Dvorsky Robert290scanned

8/7/2019 Dvorsky Robert__290__scanned

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FOR I NSTRUCTI ONS, SEEBACK OFF ' M

DI SCLOSURE SUMMARY PAGE

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 6 o n )Commi t t e e t o El e c t Ro b e r t E . Dv o r s k yI 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 :( 1 ) 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 ( 4 ) 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 ( 8 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 ) S u p p o r t S l a t e C t a t e s

SI GNATURE OF TKe i t h J o n e s 3 1 9- 3 5 1- 8 0 00 J a n ua r y 1 8, 2 0

RER ( o r p e r s o n f i l i n g t h i s r e p o r t ) TEL EPHONE DATE SI GNEDR o u t i n e P e n a l t i e s Du e F o r L a t e F i l e d R e p o r t s R a n g e f r o m $ 2 0 t o $ 8 0 0

SEE I N S T R U C T I ON S ON BACK AND COMPL ETE THE FOL L OWI NGSENTENCE :I AMFI L I NG A J a n ua r y 19 , 2 002 REPORT FOR A N/ A ( 1 ) ELECT I ON / ( 2 ) NON- ELECT I ON YEAR .

( r e p o r t d a t e ) I n d i c a t e one

[ - ] CHECK I F AMENDMENT TO REPORT DATEDJ AN 2 2 2 0 0 2

pCh e c 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 and 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 or m DR- 3 .( Y o u must 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 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 es h e l d b y t h e c ommi t t e e . T h i s amount MUST b e t h esame a s t h e c a s h o n hand a t t h e end 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN I N T HI S PERI OD

CASH ON HAND a t t h e end 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 mustb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

UNPA I D BI L L S ( F r o m Sc h e d ul e D- At t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N K I ND CONTRI BUT I ONS ( F r o m Sc h e d ul e E - A t t a c h Sc h e d ul e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . $OUTSTANDI NGLOANS ( Fr om Sc h e d ul e F - A t t a c h Sc 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 ul e H - A t t a c h Sc h e d u l e H ) $

FORMDR- 2 DI SCLOSURE( Re v . 0 1 / 9 8 ) REPORT

F o r Of f i c e Us e On l yComm. #I n d e xA u d i t e dC o mp u t e r

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 n

C o u n t y 8 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

4 7 1 . 44

8 , 3 25 . 93

YES X NO

Sc h e d ul 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d ul 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 Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d ul e H : T o t a l Sa l e s o f Campa i gn P r o p e r t y ( A t t a c h Sc h e d ul e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e d ul e H a p p l i e s t o Ca nd i d a t e s ' Commi t t e e s On l y )

1 0, 2 70 - 0 0

SUB - TOTA L . . . . . $ 1 0, 7 41 - 4 4SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d ul 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 ul e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 , 4 15 . 51Sc h e d ul e F : L oan Repay ment s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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For I n s t r u c t i on s, See Bac k o f Form

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

COMMITTEENAME( 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 )Co mmi t t e e t o El e c t Ro b e r t E . Dv o r s k y

SCHEDULEA( Re v . 0 6 / 9 7 )

MONETARYRECEI PTS

CHECKTHI S BOX I FAMENDI NG FORM

STATE CANDI 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 THEPAC I DENTI F I CATI ONNUMBERANDTHE PACCHECKNUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LAB LE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARDCAUTI ON: Se c t i o n 68 B. 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 on c op i e d f r om r e p or 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 bu t i on s o rf o r an y c omme r c i a l p u r p os e by 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 ommi t t e e s

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 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 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 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 byma r r i a ge ) ( S ee P a g e 2 o f f o r ms p a ck et . ) . I f s u r n a me o f c o n t r i b u t o r a t h e s a m e a s c a n di d a t e . b u t t h e r e i s n o P a g e 1 o f 1 6f 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 s c h e du l e A)

DATE PAC I D NUMBER NAME ANDADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e ) I RAI SNUMBER I NCOI D# 6 0 7 3 I o wa Me d i c a l P AC' 7 / 1 8 / 0 1 CK# 3 6 9 1 0 0 1 g r a n d Av e .De s Mo i n e s , I A 5 0 2 6 5 2 0 0 . 0 0I D #8 / 2 7 Ke n n e t h Co l e ma nCK# 1 0 2 Ch u r c h St .I o wa Ci t , I A 5 2 2 4 5 1 0 0 . 0 0I D#8 / 2 9 No r ma n Ni el s onCK# 5 7 5 7 Ki r k wo od Bl v d . SWCed a r Ra p i d s , I A 524 0 4 1 0 0 . 0 0

8 / 2 9 I D# Wi l l i am Gor manCK# 1 6 7 4 P o l k AVe .s o l o n , I A 2 5 . 0 0I D #8 / 3 1 Ge o r g e Be d e l lCK# 9 0 3 Hi gh wood St .I o wa c i t y , I A 5 2 2 4 6 2 5 . 0 0I D #9 / 1 J a m e s Wast aCK# P . O . Box 8 8 1Ced a r Rap i d s , I A 5 2 4 0 6 50 . 0 0I D #9 / 3 L o i s Ba r t e l meCK# 2 0 8 3 Sou t h r i d ge Dr .Cor al v i l l e, I A 5 2 2 4 1 2 5 . 0 0

9 / 4 I D # Ch r i s t i n e Ro h r e r tCK# 2 3 0 5 Ba n d u r y s t .I o wa Ci t y , I A 5 2 2 4 0 2 5 . 0 0

9 / 4 I D# Ri c h a r d & I me l d a Gos sCK# 6 1 5 1 0 t h AV e n u eCor al v i l l e, I A 5 2 2 4 1 4 0 . 0 0

9 / 7 I D# St e p h e n St r e e tCK# 1 3 1 6 Sou t h v i ew Ci r c l eCor al v i l e, I A 5 2 2 4 1 5 0 . 0 0

SUB- TOTAL $ 6 4 0 . 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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F o r I n s t r u c t i o n s , Se e 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 TT EE NAME ( 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 )Co mmi t t e e t o El e c t Ro be r t _ Dv o r s k y

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( POL I T I C AL ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON S e c t i o n 6 8 8 . 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

DATERECEI VED( MM / D D/ Y R ), 9 / 7 / 0 1

PAC I D NUMBER I NAME ANDADDRESS OF CONTRI BUTOR( i f a p p l i c a b l e )ANDPAC CHECK

NUMBERMabe l Mi l l e r5 1 9 7 t h AVe .COr a l v i l l e , I A 5 2 2 4 1

RELATI ONSHI P AMOUNT J I FTO CANDI DATE' RECEI VED FUN( i f a pp l i c a bl e ) RAI S

I NC

P a t . Mc Gi l l i n2 8 6 3 Co r a l Cr t . # 1 0 4COr a l v i l l e , I A 5 2 2 4 1Thoma s Kr i z1 9 6 4 J e f f r e y S T r e e tI o wa Ci t y , I A 5 2 2 4 6J a n i s Hube l2562 Oak Ci r c l e NENo r t h Li b e r t y , I A 5 2 3 1 7S a nd r a Mo s t3 4 0 9 S . J ami e L a n eI o wa Ci t y , I A 5 2 2 4 0

F r a n k Mo r r i s s , J r .1 4 Oa k P a r k P1 . NEI o wa Ci t y , I A 5 2 2 4 0P a t r i c k F i n n50 2 N . F i r s t AVenueI o wa Ci t y , I A 5 2 2 4 0

S a l l y s t u t s ma n3 7 1 4 5 0 0 t h ST . SWRi v er s i d e , I A 5 2 3 2 7He l e n Mu r r a y5 1 9 7 t h Av eCOr a l v i l l e , I A 5 2 2 4 1

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 )' 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 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 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 . R e l a t i o n s h i p mus t b e s h o w n t o t he 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 ) a nd a f f i n i t y ( r e l a t i v e s b yma r r i a ge ) ( S e e P a g e 2 o f f o r ms p ac k e t . ) . I f s u r n a me o f c o n t r i b u t o r a t h e s ame a s c a nd i d a t e , b ut t h e r e i s no P a g ef 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 he r e l a t i o n s h i p c o l u mn .

