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J AN- 1 9 - 2 0 0 5 15 : 1 4CHAMBER OF COMMERCECOMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t of Or g an i z a t i o n)De s Mo i n e s Coun t y J o b a n d B u s i n e s s O p p o r t u n i t y P o l i t i c a l A c t i o n c o mmi t t e eI 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 a p o r t n g f o r :( 1 S t a t e w i d e / L e g i s l a t l 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 ) f 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 y C a n d i d a t e ( 8 ) 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 ) 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 PAC

FOR I NSTRUCT I ONS , SEE BACK OF FORMDI SCL OSURE SUMMARY PAGE

I AM F I L I N G A( r e p o r t d a t e )

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ST ATEMENT 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 mm i t t e e . T h i s amou nt 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 en 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 m u 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

1 3 1 9 7 5 2 6 4 5 4P . 0 2FORMDR- 2 DI SCLOSURE( R e v . 0 7 / 2 0 0 4 ) IREPORT

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- - Z X x ' s - 117e j CS~DATE SI GNEDREPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON - ELECT I ON YEAR_

I n d i c a t e b y #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 nC 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 d

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J AN- 1 9 - 2 0 0 5 15 : 1 4CHAMBER OF COMMERCE1 3 1 9 7 5 2 6 4 5 4P . 0 3F o r I n s t r u c t i o n s , Se e Ba 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 TT EE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )De s Mo i n e s Co un t y J o b a n d B u s i n e s s Op p or t u n i t y P o l i t i c a l A c t i o n Commi t t e e

SCHEDULEA( Re v . 0 7 / 0 3 )

MONETARYRECEI PTS

CHECK THI S 9 0 X I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA S T A T E PAC ( P OL I T I C AL AC T I O N C OMMI T T E E ) , L I ST T H EPAC I D E N T I F I C A T I O NNUMBER AND THE PAC 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 THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a 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 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 rf o r a n y c 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 mm i t t e e s ,

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI V ED FUND-( MM/ DDI YR) 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 Br o uwe r1 0 / 1 5 / 2 0 0 4 4 22 Wa s h i n g t o n Road $100 . 0 ( 1CK# Wes t B u r l i n g t o n , I A 5 26 55I D# Co n n i e D. Re y n o l d s

0 / 1 5 20 0 4 CK9 2 8 2 0 L e s y l v i a S t r e e t 8 0 . 0 0B u r l i n g t o n T ow n 5 2 6 0 1I D f f Don He n r y

1 0 / 1 5 / 2 0 0 4 CK# 1 71 1Ma d i s o n A v e n u e 100 . 0 0B u r l i n g t o n , l A 5 2 6 0 1I D# Ma r k Ri c h a r d s o n1 0 / 2 5 / 2 0 0 4 CK# 2700 Loc hmoor L a n e 1 0 0 . 0 0Bu r l i n g t o n I o wa 5 2 6 0 1I D# Thomas Gr e e n e

1 0 / 2 8 / 2 0 0 4 CK# 5763 Ha r t ma n Road 50 . 0 0B u r l i n g t o n , I o wa 52601I D# J i m O l s o n

1 0 / 2 5 / 2 0 0 4 CK# 8 2 9 Ea s y S t r e e t 1 0 0 _ 0 0

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J AN- 1 9 - 2 0 0 5 15 : 1 5CHAMBER OF COMMERCE1 3 1 9 7 5 2 6 4 5 4P . 0 4Fo 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 a s o n S t a t eme n t o f O r g a n i z a t i o n )De s Mo i n e s Co u n t y J o b an d B u s i n e s s O p p o r t u n i t y P o l i t i c a l Ac t i o n Commi t t e e

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA S T A T E PAC ( P O L I T I C A L ACTI ON C O MMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECKNUMBERI N THE DES I GNATED COL UMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a 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 i b u t i o n s o rf o r an y c o mme 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 mm i t t e e s .

SCHEDULEA MONETARY( R e v . 0 7 1 0 3 ) RECEI PTS

CHECKTHI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND 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-( MMI DD/ YR) AND PAC CHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# C h a r l e s E . Wa l s h

1 1 / 5 / 2 0 0 4 1619 Ri v e r $ 1 0 0 . 0 0CK# B u r l i n g t o n , I A 52601I D# Dave Wa l k e r

1 1/ 1 2/ 2 00 4 CK# 7 0 8 T e r r a c e Dr i v e 1 0 0 . 0 0B u r l i n g t o n , TA 5 2 6 0 11 0 #

