iowa state building and construction trades council 6085scanned

8/7/2019 Iowa State Building and Construction Trades Council __6085__scanned

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DI SCLOSURE SUMMARY PAGE

COMMI TTEE 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 )

Bu i l d i n g & Cons t r u c t i o n T r gUPC ( ' - - - - - " n ' " " =Commi t t e e # 1 6 0 8 5I MPORTANT : I n d i c a t e 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 : a

( r e p o r t d a t e )

OCHECK I F AMENDMENT TOREPORT DATED

( t ) S t a t e w i d e / L e g i s l a t i v e Ca n di d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l Ca n di d a t e

( 5 ) C my PAC ( 6 ) B a l l o tI s s u e / F r a n c h i s e

Co mmi t t e e (7 ) C o u n t y / C i t y C e n t r a l Co mmi t t e e

( 8 S u S l a t e o f Ca n d i d a t e s j

r L . , 4 4 1(gp ' - ,/ ( 5 15 L 96 7- 3 315 0 7/ 1 9 / 0 5

SI GNr URE OF EASURER ( o r p e r s o n f i l i n f t h i s r e p o r t ) TELEPHONE

Ro ut i n e P e n a l t i e s l ~ u e F o r L a t e F i l e d Re po r t s R a n g e f r o m $ 2 0 t o $ 8 0 0

SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE FOLLOWI NGSENTENCE :

I AM F I L I N G A J u l y 1 9 , 2 0 0 5 REPORT FOR ANNA ( 1 ) ELECTI ON / ( 2 ) NON- ELECTI ON YEAR .

F 1 C 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 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 Fo r m 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 N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HAND

I n d i c a t e o n e

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 h i s i s t h e t o t a l

o f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s amoun 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 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 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 0 , 2 8 6 . 4 4

ADD TOTAL MONEY TAKEN I N THI S PERI OD

Sc h e d u l e A : C a 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 Sc h e d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sc 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sc 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L Sc h e d u l e H a p p l i e s t o C a n d i d a t e s ' Comm i t t e e s O n l y )

SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI OD

Sc 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 h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 0 0 f ) - 1 0 0

Sc h e d u l e F : L oa 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 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 tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _ _ - _ _ _ _ _ _ - 1 9 . ,. 4 2 7 - 7 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 S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S

I N K I ND CONTRI BUTI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

OUTSTANDI NGLOANS ( 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CANDI DATE COMMI TTEES ONLY :

CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )

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 ) S

FORM

DR - 2 I DI SCLOSURE

( R e v . 0 1 / 9 8 ) REPORT

F o r O f f i c e Us e O n l y

Comm n -

I n d e x e d

Au d i t e d

Co mp u t e r

DATE SI GNED

L o c a l Co 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 n

C o u n t y 8 L o c a l Co 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

1 4 , 1 4 1 . 2 6

2 4 , 4 27 . 7 0

YES NO



F o r I n s t r u c t i o n s , Se e B a c k o f Fo r m

CONTRI 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 er s o na l f u n ds )

COMMI 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 )

I o wa St a t e Bu i l d i n g & Co ns t r u c t i o n Tr a d e s Co u nc i l

- P o l i t i c a l Er l n r a t i n n Cnmmi t t p e # 6 0 8 5

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T ICAL ACTI ON COMMI TTEE) . L I ST THE PAC I DENTI FI CATI ON

NUMBER ANDTHE PACCHECK NUMBER I N THE DESI GNATED COLUMN. A L I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GN

DI SCLOSURE BOARD.

CAUTI ON : S e c t i o n 66 8 . 3 2 A( 6 ) , I o wa Co de , 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 a n d s t a t e me 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 y c o mme r c i a l p u r p o s e b y a ny p er 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 ommi t t e e s .

