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  • 8/7/2019 Calhoun John__1617__scanned

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    FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

    TRE ASURERS I GNA E OF PERSON F I L I N G REPORT TELEPHONE

    I AM F I L I N G A November 3 , 2 0 0 6( r e p o r t d a t e )

    F1 CHECK I F AMENDMENT TO REPORT DATED

    0Che 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 or m DR- 3 .( Y o u m u s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

    STATEMENT OF CASH ON HAND

    COMMI TTEE NAME ( Mu s t be 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 )Ca l h o u n f o r S t a t e Hou se

    1 1 1 0 1 1 1 1 1 1 1I MPORTANT : I n d i c a t e b y # t y p e o f c o m m i 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 / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e 1 4 A ( ! - t ` i ~ t a - _( 4 ) C o u n t y C e n t r a l C o m m i t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) ~ c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PA C ( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TT EES ONLY :C a n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )J o h n Ca l h o u n Demo c r a t i c

    O f f i c e Soug h t D i s t r i c t ( i f Se n a t e o r H o u s e )Gene r a l A s s emb l y HD 6 9

    s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s . P u r s u a n t t o I o w a Code s e c t i o n 6 8 B . 3 2 A ( 7 )o r a c a n d i d a t e ' s c o m m i t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o m m i t t e e , i s t h er i s i b l e f o r f i l i n g f i m e l y a n d a c c u r a t e r e p o r t s .

    REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .I n d i c a t e b y # 0

    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 o t a l o f a l l f u n d s h e l d b y t h ec o m m i t t e e . T h i s amou nt MUST b e t h e s ame a s t h e c a s 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e du l e A ) ( * a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . . . . . . . . . . . . . . . .Sc h ed u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ( Sc h ed u l e H a p p l i e s t o Ca n d i d a t e s ' Commi t t e e s On l y )SUB - TOTAL . . . . . . . . . . . . . . . . . . . . . . . $ 4 , 3 1 8 . 8 5

    SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h ed 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 he d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . . . . . . . . . . . . . . 3 5 1 4 . 7 0S c h e d u l e F : Loa n Repa ymen t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0

    C ASH 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 t 8 0 4 . 1 5b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    FORMDR- 2 DI SCLOSURE( e v . 1 2 / 2 0 0 5 ) REPORTI f o r O f f i c e U1 2 - o n , vt omm . #Dogged i nSca n nedCompu t e r - .A u d i t e d

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

    5 1 5 - 8 3 0 - 0 3 8 5DATE SI GNED

    L o c a l C o m m i t t e e s , e n t e r D a t e o f E l e c t i o nNovember 7 , 2 0 0 6Co un t y & L o c a l C o m m i 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

    2 , 5 2 3 . 8 5

    1 , 7 9 5 . 0 00 . 0 00 . 0 0

    * * UNPA I D B I L LS ( F r o m S c h e d u l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6 8 7 . 2 0* I N KI ND CONTRI BUT I ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5 7 . 2 4* * OUTSTANDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) - YES JNOCANDI DATE COMMI TTEES ONLY:VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $ 0 . 0 0STATE C OMMI TT EES : S u b m i t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .

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    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 mC ON T R I B U T I ON S - - 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 same a s o n S t a t e m e n t o f Or g a n i z a t i o n )Ca l h o u n f o r S t a t e H o u s e

    STATE CAND I DATES NOTE : I F A CONTRI B UT I ON I S RECE I V ED FROM A ST AT E PAC ( P OL I T I C A L AC T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C AT 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 A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE : A NY PERSON, OT HE R T HA N A N I N DI V I D U A L , T H AT CONTR I B UT E S MORE THAN $ 7 5 0 T O YOUR CAMPA I GN MAY HAVE F I L I NGRESPONS I B I L I T I E S AND SHOULD I MMEDI ATELY CON T A CT T H E B OA RD .C A UT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n yc o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

    SUB- TOTAL

    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 )D i s c l o s u r e l a e v r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y 1 2ma r r i a g e ) . 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 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 )

