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FOR I NSTRUCTI ONS, SEE BACKOF FORM. Cj , , . 7 C - 7GOl - ~& DI SCLOSURE SUMMARY PAGE '

_ J AN 2 5 2 0 0 2COMMI TTEE NAME ( Mu s t be s ame a s o n St a t e men t o f Or g an i zDOLECHECK FOR REPRESENTATI VE

I 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 :( t ) S t a t e w i d e / L e g i s l a t i v e C a n d i 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 ( a ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( 8 ) Su p p o r t S l a } F o f C a n d i d a t e s

SI GNATUREOF TR6A6URERd( 6 r p e r s o r C h i i nP e n a l t i e s Du e F o r L a t e F i l e d Rep o r t s Range f r o m $ 1 0 t o $ 4 0 0

I AM F I L I NG A J a nu ar y 2 2 , 2 0 0 2 REPORT FORAN / A ( 1 ) ELECT I ON / ( 2 ) N ON - EL ECT I ON YEAR.( r e p o r t d a t e ) I n d i c a t e o n e

OCHECK I F AMENDMENT TOREPORT DATED

6 4 1 - 4 6 4 - 2 2 5 7 1 - 2 1- 0 2t h i s r e p o r t ) TELEPHONE

SEE I NSTRUCTI ONS ON BACKANDCOMPLETE THE FOL L OWI NG SENTENCE

0Chec k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t an 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 o r m DR- 3 .( Yo 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 . )

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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 h i s i s t h e t o t a lo f a l l mon 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 es ame a s t h e c a s h o n h a n d a t t h e en 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 be 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADDTOTAL MONEYTAKEN I N THI S PERI ODSc h e du 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 S c h e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c he du l e F : L o a n s Re c ei v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h edu l e H a p p l i e s t o C a n d i d a t e s ' Commi t t e e s On l y 1SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e du 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 Sc h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e F : L o a n Rep 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 en 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 tb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

UNPAI 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 BUTI ONS ( F r o m S c he du l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m S c he du l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $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 Sc h e d u l e H - A t t a c h Sc h e du l e H ) $

F o r Of f i c e U" On l yComm . tI n d e x e d -A u d i t e d _C o mp u t e r

r vnmDR- 2 I DI SCL OSURE( R e v . 1 1 / 9 7 ) REPORT

DATE S I G NED

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 yw h i c h E l e c t i o n i s h e l d

4 , 1 75 . 3 2

8 , 1 3 2 . 8 53 , 7 82 . 45_

4 , 3 5 0 . 4 0

YES X_ NO

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Fo 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 - 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 a l f u n d s )COMMI TTEENAME ( 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 )DOLECHECK FOR REPRESENTATI VE

STATECANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THEPACCHECK NUMBER I N THE DESI GNATED COLUMN. A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD

CAUTI ON : Se c t i o n 68B . 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 mat i o n c op i e d f r o m r e po 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 on t r i b u t i o ns of o r any 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 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 es .

SUB- TOTAL

TOTAL ( i f l a s t page o f t h i ss c h ed u l e )

Di s c l o s u r e l aw r e q u i r e s c an d i d at e c o mmi t t e es 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 ec o mmi t t e e . Re 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 g r e e o f c o ns an gu 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 5ma r r i a g e) ( Se e Page 2 o f f o n t s p ac ke t . ) . I f s umame 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 di d at e , b u t t h er e i s n o Pag 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 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 u mn . ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS

CHECK THI S BOX IAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT JRECEI VED ( i f ap pl i c a bl e ) TO CANDI DATE' RECEI VED F( MM/ DDNR) ANDPAC CHECK ( i f a p p l i c a b l e ) RANUMBER I N

I D# Ba r ba r a Wa l l e r$0 1 - 1 16 - 0 1 3 0 4 S . Cl a r k 2 5 . 0 0CK# L amo n i I A 5 0 1 4 0

I D# Randy McDonne l l0 8 - 1 4 - 0 1 CK# 304 N . Haye s 80 . 0 0

Mt . Ay r I A 5 0 8 5 4I D# 6 0 7 1 I o wa L i f e I n s ur a nc e I n d u s t r y Pa c0 8 - 1 4 - 0 1 5 7 0 0 Wes t own Pa r kway 2 5 0 . 0 0CI C# 3 0 6 8 Wes t De s Mo i n es I A 5 0 2 6 6I D# 6 0 2 7 De e r e Pa c I o wa