SCHEDULE

MONETARY( Re v 0 6 1 9 7 ) RECEI PTS0 CHECK T HI S BOX I FAMENDI NG FORM

2 o f 1 6( f o r S c h e du l e A)


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Fo r I n s t r u c t i on s , Se e B a c k 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 ds )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 f o n )Commi t t e e t o El e c t Ro b e r t E . Dv o r s k y

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMASTATE PAC( POL I T I CAL ACTI ON COMMI TTEE) , L I ST THEPAC I DENT I F I CATI ONNUMBER AND THE PACCHECKNUMBER I N THEDESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 688 . 3 2 A( 6 ) , I o wa Code, p r oh 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 po 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 bu t i on s o rf o r a ny c o mme r c i a l p u r p o s e by a n 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 p t h i sag e o f2 5 0 . 0 0

s c h e d u l e ) $

J I FFUNRAI SI NCO

' Di s c l os u r e l aw r e q u i r e s c a n di 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 an 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 be 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 ) an d a f f i n i t y ( r e l a t i v e s b yma r r i a ge ) ( Se e P a g e 2 o f f o r ms p ac k et . ) . I f su r name 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 er e i s n o P a g ef 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 bl e ' i n t h e r e l a t i o n s h i p c o l u mn .

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

CHECK T HI S BOX I FAMENDI NG FORM

3 o f 1 6( f o r Sc h e d u l e A)

DATERECEI VED( MM/ DD/ YR)

PAC I D NUMBER( i f a pp l i c a b l e )

AND PAC CHECKNUMBER

NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTTO CANDI DATE' RECEI VED

( i f a p p l i c a b l e )

9 / 7 / 0 1 I D# Ha r r y Se e l ma nC K# 2 4 5 1 I WV Road SW $Ox f o r d , I o wa 5 2 3 2 2 2 5 . 0 0

9 / 7 I D# St e p h e n & Lo r e t t a H a n s o nCK# 2 0 0 w . Mapl eWi l l i ams bu r g , I A 5 2 3 6 1 2 5 . 0 0I D#9 / 7 Da v i d T i n g wa l dCK# P . O . Bo x 1 3 5 1I o wa Ci t y , I A 5 2 2 4 0 2 5 . 0 0I D#9 / 7 Pa t & J e a n Ha r n e yCK# 2 7 7 1 HWY 1 NEI o wa Ci t y , I A 5 2 2 4 0 2 5 . 0 0

9 / 7 I D# Thomas H . Ba l d r i d g eCK# 9 1 5 Oa k c r e s t St . NO . 1 6I o wa Ci t y , I A 5 2 2 4 6 2 5 . 0 0

9 / 7 I D# So n d r a Smi t hCK# 1 4 1 1 Sh e r i d a n Av eI o wa Ci t y , I A 5 2 2 4 0 2 5 . 0 0

9 / 7 I D# Ma r y Ma s c h e rCK# 4 0 Gr y n Cou r tI o wa Ci t y , I A 5 2 2 4 6 2 5 . 0 0

9 / 7 I D# Ri c h a r d & Do r i s My e r sNo . 9 Wood l and Ht s .CK# I o wa Ci t y , I A 5 2 2 4 0 2 5 . 0 01 D#9 / 7 Romai ne F o e g eCK# P . O . Bo x 1 2 8Mt . VEr n o n, I A 5 2 3 1 4 2 5 . 0 01 D#9 / 7 Thomas Sl o c k e t tCK# 6 2 9 Br own St r e e tI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0


5/22

9 / 7 / 0 1

9 / 7

9 / 7

9 / 7

9 / 7

9 / 7

9 / 7

9 / 7

9 / 7

( 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 on S t a t e me n t o f Or g a n i z a t i o n )Co mmi t t e e t o El e c t Ro b e r t E . Dv o r s k y

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 THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON : S e c t i o n 6 8 8 . 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 m a t i o n c o p 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 o n t r i b u t i o n s o rf o r a ny c omme 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 ommi t t e e s .

I DOC K#I D#

C K#I D#CK#

I D#CK#

I D#CK#

I D#CK#I D#CK#

I D#CK#I D#

CK#

L l o y d Ep l e y1 0 0 6 1 9 t h Av e .COr a l v i l l e , I A 5 2 2 4 1P . A . Can c i l l a2 2 5 7 S u g a r Bo t t om Rd . NESo l o n, I A 5 2 3 3 3J o h n Ne f f2 3 0 5 Ma c Br i d e Dr i v eI o wa Ci t y , I A 5 2 2 4 6Ni c ho l a s J oh n s o nP . O . Bo x 1 8 7 6I o wa Ci t y , I A 5 2 2 4 4J o h n & P a t r i c i a We i h e2 8 0 Aubu r n Hi l l s Dr . 'COr a l v i l l e , I A 5 2 2 4 1J o h n L u n d e l l4 0 3 Ho l i d a y RoadCOr a l v i l l e , I A 5 2 2 4 1Th oma s L a r k i n1 40 1 13 t h ST r e e tCo r a l v i l l e , I A 5 2 2 4 1Thomas Ca r s n e r1 6 2 7 Co l l e g e Co u r t PLI o wa Ci t y , I A 5 2 2 4 5Mel S t h h me r7 2 6 1 1 t h a v e .COr a l v i l l e , I A 5 2 2 4 1

I D#9 / 7 Al l an AxeenCK# 7 0 6 1 0 t h Av eCOr a l v i l l e , I A 5 2 2 4 1

SUB- TOTALTOTAL ( i f l a s t page o f t h i s

s c he 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 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 ) ( 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 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 Pagef a mi 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 .

SCHEDULEA( R e v . 0 6 / 9 7 )

MONETARYRECEI PTS

QCHECK T HI S BOX I FAMENDI NG FORM

40 . 00

40 . 0 0

40 . 0 0

40 . 0 0

40 . 0 0

40 . 00

40 . 00

40 . 0 0

40 . 00

40 . 0 04 0 0 . 0 0

( 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 J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NC


6/22

o r I n 4t r u c t i o n s , Se a Back 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 ds )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 n i z a t i o n )Commi t t ee t o El e c t Ro b e r t E . Dvo r s k y

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMASTATE PAC ( POL I T I CA L ACTI ON COMMI TTEE ) , L I ST THE PAC I DENT I F I CAT I ONNUMBER ANDTHEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS AND CAMPA I GNDI SCLOSURE BOARDCAUTI ON : Se c t i o n 68 B . 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 o p i e d f r o m r e p o r 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 o ns o rf o r any c omme r c i a l p u r p o s e b y a ny p e r s on 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 .

