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  • 8/7/2019 Heaton Dave__930__scanned

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    FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TT EE 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 nC i t i z e n s f o r He a t o nI 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 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 t o ( 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 mm i t t e e ( 5 ) C o u n t y C a n d i r . $ : ~ . n d i d a t e ( 7 ) S c h o o l B o a r d o r Ot 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~ , ( r 1 0 ) S c h o o l 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

    fI AM F I L I N G A Oc t o b e r 1 9

    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 )Re p ub l i c a n

    Of f i c e S o u g h t \ _ _ , r _ 1 D i s t r i c t ( i f S en a t e o r H o u s e )S t a t e Re p r e s e nt a t i v e 9 1L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s . P u r s u a n t t o I o w a Cod e s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c ; ~ n i l i d a t e , f o r a c a n d i d ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i y l d u a l r e s p o n s i b l e f o r i n g . y a n d a c c u r a t e r e p o r t s .I

    SI GNATURE OF PER ON F I L I NG, REPORT 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 a n 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 DR- 3 .( Y o u mu 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 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR( r e p o r t d a t e ) I n d i c a t e b y #

    MCHECK I F AMENDMENT T O REPORT DATED

    STATEMENT OF CASH ON HANDCASH 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 m m i t t e e . T h i s am o u n t MUST b e t h e same a s t h e c a s h o n h an 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 must 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 TOTAL MONEY TAKEN I N T HI 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 Sc 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 H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ( Sc h e du l e H a p 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 )

    SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e du 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 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 a n s b e l o w ) . . . . . . . . . . . . . .S c h e d u 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 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 mustb e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    " " UNPAI D BI L LS ( F r o m S c h e d u l e D - A t t a c h Sc h e d u l e D) $ 0 . 0 0- I N KI ND CONTRI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0* ` OUTSTANDI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0

    FORMDR- 2 DI SCLOSURE( Re v . 1 2 / 2 0 0 5 ) REPORTF o r Of f i c e Us e On l y ~ ~Comm . #L o g g e d I nsS c a n n e dC o mp u t e rA u d i t e d

    F i l e w i t h :I o w a E t h i c s a n d Campa i gnD i s c l o s u r e B o a r d5 1 0 E . 1 2 ' , S t e . 1 ADes Mo i n e s , I o wa 5 0 3 1 9F a x 5 1 5 - 2 8 1 - 3 7 0 1

    DATE SI GNED, /

    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 n

    C 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

    4 4 , 8 88 . 2 2

    1 9 , 7 7 4 . 8 90 . 0 00 . 0 0

    SUB - TOTAL . . . . . . . . . . . . . . . . . . . . . . . $ 6 4 , 6 6 3 . 1 14 2 , 7 0 0 . 6 50 . 0 02 1 , 9 6 2 . 4 6

    CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) - YES I / NOCANDI DATE COMMI TTEES ONLY: 0 . 0 0VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h Sc h e d u l e H) $STATE COMMI TT EES : S u b m i t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .

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    Fo r I n s t r u c t i on s , Se e Ba c k o f Fo r 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 TTEE NAME ( Mu s t b e s ame a s on St a t e me n t o f O r g a n i z a t i o n )

    C i t i z e n s f o r H e a t o nSTATE CANDI DATES NOTE : I F A CONTR I BUT I ON I S RECE I V ED FROM A S TAT E P AC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PA C CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE: ANY PERSON, OTHER T HA N A N I N D I V I D U A L , THAT CONTR I BUTES MORE THAN $ 7 5 0 TOYOUR CAMPA I GN MAY HAVE F I L I NGR ESPONSI B I L I T I E S AND SHOULD I MMEDI A T ELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc omme r c i a l p u r 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 $ 4 1 5 0TOTAL ( i f l a s t p a g e o f t h i s s c h ed 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 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 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 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 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 s ) a n d a f f i n i t y ( r e l a t i v e s b ym a 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 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 of -7f 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 c h e d u l e A )