0 8 - 1 4 - 0 1 CK# 6 6 6 Gr and A v e n u e , Su i t e 1 7 0 7 2 0 0 . 0 01 8 2 3 De s Mo i n es I A 5 0 3 0 9I D# C . Co l l u s Lawhead0 8 - 1 4 - 0 1 1 0 4 S . Ta y l o r 7 5 . 0 0C I C # Mt . Ay r I A 50854I D# C . Co l l u s Lawhead0 8 - 1 4 - 0 1 1 0 4 S . Ta y l o r 1 5 0 . 0 0CI C# Mt . Ay r I A 50854

. I D# 6 0 6 9 I o wa I n d u s t r y PAC0 8 - 1 4 - 0 1 9 0 4 Wa l n u t , Su i t e 1 0 0 1 0 0 . 0 0CK#1812 Des Mo i n e s I A 5 0 3 0 9I D# L . W. Hi c k s0 8 - 1 4 - 0 1 9 0 0 No r t h Sumn e r 7 5 . 0 0CK# Cr e s t o n I A 5 0 8 0 1I D# 6 1 1 8 I o wa Op t o me t r i c As s oc i a t i o n0 8 - 1 4 - 0 1 1 45 4- 3 0t h St . , Su i t e 2 04 2 0 0 . 0 0CK#1713 Wes t De s Mo i n e s I A 5 0 2 6 6

0 8 - 1 4 - 0 1 I O# 6 0 7 3 I o wa Med i c a l Po l i t . f & a Ac t i o n1 0 0 1 Gr and A v e n u e 1 2 5 . 0 00366 Wes t De s Mo i n es I A 5 0 2 6 5

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Fo r I n s t r u c t i on s , Se e Ba c k o f Fo r t hCONTRI BUTI ONS - MONEY TAKLA 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 o n S t a t e me n t o f O r g a n i z a t i o n )DOLECHECK FOR REPRESENTATI VE

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECEI PTSQCHECK T HI S BOX IAMENDI NG FORM

STATECANDI DATES NOTE : I F A C ON T R I B UT I O N I S R E CE I V E D FROM A S T A T E PAC ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T HE PAC I D EN TI F I C AT I ONNUMBERAND THE PAC CHECK NUMBER I N THE D E S I G NA T E D COLUMN. A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T H E I OWA E T H I C S AND CAMPA I GNDI SCLOSURE BOARDCAUT 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 sf o r a n y c o m m e 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 m m i t t e e s .

SUB- TOTALTOTAL ( I f l a s t p a g e o f t h i ss 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 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 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 ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) . N s u mame 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 Page 2 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 m n . ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT JRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED F( MM/ DO/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RNUMBER I NI D# J a s o n Re y n o l d s $ 7 5 . 0 00 8 - 1 ( + - 0 1 CK# 1 2 0 1 Co u r t Av e .Be df o r d I A 5 0 8 3 3I D# Ch r i s t o ph er Ra n t s

0 8 - 1 4 - 0 1 CK# 7 2 0 0 Wi l s h i r e Bl v d . 7 5 . 0 0Wi nd s o r He i g ht s I A 5 0 3 2 5I D# L a r r y Te p l y0 8 - 1 4 - 0 1 3 0 0 J e f f e r s on St . 7 5 . 0 0CK# Di a g o n a l I A 5 0 8 4 5I D# Ki m Gr e en l a nd0 8 - 1 4 - 0 1 CK# 2 0 7 S . We s t 7 5 . 0 0Mt . Ay r I A 5 0 8 5 4

0 8 - 1 4 - 0 1 I D# J o h n Thoms enCK# 1 6 3 2 Dogwood Av e . 1 5 0 . 0 0Cr e s t on I A 5 0 8 0 - t iI D# Da v i d Pa l mer0 8 - 1 4 - 0 1 2 1 3 SW Fl y n n Dr , 1 0 0 . 0 0CK# Ankeny I A 5 0 0 2 1I D# Dan Cu n n i n g

0 8 - 1 4 - 0 1 7 0 5 S . Ta y l o r 7 5 . 0 0CK# Mt . Ay r I A 50 8 54I D# Na n c y Roe

0 8 - 1 4 - Ol CK# RR 2 Bo x 5 9 - A 7 5 . 0 0Mt . Ay r I A 5 0 8 5 4I D#0 8 - 1 4 - 0 1 J ay Wa t s onCK# RR 2 Bo x 45A2 7 5 . 0 0Mt . Ay r I A 5 0 8 5 4