9 / 7 Mor r j s &_ - L y he t t e Adams1 5 0 6 Sp r u c eI o wa Ci t y , I A 5 2 2 4 0

SUB-TOTAL

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

SCHEDULEA

( Re v . 0 " 7 )MONETARYRECEI PTS


4 0 . 0 0

$ 4 4 5 . 0 0' 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 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 mus 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 5 1 6ma r r i a g e) ( Se e P a g e 2 o f f o r ms p a c k e t . ) . I f su r name 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 nd i d at e , b u t t h er 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 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 S c he d u l e A)

J I FFUNRAI SI NCO

I D#9 / 7 Da v i d J a c o b yCK# 2 3 0 8 Nor t h r i d g e Dr i v eCOr a l v i l l e , I A 5 2 2 4 1 30 . 0 0I D#9 / 7 P a t r i c i a Vu nd er i n kC K # 1 1 5 2 Hu n t e r s Ru nI o wa Ci t y , I A 5 2 2 4 6 50 . 0 0

9 / 7 l D# Ch r i s t i ne L u z z i eC K# 3 3 8 Ko s e r A VeI o wa Ci t y , I A 5 2 2 4 6 50 . 0 0

9 / 7 I D# J o h n & Joann L a r s o n1 4 1 2 Co u n t r y Cl u b RDCK# I n d i a no l a , I A 5 0 1 2 5 50 . 0 0

DATERECEI VED( MMI DO/ YR)

PAC I D NUMBER( i f a p p l i c a b l e )

ANDPAC CHECKNUMBER

NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTTO CANDI DATE' RECEI VED( i f a pp l i c a bl e )

9 / 7 / 0 1 I D# Nancy P o r t e rCK# 2 5 1 9 P o t o ma c Dr . $I o wa Ci t y , I A 5 2 2 4 5 4 0 . 0 0I D#9 / 7 J o y c e Ca r me nC K# 3 4 7 t h Ave . Nor t hI o wa Ci t y , I A 5 2 2 4 5 4 0 . 0 0

9 / 7 I D# Da v i d Ul r i c k 'CK# 5 1 4 T e r r a c e RDI o wa Ci t y , I A 5 2 2 4 5 4 0 . 0 0I D#9 / 7 Hanna We s t o nCK# 7 1 5 Ri v e r S t r e e tI o wa Ci t y , I A 5 2 2 4 6 4 5 . 0 0I D #9 / 7 Debor ah Gi l lCK# 8 0 8 8 t h Ave .Cor a l v i l l e , I A 5 2 2 4 1 4 0 . 0 0


7/22

Fo r I n $ t r u c t i on s , Se a B a 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 S t a t e me n t o f O r g a n i z a t i o n )

Commi t t e e t o El e c t Ro b e r t E . Dv o r s k y


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 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 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 be s h o wn 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 ) an 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 t e s p a c k e 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 an d i d a t e , b u t t h er e i s n o Pa g ef 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 .

MONETARYRECEI PTS

Q CHECK T HI S BOX I FAMENDI NGFORM

STATECANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMASTATE PAC ( POL I T I CAL ACT I ON COMMI TTEE ) , L I ST THEPAC I DENT I F I CATI ONNUMBER ANDTHE PACCHECK NUMBER I N THEDESI GNATED COLUMN. A L I ST OF I D NUMBERS I S AVA I LAB LE FROMTHE I OWA ETHI CSAND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Sec 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 o p i e d f r o m r e po r 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 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 by a ny p e r s o n o t h er 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

6 0 1 ` 1 6( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) ANDPAC CHECK ( i f a pp l i c a b l e ) RAINUMBER I NC

I D# Pe t e r wa l l a c e9 / 7 / 0 1 -3 0 1 7 We s t b er r y Dr NE $CK# I o wa Ci t y , I A 5 2 2 4 0 50 . 0 0I D#9 / 7 St e v e & S o n y a Mo s sCK# 3 3 5 4 Ke nr ut h Ci r NEI o wa Ci t y , I A 5 2 2 4 0 50 . 0 0D#9 / 7 Mi ch ae l Hub e rCK# 2 2 6 5 Sh r a p s h i r e Ci r c l eCOr a l v i l l e , I A 5 2 2 4 1 1 0 0 " 0 0I D #

9 / 7 St e v e n J . Ove lCK#Ce d a r W a p i ~ t ? A g 4 ~ 3 1 0 0 . 0 0

9 / 7 I D # Ri c h a r d L l o yd - J o ne s1 6 0 Oa k r i d g e Av eCK# I o wa Ci t y , I A 5 2 2 4 6 1 0 0 . 0 09 / 7 I Q# J o h n & Ge r t r u d e MacQueen4 5 4 Lex i n g t on Av eCK# I o wa Ci t y , I A 5 2 2 4 6 1 0 0 . 0 0

9 / 1 1 I D # J o h n St r a t t onCK# 8 1 5 Wy l d e Gr e en RDI o wa Ci t y , I A 2 5 . 0 0D#9 / 1 6 Ga r y Hol l i n g s wor t hCK# 7 3 0 1 4t h Av eCor a l v i l l e , I A 5 2 2 4 1 2 0 . 0 0

9 / 1 6 I D# Ri c h a r d Br a ve r manCK# 1 0 0 5 Ri v e r St .I o wa Ci t y , I A 5 2 2 4 6 2 5 . 0 0

1 0 / 2 I D# J os e p h J oh n s t o nCK# 1 9 0 2 Br oadwayI o wa Ci t y , I A 5 2 2 4 0 1 0 0 . 0 0

SUB- TOTAL $ 6 7 0 . 0 0TOTAL ( i f l a s t p a ge o f t h i s

s c h e du l e ) $


8/22

Fo r I n s t r u c t i on s , Se e B a 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 ds )COMMI TTEENAME ( Mus 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 )

Commi t t e e t o El e c t Ro be r t E . Dv o r s k y

SCHEDULE

MONETARY( Re v . 0 6 19 7 ) RECEI PTSQCHECK T HI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMASTATEPAC ( POL I T I CA L ACTI ON COMMI TTEE) . L I S T THEPAC I DENT I F I CATI ONNUMBER AND THE PACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE 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 Code . p r oh 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 o m r e p or 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 bu t i on s o rf o r an y c omme r c i a l p u r p o s e by 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 p a g e o f t h i ss c h e d u l e )$ 1 1 5 0 . 0 (

Di s c l o s ur e l aw r e q u i r e s c a nd 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 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 be 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 ) an 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 ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) I f su r name o f c o n t r i b u t o r i s t h e s a me a s c a nd i d at e . bu t t h e r e i s n o p ag e 7 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 abl 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 du l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT - 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCID#1 0 / 6 / 0 1 Br u c e & J e a n K u h l .CK# 3 6 0 2 s u n Va l l e y DR . NENo r t h L i b e r t y , I A 5 2 3 1 7 5 0 . 0 0I D#1 0 / 1 6 6 0 6 7 I o wa He a l t h P ACCK# 6 7 5 0 we s t o wn PKWY # 1 0 0

2 7 1 7 We s t d e s MOi neS, I A 5 0 2 6 6 2 0 0 . 0 01 1 3 91 0 / 1 7 6 0 5 9 I owa Commi t t e e o f Au t omo t i v eCK# 1 1 1 1 Of f i c e P k RD Re t a i l e r s2 1 4 8 We s t De s MOi neS, I A 5 0 2 6 5 1 0 0 . 0 0

1 0 / 3 0 I D # 6 4 1 1 MC I I o wa P AC0 1 1 3 5 7 0 7 1 7 t h S t . S u i t e 3 6 0 0 1 0 0 . 0 0De n v e r , CO 8 0 2 0 2I D #1 0 / 3 0 6 2 7 7 SMCI P ACCK# 1 1 6 0 1 4 5 4 3 0 t h S t r e e t S u i t e 2 0 1we s t d e s Mo i n es , I A 5 0 2 6 5 1 0 0 . 0 0

1 0 / 3 1 I D # 6 1 1 3 AFSCME/ I owa Co u n c i l 6 1CK# 4 3 2 0 N . W . 2 n d A v e . 2 5 0 . 0 02 5 1 5 De s Moi n es , I A 5 0 3 1 31 0 / 3 1 I D # 6 0 6 3 I o wa De n t a l As s oc i at i o n P AC 1 0 0 . 0 0CK# 5 0 5 5 t h A v e n u e &TE 3 3 31 4 6 1 d e s Mo i n e s , I A 5 0 3 0 91 1 / 5 I D # 6 0 7 5 I o wa Nu r s e s As s oc i at i o n P ACCK# 1 1 2 7 1 5 0 1 4 2 n d S t r e e t S TE 4 7 1 1 0 0 . 0 0We s t De s Mo i n e s , I A 5 0 2 6 61 1 / 5 I D # Dav i d P a l me r

