verizon iowa state gov club__6038__contributionscanned
TRANSCRIPT
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8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
1/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50
ID#
CK#
07/06/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00
ID#
CK#
07/06/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00
ID#
CK#
07/06/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00
ID#
CK#
07/06/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50ID#
CK#
07/06/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
07/06/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
07/06/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
07/06/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00
ID#
CK#
80
35.50SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page1
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
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8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
2/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00
ID#
CK#
07/06/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00
ID#
CK#
07/06/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00
ID#
CK#
07/06/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00
ID#
CK#
07/06/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75ID#
CK#
07/06/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
07/06/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
07/06/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
07/06/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00
ID#
CK#
80
38.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page2
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
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8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
3/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00
ID#
CK#
07/06/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00
ID#
CK#
07/06/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00
ID#
CK#
07/06/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00
ID#
CK#
07/06/2007 Flannery John S.
1024 21st
W. Des Moines, IA 50265
25.00ID#
CK#
07/06/2007 Cummings Joy M.
1408 Old 6 Rd. 1
Malcom, IA 50157
2.75
ID#
CK#
07/06/2007 Smith Judith E.
4266 20th St
Grinnell, IA 50112
2.50
ID#
CK#
07/06/2007 Jacque Kara
7292 28th Ave
Newhall, IA 52315-9643
10.00
ID#
CK#
07/06/2007 Van Soelen Karen
12695 S 92nd Ave E
Sully, IA 50251
2.50
ID#
CK#
80
61.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page3
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
4/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Rotter Karmela
824 31st Ave
Amana, IA 52203-8202
2.00
ID#
CK#
07/06/2007 Stanek Kathy V.
Po Box 926
Grinnell, IA 50112
3.00
ID#
CK#
07/06/2007 Kriegel Kimberly K.
616 Main St
Brooklyn, IA 52211
2.50
ID#
CK#
07/06/2007 Schramp Kyle
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
07/06/2007 Winchell Linda J.
315 2nd Avenue
Grinnell, IA 50112
2.50ID#
CK#
07/06/2007 Pease Linda M.
1108 Summer St
Grinnell, IA 50112
5.00
ID#
CK#
07/06/2007 Handley Lori
1526 Matterhorn Dr Ne
Cedar Rapids, IA 52402
30.00
ID#
CK#
07/06/2007 Van Zante Marlis R.
14017 Hwy F-62 E
Lynnville, IA 50153
3.00
ID#
CK#
07/06/2007 Beach Michael
23762 East Hinsdale Place
Aurora, CO 80016
5.00
ID#
CK#
80
63.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page4
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
5/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Goodin Michele L.
1421 4th Ave
Grinnell, IA 50112
3.00
ID#
CK#
07/06/2007 Halverson Michelle
1325 Phoenix Dr
Iowa City, IA 52246-8697
5.00
ID#
CK#
07/06/2007 Staab Mindy
344 13th St Sw
Cedar Rapids, IA 524041844
5.00
ID#
CK#
07/06/2007 Saunders Miriam L.
1820 Prince St
Grinnell, IA 50112
2.00
ID#
CK#
07/06/2007 Story Nicole M.
1131 Reed St N/A
Grinnell, IA 501121336
3.00ID#
CK#
07/06/2007 Manatt Patricia A.
4098 90th St DBAC
Malcom, IA 50157
3.00
ID#
CK#
07/06/2007 Graham Paul E.
2307 Camelot Ave Nw
Cedar Rapids, IA 52405
4.00
ID#
CK#
07/06/2007 Jakoubek Paula
3405 Blue Pointe Court Sw
Cedar Rapids, IA 52404-7709
5.00
ID#
CK#
07/06/2007 Schramp Philip
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
80
40.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page5
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
6/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Brown Scot
1645 Charleston Dr
Marion, IA 52302-1781
5.00
ID#
CK#
07/06/2007 Brady Scott
6616 Ashwood Ct Ne
Cedar Rapids, IA 52411-7757
5.00
ID#
CK#
07/06/2007 Krumm Sharon L.
15415 N 75th Ave E
Grinnell, IA 50112
2.50
ID#
CK#
07/06/2007 Mc Cain Susan J.
