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8/7/2019 Inman Steve__1637__scanned

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FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TT EE NAME ( Mu 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 )STEVE I NMAN FOR STATE REPRESENTATI VEI MPORTANT : I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :0( 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 PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S 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 ) Co u t ) f 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 l,S u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s i t e ^ , S J ~ ! ; ' : "

I AM F I L I N G A Oc t o b e r 1 9 , 2 0 0 6

Re s e t Fo r m

L a t e f e po f a r e 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 mi n a l p e n a l t i e s "- f t Wan t t o I o w a C o d e s e c t i o n 6 8 0 . 3 2 A ( 7 )t h e c a n d i d e , f o r a c a n d i d a t e ' s c o mm i t t , 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 mmi t t e e , i s t h ei n d i v i d u a l l , l s p o n s i b l e f o ~ l i r ~ g t i me l y a cc ur a t e r e p o r t s .

~c 7S- x / 3 27TUREOF PERSON F I L I N G REPORT TELEPHONE DAI GNEi b

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

MCHECK I F AMENDMENT TO REPORT DATEDC h e c k i f t h i s i s f i n a l ( t # I f n i n a t l o n ) m p a f l a n d i t t d 9 Was o f D i s s o l u t i o n F m t DR=3 :( Y o u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR - 3 i s f i l e d . )

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s amount MUST b e t h e same a s t h e c a s h o n h a n d a t t h e e n d

o f t h e l a s t r e p o r t i n g p e r i o d o r must 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nN o v e m b e r 7 , 2 0 0 6C o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l dPo l k

1 , 0 2 3 . 3 6ADDTOTAL MONEY TAKEN I N T HI S PERI ODS c 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 d u l e A) ( ` a l s o s e e i n - k i n d b e l o w) . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e F : L o a ns Re c e i v e d t o t a l ( A t t a c h Sc 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( S c h e du l e H a p p l i e s t o Ca n di d a t e s ' Co mmi t t e e s On l y )SUB - TOTAL . . . . . . . . . . . . . . . . . . . . . . . $ 3 , 0 48 . 3 6

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c he d u l e B ) ( " " ' a l s o s e e d e b t s an d l o a n s b e l o w ) . . . . . . . . . . . . . . . . . 1 , 6 3 4 . 6 3S c h e d u l e F : L o a n Repa y me n t s t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . 0 0

* " UNPAI D BI 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0" OUTS TANDI 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 ? ) - YESCANDI DATE COMMI TT EES 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 he d u l e H) $ 0 . 0 0STATE COMMI TT EES : S u b mi 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 .

FORMDR- 2 DI SCLOSURE( R e v . 1 2 1 2 0 0 5 ) REPORTFFWE-1 111 WSf 0Comm . #L o g g e d l a _ , 3 I VS c a n n e dCompu t e rA 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 " ' , S t e . 1 ADes Mo i n e s , I o w a 5 0 3 1 9F a x : 6 1 6 = 2 8 1 = 3 7 0 1

2 , 0 2 5 . 0 00 . 0 00 . 0 0

CASH ONHAND 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 mu s t 1 , 4 1 3 . 7 3b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

NO


2/8

F o r I n s t r u c t i o n s , 8 s s B a c k o f F o r 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 ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )STEVE I NMANFOR STATE REPRESENTATI VE

R e s e t F c ) f i n " i

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI 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 BOARDNOTE : ANY PERSON, OTHER THAN AN I N D I V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E S P O N S I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI 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 m me r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o 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 ym a r r i a g e ) . I f sumame o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n o P a g e o ff a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A )

