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ATURE OF PERSON FI L I NG REPORT

I AM F I L I N G q J u l y 1 5 = Oc t o b e r t 4 , 2 0 0 4( r e p o r t d a t e )

OCHECK I F AMENDMENT TO REPORT0C h e 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 de( 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

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 e

c o mm i t t e e . T h i s amo u n t MUST b e t h e s am e 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 mu s 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 . ) . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . $

`REPORTFOR ( 1 ) ELECTI ON / ( 2 ) NON - E L E CTI ON YEAR .I n d i c a t e b y #

L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y $ L o c a l C o mm 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 1 0 7 . 6 7ADD TOTAL MONEY TAKEN I N THI S PERI ODS c h e d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c 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 ) . . . . . . . . . 1 0 0 0 . 0 0S c h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0S c h e d u l e H : T o t a l S a l e s o f Ca mp a 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 ) . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . 0

t o Ca n d i d aSUB- TOTAL . . . . . $ 3 1 0 7 . 6 7

SUBTRACT TOTAL MONEY SPENT THI S PERI ODS c h e d u l e S : E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( ' * 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 ) . . . , 1350 ' . 00-S c h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , .

CASH ON HAND a t t h e a 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 tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1, 7 57 . 67 . . -

" UN PAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h S c h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . , . . . $* 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTAND I NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATECOMMI TTE ONES L Y :CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) a YES o NOVALUE 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 ) $

1 0 / 1 8 / 2 0 0 4 1 5 : 0 8 5 1 5 2 7 0 2 9 0 3 I OWA RETAI LFOR I NSTRUCTI ONS, SEE BACKOF FORM

DISCLOSURESUMMARYPAGE FORMDR- 2

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DI SCLOSURECOMMI TTEE NAME ( Mu 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 l g a n l z a t i o n ) ( R e v . 0 7 / 2 0 0 4 ) REPORTF o r 4 f f t c a Us eI OWA RETAI L POL I T I CAL ACTI ON COMMI TTEE 4Comm . #I MPORTANT: I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r L o g g e d I n( 1 ) S t a t e w l d e / L e g l 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 l a t e PAC ( 3 ) S t a t e p a r t y S c a n n e d( a ) C o u n t y C e n t r a l C o mm i t t e e ( 5 ) C o u n t y C a n d i d a t e ( B ) 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 r

P o l i t i c a l S u b d i v i s l o n C a n d i d a t e ( 6 ) 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 l C o mp u t e rS u b d l v l s l o n PAC ( 1 1 k c a l B a l l o t I s s u e A u d i t e dCAND I DATE COMMI TTEES ONLY:C a n d i d a t e N am e 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 ) L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i m i n a lO f f i c e S o u g h t D i s t r i c t ( i f Se n a t e o r H o u s e ) p e n a l t i e s .

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN 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 as on S t a t e me n t o f O r g a n i z a t l o n )I OWA RETAI L P OL I ' T ' I C A L ACT I ON COMMI TT EE

SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) I RECE I PTS0 CHECK T HI S BOX I FAMENDI NG FORMSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PA C CHECK NUMBER I N THE DES I GNATED COL UMN . A L I S T OF I D NUMBERS 1 3 A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 9 , 3 2 A ( 6 ) , I o wa C o d e , p r o h i b i t s t h e u s e o f I n f o r m a t i o n c o p i e d f r o m r e p o r t s an 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 l b u t l o n s o rf o r an y c omme r c i a l p u r p o s e b y an 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

k $ 1 0 0 0 0 . 0 00 0 . 0 0

TOTAL ( i f l e 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 m m i t t e e s t o d 1 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 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 w n t o t h e t h l 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 1ma 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 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 _ Off 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 )

DAT E PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELA T I ONSH I P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECE I V ED FUND-( MMI DD/ YR) AND PA C CHECK ( i f a p p l i c a b l e ) RA I S E RNUMBER I NCOMEI D# S e a r s P o l i t i c a l A c t i o n C o mm i t t e e0 9 / 0 8 / 0 4 3 3 3 3 B e v e r l y R o a d $ 1 , 0 0 0CK# Ho f man E s t a t e s , I L 6 0 1 7 9

CK#D#CK#

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THI 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 . )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 l 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 nSc h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e mad e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oSc h e d u l e G I n s t r u c t i o n s a n d I o wa Code 6 8A . 4 0 2 ( 3 ) ( I ) . )

( f o r S c h e d u l e t 3 )

