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FOR I NSTRUCTI ONS, SEE BACK OF FORM

COMMI TTEE NAME ( Mu s t b e s a me as 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 ) So u t hCe n t r a l I o wa Fe d e r a t i o n o f L a bo r , AFL - CI O,Ci t i z en s h i p F u nd , 3 0 0 E . t - # 1 2 0I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r : DM, I A 5 0 3 0 9

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 1 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 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o 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 mmi 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

S I GF t ATURE ' OF TREASURER ( o r p er s o n f i l i n g t h i s r e p o r t ) TELEPHONE DATE S I GNED

I AM F I L I N G A

DI SCL OSURE SUMMARY PAGEFORMDR- 2( Re v . 0 1 1 9 8 )

Fo r O f f i c e Us e On l yCo mm i tI n d e x e dA u d i t e dCo mp u t e r

2 6 5 - 1 8 6 2 1 / 1 1 / 0 5

R o u t i n e P e n a l t i e s Du e F o r L a t e F i l e d R e p o r t s Range f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE_ FOLLOWI NGSENTENCE :

St a t e wi d e PAC1 8 , 1 - 5 4 t o1?. / 314"( r e p o r t d a t e )

OCHECK I F AMENDMENT TO REPORT DATEDO Che c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t an d a t t a c h N o t i c e o f D i s s o l u t i o n F o rm DR- 3 .( Yo u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a 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 . )

DI SCLOSUREREPORT

REPORT FORAN/ A ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT 1 6 N YEAR .I n d i c a t e o n e

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y 8 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

UTSTANDI NG LOANS ( F r o m Sc n e ou i e FDI DATE COMMI TT EES ONLY :

NSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h Sc h e d u l e H)

A t a c h S c h e d u l e r SYES NO

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T 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 amount MUST b e t h es ame a s t h e c a s h o n ha nd a t t h e en d o 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6 6 2 . 5 6ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Ca sh C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 , 0 2 0 . 9 3Sc h e d u l e F : L oa n s Re c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a pp l i e s t o Ca nd i d a t e s ' Commi t t e e s On I Y )SUB - TOTAL . . . . . . $ 1 , 6 8 3 . 4 9

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u 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 S c h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 0 0 . 0 0Sc h e d u l e F : L o a n Repa y men t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b a l a n c e mus tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 , 3 8 3 . 4 9

PAI D BI L L S ( , F r o m Sc h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $N KI ND CONTRI BUTI ONS ( F r o m Sc h e du l e F A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

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F o r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI BUTI ONS - MONEY TAKEN I N( mw* d * ' e r # p e r s o r t r I k md s ) So u t h Ce n t r a l I o waCOMMI TTEE NAME ( Mu s t b e s a n s a s o n 3 t a f e a l s r t o f O M a n f z a f o n )F e de r a t i o n o f L a bo r , AF L - CI O Ci t i z e n s h i pF u n d , 3 0 0 E . L o c u s t - # 1 2 0 , DM, I A 5 0 3 0 9

CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACTI ON COMMI TTEE) . L I S T THE PAC I D E NT I F I C AT I O NAND THE PAC CHECK NUMBER I N THE DESI GNATEDCOL UMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROMTHE I OWA ETHI CS AND CAMPAI GNI SCLOSURE BOARD .

AUTI 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 pi 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 ro r a n y c o mme 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 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 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 r o r i r themr l t ? P 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 ~) f - 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 m d ~ n e l a h : e s b y( S e e P a g e 2 of l 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 a nd i d a t e b u t t h e r e i s ^ r p a c e ofr e l a t i o n s h i p e n t 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 O r ) ; c n Po u i e A

SCHEDULEA MONETARY( Re v . 0 6 W) RECEI PTS

CHECK THI S BOX I FAMENDI NGF ORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSH I P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED F UND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI N So u t h Ce n t r a l I a . F e d . o fL a b o r 3 0 0 E . L o c u s t # 1 2 0 $1 0 / 2 8 CK# 1 7 3 2 DM, I A X0 3 0 9 / Tr a ns f e r f r o m 5 1 8 . 3 8Ge n e r a l A c c o u n t 1 0 / 0 4I D# So u t h Ce n t r a l I o wa F e d . o fL a bo r , 3 0 0 E . L o c u s t # 1 2 01 1 / 2 2 C K # 1 7 6 1 DM, I A 5 0 3 0 9 / Tr a ns f e r f r o m 3 1 6 . 6 4- 0 4 C , C ~I D# So u t h Ce n t r a l I a . F e d . o fL a bo r , 3 0 0 E . L o c u s t # 1 2 01 2 / 2 8 C K # 1 7 9 0 DM, I A 5 0 3 0 9 / Tr a ns f e r f r o m 1 8 5 . 9 10 4 Ge n e r a l A c c o u n t 1 2 / 0 4I D #C K #I D #C K #I D#

CK#I D#C K #I D#C K #I D#CK#I NCK#

ISUB- TOTAL

$ 1 0 2 0 . 3TOTAL ( i f l a s t p a g e o f t h i s 1 0 2 0 . 3s c h e du l e )

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTE ES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h ed 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 mu s t a l s o b e d e t a i l i t e m i z e d o nSc h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d 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 ma d e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e ( R e f e r t oSc h e d u l e G i n s t r u c t i o n s a nd I o wa C o d e 5 6 . 6 ( 3 ) ( i ) . )

( f o r S c he d u l e B I

FOR I NSTRUCTI ONS, SE E BACK OF FORM SCHEDULE. EXPENDI T URES B MONET ARY- - MONE Y SPENT FROM COMMI TT EE ACCOUNT ( R e v 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I ST T HE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DESI GNATED COLU MN AND THE 0 CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA A ME N DI N G FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD So u t h Ce n t r a l I o waCOMMI TT EE 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 ) Fe d e r a t i o no f La bo r , AFL - CI O Ci t i z e n s h i p F u n d , 3 0 0 E .

L o c u s t - # 1 2 0 DM, I A 5 0 3 0 9CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WA S MADE( MM/ DD/ YR) AND PACCHECKNUMBER

I D# C h e t Cu l v e r Sp o n s o r s h i p Cu l v e rCo mmi t t e e , P . O . Ho l i d a y Sp e c i a l1 1 / 1 6 CK# 9 6 2 Bo x 6 0 6 8 , DM 5 0 3 0 9 1 2 / 4 / 0 4 $ 3 0 0 . 0 0D#CK#J D#CK#D#CK#I D#CK#1 D#CK#D#C K#I D#CK#

SUB- TOTAL $ 3 0 0 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ 3 0 0 . 0 0