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FOR INSTRUCTIONS, SEE BACK OF FORM
DISCLOSURE SUMMARY PAGECOMMITTEE NAME
CANDIDATE COMMITTEES ONLY:
Candidate Name
Office Sought
Political Party (if applicable)
District (If Senate or House)
Comm. #
Logged in
Scanned
Computer
For Office Use Only
FORM
DR-2(Rev. 12/2005)
DISCLOSUREREPORT(Must be same as on Statement of Organization)
IMPORTANT: Indicate by # type of committee you are reporting for:(1)Statewide/Legislative/Judge Standing for Retention Candidate (2)State PAC (3)State Party(4) CountyCentral Commiittee (5)County Candidate (6)City Candidate (7)School Board or OtherPolitical Subdivision Candidate (8)County PAC (9)City PAC (10) School Board or Other Political
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED
I AM FILING A REPORT FOR (1) ELECTION /(2) NON-ELECTION YEAR.
CHECK IF AMENDMENT TO REPORT DATED
(Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.(You must continue to file reports until a DR-3 is filed.)
(report date) Indicate by #
Local Committees, enter Date of Election
County & Local Committee, enter County inwhich Election is held
STATEMENT OF CASH ON HAND
CASH ON HAND
MUST
at the beginning of the reporting period. (Total of all funds held
by the committee. This amount be the same as the cash on hand at the endof the last reporting period, or must be zero if this is first report filed.)
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attached Schedule A) (*also see in-kind below)
Schedule F: Loan Received total (Attach Schedule F)
Schedule H: Total Sales of Campaign Property (Attach Schedule H)Schedule H applies to Candidates' Committees Only)
SUB-TOTAL
CASH ON HAND at the end of this reporting period (if final report, balance mustbe zero)(Attach DR-3)
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total ( Attach Schedule B) (**also see debts and loans below)
Schedule F: Loans Repayments total (Attach Schedule F)
**UNPAID BILLS
*IN KIND CONTRIBUTIONS
**OUTSTANDING LOANS
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN
VALUE OF CAMPAIGN PROPERTY
(From Schedule D - Attach Schedule D)
(From Schedule E - Attach Schedule E)
(From Schedule F - Attach Schedule F)(Schedule G Attached ?)
(From Schedule H - Attach Schedule H)
YES NO
$
$
$
$
$
$
$
2
Verizon Iowa State Good Government Club
07/15/2008 - 10/14/2008
1
X
20,258.56
2,054.50
0.00
0.00
22,313.06
17,300.00
0.00
5,013.06
0.00
0.00
0.00
0.00
Audited
STATE COMMITTEES: Submit a reconciled campaign account bank statement in January of each year.
Late reports are subject to possible civil and criminal penalities. Pursuant to Iowa Code section 68B.32A(7)the candidate, for a candidate's committee and the chairperson, for any other type of committee, is theindividual responsible for filing timely and accurate reports.
File WithIowa Ethics and Campai nDisclosure Board510 E. 12th, Ste. 1ADes Moines, Iowa 50319fax: 515-281-3701
Subdivision PAC (11)Local Ballot Issue
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ID#
CK#
07/18/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
08/01/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
08/15/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
08/29/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
09/12/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
09/26/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
10/10/2008 $5.00
Cedar Rapids, IA 52405-4537
60 Clive Drive NorthwestAppleby, Anna
ID#
CK#
07/18/2008 $5.00
Cedar Rapids, IA 52411-7757
6616 Ashwood Court NortheastBrady, Scott
ID#
CK#
08/01/2008 $5.00
Cedar Rapids, IA 52411-77576616 Ashwood Court Northeast
Brady, Scott
ID#
CK#
08/15/2008 $5.00
Cedar Rapids, IA 52411-7757
6616 Ashwood Court NortheastBrady, Scott
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$50.00
371
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ID#
CK#
10/10/2008 $5.00
Marion, IA 52302-1781
1645 Charleston DriveBrown, Scot
ID#
CK#
07/18/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
08/01/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
08/15/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
08/29/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
09/12/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
09/26/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
10/10/2008 $2.00
Cumming, GA 30028-8103
4510 Sloan RidgeBrubaker, John
ID#
CK#
07/18/2008 $15.00
North Liberty, IA 52317-9412115 Elm Ridge Drive
Childs, Amanda
ID#
CK#
08/01/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$49.00
373
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ID#
CK#
08/15/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
ID#
CK#
08/29/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
ID#
CK#
09/12/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
ID#
CK#
09/26/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
ID#
CK#
10/10/2008 $15.00
North Liberty, IA 52317-9412
115 Elm Ridge DriveChilds, Amanda
ID#
CK#
07/18/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
ID#
CK#
08/01/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
ID#
CK#
08/15/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
ID#
CK#
08/29/2008 $2.50
GRINNELL, IA 50112-13471428 REED STREET
CHRISTINSON, CHERYL
ID#
CK#
09/12/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$87.50
374
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ID#
CK#
09/26/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
ID#
CK#
10/10/2008 $2.50
