seiu (service employees international union) local 199 cope fund6492scanned

8/7/2019 SEIU (Service Employees International Union) Local 199 COPE Fund__6492__scanned

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JAN- 19 - 2005 09 : 1 3

FOR I NSTRUCTI ONS, SEE BACK OF FORM

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g an i z a t i o n)

SEI U( Se r v i c e Emp l o y e e s I n t ' 1 On i o n ) L o c a l 199 COPE F u n

I MPORTANT : I n d i c a t e t y pe 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 !

( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) Co u nt y PAC ( s ' ) 6 a l l o t I s s u e / F r a n c h i s e Co mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e s

CANDI DATE COMMI TTEES ONLY :

DI SCL OSURE SUMMARY PAGE

OCHECK I F AMENDMENT TO REPORT DATED

OF TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )

P o l i t i c a l P a r t y

SEE I NSTRUCT I ONS ON BACK AND COMPLETE THE FOLLOWI NG SENTENCE:

Ch 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 t i u must c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASHON HAND

Ro u t i n e P e n a l t i e s Du e Fo r L a t e F i l e d Re po r t s Ra n g e f r o m $ 2 0 t o $ 8 0 0

( r e p o r t d a t e ) I n d i c a t e o n e E1

P . 0 2

DR- 2 DI SCLOSURE

( R e v . 0 6 / 2 0 0 2 ) REPORT

I AMF I L I NG A 1 0/ 1 5 / 0 4 - 1 2 / 3 1 / 0 4 REPORT FOR AN/ A ( t ) E LECT I ON / ( 2 ) NON- EL ECTI ON YEAR.

L o c a l C o mm i t t e e s , e n t e r Da t e o f E l e c t i o n

Co 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

" UNPAI D BI L L S ( F r o m Sc h e du l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

' I N K I ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e du l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

" OUTSTANDI NG LOANS ( F r o m Sc h e du l e F - A t t a c h Sc h e du l e F ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $

CANDI DATE COMMI TTEES ONLY :

CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) YES NO

VALUEOF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e du l e H) $

CASH 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 h i s i s t h e t o t a l o f a l l mo n i e s h e l d

b y t h e c 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 as h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d , o r mus 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 F 630 . 4 8

ADD TOTAL MONEY TAKEN I N THI S PERI OD

Sc h e du l e A : Ca s 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 ) . , . . . . . . . 2 , 093 . 6 9

Sc h e du 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 du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Ca mp a i g n P r o p e r t y ( A t t a c h Sc h e du l e H) . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . .

Sc h e d u l e H a p p l i e s t o Ca n d i d Co mmi t t e e s On l y )

SUB - TOTA L . . . . . . S 3 , 7 24 . 17

SUBTRACT TOTAL MONEY SPENT THI S PERI OD

Sc 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 du 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 ) . . . ? 0 82] - 94

Sc h e du l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASHON 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 mus t

b e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ~ 902 . 2 3



JAN- 19 - 2 005 09 : 1 4 P . 0 3

T HI S BOX APPUES TO CANDI DATES' COMMI TTEES ONLY :

Pu 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 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 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 n

Sc 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 m a d e b y t h e p e r s o n l 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 o

Sc 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 5 6 . 6 ( 3 ) ( i ) . )

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULE

EXPENDI TURESB MONETARY

- - MONEY SPENT FROM COMMI TTEEACCOUNT( Re v . X 9 1 9 7 ) EXPE=NDI TURES

STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DEOR LEGI SLAT I VECANDI DATES . L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMNAND THE CHECK T HI S BOXI F

PAC CHECK NUMBERFOR 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 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 )

SEI U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) Lo ca l 19 9 . COPE a n d

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE

( MM/ DDI YR) AND PAC

CHECK

NUMBER

1 0 / 1 5 / 0 4 ' D# SEI U ( I n t ' l Of f i c e ) Mo n t h l y c on t r i b u t i o n 8 6 4 . 2 5

CK# 106 7 Wash i n g t o n DC 2 0 0 0 5

1 0 / 2 9 / 0 AI D* SEI U ( I n t l l Of f i c e ) Mo n t h l y c o n t r i b u t i o n 2 7 2 , 4 4

CK# 1068 Wash i n g t o n DC 2 0 0 0 5

1 1 / 1 9 / 0 I D #SEI U ( I n ' t l Of f i c e ) Mo n t h l y ' c o n t r i b u t i o n

7 60 - 5 0CK# 106 9 Wash i n g t o n DC 2 0 0 0 5

1 2 / 2 9 / 0 I D # SEI U ( I n V l Of f i c e ) Mo n t h l y c o n t r i b u t i o n 9 2 4 . 7 5

CK# 10 7 0 Wash i n g t o n DC 2 0 0 0 5

I D #

CK#

I D #

. CK#

I D#

CK#

I D#

CK#

SUB- TOTA L

1 , 8 2 1 , 9 4TOTAL ( i f l a s t page o f t h i s s c h e d u l e )1 1 . 1 4 5 0 1 _q4



J AN- 1 9 - 2 0 0 5 0 9 : 1 4

F o r I n s t r u c t i o n s , Se e B a c k o f Fo r m

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 ( M u s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

SEI U( Se r v i c e Emp l o y e e s I n t " l Un i o n ) L o c a l 1 9 9 C PE F u n d

SCHEDUL E

P . 0 4

A MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS

CHECK THI S BOX I F

AMENDI NG FORM

STATE CAND I D ATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( 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 NNUMBER A ND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN A L I S T OF I D NUMBERS I S AVA I L ABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( l i ) , 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 me n t s f a 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 a n y c omme r c i a l p u r p o s e by a n 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

TOTAL ( i f l a s t p a g e o f t h i s a c h e d ul 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 ma k i n g a c o n t r i b u t i o n t o t h e

c o mmi t t e e . R e l a l l o n s h i p mu s t b e s how 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 y

ma r r i a g e ) ( S e e P a g e : 2 o f f o r m s p a c k e t . ) . 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 same a s c a n d i d a t e , b u t t h . g r e i s n o P a g e _ - E o f

f a m i l i a l r e l a t i o n s h i p , e n l 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 he d u l e A )

DATE PAC l D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CAND I DATE ' RECEI VED FU( MM/ DD/ Y k ) AND " AC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER

1 0 / 1 5 / 2 0 0 4 De b B e n f e r ( UI HC) 3 . 0 0

D i r e c t D e p o s i t 1 6 8 3 Hemi n wa L a n e I C I A 5 2 2 4 0

1 0 / 1 5 / 2 0 0 4 J u l i e B r y a n t 1 0 . 0 0

D i r e c t D e p o s i t 1 B e l l e V i s t a P l a c e I C I A 5 2 2 4 5

1 0 / 1 5 / 2 0 0 4 B r i a n F l a h e r t y 3 . 0 0

D i r e c t D e p o s i t 1 1 2 2 So Se v e n t h Av e I C I A 5 2 = 4 5

1 0 / 1 5 / 2 0 0 4 A n n e G e n t i l - A r c h e r 5 . 0 0

D i r e c t D e p o s i t 1 7 4 4 - 1 1 5 t h S t West L i b e r t y I A 5 2 7 7 6

1 0 / 1 5 / 2 0 0 4 Ca t h y S i n g e r Gl a s s o n 1 5 . 0 0

D i r e c t D e p o s i t 1 9 2 0 - 2 n d Av e SE CR I A 5 2 4 0 3

1 0 1 1 5 / 2 0 0 4 L i n d a L Hag e n 1 0 . 0 0

D i r e c t D e p o s i t 3 7 5 Mor mon T r e k B l v d # 7 I C I A 5 2 2 4 6

1 0 / 1 5 / 2 0 0 4 Da v i d C Megge r s 5 . 0 0

D i r e c t D e p o s i t 3 3 7 1 Oz z i e D r i v e NE S o l o n I A 5 2 3 3 3

1 0 1 1 5 / 2 0 0 4 D e v i n P Me h a f f e y 2 . 5 0

D i r e c t D e p o s i t 8 6 5 Cambur n C t SE CR I A 5 2 4 Q 3

1 0 / 1 5 / 2 0 0 4 Ki m R M i l l e r 1 0 . 0 0

D i r e c t D e p o s i t 8 0 5 Spe nc e r Dr I C I A 5 2 2 4 6

1 0 / 1 5 / 2 0 0 4 M i c h e l Mur phy ( I C S c h ) 2 . 5 0

D i r e c t D e p o s i t 3 1 5 E l l i s Av e # 1 I o wa C i t y I A 5 2 2 4 6



J AN- 1 9 - 2 0 0 5 09 " 1 5

F o r I n s t r u c t i o n s , Se e Back o f Fo r m



COMMI TTEE NAME ( Mu s t b e same a s on S t a t emen t o f O r g a n i z a t i o n )

SEI U( Se r v i c e Emp l o y ee s I n t ' l Un i o n ) L o c a l 199 C PE F u n d

P . 0 5

SCHEDULE

A MONETARY

( R e v , 0 8 1 9 7 ) RECEI PTS

©CHECK T HI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE; I F A CONTRI BUT10 N I S RECEI VED FROMA STATEPAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CAT I ON

NUMBER ANDTHE PACCHECKNUMBER I N THE DESI GNATED COLUMN. A L I ST OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.

CAUTI ON . Se c t i o n 6 8 8 , 3 2 A( 6 ) , I o wa Co de, 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 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 y c ommer c i a l p u r p o s e b y an y p er 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 ommi t t e es .

e - I UI A

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

I D i s c l o s u r e l a w r e q u i r e s c an d i d at 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 e

c ommi t t e e R e l a t i o n s h i p mu s t be s h o wn t o t h e t h i r d d e g r e e o f c on s an gu 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 by

m a r r i a g e ) ( S e e Page 2 o f f o r ms packe t . ) . I f s u r n ame o f c o nt r i b u t o r i s t h e same a s c an d i d at e , b u t t h er 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 Sc h e d u l e A)

0AT1= PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU

( MMI DDI YR) AND " AC CHECK ( i f a pp l i c a b l e ) RA

NUMBER I N

1 0 1 1 5 1 2 0 0 4 Do u g l a s L P e t e r s 2 . 5 0

D i r e c t D e p o s i t 7 0 E C h e s t n u t NL I A 52317

1 0 / 1 5 1 2 0 0 4 K i r s t e n A Ru n n i n g 2 . 5 0

D i r e c t D e p o s i t 1 2 1 0 H i g h l a n d Av e I C I A 52240

1 0 / 1 5 / 2 0 0 4 Sar ah D Si mp s o n 1 0 . 0 0

D i r e c t D e p o s i t 3 0 2 5 Hi d d e n Meadow Dr R i v e r s i d e I A 5 2 3 2 7

10115 / 2 004 Ga r y D Smi t h 2 . 5 0

D i r e c t D e p o s i t 9 1 7 Bowe S t I C I A 52240

1 0 / 1 5 / 2 0 0 4 R i t a S t e r l e r 5 . 0 0

D i r e c t D e p o s i t 2131 P l a e n Vi e w D r I C I A 5 2 2 4 6

1 0/ 1 5/ 2 00 4 S a r a h C S w i s h e r 4 0 . 0 0


1 0/ 1 5/ 2 00 4 Tawny L Wi l s o n 7 _ 5 0

D i r e c t D e p o s i t 1110 C o n k l i n S t I C I A 52245

1 0 / 2 8 / 2 0 0 4 Do n a l d J B i n e g a r J r ( I C S c h ) 1 . 5 0

229058 P 0 Bo x 3 7 3 N E n g l i s h I A 52316

1 , 0 / 2 8 / 2 0 0 4 K u r t h T Boyce ( I C S c h ) 1 . 5 0

229058 4 8 7 6 - 1 20 S t NE S o l o n I A 52 3 3 3

1012812004 R i c h a r d Han n o n ( I C S c h ) 1 . 5 0

229058 P O Box 3 28 1 I o wa C i t y I A 5 2 2 4 4



J A N- 1 9 - 2 0 0 5 0 9 : 1 5

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 m

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 b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

SEI U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 PE F u n d

SUB- TOTAL

SCHEDULE

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

P . 0 6

A MONETARY

( Re v 0 5 / 9 7 ) RECEI PTS

©CHECK THI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED F ROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI TTEE) . LI STTHE PAC I D E N T I F I C A T I O NNUMBER A ND T HE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : Se c t i o n 68 B . 3 2 A ( 8 ) , I o wa Co de , 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 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 a n y c omme r c i a l p ur p o s e b y a n y p e r s on 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 .

O f 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 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 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 y

ma r r i a g e ) ( S e e Page 2 o f f o r ms p a c k e l . ) . 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 same a s c a n d i d a t e , b u t t h e r e i s n o P a g e ~ , o 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 Sc h e du l e A)

DATERECEI VED

PAC I D NUMBER

( i f a p p l i c a b l e )

NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P

TO CANDI DATE ,

AMOUNT

RECEI VED4 I FFU

( MMI DDI YR) ANO' ' ACCHECK ( i f a p p l i c a b l e ) RAINUMBER

1 0 / 2 8 / 2 0 0 4 J o h n Ho ar d ( I C S c h ) 1 . 2 5

2 2 9 0 5 8 Bo x 4 66 H i l l s I A 5 2 2 3 5

1 0 / 2 8 1 2 0 0 4 Ron J e n s e n ( I C S c h ) 1 . 0 0

2 2 9 0 5 8 4 2 5 - 3 2 0 t h S t WL i b e r t y I A 5 2 7 7 6

1 0 / 2 8 / 2 0 0 4 Br a d K U e s t e r ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 2 8 2 1 S R i v e r s i d e Dr I o w a C i I A 5 2 2 4 6

1 0 / 2 8 / 2 0 0 4 J o n L a l l a ( I C S c h ) 2 . 5 0

229058 6 0 1 Oak l a n d Ave I o wa C i t y I A 52240

1 0 / 2 8 / 2 0 0 4 B r i a n J Meyer ( I C S c h ) 1 . 5 0

229058 1 6 M e t r i c Road I o wa C i t y I A 5 2 2 4 0

1 0 / 2 8 / 2 0 0 4 Randy Ng u y e n ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 4 8 Ambe r L ane I o wa Ci t y I A 5 2 2 4 0

1 0 / 2 8 / 2 0 04 M i c h a e l O' Co nn o r ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 2 9 0 El m Ri d e D r i v e N o r t h L i b e I A 5 2 3 1 7

1 0 / 2 8 / 2 0 0 4 Rodn ey Pe r d u e ( I C S c h ) 2 . 5 0

2 2 9 0 5 8 5 0 3 WP a r i s S t WL i b e r t y I A 5 2 7 7 6

1 0 / 2 8 / 2 0 0 4 Wr n S a l a s b e r r y ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 1 1 1 9 P i n e S t I o wa C i t y I A 5 2 2 4 0

1 0 1 2 8 1 2 0 0 4 K i mb e r l y Sc h l a b a c h ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 5 2 7 2 Oa k c r e s t H i l t Rd R i v e r s i d e I A 5 2 2 4 6



J A N- 1 9 - 2 0 0 5 0 9 : 1 6




COMMI TTEE NAME ( Mu s t b e same a s on St a t emen t o f Or g a ni z a t i o n)

SEI U( S e r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CATI ON

NUMBER ANDTHE PAC CHECKNUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVA I L A B LE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o wa C o d e , p r oh i b i t s t h e us 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 or t s and s t a t e me n t s f o r s o l i c i t i n g c on t r i b u t i o ns o rf o r a n y c o mme r c i a l p u r p o s e b y any 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 mm i t t e e s

' U - AL

S ( _ ; Ht 0 UL h

A( Re v . 0 6 1 9 7 )

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

P . 0 7

MONETARYRECEI PTS

CHECK T HI S BOX I F

AMENDI NG FORM

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 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 e

c o mmi t t e e . R o l a t i o f i s h i p must b e s h ow n t o t h e t h i r d d e g r e e o f c o ns a ng u i n i t y ( p 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

ma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . I f su r name o f c o n t r i b u t o r i s t h e s a r n e a s c a nd i d a t e , b u t t h e r e i s n o P a g e -4 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 ch e d ul e A)

GATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 IRECEI VED ( i f a p p l i c a b l e ) I TO CANDI DATE" RECEI VED FU( MMI QOI YR) AND " AC CHECK ( i f a pp l i c a b l e ) RA