4370 Highway 63, Box 8
Malcom, IA 50157
2.50
ID#
CK#
07/06/2007 Edelen Susan M.
3630 90th St
Grinnell, IA 50112
4.00ID#
CK#
07/06/2007 Safley Thomas
4552 Orchard Dr Nw
Cedar Rapids, IA 524052838
3.00
ID#
CK#
07/06/2007 Salven Timothy
27 Dartmouth St Sw
Cedar Rapids, IA 52404-5201
3.00
ID#
CK#
07/06/2007 Gerber Tom
5673 22nd Ave Trail
Vinton, IA 52349
2.00
ID#
CK#
07/06/2007 Guthrie Traci A.
121 Adair St
Kellogg, IA 50135
8.00
ID#
CK#
80
35.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page6
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
7/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/06/2007 Howard William
4710 Coventry Lane Ne
Cedar Rapids, IA 524027033
7.50
ID#
CK#
07/20/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50
ID#
CK#
07/20/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00
ID#
CK#
07/20/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00
ID#
CK#
07/20/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00ID#
CK#
07/20/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50
ID#
CK#
07/20/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
07/20/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
07/20/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
80
41.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page7
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
8/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00
ID#
CK#
07/20/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00
ID#
CK#
07/20/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00
ID#
CK#
07/20/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00
ID#
CK#
07/20/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00ID#
CK#
07/20/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75
ID#
CK#
07/20/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
07/20/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
07/20/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
80
35.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page8
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
9/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00
ID#
CK#
07/20/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00
ID#
CK#
07/20/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00
ID#
CK#
07/20/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00
ID#
CK#
07/20/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00ID#
CK#
07/20/2007 Flannery John S.
1024 21st
W. Des Moines, IA 50265
25.00
ID#
CK#
07/20/2007 Cummings Joy M.
1408 Old 6 Rd. 1
Malcom, IA 50157
2.75
ID#
CK#
07/20/2007 Smith Judith E.
4266 20th St
Grinnell, IA 50112
2.50
ID#
CK#
07/20/2007 Jacque Kara
7292 28th Ave
Newhall, IA 52315-9643
10.00
ID#
CK#
80
64.25SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page9
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
10/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Van Soelen Karen
12695 S 92nd Ave E
Sully, IA 50251
2.50
ID#
CK#
07/20/2007 Rotter Karmela
824 31st Ave
Amana, IA 52203-8202
2.00
ID#
CK#
07/20/2007 Stanek Kathy V.
Po Box 926
Grinnell, IA 50112
3.00
ID#
CK#
07/20/2007 Kriegel Kimberly K.
616 Main St
Brooklyn, IA 52211
2.50
ID#
CK#
07/20/2007 Schramp Kyle
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00ID#
CK#
07/20/2007 Winchell Linda J.
315 2nd Avenue
Grinnell, IA 50112
2.50
ID#
CK#
07/20/2007 Pease Linda M.
1108 Summer St
Grinnell, IA 50112
5.00
ID#
CK#
07/20/2007 Handley Lori
1526 Matterhorn Dr Ne
Cedar Rapids, IA 52402
30.00
ID#
CK#
07/20/2007 Van Zante Marlis R.
14017 Hwy F-62 E
Lynnville, IA 50153
3.00
ID#
CK#
80
60.50SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page10
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
11/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Beach Michael
23762 East Hinsdale Place
Aurora, CO 80016
5.00
ID#
CK#
07/20/2007 Goodin Michele L.
1421 4th Ave
Grinnell, IA 50112
3.00
ID#
CK#
07/20/2007 Halverson Michelle
1325 Phoenix Dr
Iowa City, IA 52246-8697
5.00
ID#
CK#
07/20/2007 Staab Mindy
344 13th St Sw
Cedar Rapids, IA 524041844
5.00
ID#
CK#
07/20/2007 Saunders Miriam L.
1820 Prince St
Grinnell, IA 50112
2.00ID#
CK#
07/20/2007 Story Nicole M.
1131 Reed St N/A
Grinnell, IA 501121336
3.00
ID#
CK#
07/20/2007 Manatt Patricia A.
4098 90th St DBAC
Malcom, IA 50157
3.00
ID#
CK#
07/20/2007 Graham Paul E.
