TOTALTOTAL(if last page of this schedule)
MONETARY
EXPENDITURES
Page 2- of-8(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
2/2/2005 Kevin Pamperin2718 College Stage Building Mtls
1546 Davenport IA 52803 103.022/2/2005 Susan FF Pamperin
2718 College1547 Davenport IA 52803 Office supplies 351 .69
2/2/2005 The Plaza1416 W 16th Street
1548 Davenport IA 52804 Rent 550 .002/2/2005 Audrey Linville Awards Plaques
1127 W 15th Street 132.251549 Davenport IA 52804 Postage 162.00 294.25
2/10/2005 Audrey Linville Postage 672.641127 W 15th Street Labels 27 .68
1550 Davenport IA 52804 700.322/11/2005 Postmaster
933 W 2nd Street1551 Davenport IA 52802 Postage 315 .70
2/14/2005 LULAC Club4800 Ricker Hill Rd
1552 Davenport IA 52802 Hall Rent 100.002/18/2005 Cash -
Counter Change Fund RWBCheck Change Fund 300.00
2/21/2005 Deposit Change Fund
(300.00)3/8/2005 The Plaza
1416 W 16th Street1553 Davenport IA 52804 Rent 550.00
3/8/2005 The Leader Newspaper1600 5th Avenue
1554 Moline IL 61265 Advertising 88 .20
I EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT SCHEDULE B
SUB-TOTALTOTAL(if last page of this schedule)
MONETARY
EXPENDITURES
Page
3-of-8-(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
3/10/2005 Cathy Hermes Ads 132.202307 Grove Street Office Supp 30.22
1555 Davenport IA 52804 Postage 43 .56 205 .983/19/2005 Cash -
Change Fund Trivia1556 Change Fund 100.00
3/21/2005 Deposit Change Fund
(100.00)3/19/2005 Thoma Enterprises/ Jeffs Market
408 6th Ave Red White Blue1557 Durant IA 52747 Caterer 1,295 .77
3/19/2005 QwestP.O . Box 91104
1558 Seatlle WA 98111 Phone Service 70.513/19/2005 Mitch Tollerud
1626 W Geo Wash Blvd 5 years1559 Davenport IA 52804 Domain Registry 99 .95
3/21/2005 Sherry's Rainbow Florist Funeral3030 Rockingham Rd Darlene Hill
1560 Davenport IA 52802 Flowers 47 .803/21/2005 Missippi Vally Fair Red White Blue
2815 W Locust Tablecloths 82 .001561 Davenport IA 52804 Security 90.00 172 .00
3/19/2005 Friendly House1221 Myrtle
1562 Davenport IA 52804 Hall Rent 40 .003/29/2005 Dennis DeDecker
3400 Central Ave Trivia Questions1563 Bettendorf IA 52722 62 .50
4/4/2005 The Plaza1416 W 16th Street
1564 Davenport IA 52804 Rent 550.00
I EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT SCHEDULE B MONETARY
SUB-TOTALTOTAL(if last page of this schedule)
EXPENDITURES
Page 4- of-8-(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
4/4/2005 Review Printing Co311 21st St
1565 Rock Island IL 61201 Newsletter printing 438 .154/15/2005 Cash -
Change Fund Trivia1566 Change Fund 100.00
4/19/2005 Deposit Change Fund
(100.00)4/19/2005 North Scott Press
214 N 2nd Street Trivia1567 Eldridge IA 52748 Ads 88 .00
4/19/2005 Cathy Hermes2307 Grove Street Trivia
1568 Davenport IA 52804 Ads 88 .204/19/2005 Qwest
P.O . Box 911041569 Seadle WA 98111 Phone Service 83 .75
4/19/2005 Postmaster1570 933 W 2nd Street1571 Davenport IA 52802 Box Rental 68 .00
4/25/2005 Missippi Vally Fair2815 W Locust Fair Booth Rent
1572 Davenport IA 52804 450.005/2/2005 North Scott Press
214 N 2nd Street Trivia1573 Eldridge IA 52748 Ads 39 .60
5/2/2005 Sherry's Rainbow Florist Funeral3030 Rockingham Rd Kathy Kirshbaum
1574 Davenport IA 52802 Flowers 52 .155/2/2005 The Plaza
1416 W 16th Street1575 Davenport IA 52804 Rent 550.00
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
SCHEDULE B MONETARY
EXPENDITURES
(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
5/12/2005 First Distrrict Democratic Central Committee801 Sheridan Rd Dues 65 .00
1576 Waterloo IA 50701 Ad 100.00 165 .005/12/2005 Tom Engelmann
4552 Main Street Trivia1577 Davenport IA 52806 Ad 88.20
5/12/2005 PC Paramedics145 W 4th Street Repairs on
1578 Coal Valley IL 61240 Computer 70.005/21/2005 Cash -
Change Fund Trivia1579 Change Fund 100.00
5/21/2005 LULAC Club4800 Ricker Hill Rd
1580 Davenport IA 52804 Hall Rent 100.005/23/2005 Deposit Change Fund
(100.00)6/3/2005 The Plaza
1416 W 16th Street1581 Davenport IA 52804 Rent 550.00
6/9/2005 QwestP.O . Box 91104