NUMBER

1 0 / 2 8 / 2 0 0 4 Ge r a l d V o n s t e i n ( I C S c h ) 2 . 5 0

2 2 9 0 5 8 5 0 4 8 - 2 1 0 t h S t NE S o l o n I A 5 2 3 3 3

1 0 / 2 8 / 2 0 0 4 Da l e Wei r ( I C S c h ) 1 , 5 0

2 2 9 0 5 8 2 1 4 5 P a l me r C i r c l e I o wa C i I A 5 2 2 4 0

1 0 / 2 8 / 2 0 0 4 J e r o me Wi e d eme i r ( I C S c h ) 1 . 5 0

2 2 9 0 5 8 2 5 0 6 F r i e n d s h i p S t I C I A 5 2 2 4 5

1 0 1 2 8 / 2 0 0 4 D a r y l L e w i s ( I C S c h ) 5 . 0 0

2 2 9 0 5 8 2 1 6 Da r t mo u t h I o wa Ci t I A 5 2 2 4 5

1 0 / 2 9 / 2 0 0 4 Wa l t e r Knap p e r 1 0 5 . 1 9

3 4 9 8 3 4 9 7 - 2 9 2 n d S t Camanc h e I A 5 2 7 3 0

1 0 / 2 9 / 2 0 0 4 De b B e n f e r ( UI HC) 3 . 0 0

D i r e c t D e p o s i t 1 6 8 3 Hemi n wa L a n e I C I A 5 2 2 4 0

1 0 1 2 9 / 2 0 0 4 J u l i e B r y a n t 1 0 . 0 0

D i r e c t D e p o s i t 1 B e l l a V i s t a P l a c e I C I A 5 2 2 4 5

1 0 / 2 9 / 2 0 0 4 B r i a n F l a h e r t y 3 . 0 0

D i r e c t D e p o s i t 1 1 2 2 So Se v e n t h Av e I C I A 5 2 2 4 5

1 0 / 2 9 / 2 0 0 4 A n n e Ge n t i l - A r c h e r 5 . 0 0

D i r e c t D e p o s i t 1 7 4 4 - 1 1 5 t h S t We s t L i b e r t y I A 5 2 7 7 6

1 0 1 2 9 ! 2 0 0 4 Ca t h y S i n g e r Gl a s s o n 1 5 . 0 0




J AN- 1 9 - 2 0 0 5 0 9 : 1 7


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 ( M u s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

SEZU( Se r v i c e Empl oy e es I n t r l Uni on) Local 199 C PE Fund

SUB- TOTAL

TOTAL ( i f l a s t page o f t h i s s c h ed u l e )

P . 0 8

0 CHECK THI S BOX I F

AMENDI NG FORM

SCHEDULE

A MONETARY

( R e v , 0 6 / 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI TTEE) , UST THE PAC I D E N T I F I C AT I O NNUMBER AND

THEPACCHECK 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 E T HI C S AND CAMPAI GN

DI SCLOSURE 6 0 AA 0 .

CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Co de , 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 me nt 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 a n y c omme 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 Commi 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 ma 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 mu s t b e s h ow 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 y

ma r r i a g e ) ( S i °. e Page 2 o f f o r m s p a c k e t . ) . I f s u r n a r n e 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 _ YLf 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 umn . ( f a r Sc h e d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DO/ YR1 AND ' ' A C CHECK ( i f a p p l i c a b l e ) RA I

NUM E

1 0 / 2 9 / 2 0 0 4 L i n d a L H a g e n 1 0 . 0 0


1 0 / 2 9 / 2 0 0 4 D a v i d C Me g g e r s 5 . 0 0


1 0 / 2 9 / 2 0 0 4 De v i n P Me h a f f e y 2 . 5 0

D i r e c t De o s i t 8 6 5 Cambu r n Ct SE CR I A 5 2 4 0 3

1 0 / 2 9 / 2 0 0 4 Ki m R M i l l e r 1 0 . 0 0

D i r e c t D e p o s i t 8 0 5 Spen ce r Dr I C I A 5 2 2 4 6

1 0 / 2 9 / 2 0 0 4 M i c h e l Mu r p h y ( I C S c h ) 2 . 5 0

D i r e c t D e p o s i t 315 E l l i s Ave # 1 I o w a C i t I A 5 2 2 4 6

1 0 / 2 9 / 2 0 04 Do u g l a s L P e t e r s 2 . 5 0

D i r e c t D e p o s i t 7 0 E Ch e s t n u t NL I A 5 2 3 1 7

1 0 / 2 9 / 2 0 0 4 K i r s t e n A Ru n n i n g 2 . 5 0

D i r e c t De o s i t 1 2 1 0 H i g h l a n d Av e I C I A 5 2 2 4 0

1 0 / 2 9 1 2 0 0 4 Sa r a h D Si mp s o n 1 0 . 0 0

D i r e c t D e p o s i t 3 0 2 5 Hi d d e n Mea dow Dr R i v e r s i d e I A 5 2 3 2 7

1 0 1 2 9 / 2 0 0 4 Ga r y D Smi t h 2 . 5 0

D i r e c t D e p o s i t 9 1 7 Bowe S t I C I A 52 240

1 0 / 2 9 / 2 0 0 4 R i t a S t e r l e r 5 . 0 0

D i r e c t D e p o s i t 2 1 3 1 P l a e n Vi e w Dr I C I A 6 2 2 4 6



J A N- 1 9 - 2 0 0 5 0 9 " 1 7


CONTRI BUTI ONS - - MONEY TAKEN I N


COMMI TTEE NAME ( M u s t b e s ame a s o n St a t emen t o f Or g a n i z a t i o n)

SEI U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

U B - T OT A L .

SCHEUULt

TOTAL ( i f l a s t p a g e o f t h i s Sc h e d u l e )

P 0 9

C7 CHECK THI S BOX I F

AMENDI NG FORM

A MONETARY

( Re v . 0 5 1 9 7 ) ! RECEI PTS

STATE CANDI DATES NOTE . I F A CONTRI BUTI 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 THE PAC I D EN T I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T Or 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE s OARD

CAUTI 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 m a t i o n c o p i e d f r o m r e p o r m a n 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 a n y c o mme r c i a l p ur p os 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 ommi 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 ma 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 l o n s h i p mus t b e s h own t o t h e t h i r d d o g r e o 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

ma r r i a g e ) ( S e e Page 2 o r f o r m s p a c k e t , ) . I f s u r n a r n e o f c o n t r i b u t o r i s t h e s a r n e 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 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 umn ( f o r Sc h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e )

ITO CANDI DATE' RECEI VED FU

( MMI OD/ YR) AND " AC CHECK ( i f a p p l i c a b l e ) RA INUMBER

II NM

1 0 1 2 9 1 2 0 0 4 Sa r a h C Swi s h e r 4 0 , 0 0

D i r e c t D e p o s i t 9 1 7 Bowe S t I C I A 5 2 2 4 0

1 0 1 2 9 1 2 0 0 4 Tawny L Wi l s o n 7 . 5 0

D i r e c t D e p o s i t 1 1 1 0 C o n k l i n S t I C I A 5 2 2 4 5

1 1 1 1 2 1 2 0 0 4 De b B e n f e r ( UI HC) 3 . 0 0

D i r e c t D e p o s i t 1 5 8 3 Hemi n wa La n e I C I A 5 2 2 4 0

1 1 / 1 2 / 2 0 0 4 J u l i e B r y a n t 1 0 . 0 0

D i r e c t D e p o s i t 1 B e l l a V i s t a P l a c e I C I A 5 2 2 4 5

1 1 / 1 2 / 2 0 0 4 B r i a n F l a h e r t y 3 . 0 0

D i r e c t D e p o s i t 1 1 2 2 So Se v e n t h Av e I C I A 5 2 2 4 5

1 1 / 1 2 1 2 0 0 4 An n e G e n t l l - A r c h e r 5 . 0 0


1 1 / 1 2 1 2 0 0 4 Ca t h y S i n g e r Gl a s s o n 1 5 . 0 0


1 1 1 1 2 / 2 0 0 4 L i n d a L Hage n 1 0 . 0 0


1 1 / 1 2 1 2 0 0 4 Da v i d C Meg g e r s 5 . 0 0


1 1 / 1 2 1 2 0 0 4 De v i n P Me h a f f e y 2 . 5 0

D i r e c t D e p o s i t 1 8 6 5 Cambur n C t SE CR I A 5 2 4 0 3 I 1 I",



J A N- 1 9 - 2 0 0 5 0 9 " 1 8F o r I n s t r u c t i o n s , s e e I s a CK OT i - o r m

CONTRI BUT I ONS - MONEY TAKEN I N


COMMI TT EE NAME ( Mu s t b e same 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 )

SESU( Se r v i c e Emp l o y e e s T n t ' l Un i o n ) L o c a l 1 9 9 C PE F u n d

J ~ r n C. VULC


P . 1 0


AMENDI NG FORM

A MONETARY

( Re v . 0 6 1 9 7 ) RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I $ RECEI VED FROM A STATE PAC ( P O I . I T C A I , ACT I ON COMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN, A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o wa Co de , 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 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 a n y c 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 ma k i n g e 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 mu s t b e s h ow 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 y L fm a r r i a g e ) ( Se e Page 2 o f E o r r n s p a c k e t . ) . 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 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 Sc h e d u l eA ) , . . , .

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELA T I ONSH I P AMOUNT J IRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECE I VED FU( MM1DDr YR) AND " A C, CHECK ( i f a p p l i c a b l e ) RA

NUMBER I NC

1 1 1 1 2 1 2 0 0 4 Ki m R M i l l e r 1 0 . 0 0

D i r e c t D e p o s i t 8 0 5 Sp e nc e r Dr I C I A 5 2 2 4 6


D i r e c t D e p o s i t 3 1 5 E l l i s Av e # 1 I o wa C i I A 5 2 2 4 6

1 1 / 1 2 / 2 0 0 4 Do u g l a s L P e t e r s 2 . 5 0

D i r e c t D e p o s i t 7 0 E C h e s t n u t NL I A 5 2 3 1 7

1 1 / 1 2 1 2 0 0 4 K i r s t e n A Ru n n i n g 2 . 5 0

D i r e c t D e p o s i t 1 2 1 0 H i b l a n d Av e I C I A 5 2 2 4 0

1 1 1 1 2 / 2 0 0 4 Sa r a h D Si mp s o n 1 0 . 0 0

D i r e c t D e p o s i t 3 0 2 5 Hi d d e n Me a d o w D r R i v e r s i d e I A 5 2 3 2 7

1 1 / 1 2 1 2 0 0 4 Ga r y D Smi t h 2 . 5 0

D i r e c t D e p o s i t 9 1 7 Bowe S t I C I A 5 2 2 4 0

1 1 / 1 2 / 2 0 0 4 R i t a S t e r l e r 5 . 0 0

L D i r e c t D e p o s i t 2 1 3 1 P l a e n V i e w Dr I C I A 5 2 2 4 6

1 1 / 1 2 / 2 0 0 4 Sa r a h C S w i s h e r 4 0 . 0 0

D i r e c t D e p o s i t 9 1 7 Bower S t I C I A 5 2 2 4 0

1 1 / 1 2 / 2 0 0 4 T a w n y L Wi l s o n 7 . 5 0

D i r e c t D e p o s i t 1 1 1 0 C o n k l i n S t I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 R u s s e l l A C l a r k ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 1 4 0 4 5 Ch i c k a d e e L n H i a w a t h a I A 5 2 2 3 3 1



J A N- 1 9 - 2 0 0 5 0 9 : 1 8




COMMI TTEENAME ( Mus 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 )

SEI U( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) L o c a l 1 9 9 C PE Fu n d

SUB- TOTAL

SCHEDUL E


P . 1 1

A MONETARY

( Re v . 0 6 / 9 7 ) 1 RECEI PTS

C ] CHECK T HI S BOX I F

AMENDI NGFORM

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT IONNUMBERANDTHE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A UST OF I D NUMBERS I S A VA I L A B LE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.

CAUTI ON : Se c t i o n 686 . 3 2 A( S ) , I o w a Cod e , p r o h i b i t s t h e us 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 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 on t r i b ut i o ns o rf o r a n y c o mme r c i a l p ur p o s e b y a n 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 ,

' Di 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 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 e

c o mmi t t e e . R e l a t i o n s h i p mu s t b e s n ow n t o t h e t h i r d d e gr e e o f Co n s an g ui n i t y ( b l o o d r e l a t i v e s ) 2 nd a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e ) ( S e e Pa g e 2 o f f o r ms p a c k e t , ) . 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 ame a s c a n d i d a t e , b u t t h e r e i s n o Pa g e 2 _ _ _ _ o fAlf a m i l i a l r e l a t i o n s h i p . e nt 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 ed ul e A)

DATE PAC1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) I TOCANDI DATE' RECEI VED FU( MMI D D I YR) AND" AC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER

1 1 / 1 6 1 2 0 0 4 H a i r l e s s S Cl emons ( CR S c h ) 1 0 . 0 0

1 0 7 0 4 2 5 0 5 S i x t h S t SE CR I A 5 2 4 0 1

1 1 / 1 6 / 2 0 0 4 Ma r s h a l l R Cl emons ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 5 0 5 S i x t h S t SE CR I A 5 2 4 0 1

1 1 / 1 6 / 2 0 0 4 WmA F i a c c o ( CR S c h ) 3 . 0 0

1 0 7 0 4 2 4 1 3 3 - 2 2nd Av e SWCR I A 5 2 4 0 4

1 1 / 1 6 / 2 0 0 4 J e f f L F o s t e r ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 3 2 0 9 Tama r a Or SWCR I A 5 2 4 0 4

1 1 / 1 6 / 2 0 0 4 Ke n D G r o u t ( CR S c h ) 2 _ 0 0

1 0 7 0 4 2 1 0 3 7 C l i f t o n S t NE CR I A 5 2 4 0 2

1 1 / 1 6 / 2 00 4 . Gor don K a l t e n b a c h ( CR S c h ) 6 . 00

1 0 7 0 4 2 2 2 7 - 1 1 t h S t NWCR 1A 5 2 4 0 5

1 1 / 1 6 / 2 0 0 4 D av e L M a r t ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 9 2 6 - 1 5 t h Av e SWCR I A 5 2 4 0 4

1 1 / 1 6 / 2 0 0 4 C h r i s Mc L e e s ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 4 1 1 - 2 7 t h S t NECR I A 5 2 4 0 2

1 1 / 1 6 / 2 0 0 4 Ti m J Newc omb ( CR S c h ) 5 . 0 0

1 0 7 0 4 2 7 2 6 E Av e NWCR I A 5 2 4 0 5

1 1 / 1 6 / 2 0 0 4 Chas A P e r r y ( CR S c h ) 1 0 . 0 0

1 0 7 0 4 2 1 4 7 9 Mi ami Or NE CR I A 5 2 4 0 2



JAN- 19 - 2005 0 9 : 1 9

F o r I n s t r u c t i o n s , Se e B a c k o f I - o r m



COMMI TT EE NAME ( Mu 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 )

SEI U(Ser vi ce Emp l oyee s I n t ' 1 Un i o n ) Loc a l 1 9 9 C PE Fund

5UHLUULC

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 5 RECEI VED FROM A STATE PAC ( P OL I T I C AL 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 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 E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON . S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co 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 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 ny c o mme r c i a l p u r p o s e b y a ny p er s on 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 -


P . 1 2

Q CHECK THI S BOX I F

AMENDI NG FORM

A I MONETARY

( R e v 0 6 1 9 7 ) R E CE I P T 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 e

c 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 own 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

m a r r i a g e ) ( S e e P a g e 2 o f f o r m a p a c k e t . ) . 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 am e 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 _ 1Lf 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 ' h i 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 )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE -

IRECEI VED FU

( MMI ODI YR) AND " AC CHECK ( i f a p p l i c a b l e ) RANUMBER

1 1 / 1 6 / 2 0 0 4 AL J P o s p i s i l ( CR S c h ) 1 . 0 0

10 70 4 2 1619 A r i z o n a Av e NE CR I A 52 4 0 2

1 1 / 1 6 / 2 0 0 4 T e r r y A S l i c k t y ( CR S c h ) 2 . 5 0

107 04 2 1128 Br own Av e NE CR I A 52 4 0 2

1 1 / 1 6 / 2 0 0 4 L o i s J B a s s e t t ( CR S c h ) 3 . 0 0

10 70 4 3 1002 E a s t e r n Dr SE CR I A 5 2 4 0 3

1 1 / 1 6 / 2 0 0 4 S t e p h a n i e J L e w i s ( CR S c h ) 5 _ 0 0

10 70 4 3 1 6 0 1 - 3 0 t h S t NW# 12 CR I A 52 4 0 5

1 1 / 1 6 / 2 0 0 4 J u d y S h i r n e k ( CR S c h ) 4 . 0 0

10 70 4 3 1006 Dove r S t NE CR I A 52 4 0 2

1 1 / 1 6 / 2 0 0 4 D o n a l d J B i n e g a r J r ( I C S c h ) 1 . 5 0

229131 P 0 Box 3 7 3 N E n g l i s h 1 A 5 2 3 1 6

1 1 / 1 6 / 2 0 0 4 K u r t h T Bo y c e ( I C S c h ) 1 . 5 0

229131 4 8 7 6 - 1 2 0 S t NE S o l o n 1 A 5 2 3 3 3

1 1 / 1 6 / 2 0 0 4 R i c h a r d Hann an ( I C S c h ) 1 . 5 0

229131 P 0 Bo x 3 2 8 1 I o w a C i t y 1 A 52 2 4 4

1 1 / 1 6 / 2 0 0 4 J o h n Ho a r d ( I C S c h ) 1 . 2 5

2 2 9 1 3 1 Bo x 4 6 6 H i l l s I A 5 2 2 3 5

1 1 1 1 6 1 2 0 0 4 Ron J e n s e n ( I C S c h ) 1 . 0 0

2 2 9 1 3 1 4 2 5 - 3 2 0 t h S t WL i b e r t y I A 5 2 7 7 6



J AN- 1 9 - 2 0 0 5 0 9 : 1 9i - o r I n s t r u c t i o n s , Se e B a c k o f Fo r m




SE I U( Se r v i c e E mp l o y e e s I n t r l Un i o n ) L o c a l 1 9 9 C PE F u n d

J Ut i - IUI AL


P . 1 3

SCHEDULE

' A( R e v , 0 6 / 9 7 )

MONETARY

RECE I PTS

CHECK THI S BOX I F

AMENDI NG FORM

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 AL ACTI ON C OMMI T T E E ) , USTTHE PAC I D EN T I F I C A T I O NNUMBER A ND 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 E T HI C S A ND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 8 . 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 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 a n y c 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 e s .