0 8 - 1 4 - 0 1 I D# 6 43 0 I o wa Ru r a l Wa t e r St a t e PAC4 2 2 1 S . 2 2 n d Ave . , E 1 5 0 . 0 0CK# 1 1 6 6 Ne wt o n I A 5 0 2 0 8

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Fo r I n s t r u ct i ons , See Bac k o f For t h

CONTRI BUTI ONS - MONEYT AKt c f V 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 a l f u n d s )

COMMI TTEENAME( Mu s t be s ame as o n St at ement o f Or g an i z a t i o n)DOLECHECK FOR REPRESENTAT I VE

SCHEDULEA MONETARY( Re v 0 6 / 9 7 )

IRECEI PTS

QCHECK THI S BOXIAMENDI NG FORMSTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TT EE) . L I ST THE PAC I DENT I F I CAT IONNUMBERAND THE PACCHECKNUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVA I LAB LE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : Se c t i o n 68B. 3 2 A( 6 ) , I o wa Cod e, p r o h i b i t s t h e us e o f i n f o r ma t i on c op i e d f r om r e p or t s an d s t a t e me nt s f o r s o l i c i t i n g c ont r i bu t i on sf o r an y c omme r c i a l p u r p os e by any 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 es .

Di s c l o s u r e l a w r e q u i r e s c a nd i d a t e c o mmi t t e es 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 ny 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 . Re l a t i o n s h i p mu s t be s h o wn t o t h e t h i r d d e g r e e o f c on s an gu 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 by 3ma r r i a ge ) ( 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 s ame a s c a nd i d a t e , b u t t h e r e i s no Pa 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 nt 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 Sc h e d u l e A)

5

DATE PAC I D NUMBER NAME ANDADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT JRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED F( MM1DOI YR) ANDPACCHECK ( i f a p p l i c a b l e ) R

NUMBER I NI D# J ames Pe d er s e n0 , 8 - 1 4 - Q1 2 0 1 Shel l way Dr . $ 1 2 5 . 0 0CI C# Mt . Ay r I A 5 0 8 5 4I D# Ce c i l Do l echeck

0 8 - 1 4 - 0 1 1 0 0 Dunn i n g Av e . Se l f 1 5 0 . 0 0CK# Mt . Ay r I A 5 0 8 5 4I D# I v a n Do l echeck

0 8 - 1 4 - 0 1 1 2 0 0 N . Wes t St . F a t h e r 1 0 0 . 0 0CK# Mt . Ay r I A 5 0 8 5 4I D# Gene Pop p e0 8 - 1 4 - 0 1 RR 2 Box 57 7 5 . 0 0C I C # Mt . Ay r I A 50854I D#0 8 - 1 4 - 0 1 L eRoy Tr i mb l eCK# 1 3 0 4 J es s i c a Par kway 7 5 . 0 0Mt . Ay r I A 50854I D# J ames F . Hahn0 8 - 1 4 - O1 80 5 Wes t 4 t h St . 1 0 0 . 0 0CK# Mu s c at i n e I A 5 2 7 6 1

0 8 - 1 4 =0 1 I D# Rob e r t Sh a f e rCK# 1 0 0 E . Mad i son 7 5 . 0 0Mt . Ay r I A 50854I D#0 8 - 1 4 - 0 1 Phy l l i s CooperCK# RR 1 Box 1 8 7 7 5 . 0 0Kel l er t on I A 5 0 1 3 3I D# Gl enda J o b e0 8 - 1 4 - 0 1 4 3 Hi c kor y Dr . 50 . 0 0CK# El l s t on I A 5 0 0 7 4 .I D# D6f d l d McK i m0 8 - 1 4 - 0 1 1 4 1 5 N . El m St . 5 0 . 0 0CK# Cr es t on I A 5 0 8 5 4

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

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Fo r I n s t r u c t i o n s , Se e B a c k o f Fo r t hCONTRI BUTI ONS - MONEY TA& . : N 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 TTEENAME ( M u 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 )DOLECHECK FOR REPRESENTAT I VE

STATE CANDI DATES NOTE : I F A C ON T R I B UT I O N I S R E CE I V E D FROM A S T A T E P A C ( P O L I T I C A L A C T I O N C OMM I T T E E ) . L I S T T HE PAC I D E NT I F I C A T I O NNUMBER AND T HE P AC CHECK NUMBER I N THE D E S I GN A T E D 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 O WA E T H I C S AND C A MP A I G ND I S C L O S UR E 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 sf o r a n y c o m m e 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 .