2307 Camelot Ave Nw
Cedar Rapids, IA 52405
4.00
ID#
CK#
07/20/2007 Jakoubek Paula
3405 Blue Pointe Court Sw
Cedar Rapids, IA 52404-7709
5.00
ID#
CK#
80
35.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page11
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
12/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Schramp Philip
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
07/20/2007 Brown Scot
1645 Charleston Dr
Marion, IA 52302-1781
5.00
ID#
CK#
07/20/2007 Brady Scott
6616 Ashwood Ct Ne
Cedar Rapids, IA 52411-7757
5.00
ID#
CK#
07/20/2007 Krumm Sharon L.
15415 N 75th Ave E
Grinnell, IA 50112
2.50
ID#
CK#
07/20/2007 Mc Cain Susan J.
4370 Highway 63, Box 8
Malcom, IA 50157
2.50ID#
CK#
07/20/2007 Edelen Susan M.
3630 90th St
Grinnell, IA 50112
4.00
ID#
CK#
07/20/2007 Safley Thomas
4552 Orchard Dr Nw
Cedar Rapids, IA 524052838
3.00
ID#
CK#
07/20/2007 Salven Timothy
27 Dartmouth St Sw
Cedar Rapids, IA 52404-5201
3.00
ID#
CK#
07/20/2007 Gerber Tom
5673 22nd Ave Trail
Vinton, IA 52349
2.00
ID#
CK#
80
37.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page12
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
13/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
07/20/2007 Guthrie Traci A.
121 Adair St
Kellogg, IA 50135
8.00
ID#
CK#
07/20/2007 Howard William
4710 Coventry Lane Ne
Cedar Rapids, IA 524027033
7.50
ID#
CK#
08/03/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50
ID#
CK#
08/03/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00
ID#
CK#
08/03/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00ID#
CK#
08/03/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00
ID#
CK#
08/03/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50
ID#
CK#
08/03/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
08/03/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
80
47.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page13
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
14/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
08/03/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00
ID#
CK#
08/03/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00
ID#
CK#
08/03/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00
ID#
CK#
08/03/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00ID#
CK#
08/03/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00
ID#
CK#
08/03/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75
ID#
CK#
08/03/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
08/03/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
80
32.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page14
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
15/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
08/03/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00
ID#
CK#
08/03/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00
ID#
CK#
08/03/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00
ID#
CK#
08/03/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00ID#
CK#
08/03/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00
ID#
CK#
08/03/2007 Flannery John S.
1024 21st
W. Des Moines, IA 50265
25.00
ID#
CK#
08/03/2007 Cummings Joy M.
1408 Old 6 Rd. 1
Malcom, IA 50157
2.75
ID#
CK#
08/03/2007 Smith Judith E.
4266 20th St
Grinnell, IA 50112
2.50
ID#
CK#
80
59.25SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page15
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
16/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Jacque Kara
7292 28th Ave
Newhall, IA 52315-9643
10.00
ID#
CK#
08/03/2007 Van Soelen Karen
12695 S 92nd Ave E
Sully, IA 50251
2.50
ID#
CK#
08/03/2007 Rotter Karmela
824 31st Ave
Amana, IA 52203-8202
2.00
ID#
CK#
08/03/2007 Stanek Kathy V.
Po Box 926
Grinnell, IA 50112
3.00
ID#
CK#
08/03/2007 Kriegel Kimberly K.
616 Main St
Brooklyn, IA 52211
2.50ID#
CK#
08/03/2007 Schramp Kyle
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/03/2007 Winchell Linda J.
315 2nd Avenue
Grinnell, IA 50112
2.50
ID#
CK#
08/03/2007 Pease Linda M.
1108 Summer St
Grinnell, IA 50112
5.00
ID#
CK#
08/03/2007 Handley Lori
1526 Matterhorn Dr Ne
Cedar Rapids, IA 52402
30.00
ID#
CK#
80
67.50SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page16
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
17/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Van Zante Marlis R.
14017 Hwy F-62 E
Lynnville, IA 50153
3.00
ID#
CK#
08/03/2007 Beach Michael
23762 East Hinsdale Place
Aurora, CO 80016
5.00
ID#
CK#
08/03/2007 Goodin Michele L.