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 ma k i n g e c o n t r i b u t i o n t o t h ec o mm i t l 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 r c a n s 3 n g U i n l t y ( b l o o d r e I A I l 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 ) ( S e e Page 2 o f f o r m s p a c k e t . ) . I f s u r n a me o r 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 __LD- 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 r r l n . ( f o r Sc h e d u l e A )

DATE

RECE I VED( MM/ DDI YR)

PAC I D NUMBER


A ND' ' A C CHECK

I

NUMBER

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PTO CAND I DATE '


AMOUNT

RECE I VED IJ IFURAI N

1 1 / 1 6 / 2 0 0 4 B r a d K u e s t e r ( I C S c h ) 1 . 5 0

2 2 9 1 3 1 2 8 2 1 S R i v e r s i d e Dr I o w a C i t y I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 J o n L a l l a ( I C S c h ) 2 . 5 0

2 2 9 1 3 1 6 0 1 Oa k l a n d A v e I o wa C i t y I A 5 2 2 4 0


2 2 9 1 3 1 1 6 M e t r i c Road I o w a C i t y I A 5 2 2 4 0

1 1 / 1 5 / 2 0 0 4 - Randy N g u y e n ( I C S c h ) 1 . 5 0

2 2 9 1 3 1 4 8 Ambe r L a n e I o w a C i t y I A 5 2 2 4 0

1 1 1 1 6 / 2 0 0 4 M i c h a e l O' Conn o r ( I C S c h ) 1 - 5 0

2 2 9 1 3 1 2 9 0 El m Ri d e D r i v e N o r t h L i b e r t y I A 5 2 3 1 7

1 1 / 1 6 / 2 0 0 4Rodn e y

Pe r d u e( I C S c h ) 2 . 5 0

2 2 9 1 3 1 6 0 3WP a r i s S t WL i b e r t y I A 5 2 7 7 6

1 1 / 1 6 / 2 0 0 4 WmS a l a s b e r r y ( I C S c h ) 1 _ 5 0

2 2 9 1 3 1 1 1 1 9 P i n e S t I o w a C i t y I A 5 2 2 4 0

1 1 / 1 6 / 2 0 0 4 K i m b e r l y S c h l a b a c h ( I C S c h ) 1 . 5 0

2 2 9 1 3 1 5 2 7 2 O a k c r e s t H i l l Rd R i v e r s i d e I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 G e r a l d V o n s t e i n ( I C S c h ) 2 _ 5 0

2 2 9 1 3 1 5 0 4 8 - 2 1 o t h S t NE S o l o n I A 5 2 3 3 3

1 1 / 1 6 / 2 0 0 4 D a l e We i r ( I C S c h ) 1 . 5 0

2 2 9 1 3 1 2 1 4 5 Pa l me r C i r c l e I o wa C i t y I A 5 2 2 4 0



J A N- 1 9 - 2 0 0 5 0 9 : 2 0 P . 1 4




COMMI T TEE NAME ( Mu s t b e s ame a s o n St at ement o f Or g a ni z a t i o n)

SEI U( S e r v i c e Empl oy ees I n t ' l Un i o n ) L o c a l 1 9 9 C PE F u n d

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT ION

NUMBER AND 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 SCLOSURE BOARD.

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 rf o r a n y c 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 mm i t t e e s

SUB. -TOTAL

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

SCHEDULE

AA MONET ARY

( R e v , 0 6 1 97 ) RECEI PTS


AMENDI NG F ORM

Di s c l o s u r e t a w r e q u i r e s c a n di d at 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 e

c 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 own t o t h e t h i r d d e g r e e o f Co n s a n gu 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 / /

ma r r i a g e) ( S e e Pa g e 2 o f f o r ms p a c k e t , ) . 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 ame a s c a nd i d at e , b u t t h e r e i s n o Pa g e 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 he d ul e A)

DATE PAC I O NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUN( MM/ DO/ YR) AND " AC CHECK ( i f a p p l i c a b l e ) RA I

NUMBER r ~ ~

1 1 / 1 6 / 2 0 0 4 J e r o me Wi ed eme i r ( l C S c h ) 1 - 6 0

2 2 9 1 3 1 2 5 0 6 F r i e n d s h i p S t I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 D a r y l L e w i s ( I C S c h ) 5 . 0 0

2 2 9 1 3 1 2 1 6 Da r t mo u t h I o w a C i t y I A 5 2 2 4 5

1 1 / 1 6 1 2 0 0 4 Do n a l d J B i n e g a r J r ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 P 0 Bo x 3 7 3 N E n g l i s h I A 5 2 3 1 6

1 1 / 1 6 / 2 0 0 4 K u r t h T B o y c e ( I C S c h ) 1 , 5 0

2 2 9 6 1 2 4 8 7 6 - 1 2 0 S t NE S o l o n I A 5 2 3 3 3

1 1 / 1 6 / 2 0 0 4 R i c h a r d Han n a n ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 P 0 Bo x 3 2 8 1 I o w a C i t y A 5 2 2 4 4

1 1 / 1 6 / 2 0 0 4 J o hn Ho ar d ( I C S c h )1 . 2 5

2 2 9 6 1 2 Bo x 4 6 6 H i l l s I A 5 2 2 3 5

1 1 1 1 6 / 2 0 0 4 Ron J e n s e n ( I C S c h ) 1 . 0 0

2 2 9 6 1 2 4 2 5 - 3 2 0 t h S t WL i b e r t y I A 5 2 7 7 6

1 1 1 1 6 / 2 0 0 4 B r a d K u e s t e r ( I C S c h ) 1 , 5 0

2 2 9 6 1 2 2 8 2 1 S R i v e r s i d e D r I o w aC i t y

I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 J on L a l l a ( I C S c h ) 2 . 5 0

2 2 9 6 1 2 6 0 1 Oa k l a n d Av e I o w a C i I A 5 2 2 4 0

1 1 / 1 6 1 2 0 0 4 B r i a n J Meye r ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 1 6 M e t r i c Road I o wa C i I A 5 2 2 4 0



J AN- 1 9- 2 005 09 : 2 1

r o r i n s t r u c t i o n s , s e e B a c k o f Fo r m



COMMI TTEE NAME ( Mu s t b e same a s o n St a t ement o f Or g a ni z a t i o n)

SEI U( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) L o c a l 1 9 9 C A E F u n d

SUB- TOTAL -

SCHEDULE

TOTAL ( i f l a s t page o f t h i s s c h e d u l e )

P . 1 5

A MONETARY

( Re v . 0 6 / 9 7 ) I RECEI PTS

CHECK THI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I S T THE PAC 1 0ENT I F I CAT I ONNUMBERANDTHE PAC CHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T Of I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS ANDCAMPA I GNDI SCLOSURE BOARD.

CAUTI ON : S e c t i o n 6 8 6 . 3 2 A ( 6 ) , I o wa Code , p r o hi b i t s t h e use o f i n f o r ma t i o n c o p i e d f r o m r e po r t s an d s t a t e me nt s f o r s o l i c i t i n g c ont r i bu t i o ns o rf o r a ny c o mme r c i a l p u r p o s e by a ny p er 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 .

' 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 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 mus t be s h o w n t o t h e t h i r d d e g r e e o f c o ns a ng ui ni t y ( b l o o d r e l a t i v e s ) a nd 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) ( Se e P a g e 2 o f f o n t l s p a c k e t . ) . 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 P a g 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 r Sc h e d u l e A)

GATE PAC I O NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED

( MM1 0 D r y R)


AND- AC CHECK

ITO CANDI DATE'

( i f a p p l i c a bl e )RECEI VED FU

RAINUMBER I NC

1 1 / 1 6 / 2 0 0 4 Mi c h e l Mu r p h y ( I C S c h ) 2 . 5 0

2 2 9 6 1 2 3 1 5 E l l i s Av e # 1 I o w a C i t y I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 Randy Ngu ye n ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 4 8 Amber L a ne I o wa C i t y I A 52240

1 1 / 1 6 / 2 0 0 4 M i c h a e l O' Conno r ( 1 C S c h ) 1 . 5 0

2 2 9 6 1 2 2 9 0 El m Ri d e D r i v e N o r t h L i b e r t y I A 5 2 3 1 7

1 1 / 1 6 / 2 0 0 4 Rodney Pe r d u e ( I C S c h ) 2 . 5 0

2 2 9 6 1 2 6 0 3 WP a r i s 9 t WL i b e r t y 1 A 5 2 7 7 6

1 1 / 1 6 / 2 0 0 4 WmS a l a s b e r r y ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 1 1 1 9 P i n e S t I o w a C i t y I A 52 2 4 0

1 1/ 1 6 / 2 0 04 K i mb e r l y Sc h l e ba c h ( I C S c h ) 1 . 5 0

2 2 9 6 1 2 5 2 7 2 O a k c r e s t H i l l Rd R i v e r s i d e I A 52246


2 2 9 6 1 2 5 0 4 8 - 2 1 0 t h S t NE S o l o n I A 5 23 3 3

1 1 / 1 6 / 2 0 0 4 D a l e Wei r ( I C S c h ) 1 - 5 0

2 2 9 6 1 2 2 1 4 5 Pa l me r C i r c l e I o w a C i t y I A 5 2 2 4 0

1 1 / 1 6 / 2 0 0 4 D a r y l L e wi s ( I C Sc h ) 5 . 0 0

2 2 9 6 1 2 21 6 D a r t mo u t h I o wa C i t y I A 52245

1 1 / 1 6 / 2 0 0 4 Ma r s h a A nd e r s o n ( U I HC ) 5 . 0 0

1 3 3 6 8 4 2 1 9 7 5 So R i d g e Dr C o r e l v i l l e I A 5 2 2 4 1



J AN- 1 9 - 2 0 0 5 0 9 : 2 1




COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n)

S EI U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C

S C H E D U L EA

( Re v . 4 6 / 9 7 )

P . 1 6

MONETARY

RECEI PTS


AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 5 RECEI VE0 F ROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI T T E E ) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON . S e c t i o n 68 8 . 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 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 y c omme 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


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 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 t l 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 l ) 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

m a r r i a g e ) ( S e e P a g d 2 o f f o r m s p a c k e t . ) . 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 same 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 1 1 3 - 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 he d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J IRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE - RECE I VED FU( MM/ DD/ YR) AND ' - ' A C CHECK ( i f a p p l i c a b l e ) RA

NUMBER

1 1 1 1 5 / 2 0 0 4 Sa n d r a A n f i n s o n ( UI HC) 2 . 0 0

1 3 3 6 8 4 2 3 0 2 N o r t h F o u r t h S t WB r a n c h I A 5 2 3 5 8

1 1 / 1 6 / 2 0 0 4 Ma t t B a h l ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 2 4 5 H i c k o S t N L i b e r t y I A 5 2 3 5 8

1 1 / 1 6 / 2 0 0 4 M i c h e l l e B a r g r e n ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 7 0 2 Ho d e S t N o r t h L i b e r t y I A 5 2 3 1 7

1 1 / 1 6 / 2 0 0 4 J a n i c e Ba r n e s ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 0 2 1 - 2 0 t h Av e CV 1 A 5 2 2 4 1

1 1 / 1 6 / 2 0 0 4 R a c h a e l B a r r o w ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 3 5 1 3 D u n h a m Or SWCR I A 5 2 4 0 4

1 1 / 1 6 / 2 0 0 4 De b Be n n e r - Ha h n ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 2 3 2 E C o l l e g e S t I C I A 5 2 2 4 5

1 1 / 1 6 1 2 0 0 4 M a r t h a B r a d b u r y ( UI HC) 2 . 0 0

1 3 3 6 8 4 2 1 1 1 6Wi d e Gr e e n Rd I C I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 J a n a B u r k h o l d e r ( UI HC) 1 . 0 0

1 3 3 6 8 4 2 6 0 4 K i m b e r l i t e S t T i f f i n I A 5 2 3 4 0

1 1 / 1 6 / 2 0 0 4 He i d e Bu r s c h ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 9 7 O b e r l i n I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 B a r r y Bu s c h e l ma n ( UI HC) 5 . 0 0

L1 3 3 6 8 4 2 7 8 0 F a i r v i e w L n N o r t h L i b e r t y I A 5 2 3 1 7



J AN- 1 9 - 2 0 0 5 0 9 : 2 2 P . 1 7




COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t emen t o f Or g a n i z a t i o n)

SEI U( Se r v i c e Emp l oy ee s I n t ' 1 Un i o n ) Loca l 199 C PE Fund

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 e

c o mm i t t e e . R e l a t i o n s h i p must b e s how 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 I n 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

ma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . 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 ame 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 " 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 .

r AL

SCHEDULE


MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS

OCHECK THI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI T T E E ) , L I S T TH E PAC I D E N T I F I C AT I O N

NUMBER AND T HE P ACCHECK NUMBER I N THE DESI GNATED COLUMN, A UST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GN

DI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co 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 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 y c omme 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 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

P ag e - I L 4 o f L 4( f a r Sc h e d u l e A )

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECEI VED FU

( MM/ DD/ YR) AND ' ' A C. CHECK ( i f a p p l i c a b l e ) RA

NUMBER i a

1 1 / 1 6 / 2 0 0 4 An n B y r n e ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 3 0 2 Oak S t B u f f a l o I A 5 2 7 2 8

1 1 / 1 6 / 2 0 0 4 M a r j i e C a r u t h ( U I H C ) 5 _ 0 0

1 3 3 6 8 4 2 8 0 1 A l p i n e Dr I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 Be v Cl e a r ma n ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 0 0 7 E i g h t h S t Co r a l v i l l e I A 5 2 2 4 1

1 1 / 1 6 / 2 0 0 4 L y n e t t e Coope r ( UI HC) 2 . 5 0

1 3 3 6 8 4 2 2 4 0 1 H 6 E # 1 2 1 0 1 C I A 5 2 2 4 0

1 1 / 1 6 1 2 0 0 4 J u l i e D a v i s ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 3 3 7 No r ma n d y Dr I C I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 Ca t h y D o s t a l ( UI HC) 2 . 0 0

1 3 3 6 8 4 2 1 9 8 5 So u t h Ri d e Dr CV I A 5 2 2 4 1

1 1 / 1 6 1 2 0 0 4 An ge l a Duwa ( UI HC) 5 . 0 0

1 3 3 68 4 2 2 5 1 9 J Av e Wi l l i a ms b u r I A 5 2 3 6 1

1 1 / 1 6 / 2 0 0 4 C a r o l y n E l l i o t t ( U I H C ) 1 0 . 0 0

1 3 3 6 8 4 2 1 1 0 F l o r i d a Av e SWCR I A 5 2 4 0 4

1 1 / 1 6 / 2 0 0 4 S h e l l e y Engman ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 7 1 7 R u n d e l l S t I C I A 5 2 2 4 0

1 1 1 1 6 1 2 0 0 4 E l i z a b e t h F i s h e r ( UI HC) 2 . 5 0

1 3 3 6 8 4 2 1 3 0 7 Ca r r o l l S t I C I A 5 2 2 4 0



J AN- 1 9 - 2 0 0 5 0 9 : 2 2 P . 1 8





SEI U( Se r v i c e Emp l o ye es I n t ' l Un i o n ) Local 199 C PE Fund

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 A T I O N

NUMBER AND THE PAC CHECK NUMBER I N TH E DESI GNATED COLUMN A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GN

DI SCLOSURE BOARD .

CAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a 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 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 y c 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 ommi t t e e s .

D i s c l o s u r e t 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 ma 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 mus 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 a 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

ma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a r n u o f c o n t r i b u t o r i s t h e s a r n 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 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 ,

MR- r o r AL

SCHEDULE


[ ~ CHECK T H I S B OX I FAMENDI NG FORM

A MONETARY

( R e v , 0 6 1 9 7 ) RECEI PTS

P a g e o f

( f o r Sc h e du l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F

RECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE- RECEI VED FU

( MM/ DD/ Y 9 ) AND " AC CHECK ( i f a p p l i c a b l e ) RA I

NUMBER I N r '

1 1 / 1 6 / 2 0 0 4 A n i t a F i t e ( UI HC) 5 - 0 0

1 3 3 6 8 4 2 1 3 3 H i l l s i d e Dr E l d r i d e I A 5 2 7 4 8

1 1 1 1 6 / 2 0 0 4 K a r t e n e F u l l e r ( U I H C ) 3 . 0 0

1 3 3 6 8 4 2 1 6 1 1-

1 3 t h S t r e e t CV I A 5 2 2 4 1

1 1 / 1 6 / 2 0 0 4 Ci n d y Fu n k ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 1 2 3 1 S a n d u s k Av e I C I A 5 2 2 4 0

1 1 / 1 6 / 2 0 0 4 J oe G a l b r a i t h ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 3 0 2 1 Rav e n S t I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 Na n c y Ge n o a r ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 2 5 2 C o l l Dr I C I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 T r i s h a Go d a r d Sh e p he r d ( UI HC) 2 . 5 0

1 3 3 6 8 4 2 9 3 0 - 2 3 r d Av e A p t C C o r a l v i l l e I A 5 2 2 4 1

1 1 1 1 6 / 2 0 0 4 L y n d a Gr e e n ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 2 0 7 5 Me l r o s e Av e I C I A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 M e l i s s i a G r e i n e r ( U I H C) 5 . 0 0

1 3 3 6 8 4 2 2 6 4 3 6 - 3 0 5 t h A v e n u e K e o t a I A 5 2 2 4 8

1 1 1 1 6 / 2 0 0 4 Da n G r i n s t e a d ( UI HC) 7 . 5 0

1 3 3 6 8 4 2 1 2 1 8 As h S t I C I A 5 2 2 4 0

1 1 / 1 6 1 2 0 0 4 Ma r c i a Hah n ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 2 2 8 1 Su g a r B o t t o m Rd S o l o n I A 5 2 3 3 3



J AN- 1 9 - 2 0 0 5 0 9 " 2 3

- , F o r I n s t r u c t i o n s , Se e B a c k o f Fo r m



COMMI TTEE NAME ( Mu 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 )

SEI U( S e r v i c e Emp l o y e e s I n t ; ' l Un i o n ) L o c a l 1 9 9 C PE F u n d

P . 1 9

STATE CANDI DATES NOTE ; I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ON COMMI TTEE) , L I S T THE PA C I D EN T I F I C A T I O NNUMBER AND THE PA C CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o wa Co de , 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 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 a ny c omme r c i a l p u r p o s e b y a ny 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 .

SUI T - I U I A l .

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


c o mm i t t e e R e l a t i o n s h i p mu s t b e s h own 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 ) 2 n d a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e ) ( S o o Pag e 2 o f f o r m s p a c k e t . ) . 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 ame a s c a n d i d a t e , b u t t h e r e i s no Pag e o f L 4 L _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 umn . ( f o r S c he d u l e A )

SCHEDULE

A MONETARY

( R e v . 0 6 1 9 7 ) RECEI PTS


AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANOI OATE' RECEI VED FUN( MMI DD/ YR) AND ' ' A C CHECK ( i f a p p l i c a b l e ) RA I

NUMBER I N

1 1 / 1 6 / 2 0 0 4 T e r r y H a mi l t o n ( U I H C ) 3 . 0 0

1 3 3 6 8 4 2 7 1 6 N Va n Bu r e n S t I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 Lynn Hen k e ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 0 0 1 Me mo r i a l D r SE CR I A 5 2 4 0 3

1 1 / 1 6 / 2 0 0 4 S ar a h H e l l e ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 3 3 0 Uppe r O l d H 6 O x f o r d I A 5 2 3 2 2

1 1 / 1 6 / 2 0 0 4 S h ar o n H i c k s ( UI HC) 2 . 0 0

1 3 3 6 8 4 2 2 6 3 9 - 1 4 0 t h S t r e e t NWS w i s h e r I A 5 2 3 3 8

1 1 / 1 6 1 2 0 0 4 Me l o d y H o b e r t - M e l l e c k e r ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 3 0 0 Ma i n S t H i l l s I A 5 2 2 3 5

1 1 1 1 6 1 2 0 0 4 C l a i r e H o c k l e y ( UI HC) 7 . 5 0

1 3 3 6 8 4 2 2 6 4 7 Newpo r t Rd NE I C I A 5 2 2 4 0

1 1 1 1 6 / 2 0 0 4 De b R e y n o l d s Hu b b a r d ( U I H C ) 3 . 0 0

1 3 3 6 8 4 2 1 4 6 8 V a l l e y Vi e w O r i v e CV I A 5 2 2 4 1

1 1 / 1 6 1 2 0 0 4 S h e l l e y J a c o b u s ( UI HC) 1 . 0 0

1 3 3 6 8 4 2 6 5 0 7 Boxwood L n NE CR I A 5 2 4 0 2

1 1 1 1 6 / 2 0 0 4 J e n n i f e r J u n g e n ( UI HC) 5 _ 0 0

1 3 3 6 8 4 2 P 0 Box 5 88 N o r t h L i b e r t y I A 6 2 3 1 7

1 1 1 1 6 1 2 0 0 4 No r man K a l v i g ( UI HC) 2 0 . 0 0

1 3 3 6 8 4 2 1 9 4 5 Pa r k Av e SE CR I A 5 2 4 0 3



J A N- 1 9 - 2 0 0 5 0 9 : 2 3 P . 2 0

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 m F S ( ; HEDULE

MONETARY

CONTRI BUTI ONS- - MONEYTAKENI N ( R e v 0 6 / 9 7 ) R EC E I P T S( 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 me n t o f Or g a n i z a t i o n )

SEI U( Se r v i c e Emp l oyees I n t ' 1 Un i o n ) Lo ca l 1 9 9 Co PE Fund

STATE CANDI DATES NOTE : I F ACONTRI BUT I ON 1 3 RECEI VED FROMA STATE PAC ( P OL I T I C A L , ACT I ON COMMI TTEE ) , USTTHE PAC I D EN TI F I CA T ION

NUMBER ANDTHE PAC CHECKNUMBER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L A BLE FROMTHE I OWA ETHI CS AND CAMPAI GN

D I SCLOSURE BOARD.

CAUTI ON: Se c t i o n 886 . 3 2A( 6 ) , I o wa Code, p r o h i b i t s t h e us 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 ' 0 ' s o l i c i t i n g c on t r i b ut i o ns o r

f o r a n y c o m m e 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 m m i t t e e s

SUB- TOTAL


CHECK T H I S BOX I FAMENDI NG F ORM

Di 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 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 e

c 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 gr e e o f c o ns a n gu 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

ma r r i a ge ) ( S ee Page 2 o f f o r ms p ac k e t . ) . 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 ame a s c a nd i d a t e , b u t t h e r e i s n o Pag e 1 - 7 or~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 Sc h e du l e A)

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT , I I F

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN

( MM/ D D/ YR) AND ' ' AC CHECK(

( i f a pp l i c a bl e ) RAI

NI I hARFR ` Y l l

1 1 / 1 6 1 2 0 0 4 V a l e r i e K e f f a l a ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 1 0 9 P r a i r i e Du Ch i e n Rd I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 T e r e s a A K i n g d o n ( UI HC) 2 . 5 0

1 3 3 6 8 4 2 2 1 1 3 No r c o r Av e Ap t 4 CV I A 6 2 2 4 1

1 1 / 1 6 1 2 0 0 4 K a t h e r i n e K l e i n o w ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 3 3 3 3 Ph ea s a n t Ct NE N o r t h L i b e r t y I A 5 2 3 1 7

1 1 / 1 6 / 2 0 0 4 A r l e n e K l e s n e r ( UI HC) 1 . 0 0

_ 1 3 3 6 8 4 2 1 9 0 1 E a r l Road I C I A 5 2 2 4 6

1 1 1 1 6 / 2 0 0 4 Amy K r u s e ( U I HC) 5 . 0 0

1 3 3 6 8 4 2 2 0 3 F i f t h S t # 1 C o r a l v i l l e I A 5 2 2 4 1

1 1 / 1 6 1 2 0 0 4 L i n d a K r u t s i n g e r ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 2 1 4 7 P l a e n Vi e w Dr I C 1 A 5 2 2 4 6

1 1 / 1 6 / 2 0 0 4 C y n t h i a L a r e w ( UI HC)

1 3 3 6 8 4 2 P 0 Bo x 4 4 1 L on e Tr e e I A 5 2 7 5 5

1 1 / 1 6 / 2 0 0 4 P a u l a L a u b e ( UI HC) 7 . 5 0

1 3 3 6 8 4 2 7 1 2 Wa l n u t S t I C I A 5 2 2 4 0

1 1 / 1 6 / 2 0 0 4 Ra e l e n e L e n o c h ( UI HC) 1 . 0 0

1 3 3 6 8 4 2 2 1 3 Br o a d w a y S t WBr a n c h I A 5 2 3 5 8

1 1 / 1 6 1 2 0 0 4 L u a n n e L i n k ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 2 2 1 5 H i c k o r y C o u r t I C I A 5 2 2 4 0



J AN- 1 9 - 2 0 0 5 0 9 : 2 4 P . 2 1

Fo r I n s t r u c t i on s , Se e Ba c k o f Fo r m SCHEDULE~-



COMMI TTEENAME ( 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 )

SEI U( S e r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

TOTAL . ( 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 aw r e q u i r e s c a nd 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 e

c o mmi t t e e . R e l a t i o n s h i p 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 on s an gu 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

ma r r i a g e) ( S ee Pag e 2 o f f o rms p a c k e t . ) . 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 i n e as c a n di d at 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 " 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 .

SUB- TOTAL .

A MONETARY

( R e v , 0 6 1 9 7 ) RECEI PTS

Q CHECK T HI S BOX I F

AMENDI NG FORM

STATECANDI DATES NOTE : I F A CONTR I BUT I ON I S RECEI VED FROMASTATEPAC ( POL I T I CA L ACT I ON COMMI TTEE) , L I ST THEPAC I DEN TI F I CA TI ON

NUMBER ANDTHE PACCHECKNUMBER I N THEDES I GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVA I L ABL E FROMTHE I OWA ETHI CS ANDCAMPA I GN

D I SCLOSURE BOARD

CAUT I ON : S e c t i o n 6 8 6 . 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

f o r a n y c o m m e 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 mm i t t e e s .

P a g e o f

( f o r S c h e du l e A)

DATE PAC I D NUMBER NAME A ND ADDRESS OF CONTRI BUTOR RE I - A TI ONS HI P AMOUNT J IRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED F U( MM/ D D/ Y R) AND A C : CHECK ( i f a p p l i c a b l e ) RA

NUMBER

1 1 / 1 6 / 2 0 0 4 Mi c h a e l Lou c k s ( UI HC) 5 . 0 0

1336842 1 4 9 5 Fa l c o n Ave S wi s h e r I A 5 2 3 3 8

1 1 / 1 6 / 2 0 0 4 Wi l ma Ma c a l a l a g ( UI HC) 5 . 0 0

4336842 828 A u g u s t a C i r c l e Nor t h L i b e r t y I A 52317

1 1 / 1 6 / 2 0 0 4 J u n e Mas b r u c h ( UI HC) 5 - 0 0

1336842 2 3 8 7 - 3 40 t h S t SW T i f f i n I A 52340

1 1 / 1 6 / 2 0 0 4 Ann Mas on ( UI HC) 3 - 0 0

1336842 1032 Oa k c r e s t S t I C I A 6 2 2 4 6

1 1 / 1 6 / 2 0 0 4 Ru t h M c K e e v e r ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 3 0 2 Wa l n u t S t T i t o n I A 52772

1 1 / 1 6 / 2 0 0 4 Ma r y Mc K i n n e y ( UI HC) 3 , 0 0

1336842 5 0 6 We s t S ev e n t h S t T i t on I A 52772

1 1 1 1 6 / 2 0 0 4 Ma r y J o Me g g e r s ( UI HC) 5 . 0 0

1336842 3 3 7 1 Oz z i e Dr S ol o n I A 52333

1 1 / 1 6 / 2 0 0 4 Te r n Me n g l e r ( UI HC) 7 . 6 0

1336842 2 2 1 5 Second S t SWCR I A 52404

1 1 / 1 6 1 20 0 4 J e a n M i l l e r ( UI HC) 5 . 0 0

1336842 3 7 5 5 Co t t a e Re s e r v e Rd NE S ol o n I A 52 3 3 3

1 . 1 / 1 6 12 0 0 4 T ar a M i l l e r ( UI HC) 2 . 5 0

1336842 3 3 3 Ca r t e r S t NW CR I A 5 2 4 0 5



J AN- 1 9- 2 005 09 : 2 5 P . 2 2

Fo r I n s t r u c t i on s , See Back o f Fo r m ( SCHEDULE

A MONETARY



COMMI TTEE NAME f g r f u s t be 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 )

SEI U( Se r v i c e Emp l o y ee s I n t ' l Un i o n ) Local 1 9 9 C PE F u n d


~~ ~CHECK THI S BOX I F _

AMENDI NG FORM

( Re v . 0 6 1 9 7 ) RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O N

NUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN, A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GN

DI SCL OSURE BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co de , 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 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 y c 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 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

S UI T - 1 U I AL

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 l i t b 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 e

C 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 ow 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 y

ma r r i a g e ) ( See Pa ge 2 o f f o r m s p a c k e t . ) 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 ame a s C a n d i d a t e , b u t t h e r e i s n o Pa ge o f3 Lf 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 umn . ( f o r Sc h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d I F

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ o o l y k ) AND" AC. CHECK

I( i f a p p l i c a b l e )

I

RAI

NUMBER I NC

1 1 / 1 6 / 2 0 0 4 R o b e r t M i l n e ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 4 1 7 C a r t e r S t NWCR I A 52 4 05

1 1 / 1 6 / 2 0 0 4 Me l i n d a Myer s ( UI HC) 2 0 . 0 0

1 3 3 6 8 4 2 1 1 1 6 A Av e NWCR I A 5 2 4 0 5

1 1 / 1 6 / 2 0 0 4 J a n Ni e be s ( U I HC) 5 . 0 0

1 3 3 6 8 4 2 7 2 7 4 - 1 5 t h Av e Ke y s t o n e I A 52249

1 1 / 1 6 / 2 0 0 4 L i n d a P e t e r s e n ( U I H C ) 2 . 5 0

1 3 3 68 4 2 9 0 7 N G i l b e r t S t I C I A 52245

1 1 / 1 6 / 2 0 0 4 M a r g a r e t Mar y P i n g ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 1 1 0 Sa r e r t D r Wes t Br a n c h I A 52358

1 1 / 1 6 / 2 0 0 4Becky P o t t o r f f - L e a v e n ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 1 4 9 H u n t e r ' s Ru n I C I A 52246

1 1 1 1 6 / 2 0 0 4 C a r o l y n Po u l a k o s ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 4 0 4 S i x t h S t # D6 C o r a l v i l l e I A 5 2 2 4 1

1 1 / 1 6 / 2 0 0 4 J e f f r e y Rupe ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 P O Bo x 2 18 N o r t h L i b e r t y I A 52317

1 1 / 1 6 / 2 0 0 4 Nan cy Sa n ds t r om ( U I H C ) 7 . 5 0

1 3 3 6 8 4 2 6 0 D a v i d L ee C o u r t N o r t h L i b e r t y I A 52317

1 1 / 1 6 / 2 0 0 4 D o r o t h y S a t a r i a n o ( U I H C ) 3 . 0 0

1 3 3 6 8 4 2 3 222 Sh a s t a C t NE CR I A 5 2 4 0 2



JAN- 19 - 2005 09 : 2 5




COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n )

s EI U( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) L o c a l 1 9 9 C PE F u n d