CK# 2 1 3 SW f l y n n Dr .A n k e n y , I A 5 0 0 2 1 1 0 0 . 0 01 1 / 7 Va l e r i e Ke mp

CK# 4 3 3 2 Ca mi n o De l Ri o So ut hI o wa Ci t y , I A 5 2 2 4 0 5 0 . 0 0


9/22

Fo r I h s t r u c t i on 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 k i a t e ' s p e r s o n a l f u n ds )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 )Commi t t e e t o El e c t Ro b e r t E . Ovo r s k y

SCHEDULEMONETARY

( Re v 0 6 1 9 7 ) RECEI PTSQ CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE. I F A CONTRI BUTI ON I S RECEI VED FROMASTATEPAC ( POL I TI CA L ACTI ON COMMI TTEE) . L I ST THE PAC I DENT I F I CAT I ONNUMBER AND THE PACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A BL E FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 68B. 3 2A ( 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 on c o p i e d f r om r e po r 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 u t i on s o rf 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 p a g e o f t h i ss c h e d u l e )Di s c l o s u r e l a w r e q u i r e s c a n di 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 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 mus t b e shown t o t h e t h i r d d e g r e e o f c o ns a ng 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) ( S ee P a g e 2 o f f o r ms p ac k et . ) . 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 as c a n di d at e . b u t t h er e i s n o P a g ef a m i l i a l r e l a t i o n s h i p , en t e r ' n ot ap p l i c ab l e " i n t h e r e l a t i o n s h i p c o l u mn

8 o f 1 6( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MMI DDI YR) AND PAC CHECK ( i f a pp l i c a bl e ) RAINUMBER I NC1 1 / 6 / 0 1 I D # 6 0 5 2 I n de p en d e n t I n s u r a n c e A Ge n t s A C

CK# 4 0 0 0 Wes t own P KY STE 2 0 02 5 3 2 We s t De s Mo i n e s , I A 5 0 2 6 5 1 0 0 . 0 0I D#1 1 / 2 Ca r l o s J aYneCK# 3 5 2 3 SW 3 7 t h STr e e tDe s Mo i n e s , I A 5 0 3 2 1 2 5 . 0 0

1 1 / 1 2 Amy Camp b e l l F l e mi n gCK# 2 1 2 5 48 t h STr e e tDe s Mo i n e s , I A 5 0 3 1 0 2 5 0 . 0 0I D # -1 1 / 1 2 Thomas J . Ci l e kCK# 3 1 7 Mag owanI o wa Ci t y , I A 5 2 2 4 0 5 0 . 0 01 D #1 1 / 1 2 6 0 7 0 I o wa Law PACCK# 5 2 1 Ea s t L o c u s t2 5 4 2 De s Mo i n e s , I A 5 0 3 0 9 1 0 0 . 0 0

1 1 / 1 2 Dav i d F u n kCK# 3 2 7 Hi g h l a n d Dr i v eI o wa Ci t y , I A 5 2 2 4 6 5 0 . 0 0I D#1 1 / 1 2 Be t h Bo l l i ng e rCK# 48 P e n t i r e Ci r c l eI o wa Ci t y , I A 5 2 2 4 5 1 0 0 . 0 01 1 / 1 2 S . Ku c e r a

CK# 5 6 4 5 1 8 0 t h St r e e t NESo l o n , I A 5 2 3 3 3 2 5 . 0 0I D#1 1 / 1 2 Ku r t & J a n e Va n Vo oe h i gCK# 2 6 Oak P ar k Dr i v eI o wa Ci t y , I A 5 2 2 4 0 5 0 . 0 0I D#1 1 / 1 2 J o h n St r a t t o nCK# 8 1 5 Wy l d e GReen RDI o wa Ci t y , I A 5 2 2 4 6 2 5 . 0 0


10/22

Fo r I n s t r u c t i on s , Se e B a c k o f Fo r mCONTRI BUTI ONS - MONEY TAKEN 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 na l f u n ds )COMMI TTEE NAME ( Mu s t be s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )Co mmi t t e e t o El e c t Ro b e r t E Dv o r s k y

STATE CANDI DATES NOTE: I F A CONTRI BUT I ON I S RECEI VED FROMASTATEPAC ( P OL I TI CA L ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CA TI ONNUMBER ANDTHEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S A VA I L A BL E FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 68 B . 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 o p i e d f r o m r e po 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 u t i o n s o rf o r any c o mme r c i a l p u r p os e by any p er s o n o t h er 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


MONETARYRECEI PTS

[ ] CHECK T HI S BOX I FAMENDI NG FORM

SUB- TOTAL

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

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 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 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 be shown 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 ) a n d a f f i n i t y ( r e l a t i v e s b y 9 o _f 1 6ma r r i a g e) ( S ee Pa g e 2 o f f o r ms p ac k et . ) . 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 er e i s n o P a g ef a m i l i a l r e l a t i o n s h i p , en 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 du l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCI D#1 1 / 1 2 / 0 1 Ro d n ey Su l l i v a n _CK# 2 3 2 6 Cou r t S t r e e tI o wa Ci t y , I A 5 2 2 4 5 25 . 0 0D#1 1 / 1 2 Di a n Baumba c hCK# 8 0 0 L i n de r Ro a dI o wa Ci t y , I A 5 2 2 4 0 25 . 0 0I D#1 1 / 1 2 Ar t h ur & Ma r y J o Sma l lCK# 2 0 R o c k y Sh o r e Dr i v eI o wa Ci t y , I A 5 2 2 4 6 50 . 0 0

1 1 / 1 2 Da v i d Red l awskCK# 2 6 GA l l u p PLI o wa Ci t y , I A 5 2 2 4 6 50 . 0 0I D#1 1 / 1 2 Br e n d a Ho l l i n g s wo r t hCK# 7 3 6 1 4 t h Av eCOr a l v i l l e , I A 5 2 2 4 1 50 . 0 0I D#1 1 / 1 2 Nan c y Po r t e rCK# 2 5 1 9 P o t o mo c Dr .I o wa Ci t y , I A 5 2 2 4 5 25 . 0 0

1 1 / 1 3 I D# P a t r i c k B a u e rCK# 3 3 8 Kos er A v eI o wa Ct i y , I A 5 2 2 4 6 12 5 . 0 0

1 1 / 1 5 I D# H a n n a We s t o nCK # 7 1 5 Ri v e r S t r e e tI o wa Ci t y , I A 5 2 2 4 6 25 . 0 0

1 1 / 1 5 I D# 6 2 9 4 I owa Ci t y Fed o f Labo r AFLCK # 1 0 1 3 7 0 5 S . Cl i n t o nI o wa Ci t y , I A 5 2 2 4 0 12 5 . 0 0I D #1 1 / 1 5 J o e Ho l l a n dCK # 4 6 3 6 Sh a r o n Ce n t e r RDI o wa Ci t y , I A 5 2 2 4 0 7 5 . 0 0


11/22

Fo r l n * t r u c t l o n s , Se e B a 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 ds )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 )

Co mmi t t e e t o El e c t Ro b e r t E Dv o r s k ySTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CA L ACTI ON COMMI TTEE) , L I ST THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN. A L I ST OF 1 0 NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCL OSURE BOARD .CAUTI ON : Se c t i o n 6 8 8 . 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 o p i e d f r o m r e p or 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 ns 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 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- TOTALTOTAL ( i f l a s t p a g e o f t h i s

s c h e d u l e )