1421 4th Ave
Grinnell, IA 50112
3.00
ID#
CK#
08/03/2007 Halverson Michelle
1325 Phoenix Dr
Iowa City, IA 52246-8697
5.00
ID#
CK#
08/03/2007 Staab Mindy
344 13th St Sw
Cedar Rapids, IA 524041844
5.00ID#
CK#
08/03/2007 Saunders Miriam L.
1820 Prince St
Grinnell, IA 50112
2.00
ID#
CK#
08/03/2007 Story Nicole M.
1131 Reed St N/A
Grinnell, IA 501121336
3.00
ID#
CK#
08/03/2007 Manatt Patricia A.
4098 90th St DBAC
Malcom, IA 50157
3.00
ID#
CK#
08/03/2007 Graham Paul E.
2307 Camelot Ave Nw
Cedar Rapids, IA 52405
4.00
ID#
CK#
80
33.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page17
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
18/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Jakoubek Paula
3405 Blue Pointe Court Sw
Cedar Rapids, IA 52404-7709
5.00
ID#
CK#
08/03/2007 Schramp Philip
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/03/2007 Brown Scot
1645 Charleston Dr
Marion, IA 52302-1781
5.00
ID#
CK#
08/03/2007 Brady Scott
6616 Ashwood Ct Ne
Cedar Rapids, IA 52411-7757
5.00
ID#
CK#
08/03/2007 Krumm Sharon L.
15415 N 75th Ave E
Grinnell, IA 50112
2.50ID#
CK#
08/03/2007 Mc Cain Susan J.
4370 Highway 63, Box 8
Malcom, IA 50157
2.50
ID#
CK#
08/03/2007 Edelen Susan M.
3630 90th St
Grinnell, IA 50112
4.00
ID#
CK#
08/03/2007 Safley Thomas
4552 Orchard Dr Nw
Cedar Rapids, IA 524052838
3.00
ID#
CK#
08/03/2007 Salven Timothy
27 Dartmouth St Sw
Cedar Rapids, IA 52404-5201
3.00
ID#
CK#
80
40.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page18
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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19/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/03/2007 Gerber Tom
5673 22nd Ave Trail
Vinton, IA 52349
2.00
ID#
CK#
08/03/2007 Guthrie Traci A.
121 Adair St
Kellogg, IA 50135
8.00
ID#
CK#
08/03/2007 Howard William
4710 Coventry Lane Ne
Cedar Rapids, IA 524027033
7.50
ID#
CK#
08/17/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50
ID#
CK#
08/17/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00ID#
CK#
08/17/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00
ID#
CK#
08/17/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00
ID#
CK#
08/17/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50
ID#
CK#
08/17/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
80
46.50SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page19
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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20/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
08/17/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
08/17/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00
ID#
CK#
08/17/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00
ID#
CK#
08/17/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00ID#
CK#
08/17/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00
ID#
CK#
08/17/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00
ID#
CK#
08/17/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75
ID#
CK#
08/17/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
80
31.25SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page20
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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21/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
08/17/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
08/17/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00
ID#
CK#
08/17/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00
ID#
CK#
08/17/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00ID#
CK#
08/17/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00
ID#
CK#
08/17/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00
ID#
CK#
08/17/2007 Flannery John S.
1024 21st
W. Des Moines, IA 50265
25.00
ID#
CK#
08/17/2007 Cummings Joy M.
1408 Old 6 Rd. 1
Malcom, IA 50157
2.75
ID#
CK#
80
60.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page21
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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22/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Smith Judith E.
4266 20th St
Grinnell, IA 50112
2.50
ID#
CK#
08/17/2007 Jacque Kara
7292 28th Ave
Newhall, IA 52315-9643
10.00
ID#
CK#
08/17/2007 Van Soelen Karen
12695 S 92nd Ave E
Sully, IA 50251
2.50
ID#
CK#
08/17/2007 Rotter Karmela
824 31st Ave
Amana, IA 52203-8202
2.00
ID#
CK#
08/17/2007 Stanek Kathy V.
Po Box 926
Grinnell, IA 50112
3.00ID#
CK#
08/17/2007 Kriegel Kimberly K.