SUB- TOTAL

S( ; HEUULt

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

P . 2 3

©CHECK THI S BOX I F

AMENDI NG FORM

A I MONETARY

( Re v . 0 6 1 9 7 ) RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE; PAC ( POL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ON

NUMBERAND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S A VA I L A B LEFROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD

CAUTI ON : Se c t i o n 68B. 32 A( 6 ) , I o wa Cod 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 pi e d f r o m , r e po r t s an d s t a t e me nt s f o r s o l i c i t i n g c on t r i b ut i o ns o r

f o r a ny c o mme r c i a l pu r p o s e b y an y p er s o n o t h er 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 .


c o mmi t t e e . R e l a t i o n s h i p mus t b e shown t o t h e t h i r d d e g r e e o f c o ns a ng u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y

1 4 1ma r r i a g e) ( Se e P a g e 2 o f f o r ms p ar k e t . ) . I f su r name o f c on t r i b u t o r i s t h e s ame a s c a n di d at e , b u t t h e r e i s n o P a g e o f

F a mi l i a r r e l a t i o n s h i p , e nt 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 ed u l n l A)

DATE PAC 1 0 NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J IRECEI VED ( i f a p p l i c a b l e ) I TO CANDI DATE' RECEI VED FU( MMUDD1YR) AND" A C= CHECK ( i f a pp l i c a b l e ) RA I

NI I MRFR

1 1 / 1 6 / 2 0 0 4 S t e v e n S c h a e f e r ( UI HC) 20 . 0 0

1336 8 4 2 39 4 6 Me h a f f e L n NE S o l o n I A 52333

1 1 / 1 6 / 2 0 0 4 C h e r y l S c h i l d ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 9 1 4-

1 2 t h Av e CV I A 5 2 2 4 11 1 1 1 5 / 2 0 0 4 Mar y S c h l i c h t e ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 4 4 9 0 We s t o v e r Rd SE CR I A 52 4 03

1 1 / 1 6 1 2 0 0 4 J o y c e Sc h u l t z ( UI HC) 3 . 0 0

' ( 3 3 6 8 4 2 3 02 3 R a d c l i f f e A v e n u e I C I A 52245

1 1 , / 1 6 / 2 0 0 4 S h a n n a S e i g e l ( UI HC) 5 . 0 0

1 33 6 8 4 2 2820 U A v e n u e P a r n e l l I A 52325

1 1 1 1 6 / 2 0 0 4 J e a n n e Sh e e t z ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 2 0 T a r t a n Dr N o r t h L i b e r t y I A 52317

1 1 / 1 6 1 2 0 0 4 Ka r e n S h i c k e l l ( UI HC) 1 0 . 0 0

1 3 3 6 8 4 2 8 27 Do ve r S t r e e t I C I A 52245

1 1 / 1 6 / 2 0 0 4 An t h o n y Sh r a d e r ( UI HC) 5 . 0 0

1336 8 4 2 156 0 - 7 t h Av e SE CR 1 A 52 4 03

1 11 1 6 / 2 0 0 4 V i c k i S i e f e r s ( U I H C) 3 . 0 0

1 3 3 6 8 4 2 1 5 B r o wn Deer K n o l l CV I A 5 2 2 4 1

1 1 1 1 6 1 2 0 0 4 Pam Si mo n s ( UI HC) 5 _ 0 0

1 3 3 6 8 4 2 1 3 1 0 F r a n k l i n S t I C I A 5224 0



J A N - 1 9 - 2 0 0 5 0 9 : 2 6





SEI U( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) L o c a l 1 9 9 C OPE F u n d

P . 2 4

t , 1 CHECK THI S BOX I F

AMENDI NG FORM

SCHEDULE

A MONET ARY

( Re v . 0 6 1 9 7 ) I RECEI PTS

STATECANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATEPAC ( POL I T IC AL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBERANDTHE PACCHECK NUMBER I N THE DESI GNATED COLUMN A L I ST OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.

CAUTI ON : Se c t i o n 68B. 3 2 A( 6 ) , I o wa Cod e , p r o h i b i t s t h e us 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 or 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 on t r i b ut i o ns o rf o r a n y c o mme r c i a l p u r p o s e b y any 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 nd 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 e

c o mmi t t e e . R e l a t i o n s h i p 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 t i l t y ( b l o o d r e l a t i v e s ) a n d a f f l n i l y ( r e l a t i v e s b y

ma r r i a g e ) ( S ee P a g e Z o f f o r ms p a c k e t . ) . I f su r name o f c on t r i b u t o r i s t h e s ame a s c a n di d a t e , b u t t h e r e i s n o p a g e o f

f a m i l i a l r e l a t i o n s h i p , e nt e r " n o t a pp l i c a bl e " i n t h e r e l a t i o n s h i p c o l u mn , ( f u r Sc h e d u l e A)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU

( MMI OD/ YR) AND" AC. CHECK ( i f a pp l i c a bl e ) RA INUMBER

1 1 / 1 6 / 2 0 0 4 T e r r y S i mo n s ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 5 1 0 K i m b e r f i t e S t T i f f i n I A 5 2 3 4 0

1 1 / 1 6 1 2 0 0 4 C h r i s S l a t e r ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 2760 T u r k e y Cr e e k L n NE I C I A 5 2 2 4 0

1 1 / 1 6 / 2 0 0 4 Ma r y St e s s ma n ( UI HC) 1 . 0 0

1 3 3 6 8 42 3 7 8 8 Su n a u r a D r i v e NE I C I A 5 2 2 4 0

1 1 1 1 6 1 2 0 0 4 Su e Swe a r i n g e n ( UI HC) 5 _ 0 0

1 3 3 6 8 42 42 2 Me l r o s e C t I C I A 5 2 2 4 6

1 1 / 1 5 1 2 0 0 4 Wa n d a Th a c k e r y ( UI HC) 1 . 0 0

1 3 3 6 8 4 2 6 0 4 F i r s t Av e So Moun t Ve r n o n I A 5 2 3 1 4

1 1 / 1 6 / 2 0 0 4 An g e l a We r n k e Tr e n k a mp ( UI HC) 1 0 . 0 0

1336842 3 6 1 Camden Rd I C I A 5 2 2 4 5

1 1 / 1 6 / 2 0 0 4 T r i s h a T u r n i s ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 4 5 1 9 Wa l k e r S t NECR I A 5 2 4 0 2

1 1 1 1 5 / 2 0 0 4 Di a n e Va n E r s v e l d e ( UI HC) 1 . 0 0

1 3 3 6 8 4 2 3 0 5 1 M e a d o w Rd NE N o r t h L i b e r t y _ I A 5 2 3 1 7

1 1 / 1 6 / 2 0 0 4 J o Vo n d e r h a a r ( UI HC) 3 . 0 0

1336842 1 02 3 Ma r c S t r e e t I C I A 5 2 2 4 0

1 1 1 1 6 / 2 0 0 4 P a t s y Whee l e r ( UI HC) 7 _ 5 0

1 3 3 6 8 4 2 2 7 6 1 Rh i n e Cr e e k Way NW O x f o r d I A 5 2 3 2 2



J AN- 1 9 - 2 0 0 5 0 9 : 2 6



( I n c l u d i n g c a nd i d a t e ' s p e r s o n al f u n d s )

COMMI TT EE NAME ( Mu s t b e same 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 )

SEI U( Se r v i c e Emp l o y e es I n t ' l Un i o n ) L o c a l 1 9 9 C PE F u n d

_ CHECK THI S BOX I F

AMENDI NG FORM

SCHEDULE

P 2 5

A MONETARY

( Re v . 0 6 1 9 7 ) I RECEI PTS

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CATI ON

NUMBER AND THEPACCHECK NUMBER I N THE DESI GNATEDCOLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 AO) , I o wa Co 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 me n t s f a 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 y c o mme r c i a l p u r p os e b y a n 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- TOTA



c 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 on s an g ui 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

ma r r i a g e) ( S ee P a g e 2 o f f o r ma p a c k e t . ) , I f s u r n ame o f c on t r i b u t o r i s t h e s ame a s c an d i d a t e . b u t t h e r e i s n o P a g e 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 Sc h e d ul e A)

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) I TO CAN010ATE' RECEI VED FU( MM/ DD/ YR) ANO " AC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER

1 1 / 1 6 / 2 0 0 4 S h e r r y Wh e t s t o n e ( UI HC) 5 . 0 0

1 3 3 6 8 4 2 1 1 0 S w i s h e r Vi e w D r SWS w i s h e r I A 523 3 8

1 1 / 1 6 / 2 0 0 4 P a t Wol f ( UI HC) 1 . 0 0

1 3 3 6 8 42 1 4 09 We s t e r n C o l l e g e CR I A 52 40 4

1 1 1 1 5 / 2 0 0 4 J o a n Comer Wr i g h t ( UI HC) 3 . 0 0

1 3 3 6 8 4 2 1659 P o l k A v e n u e NE S o l o n I A 523 3 3

1 1 / 1 6 / 2 0 0 4 M a r i e t t a Yode r ( UI HC) 7 , 5 0

1 3 3 6 8 4 2 P 0 Bo x 1 3 0 K e l o n a I A 5224 7

1 1 / 2 6 1 2 0 0 4 B r i a n F l a h e r t Y 3 . 0 0

D i r e c t D e p o s i t 1122 So Se v e n t h Av e I C I A 522 45

1 1 1 2 6 / 2 0 0 4 A n n e G e n t i l - A r c h e r 5 . 0 0


1 1 1 2 6 1 2 0 0 4 Ca t h y S i n g e r Gl a s s o n 1 5 . 0 0

D i r e c t D e p o s i t 1 9 2 0 - 2n d Av e SE CR I A 52 40 3

1 1 / 2 6 / 2 0 0 4 D e v i n P Me h a f f e y 2 . 5 0

D i r e c t D e p o s i t 8 6 5 Cambu r n C t SE CR I A 52 40 3

1 1 / 2 6 / 2 0 0 4 K i m R M i l l e r 1 0 , 0 0

D i r e c t D e p o s i t 805 S p e n c e r Dr I C I A 52246

1 1 / 2 6 / 2 0 0 4 Do u g l a s L P e t e r s 2 . 5 0

D i r e c t D e p o s i t 7 0 E Ch e s t n u t NL I A 52 31 7



J AN- 1 9 - 2 0 0 5 8 9 : 2 7I - o r i n s t r u c t i o n s , g e e t s a CK o T r o r m



COMMI TTEE NAME ( Mus t be s ame a s o n St a t eme n t o f O r g a n i z a t i o n )

SET U( Se r v i c e Emp l o y ee s I n t ' l Un i o n ) L o c a l 199 C~ PE Fun d

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT ION

NUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABLE FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD.

CAUTI ON : Se ct 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 ma t i o n c op i ed f r om 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 ont r i b ut i o ns o r

f o r any c omme r c i a l p u r p o s e b y a ny p er 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 ommi t t e e s .

SUht UULt

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

P . 2 7


AMENDI NG FORM

A MONETARY

( R ev , 0 81 97 ) RECEI PTS

' 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 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 any 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 e

c ommi t t e e R e l a t i o n s h i p must b e s h own t o t h e t h i r d de g r e e o f c o ns a ng u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e) ( Se e Pag e 2 o f f o r ms p a c k e t . ) . 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 a s c a n d i d a t e , b u t t h e r e i s n o P a g e o f

f a m i l i a l r e l a t i o n s h i p , e nt 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 Sc h e d ul e A)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F


( MMI DD/ YR) AND" AC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER . L K

1 2 / 1 0 / 2 0 0 4 Sa r ah C S wi s h e r 4 0 _ 0 0


1 2 / 1 0 / 2 0 0 4 Tawny L Wi l s o n 7 . 5 0

D i r e c t D e p o s i t 1 1 1 0 C o n k l i n S t I C I A 52245

1 2/ 2 4 / 2 00 4 B r i a n F l a h e r t y 3 . 0 0

D i r e c t D e p o s i t 1 1 2 2 So S e v e n t h Av e I C I A 52245

1 2 / 2 4 / 2 0 0 4 Anne G e n t i l - A r c h e r 5 . 0 0

D i r e c t D e p o s i t 17 4 4 - 1 1 5 t h S t Wes t L i b e r t y I A 52775

1 2/ 2 4 / 2 00 4 C a t h y S i n g e r Gl a s s o n 1 5 . 0 0

D i r e c t D e p o s i t 1 9 2 0 - 2nd Av e SE CR I A 52403

1 2 / 2 4 / 2 0 0 4 D e v i n P Me h a f f e y 2 . 5 0

D i r e c t D e p o s i t 86 5 C a r n b u r n C t SE CR I A 52403

1 2/ 2 4 / 2 00 4 Ki mRM i l l e r 1 0 . 0 0

D i r e c t D e p o s i t 805 Spence r Dr I C I A 52246

1 2 / 2 4 1 2 0 0 4 D o u g l a s L P e t e r s 2 . 5 0

D i r e c t D e p o s i t 7 0 E C h e s t n u t NL I A 52317

1 2 / 2 4 / 2 0 0 4 K i r s t e n A Runn i ng 2 . 5 0

D i r e c t De o s i t 1 2 1 0 H i g h l a n d Av e I C I A 52240

1 2 / 2 4 / 2 0 0 4 Sa r a h C S w i s h e r 4 0 . 0 0

D i r e c t D e p o s i t 917 Bowe S t I C I A 52240



JAN- 19- 2005 09 : 28

t - o r i n s t r u c t i o n s , z ) e e n a c K u t r u r al

CONTRI BUTI ONS - - MONEYTAKENI N


COMMI TTEE NAME ( Mu s t b e s a m e a s o n S t a t e me n t of Or g a n i z a t i on )

SE I U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L oc a l , - 1 9 9 C PE F u n d

J L + 1 1 Vi m"

TOTAL ( i f l a s t page of t h i s s c h ed u l e)

P. 28

A MONETARY

( R ev , 0 6 19 7) RECEI PTS


AMENDI NG FORM

STATE CANDI DATES NOTE : I F ACONTR I BUT I ON I S RE CE I V ED FROMASTATEPAC ( POL I T I C AL ACT I ON COMMI TTEE ) , USTTHE PAC I DE NT I F I CAT I ON

NUMBERAND THEPACCHECKNUMBER I N THEDESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THEI 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 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 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 y c 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 nd i d at 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 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 e

c ommi t t o o R e l a t i o n s h i p mu s t b e s h ow n t o t h e t h i r d d e r l r e e o f c on s an gu 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

ma r r i a g e ) ( Se e Pa g e 2 o f f o rms p a c k e t . ) , I f sur name o f c on t r i b u t o r i s t h e s ame a s c a nd i d a t e , b ut n i e c e i s n o Pog eq-o f

f a m i l i a l r e l a t i o n s h i p , e nt e r " n ot a p p l i c ab 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 Sc h e d u l e A)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F


( MMI DDI Y R) AND' ' AC. CHECK ( i f a p p l i c a b l e ) RAI

NUMBER wr

1 2 / 2 4 / 2 0 0 4 T aw n y L Wi l s o n 7 : 5 0

D i r e c t D e p o s i t 1110 C o n k l i n S t I C I A 5 2 2 4 5

1 2 1 2 7 / 2 0 0 4 Do n a l d J B i n e g a r J r ( I C S c h ) 1 . 5 0

2 2 9 6 9 1 P 0 Box 3 7 3 N E n g l i s h I A 5 2 3 1 6

1 2 / 2 7 1 2 0 0 4 K u r t h T BoYce ( I C S c h ) 1 . 5 0

2 2 9 6 9 1 4 8 7 6 - 1 2 0 S t NE S o l o n I A 5 2 3 3 3

1 2 / 2 7 / 2 0 0 4 R i c h a r d Hannan ( I C S c h ) 1 . 5 0

2 2 9 6 9 1 P 0 Box 3 2 8 1 I o w a C i t y I A 5 2 2 4 4

1 2 / 2 7 / 2 0 0 4 J o h n Hoa r d ( I C S c h ) 1 . 2 5

2 2 9 6 9 1 Bo x 4 6 6 H i l l s I A 5 2 2 3 5

1 2 / 2 7 / 2 0 0 4 Ron J e n s e n ( I C S c h ) 1 . 0 0

2 2 9 6 9 1 4 2 5 - 3 2 0 t h S t WL i b e r t y I A 5 2 7 7 6

1 2 / 2 7 / 2 0 0 4 B r a d K u e s t e r ( I C S c h ) 1 - 5 0

2 2 9 6 9 1 2 8 2 1 S R i v e r s i d e Dr I o w a C i I A 5 2 2 4 6

1 2 / 2 7 1 2 0 0 4 J o n L a l l a ( I C S c h ) 2 . 5 0

2 2 9 6 9 1 6 0 1 Oa k l a n d Av e I o w a C i t y I A 5 2 2 4 0

1 2 / 2 7 / 2 0 0 4 B r i a n J Meyer ( I C Sch) 1 . 5 0

2 2 9 6 9 1 1 6 M e t r i c Road I o w a C i t y I A 5 2 2 4 0

1 2 1 2 7 / 2 0 0 4 Mi c h e l Mu r p h y ( I C Sc h ) 2 . 5 0

2 2 9 6 9 1 3 1 5 E l l i s Av e # 1 I o w a C i t y I A 5 2 2 4 6



J A N- 1 9 - 2 0 0 5 0 9 2 9



( I n c l u d i n g c a nd i d a t e ' s p e r s o n al f u n d s )