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I P TSCHECK T HI S B OX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI B U TOR REL AT I ONSHI P AMOUNT J I F FORRECE I 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# 9 7 0 5 T h e Co mmo n w e a l t h PAC $ 5 0 00 7 / 2 6 / 0 6 CK# 2 2 2 2 4 5 S c h o o l S t r e e t , 2 n d F l o o r N o n eB o s t o n , MA 0 2 1 0 8I D# 6 0 7 3 I o w a Me d i c a l P o l i t i c a l A c t i o n C o mm i t t e e $ 9 0 00 7 / 2 6 / 0 6 CK# 9 0 8 1 0 0 1 G r a n d A v e n u e N o n eW e s t D e s Mo i n e s I A 5 0 2 6 5 - 3 5 0 2I D# G l a x o S mi t h K l i n e PAC $ 1 0 0 00 7 / 2 6 / 0 6 CK# F i v e Mo o r e D r i v e None1 2 5 2 4 R e s e a r c h T r i a n g l e P a r k , NC 2 7 7 0 9I D# L i n d a M y e r s R e v o c a b l e T r u s t $ 2 5 00 8 / 0 7 / 0 6 CK# 6 6 0 0 Wes t own P a r k w a y N o n e1 5 0 9 W e s t D e s Mo i n e s - T A 5 0 1 2 2I D# J a m e s M M y e r s $ 2 5 00 8 / 0 7 / 0 6 CK# 6 6 0 0 We s t o w n P a r k w a y None1 2 7 2 We s t D e s Mo i n e s I A 5 0 3 2 2I D# R o b e r t T M y e r s $ 2 5 00 8 / 0 7 / 0 6 CK# 6 6 0 0 We s t o w n P a r k w a y None1 2 7 2 We s t D e s Mo i n e s , I A 5 0 3 2 2I D# Mi c h a e l M e d v e d $ 2 5 00 8 / 0 7 / 0 6 CK# 6 6 0 0 We s t o w n P a r k w a y None1 3 4 6 W e s t De s Mo i n e s , I A 5 0 3 2 2I D# 6 4 8 6 I o w a T e l e c o m PAC $ 2 0 00 8 / 0 7 / 0 6 CK# 1 1 5 S o u t h 2 n d A v e n u e W None1 5 7 8 N e w t o n , I A 5 0 2 0 8I D# 6 0 2 1 C r e d i t U n i o n PAC $ 2 5 00 8 / 0 7 / 0 6 CK# P . O Bo x 1 0 4 0 9 N o n e2 0 0 6 D e s Mo i n e s , I A 5 0 3 0 6I D # 8 2 5 1 P r i n p a c 3 0 00 8 / 0 7 / 0 6 CK# 7 1 1 H i g h S t r e e t N o n e1 6 8 6 D e s Mo i n e s , I A 5 0 3 9 2

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    F o 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 - - 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 TT EE NAME ( Mu s t b e s ame a s on St a t ement o f Or g a n i z a t i o n )C i t i z e n s f o r He a t o n

    STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T TH E PAC I DENT I F I CATI ONNUMBER ANDTHE PAC CHECK NUMBER I N THE DES I 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.NOTE : ANY PERSON, OTHER THANAN I N D I V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc o mme r c i a l p u r p o s e b y a n 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 - TOTALTOTAL ( i f l a s t page o f t h i s s c h e d ul e )

    $ 5 6 2 4 . 8 9

    ' 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 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 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 ym a r r i a g e ) . I f sumame 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 Pag e o ff 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 dul e A )

    SCHEDUL EA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT I F F ORRECEI 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 ) RA I SERNUMBER I NCOMEI D#

    0 8 / 0 9 / 0 6 US B a n k None $ 4 6 0 . 5 6CK# I n t e r e s t Ea r n e d - CD 3 9 6 4 0 1 3 0 2 0 7 2I D#