616 Main St
Brooklyn, IA 52211
2.50
ID#
CK#
08/17/2007 Schramp Kyle
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/17/2007 Winchell Linda J.
315 2nd Avenue
Grinnell, IA 50112
2.50
ID#
CK#
08/17/2007 Pease Linda M.
1108 Summer St
Grinnell, IA 50112
5.00
ID#
CK#
80
40.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page22
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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23/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Handley Lori
1526 Matterhorn Dr Ne
Cedar Rapids, IA 52402
30.00
ID#
CK#
08/17/2007 Van Zante Marlis R.
14017 Hwy F-62 E
Lynnville, IA 50153
3.00
ID#
CK#
08/17/2007 Beach Michael
23762 East Hinsdale Place
Aurora, CO 80016
5.00
ID#
CK#
08/17/2007 Goodin Michele L.
1421 4th Ave
Grinnell, IA 50112
3.00
ID#
CK#
08/17/2007 Halverson Michelle
1325 Phoenix Dr
Iowa City, IA 52246-8697
5.00ID#
CK#
08/17/2007 Staab Mindy
344 13th St Sw
Cedar Rapids, IA 524041844
5.00
ID#
CK#
08/17/2007 Saunders Miriam L.
1820 Prince St
Grinnell, IA 50112
2.00
ID#
CK#
08/17/2007 Story Nicole M.
1131 Reed St N/A
Grinnell, IA 501121336
3.00
ID#
CK#
08/17/2007 Manatt Patricia A.
4098 90th St DBAC
Malcom, IA 50157
3.00
ID#
CK#
80
59.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page23
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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24/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Graham Paul E.
2307 Camelot Ave Nw
Cedar Rapids, IA 52405
4.00
ID#
CK#
08/17/2007 Jakoubek Paula
3405 Blue Pointe Court Sw
Cedar Rapids, IA 52404-7709
5.00
ID#
CK#
08/17/2007 Schramp Philip
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/17/2007 Brown Scot
1645 Charleston Dr
Marion, IA 52302-1781
5.00
ID#
CK#
08/17/2007 Brady Scott
6616 Ashwood Ct Ne
Cedar Rapids, IA 52411-7757
5.00ID#
CK#
08/17/2007 Krumm Sharon L.
15415 N 75th Ave E
Grinnell, IA 50112
2.50
ID#
CK#
08/17/2007 Mc Cain Susan J.
4370 Highway 63, Box 8
Malcom, IA 50157
2.50
ID#
CK#
08/17/2007 Edelen Susan M.
3630 90th St
Grinnell, IA 50112
4.00
ID#
CK#
08/17/2007 Safley Thomas
4552 Orchard Dr Nw
Cedar Rapids, IA 524052838
3.00
ID#
CK#
80
41.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page24
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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25/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/17/2007 Salven Timothy
27 Dartmouth St Sw
Cedar Rapids, IA 52404-5201
3.00
ID#
CK#
08/17/2007 Gerber Tom
5673 22nd Ave Trail
Vinton, IA 52349
2.00
ID#
CK#
08/17/2007 Guthrie Traci A.
121 Adair St
Kellogg, IA 50135
8.00
ID#
CK#
08/17/2007 Howard William
4710 Coventry Lane Ne
Cedar Rapids, IA 524027033
7.50
ID#
CK#
08/31/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50ID#
CK#
08/31/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00
ID#
CK#
08/31/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00
ID#
CK#
08/31/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00
ID#
CK#
08/31/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50
ID#
CK#
80
46.50SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page25
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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26/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
08/31/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
08/31/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
08/31/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00
ID#
CK#
08/31/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00ID#
CK#
08/31/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00
ID#
CK#
08/31/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00
ID#
CK#
08/31/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00
ID#
CK#
08/31/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75
ID#
CK#
80
29.25SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page26
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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27/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
08/31/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
08/31/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
08/31/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00
ID#
CK#
08/31/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00ID#
CK#
08/31/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00
ID#
CK#
08/31/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00
ID#
CK#
08/31/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00
ID#
CK#
08/31/2007 Flannery John S.