COMMI TTEENAME ( Mus t b e same a s o n St a t emen t o f O r g a n i z a t i o n )

SEI U( Se r v i c e Emp l o y ee s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE Fund

SCHEDULE

P . 2 9


AMENDI NG FORM

A MONETARY

( R e v , 0 6 / 9 7 ) RECEI PTS

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ON

NUMBER ANDTHE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE 90ARD

CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o wa Co 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 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 a ny c omme r c i a l p ur p os 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

TOTAL ( i f l a s t page o f t h i s s c he d u l e )

- Di 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 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 e

c 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 own t o t h e t h i r d d e g r e e o f c o n s a n gu i n i t y ( b l o o d r e l a t i v e s ) a n d 8 f f i n i t y ( r e l a t i v e s b y

ma r r i a g e ) ( 5 , * Pa g e 7 o f f o r ms p a c k e t . ) . 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 ame a s c a nd i d a t e , b u t [ h e r e i s n o Pa g e c 2 G o f

f a m i l i a l r e l a t i o n s h i p , e nt 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)

DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MMI DD/ YR) AND " AC CHECK ( i f a p p i i c a b l e ) RA

NUMBER

1 2 / 2 7 / 2 0 0 4 Ra n d y Ng u y e n ( I C S c h ) 1 , 5 0

2 2 9 6 9 1 4 8 Amber L a n e I o wa C i t y I A 5 2 2 4 0

1 2 / 2 7 / 2 0 0 4 Mi c h a e l O' Co nn o r ( I C S c h ) 1 . 5 0

2 2 9 6 9 1 2 9 0 El m Ri d e D r i v e N o r t h L i b e I A 5 2 3 1 7

1 2 / 2 7 / 2 0 0 4 Rodn e y Pe r d u e ( I C S c h ) 2 . 5 0

2 2 9 6 9 1 6 0 3WP a r i s S t WL i b e I A 5 2 7 7 5

1 2 / 2 7 / 2 0 0 4 WmS a l a s b e r r y ( I C S c h ) " 1 . 5 0

2 2 9 6 9 1 1 1 1 9 P i n e S t I o w a C i t y I A 5 2 2 4 0

1 2 / 2 7 / 2 0 0 4 K i m b e r l y S c h l a b a c h ( I C S c h ) 1 . 5 0

2 2 9 6 9 1 5 2 7 2 Oa k c r e s t H i l l Rd R i v e r s i d e I A 5 2 2 4 6


2 2 9 5 9 1 5 0 4 8 - 2 1 0 t h S t NE S o l o n I A 5 2 3 3 3

1 2 / 2 7 / 2 0 0 4 D a l e Wei r ( I C S c h ) 1 , 5 0

2 2 9 6 9 1 2 1 4 5 Pa l me r C i r c l e I o wa C i t y I A 5 2 2 4 0

1 2 / 2 7 / 2 0 0 4 D a r y l L e wi s ( I C S c h ) 5 . 0 0

2 2 9 6 9 1 2 1 6 Da r t mo u t h I o wa C i t y I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 R u s s e l l A C l a r k ( CR S c h ) 5 . 0 0

1 0 7 7 0 0 4 0 4 5 Ch i c k a d e e L n H i a w a t h a I A 5 2 2 3 3

1 2 / 2 9 / 2 0 0 4 H a r l e s s S Cl emo n s ( CR S c h ) 1 0 . 0 0

1 0 7 7 0 0 5 0 5 S i x t h S t SE CR I A 5 2 4 0 1



J A N- 1 9 - 2 0 0 5 0 9 : 2 9




COMMI TTEE NAME ( M u s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

SEI U( Se r v i c e Emp l oyee s I n t : ' l Un i o n ) Local 199 C PE Fund

SCHEDULE

P 3 0

CHECK THI S BOX I F

AMENDI NGFORM

MONETARY

( Re v . 0 6 / 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUT10N I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACTI ON COMMI T T E E ) , L I S T THE PAC I D E N T I F I C A T I O N

NUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWA E T HI C S AND CAMPAI GN

DI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 B, 3 2 A( 6 ) , I o wa C ode , 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 me n t s f a 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 y c o mme 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

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


c o mmi t t e e . R e l a t i o n s h i p mu l l b e s h o w n t o t h e t h i r d d e c 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

ma r r i a g e ) ( S e e P a g e 2 o f l o r r n s p a c k e t . ) . 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 a s c a n d i d a t e , b u t t h e r e i s n o Pa g e

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 Sc h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECEI VED FU

( MM/ DD/ YR) AND " AG CHECK ( i f a p p l i c a b l e ) RA

I N U M / [ - - W; -

1 2 / 2 9 / 2 0 0 4 Ma r s h a l l R Cl emon s ( CR S c h ) 5 . 0 0

1 0 7 7 0 0 5 0 5 S i x t h S t BE CR I A 5 2 4 0 1

1 2 / 2 9 / 2 0 0 4 WmA F i a c c o ( CR S c h ) 3 _ 0 0

1 0 7 7 0 0 4 1 3 3 - 2 2n d Av e SWCR I A 5 2 4 0 4

1 2 / 2 9 / 2 0 0 4 J e f f L F o s t e r ( CR S c h ) 5 . 0 0

1 0 7 7 0 0 3 2 0 9 T ama r a Dr SW CR I A 5 2 4 0 4

1 2 / 2 9 / 2 0 0 4 Ke n D Gr o u t ( CR S c h ) 2 . 0 0

1 0 7 7 0 0 1 0 3 7 C l i f t o n S t NE CR I A 5 2 4 0 2

1 2 / 2 9 1 2 0 0 4 Co r d o n K a l t e n b a c h ( CR S c h ) 6 . 0 0

1 0 7 7 0 0 2 2 7 - 1 1 t h S t NWCR I A 5 2 4 0 5

1 2 / 2 9 / 2 0 0 4 Da v e L M a r t ( CR S c h ) 5 . 0 0

1 0 7 7 0 0 9 2 6 - 1 5 t h Av e SWCR I A 5 2 4 0 4

1 2 1 2 9 / 2 0 0 4 C h r i s McLe e s ( CR S c h ) 5 . 0 0

1 0 7 7 0 0 4 1 1 - 2 7 t h S t NE CR I A 5 2 4 0 2

1 2 / 2 9 / 2 0 0 4 Ti m J New c omb ( CR S c h ) 5 _ 0 0

1 0 7 7 0 0 7 2 6 E Av e NWCR [ A 5 2 4 0 5

1 2 / 2 9 / 2 0 0 4 Chas A P e r r y ( CR S c h ) 1 0 . 0 0

1 0 7 7 0 0 1 4 7 9 Mi a mi Dr NE CR I A 5 2 4 0 2

1 2 1 2 9 / 2 0 0 4 AL J P o s p i s i l ( CR S c h ) 1 . 0 0

1 0 7 7 0 0 1 5 1 9 A r i z o n a Av e NE CR I A 5 2 4 0 2



J AN- 1 9 - 2 0 0 5 09 " 3 0



( I n c l u d i n g c a n d i d a t e ' s p a r s o n a l f u n d s )

-- ' COMMI TTEE NAME ( M u s t be same a s o n St a t emen t o f Or g a n i z a t i o n )

SE I U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 199 C PE F u n d

SCHEDULE

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

D i s c l o s u r e t 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 e

c o mmi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e gr e e o f c o n s an g ui n i t y ( b l a 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

ma r r i a g e) ( S e e P a g e 2 o f f o r ms p a c k e l . ) . I f su r name o f c o n t r i b u t o r i 5 t h e s ame a s c a n di 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 " 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

SUB- TOTAL

P . 3 1

A MONETARY

( Re v . a 6 / 9 7 ) RECEI PTS

CHECK T HI S 90X I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA STATE PAC ( POLI T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC 10ENT I F I CATI ON

NUMBER ANOTHEPAC CHECK NUMBER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOAAO.

CAUTI ON : Se c t i o n 6 6 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 use 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 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 nt r i b ut i o n s o r

f o r a n 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 .

4 1P a g e ~ a o f


DATE PAC I O NUMBER NAME: AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F


( MM/ D DI YR) AND " AC CHECK ( i f a p p l i c a b l e ) RAI

NUMBER

1 2 / 2 9 / 2 0 0 4 T e r r y A S l i c k l y ( CR S c h ) 2 , 5 0

107 7 00 1128 B r own Av e NE CR I A 52402

1 2 1 2 9 / 2 0 0 4 L o i s J B a s s e t t ( CR S c h ) 3 . 0 0

1 0 7 7 0 1 1002 Ea s t e m Or SE CR I A 52403

1 2 1 2 9 / 2 0 0 4 S t e p h a n i e J L e w i s ( CR S c h ) 5 . 0 0

1 0 7 7 0 1 1 6 0 1 - 3 0 t h S t NW# 12 CR I A 52405

1 2 1 2 9 / 2 0 0 4 J u d y S h i me k ( CR S c h ) 4 , 0 0

107 7 01 1 0 0 6 Dove r S t NE CR I A 52402

1 2 / 2 9 / 2 0 0 4 D o n a l d J B i n e g a r J r ( I C S c h ) 1 . 5 0

2 301 6 3 P 0 Bo x 3 7 3 N E n g l i s h 1 A 52316

1 2 / 2 9 / 2 0 0 4 K u r t h T B o y c e ( I C S c h ) 1 . 5 0

2 301 6 3 4 8 7 6 - 1 2 0 S t NE S o l o n I A 52333

1 2 / 2 9 / 2 0 0 4 R i c h a r d H a n n a n ( I C S c h ) 1 . 5 0

2 301 6 3 P 0 Bo x 3 2 8 1 I o w a C I I A 52244

1 2 1 2 9 / 2 0 0 4 J o h n Ho a r d ( I C S c h ) 1 , 2 5

2 301 6 3 Bo x 4 6 6 H i l l s I A 52235

1 2 / 2 9 / 2 0 0 4 Ro n J e n s e n ( I C S c h ) 1 . 0 0

2 301 6 3 4 2 5 - 3 2 0 t h S tWL i b e r t y I A 52 7 7 6

1 2 / 2 9 / 2 0 0 4 B r a d K u e s t e r ( I C S c h ) 1 . 5 0

2 301 6 3 2 8 2 1 S _ R i v e r s i d e Dr I o w a C i t y I A 52246



JAN- 19- 2005 09 : 30 P . 32

Fo r I n s t r u c t i o n s , See Back o f Form

CONTRIBUTI 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 eme n t o f O r g a n i z a t i o n )

S EI U( S ez v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

SCHEDULE?

A( Re v 0 6 / 9 7 )

MONETARY

RECEI PTS


AMENDI NG FORM

STATE CANDI DATES NOTE : I F ACONTR18UT I ON I S RECE I VED FROMA STATE PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , L I S T THE PAC I D ENT I F I C AT I ONNUMBERANDTHE PACCHECK NUMBER I N THE DES I GNATED COLUMN. A L I S TOF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GND I SCLOSURE BOARD,

CAUTI ON : S ec t i on Ga B . 3 2 A ( 6 ) , I o wa C o d e , p r o hi b i t s t h e us 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 me n t s f o r s o l i c i t i n g c on t r i b u t i on s of o r an y c 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 an s t a t u t o r y p o l i t i c a l c o m m i t t e e s ,

SUB- TOTAL

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

Di s c l o s u r e l a w r e q u i r e s c an 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 e

c ommi t t e e , R e l a t i o n s h i p 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 on s an gu 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

ma r r i a g e) ( S ee Page 2 o f f o r ms p a c k e t . ) . I f sur name c F c o n t r i b u t o r i s t h e s ame a s c an d i d a t e , b u t t h e r e i s n o Page Q9 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 pp l i c ab 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 ed u l e A)

DATE PAC I O NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) AND " AC CHECK ( i f a p p l i c a b l e ) RA

N1 I MAPP

1 2 / 2 9 / 2 0 0 4 J on L a l l e ( I C S c h ) 2 . 5 0

2 3 0 1 6 3 6 0 1 Oa k l a n d Av e I o wa C i t y I A 5 2 2 4 0


2 3 0 1 6 3 1 6 M e t r i c Road I o wa C i t y I A 5 2 2 4 0


2 3 0 1 6 3 3 15 E l l i s Av e # 1 I o wa C i I A 5 2 2 4 6

1 2 / 2 9 1 2 0 0 4 Randy Ngu ye n ( I C S c h ) 1 . 5 0

2 3 0 1 6 3 4 8 Amb er La n e I o wa C i I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 M i c h a e l O' Co n n o r ( I C S c h ) 1 . 5 0

2 3 0 1 6 3 2 9 0 El m Ri d e D r i v e N o r t h U b e r t I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 Rodney Pe r d u e ( I C S c h ) 2 . 5 0

2 3 0 1 6 3 6 0 3 WP a r i s S t WL i b e r t y I A 5 2 7 7 6

1 2 / 2 9 1 2 0 0 4 WmS a l a s b e r r y ( I C S c h ) 1 . 5 0

2 3 0 16 3 1119 P i n e S t I o w a C i t y I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 K i m b e r l y Sc h l a b a c h ( I C S c h ) 1 . 5 0

2 3 0 1 6 3 5 2 7 2 O a k c r e s t H i l l Rd R i v e r s i d e I A 5 2 2 4 6

1 2 / 2 9 / 2 0 0 4 G e r a l d V o n s t e i n ( I C S c h ) 2 _ 5 0

2 3 0 1 6 3 5 0 4 8 - 2 1 0 t h S t NE S o l o n I A 5 2 3 3 3

1 2 / 2 9 / 2 0 0 4 D a l e Wei r ( I C S c h ) 1 . 5 0

2 3 0 1 6 3 2 1 4 5 Pal mer C i r c l e I owa Ci t y I A 5 2 2 4 0



J AN- 1 9 - 2 0 0 5 09 " 3 1 P . 3 4





SEI U( Ser v i c e Empl oyees I nt ' l Uni on) Local 199 C PE Fund

CHECK THI S BOX I F

AMENDI NG FORM

SCHEDULE

A MONETARY

( Re v . 4 6 / 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE . I F A CONTRI BUTI ON I S RECEI VED F ROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , UST THE PAC I D SN T I F I C A 7 1 O NNUMBER AND THE PAC CHECK NUMBER I N THE D E SI GN A T E= D COL UMN, A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) . I o wa Cod 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 me nt 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 of o r a n y c 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 .

s u - T A ' L



c o mm i t t e e R e l a t i o n s h i p mus 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

m a r r ( a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) , I f s u r n a me o f c o n t r 1 h 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 1 o f

f a mi l i a l r e l a t i o n s h i p , a 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 )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI 13 UTOR RELAT I ONSH I P AMOUNT J I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE'I

RECEI VED F( MM/ ODI YR) A N D! - ' A ( ' CHECK ( i f a p p l i c a b l e ) RA

NUMBER t u

1 2/ 2 9/ 2 00 4 Rand y Ng u y e n ( I C S c h ) 1 . 5 0

230239 4 8 Amber L a n e I o wa C i t y I A 52240

1 2 / 2 9 / 2 0 0 4 Mi c h a e l O' Co n n o r ( I C S c h ) 1 . 5 0

230239 29 0 El m Ri d e D r i v e N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 Rodn e y Pe r d u e ( I C S c h ) 2 . 5 0