    0 8/ 0 9/ 0 6 CK# US B a n kI n t e r e s t Ea r n e d - CD 2 0 0 6 1 6 0 0 9 2 None $ 2 1 4 . 3 3I D#

    0 8/ 1 0/ 0 6 CK#P f i z e r PAC2 3 5 E a s t 4 2 n d S t r e e t None $ 5 0 03 0 4 1 Ne w Yo r k , NY 1 0 0 1 7

    I D# 6 4 5 3 A l l i a n t En e r g y PAC $ 5 0 00 8/ 1 0/ 0 6 CK# P . O . B o x 7 7 0 0 7 No n e4 7 4 Ma d i s o n , WI 5 3 7 0 3I D# 6 1 1 6 P o l i t i c a l Ac t i o n - I o wa D e a l e r s $ 1 0 00 8/ 1 0/ 0 6 CK# P . O . B o x 6 5 8 4 0 No n e1 6 3 5 We st De s Mo i n e s I A 5 0 2 6 5I D# 6 0 6 3 I o wa De n t a l A s s o c i a t i o n PAC $ 1 0 0 00 8/ 1 4/ 0 6 CK# 5 5 3 0 We s t Pa r k w a y No n e2 0 5 5 J o h n s t o n , I A 5 0 1 3 1I D# 6 4 0 0 I o wa Re s t a u r a n t As so c i a t i o n PAC $ 1 5 00 8/ 1 4/ 0 6 CK#523 8 5 2 5 Do u g l a s A v e n u e S u i t e 4 7 No n eDe s Mo i n e s , I A 5 0 3 2 2I D#0 8 / 2 4 / 0 6 CK#

    B e n K a h n9 3 6 1 4 t h S t r e e t None $ 1 0 08 1 5 0 We st De s Mo i n e s , I A 5 0 2 6 5

    I D# 6 0 5 9 I o wa Co mmi t t e e o f Au t o D e a l e r s PAC $ 1 0 00 8/ 2 4 / 0 6 CK# 1 1 1 1 Of f i c e Pa r k Ro a d N o n e2 8 5 8We s t De s Mo i n e s , I A 5 0 2 6 5I D# 6 2 9 1 I o wa H o s p i t a l A s s o c i a t i o n PAC $ 2 5 0 00 9/ 0 1/ 0 6 CK# 1 0 0 E a s t Gr a n d A v e n u e S u i t e 1 0 0 None2 4 7 9 De s Mo i n e s , I A 5 0 2 0 9

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    Fo r I n s t r u c t i o n s , Se e Back 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 ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )

    C i t i z e n s f o r H e a t o nSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBER ANDTHE 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 GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THAN AN I N D I V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TOYOURCAMPAI GNMAY HAVE F I L I N GRESPONSI B I L I T I ESAND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc o mme r c i a l p u r p o s e b y a n 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 es

    SUB- TOTAL $ 2 5 5 0TOTAL ( i f l a s t p a g e o 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 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 s ) 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 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 3 o ff 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 NAMEAND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 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 NCOMEI D# 6 0 6 7 I o w a H e a l t h PAC $ 2 5 00 9 / 0 1 / 0 6 CK# 6 7 5 0 We s t o w n P a r k w a y # 1 0 0 N o n e3 5 2 7 We s t D e s Mo i n e s , I A 5 0 2 6 6I D#0 9 / 0 1 / 0 6 CK# S t e v e A c k e r s o n1 6 3 4 NW1 3 1 s t S t r e e t N o n e $ 2 5 03 3 9 8 C l i v e I A 5 0 3 2 5I D# 6 0 6 7 I o w a H e a l t h PAC $ 5 0 00 9 / 0 1 / 0 6 CK# 6 7 5 0 Wes t own P a r k w a y # 1 0 0 N o n e3 5 1 2 We s t D e s Mo i n e s , I A 5 0 2 6 6I D#