SCHEDULEMONETARY

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

0 CHECK T HI S BOX I FAMENDI NG F ORM

$ 4 8 5 . 0 0

' Di s c l o s u r e l aw r e q u i r e s c a nd 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 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 a ng 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 P a g e 2 o f f o r ms p a c k e t . ) . I f su r name 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 P a g e 10 o f 1 6f a m i l i a l r e l a t i o n s h i p . en t e r ' n o t a pp l i c a bl 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)

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) AND PAC CHECK ( i f a pp l i c a bl e ) RAINUMBER I NC1 1 / 1 6 / F # J e a n L l o y d J o n e s

CK# 1 6 0 Oa k r i d ge AVeI o wa Ci t y , I A 5 2 2 4 6 2 5 0 . 0 0I D#1 1 / 1 9 Th oma s CA r s we l lCK# 1 6 2 7 Co l l e g e Co u r t P LI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0

1 1 / 1 9 Vi c t o r i a L e n s i n gCK# 2 4 0 8 May f i e l d RoadI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0I D#1 1 / 1 9 S u z a n n e J a c q u eCK# 9 2 4 E . Ma r k e tI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0I D #1 1 / 1 9 A n n Bo ub j e r gCK# 1 7 1 0 Ri d g e RDI o wa Ci t y , I A 5 2 2 4 5 25 . 0 0I D#1 1 / 1 9 Ni c h o l a s J o h n s o nCK# P . O . Bo x 1 8 7 6I o wa Ci t y , I A 5 2 2 4 4 25 . 0 0

1 1 / 1 9 I D# Th oma s Sl o c k e t tCK# 6 2 9 Br own St r e e tI o wa Ci t y , I A 5 2 2 4 5 25 . 0 0

1 1 / 1 9 I D# Ki m Mi l l e rCK# 8 0 5 S p e n c e r Dr i v eI o wa Ci t y , I A 5 2 2 4 6 25 . 0 0

1 1 / 1 9 I D# DA v i d BA l d u sCK# Uo f I A Co l l e ge o f LawI o wa Ci t y , I A 5 2 2 4 2 3 0 . 0 0

1 1 / 1 9 Samu e l B e c k e rCK# 7 0 1 Oa k n o l l Dr i v eI o wa Ct i y , I A 5 2 2 4 6 3 0 . 0 0


12/22

. Fo r I t : * t r u c t i o n s , Se e Eack o f Fo r mCONTRI BUTI ONS - MONEY TAKEN I N

( I n c l u d i n g c a nd k i a t e ' s p e r s o n a l f u n ds )COMMI TTEENAME ( M u 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 )

Commi t t e e t o El e c t Ro b e r t E . d vo r s k ySTATE CANDI 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 ANDTHE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARDCAUTI ON : Se c t i o n 6 8 8- 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 bu t i o ns o rf o r an y c o mme r c i a l p u r p o s e by 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 .

SCHEDULEMONETARY

( Re v 06 M7) RECEI PTS

QCHECK THI S BOX I FAMENDI NG FORM

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 )

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 e s t o d i s c l o s e t h e r e t 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 . R e l a t i o n s h i p mus t be shown 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 P a g e 2 o f f o r ms p a c k e 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 an d i d at e . b u t t h er e i s n of 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 ap p l i c abl e ' i n t h e r e l a t i o n s h i p c o l umn

5280 . 0 0

P a g e 11 o r 1 6( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a pp l i c a b l e ) RAINUMBER I NC1 1 / 1 9 / Cl D# Sa r a h Swi s h e r

CK# I o wa Ci t y , I A 5 2 2 4 0 $ 2 5 . 0 0I D#1 1 / 1 9 Ed F l a h e r t yCK# 2 6 0 1 Fr i e n d s hi p STI o wa Ci t y , I A 5 2 2 4 5 1 5 . 0 0I D# T1 1 / 1 9 Ky r am Coo kCK# 1 Oak Pa r k Co u r tI o wa Ci t y , I A 52246 2 0 . 0 0I D#1 1 / 1 9 Do u g l a s P e t e r sCK# 7 0 E . Ch e s t n u tNo r t h L i b e r t y , I A 52317 2 0 . 0 0I D#1 1 / 1 9 Di a n e Kauf manCK# 8 1 1 N . L i n n St .I o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0

1 1 / 1 9 I D# Ka r en Le i g hCK# 8 0 9 Bl o omi n gt o nI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0I D#1 1 / 1 9 Wi l l i am L y o n sCK# 2 1 0 N . Ge o r g e St .No r t h L i b e r t y , I A 5 2 3 1 7 2 5 . 0 0

1 1 / 1 9 I D# Gr e t c h e n F u l l e rCK # ' 5 2 85 Rupp en k amps RD SWRi v e r s i d e , I A 5 2 3 2 7 2 5 . 0 0

1 1 / 1 9 I D# P ame l a St e wa r tCK # 2 0 1 2 K e s t r e l Ri d g e SWOx f o r d , I A 5 2 3 2 2 50 . 0 0I D#1 1 / 1 9 Sa l l y St u t s ma nCK# 3 7 1 4 5 0 0 t h St . SWRi v e r s i d e , I A 5 2 32 7 50 . 0 0


13/22

F o r P n - s t r u c t i o n s , Se e E a c l c 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 na l f u n ds )COMMI TTEE NAME ( Mu s t be s ame a s o n S t a t e me n t o f Or g a n i z e d o n )

Commi t t e e To El e c t Ro b e r t E . Dv o r s k y

SCHEDULEA MONETARY

( Re v 0 6 V 9 7 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI 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 THEPAC I DENT I F I CATI ONNUMBER ANDTHE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI L ABL E FROMTHE I OWA ETHI CSANDCAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : Se c t i o n 68 8 . 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 o p i ed f r o m r e po 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 u t i o ns o rf o r any c o mme r c i a l p u r p o s e by an y p er s o n o t h er 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- TOTALTOTAL ( i f l a s t page o f t h i s

s c h e d ul e )' 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 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 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 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 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 2 o f 1 6ma r r i a g e) ( Se e P a g e 2 o f f o r ms p ac k et . ) . 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 n di d a t e , b u t t h er e i s n o P a g ef a m i l i a l r e l a t i o n s h i p , en 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)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE- RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a pp l i c a bl e ) RAI

NUMBER I NC1 1 / 1 9 / - , I D # J o h n Dee t h

CK#.6 1 5 S . Go v e r n o r St . #CI o wa Ci t y , I A 5 2 2 4 0 15 . 0 0

I D#1 1/ 1 9 Gay l e Ga l l oCK# 17 Va l l e y V i e w K n o l l NEI o wa Ci t y , I A 5 2 2 4 0 50 . 0 0

1 1/ 1 9 I D # Ma t t h ew HayekCK# 53 0 K i mb a l l RoadI o wa c i t y , I A 5 2 2 4 5 5 0 . 0 0I D #1 1/ 1 9 De e & CAr r i e No r t o nCK# 9 2 0 Gi n t e r Av eI o wa Ci t y , I A 5 2 2 4 0 50 . 0 0

I D#1 1/ 1 9 Ro n a l d Be r gCK# 7 0 7 Ar b o r Dr i v eI o wa Ci t y , I A 5 2 2 4 5 50 . 0 0I D#1 1/ 1 9 Ro b e r t P . , Br u n sCK# P . O . Box 1 2 2 6 , 5 0 0 . 0 01 1/ 1 9 I D # Da v i d P a r s o n sCK# 1 0 3 5 7 t h Av eI o wa Ci t y , I A 5 2 2 4 5 1 0 0 . 0 0I D *1 1/ 1 9 SEI U L o c a l COPE F un dCK# 4 7 2 1 s t AV eCo r a l v i l l e , I A 5 2 2 4 1 1 0 0 . 0 0