2 3 0 2 3 9 6 03WP a r i s S t WL i b e r t y I A 5 2 7 7 6

1 2/ 2 9/ 2 00 4 WmS a l a s b e r r y ( I C S c h ) 1 . 5 0

2 3 0 2 3 9 1119 P i n e S t I o wa C i t y I A 52240

1 2 / 2 9 / 2 0 0 4 K i mb e r l y S c h l a b a c h ( I C S c h ) 1 . 5 0

2 302 39 5272 Oa k c r e s t H i l l Rd R i v e r s i d e I A 52246

1 2 / 2 9 / 2 0 0 4 G e r a l d V o n s t e i n ( I C S c h ) 2 . 5 0

230239 5 0 4 8 - 2 1 0 t h S t NE S o l o n I A 5 2 3 3 3

1 2 / 2 9 1 2 0 0 4 D a r e We i r ( I C S c h ) 1 . 5 0

2 3 0 2 3 9 2145 Pa l me r C i r c l e I o w a C i I A 52240

1212912004 D a r y l L e w i s ( I C S c h ) 5 _ 0 0

230239 21 6 Da r t mo u t h I o wa C i t y I A 52245

1 2 / 2 9 / 2 0 0 4 Ma r s h a An d er s o n ( UI HC) 5 . 0 0

1354570 1975 So Ri d e D r Co r a l v i l l e I A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 Sa n d r a A n f i n s o n ( UI HC) 2 . 00

1354570 1 3 0 2 N o r t h F o u r t h S t WB r a n c h I A 52358 _ I



J A N- 1 9 - 2 0 0 5 0 9 " 3 2 P . 3 5F 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 m



COMMI TTEE NAME ( M u s t b e same 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 )

SEI U( Se r v i c e Emp l oyee s I n t ' 1 Un i on ) Loc a l 1 9 9 C PE Fund



AMENDI NG FORM

SCHEDULE

A MONETARY

( Re v 0 6 1 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI T T E E I , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWA E T HI C S AND CAMPAI 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 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 a n y c 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 . - -


c o mm i 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 y

ma r r i a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) . 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 ame a s c a n d i d a t e , b u t t h e r e i s n o P a g e o f _f a m i l i a r 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 [ l i 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 )

DATE PAC I D NUMEI ER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 IRECEI VED ( I F a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM10 0 f YR) AND ' ' A G CHECK ( I f a p p l i c a b l e ) RA

NUMBER

1 2 / 2 9 / 2 0 0 4 M a t t B a h l ( UI HC) 5 , 0 0

1 3 5 4 5 7 0 2 4 5 H i c k o r y S t N L i b e r t y I A 5 2 3 5 8

1 2 / 2 9 / 2 0 0 4 M i c h e l l e B a r g r e n ( UI HC) 5 , 0 0

1 3 5 4 5 7 0 7 0 2 Ho d e S t N o r t h L i b e I A 5 2 3 ' 1 7

1 2 / 2 9 / 2 0 0 4 J a n i c e Bames ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 1 0 2 1 - 2 0 t h Av e CV I A 5 2 2 4 1

1 2 1 2 9 / 2 0 0 4 R a c h a e l Ba r r o w ( UI HC) 1 0 . 0 0

1 3 5 4 5 7 0 3 5 1 3 D u n h am Dr SWCR I A 5 2 4 0 4

1 2 / 2 9 / 2 0 0 4 De b B e n f e r ( UI HC) 3 . 0 0

1 3 5 4 5 7 0 1 6 8 3 Hemi n wa L a n e I C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 De b Ba n n e r - Ha h n ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 1 2 3 2 E C o l l e g e S t I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 Ma r t h a B r a d b u r y ( UI HC) 2 . 0 0

1 3 5 4 5 7 0 1 1 1 6WI d e Gr e e n Rd I C I A 5 2 2 4 6

1 2 / 2 9 / 2 0 0 4 J a n e B u r k h o l d e r ( U I H C ) 1 , 0 0

1 3 5 4 5 7 0 6 0 4 K i m b e r l i t e S t T i f f i n I A 5 2 3 4 0

1 2 / 2 9 / 2 0 0 4 He i d e Bu r s c h ( U I HC) 5 . 0 0

1 3 5 4 5 7 0 9 7 O b e r l i n I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 B a r r y Bu s c h e l ma n ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 7 8 0 F a i r v i e w L n N o r t h L i b e r t y I A 5 2 3 1 7



J AN- 1 9 - 2 0 0 5 09 : 3 3 P . 3 6





SEI U( Se r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l 199 C PE F u n d

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 NNUMBER ANO THE PAC CHECK NUMBER I N THE OESI GNATEOCO4UMN, A L I S T OF I D NUMBERS I $ AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GN

DI 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 ns a n 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 of o r a n y c omme 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 ommi t t e e s .

TOTAL ( f f l a s t page o f t h i s s c h e d ul e )


c 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 ow 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 y

m a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . 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 ' 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

CHECK THI S BOX I F

AMENDI NG FORM

SCHEDULE

MONETARY

( R e v , 0 6 / 9 7 ) I RECEI PTS

P a g e 33 o f ~ I l( f o r S c he d ul e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT q I

RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED F U

( MM/ DD/ YR) AND " AC CHECK ( i f a p p l i c a b l e ) RAN M= R

1 2 / 2 9 / 2 0 0 4 An n B y r n e ( UI HC) 5 . 0 0

135 45 7 0 3 02 Oa k S t B u f f a l o I A 52728

1 2 / 2 9 / 2 0 0 4 M a r j i e C a r u t h ( UI HC) 5 . 0 0

135 45 7 0 8 0 1 A l p i n e D r I C I A 52245

1 2 / 2 9 / 2 0 0 4 Be v Cl e a r ma n ( UI HC) 5 . 0 0

135 45 7 0 1007 E i g h t h S t C o r a l v i l l e I A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 L y n e t t e Cooper ( UI HC) 2 . 5 0

135 45 7 0 2 4 0 1 Hw 6 E # 1 2 1 0 1 C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 J u l i e D a v i s ( UI HC) 5 . 0 0

1354570 3 3 7 Nor man dy Or I C I A 52246

1 2 / 2 9 / 2 0 0 4 Ca t h y D o s t a l ( UI HC) 2 . 0 0

13 54 57 0 1985 Sou t h R i d e Or CV A 522 4 1

1 2 / 2 9 / 2 0 0 4 An g e l a Duwa ( UI HC) 5 . 0 0

13 54 57 0 2519 J Av e Wi l l i a ms b u r I A 5 2 3 6 1

1 2 1 2 9 1 2 0 0 4 C a r o l y n E l l i o t t ( UI HC) 1 0 . 0 0

135 45 7 0 1 1 0 F l o r i d a Av e SWCR I A 52404

1 2 / 2 9 / 2 0 0 4 S h e l l e y Engman ( UI HC) 5 . 0 0

1354570 7 17 R u n d e l l S t I C I A 52240

1 2 1 2 9 / 2 0 0 4 E l i z a b e t h F i s h e r ( UI HC) 2 . 5 0

1354570 1307 C a r r o l l S t I C I A 52240



J AN- 1 9 - 2 0 0 5 0 9 : 3 3




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 )

SEI U( Ser v i c e Emp l o y ees I n t ' l Un i on ) L o c a l 1 9 9 C PE Fund

STATE CANDI DATES NOTE ; I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T ICAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CAT I ON

NUMBER ANDTHE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVA I LAB LE FROM THE I OWA ETHI CS ANDCAMPAI GN

DI SCLOSURE BOARD

CAUTI ON : Se c t i o n 688 . 3 2 A ( d ) , I o wa Code, p r oh 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 or 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 nt r i bu t i o ns o r

f o r a ny c o mme r c i a l p u r p o s e by a ny p e r s on 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


P . 3 7

SCHEDULE

A MONETARY

( Re v . O6 / 9 7 ) RECEI PTS


AMENDI NG FORM

" 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 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 ny 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 e

c o mmi t t e e . R e l a t i o n s h i p mu st be s h o wn t o t h e t h i r d d e gr e e o f c o ns a ng ui n i t y ( b l o o d r e l a t i v e s ) a r i d a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e) ( Se e P a g e 2 o f f o r ms p a c k e t , ) , I f sur name o f c on t r i b u t o r i s t h e same a s c a nd i d a t e , bu t t h e r e i s no Pa . qo f

f a m i l i a l r e l a t i o n s h i p , e nt e r " n o t a pp l i c a bl 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)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I

RECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE" RECEI VED FU

( MMI OONR) AND " AC CHECK ( i f a p p l i c a b l e ) RA

Ni ] PARPR

1 2 / 2 9 / 2 0 0 4 A n i t a F i t e ( UI HC) 5 . 0 0

1354570 1 3 3 H i l l s i d e Dr E l d r i d e I A 5 2 7 4 8

1 2 / 2 9 1 2 0 0 4 K a r l e n e F u l l e r ( UI HC) _ 3 . 0 0

1354 570 1 6 1 1 - 1 3 t h S t r e e t CV I A 5 2 2 4 1

1 2 1 2 9 1 2 0 0 4 Ci n d y Funk ( UI HC) 3 . 0 0

1354 570 1 2 3 1 Sandu s k Av e I C I A 52240

1 2 1 2 9 / 2 0 0 4 J oe G a l b r a i t h ( UI HC) 1 0 . 0 0

1354 570 3 0 2 1 Raven St I C I A 52245

1 2 / 2 9 / 2 0 0 4 Nan c y Ge n o a r ( UI HC) 5 . 0 0

1354 570 1252 C o l l Dr I C I A 5224 6

1 2 / 2 9 / 2 0 0 4 T r i s h a Go da r d Sh e p h er d ( UI HC) 2 . 5 0

1354570 9 3 0 - 2 3 r d Av e Ap t C C o r a l v i l l e I A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 L y n d a Gr e e n ( UI HC) 1 0 . 0 0

1354 57 0 207 5 Me l r o s e Av e I C I A 5224 6

1 2 / 2 9 / 2 0 0 4 M e l i s s i a G r e i n e r ( UI HC) 5 . 0 0

1354570 2 6 4 3 6 - 3 0 5 t h Avenu e K e o t a I A 5224 8

1 2 / 2 9 1 2 0 0 4 Da n G r i n s t e a d ( UI HC) 7 . 5 0

1354570 1 2 1 8 As h S t I C I A 52240

1 2 / 2 9 1 2 0 0 4 Ma r c i a Ha hn ( UI HC) 5 . 0 0

1354570 2 2 8 1 Suga r B o t t o m Rd S o l o n I A 5 2 3 3 3



JAN-19-2005 09 : 3 4

For I ns t r uc t i ons , See Back Ot Form



COMMITTEENAME( Must b e same a s o n St a t eme n t o f O r g a n i z a t i o n )

SE I U( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) Local 19 9 C PE F u n d

SCHEDULE

P . 38

A MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS


AMENDI NGFORM

STATE CANDI DATES NOTE. I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THE PAC I DENTI FI CATI ONNUMBER ANDTHEPAC CHECKNUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LAB LE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.

CAUTION: Se c t i o n 688 . 3 2 A( 6 ) . I owa Code, p r o h i b i t s t h e us 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 and s t a t e me n t s f o r s o l i c i t i n g c on t r i b ut i o ns of o r a n y c omme r c i a l p ur p os e by an y p e r s o n o t h er t h an s t a t u t o r y po l i t i c al commi t t ees .

D i s c l o s u r e l a w r e q u i r e s c a n di d at 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 on s an g ui 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

ma r r i a g e) ( Se e P a g e 2 o f f o r ms p a c k e t . ) , I f s u r n a me o f c o nt r i b u t o r i s t h e soma a s c an 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 " 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 Co l umn .

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

ZZaUe - I Vl A l $ 5 6 . 5

P a g e , L o f

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

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J IRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE RECEI VED FU( MM/ DD/ YR) AND' - ' AC. CHECK ( i f a p p l i c a b l e )

I (

RANUMBER I N

1 2 / 2 9 / 2 0 0 4 T e r r y H a m i l t o n ( UI HC) 3 . 0 0

1 35 4 5 7 0 7 1 5 N Va n Bu r e n S t I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 L y n n Han k e ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 1 0 0 1 Me mo r i a l Dr SE CR I A 5 2 4 0 3

1 2 / 2 9 / 2 0 0 4 S a r a h H e l l e ( UI HC ) 5 . 0 0

1 35 4 5 7 0 1 330 U e r Ol d H 6 O x f o r d I A 52322

1 2 / 2 9 1 2 0 0 4 Sh a r o n H i c k s ( UI HC) 2 . 0 0

1 35 4 5 7 0 2639 - 1 4 0 t h S t r e e t NWSwi s h e r I A 52338

1 2 / 2 9 1 2 0 0 4 Me l o d y R o b e r t - Me i l e c k e r ( U I H C ) 5 . 0 0

1 35 4 5 7 0 30 0 Ma i n S t H i l l s I A 5 2 23 5

1 2 / 2 9 / 2 0 0 4 C l a i r e H o c k l e y ( UI HC) 7 , 5 0

1 3 5 4 5 7 0 26 4 7 Newpor t Rd NE I C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 De b Re y n o l d s Hubba r d ( U I H C ) 3 . 0 0

1 35 4 5 7 0 1 4 68 V a l l e y Vi e w D r i v e CV 1A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 S h e l l e y J a c o b u s ( UI HC) 1 . 0 0

1 3 5 4 5 7 0 6 5 0 7 B o xw o o d L n NE CR I A 5 2 4 0 2

1 2 / 2 9 / 2 0 0 4 J e n n i f e r J u n g e n ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 P O Bo x 5 8 8 N o r t h L i b e r t y I A 5 2 3 1 7

1 2 1 2 9 1 2 0 0 4 No r man K a l v i g ( UI HC) 2 0 . 0 0

1 35 4 5 7 0 1 9 4 5 Pa r k Av e SE CR I A 5 2 4 0 3



JAN- 19- 2005 09 : 34

F o r I n s t r u c t i o n s , See Back o f Form



COMMI TTEENAME ( 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 )

SEI TJ ( Se r v i c e Emp l o y e es I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

SUB- TOTAL

SCHEDULE

TOTAL ( i f f a s t page o f t h i s s c h ed u l e )

P . 39

A MONET ARY

( R e v . 0 6 / 9 7 ) RECEI PTS

CHECK THI S 6 0 X I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 5 RECEI VED FROM A STATE PAC ( P OL 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 PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON: S e c t i o n 5 8 B . 3 2 A ( 5 ) , 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 me nt 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

f o r a n y c o mmer c i a l p ur 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 .

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 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 l l e c . 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 ) ( S e e P a g e 2 o f l o a nG p a C k a l , ) . 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 P a g e 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 ,

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT J IRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED F( MM/ DOr y k ) AN0 " AC: CHECK ( i f a p p l i c a b l e ) RA

NUMBER

1 2 / 2 9 / 2 0 0 4 V a l e r i e K e f f e l a ( UI HC) 5 Q00

1 3 5 4 5 7 0 1 1 09 P r a i r i e DuCh i e n Rd I C I A 5 2 2 4 5

1 2 1 2 9 1 2 0 0 4 Te r e s a A K i n g d o n ( UI HC) 2 . 5 0

1 3 5 4 5 7 0 2 1 1 3 N o r c o r Av e A p t 4 CV I A 5 2 2 4 11 2 1 2 9 / 2 0 0 4 K a t h e r i n e K l e i n o w ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 3 3 3 3 Phea s a n t Ct NE N o r t h L i b e I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 A r l e n e K l e s n e r ( UI HC) 1 . 0 0

1 3 5 4 5 7 0 1 9 0 1 E a r l Road I C I A 5 2 2 4 6

1 2 / 2 9 / 2 0 0 4 Amy K r u s e ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 2 03 F i f t h S t # 1 C o r a l v i l l e I A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 L i n d a K r u t s i n g e r ( U I H C ) 1 0 . 0 0

1 3 5 4 5 7 0 2 1 4 7 P l a t e n Vi ew Dr I C I A 5 2 2 4 6

1 2 / 2 9 1 2 0 0 4 C y n t h i a L ar ew ( UI HC) 1 - 0 0

1 3 5 4 5 7 0 P 0 Bo x 4 4 1 L o n e T r e e I A 5 2 7 5 5

1 2 J 2 9 / 2 0 0 4 P a u l a L a u b e ( UI HC) 7 . 5 0

1 3 5 4 5 7 0 7 1 2 Wa l n u t S t I C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 Ra el e ne L en o c h ( UI HC) 1 . 0 0

1 3 5 4 5 7 0 2 1 3 Br o a d w a y S t WB r a n c h I A 5 2 3 5 8

1 2 1 2 9 1 2 0 0 4 L u a n n e L i n k ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 2 2 1 5 H i c k o r y C o u r t I C I A 5 2 2 4 0



J RN- 1 9 - 2 0 0 5 0 9 " 3 5 P . 4 0F 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 m

CONTRI BUTI ONS - MONEY TAKEN I N( I n c l u d i n g c a nd i d a t e ' s p e r s o n al 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 me n t o f Or g a n i z a t i o n )

SEI U( Se r v i c e Emp l oyees I n t t l Un i o n ) Loca l 1 9 9 C l t l P E Fund

STATE CANDI DATES NOTE . , I F A CONTRI BUTI ON 1 5 RECEI VED FROMA STATE PAC ( POL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN, A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS ANDCAMPA I GNDI SCLOSURE BOARD .