    0 9 / 0 1 / 0 6 CK# R o b e r t R e i d7 0 5 N o r t h Ma i n N o n e $ 2 51 5 2 9I D# P a t G i o r g i o $ 1 0 00 9 / 0 1 / 0 6 CK# 3 3 5 S t o n e y C r e e k R o a d NW N o n e7 0 2 7 C e d a r R a i d s , I A 5 2 4 0 5I D# Mi c h a e l H o c h i n g $ 2 50 9 / 0 1 / 0 6 CK# 5 5 8 4 1 0 5 E a s t C l e v e l a n d NoneNew L o n d o n , I A 5 2 6 4 5I D# J e r r y a n d J u d y N i c h o l l s $ 2 0 00 9 / 0 1 / 0 6 CK# 1 9 4 4 B r o w n D e e r None5 0 6 3 C o r a l v i l l e I A 5 2 2 4 1I D#

    -6 0 5 6 B . U . I . L . D PAC $ 5 0 00 9 / 0 1 / 0 6 CK# 8 8 0 0 NW6 2 n d A v e n u e N o n e3 4 7 9 J o h n s t o n , I A 5 0 1 3 1I D# 6 0 0 4 A s s o c i a t e d G e n e r a l C o n t r a c t o r s PAC $ 5 0 00 9 / 1 6 / 0 6 CK# 7 0 1 E a s t C o u r t A v e n u e None4 4 5 3 De s Mo i n e s , I A 5 0 3 0 9 - 4 9 0 1I D# K e n H a n s o n $ 2 0 00 9 / 1 6 / 0 6 CK# 1 2 6 G o l f V i e w L a n e N o n e3 5 0 2 Wa s h i n g t o n , I A 5 2 3 5 3 - 9 3 0 6

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    5/9

    F o 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 S t a t e me n t o f O r g a n i z a t i o n )

    C i t i z e n s f o r He a t o nSTATECANDI DATES NOTE : I F ACONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND TH E 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 GND I SCLOSURE BOARD .NOTE : ANY PERSON, OTHER THANAN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc o mme r c i a l p u r p o s e b y a n 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 .

    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 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 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 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 s ) 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 um 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 Page-~o f 7f 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 )SUB- TOTAL $ 4 7 5 0

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

    SCHEDULEA MONETARY( R e 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 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# 6 0 5 2 I n d e pe n d e n t I n s u r a n c e Ag e n t s o f I o wa PAC $ 2 0 00 9 / 1 6 / 0 6 CK# 4 0 0 0 We s t o wn Pa r k w a y S u i t e 2 0 0 No n e3 0 4 6 We s t De s Mo i n e s , I A 5 0 2 6 5I D#

    0 9 / 2 2 / 0 6 6 0 7 2 I F A PAC- I o wa None $ 3 0 0CK# 4 3 1 E a s t L o c u s t S t r e e t S u i t e 3 0 01 2 2 2 De s Mo i n e s I A 5 0 3 0 9I D# 6 0 6 4 F r i e n d s o f Ru r a l E l e c t r i f i c a t i o n $ 1 0 00 9 / 2 2 / 0 6 CK# 8 6 2 5 Do u g l a s A v e n u e S u i t e 4 8 No n e2 0 3 3 De s Mo i n e s , I A 5 0 3 2 2I D# 6 0 7 6 I o wa Os t e o p a t h i c PAC $ 5 0 00 9 / 2 2 / 0 6 CK# 9 5 0 1 2 t h S t r e e t None1 5 8 4 De s Mo i n e s , TA 5 03 0 9I D# 9 7 0 5 Th e Co mmo n we a l t h PAC $ 1 0 0 00 9 / 2 2 / 0 6 CK# 4 5 S c h o o l S t r e e t , 2 n d F l o o r No n e2 4 4 6 Bo s t o n MA 0 2 1 0 8I D# 6 48 8 I o wa P r o v i d e r s PAC $ 2 0 0 00 9 / 2 2 / 0 6 CK# 7 0 2 5 Hi c k ma n Road , S u i t e 5 No n e1 3 3 6 Ur b a n da l e , I A 5 0 3 2 2I D# 6 0 4 2 Gr o c e r s PAC $ 2 0 00 9 / 2 7 / 0 6 CK# 2 5 4 0 1 0 6 t h S t r e e t S u i t e 1 0 2 No n e1 2 7 2 De s Mo i n e s I A 5 0 3 2 2I D# 6 2 3 4 I o wa F a r m B ur e a u PAC $ 1 0 00 9 / 2 7 / 0 6 CK# 4 1 2 0 5 4 0 0 U n i v e r s i t y A v e n u e NoneWe s t De s Mo i n e s , I A 5 0 2 6 6 - 5 9 9 7I D# 6 0 6 2 C e r t i f i e d P u b l i c Ac c o u n t a n t s PAC $ 1 0 00 9/ 2 7/ 0 6 CK# 9 5 0 Of f i c e P a r k Ro a d S u i t e 3 0 0 No n e2 7 6 We s t De s Mo i n e s , I A 5 0 2 6 5 - 2 5 4 8I D# 0 0 0 0 7 2 7 6 9 Th e R o c h e Good Go v e r n me n t Co mmi t t e e $ 2 5 01 0 / 0 2 / 0 6 CK# 3 4 0 Hi g h l a nd S t r e e t No n e1 0 6 9 N u t l e y , NJ 0 7 1 1 0