1 1/ 1 9 I D # T h oma s & Ca t h e r i n e We i n ge i s tCK# 3 He a t h e r Ci r c l eI o wa c i t y , I A 5 2 2 4 5 1 2 5 . 0 0I D #1 1/ 1 9 L a r r y He r t e lCK# 1 7 0 0 P a r k Ri dge Dr i v eC o r a l v i l l e , I a 5 2 2 4 1 10 0 . 0 0


14/22

F o r M o t r u c t i o n s , Se e Ea c : c 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 ds )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 )Commi t t e e t o E l e c t Ro b e r t E . Dv o r s k y

SCHEDULEA

( Re v 0 6 / 9 7 )MONETARYRECEI PTS

QCHECK THI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE . I F ACONTRI BUTI ON I S RECE I VED FROMASTATEPAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I ST THEPAC I DENT I F I CAT I ONNUMBER AND THEPAC CHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCL OSURE 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 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 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 o n t r i bu t i o ns o rf o r an y c o mme r c i a l p u r p o s e by a ny 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 a s t p a g e o f t h i ss c h e d u l e )

$675 . 0 0

Di s c l o s u r e l a w r e q u i r e s c a n di 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 ec 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 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 ) a n d a f f i n i t y ( r e l a t i v e s b y 1 3 _ 1 6ma r r i a g e ) ( Se e P a g e 2 o f f o r ms p a c k e t . ) I f s umame o f c o n t r i b u t o r i s t h e sa me a s c a n di d at e , b u t t h er 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 pl i c a bl 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 )

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a pp l i c a bl e ) RAINUMBER I NCI D# -1 1 / 1 9 / 0 1 Ro b e r t Bacon $CK# 1 9 6 5 J e f f r e y ST .I o wa Ci t y , I A 5 2 2 4 6 1 0 0 . 0 0

1 1 / 1 9 I D# P e t e r & E l l e n F i s h e rCK# 3 7 2 2 Hummi n g b i r d L a n e SEI o wa Ci t y , I A 5 2 2 4 0 1 0 0 . 0 0

1 1 / 1 9 I D # J ul i a n ne T h om a sCK# 4 7 4 9 Moun t Ve r n o n RD SECedar RAp i d s , I A 5 2 4 0 3- 1 0 0 . 0 01 D #1 1 / 1 9 Mi c h a e l F l a u m & L a v e r n e Re e cCK# 9 0 1 Me l r o s e A v eI o wa Ci t y , I A 5 2 2 4 6 1 0 0 . 0 0

1 1 / 1 9 I D # L i n d a F e r g u s o nCK# 2 9 3 3 Wa s h i n g t o n STI o wa Ci t y , I A 5 2 2 4 5 2 5 . 0 0I D #1 1 / 1 9 F r a n k ChengCK# 1 00 21 6t h A V e n u eCo r a l v i l l e , I a 5 2 2 4 1 2 5 . 0 0

1 1 / 1 9 I D # L o we l l Br a n d tCK# 8 2 4 N . Gi l b e r tI o wa Ci t y , I A 5 2 2 4 1 2 5 . 0 0

1 1 / 1 9 I D # Ri c h a r d Br a v e r ma nCK# 1 0 0 5 Ri v e r St r e e tI o wa Ci t y , I A 5 2 2 4 6 2 5 . 0 0I D# -1 1 / 1 9 Ke v i n Mo n s o nCK# 3 0 6 9 Ro h r e t RD SWrI o wa Ct i , I A 5 2 2 4 0 5 0 . 0 0

1 1 / 1 9 l a # J o h n &Do r o t h y Wh i t s o nCK# 3 1 7 Magowan DRi veI o wa Ci t y , I A 5 2 2 4 6 1 2 5 . 0 0


15/22

Fo r I ' n s t r u c t i o n s , Se e E a 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 k i 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 St a t e me n t o f O r g a n i z a t i o n )

Co mmi t t e e t o El e c t Ro be r t Dv o r s k ySTATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E PAC ( P OL I T I C AL A C T I O N C OM MI T T E E ) , L I S T T HE PAC I D ENT I F I CA T I O NNUMBER AND T HE PACCHECK NUMBER I N THE DES I GNATED COL UMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I O WA E T H I C S AND CAMPAI GNDI SCL OSURE 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 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 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 - TOTA LTOTAL ( i f l a s t p a g e o f t h i ss c h ed u l e )

SCHEDULEA MONETARY( R e v . 0W97 ) I RECEI PTS0 CHECK T HI S BOX I FAMENDI NG FORM

' 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 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 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 -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 RELAT I ONSH I P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCI D#1 1 / 1 9 / 0 1 Do n a l d Ot t oK # 4 2 6 8 T u r k e y Cr e e k RD NEI o wa Ci t y , I A 5 2 2 4 0 50 . 0 0I D#1 1/ 2 0 L l o y d Ep l e yCK# 1 0 0 6 1 9 t h A v e n u eCo r a l v i l l e , I a 5 2 2 4 1 25 . 0 0I D#1 1/ 2 4 De b o r a h Gi l lCK# 8 0 8 8 t h AVeCo r a l v i l l e , I A 5 2 2 4 1 25 . 0 0I D#1 1/ 2 6 Ha r o l d & Naom i S c h e d lCK# 6 2 5 Wh i t i n g Av eI o wa Ci t y , I A 5 2 2 4 5 50 . 0 0I D#12 / 1 Ka t h e r i n e T a c h a uCK# 12 7 Fe r s o n AveI o wa Ci t y , I A 5 2 2 4 6 12 5 . 0

12 / 3 I D# Ro b e r t We l s hCK# 8 4 P e n f r o DrI o wa Ci t y , I A 5 2 2 4 6 25 . 0 0

12 / 3 I D# Pe t e Ha r t f o r dCK# 2 7 9 5 E c h o AVE NWOx f o r d , I A 5 2 3 2 2 50 . 0 0I D#12 / 5 Gi n a Sc h a t t ema nCK# Un i v er s i t y o f I o waI o wa Ci t y , I A 5 2 2 4 2 1 0 0 . 0 0

12 / 5 I D# P a u l McAnd r ewCK# 2 5 9 0 Ho l i d a y Road St e 1 0 0Co r a l v i l l e , I A 5 2 2 4 1 50 . 0 0I D# Cr a i g Ni d ? l s on

12 / 5 CK# 8 6 2 0 Ti t l wi a r Ci r c l e 1 0 0 . 0 0L a s V e g a s , NV 8 9 1 1 7


16/22

F o r I n s t r u c t i o n s , S e r i E 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 ds )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 )Commi t t e e t o El e c t Ro b e r t E Dv o r s k y


MONETARYRECEI PTS


STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECE I VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE ) , L I ST THE PAC I DENT I F I CAT I ONNUMBER ANDTHE PACCHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVA I LABLE FROMTHE I OWA E TH I C S ANDCAMPAI GNDI SCLOSUREBOARD.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 o p 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 o nt r i bu t i o ns o rf o r a ny c o mme r c i a l p u r p o s e by 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- TOTALTOTAL ( i f l a s t p a g e o f t h i s

s c h e du l e )Di s c l o s u r e l a w r e q u i r e s c a n di 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 ec o mmi 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 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 P a g e 2 o f f o r ms p a c k e t . ) . I f su r name o f c o n t r i 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 of 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 _

$ 1 5 7 5 . 0 0

P a g e 15 o f 16( f o r S c h e du l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) ANDPAC CHECK ( i f a pp l i c a bl e ) RAINUMBER I NC112/ 4/ 01 1 D# Mi c h a e l Be a i r d