GRINNELL, IA 50112-1347
1428 REED STREETCHRISTINSON, CHERYL
ID#
CK#
07/18/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
08/01/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
08/15/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
08/29/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
09/12/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
09/26/2008 $2.00
GRINNELL, IA 50112-1328
1221 PRINCE STREETCLOYED, CYNTHIA
ID#
CK#
10/10/2008 $2.00
GRINNELL, IA 50112-13281221 PRINCE STREET
CLOYED, CYNTHIA
ID#
CK#
07/18/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$22.00
375
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7/46
ID#
CK#
08/01/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
08/15/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
08/29/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
09/12/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
09/26/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
10/10/2008 $3.00
Marion, IA 52302-4992
540 S 22nd StreetCombs, Beth
ID#
CK#
07/18/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
ID#
CK#
08/01/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
ID#
CK#
08/15/2008 $5.00
Marion, IA 52302-61664185 Willowbrook Drive
Cranny, Daniel
ID#
CK#
08/29/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$38.00
376
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ID#
CK#
09/12/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
ID#
CK#
09/26/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
ID#
CK#
10/10/2008 $5.00
Marion, IA 52302-6166
4185 Willowbrook DriveCranny, Daniel
ID#
CK#
07/18/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
ID#
CK#
08/01/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
ID#
CK#
08/15/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
ID#
CK#
08/29/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
ID#
CK#
09/12/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
ID#
CK#
09/26/2008 $2.75
Malcom, IA 50157-80331408 Old 6 Rd.
CUMMINGS, JOY
ID#
CK#
10/10/2008 $2.75
Malcom, IA 50157-8033
1408 Old 6 Rd.CUMMINGS, JOY
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$34.25
377
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ID#
CK#
07/18/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
08/01/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
08/15/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
08/29/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
09/12/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
09/26/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
10/10/2008 $1.50
GRINNELL, IA 50112-2639
1617 REEDDAVIS, LINDA
ID#
CK#
07/18/2008 $2.00
GRINNELL, IA 50112-8220
174 380 AVE.DUDLEY, CINDY
ID#
CK#
08/01/2008 $2.00
GRINNELL, IA 50112-8220174 380 AVE.
DUDLEY, CINDY
ID#
CK#
08/15/2008 $2.00
GRINNELL, IA 50112-8220
174 380 AVE.DUDLEY, CINDY
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$16.50
378
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10/46
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11/46
ID#
CK#
10/10/2008 $4.00
GRINNELL, IA 50112-8348
3630 90TH STEDELEN, SUSAN
ID#
CK#
07/18/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
08/01/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
08/15/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
08/29/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
09/12/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
09/26/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
10/10/2008 $25.00
W. DES MOINES, IA 50265-2213
1024 21STFLANNERY, JOHN
ID#
CK#
07/18/2008 $2.00
Vinton, IA 52349-94815673 22nd Avenue Trail
Gerber, Tom
ID#
CK#
08/01/2008 $2.00
Vinton, IA 52349-9481
5673 22nd Avenue TrailGerber, Tom
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$183.00
3710
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12/46
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ID#
CK#
09/26/2008 $3.00
GRINNELL, IA 50112-2021
1421 4TH AVEGOODIN, MICHELE
ID#
CK#
10/10/2008 $3.00
GRINNELL, IA 50112-2021
1421 4TH AVEGOODIN, MICHELE
ID#
CK#
07/18/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
08/01/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
08/15/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
08/29/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
09/12/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
09/26/2008 $6.00
Grinnell, IA 50112-8007
1003 Old 6 RdGOODRICH, ANN
ID#
CK#
10/10/2008 $6.00
Grinnell, IA 50112-80071003 Old 6 Rd
GOODRICH, ANN
ID#
CK#
07/18/2008 $4.00
TAMA, IA 52339-2208
700 GARFIELD STGRAFF, ELLEN
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$52.00
3712
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14/46
8/7/2019 Verizon Iowa Good Government Club__6038__scanned
15/46
ID#
CK#
09/12/2008 $2.00
Sioux City, IA 51106-4115
4824 Lorraine AvenueGraham, Jean
ID#
CK#
09/26/2008 $2.00
Sioux City, IA 51106-4115
4824 Lorraine AvenueGraham, Jean
ID#
CK#
10/10/2008 $2.00
Sioux City, IA 51106-4115
4824 Lorraine AvenueGraham, Jean
ID#
CK#
07/18/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
ID#
CK#
08/01/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
ID#
CK#
08/15/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
ID#
CK#
08/29/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
ID#
CK#
09/12/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
ID#
CK#
09/26/2008 $8.00
KELLOGG, IA 50135-1116121 ADAIR ST
GUTHRIE, TRACI
ID#
CK#
10/10/2008 $8.00