FOR I NSTRUCTI ONS, SEE BACK OFFORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Rev . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I S T THE CANDI DATE I D ENT I F I CA T I O N NUMBER I N THE DESI GNATEDCOLUMN AND THE CHECK THI 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 & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f O r g a n l z a t l o n )I OWARETAI L POL I T I CALACTI ONCOMMI TTEE

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 PACCHECKNUMBER

1049 84 B e h n f o r Se n a t e Co n t r i b ut i o n t o f u n d r a i s e r0 7 / 2 8 / 0 4 CK#2010 1 3 1 3 Qu i l l Av e .o o n e , I o wa 50036 $ $ 1 5 0 . 0 0

I D~9 7 r i e n d s f o r Di x Co nt r i b ut i o n t o f u n d r a i s e r0 8/ 0 6 / 0 4 CK#2Oi l . 0 . Box 220h e l l Rock , I owa 5 06 70 $150 . 0 0

1 0#1521 n u n f o r I o wa Se n a t e Co n t r i b u t i o n t o f u n d r a i s e r0 8/ 1 2/ 0 4 1 2 3 Do u g l a s Av e . $ 2 5 0 . 0 0CK#2012 r b a n d a l e , I owa 5 0 322

I D#464 i b b i e f o r Se n a t e Co n t r i b u t i o n t o f u n d r a i s e r0 8/ 1 3/ 0 4 CK#2p13 . 0 . Box 19 0 $ 1 0 0 . 0 0t n me t s b ur g , I owa 50536

I D#728 C i t i z e n s t o E l e c t S a n d y Gr e i n e r Co n t r i b ut i o n t o f u n d r a i s e r0 8/ 1 7 / 0 4 CK#2014

10051: 1 9 2Ke o t a , I owa 52248 $100 . 0 0

I D~467 Sa nds f o r S t a t e H o u s e Co n t r i b ut i o n t o f u n d r a i s e r0 8/ 1 7 / 0 4 CK#ZO15 3 4 Or c h a r d L a n e $100 . 0 0o l u mb u s J u n c t i o n , I owa 52738

I D# 1 3 8 5 McCa r t h y f o r S t a t e Re p r e s e n t a t i v e C o n t r i b u t i o n , t o f u n d r a i s e r0 8/ 2 6 / 0 4 CK#2016 522 SE 3 1 s t Co u r tDe s Mo i n e s , I o wa 50320 $100 . 0 0

I D# 3 1 5 Wi s e Vo t e r s C o n t r i b u t i o n t o f u n d r a i s e r0 8/ 2 6 / 0 4 0 3 Gr a n d Av e . $ 100 . 0 0CK#2017 e o k u k , I o wa 52632

SUB- TOTAL $ .TOTAL ( I f l a s t p a g e o f t h i s s c h ed u l e ) $ 1, 05001

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :

I OWA RETAI L

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 a t i n g $ 5 0 0 o r mo 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 . )

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E x p e n d i t u r e s t o p e r s o n s l e n t l t l 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 m u 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 mmi 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 ) ( 1 ) . )

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

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT B MONETARY( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE . FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D ENT I F I CA T I O N NUMBER I N THE DESI GNATEDCOLUMN AND THE 1 3 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 BOARD .

COMMI TTEE NAME ( Mu 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 )LI OWA, RETAI L POL I T I CAL A . C T ' I O N COMMI TT EECANDI DATE NAME ANDADDRESS 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 l s b u r s e me n t ) WAS MADE( MMI DDI YR) AND PACCHECKNUMBER

I D # 9 3 1 I v e r s o n f o r S e n a t e C o n t r i b u t i o n t o f u n d r a i s e r0 9 / 1 3 / 0 4 3 0 2 0 b o w s Wi l l i a ms R o a d 2 0 0 . 0 0CK#2108 D o w s , I o w a 5 0 0 7 1 $

I D# V OI D1 0 / 1 2 / 0 4 C K # 2 0 1 9

I D # 1 0 8 8 o r b a c k f o r Ho u s e o f R e p r e s e n t a t i v e s C o n t r i b u t i o n t o f u n d r a i s e r1 0 / 1 2 / 0 4 014 Oa k l a n d Dr . $ 1 0 0 . 0 0CK#2020 a m a , I o w a 5 2 3 3 9I D # , r . .CK#

I D# a r %t ~ ~ w > 3 . . eCK# - ~~I D# ' 'CK# 9 rI D#CK#

I P#CK#

SUB- TOTAL $ 300 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ $ 1 , 3 5 0 . 0 0