CK# 1 3 0 7 Ro c h e s t e r AveI o wa C i t y , I A 5 2 2 4 5 2 5 . 0 0I D#1 2 / 4 Vi r g i n i a Al l a i r eCK# 1 5 0 2 1 s t AVe Un i t 3Co r a l v i l l e , I a 5 2 2 4 1 2 5 . 0 0I D#1 2 / 6 J a m e s H a y e sCK# 1 1 42 E . Cou r t STI o wa Ci t y , I A 5 2 2 4 0 2 5 0 . 0 0I D#1 2 / 9 Al l a n Be r g e rCK# 3 0 0 5 HWY 1 NEI o wa C i t y , I A 5 2 2 4 0 5 0 . 0 0I D#1 2 / 9 Te d T o w n s e n dCK # 2 4 2 5 Hu bb e l lDe s Mo i n e s , I A 5 0 3 1 7 2 0 0 . 0 0

2 / 1 7 I D # 6 1 1 3 AFSCME/ I owa Co u n c i lCK # 4 3 2 0 N W 2 n d AVe2 5 2 5 De s Mo i n e s , I A 5 0 3 1 3 7 5 0 . 0 0I D#1 2 / 2 4 8 3 0 4 e r c k PACCK # 5 1 0 1 6 0 1 P e n n s y l v a n i a AVe NWWa s h i n g t o n , D . C . 2 0 0 4 1 0 0 . 0 0

1 2 / 2 4 I D# J a n i s Hu b e lCK# 2 5 6 2 Oa k C i r c l e NENo r t h L i b e r t y , I A 5 2 3 1 7 2 5 . 0 0I D# - .1 2 / 2 4 Ma r k S c h a n t zCK# 5 2 6 La r c h L a n e 50 . 0 0I o wa Ci t y , I A 5 2 2 3 5

1 1 / 1 2 I D# Mi c h a e l &Susan Camer onCK# 2 2 0 2 NW 1 4 0 t h S tCl i v e , I A 5 0 3 2 5 1 0 0 . 0 0


17/22

Fo r I ' n s t r u c t i o n s , Se e E a c b c o f Fo r mCONTRI BUTI ONS - MONEY TAKEN 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 ds )COMMI TTEENAME ( 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 )Commi t t e e t o E l e c t Ro b e r t E . Dv o r s k y

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECE I VED FROMASTATEPAC ( POL I T ICA L ACTI ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBER AND THEPACCHECKNUMBER I N THE DESI GNATED COLUMN. AUST OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 6 8 B . 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 o p i e d f r o m r e p or 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 u t i o n s o rf o r a ny 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 mmi 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 du l e )

SCHEDULEA( Re v . 0 6 1 9 7 )

MONETARYRECEI PTS

QCHECK T HI S BOX I FAMENDI NG FORM

$ 3 6 5 . 0$ 1 0 2 7 0 . C I O' Di s c l o s u r e l a w r e q u i r e s c a n di 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 t r i b u t i o n t o t h ec 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 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 P a g e 2 o f f o r ms p a c ket . ) . I f su r name o f c o n t r i b u t o r i s t h e s a me a s c a n d i d a t e , b u t t h er e i s n o P a g e 1 6 o f 1 6f a m i l i a l r e l a t i o n s h i p , e nt 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 )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT q I FRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FU( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAINUMBER I NCI D#1 1 / 1 9 / 0 1 6 1 2 5 = I o wa g e a l t o r s P AC .CK# 1 8 9 8 9 9 9 Oa k r i d g e DRi v eMo i n e s , 5 0 3 1 4 , 1 0 0 . 0 0

1 2 / 2 8 J o L a v e r t a J o ne sCK# 3 2 0 1 Mu s c a t i n e Ave . #1I o wa Ci t y , I A 5 2 2 4 0 25 . 0 0I D#1 2 / 3 1 / 0 1 Dr . Ra p l h K u n d s o nCK# 8 6 1 No r ma n d y DRi v eI o wa Ct i y , I A 5 2 2 4 6 5 0 . ' 0 0

u n i t e mi z ed c a s h c o n t r i b u t i o n 1 9 0 . 0 0CK#I D# -CK#

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


18/22

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 i 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 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 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 l i d a t e ' s c o mmi 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 Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 1 o f _ _ _ ~

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

' F OR I NSTRUCT I ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B- MONEY SPENT FROM COMMI TT EE ACCOUNT MONET ARY( Re v . 0 9 / 9 7 ) EXPENDI TURES

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 DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS 3 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 1 Or g a n i z a t i o n)

Co mmi t t e e To El ec t Ro be r t E . D v o r . s k yCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I 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 #1 / 1 7 / 0 1 U . S . Po s t ma s t e rCK# 119 6 Co r a l v i l e , I A 5 2 2 4 1 p os t ag e $ 23 . 5 0

1 / 2 3 I D # Hy b r i d Pu b l i c a t i o n sCK# 1 1 9 7 P . O . Bo x 2 4 9 s u b s c r i p t i o n 29 . 0 0So l o n , I A 5 2 3 3 3

1 / 2 9 I D # I o wa Ci t y Pr e s s Ci t i z enP . O . Bo x 2 4 8 0CK# 119 8 I o wa Ci t y , I A 5 2 2 4 4 s u b s c r i p t i o n 84 . 5 01 / 2 9 I N So l o n Ec o n o mi s t

CK# 119 9 P . O . Box 2 4 9So l o n , I A 5 2 3 3 3 s u b s c r i p t i o n 28 . 0 0I N No r t h Li b e r t y L e a d e r2 / 1 2 CK# 1 2 0 1 P . O . Bo x 2 4 9So l o n , I A 5 2 3 3 3 s i b s c r i p t i o n 25 . 0 0I D #2 / 2 3 L i n n Co u n t y Democ r a t sCK#1202 P . O . Bo x 5 7 4C e d a r Ra p i d s , I A 5 2 4 0 6 c o n t r i b u t i o n 1 0 0 . 0 0

3 / 1 5 I D # J o h n s o n Co u n t y Democ r a t sP . O . Box 1773CK#1203 I o wa Ci t y , I A 5 2 2 4 4 c o n t r i b u t i o n 6 0 . 0 03 / 2 0 I D # I o wa Bu s i n e s s Co u n c i l10 0 E a s t Gr and Su i t e 1 0CK# 1 2 0 4 De s Mo i n e s , I A 5 0 3 0 9 Par t n er s h i p D i n n e r 17 . 0 0

SUB- TOTAL $ 3 6 7 - 0 0 , 1 _ 1 1TOTAL ( I f l a s t page o f t h i s s c h e d u l e ) $


19/22

T HI S BOX APP L I E S T O CANDI DATES ' COMMI T T 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 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 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 m i 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 C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 2 o f 5

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

FOR I NSTRUCT I ONS , SEE BACKOF FORM SCHEDULEEXPENDI TURES B MONET ARY- MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

S TA TE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C AT I O N NUMBER I N T HE DESI GNATED COLUMN AND THE 0 CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE. A L I S T OF I D NUMBERS I S A V A I L A B L E FROMT HE I OWA AMENDI NG FORME T HI C S & CAMPAI GN DI SCLOSURE BOARD .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 )

Commi t t e e t o El ec t Robe r t E . Dv o r s k yCANDI 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#4 / 2 / 01 Cu s t om Awar ds

CK# 1205 9200 Hi ck man 2 s h i r t s / ma r k e t i ng $ 5 4 . 0 0Cl i v e, I A 50325I D#5 / 14 Sol on Economi s t a d v er t i s eme nt 3 2 . 0 0CK# 1206 P . O . Bo x 2 4 9So l o n, I A 52333I D#8 / 4 Demo c r a t i c Ce nt r a l