SUB- TOTALTOTAL ( i f l a s t p a g e o f t h i ss 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 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 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 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 ) ( 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 a me o f c o n t r i b u t o r i s t h e s a m e a $ 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 4 o f 5f 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 6 / 9 7 ) RECEI PTSCHECK T H I S BOXAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT JRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED( MM/ DD/ YR) ANDPACCHECK ( i f a p p l i c a b l e ) RNUMBER I0 8 - 1 4 - 0 1 I D# St e p he n Mi t c h e l l

CK# RR 2 Bo x 6 0 $ 1 00 . 0 0Mt . Ay r I A 5 0 8 5 4I D# Ga r y J o e Rou t h

0 8 - 1 4 - 0 1 CK# 10 3 Sh e l l wa y Dr i v e 10 0 . 00Mt . Ay r I A 5 0 8 5 40 8 - 1 4 - 0 1 I D# Ke n St u l t s1102 Or c h a r d Dr i v e 25 . 00CK# Cr e s t o n I A 50 8 01

I D#0 8 - 1 4 - 0 1 St e v e Ta y l o rCK# RR 2 Bo x 7 4 50 . 00Mt . Ay r I A 5 0 8 5 4I D# Hu l t r man Compa ny0 8 - 1 4 - 0 1 1 20 0- 5 7t h St . 100 . 00CK# We s t De s Mo i n e s I A 5 0 2 6 6

0 8 - 1 4 - 0 1 I D# L a r r y Gi l e sCK# RR 2 Bo x 58 25 . 00Mt . Ay r I A 5 0 8 5 4I D# 6 2 3 7 Ab a t e p a c0 8 - 2 2 - 0 1 3 1 1 8 Ea s t e r n Av e . NE 100 . 00C 1 1 3 7 9 Cedar Ra p i d s I A 5 2 4 0 2

0 8 - 2 2 - 0 1 I D# 6 0 3 3 EMC Co . Po l i t i c a l Ac t i o n Comm7 17 Mu l b e r r y St . 25 . 0 0CK# 1 6 93 De s Mo i n e s I A 5 0 3 0 90 8 - 2 2 - 0 1 I D# Dwi g h t Conov e r

CK# 1711 Po r t Road 25 . 0 0Cr e s t o n I A 5 0 8 0 1I D# 6 2 9 1 I o wa Ho s p i t a l As s oc i a t i o n PAC0 8 - 2 2- 01 1 00 E . Gr a n d , Su i t e 1 00 1 50 . 00CK#1768 De s Mi o n e s I A 5 0 3 0 9

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Fo r I n s t r u c t i on s , Se e Back o f Fo r mCONTRI BUTI ONS - MONEY TA . : N 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 a l f u n d s )COMMI TTEENAME ( M u 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 )DOLECHECK FOR REPRESENTATI VE

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I ST THEPAC I DENT I F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THEDESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CSANDCAMPAI GNDI 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 on c op i e d f r om r e por t s and 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 on sf o r a n 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 mmi t t e e s .

Di s c l o s ur e l a w r e q u i r e s c a nd i d a t 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 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 mu 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 yma r r i a g e) ( Se e Pa g e 2 o f f o r ms p a c k e t . ) . I f s u mame o f c o nt n b u t o r i s t h e s a m e a s c a n di d at e , b u t t h e r e i s n o P a g e 5 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 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 u mn . ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS

QCHECK THI S BOXAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4RECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED( MMI DD1YR) ANDPAC CHECK ( i f a p p l i c a b l e ) R

NUMBER II D# Do n al d McKi m

1 2 - 2 0 - 0 1 1 4 1 5 N . El m St . $ 2 5 . 0 0CK# Cr e s t o n I A 5 0 8 0 1I D#1 2 - 2 0 - 0 1 L l o y d Gl e nd en n i n gCK# 1 0 8 Sh e l l wa y Dr . 1 0 0 . 0 0Mt . Ay r I A 508541 D#1 2 - 2 0 - 0 1 Ke n St u l t sCK# 900 N . Sy c a mo r e St . 2 5 . 0 0Cr e s t o n I A 50801

0 1 - 0 1 - 0 1 t o I D# Fi r s t a r B a n k I NTEREST1 2 - 3 1 - 0 1 1 0 1 S . F i l l mo r e 2 7 . 5 3CK# Mt . Ay r I A 5 0 8 5 4I D#CK#I D#CK#