SUB- TOTAL

TOTAL ( i f l a s t p a g e o f t h i ss c h e d ul e )

$3 . 0 4 2 . 3 6

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 m m i t t e e . R e l a t l o n s n i p mu s t b e s h own 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

ma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . 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 Pa g e 1 o f 4 _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 n e a u l e a l

SCHEDULE

A MONETARY

( R e v . 0 6 t 9 7 ) RECEI PTS

I 0 I CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

0 1 / 1 8 / 0 5I D # Ce d a r Ra p i d s Bu i l d i n g Tr a d e s

1 8 3 9 = 1 6 t h Av e . SW $ 5 4 6 . 0 0CK#

Ced a r Ra p i d s , I o wa 5 2 4 0 4

0 1 / 1 8 / 0 5 I D # So u t h Ce n t r a l I o wa Bl d g . Tr a d e s

1 1 6 N Gr e e n S t r e e t 8 4 . 8 4

CK# Ot t umwa , I o wa 5 2 5 0 1

0 1 / 1 8 / 0 5 I D * Wa t e r l o o Bu i l d i n g Tr a d e s

CK# 1 6 9 5 Bu r t o n Av e 5 3 5 . 6 6

Wa t e r l o o , I o wa 5 0 7 0 3

0 1 / 1 8 / 0 5I D #

Tr i - Ci t y Bu i l d i n g Tr a d e s

CK# 4 6 0 2 - 4 6 t h Av e 2 3 0 . 8 6

Rock I s l a n d , I L 6 1 2 0 1

0 1 / 2 4 / 0 5I D #

Ca s h c on t r i b u t i o n o f $ 2 5 . 0 0 o r

CK# l e s s 1 , 4 9 5 . 0 0

0 1 / 2 4 / 0 5I D #

I r o n Wo r k e r s , L o c a l 6 7 PAC

CK# 1 6 0 1 E . A u r o r a Av e . 5 0 . 0 0De s Mo i n e s , I o wa 5 0 3 1 3

0 1 / 2 4 / 0 5 I D # J e r r y L . Addy

CK# 1 1 0 - 1 0t h Av e NW 2 5 . 0 0

Al t o on a , I o wa 5 0 0 0 9

0 1 / 2 4 / 0 5I D #

Ke n ne t h Mass

CK# 3 1 8 P r o s p e c t Av e . 2 5 . 0 0

Wa t e r l o o , I o wa 5 0 7 0 3

I D #0 1 / 2 4 / 0 5 Ri t c h i e K ur t e n b ac h

CK# P . O . B o z 6 4 3 2 5 . 0 0

Wa t e r l o o I o wa 5 0 7 0 4

0 1 / 2 4 / 0 5 I D # Bob Rowe

CK# 2 2 0 1 0 Av e NW 2 5 . 0 0

Ceda r Ra i d s I owa 5 2 4 0 6




CONTRI 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 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 )

I o wa St a t e Bu i l d i n g & Co n s t r u c t i o n Tr a de s Co u nc i l

Po l i t i c a l Ed uc a t i o n Co mm- i t t e p # 6 0 8 5

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T ICAL ACTI ON COMMI TTEE) . L I ST THE PAC I DENT I F I CATI ON

NUMBER ANDTHE PAC CHECK NUMBER 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 ANDCAMPAI GN

DI SCLOSURE BOARD.

CAUTI ON : Se c t i o n 688 . 3 2 A( 6 ) , I o wa Code , 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 op i e d f r o m r e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n g c ont r i b ut i on s o r

f o r any c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h an 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 )

1 $ 3 ~ 4 0 4 - I f i

D i s c l o s u r e l a w r e q u i r e s c a nd i d at 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 e

c ommi t t e e R e l a t i o n s n i p must b e s h ow 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 nd a f f i n i t y ( r e l a t i v e s o y

ma r r i a g e) ( Se e Page 2 o f f o r ms p a c k e t . ) . 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 same a s c a nd i d a t e b u t t h e r e i s no Pa g e2

o f4

f a mi l i a l r e l a t i o n s h i p a n t e r " n o t a pp 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 umn . ( f o r S c n e ou l e a l