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

DA PACNUMBER_I D N t i ~ ~ : i ~ : 1 - 9 7 7~ ~3 9 Ti 1 f i - R 7 1 c ~ 5 t a 7 ~ R EL A T I ON SH I P AMOUNT q I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( M M I D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D # S a m u e l P S h i n n $ 5 0 . 0 07 / 1 8 / 0 6 CK# 7 0 3 3 P a l m D r i v eDe s M o i n e s , I o w a 5 0 3 2 2I D # D o u g l a s M I n ma n $ 2 5 0 : 0 07 / 1 ~ / 0 ~ C I ( 1 1 ~ 3 9 2 4 4 3 r d S U V o t C o u s i nD M o i n e s I o w a 5 0 3 1 0I D # C h a r l e s S . I n ma n $ 5 0 . 0 07 / 2 2 / 0 6 CK# 3 2 6 6 3 " L " Av e . C o u s i nA d e l , I o w a 5 0 0 0 3I D # D i a n n e A . J o n e s $ 5 0 . 0 07 / 1 8 / 0 6 CK# 2 0 8 0 E L e l a n d Av eF 97 , 1 4 ," r s r r x a s r , 1 P I W II D # E u g e n e J S c h mi t t $ 2 5 . 0 07 / 1 8 / 0 6 CK# 1 3 4 5 NE 7 2 n d Av eA n k e n I o w a 5 0 0 2 3I Q #

Ma r g a m t A I n ma n $ 5 0 . 0 07 / 1 7 / 0 6 CK# 3 8 0 9 1 0 t h Av e N . , # 1 0 A u n tF o r t D o d g e , I o w a 5 0 5 0 1I D# R o s a l i e B a k e r $ 5 0 . 0 07 / 1 7 / 0 6 CK# 1 4 0 9 E 2 9 t h S t r e e tDe s M o i n e s , I o w a 5 0 3 1 77 / 1 9 / 0 6 J e f f H a n s e n $ 1 0 0 . 0 0 aCK# 6 2 1 5 SW3 r dDe s M o i n e s , I o w a 5 0 3 1 5I D# D e b o r a h S Wo o d $ 2 5 . 0 07 / 2 0 / 0 6 CK# 2 3 4 E . B u n d y Av e .D e s M o i n e s I o w a 5 0 3 1 5D f t

R i c h a r d C . B a r t h , J r $ 2 5 . 0 07 / 1 9 / 0 6 CK# 4 2 7 H a r t Av e .D e s Mo i n e s , I o w a 5 0 3 1 5


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F o r I n s t r u c t i o n s , Se e Ba c k o f Fo r 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 TT 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 )STEVE 1NMAN FORSTATE REPRESENTATI VE

R e s e t Fo r m

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 ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT I 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 DI V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR ES PO NS I B I L I T I E S AND SHOULD I MMEDI ATELYCONTACT THE BOARD .CAUTI 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 $ $ 2 6 0 . 0 0TOTAL ( f 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 w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h 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 2 3m a r r i a g e ) . I f sumame o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n o P a g e Of _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 )

SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS0 CHECK T H I S BOX I FAMENDI NG FORM

ATE PAC I D NUMBER NAME AN ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM / D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# D. El me r P h i l l i p s $ 2 5 , 0 07 / 2 8 / 0 6 CK# 1 0 1 0 Kr a mme D r i v e Un c l eF o r t D o d g e , I o wa 5 0 5 0 1I Q #

C l l t l ~ n ~ r ~ n ~ l a ~ $ 5 0 . 0 07 / 2 5 / 0 6 CK# 2 0 3W. R o g e r s S t .L a u r e l I o wa 5 01 41I D# De b o r a h A. Br a d we l l - Ha ml o w $1 5 . 0 07 / 2 5 / 0 6 CK# 1 3 1 7 S . 2 3 r d S t .F o r t Do d ge , I o wa 5 0 5 0 1I D # Loma Gu n d e r s o n $5 0 . 0 07 / 2 4 / 0 6 CK# 1 3 6 5 0N. F r o n t a g e Rd . SP . 1 2 8 7Yuma AZ 8 5 3 6 7I D# J e r r y P o l s o n , J r . $2 5 . 0 08 1 2 0 1 0 6 GK# 1 7 4 5 hwgNe11De i mo i n e i I OWA 5 0 3 1 5I DSJ o e S t o v a l l $ 1 5 . 0 08 / 2 0 / 0 6 CK# 1 3 0 1 Summi tMa r s h a l l t o w n I o wa 5 0 1 5 8I D# A l a n Ga d b u r y $ 1 0 . 0 08 / 2 0 / 0 6 CK# 5 2 9 N. Hi g h wa y S t .O t h o , I o wa 5 0 56 9I D# K e i t h Wi l l i a ms o n $ 3 0 . 0 08 / 2 0 / 0 6 CK# 1 4 2 0 2 n d S t r e e t NEB o n d u r a n t , I o wa 5 00 3 5I D# C h r i s H u r l @y $ 1 5 , 0 08 1 2 0 / 0 6 CK# 4 5 4 T y l e r Dr .P l e a s a n t H i l l , I o wa 5 03 27I D# Ga l e n R . K e s s l e r $ 2 5 . 0 08 / 2 0 / 0 6 CK# 4 6 2 1 Gr a n t C i r c l eP l e a s a n t H i l l , I o wa 5 0 3 2 7