CK#I D#CK#I D#CK#I D#CK# L M

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JAN-19-2005 15 : 15CHAMBER OF COMMERCE 1 319 752 6454 P . 05FOR I NSTRUCT I ONS , SEE BACK OF FORM SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 1 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE . , FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I G A T I O N NUMBER I N THE DESI GNATED COLUMN AND T HE CHECKTHI S BOX I FPAC CHECK NUMBERFOR EACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI T T EE NAME ( Mu s t b e s ame a s a n S t a t e me n t o f Or g a n i z a t i o n )De s Mo i n e s Co u n t y J o b Op o r r u n i t y a n d B u s i n e s s Op p o r t u n i t y P o l i t i c a l A c t i o n Co mmi t t e e

CANDI DATE NAMEANDADOnSS 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( MMI DDI YR) ANDPACCHECKNUMBER

I D# Co mmi t t e e t o E l e c t Bo b . B e c k Camp a i g n c o n t r i b u t i o n1 0 / 1 5 / 2 0 0 4 1 9 3 7 1 R o o s e v e l t S t r e e t 2 5 0 . 0 0CK# 1 0 0 1 a n v i l l e , I o wa 5 2 6 2 3 $

1 D# a v i d Mi l l e r f o r Su p e r v i s o r Campa i g n c o n t r i b u t i o n1 0 / 1 5 / 2 0 0 4

CK # 1 0 0 2. 0 . Bo x 7 7 1 2 5 0 , 0 0u r l i n g t o n , I o wa 5 2 6 0 1

I D# u r l i n g t o n H aw k e y e A d v e r t i s i n g1 0 / 2 9 / 2 0 0 4 . 0 . Bo x 1 0 92 7 . 0 0CK#1003 u r l i n g t o n , I o wa 5 2 6 0 1

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

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FOR I N S T R UC T I O NS , SEE HACK OF FORMCOMMI TTEE NAME( Mus 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 e l l o n )De s Mo i n e s C ou n t y J o b O p o r t u n i t y a n d B u s i n e s s Op p or t u ni t y P o l i t i c a l A c t i o n Comr

NOTE : T h i s s c h e d u l e r e p o r t s mone y l o we d t o t h e c o mm i t t e e w h i c h i s d e p o s i t e d i n t h e c o mm i t t e e a c c o u n tTOTAL UNPA I D LOANS FROM LAST REPORTI NG PERI OD $PART - MONETARY LOANS RECEI VED T HI S REPORTI NG PERI OD( O r i g l n a i s o u r c e o f l o a n , s u c h a s a b a n k , mus t b e s f r o w n i f a t h i r d p a r t y i si n v o l v e d I n c l u d e l o a n s f r o m c a n d t d a t e ' s p wwn a l f i n d s , )

TOTAL ( PART 1 )

$350 . 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 t a 0 v ema k i n g a o o n l r i b u b a 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 m u s t b e sh own t o t h e t h i r d d e g r e e o fc o n s a ng u i n i t y ( b l o o d r e l a t i v e s ) a r r 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 ) I f s u r n a me o f c o n t r i b u t o r i st h e s a m e a s c a n d i d a t a , b u t t h e r e s n o f a r r d 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 er e l a t i o n s h i p c o l u mn wh e n I t a p p l i e s .

PART I t - MONETARY LOAN REPAYMENTSMADE T HI S REPORTI NG PERI OD( L o a n s f o r g i v e n m u s t b e r e p o r t e d o u r Sc t : a d u i eE - i n - k i n d C o n Wb u t t a n s , )

TOTAL CASH REPAYMENTS ( PART i l )F r o m S c h e d u l e E - TOT A L LOANS FORGI VEN

$

TOTAL OUTSTANDI NG LOANS ENDOF REPORT PERI OD

$ 0

$ 3 5 0 . 0 0

P a g e 1

o f

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

SCHEDULEF LOANS( R e v 0 7 1 0 3 ) RECEI VEDt i REPAI D

CHECK T HI S BOX I FAMENDI NG FORD)

DATERECE i 1 1EDMMI DDf YRNAME AND ADDRESS OF L ENDER( I n c l u d e E n d o r s e r s Name, I f A pp l i c a b l e ) RELAT I ONSHI PTO CAND I DATEH ' p b l e '

AMOUNTOF LOAN

1 0 1 2 9 1 2 0 0 4Mi c h a e l B r o u w e r 4 2 2Wa s h i n g t o n Road WestB u r l i n g t o n , 1 A 5 2 6 5 5

$3 5 0 . 0 0

DATE P AI D( MWDDI YR) NAME AN D ADDRESS OF LENDER( I n c l u d e E n d o r s e r s Name, I f A p p l i c a b l e ) RELAT I ONSHI PTO CANDI DATE'i f A p p l i c a b l e )AMOUNTREPA I D

Mi c h a e l Br o u we r 4 2 2Wa s h i n g t o n Road WestB u r l i n g t o n , I A 5 2 6 5 5$3 5 0 . 0 0