SCHEDULE

A MONETARY

( R e v . 0 6 t 9 7 ) RECEI PTS

Q CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

0 1 / 2 4 / 0 5I D #

Sc o t t Smi t y$CK# 5 0 1 2 = 1 1 0 t h St r e e t NE 2 5 . 0 0

So l o n , I o wa 5 2 3 3 3

0 1 / 2 4 / 0 5I D #

J a c k i e Go o d

CK# 1 3 2 8 Bi s h o p Av e . 2 5 . 0 0

Wa t e r l o o I o wa 5 0 7 0 7

0 1 / 2 4 / 0 5I N

Pa t r i c k Hu g h es

CK# 3 3 1 9 Ea g l e Av e . NW 2 5 . 0 0

Ox f o r d I o wa 5 2 3 2 2I N

0 1 / 2 4 / 0 5 Pa t r i c k Do r r i a nCK# 2 8 3 3 E . 3 5 t h 2 5 . 0 0

XT- TV OTT. ' 1 1 1 1 1 1 1 1 1 1 i 0 l 317

0 1 / 2 4 / 0 5I D #

Mo n t i e Sh e l l

CK# 6 4 4 - 1 56 t h Av e . 2 5 . 0 0

No w Bo s t o n I L 6 1 2 7 2

0 1 / 2 4 / 0 5I D #

Wi l l i a m Bi e d e

CK# 2 1 0 9 Av e A 2 5 . 0 0Co u n c i l B l u f f s I o wa 5 7 5 0 1

0 1 / 3 1 / 0 5I D #

Ce n t r a l I o wa Bl d g . Tr a d e s

CK# P . O . Bo x 7 3 10 1 , 9 76 . 8 0De s Mo i n e s , I o wa 5 0 3 0 9

0 1 / 3 1 / 0 5I D #

Oma h a Bu i l d i n g Tr a d e s

CK# 1 4 5 1 5 I n d u s t r i a l Road 1 8 2 . 2 8Omaha, NE 6 8 1 4 4

0 1 / 3 1 / 0 5I D #

Tr i - Ci t y Bu i l d i n g Tr a d e s2 3 0 . 8 6CK# 4 6 0 2 - 4 6t h Av e .

Roc k I s l a n d I L 6 1 2 0 1

0 1 / 3 1 / 0 5 I D # Ceda r Ra p i d s Bu i l d i n g Tr a d e s

CK# 1 8 3 9 - 1 6t h Av e . SW 8 6 4 . 2




CONTRI 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 same 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 )

I o wa St a t e Bu i l d i n g & Co n s t r u c t i o n Tr a d e s Co u n c i lPi n l i t i r ` a l Edu c at i o n Commi t t ee # 6 ( 1 9 5

SCHEDULE

A MONETARY

( R e v . 0 6 / 9 7 ) RECEI PTS

CHECK T HI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I S T THE PAC I D ENT I F I CATI ON

NUMBER ANDTHE PACCHECK NUMBER 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 ANDCAMPAI GN

DI SCLOSURE BOARD_

CAUTI ON : Se c t i o n 686 . 3 2 A( 6 ) , I o wa Code . p r o h i b i t s t h e us e o f i n f o r ma t i o n c op i e d f r o m r e p o r t s a nd s t a t e me nt s f o r s o l i c i t i n g c on t r i bu t i on s o r

f o r any c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h an 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 ed u l e ) l $

$ 4 , 6 97 . 5 6

D i s c l o s u r e l a w r e q u i r e s c a nd i d at e c ommi 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 L i b u t i c n t o t h e

c o mmi t t e e R e l a t i o n s h i p mus t be s h o w n t o t h e t h u 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 4ma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) 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 nd i d a t e . b u t ! h e r e i s no 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 umn . ( f o r Sc . ^ . e a u l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

I D#So u t h Ea s t I o wa - Bu i l d i n g Tr a d e s $

CK# 1 6 4 5 2 - Hi g h wa y 3 4 52 1 . 6 0

, - - :_I D #

_ _

Tr a d e sNo r t h we s t I owa Bu i l d i n g

CK# 3 2 1 - 5 t h St r e et 3 4 7 . 2 0

Si o u x Ci t y , I owa 5 1 1 0 1

0 3 / 1 5/ 0 5I D#


CK# 4 6 0 2 - 4 6 t h Av e 2 3 0 . 8 6

Rock I s l a nd , I L 6 1 2 0 1

0 4 / 0 5/ 0 5I D#


CK# 4 6 0 2 - 4 6 t h Av e . 2 3 0 . 8 6

Rock I s l a nd , I L 6 1 2 0 1

0 5/ 1 3 / 0 5 I D* Tr e - Ci t y Bu i l d i n g Tr a d e s

CK# 4 6 0 2 - 4 6 t h Av e . 2 3 0 . 8 6Rock I s l a n d Av e .