KELLOGG, IA 50135-1116
121 ADAIR STGUTHRIE, TRACI
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$62.00
3714
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16/46
ID#
CK#
07/18/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
08/01/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
08/15/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
08/29/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
09/12/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
09/26/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
10/10/2008 $5.00
Marion, IA 52302-6162
1905 Sugaridge DriveHall, Janan
ID#
CK#
07/18/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
ID#
CK#
08/01/2008 $5.00
Iowa City, IA 52246-86971325 Phoenix Drive
Halverson, Michelle
ID#
CK#
08/15/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$50.00
3715
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17/46
ID#
CK#
08/29/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
ID#
CK#
09/12/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
ID#
CK#
09/26/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
ID#
CK#
10/10/2008 $5.00
Iowa City, IA 52246-8697
1325 Phoenix DriveHalverson, Michelle
ID#
CK#
07/18/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
ID#
CK#
08/01/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
ID#
CK#
08/15/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
ID#
CK#
08/29/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
ID#
CK#
09/12/2008 $30.00
Cedar Rapids, IA 52402-33551526 Matterhorn Drive Northeast
Handley, Lori
ID#
CK#
09/26/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$200.00
3716
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18/46
ID#
CK#
10/10/2008 $30.00
Cedar Rapids, IA 52402-3355
1526 Matterhorn Drive NortheastHandley, Lori
ID#
CK#
07/18/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
08/01/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
08/15/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
08/29/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
09/12/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
09/26/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
10/10/2008 $4.00
Chicago, IL 60622-2111
1705 W Le Moyne Street Apt. AHodges, Bruce
ID#
CK#
07/18/2008 $5.00
BROOKLYN, IA 52211-86021498 OLD 6 RD
HODINA, ERIC
ID#
CK#
08/01/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$68.00
3717
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19/46
ID#
CK#
08/15/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
ID#
CK#
08/29/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
ID#
CK#
09/12/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
ID#
CK#
09/26/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
ID#
CK#
10/10/2008 $5.00
BROOKLYN, IA 52211-8602
1498 OLD 6 RDHODINA, ERIC
ID#
CK#
07/18/2008 $7.50
Cedar Rapids, IA 52402-7033
4710 Coventry Lane NortheastHoward, William
ID#
CK#
08/01/2008 $7.50
Cedar Rapids, IA 52402-7033
4710 Coventry Lane NortheastHoward, William
ID#
CK#
08/15/2008 $7.50
Cedar Rapids, IA 52402-7033
4710 Coventry Lane NortheastHoward, William
ID#
CK#
08/29/2008 $7.50
Cedar Rapids, IA 52402-70334710 Coventry Lane Northeast
Howard, William
ID#
CK#
09/12/2008 $7.50
Cedar Rapids, IA 52402-7033
4710 Coventry Lane NortheastHoward, William
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$62.50
3718
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20/46
8/7/2019 Verizon Iowa Good Government Club__6038__scanned
21/46
ID#
CK#
08/01/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
08/15/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
08/29/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
09/12/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
09/26/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
10/10/2008 $5.00
Cedar Rapids, IA 52404-7709
3405 Blue Pointe Court SouthwestJakoubek, Paula
ID#
CK#
07/18/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
ID#
CK#
08/01/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
ID#
CK#
08/15/2008 $2.50
BROOKLYN, IA 52211-9728616 MAIN ST
KRIEGEL, KIMBERLY
ID#
CK#
08/29/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$40.00
3720
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22/46
ID#
CK#
09/12/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
ID#
CK#
09/26/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
ID#
CK#
10/10/2008 $2.50
BROOKLYN, IA 52211-9728
616 MAIN STKRIEGEL, KIMBERLY
ID#
CK#
07/18/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
ID#
CK#
08/01/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
ID#
CK#
08/15/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
ID#
CK#
08/29/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
ID#
CK#
09/12/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
ID#
CK#
09/26/2008 $2.50
GRINNELL, IA 50112-760015415 N 75TH AVE E
KRUMM, SHARON
ID#
CK#
10/10/2008 $2.50
GRINNELL, IA 50112-7600
15415 N 75TH AVE EKRUMM, SHARON
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$25.00
3721
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23/46
ID#
CK#
07/18/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
08/01/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
08/15/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
08/29/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
09/12/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
09/26/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
