07/08/2005 15 :18 712-732-4514 STORM LAKE HVUEE PAGE 02

FOR INSTRUCTIONS, SEE BACK OFFORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 0712004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)

kw,~W~Imd
FQrOffice Use Only
CCnIr1 . a

IMPORTANT: I y type of Gomnrtltee you are reporting for Logged In

( 1 patewIdgA.egWatiuWJudgs Standing for Retenliar Candidate ( 2 )Stele PAC ( 3 )Steps Party Scanned
(4 )County Central COMMOe9 (5 )County Candidate (f3 )City (Candidate (7)School Board or Other
Political Subdivision Candidate (a)Couuy PAC (9 )City PAC (10)School Board or OMer po"MI Compuler
Subdivision PAC ( 11 ) Local Bed Issue Audited
CANDIDATE COMMTTEES ONLY:
Candidate Name Political Party (ifapplicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties.

u
U It~u~ ~~m fif~P JQ -7,i~1 S( 9
Lt=P1idNE DACESIGNED
SIGN T#RE OF PERJSbN FILING REPO

I AM FILING A REPORT FOR (1) ELECTION NON-ELECTION YEAR .

(report date) Indicate by # 11

Local Committees, enter Date of Election

(]CHECK IF AMENDMENT TO REPORT DATED
il[UN)
County oca Committees. erder County in
C] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . whirlr Election is held
(You must continue to tie reports until a DR-3 Is Mod.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero If this Is Arst report Nted.) ............................... 3
ADD TOTAL MONEY TAKEN IN THIS PEWOO
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) ..........
Schedule F: Loans Received !otal (Attach Schedule F) ..».......» ..........___._ .........~ .____~.»....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ..................................
fSctredule, H appliesWCandidates' Committees Only)
SUB-TOTAL-3
S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule 8: Expenditures total (Attach Schedule 8) ("also see debts and loans below) ....
Schedule F: Loan Repayments total (Attach Schedule F)__ ................................................
CASH ON HIND at the end of this reporting period (it final report balance must
be zero) (Attach DR-3) _.... .......... ............................__............_ ..._._..»..........................._ . $

"UNPAID BILLS (From Schedule O - Attach Schedule D) ......_ ............................. ........................... .S

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ..............»...... _ ....................... 5
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) .................._............................... S
-C-AM-DIDATE COMMITTEE$ ONLY.

CONSULTANT BREAKDOWN (Schedule G Attached?) DYES D NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
07/08/2005 15 :18 712-732-4614 STORM LAKE HVUEE PAGE 03

For Instructions. Sta Bmlck of Fm I. SCHEMIX

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rar. o~ ) RECEM
( cm efeals'a p"aWaal hwide)
Q CHECK THIS BOX IF
COMMITTEE NAME (Mint be same es on Sfee1<ebr9 cf OfVwMz96fan) AMENDING FORM

A~kia,5a W loWIM
STATI CANDIDATM NUTS. IF A CONTROUMM lS RECEIVEV FROM A STATE PAC (POLMCAL ACT H COMMITTEE), LIST THE PAC IOENnFl-AT*N
NUMBER AND THE PAC CHECK NUMBER IN THE CESIGNA IM COLUMN. A LIST OF ID NIANIIERS IS AVALABLE FiROM THE IOWA ETNCS AND CAMPAIGN
DISCLOSURE SOARU

, pia11161~ (fle q®a Cf)11fOnf10Yot'1 CQpi " d ffa11 reM1B msd sbbm3rlf forCOr
CAUTION: Secllon 69B-VA(S), (Owl® COdo- On$ or
for arty cmmeroel purpow by wW porsoe oUler Been dehdoy poRMcal conw**m

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (NapplIcame) TO CANDIDATE" RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (il appecaue) RAISER
NUMBER INCOME

CICAt
_ 5 oa
IDAF
rt ;~ (~ c~~a 1015 NO~~ k R 5 c ~jC' co
Clue LA
jq
. _ ~
m~
~~p1v ~K~~ ~Qt~h G4 ~c hu~

o
p. C

IDO

CK

o
CKV

0
ID#

CKA

a
ID#

0
ITv

Sue..TOTAL

TOTAL (9lwd ~ ofgdx

* Dledostne Iaw elpvhes Wndldab colmnlllees b Oil dese the reblbno* d any edaWe Iwek(rp a corNMbueon b the
aonenlMee. ReWbnshlP mwr be down b uw thid dslpee of mmalpulnRy fblocd ndslMa) and a1ltlAy ( by
manbg4) . If sumome of oonhlblrlor Is ow sama as caldldals, but Mlera is no
Papa I of
IamIIM mlalionshlp, ~ tilol applcabW In the mWomldp oohann . (tar Sd*dfda A)
0710812005 15 :18 712-732-4614 STORM LAKE HYUEE PAGE 04