1024 21st
W. Des Moines, IA 50265
25.00
ID#
CK#
80
63.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page27
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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28/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Cummings Joy M.
1408 Old 6 Rd. 1
Malcom, IA 50157
2.75
ID#
CK#
08/31/2007 Smith Judith E.
4266 20th St
Grinnell, IA 50112
2.50
ID#
CK#
08/31/2007 Jacque Kara
7292 28th Ave
Newhall, IA 52315-9643
10.00
ID#
CK#
08/31/2007 Van Soelen Karen
12695 S 92nd Ave E
Sully, IA 50251
2.50
ID#
CK#
08/31/2007 Rotter Karmela
824 31st Ave
Amana, IA 52203-8202
2.00ID#
CK#
08/31/2007 Stanek Kathy V.
Po Box 926
Grinnell, IA 50112
3.00
ID#
CK#
08/31/2007 Kriegel Kimberly K.
616 Main St
Brooklyn, IA 52211
2.50
ID#
CK#
08/31/2007 Schramp Kyle
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/31/2007 Winchell Linda J.
315 2nd Avenue
Grinnell, IA 50112
2.50
ID#
CK#
80
37.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page28
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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29/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Pease Linda M.
1108 Summer St
Grinnell, IA 50112
5.00
ID#
CK#
08/31/2007 Handley Lori
1526 Matterhorn Dr Ne
Cedar Rapids, IA 52402
30.00
ID#
CK#
08/31/2007 Van Zante Marlis R.
14017 Hwy F-62 E
Lynnville, IA 50153
3.00
ID#
CK#
08/31/2007 Beach Michael
23762 East Hinsdale Place
Aurora, CO 80016
5.00
ID#
CK#
08/31/2007 Goodin Michele L.
1421 4th Ave
Grinnell, IA 50112
3.00ID#
CK#
08/31/2007 Halverson Michelle
1325 Phoenix Dr
Iowa City, IA 52246-8697
5.00
ID#
CK#
08/31/2007 Staab Mindy
344 13th St Sw
Cedar Rapids, IA 524041844
5.00
ID#
CK#
08/31/2007 Saunders Miriam L.
1820 Prince St
Grinnell, IA 50112
2.00
ID#
CK#
08/31/2007 Story Nicole M.
1131 Reed St N/A
Grinnell, IA 501121336
3.00
ID#
CK#
80
61.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page29
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
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30/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Manatt Patricia A.
4098 90th St DBAC
Malcom, IA 50157
3.00
ID#
CK#
08/31/2007 Graham Paul E.
2307 Camelot Ave Nw
Cedar Rapids, IA 52405
4.00
ID#
CK#
08/31/2007 Jakoubek Paula
3405 Blue Pointe Court Sw
Cedar Rapids, IA 52404-7709
5.00
ID#
CK#
08/31/2007 Schramp Philip
4039 Cedar Grove Ct Ne
Cedar Rapids, IA 52411
10.00
ID#
CK#
08/31/2007 Brown Scot
1645 Charleston Dr
Marion, IA 52302-1781
5.00ID#
CK#
08/31/2007 Brady Scott
6616 Ashwood Ct Ne
Cedar Rapids, IA 52411-7757
5.00
ID#
CK#
08/31/2007 Krumm Sharon L.
15415 N 75th Ave E
Grinnell, IA 50112
2.50
ID#
CK#
08/31/2007 Mc Cain Susan J.
4370 Highway 63, Box 8
Malcom, IA 50157
2.50
ID#
CK#
08/31/2007 Edelen Susan M.
3630 90th St
Grinnell, IA 50112
4.00
ID#
CK#
80
41.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page30
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
31/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
08/31/2007 Safley Thomas
4552 Orchard Dr Nw
Cedar Rapids, IA 524052838
3.00
ID#
CK#
08/31/2007 Salven Timothy
27 Dartmouth St Sw
Cedar Rapids, IA 52404-5201
3.00
ID#
CK#
08/31/2007 Gerber Tom
5673 22nd Ave Trail
Vinton, IA 52349
2.00
ID#
CK#
08/31/2007 Guthrie Traci A.