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    Fo 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 - - 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 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 )C i t i z e n s f o r H e a t o n

    STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P OL I T I C A L A C T I O N C OMMI T T E E ) , L I S T T HE PA C I D EN T I F I C A T I O NNUMBER AND T HE PA C CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I O WA E T H I C S AND CAMPAI GNDI SCLOSURE BOARDNOTE : ANY PERSON, OTHER T HA N A N I N D I V I D U A L , THAT CONTR I BUTES MORE THAN $ 7 5 0 T O YOUR CAMPA I GN MAY HAVE F I L I N GR ESPONS I B I L I T I E S AND SHOULD I MMEDI A TELY CONTACT T HE BOARD.CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc o mme r c i a l p u r p o s e b y a n 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 $ 2 3 2 5TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

    Pa geD 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 m m 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 ym a 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 s am e a s c a n d i d a t e , b u t t h e r e i s n of 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 eA)

    SCHEDUL EA MONETARY( Re v 0 7 / 0 3 ) RECE I P T S0 CHECKT HI S BOX I FAMENDI NG FORM

    DAT E PAC I D NUMBER NAME AND ADDRESS OF CONT RI B U TOR RELA T I ONSHI P AMOUNT I F FORR ECE I V E D ( i f a p p l i c a b l e ) TO CANDI DATE ' R E CE I V E D FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# 0 0 0 2 3 5 7 3 9 BSNF R a i l p a c $ 2 5 01 0 / 0 2 / 0 6 CK# 7 0 0 1 3 t h S t r e e t NE N o n e8 7 1 9 Wa s h i n g t o n , DC 2 0 0 0 5I D# 6 0 8 2 Mi d A me r i c a n E n e r g y Company G o o d Go v ' t Comm $ 2 5 01 0 / 0 2 / 0 6 CK# P . O B o x 6 5 7 N o n e1 1 6 1 D e s Mo i n e s I A 5 0 3 0 3 - 0 8 5 7I D# 9 6 5 9 F e d e r a t i o n o f I o w a I n s u r e r s PAC $ 2 5 01 0 / 0 6 / 0 6 CK# P . O . B o x 1 7 5 6 N o n e1 4 0 0 D e s Mo i n e s , I A 5 0 3 0 6 - 1 7 5 6I D# 6 0 7 7 I o w a P h a r m a c y PAC $ 1 5 01 0 / 0 6 / 0 6 CK# 8 5 1 5 D o u g l a s A v e n u e S u i t e 1 6 None1 8 5 4 D e s Mo i n e s , 1 A 5 0 1 ? * ?I D# C r a i g N i e l s o n $ 2 0 01 0 / 0 6 / 0 6 CK# 8 6 2 0 T i t l e i s t C i r c l e N o n e1 1 7 0 0 L a s V e g a s , NV 8 9 1 1 7I D# 6 1 2 5 I o w a R e a l t o r s PAC $ 5 0 01 0 / 0 6 / 0 6 CK# 1 3 7 0 NW1 1 4 t h S u i t e 1 0 0 N o n e2 6 0 9 C l i v e , I A 5 0 3 2 5I D# 9 7 3 7 I o w a H a r n e s s H o r s e m e n A s s o c i a t i o n $ I 5 01 0 / 1 1 / 0 6 CK# P . O B o x 1 0 7 N o n e1 0 1 3 G r i n n e l l I A 5 0 1 1 2I D# J o s e p h C r o z i e r $ 5 01 0 / 1 1 / 0 6 CK# 1 0 2 4 C a n t e b u r y D r i v e N o n e1 2 0 7 2 B u r l i n g t o n , I A 5 2 6 0 1I D# 6 2 7 9 I o w a Op t h a m o l o g y PAC $ 5 0 01 0 / 1 2 . 