4/8

Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r 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 TT 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 )STEVE I NMAN FOR STATE REPRESENTATI VE

R e s e t F o r m SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSQCHECK T H I S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURF ROARnNOTE : ANY PERSON, OTHER THAN AN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GNMAY HAVE F I L I N GR ES PO N S I B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI 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- TOTALTOTAL ( i f l o o t p e g@ o f t h i s g a h o l u l e )

' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o 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 3 3m a r r i a g e ) . I f s u r n a m e o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n o P a g e o f _f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESSOF CONTRI BUTOR R EL A T I ON SH I P ANL UNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MM / D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERN1JMRI r. O G l e n d a J B o l t o n $ 2 5 0 08 / 2 0 / 0 6 CK# 1 5 0 1 3 I l l i n o i s S tI n d i a n o l a , I o w a 5 0 1 2 5I D # M a r g a r e t A n n e I n ma n $ 2 5 . 0 09 / 1 7 / 0 6 CK# 2 8 0 9 1 0 t h Av e N . , A p t 1 0 A u n tF o r t D o d g e I o w a 5 5 0 1I D # K e i t h P u r d y $ 3 0 0 . 0 09 / 1 7 / 0 6 CK# 3 4 E . G r a y S tDe s Mo i n e s , I o w a 5 0 3 1 5I D #

C h a r l c f i S I n ma n $ 2 0 , 0 09 / 1 7 / 0 6 CKO 3 2 5 7 11 1 1 Av e C o u s i nA d e l , I o wa 5 0 0 0 3I D# Ma r y B e r t r a n d $ 2 0 . 0 09 / 1 7 / 0 6 CK# 7 1 2 EmmaD e s Mo i n e s I o w a 5 0 3 1 5I D#Loma G u n d e r s o n $ 1 0 0 . 0 09 / 1 7 / 0 6 CK# 1 3 6 5 0 N F r o n t a g e Rd . SP . 1 2 8 7Yuma AZ 8 5 3 6 7I D# P a u l a K. Br ow n $ 1 0 0 . 0 09 / 1 7 / 0 6 CK# 1 1 9 0 0 V i r g i n i a S tNew V i r g i n i a , I o w a 5 0 2 1 0i e # 8 4 4 2 T h Hawyo PAC, Mu l l Can d i l a w C o n u n i t w $ 2 5 0 . 0 09 / 1 7 / 0 6 CK# 3 4 0 0 Wo o d l a n d L n1 2 4 3 A l e x a n d r i a , VA 2 2 3 0 9I D# Ma r c e i n e M. L o v e n $ 2 5 0 . 0 01 0 / 8 / 0 6 CK# 2 2 7 0 L a S e n d a Dr A u n tL a s C r u c e s NM 8 8 0 1 1I D#

CK#


5/8

T HI S BOX APPL I ES TO 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 . )Ex n dWr e s t o r s o n s l e n t i t i e s _ r o y i d i _ . c o n s u l t i n g d y e r t i s i n , f u n d - r a i s i n g , R o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS o h e d u l 9 b y t a mo u n t , p u r p e a , a n d d o t @ o f @i a h t y p @ o f o x p @n d i t u f Q mad@b y t h e p o r e o n / e n t i t y a n Wh a l f o f t h e w i n d i d a t o ' s o o m mi t t @@, ( R @f @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 ) . )