CAUTI 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 use 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 me n t s f o r s o l i c i t i n g c on t r i b u t i o ns of o r a n 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


SCHEDULE

A( Re v . 0 6 1 9 7 )

MONETARY

RECEI PTS

DCHECK T H I S BOX I FAMENDI NG FORM

' 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 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 mus t b e s h o w n t o t h e t h i r d d e gr e e o f c o ns a ng ui 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

ma r r i a g e) ( S ee P a g e 2 o f f o r ms p a c k e t . ) . I f s u r n a me o r c on t r i b ut o r i s t h e s ame a s c a n di d a t e , b u t t h e r e i s n o P a g e 3: 1 o f 1 4 1f a m i l i a l r e l a t i o n s h i p , e nt 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)

DATE PAC I D NUMBER ^NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J IRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED F( MMI DD/ YR) AND" AC CHECK ( f a pp l i c ab l e ) RA

NUMBER

1 2 J 2 9 / 2 0 0 4 Mi c h a e l L o u c k s ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 1 4 9 5 F a l c o n A v e S w i s h e r I A 5 233 8

1 2 / 2 9 / 2 0 0 4 Wl l ma Ma c a l a l a g ( UI HC) 5 . 0 0

1 35 4 5 7 0 8 2 8 A ug u s t a C i r c l e N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 J u ne Ma s b r u c h ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 2 3 8 7 - 3 4 0 t h S t SW T i f f i n I A 5 2 3 4 0

1 2 / 2 9 / 2 0 0 4 An n Ma s o n ( UI HC) 3 . 0 0

1 35 4 5 7 0 1 0 32 O a k c r e s t S t I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 Ru t h McKee ve r ( UI HC) 5 _ 0 0

1 35 4 5 7 0 30 2 Wa l n u t S t T i t o n I A 5 2 7 7 2

1 2 / 2 9 / 2 0 0 4 Ma r y McK i n n e y ( UI HC) 3 , 0 0

1 3 5 4 5 7 0 5 0 6 We s t Se v e n t h S t T i t o n I A 5 2 7 7 2

1 2 / 2 9 / 2 0 0 4 Ma r y J o Meg g e r s ( U I H C ) 5 . 0 0

1 3 5 4 5 7 0 3 3 7 1 Oz z i e Dr S o l o n I A 5 2333

1 2 1 2 9 / 2 0 0 4 T e r r i Me n g l e r ( UI HC) 7 . 5 0

1 3 5 4 5 7 0 2 21 5 Se c on d S t SWCR I A 5 2 4 0 4

1 2 / 2 9 / 2 0 0 4 J e a n M i l l e r ( UI HC) 5 . 0 0

1 35 4 5 7 0 37 5 5 C o t t a g e Re s e r v e Rd NE S o l o n I A 5 2333

1 2 1 2 9 / 2 0 0 4 T a r a M i l l e r ( UI HC) 2 . 5 0

1 3 5 4 5 7 0 333 C a r t e r S t NWCR I A 5 2 4 0 5



J AN- 1 9 - 2 0 0 5 0 9 : 3 5 P . 4 1F 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 m

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 b e s ame a s o n St at ement o f Or g a ni z a t i o n )

SEI U( S e r v i c e Emp l o y e e s I n t ' 1 Un i o n ) L o c a l PE F u n d


STATE CANDI DATES NOT E : I F A CONTRI BUTI ON I S RECEI VED FROM A STATEPAC ( POL I T I CAL ACT I ON COMMI TTEE) . L I S TT HE PAC I DENT I F I CAT I ONNUMBER AND T HE PAC CHECK NUMBER I N T HE DES I GNA ' TEO COL UMN . A L I S T OF 1 0 NUMBERS I S AVA I L A B L E FROMTHE I OWA ETHI CS AND CAMPA I GNDI SCLOSURE BOARD.

CAUTI ON : Se c t i o n 6 8 8 , 3 2 A ( 8 ) , I o w a Code, 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 po 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 on t r i bu t i o ns o rf o r any c o mme r c i a l p ur p os 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 ,

aDi 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 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 e

c o mmi t t e e R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e gr e e o f c o n sa n gu 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) ( S e e P ag e 2 o f f o r ms p a c k e t , ) I f sur name o f c o n t r i b u t o r i s t h e s ame a s c an d i d at e , bu t t h e r e i s n o P a g e J l c f _4f 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 he d ul e A)

SCHEDUL E

A MONETA RY

( Re v . 0 6 1 9 7 ) RECEI PTS


AMENDI NG FORM

DATE PA C I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J IRECEI VED ( i f a pp l i c a b l e ) I T O CANDI DATE' RECEI VED FU( MMI DDI YR) A ND " A C Ct 4QCK ( i f a p p l i c a b l e ) RA

NUMBER I N

1 2 / 2 9 / 2 0 0 4 R o b e r t M i l n e ( UI HC) 3 , 0 0

1 3 5 4 5 7 0 41 7 C a r t e r S t NW CR I A 5 2 40 5

1 2 / 2 9 / 2 0 0 4 M e l i n d a My e r s ( UI HC) 2 0 . 0 0

1 3 5 45 7 0 1 1 1 6 A Av e NW CR I A 5 2 40 5

1 2 / 2 9 / 2 0 0 4 J a n Ni e b e s ( UI HC) 5 . 0 0

1 3 5 45 7 0 7 2 7 4 - 1 5 t h Av e Ke y s t o n e I A 5 2 2 4 9

1 2 / 2 9 / 2 0 0 4 L i n d a P e t e r s o n ( UI HC) 2 . 5 0

1 3 5 4 5 7 0 9 0 7 N G i l b e r t S t I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 M a r g a r e t Ma r y P i n g ( UI HC) 3 . 0 0

1 3 5 4 5 7 0 1 1 0 S a r g e r t Dr West Br a n c h I A 5 2 3 5 8

1 2 / 2 9 / 2 0 0 4 B e c k y P o t t o r f f - L e a v e n ( UI HC) 5 . 0 0

1 3 5 45 7 0 1 1 49 H u n t e r ' s Run I C I A 5 2 2 4 6

1 2 / 2 9 / 2 0 0 4 C a r o l y n Po u l a k o s ( U I H C ) 5 . 0 0

1 3 5 45 7 0 40 4 S i x t h S t # D6 C o r a l v i l l e I A 5 2 2 4 1

1 2 / 2 9 / 2 0 0 4 J e f f r e y Rupe ( U I H C ) 3 . 0 0

1 3 5 4 5 7 0 P O Bo x 2 1 8 N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 Na n c y Sa nd s t r o m ( UI HC) 7 . 5 0

1 3 5 4 5 7 0 6 0 D a v i d L e e C o u r t N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 D o r o t h y S a t a r i a n o ( U I H C ) 3 . 0 0

1 3 5 4 5 7 0 3 2 2 2 Sh a s t a C t NE CR I A 5 2 40 2



J AN- 1 9 - 2 0 0 5 0 9 : 3 6




COMMI TTEE 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 a t i o n )

S E I U( S e r v i c e E mp l o y e e s I n t ' 1 Un i o n ) L o c a l 1 9 9 C PE F u n d

SCHEDULEP . 4 2

A MONETARY

( Re v 0 6 1 9 7 ) RECEI PTS

C ] CHECK T HI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACT I ON COMMI TTEE ) , L I S T THE PAC I D ENTI F I CA TI ON

NUMBER ANDTHE PAC CHECK NUMBER I N THE DES I GNATED COLUMN, A UST o f 1 0 NUMBERS I S AVA I L ABLE FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD.

CAUTI ON : Se c t i o n aa8 . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e us e o f i n f o r ma t i o n c o pi e d F r o m r e po 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 ont r i b ut i o ns o rf o r an y c o mme r c i a l p ur 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 .

TOTAL ( l f l a s t page o f t h i s s c h ed u l e )

' Di 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 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 e

c o mmi t t e e . Re l ; i t i o n s h i p must b e s h o w n t o t h e t h l r d d e cr e e o f c o ns a ng ui n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y

ma r r i a g e) ( S e e P a g e 2 o f f o r ms pa c ke t . ) . I f su r name o f c o n t r i b u t o r i s t h e s ame a s c a nd i d a t e , b u t t h e r e i s no

f a m i l i a l r e l a t i o n s h i p , e nt e r " n ot a p p l i c ab l e " i n t h e r e l a t i o n s h i p c o l u mn .

SU13 - AL

p a g e .> I o f


DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I

RECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED F

( MMI D D( YR) AND" AC CHECK ( i f a pp l i c a bl e ) RA

NUMBER I

1 2 1 2 9 / 2 0 0 4 St e v e n Sc h a e f e r ( U I H C ) 2 0 _ 0 0

1 3 5 4 5 7 0 3 9 4 6 Ma h a f f e L n NE S o l o n 1 A 5 2 3 3 3

1 2 / 2 9 / 2 0 0 4 C h e r y l S c h i l d ( UI HC) 3 _ 0 0

1 3 5 4 5 7 0 9 1 4 - 1 2 t h Av e CV 1 A 5 2 2 4 1

1 2 1 2 9 / 2 0 0 4 Ma r y S c h l i c h t e ( UI HC) 1 0 . 0 0

1 35 4 5 7 0 4 4 9 0 We s t o v e r Rd SE CR I A 5 2 4 0 3

1 2 / 2 9 / 2 0 0 4 J o y c e S c h u l t z ( UI HC) 3 _ 0 0

1 3 5 4 5 7 0 3 0 2 3 R a d c l i f f e A v e n u e I C I A 5 2 2 4 5

1 2 1 2 9 / 2 0 0 4 S h a n n a S e i g e l ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 2 8 2 0 U A v e n u e P a r n e l l I A 5 2 3 2 5

1 2 / 2 9 / 2 0 0 4 J e a n n e Sh e e t z ( U I H C ) 5 . 0 0

1 3 5 4 5 7 0 1 2 0 T a r t a n Dr N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 Ka r e n S h i c k e l l ( UI HC) 1 0 . 0 0

1 3 5 4 5 7 0 8 2 7 Do v er S t r e e t I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 An t h o n y S h r a d e r ( U I H C ) 5 _ 0 0

1 35 4 5 7 0 1 5 6 0 - 7 t h Av e SE CR 1 A 5 2 4 0 3

1 2 / 2 9 / 2 0 0 4 V i c k i S i e f e r s ( UI HC) 3 . 0 0

1 3 5 4 5 7 0 1 5 Br o wn D e e r K n o l l CV I A 5 2 2 4 1

1 2 1 2 9 / 2 0 0 4 Pam S i mo n s ( U I H C ) 5 . 0 0

1 3 5 4 5 7 0 1 3 1 0 F r a n k l i n S t I C I A 5 2 2 4 0



JAN- 19- 2005 09 : 3 7 ,

Fo r I n s t r u c t i o ns , See Back o f F or m



COMMI TTEE NAME ( Mus 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 )

SEI U( Se r v i ce Emp l oy e es I n t : ' l Un i on ) Local 1 9 9 C~PE Fun d

SCHEDULE

P . 4 3

CHECK THI S BOX I F

AMENDI NG FORM

A MONET ARY

( Re v . 0 6 / 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE! I F ACONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ON

NUMBER ANDTHEPACCHECK NUMBER I N THEOESI GNATEO COLUMN, A L I S T Of I D NUMBERS I S AV AI L ABL E FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD.

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 rf o r a n y c o mm e 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 or y p o l i t i c a l c o mm i t t e e s .

5 u - ' A E


' Di s c l o s u r e l a w r e q u i r e s c a nd i d at 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 ny 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 e

Commi t t e e . R e l a t i o n s h i p 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 of c o ns a ng u i n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y

m a r r i , i p e ) ( Sa e P a g e 2 o f f o r ms p a c k e t . ) , I F s u r n a me o r c o n t r i b u t o r i s t h e same a s c a nd i d a t e , b ut t h e r e i s n o P a g e/ C) o

f a m i l i a l r e l a t i o n s h i p , e nt 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 Sc h e d u l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F

RECEI VED ( i f a pp l i c a bl e ) TO CANDI DATE RECEI VED FU

AND " AC: CHECK ( i f a p p l i c a b l e ) RAI

NUMBER

1 2 / 2 9 1 2 0 0 4 T e r r y Si mons ( UI HC) 5 . 0 0

13 5 4 5 7 0 5 1 0 K i m b e r l i t e S t T i f f i n I A 5 2 3 4 0

1 2 1 2 9 / 2 0 0 4 C h r i s S l a t e r ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 2 7 6 0 T u r k e y Cr ee k L n NE I C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 Ma r y St e s sma n ( UI HC) 1 . 0 0

13 5 4 5 7 0 3 7 8 8 Sunaur a D r i v e NE I C I A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 Sue Swe a r i n g e n ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 4 2 2 Me l r o s e C t I C 1 A 5 2 2 4 6

1 2 / 2 9 / 2 0 0 4 Wa nd a T h a c k e r y ( U I H C ) 1 . 0 0

1 3 5 4 5 7 0 6 0 4 F i r s t A v e So Mount Ve r non I A 5 2 3 1 4

1 2 / 2 9 / 2 0 0 4 An g e l a Wer nk e T r e n k amp ( UI HC) 1 0 , 0 0

1 3 5 4 5 7 0 3 6 1 Camd e n Rd I C I A 5 2 2 4 5

1 2 / 2 9 / 2 0 0 4 T r i s h a T u r n i s ( UI HC) 5 . 0 0

1 3 5 4 5 7 0 4 5 1 9 Wa l k e r S t NE CR I A 5 2 4 0 2

1 2 / 2 9 / 2 0 0 4 Di a n e Va n E r s v e l d e ( UI HC) 1 - 0 0

1 3 5 4 5 7 0 3 0 5 1 Mea dow Rd NE N o r t h L i b e r t y I A 5 2 3 1 7

1 2 / 2 9 / 2 0 0 4 J o Vond e r h a a r ( UI HC) 3 . 0 0

1 3 5 4 5 7 0 10 2 3 Ma r c S t r e e t I C 1 A 5 2 2 4 0

1 2 / 2 9 / 2 0 0 4 P a t s y Whe e l e r ( UI HC) 7 . 5 0

1 3 5 4 5 7 0 2 7 6 1 Rh i n e Cr ee k Way NW O x f o r d I A 5 2 3 2 2



J A N- 1 9 - 2 0 0 5 0 9 " 3 7 P . 4 4




COMMI TTEE NAME ( M u s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n)

SETU( Se r v i c e Emp l o y e e s I n t ' l Un i o n ) L o c a l 1 9 9 C ) PE F u n d

I SCHEDULE

A MONETARY

( R e v . 0 6 / 9 7 ) RECEI PTS

CHECK TH I S BOX I F

AMENDI NG FORM

STATE CAND I 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 ACTI ON COMMI TTEE) , L I S T THE PAC I D EN T I F I C A T I O N

NUMBER A ND T HE P AC CHECK NUMBER I N TH E DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM TH E I OWA E T HI C S AND CAMPAI GN

0i SCLOSURE BOARD

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 us 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 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

f o r a ny c o mme r c i a l pu r po se 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

SU .

HS- 3

6 s oTOTAL ( i f l a s t p a g e o f t h i s s c h e d ul e )

0~6

c o n t r i b u t i o n t o t h e

DATE

RECEI VED( MM) DD I YR)

PAC I D NUMBER


AND : ' A t ' . CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PTO CANDI DATE '


AMOUNT

RECEI VED4F

RA

1 2 1 2 9 1 2 0 0 4

1 3 5 4 5 7 0

S h e r r y Wh e t s t o n e ( UI HC)

1 1 0 S w i s h e r Vi e w Dr SWSwi s h e r I A 5 2 3 3 8

5 . 0 0

1 2 / 2 9 1 2 0 0 4

1 3 5 4 5 7 0

P a t Wo l f ( U I H C )

1 4 09 We s t e r n C o l l e g e CR I A 5 2 4 0 4

1 . 0 0

1 2 1 2 9 / 2 0 0 4

1 3 5 4 5 7 0

J o a n Comer Wr i g h t ( U I H C )

16 59 P o l k A v e n u e NE S o l o n I A 5 2 3 3 3

3 . 0 0

1 2 / 2 9 / 2 0 0 4

1 3 5 4 5 7 0

M a r i e t t a Yode r ( UI HC)

P 0 Bo x 1 30 Ka l o n a I A 5 2 2 4 7

7 . 5 0

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seiu (service employees international union) local 199 cope fund6492scanned