121 Adair St
Kellogg, IA 50135
8.00
ID#
CK#
08/31/2007 Howard William
4710 Coventry Lane Ne
Cedar Rapids, IA 524027033
7.50ID#
CK#
09/14/2007 Nadar Anand
5037 Bristol Ct
Lyndhurst, OH 44124-2533
2.50
ID#
CK#
09/14/2007 Hanssen Ann M.
1003 Old 6 Rd #215
Grinnell, IA 50112
6.00
ID#
CK#
09/14/2007 Appleby Anna
60 Clive Dr Nw
Cedar Rapids, IA 52405-4537
5.00
ID#
CK#
09/14/2007 Larimer Audra
Po Box 36
Shellsburg, IA 52332-0036
10.00
ID#
CK#
80
47.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page31
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
32/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
09/14/2007 Schultz Barbara J.
510 Pearl St
Grinnell, IA 50112
2.50
ID#
CK#
09/14/2007 Combs Beth
540 S 22nd St
Marion, IA 52302-4992
3.00
ID#
CK#
09/14/2007 Christinson Cheryl A.
1428 Reed Street
Grinnell, IA 50112
2.50
ID#
CK#
09/14/2007 Dudley Cindy A.
174 380 Ave.
Grinnell, IA 50112
2.00
ID#
CK#
09/14/2007 Cloyed Cynthia S.
1221 Prince Street
Grinnell, IA 50112
2.00ID#
CK#
09/14/2007 Cranny Daniel
4185 Willowbrook Drive
Marion, IA 52302
5.00
ID#
CK#
09/14/2007 Weaver David L.
179 Walnut Road
Grinnell, IA 50112
5.00
ID#
CK#
09/14/2007 Lloyd David
4114 M Avenue Nw
Cedar Rapids, IA 52405
2.00
ID#
CK#
09/14/2007 Walker Deborah D.
238 Horseshoe Dr
Montezuma, IA 50171
5.00
ID#
CK#
80
29.00SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page32
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no familial relationship,enter "not applicable" in the
elationship column.
-
8/7/2019 Verizon Iowa State Gov Club__6038__contributionscanned
33/80
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A MONETARYRECEIPTS
(including candidate's personal funds)
Verizon Iowa State Government Club
COMMITTEE NAME (Must be same as on Statement of Organization)
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions o
DATE NAME AND ADDRESS OF CONTRIBUTOR
or any commercial purpose by any person other than statutory political committees.
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PDENTIFICATION NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF I.D. NUMBERS IS AVAILABLEROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD.
PAC I.D. NUMBER
(if applicable)REC'D
RELATIONSHIPTO CANDIDATE*
AMOUNTRECEIVED(if applicable)
AND PAC CHECK
NUMBER
CHECK THIS BOX IF
AMENDING FORM
(Rev. 07/03)
For Instructions, See Back of Form
IF FORFUND-RAISERINCOME
MM/DD/YR)
09/14/2007 Webster Diana J.
317 E 9th St N 1
Newton, IA 50208
2.75
ID#
CK#
09/14/2007 Mike Donna
3007 Old Orchard Rd Ne
Cedar Rapids, IA 52402
5.00
ID#
CK#
09/14/2007 Graff Ellen T.
700 Garfield St
Tama, IA 52339
4.00
ID#
CK#
09/14/2007 Hodina Eric D.
1498 Old 6 Rd 1
Brooklyn, IA 52211
5.00
ID#
CK#
09/14/2007 Hall Janan
1905 Sugaridge Dr
Marion, IA 523026162
5.00ID#
CK#
09/14/2007 Ray Jane
4225 Dalewood Ave Se
Cedar Rapids, IA 52403-4355
10.00
ID#
CK#
09/14/2007 Graham Jean
4824 Lorraine Ave
Sioux City, IA 51106
2.00
ID#
CK#
09/14/2007 Wells Joann L.
256 Newburg Road
Grinnell, IA 50112
5.00
ID#
CK#
09/14/2007 Brubaker John
4510 Sloan Rdg
Cumming, GA 30040-8103
2.00
ID#
CK#
80
40.75SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure law requires candidates to disclose the relationship of any relative making a contribution to the committee. Relationship must
Page33
of(for Schedule A)
e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms packet.). If surnaf contributor is the same as candidate, but there is no fami