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o r m SCHEDULEB MONETARYEXPENDI TURES - MONEY SPENT FROM COMMI T T EE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VE CHECK T H I S BOX I FCANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N T HE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T O I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e 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 )STEVE I NMAN FOR STATE REPRESENTAT I VE

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D # I o w a S e c r e t a r y o f S t a t e C o p y o f R e g i s t e r e d V o t e r s f r o m

7 / 2 6 / 0 6 L u c a s B u i l d i n g , F i r s t F l o o r 1 / 1 / 0 6 t o p r e s e n t $ 1 3 . 0 0CO1 0 2 6 D e s Mo i n e s , I o w a 5 0 3 1 9I D # P l e a s a n t H i l l P o s t o f f i c e P o s t a g e7 / 2 9 / 0 6 D e s Mo i n e s , I o w a 5 0 3 1 7 $ 5 4 . 6 0CK# 1 0 2 7I D # S t a p l e s I n k

7 / 2 9 / 0 6 3 5 0 0 8 t h S t r e e t SW $ 6 2 . 2 1CK# 1 0 2 8 A l t o o n a , I o w a 5 0 0 0 9I D# O f f i c e Ma x S t a p l e r8 / 3 / 0 6 GK# 2 7 0 0 I n g e r s o l l $ 4 . 0 71 0 2 9 D e Mo l n e a , I o w a 5 0 3 1 2I D # P r i n t s Copy Ce n t e r C o p y F l y e r s

8 / 3 / 0 6 3 7 2 5 E H u b b e l l $ 3 7 1 . 0 0CK# 1 0 3 0 D e s Mo i n e s , I o w a 5 0 3 1 7I D # Wa l g r e e n s C a mp a i g n T - S h i r t s

8 / 7 / 0 6 1 3 3 0 E U n i v e r s i t y $ 1 0 . 6 0CK# 1 0 3 1 De s Mo i n e s , I o w a 5 0 3 1 7I D # K - M a r t T r a n s f e r s f o r T - S h i r t s

8 / 7 / 0 6 2 5 3 5 H u b b e l l $ 1 0 . 5 9CK# 1 0 3 2 De s Mo i n e s , I o w a 5 0 3 1 7I DO E a s t De s M o i n e s P o s t Of f i c e P o s t a g e8 / 8 / 0 6 D e s Mo i n e s , I o w a 5 0 3 0 9 $ 7 9 . 8 0CK# 1 0 3 3

SUB- TOTAL $ 6 0 5 . 8 7TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $


6/8

T HI S BOX APPL I ES TO CANDI DATES ' COMMI TT EES ONL Y :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 ~ 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 , a d v e r t i s i , f u n d - r a i s i n g , ma n a g i n g ; o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o n~ h ~ Od l g 6b ~ 1 h ~ f R H R 1 ; . ~ H ~ 9 f 3 , RE ~ 1 0 # ~ i 1 y # ~ g Rd l l H f g f A ~ ~

p o l l i n g , F R / g R H 1 1 i R h 8 1 # # 1 H e A R E # I d # f 3 g f I f l j F H l l ~ ( ~ # ~ F l S c h e d u l e 0 I n s t r u c t i o n s i n s l o w s C o d e 8 8 A . 4 0 2 ( 3 ) ( 1 ) )

P a g e ? o f


FOR I NSTRUCT I ONS , SE EBACK OF FORM R e s e t F or m SCHEDULEMONETARYEXPENDI TURES B- - MONE Y SPENT FROM COMMI TT EE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI S LAT I V E CHECK T H I S SOX I FCANDI DATES, L I S T THE CANDI DATE I D ENT I F I CA T I O N NUMBER I N THE DESI GNATED COL UMN AND T HEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T o 1 1 5 NUMBERS I S AVAI LABLE FRSM THE i 6 WA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARDCOMMI TTE E NAME ( M u s t b e s a m e a s o n S t a t e me n t o f O n 7 a n i z a t i o n )

STEVE I NMA N F OR S T A T E R EP RESENTATI V ECANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD1YR) AND PAC

CHECKNUMBERI D # A n i t a I n m a n R e i m b u r s e me n t f o r P o s t a g e