10/10/2008 $10.00
Shellsburg, IA 52332-0829
PO Box LLarimer, Audra
ID#
CK#
07/18/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
ID#
CK#
08/01/2008 $3.00
MALCOM, IA 50157-81014098 90TH ST
MANATT, PATRICIA
ID#
CK#
08/15/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$79.00
3722
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24/46
ID#
CK#
08/29/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
ID#
CK#
09/12/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
ID#
CK#
09/26/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
ID#
CK#
10/10/2008 $3.00
MALCOM, IA 50157-8101
4098 90TH STMANATT, PATRICIA
ID#
CK#
07/18/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
ID#
CK#
08/01/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
ID#
CK#
08/15/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
ID#
CK#
08/29/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
ID#
CK#
09/12/2008 $2.50
MALCOM, IA 50157-80144370 HIGHWAY 63, BOX 8
MC CAIN, SUSAN
ID#
CK#
09/26/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$27.00
3723
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25/46
ID#
CK#
10/10/2008 $2.50
MALCOM, IA 50157-8014
4370 HIGHWAY 63, BOX 8MC CAIN, SUSAN
ID#
CK#
07/18/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
08/01/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
08/15/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
08/29/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
09/12/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
09/26/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
10/10/2008 $7.50
Cedar Rapids, IA 52402-6801
3007 Old Orchard Road NortheastMike, Donna
ID#
CK#
07/18/2008 $2.50
Lyndhurst, OH 44124-25335037 Bristol Court
Nadar, Anand
ID#
CK#
08/01/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$60.00
3724
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26/46
ID#
CK#
08/15/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
ID#
CK#
08/29/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
ID#
CK#
09/12/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
ID#
CK#
09/26/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
ID#
CK#
10/10/2008 $2.50
Lyndhurst, OH 44124-2533
5037 Bristol CourtNadar, Anand
ID#
CK#
07/18/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
ID#
CK#
08/01/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
ID#
CK#
08/15/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
ID#
CK#
08/29/2008 $5.00
GRINNELL, IA 50112-17511108 SUMMER ST
PEASE, LINDA
ID#
CK#
09/12/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$37.50
3725
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27/46
ID#
CK#
09/26/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
ID#
CK#
10/10/2008 $5.00
GRINNELL, IA 50112-1751
1108 SUMMER STPEASE, LINDA
ID#
CK#
07/18/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
08/01/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
08/15/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
08/29/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
09/12/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
09/26/2008 $10.00
Cedar Rapids, IA 52403-4355
4225 Dalewood Avenue SoutheastRay, Jane
ID#
CK#
10/10/2008 $10.00
Cedar Rapids, IA 52403-43554225 Dalewood Avenue Southeast
Ray, Jane
ID#
CK#
07/18/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$82.00
3726
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28/46
ID#
CK#
08/01/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
08/15/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
08/29/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
09/12/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
09/26/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
10/10/2008 $2.00
Amana, IA 52203-8202
824 31st AvenueRotter, Karmela
ID#
CK#
07/18/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
ID#
CK#
08/01/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
ID#
CK#
08/15/2008 $3.00
Cedar Rapids, IA 52405-28384552 Orchard Drive Northwest
Safley, Thomas
ID#
CK#
08/29/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$24.00
3727
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29/46
ID#
CK#
09/12/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
ID#
CK#
09/26/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
ID#
CK#
10/10/2008 $3.00
Cedar Rapids, IA 52405-2838
4552 Orchard Drive NorthwestSafley, Thomas
ID#
CK#
07/18/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
ID#
CK#
08/01/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
ID#
CK#
08/15/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
ID#
CK#
08/29/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
ID#
CK#
09/12/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
ID#
CK#
09/26/2008 $3.00
Cedar Rapids, IA 52404-520127 Dartmouth Street Southwest
Salven, Timothy
ID#
CK#
10/10/2008 $3.00
Cedar Rapids, IA 52404-5201
27 Dartmouth Street SouthwestSalven, Timothy
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$30.00
3728
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30/46
ID#
CK#
07/18/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
08/01/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
08/15/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
08/29/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
09/12/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
09/26/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
10/10/2008 $1.50
GRINNELL, IA 50112-1026