CK# 1207 Commi t t e e c ont r i bu t i on 20 . 0 0Des Moi nes , I AI D #

8 / 8 Ci t y of Cor a l v i l l e s he l t e r r e nt a l f o rCK# 1208 Cor a l v i l l e , I a 52241 f und r a i s er 45 . 0 0I D# Tec hn i g r a ph i c s Pr i n t i ng 3 6 . 5 18 / 23 CK# P . O . Bo x 18461209 I owa Ci t y , I A 52244I D# U . S . Pos t mas t e r8 / 23 CK# Cor a l v i l l e , I a 52241 p os t a ge 8 4 " 0 01210

8 / 24 I D # U . S . Po s t ma s t e rCOr a l v i l l e , I A 52241 p os t a ge 89 . 0 0CK# 1211I D # Cor a l v i l l e . Hy v ee9 / 6 f ood f or f und r a i s er 1 4 6 . 2 4CK# Lan t e r n PaRK Pl a za1212 Cor a l v i l l e , I a 52241

SUB- TOTAL $ 50 6, 7 5TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) $


20/22

T HI S BOX APP L I E S T O CANDI DATES ' COMMI T T EES 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 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 m m 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 C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 3 o f 5( f o r S c h e d u l e B )

' FOR I NSTRUCTI ONS, SEE BACKOF FORM SCHEDULEEXPENDI TURES B MONET ARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

S TA TE PAC COMMI T TEES : NOTE : FOR CONTRI BUTI ONS MADE T O STATEWI DE OR L E G I S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N T HE DESI GNATED COLUMN AND THE 0 CHECKT HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMT HE I OWA AMENDI NG FORME T HI C S & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f Or g a ni z a t i on)

Commi t t e e t o El ec t Ro b e r t E . Dvo r. s k yCANDI 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/ D D/ Y R) AND PACCHECKNUMBERI D # Co r a l v i l l e Hy Ve e9 / 6 / 0 1 L a n t e r n Pa r k Pl az a f o o d f o r f u n d r a i s er 4 8 . 1 2CK# 1 2 1 3 COr a l v i l l e , I A 5 2 2 4 1 $I D# So l o n Ec o n omi s t s c h o o l c a l e n d a r a d 4 9 . 0 09 / 9 P . O . Bo x 2 4 9CK # S ol o n, I A 5 2 3 3 31 2 1 4I D# J o h n s o n . Co u n t y De mo c r a t s9 / 9 P . O . Bo x 1 7 7 3CK # 1 2 1 5 I o wa Ci t y , I A 5 2 2 4 4 c o n t r i b u t i o n 5 0 . 0 0

9 / 1 4 I D # I o wa Demo c r a t i c Pa r t y5 6 6 1 F l u e r Dr i v e S e na t e T r u ma n F u n dCK# 1 2 1 6 De s Mo i n es , I A 5 0 3 2 1 d ona t i o n 2 5 0 . 0 09 / 1 6 I N I o wa Ci t y Ga z e t t e

CK# 1 2 1 7 P . O . Bo x 5 1 1Cedar RAp i d s , I A 5 2 4 0 6 s ub s c r i p t i o n 31 . 4 5I D #9 / 1 6 S T a t e o f I owa I o wa F l a g s 4 0 . 0 0CK# 1 2 1 8 De s Mo i n e s , I A 5 2 3 3 3I D # J o h n s o n Co u n t y De mo c r a t s9 / 2 0 P . O . Bo x 1 7 7 3 'CK# 1 2 1 9 I o wa Ci t y , I A 5 2 2 4 4 d on a t i o n 5 0 . 0 0I D # Em b a s s y S u i t e s9 / 3 0 1 1 0 1 E a s t L o c u s t S t . Demo c r a t i c d i n n e r 99 . 6 8CK# 1 2 2 0 De s Mo i n es , I A 5 0 3 0 9

SUB- TOTAL $ 6 1 8 . 2 5TOTAL ( I f l a s t page o f t h i s s c h ed u l e ) $


21/22

T HI S BOX APP L I E S T O 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 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 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 m i 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 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 4 o f 5( f o r S c h e d u l e B )

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONET ARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

S TA TE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI 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 DESI GNATED COLUMN ANDTHE F0 7 CHECKT HI S BOX I FPAC CHECK NUMBER FOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA AMENDI NG FORME T HI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)Co mmi t t e e t o El e c t Ro b e r t E . Dv o r s k yCANDI 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 m e n t ) WAS MADE( MMMD/ YR) AND PACCHECKNUMBER

1 0 / 1 4 / 0 I D # S t . we n c e s l a u s Ch u r c h6 3 0 DAv e n p o r t ST . Fa l l d i n n e rCK# 1 2 2 1 I o wa Ci t y , I A 52245 $2 0 . 0 0I D# U . S . Pos t mas t e r1 0 / 2 0 Co r a l v i l l e , I A 5 2 2 4 1 p s ot ag e 10 2 . 0 0CK # 1 2 2 2I D# I o wa Ci t y A r e a Chambeo f Commer c e1 0 / 2 5 CK# 1 2 2 3 P . O . Bo x 2 3 5 8 f a l l b a n q u e t 4 0 . 0 0I o wa Ci t y , I A 52244I D # Ca r t e r P r i n t i n g1 7 3 9 Ea s t Gr a nd AVe i n v i t a t i o n s 32 . 8 61 0 / 2 6 CK # 1 2 2 4 De s Mo i n es , I A 5 0 3 1 6I D #

11 / 5 US Pos t mas t e rCK# 1 2 2 5 Co r a l v i l l e , I A 5 2 2 4 1 p o s t a g e / b u l k ma i l 113 . 63I D# Ca r t e r Pr i n t i n g11 / 6 CK# 1 7 3 9 Ea s t Gr a nd AVe l e t t e r s , p h o t o c o py i n g ,1 2 2 6 De s Mo i n es , I A 5 0 3 1 6 en v el o pe s 1 2 4 . 0 2I D # I o wa Ci t y Ga z e t t e11 / 11 P . O . B o x 5 11 7 0 . 0 0CK# Cedar RAp i d s , I A 5 2 4 0 s u b s c r i p t i o n1 2 2 7I D # I o wa Ci t y Pr e s s Ci t i z n11 / 1 1 P . O . B o x 2 4 8 0 s u b s c r i p t i o n 9 0 . 0 0CK# 1 2 2 8 I o wa Ci t y , I A 5 2 2 4 4

SUB- TOTAL $ 5 9 2 . 5 1TOTAL ( N l a s t page o f t h i s s c h ed u l e ) $


22/22

T HI S BOX APP L I E S T O CANDI DATES ' COMMI T T 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 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 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 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 5 6 . 6 ( 3 ) ( 1 ) . )

P a g e 5 o f 5

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONET ARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

S TA TE PAC COMMI T T EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V E CHECK T HI S BOX I FCANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I ON NUMBER I N THE DESI GNATED COLUMN AND T HEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA AMENDI NG FORMET HI 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 )Co mmi t t e e t o E l e c t Ro b e r t E . D v o r s k yCANDI 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/ D D/ Y R) AND PACCHECKNUMBER

1 2 / 5 / 0 1 I D # Un i v er s i t y Democ r a t sUn i v e r s i t y o f I o waCK# 1229 I o wa Ci t y , I A 5 2 2 4 2 c o n t r i b u t i o n $ 2 0 0 . 00I D # Bl a nk P a r k Zo o1 2/ 1 7 7401 SW 9 t h S T r e e t f u n d r a i s i n g e x p e n s e sCK#

1230110 . 0 0De s Mo i n e s , I A 5 0 3 1 5I D # U . S . Po s t ma s t e r

1 2/ 2 2 Co r a l v i l l e , I A 5 224 1 p o s t a geCK# 123 1 21 . 00I D#CK#D#CK#I D#CK#I D #CK#I D#CK#

SUB- TOTAL $ 3 3 1 . 00TOTAL ( N l a s t p age o f t h i s s c h e d u l e ) 1 $ 2 4 15 - 5 1

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