8 / 1 4 / 0 6 CK# 4 2 3 1 E Wi l s o n $ 1 5 . 3 01 0 3 4 De s Mo i n e s , I o wa 5 0 3 1 7I D # O f f i c e Ma x Re b a t e R e v e r s e En t r y f o r Re f i md / Re b a t e

8 / 2 0 / 0 6 5 0 2 0 SE 1 4 t h S t r e e t P r i n t e r p u r c h a s e d 6 / 4 / 0 6 Ck . No 1 0 2 2 ( - $ 3 0 . 0 0 )CK # 1 0 2 2 De s Mo i n e s , I o wa 5 0 3 1 5I D # O f f i c e Ma x Po s t c a r d s &En v e l op e s

8 / 2 2 / 0 6 5 0 2 0 SE 1 4 t h S t r e e t $ 3 4 . 9 6CK # 1 0 3 5 De s Mo i n e s , I o wa 5 0 3 1 5I D # Ko c h Br o s . P o s t c a r d s &En v e l op e s

8 / 2 4 / 0 6 CK # 4 t h & Gr a n d $ 5 1 . 3 61 0 3 6 D e s Mo i n e s , I o w a 5 0 3 0 9I D # Of f i c e Max En v e l o p es

8 / 2 5 / 0 6 5 0 2 0 SE 1 4 t h S t r e e t $ 9 . 5 3CK # 1 0 3 7 De s Mo i n e s , I o wa 5 0 3 1 5I D # Ea s t De s Mo i n e s Po s t ma s t e r Po s t a g e

8 / 2 6 / 0 6 De s Mo i n e s , I o wa 5 0 3 0 9 $ 7 8 . 0 0CK # 1 0 3 8I D# Wa l g r e e n s Ca mp a i g n T - S h i r t s

8 / 3 1 / 0 6 1 3 3 0 E . U n i v e r s i t y $ 1 2 . 6 8CK # 1 0 3 9 De s Mo i n e s , I o wa 5 0 3 1 7I DO S a m' s C l u b C a n d y f o r L a b o r Da y P a r a d e8 / 3 1 / 0 6 De s Mo i n e s , I o wa $ 3 1 . 4 2CK # 1 0 4 0



7/8

T H I S BOX A PP L I E S TO C A ND I D A T E S ' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a m p a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r m o r e m u 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 , m a n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a m o u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e m a d e b y t h e p e r s o n / 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 m m i t t e e ( R e f e r t of t h @ d l a l l 3 0 I r l t l t f l l l i R 5 a n d wa 6 @ 9 @ 6 1 A A $ ( l ) ( I l a

P a g e 3 o f


FOR I N STRUCT I ONS , SEE BACK OF FORM R e s e t Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v 0 7 / 0 3 ) E X P EN DI T U R E S

S T A T E PAC COMMI T TEES N O T E F OR C ON T R I B U T I ON S MADE TO S T A T E WI D E OR L E GI S L AT I V EC A ND I D AT E S , L I S T T H E C A ND I D A T E I DE NT I F I CA T I ON NUMBER I N T H E D ES I G N AT E D COLUMN AND T H E CHECK T H I S BOX I FP A C CHECK NUMBER FOR E A C H E X P E ND I T U R E A L I B T OF I D NUMBER@ 1 6 A V A I L A B L E FROM T H E I O WA AMENDI NG FORME T HI C S & C A MP A I G N D I S C L OS U R E B O A R DCOMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )STEVE 1NMAN FOR S TATE REPRESENTAT I V EC A ND I D AT E NAME AND ADDRESS T O WHOM PURPOSE AMOUNTDATE I D NUMBER E X P E ND I T U R E ( D ES CR I B E T R A N S A CT I O N) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM / D DN R ) AND PACCHECKNUMBER

I D # S t a p l e s T r a n s f e r s f o r T - S h i r t s9 / 1 1 0 6 C I ( O 1o 1 3 5 9 0 8 t 1 1 S t MO SW $ 6 3 , 5 6A l t o o n a , I o w a 5 0 0 0 9