0 6 CK# S u i t e 1 2 0 N o n e2 0 5 2 V e r n o n H i l l s , I L 6 0 0 6 1I D# K a t e Wa l t o n $ 2 51 0 / 1 2 / 0 6 CK# 4 0 0 E a s t 1 5 t h A v e n u e None5 9 5 4 I n d i a n o l a , I A 5 0 1 2 5

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    Fo r I n s t r u c t i on s , Se e Ba c k o f F o r 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 TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

    C i t i z e n s f o r H e a t o nSTATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( P OL I T I C A L ACTI ONCOMMI TTEE) , L I ST THE PAC I DENTI F I CATI ONNUMBER AND THE 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 GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTH ERTHAN AN I N D I V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 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 r f o r a n yc omme r c i a l p u r p o s e b y a n y p er 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 es .

    SUB- TOTAL $ 3 5 5TOTAL ( i f l a s t p a g e o 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 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 e _c 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 yma r r i a g e ) . I f s um 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 Page o f1f 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 Sc h e d u l e A )

    SCHEDUL EA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSQCHECK THI S BOX I FAMENDI NG F ORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ~ 1 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# D a v e S t o u t $ 5 01 0 / 1 2 / 0 6 CK# 3 1 4 8 2 8 1 0 NWN o r t h C r e e k C i r c l e N o n eA n k e n y , I A 5 0 0 2 3 - 1 0 7 3I D# L a r r y H e i t m a n e k $ 2 51 0 / 1 2 / 0 6 CK# 5 8 2 8 P l e a s a n t S t r e e t None6 4 8 8 We D e s Mo i n e s I A 5 0 2 6 6I D# D o u g l a s S a l t s g a v e r $ 2 5

    a1 0 / 1 2 / 0 6 CK# 7 3 9 5 3 r d S t r e e t None7 2 7 4 D e s Mo i n e s , I A 5 0 3 1 2

    I D# B r i a n S h i f f l e r $ 5 01 0 / 1 2 / 0 6 CK# 1 1 5 2 n d S t r e e t N o n e5 0 6 5 4I D# B r o c k Wo l f f $ 2 51 0 / 1 2 / 0 6 CK# 2 5 1 1 1 9 5 t h T r a i l N o n e1 6 2 7 Wi n t e r s e t I A 5 0 3 1 2I D# Med l mmun e PAC $ 1 0 01 0 / 1 2 / 0 6 CK# 1 Med I mmun e Wa y None1 1 5 4 G a i t h e r s b u r g , MD 2 0 8 7 8I D# S t e v e n H e i l s k o v $ 1 01 0 / 1 2 / 0 6 CK# 1 1 6 6 4 C o u n t y H i g h w a y S 3 3 None1 2 1 5 I o w a F a l l s I A 5 0 1 2 6I D#