0 5/ 1 3 / 0 5 I D# Oma h a Bu i l d i n g Tr a d e s

CK# 1 4 5 1 5 I n d u s t r i a l Road 1 8 7 . 7 4Omaha, NE 6 8 1 4 4

0 5/ 1 3 / 0 5I D#

Ceda r Ra p i d s Bu i l d i n g Tr a d e s

CK#1 8 3 9 - 1 6 t h Av e . SW 3 6 1 . 4 8

Ceda r Ra p i d s , I owa 5 2 4 0 4

0 6 / 2 1 / 0 5I D #

D u b u q u e Bu i l d i n g Tr a d e s

CK# 1 9 5 Ea s t 1 4 t h St r e et 4 4 3 . 0 0

Du b u q u e , I owa 5 2 0 0 1

0 6 / 2 1 / 0 5 I D#Wa t e r l o o Bu i l d i n g Tr a d e s

CK#1 6 9 5 Bu r t o n Av e 1 45 . 32

ID#0 6 / 2 1 / 0 5 Ce n t r a l I o wa Bu i l d i n g Tr a d e sCK# P . O . Bo x 7 3 10 1 , 9 98 . 6 4

De s Mo i n e s . - I o wa 0 1 6 1 0 1



Fo r I n s t r u c t i o n s , Se e Back o f Fo r m

CONTRI BUTI ONS - MONEYTAKEN I N( I n c l u d i n g c a nd i d a t e ' s p e r s o n al f u n d s )

COMMI TTEENAME ( Mu s t be same a s o n St a t e me n t o f Or g a n i z a t i o n )

I o wa St a t e Bu i l d i n g & Co n s t r u c t i o n T r a d e s Co u n c i lPo l i t i c a l Ed uc at i o n Co mmi t t e e # 6 0 8 5

STATECANDI DATES NOTE: I F ACONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I S T THE PAC I DENT I F I CATI ON

NUMBER AND THEPAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GN

DI SCL OSURE BOARD

CAUTI ON : Se c t i o n 686 . 3 2 A( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r mat i o n c op i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c on t r i b ut i o ns o r

f 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 an 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 page o f t h i s

s c he d ul e )

' D i s c l o s u r e l a w r e q u i r e s c an 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 an y r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h e

c ommi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e gr 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 ) an d a f f i n i t y ( r e l a t i v e s o y

ma r r i a g e) ( Se e Page 2 o f f o r ms p ac ke t . ) . 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 an d i d at e b u t ! h e r e i s n o

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 ot a pp 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 umn .Pag e 4

o f4

( f o r Sc n e d ul e A )

SCHEDUL E

A MONETARY

( Re v 0 6 1 9 7 ) RECEI PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F F

RECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUND

( MM/ DD1YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

0 7 / 15 / 0 95 I D* Tr i - Ci t y Bu i l d i n g T r a d e s

CK#4 6 0 2 7 4 6 t h Av e . $ 5 9 3 . 6 4

Rock I s l an d, I o wa 6 1 2 0 1

0 9 / 15 / 0 5 I D # Ce da r Ra p i d s Bu i l d i n g T r a de s

1 8 3 9 - 16 t h Av e . SW 8 6 6 . 7 0CK#

Ceda r Ra p i d s , I o wa 5 2 4 0 4

0 7 / 15 / 0 5 I D# Ce n t r a l I o wa Bu i l d i n g T r a de s

CK#P . O . Bo g 7 3 1 0 1 , 5 3 6 . 8 4

De s Mo i n e s , I o wa 5 0 3 0 9

I D#

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FOR I NSTRUCTI ONS, SEEBACK OF FORM

EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI S LAT I VE

CANDI DATES, L I S T THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA

ETHI CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDULE

B MONETARY

( R e v - 0 9 / 9 7 ) EXPENDI TURES

QCHECK T HI S BOX I F

AMENDI NG FORM

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

Pu 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 S5 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 Sc 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 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

Sc 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 mad e b y t h e p e r s o n l e n ; 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 o

Sc 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 Cod e 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e o f

( f o r Sc h e d u l e B )

COMMI TT EE 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 )

I o wa St a t e Bu i l d i n g &Co n s t r u c t i o n T r a d e s Co u n c i lPo l i t i c a l ' . r n i lCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( 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 PACCHECK

NUMBER

0 2 / 2 1 / 0 5D# I o wa De mo c r a t i c Pa r t y

5 6 6 1 Fl e u r Dr i v eCK# 8 0 4 De s Mo i n e s , I o wa 5 0 3 2 1 $ 5 , 0 0 0 , 0 0

I D #

CK#

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D#

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1 D #

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CK#

SUB- TOTAL $5 , 0 0 0 . 0 0

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 ) $10 11W1 1 1 1 1

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