I D # Ho b b y L o b b y P a r a d e S u p p l i e s9 / 1 / 0 6 CK# 1 0 4 2 A r my P o s t R o a d $ 2 2 . 1 9De s Mo i n e s , I o w a 5 0 3 1 5I D # M e n a r d s L a t h f o r S i g n s9 / 1 / 0 6 6 0 0 0 SE 1 4 t h S t r e e t $ 7 . 9 5CK# 1 0 4 3 D e s Mo i n e s , I o w a 5 0 3 1 5I D # S t e v e I n m a n R e i m b u r s e m e n t f o r s u p p l i e s o f P a r a d e9 / 2 / 0 6 CK#1044 4 2 3 1 E Wi l s o n $ 1 4 . 9 6De s Mo i n e s , I o w a 5 0 3 1 7

S a m ' s C l u b F o o d f o r f u n d r a i s e r l u n c h9 / 1 1 / 0 6 CK# De s Mo i n e s , I o w a $ 1 0 8 . 3 51 0 4 5I D # Wa l m a r t S u p p l i e s f o r f u n d r a i s e r

9 / 1 1 / 0 6 CK#1046 8 t h S t r e e t $ 3 3 . 4 1De s Mo i n e s , I o w aI D # Do l l a r T r e e S u p p l i e s f o r f u n d r a i s e r9 / 1 1 / 0 6 CK# 2 8 t h & E u c l i d $ 2 3 . 0 21 0 4 7 D e s Mo i n e s , I o w aI D # Of f i c e Ma x g o n e r9 / 1 1 / 0 6 5 0 2 0 SE 1 4 t h S f f e e t $ 8 6 . 3 3CK# 1 0 4 8 De s Mo i n e s , I o w a 5 0 3 1 5



8/8

T HI S BOX APPL I ES TO 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 me 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 f 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 ) . ) 4Page _ o f 4


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 TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DE NT I F I CA T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS 8 CAMPAI GN DI SCLOSURE BOARDCOMMI TT EE NAME ( My @( b a l a ma a s o n S t a t o ma n t o f t a n i a t i o n )STEVE I NMAN FOR STATE REPRESENTATI VE

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

I D# De e A l e x a n d e r R e n t a l o f H a l l f o r F u n d R a i s e r9 / 1 2 / 0 6 CK# 1 0 4 9 1 4 5 Wi l l o w R i d g e $ 5 0 . 0 0A l t o o n a , I o w a 5 0 0 0 9I DO W l f l f n a f t l e e9 / 1 2 / 0 6 CK# S t o r e # 2 7 6 4 , 8 t h S t r e e t SW $ 3 . 4 81 0 5 0 A l t o o n a , I o w a 5 0 0 0 9I D# V i c t o r y S t o r e Y a r d S i g n s9 / 2 0 / 0 6 $ 3 2 6 . 1 5CK# 1 0 5 1I D# S t e v e I n m a n R e i mb u r s e me n t f o r M e n a r d s r e c e i p t1 0 / 1 3 / 0 6 4 2 3 1 E Wi l s o n f o r p u r c h a s e o f s u p p l i e s f o r wood y a r d $ 5 7 . 2 0CK# 1 0 5 2 D e s Mo i n e s , I o w a 5 0 3 1 7 s i g n sI D# S t e v e I n m a n R e i mb u r s e me n t f o r O f f i c e Ma x r e c e i p t

1 0 / 1 3 / 0 6 4 2 3 1 L Wi l s o n f o r T o n e r $ 1 9 , 0 7c K# 1 0 5 3 D e s Mo i n e s , I o w a 5 0 3 1 7I D# P e n n i e B l a n d R e i mb u r s e me n t f o r F a i r g r o u n d

1 0 / 1 3 / 0 6 4 6 8 SE 2 9 t h S t r e e t H a r d w a r e r e c e i p t f o r s u p p l i e s f o r s i g n s $ 9 . 8 4CK# 1 0 5 4 De s Mo i n e s , I o w a 5 0 3 1 7I D#CK#I D#CK#

SUB- TOTAL $ 4 6 5 . 7 4TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) $ 1 , 6 3 4 . 6 3

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