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

SUB- TOTAL j$ 1 7 7 . 5 3TOTAL ( I f l a s t p a g e o f t h i s 3 , 9 5 7 . 5 3s c h e d u l e ) $

/

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FOR I NSTRUCTI ONS, SEE BACKOF, i MEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I ST THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPAC CHECKNUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS I S AVA I LABLE FROMTHE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDULEB MONETARY

( Re v . 0 9 / 9 7 ) I EXPENDI TURESQCHECK T HI S BOX I F

AMENDI NGFORM

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n)DOLECHECK FOR REPRESENTATI VE

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

THI S BOX APPLI ES TOCANDI DATES' COMMI TTEES 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 $ 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 Sc 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 . 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 mus t a l s o b e d e t a i l i t e m i 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 mmi t t e e . ( R e f e r tSc 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 Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

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

DATEEXPENDED( MM/ DD/ YR)

I D NUMBER( i t a p p l i c a b l e )AND PACCHECKNUMBER

EXPENDI TURE( D i s b u r s e m e n t ) WAS MADE ( DESCRI BE TRANSACTI ON) EXPENDED

0 1- 2 9- 0 1I D # Af t o n St a r En t e r p r i s e Adv er t i s i n gCK# 498 274 N . Dou g l a s $ 1 9 . 00Af t o n I A 50830

0 1- 2 9- 0 1 I D# L a m o n i Ch r o n i c l e499 116 N . L i n d e n Adv er t i s i n g 1 9 . 0 0CK# L a m o n i I A 50140

I D# Ce c i l Do l e c he c k J a nua r y mi l e ag e0 2- 0 2- 0 1 500 1 0 0 Dun n i n g Av e . 360 mi l e s @ . 3 0 108 . 00CK# Mt . Ayr I A 508540 3- 0 7- 0 1 11D* T r e a s . o f St a t e Adv er t i s i n g 5 . 50

CK# 426 De s Moi nes I A

0 3- 0 7- 0 1 I D# L e o n J o ur n a l1 1 0 N . Ma i n Adv er t i s i n g 42 . 0 0CK# 4 27 L e o n I A 50144I D# Mt . Ayr REc or d- News

0 3- 0 7- 0 1 4 28 122 W. Mad i s on Adv er t i s i n g 72 . 0 0CK# Mt . Ayr I A 50854I D# Cr es t on Pub l i s hi ng0 3- 0 7- 0 1 CK# 429 503 W. Ad am s Adv er t i s i n g 434 . 0 0Cr e s t o n I A 50801

0 3- 0 7- 0 1 I D # Po s t ma s t e r430 200 W. Mad i s on Po s t a g e s t a mp s 34 . 00CK# Mt . Ay r I A 50854

SUB- TOTAL I $ 7 3 3 . 5 0TOTAL ( i f l a s t page o f t h i s s c h e d u l e ) 1 $

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES 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 $ 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 Sc 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 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 m i z e d o nSc h e d u l e G b y t h e a mo u nt , 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 mmi t t e e . ( R e f e r tSc 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 Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

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

FOR I NSTRUCTI ONS, SEE BACK OF, 3M SCHEDUL EEXPENDI TURES B MONETARY- MONEY SPENT FROM COMMI TT EE ACCOUNT ( R e v . 0 9 / 9 7 ) E X PE ND I T URE S

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L EGI S LAT I VE C I CHECK T HI SCANDI DATES, L I ST THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DES I GNATED COLUMN AND THE BOX I FPAC CHECK NUMBERFOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI L ABL E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g an i z a t i o n )DOLECHECK FOR REPRESENTATI VE

CAND I DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I T URE ( D ES CR I B E TRANSACT I ON ) 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/ DD/ YR) AND PACCHECKNUMBER

I D# L e o n J o u r n a l0 4 - 2 3 - 0 1 1 1 0 N . Ma i n Adv er t i s i n g 20 . 0 0CK# 4 31 L e o n I A 50144 $1D# Ce c i l Do l e c h ec k0 5 - 1 2 - 0 1 1 0 0 Du n n i n g Feb . , Ma r c h , Ap r i l Mi l e agCK# 4 32 Mt . Ay r I A 5 0 8 5 4 7 4 0 mi l e s @ . 3 0 2 22 . 0 0

0 5 - 2 9 - 0 1 I N Te r r i c o Mi n i s t o r a geCK# 3 6 8 20 1 N . Ta y l o r R e n t f o r mi n i s t o r a ge 2 5 2 . 0 0Mt . Ay r I A 50854 u n i t J a n . - De c 2 0 0 1