1582 Seatlle WA 98111 Phone Service 83 .756/9/2005 Audrey Linville
1127 W 15th Street1583 Davenport IA 52804 Postage 46.00
6/28/2005 Internet RevealedP.O . Box 1023 E Mail List server
1584 Moline IL 61265 web Hosting 1 year 164.006/28/2005 The Plaza
1416 W 16th Street1585 Davenport IA 52804 Rent 550.00
SUB-TOTAL 1,816.95TOTAL(if last page of this schedule)
Page 5 of-8-
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
SCHEDULE B MONETARY
SUB-TOTALTOTAL(if last page of this schedule)
EXPENDITURES
Page
6
of-8-(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DDIYR) Number
7/19/2005 Cathy Hermes Candy Parade 31 .432307 Grove Street Ad Trivia 44.00
1586 Davenport IA 52804 Shelter Rent 30.00 105.437/19/2005 Dennis DeDecker
3400 Central Ave Shelter Rent 30.001587 Bettendorf IA 52722 30 .00
7/26/2005 Postmaster933 W 2nd Street
1589 Davenport IA 52802 Postage 23 .008/1/2005 The Plaza
1416 W 16th Street1590 Davenport IA 52804 Rent 550.00
8/8/2005 Quad City Labor Day Parade Alliance
1591 Davenport IA 52807 Ad & Entry Fee 110.008/15/2005 Qwest
P.O . Box 911041592 Seatlle WA 98111 Phone Service 465 .07
8/15/2005 Davenport NAACP Branch 4019P.O . Box 3661 Ad & Table at event
1593 Davenport IA 52808 400.009/1/2005 The Plaza
1416 W 16th Street1594 Davenport IA 52804 Rent 550.00
9/19/2005 Office Max320 w Kimberly Toner Cartridge
1595 Davenport IA 52806 78 .009/22/2005 Review Printing Co
311 21st St1596 Rock Island IL 61201 Printing letters 409.50
10/5/2005 The Plaza1416 W 16th Street
1597 Davenport IA 52804 Rent 550.00
EXPENDITURES - MONEY SPENT FROM COMMITTEEACCOUNT SCHEDULE B
SUB-TOTALTOTAL(if last page of this schedule)
MONETARY
EXPENDITURES
Page
7-of- 8-(for Schedule B)
COMMITTE NAME
Scott County DemocratsCandidate NAME AND ADDRESS TO PURPOSE AMOUNT
DATE ID # and WHOM EXPENDITURE (DESCRIBE EXPENDEDEXPENDED PAC check (Disbursement) WAS MADE TRANSACTION)(MM/DD/YR) Number
10/20/2005 Audrey Linville1127 W 15th Street
1598 Davenport IA 52804 Fair passes 88 .0010/25/2005 Qwest
P .O. Box 911041599 Seatlle WA 98111 Phone Service 266.66
11/4/2005 The Plaza1416 W 16th Street
1600 Davenport IA 52804 Rent 550.0011/8/2005 The Rusty Nail
2800 W Locust1602 Davenport IA 52804 Party 60.12
11/19/2005 Auto Owners InsuranceP .O. Box 30315
1603 Lansing MI 48909 Liability Ins 438.0011/29/2005 Missippi Vally Fair
2815 W Locust RWB Hall Rent1604 Davenport IA 52804 750.00
11/30/2005 The Plaza1416 W 16th Street
1605 Davenport IA 52804 Rent 550.0012/1/2005 Cathy Hermes
2307 Grove Street Postage1606 Davenport IA 52804 48.99
12/1/2005 First Distrrict Democratic Central Committee801 Sheridan Rd
1608 Waterloo IA 50701 Donation 350.0012/15/2005 Qwest
P.O. Box 911041609 Seatlle WA 98111 Phone Service 535 .25
12/15/2005 Susan FF Pamperin1011 1/2 E Central Park Postage
1610 Davenport IA 52803 181 .18
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
SCHEDULE B MONETARY
SUB-TOTALTOTAL(if last page of this schedule)
EXPENDITURES
(99.00)365 .92
Page
8
of-8-(for Schedule B)
COMMITTE NAME
Scott County Democrats
DATE
EXPENDED
(MM/DD/YR)
Candidate
ID # and
PAC check
Number
NAME AND ADDRESS TOWHOM EXPENDITURE
(Disbursement) WAS MADE
PURPOSE(DESCRIBE
TRANSACTION)
AMOUNTEXPENDED
12/31/2005
1538
Shirley Jones
Davenport IA 52802
VOID CHECK
Election Day Work (99 .00)
FOR INSTRUCTIONS, SEEBACK OF FORM
COMMITTEENAME (Must be same as on Statement of Organization)
5 17 6
, -SCHEDULE
E IN-KIND(Rev . 06/97)1 CONTRIBUTIONS
rl CHECK THIS BOX IFAMENDING FORM
TOTAL (if last
page of this
schedule)
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
Paget ofcommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
(for Schedule E)by marriage).
(See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is nofamilial relationship, enter "not applicable" in the relationship column .
DATERECEIVED(MM/DD/YR)
NAME ANDADDRESSOF CONTRIBUTOR
RELATIONSHIPTO CANDIDATE' (if applicable)
DESCRIPTIONOF IN KIND
CONTRIBUTION
ESTIMATEDFAIR MARKET
VALUE
~ IF FORFUND-RAISERCONTRIBUTION
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