    1 0 1 1 2 / 0 6 Mi c h e l l e H e r ma n None $ 2 5CK# P . O Bo x 85 4 0 4 New P r o v i d e n c e , I A 5 0 2 0 6I D# K i m S c h m e t t $ 2 51 0 / 1 2 / 0 6 CK# 1 0 1 4 1 L i n c o l n A v e n u e N o n e4 9 4 7 C l i v e I A 5 0 3 2 5

    I D# Da v e Va n N i n g e n $ 2 01 0 / 1 2 / 0 6 CK# 1 8 0 2 9 t h S t r e e t N o n e9 5 3 5 R o c k V a l l e y , I A 5 1 2 4 7

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    Fo r I n s t r u c t i on s , Se e B a c k o f Fo r 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 ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )C i t i z e n s f o r He a t o n

    STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A S T AT E P AC ( P O L I T I C A L A C T I O N C OMMI T T E E ) , L I S T THE PA C I D E NT I F I C A T I O NNUMBER AND THE P AC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM TH E I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE : ANY PERSON, OTHERT HA N A N I N D I V I D U A L , THAT CONTRI B UTES MORE THAN $ 7 5 0 TO YOUR CAMPA I GN MAY HAVE F I L I N GRESPONS I B I L I T I E S AND SHOUL D I MMEDI ATELY CONTACT THE BOARD .C AU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 f o r a n yc o mme r c i a l p u r p o s e b y a n y p er 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- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

    $ 2 0$ 1 9 , 7 7 4 . 8 9

    * 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 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 s ) 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 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 ff 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 )

    SCHEDUL EA MONETARY( R e v . 0 7 / 0 3 ) RECE I P T S0 CHECKT HI S B OX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I B U TOR RELA T I ONSHI P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE* RECE I VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# Dou g Smi t $ 1 01 0 / 1 2 / 0 6 CK# 7 8 2 2 3 0 7 5 t h S t r e e t No n eI r e t o n , I A 5 1 0 2 7I D# WL S y l v e s t e r $ 1 01 0 / 1 2 / 0 6 CK# 7 4 3 6 1 0 3 4 3 E a s t 1 4 2 n d S t r e e t No n eL n v i l l e I A 5 0 1 5 3I D#C K#I D#C K#I D#C K#D#

    CK#I D#CK#

    I D#C K#I D#C K#I D#C K#

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    T HI 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 mu 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 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 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 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 d i d a t 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 Code 6 8 A . 4 0 2 ( 3 ) ( i ) . )

    1Page _ o f I

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

    FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC 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 TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )C i t i z e n s f o r He a t o n

    CANDI DATE NAME ANDADDRESS 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( MM/ DDNR) AND PACCHECKNUMBER

    I D # H o u s e Ma j o r i t y F u n d - Re p u bl i c a n Pt y P o l i t i c a l Co n t r i b u t i o n0 8 / 2 4 / 0 6 6 2 1 E a s t Ni n t h S t r e e t $ 3 5 , 0 0 0CK# 1 0 0 1 De s Mo i n e s , I A 5 0 3 0 9

    I D # E . G . S t a a t s Pu r c h a s e Si g n s0 9 / 2 9 / 0 6 CK# 6 0 8 No r t h I r i s S t r e e t $ 2 7 0 0 . 6 51 0 0 2 Mou n t P l e a s a n t , I A 5 2 6 1 4

    I D # H o u s e Ma j o r i t y F u n d - Re p ub l i c a n Pt y P o l i t i c a l Co n t r i b u t i o n1 0 / 0 4 / 0 6 6 2 1 E a s t Ni n t h S t r e e t $ 5 0 0 0CK# 1 0 0 3 De s Mo i n e s , I A 5 0 3 0 9

    1 D #CK#I D#CK#D#CK#1 D #C K#I D #CK#

    SUB- TOTAL $ 4 2 , 7 0 0 . 6 5TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ 4 2 , 7 0 0 . 6 5