0 7 - 1 2 - 0 1 I D# P o s t ma s t e rCK# 433 200 W. Mad i s o n Po s t a ge s t a mp s 34 . 0 0Mt . Ay r I A 50854

0 7- 1 7- 0 1 I N 4 - H F u n d434 1 0 1 N . P o l k Adv er t i s i n g 16 0 . 0 0CK# Mt . Ay r I A 5 0 8 5 4

I D# Ce c i l Do l e c h ec k May an d J u n e Mi l e ag e0 7 - 2 4 - 0 1 435 1 0 0 Du n n i n g 1 0 8 0 mi l e s @ . 3 0 32 4 . 0 0CK# Mt . Ay r I A 50854

0 7 - 2 6 - 0 1 I D# Mt . Ay r Co un t r y Cl u b Re n t a n d g r e en f e e s f o r436 Rt 3 g o l f f u n d r a i s e r 242 . 0 0CK# Mt . Ay r I A 50854

I N Hy- Vee F o o d f o r g o l f f u n d r a i s e r0 8 - 0 1 - 0 1 CK# 4 3 7 402 S . H a y e s 2 1 0 . 28Mt . Ay r I A 50854SUB - TOTAL $ 1 , 4 64 . 28

TOTAL ( i f l a s t page o f t h i s s c h e d u l e ) $

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T HI S BOX APP L I E S TO CANDI DATES ' COMMI TT EES 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 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 t 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 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 t 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 tS 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 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 3 o f 3

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

FOR I NSTRUCTI ONS, SEEBACK OF . 3 M SCHEDULEEXPENDI TURES B MONET ARY- MONEY SPENT FROMCOMMI TTEEACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

STATE PACCOMMI T T EES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DEOR L E G I S L A T I V ECANDI DATES, L I S T T HE CANDI DATE I D E N T I F I C AT I O N NUMBER I N THE DES I GNATED COLUMN AND THE 0 CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS I S A VA I L A B L E FROM T HE I OWA AMENDI NG FORME T HI C S & 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 me n t o f O r g a n i z a t i o n )DOLECHECK FOR REPRESENTATI VE

CANDI DATE NAME AND ADDRESS T OWHOM 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 ) WASMADE( MMI D D/ Y R) AND PACCHECKNUMBERI D # Ce c i l Do l e c h e c k J u l y a n d Augus t Mi l e ag e0 9- 0 6- 0 1 CK # 4 3 8 1 0 0 Dun n i n g 1 , 0 90 @. 3 0 $ 3 27 . 0 0Mt . Ay r I A 508541 0 - 0 3 - 0 1 I D # Ce c i l Do l e c h e c k Sept embe r mi l e ag e

CK # 43 9 10 0 Dun n i n gMt . Ay r I A 50854 580 @ . 3 0 1 7 4 . 0 01 0- 0 5- 0 1 I D # Cr e s t o n Ne ws Ad ve r t i s e r5 0 3 W. Adams Adv er t i s i n g 89 . 0 0CK# 440 Cr e s t o n I A 5 0 8 0 1

I D# Ce c i l Do l e c h e c k Oc t ob e r mi l ea g e1 1- 2 5- 0 1 1 0 0 Dun n i n g 860 @. 3 0 2 5 8 . 0 0CK# 4 4 1 Mt . Ay r I A 5 0 8 5 41D# Po s t ma s t e r1 1- 2 6- 0 1 CK# 4 4 2 2 0 0 W. Mad i s o n S t a mp s 3 4 . 0 0Mt . Ay r I A 50854

1 2- 0 4- 0 1I D# Ce c i l Do l e c h ec k N o v e m b e r mi l e ag e

443 1 0 0 Dun n i n g 9 3 0 @. 3 0 2 7 9 . 0 0CK# Mt . Ay r I A 508541 2 - 2 3 - 0 1 I D# Ce c i l Do l e c h ec k De ce mb er mi l e ag e444 1 0 0 Dun n i n g 1 , 4 00 @ . 3 0 4 2 0 . 0 0CK# Mt . Ay r I A 50854

I D# Fi r s t a r B a n k1 2 - 3 1 - 0 1 1 01 S . Fi l l mo r e B a n k Cha r ge s 3 . 6 7CK# Mt . Ay r I A 5 0 8 5 4

S UB - TOT A L $ 1 5 8 4 . 6 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 ) $ 3 7 8 2 . 4 5