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI P TS0 CHECK T HI S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER__ NAME AND A DDR ESS OF CON TRI B UTOR RELA T I ONSHI P AMOUNT 4 I F F ORRECE I VED ( i f a p p l i c a b l e ) T O CAND I DATE * RECE I VED FUND( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I S ERNUMBER I NCOME

    I D# F r a n k S t e i n b a c h , J r $ 1 0 0 . 0 01 0/ 1 6/ 2 0 06 CK# 1 9 9 1 NWPo l k C i t y DrPo l k C i t y , I A 5 0 0 2 3I D# J a c k G. Ha t c h 5 0 . 0 01 0 / 1 7 / 2 0 06 CK# 6 9 6 1 8 t h S t .

    De s Mo i n e s I A 5 0 3 1 4I D# Ro b e r t E . Da v i s 5 0 . 0 01 0/ 1 7 / 2 0 0 6 CK# 7 9 3 2 Ro c k l y n Dr .De s Mo i n e s , I A 5 0 3 2 2I D#

    J e a n Ha u g l a n d 1 0 0 . 0 01 0 / 1 7 / 2 0 0 6 CK# 6 7 5 0 S c h o o l S t . Un i t 1 4 0 2De s Mo i n e s , A 5 0 3 1 1I D# 6 0 8 0 I o wa P o l i t i c a l f o r Ca n di d a t e E l e c t i o n PAC # 6 0 8 0 2 5 0 . 0 01 0 / 1 8/ 2 0 06 CK# 4 2 1 1 Gr a n d A v e1 0 5 1 De s Mo i n e s , I A 5 0 3 1 2I D# Mi c h a e l G. Ga r t n e r 2 5 0 . 0 01 0/ 2 0 / 2 0 0 6 CK# 1 0 0 Ma r k e t S t L o f t 5 1 5De s Mo i n e s , I A 5 0 3 0 5I D# S c o t t Mc F a r l a n d 2 0 0 . 0 01 0 / 2 0 / 2 0 0 6 CK# PO Bo x 2 5 2 0 3Wes t De s Mo i n e s , I A 5 0 2 6 5I D# 6 3 1 4 L o c a l 4 F i r e PAC 5 0 . 0 01 0/ 2 4 / 2 0 0 6 CK# PO Bo x 1 8 2 15 2 8 De s Mo i n e s , I A 5 0 3 0 6I D# E s t h e r C . D a r n e l ! 2 0 . 0 01 0/ 2 4 / 2 0 0 6 CK# 9 2 2 P e r r y L a nd i n g Ct S i s t e r - I n - L a w

    An n a p ol i s , MD 2 1 4 0 1I D# T h om a s M. Gl e n n 5 0 . 0 01 0/ 2 4 / 2 0 0 6 CK# 4 2 5 0 NWI l t h S t .De s Mo i n e s , I A 5 0 3 1 3

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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 or mCONTRI BUTI ONS - - MONEY TAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI 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 )Ca l h o u n f o r S t a t e H o u s e

    Rese t F o

    STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE ) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I N THE DES I GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.NOTE : ANY PERSON, OTHER THAN AN I N D I V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n yc omme r c i a l p ur 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 es .

    SUB- TOTAL $ 6 7 5 . 0 0TOTAL ( i f l a s t page o f t h i s s c h e d u l e ) $ 1 7 9 5 . 0 0

    * D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p m u s t b e s h o wn t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y 2 2m a r r i a g e ) . 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 ff a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l eA )

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# Mi c h a e l G. Ga r t n e r $ 1 0 0 . 0 01 0 / 2 4 / 2 0 0 6 CK# 1 0 0 Ma r k e t S t L o f t 5 1 5De s Mo i n e s , I A 5 0 3 0 5I D# Th oma s R . L a Po i n t e 3 0 0 . 0 01 0 / 2 5 / 2 0 0 6 CK# 5 5 9 7 Mer ed i t h Dr Un i t B