FOR INSTRUCTIONS. SEE BACK OF FORM Imo= SCHEDULE

B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07003) EXPENDfNRES
T
STATE CANDIDATE
TH ERAIINNTHESDG_SIGNATED COLUMN AM THE
IDENTIFICJITION NUMBER CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A UST OF ID NUMBERS TSGN AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (AMuaf be same as on Stemmed of Orgenlzallon)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE 10 NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Dfsblwsemeny WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#

CKO
$ IoS .So
o
ID#

Koat 606'4 OR R
O CK#

1 ~ ~:I+~i
la#

CK#

ID#
' ' ~I
Fl la~'(~r~y 1~tU~1~~sk V
i,A r)
. i i '1r

ID#
Laq~ (Imc1 P4~OX K~1
CK#
3~tS

ID#

m
511~Sctt~~t,~~ Sla Gc ~,

-0
ID*
~Y ~ Q~m~c lads 61~' , a~
CK# , ,
i~r 1 \
SUB-TOTAL $ (~
TOTAL (iflast page of this schedule) $

TM BOX APPLIES TO CANDIDATE$' COMMITTEES ONLY;

Purche®es of certain campaign Popery Opeitrg 5500 or more must abo be inv0010ded on Sdtafe H.
(ReW to Schechde H Insfnxtions.)
Expendffurm to PWGOWMuitles providing oonsvt" . admsr9sing . runa,ating. polfing,
managing, organWng services must also be detail Itemised on
Schedule G by tha anwurmL Purpose, and dale dead, type of expandik" roads by IAe
peraorllenoly on bet of the aandidete's cornmktee. (Refer to
Schedule G irohuctl)ns and Iowa Code 68A402(3)(i).)

(for Sdmdule B)
07/08/2005 15 :18 712-732-4614 STORM LAKE HVUEE PAGE 05

FOR INSTRUCTIONS SEEBACK OF FORM, SCHEDULE

MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev . U7103) EXPENDITURES
STATE PAC COMTtTEES: NOTE FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEOISUATIVE
CANDIDATES, UST THECANDIDATE IDBNTiFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS i CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be came as on Statementof OrganizWorl)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
F,(PENDED (If appifc8Me) (Ofsburssrnent) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
1D#
w um $
~a
CK# r tC
~I I la IQJ j
sa

~qk*
1D#
04
64G Ila

~(lal4~ ~ ~t~
~n~~uurtc ~~t'~(~
S4~alo~GK~

1D#
(ancc I~~~ PUmf

C ~c ~,.
-
i5a .oo
ID#

CK#

iD#

CK#
_
1D#

CK#

ID# --

CK#

SUB-TOTAL

TOTAL (if last page ofthis schedule) $

f_ ._ m ruur ar
THIS BOX APPLIES TO CANDIDATES COMMTrTEFS ONLY :
Purchases of certain canpaign property coslln9 5500 or more must also be inventoried on Schvdule H. (Refer
to Schedule H instructions.)
Expenditures to personWentittes providing aonwhlng. adverdslng, fund4*WM. Polling.
managing. orgsniang oervices must also be detail ifemteed on
Schedule G try the amount purpose, and date of each type of mhperWilues coeds by the peraonlentity on bshefof the
Schedule G Instructions and Iowa Code ti81.402(3Ki) j candldaWs commxtee . (Refer to

Page a of

(for Schedule B)
07/06/2005 15 :18 712-732-4614 STORM LAKE HYVEE PAGE 06
12/28/2004 10-55 FAX Im 0 Y

Notice of Dissolution

L510 ~ I28,, s,are to

Des Moior:R low* 50319

COAINITYFE NAM

t~iariiap~ Commk!!I'e , ,.

Ckv. shift. a

21~1~ , maw
AM Te ono
T15 - 621
Code

tlmI9d'TO RLE
The NotiOe of OisaokAan moot be t8ed %W11 MV (3t)) days of =nple8ion 0f an the f090Mrfg:

1. All debts, loans and ob0g , dons how been paid or tansfetnod ;
2 All carlpelgn toft hew been spent
3. AN carnlpeign properttr sofa artranabrred (=Oftes onty); and
4. A final repdt dlSCkXbV ON %wwIaCb0f doskV the Wnrll .

Forsloe cmfidmfes ard'shm PACs, a fmaI bank statement waist bo toed oft the NoNce of Dissolution or as soon ac
posmitIa Wthe bantc dmIernent io not awaiiable at the *m tf)e Hadw of Dimm"Co is flat

_ 1 ~G
s rond*e of Char br Tr+moaror (tf PAC)
Dalit~psd

FOR WOTRUCPOW SEE BACK OF FOW

This tram Is not applrrame b Sam" pomfew Coww"W"C