    De s Mo i n e s I A 5 0 3 1 0I D# Ro b e r t F . B i s e n i u s 2 5 . 0 01 0 / 2 6 / 2 0 0 6 CK# 8 4 0 4 Bl a c k s t o n e CtJ o h n s t o n , I A 5 0 1 3 1I D#

    1 0 / 2 6 / 2 0 0 6 CK# Ad r i a n K u e n n e n2 6 1 5 Pr i n c et o n Rd Br o t h er - I n - L aw 5 0 . 0 0I o wa C i t y - 1 5 9 ? 4 5I D# Th oma s H . S k a d o w 1 0 0 . 0 01 0 / 2 8 / 2 0 06 CK# 1 1 7 7 1 NW3 8 t h S t .Po l k C i t y , I A 5 0 2 2 6I D# De b o r a h S . Hub b e l l 1 0 0 . 0 01 0 / 3 1 / 2 0 0 6 CK# 3 7 1 7 L i n c o l n P l a c e Dr .De s Mo i n e s , I A 5 0 3 1 2

    I D#CK#I D#CK#I D#CK#D#CK#

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    T HI S BOX APPL I ES T O CANDI DATES ' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e mi z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a Code 6 8 A . 4 0 2 ( 3 ) ( i ) . )

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

    FOR I NSTRUCT I ONS , SEE BACK OF FORM R e s e t F o r m SCHEDULEEXPENDI TURES B MONETARY- - MONEYSPENT FROM COMMI TT EE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TT EES : NOT E : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T T HE CANDI DATE I DE NT I F I CA T I O N NUMBER I N T HE DESI GNATED COLUMN AND T HE 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 T HE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARDCOMMI T T EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )C a l h o u n f o r S t a t e H o u s e

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

    I D# KL TI - FM R a d i o A d s1 0 / 1 9 / 2 0 0 6 CK#2 5 4 2 1 4 1 6 L o c u s t S t $ 1 9 9 4 . 9 5D e s Mo i n e s , I A 5 0 3 0 9I D# U . S P o s t ma s t e r c / o B i n d e r y 1 P o s t a g e & Ma i l i n g

    1 0 / 2 5 / 2 0 0 6 CK#254 3 1 6 3 1 E A u r o r a Av e 1 5 1 9 . 7 5D e s Mo i n e s , I A 5 0 3 1 3I D#CK#

    I D#CK#

    1 D#CK#

    1 D#CK#1 D#CK#1 D#CK#

    SUB- TOTAL $ 3 5 1 4 . 7 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 5 1 4 . 7 0

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    FOR I NSTRUCT I ONS , S EE BAC K OF FORMCOMMI TT EE NAME ( M u s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )Ca l h o u n f o r S t a t e H o u s eNOTE : D e b t s p r e v i o u s l y r e p o r t e d t h a t r e m a i n u n p a i d m u s t b e i n c l u d e d o n t h i sS c h e d u l e , a s w e l l a s a ny n ew o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .

    DEBTS I OBL I GAT I ONS REMAI NI NG THI S REPORT I NG PERI OD( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F )

    * I f a c t u a l f i g u r e i s u n k n o w n , s h o w " e s t i ma t e d " b e s i d e t h e f i g u r e .

    R e s e t F o n r n

    SCHEDULED I NCURRED( Re v . 0 8 / 9 8 ) I NDEBTEDNESS0 CHECK THI S BOXI F AMENDI NGFORM

    An " i n c u r r e d d e b t " i s a d e b t f o rg o o d s o r s e r v i c e s o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f w h e t h e r a n i n v o i c eh a s b e e n r e c e i v e d

    Page I o f I( f o r S c h e d u l e D )CANDI DATE COMMI TT EES NOTE :* I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e s e a c h p e r s o n / e n t i t y w i t h wh om t h e c a n d i d a t e ' s c o mmi t t e e h a s e n t e r e d i n t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u i n g p e r f o r m a n c e . E n t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e ms s u c h a s 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 ro r g a n i z i n g s e r v i c e s . R e p o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r ma n c e a n d t h e e s t i ma t e d p e r f o r m a n c e r e a s o n a b l y e x p e c t e d o f t h e c o n s u l t a n t

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