1820 PRINCE STSAUNDERS, MIRIAM
ID#
CK#
07/18/2008 $10.00
Cedar Rapids, IA 52411-7601
4039 Cedar Grove Court NortheastSchramp, Kyle
ID#
CK#
08/01/2008 $10.00
Cedar Rapids, IA 52411-76014039 Cedar Grove Court Northeast
Schramp, Kyle
ID#
CK#
08/15/2008 $10.00
Cedar Rapids, IA 52411-7601
4039 Cedar Grove Court NortheastSchramp, Kyle
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$40.50
3729
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31/46
8/7/2019 Verizon Iowa Good Government Club__6038__scanned
32/46
ID#
CK#
10/10/2008 $10.00
Cedar Rapids, IA 52411-7601
4039 Cedar Grove Court NortheastSchramp, Philip
ID#
CK#
07/18/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
08/01/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
08/15/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
08/29/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
09/12/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
09/26/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
10/10/2008 $2.50
GRINNELL, IA 50112-2343
510 PEARL STSCHULTZ, BARBARA
ID#
CK#
07/18/2008 $2.50
GRINNELL, IA 50112-81384266 20TH ST
SMITH, JUDITH
ID#
CK#
08/01/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$32.50
3731
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33/46
ID#
CK#
08/15/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
ID#
CK#
08/29/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
ID#
CK#
09/12/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
ID#
CK#
09/26/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
ID#
CK#
10/10/2008 $2.50
GRINNELL, IA 50112-8138
4266 20TH STSMITH, JUDITH
ID#
CK#
07/18/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
ID#
CK#
08/01/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
ID#
CK#
08/15/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
ID#
CK#
08/29/2008 $5.00
GRINNELL, IA 50112-0926PO BOX 926
STANEK, KATHY
ID#
CK#
09/12/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$37.50
3732
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34/46
ID#
CK#
09/26/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
ID#
CK#
10/10/2008 $5.00
GRINNELL, IA 50112-0926
PO BOX 926STANEK, KATHY
ID#
CK#
07/18/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
08/01/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
08/15/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
08/29/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
09/12/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
09/26/2008 $3.00
Grinnell, IA 50112-1336
1131 Reed StSTORY, NICOLE
ID#
CK#
10/10/2008 $3.00
Grinnell, IA 50112-13361131 Reed St
STORY, NICOLE
ID#
CK#
07/18/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$33.50
3733
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35/46
ID#
CK#
08/01/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
08/15/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
08/29/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
09/12/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
09/26/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
10/10/2008 $2.50
SULLY, IA 50251-8658
12695 S 92ND AVE EVAN SOELEN, KAREN
ID#
CK#
07/18/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
ID#
CK#
08/01/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
ID#
CK#
08/15/2008 $5.00
MONTEZUMA, IA 50171-8412238 Horseshoe Dr
WALKER, DEBORAH
ID#
CK#
08/29/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$35.00
3734
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36/46
ID#
CK#
09/12/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
ID#
CK#
09/26/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
ID#
CK#
10/10/2008 $5.00
MONTEZUMA, IA 50171-8412
238 Horseshoe DrWALKER, DEBORAH
ID#
CK#
07/18/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
ID#
CK#
08/01/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
ID#
CK#
08/15/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
ID#
CK#
08/29/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
ID#
CK#
09/12/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
ID#
CK#
09/26/2008 $5.00
GRINNELL, IA 50112-8139179 WALNUT ROAD
WEAVER, DAVID
ID#
CK#
10/10/2008 $5.00
GRINNELL, IA 50112-8139
179 WALNUT ROADWEAVER, DAVID
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$50.00
3735
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ID#
CK#
07/18/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
08/01/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
08/15/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
08/29/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
09/12/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
09/26/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
10/10/2008 $2.75
NEWTON, IA 50208-2215
317 E 9TH ST NWEBSTER, DIANA
ID#
CK#
07/18/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
ID#
CK#
08/01/2008 $5.00
GRINNELL, IA 50112-8306256 NEWBURG ROAD
WELLS, JOANN
ID#
CK#
08/15/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Section 68B.32a(6), prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.
DATERECEIVED
(MM/DD/YR)
IFU
RAINC
AMOUNTRECEIVED
RELATIONSHIPTO CANDIDATE*
(if applicable)
NAME AND ADDRESS OF CONTRIBUTORPAC ID NUMBER (ifapplicable) AND
PAC CHECKNUMBER
a
Verizon Iowa State Good Government Club
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "notapplicable" in the relationship column.
TOTAL (if last page of this schedule)
SUB-TOTAL $
$
Page ________of ________ (for Schedule A)
$34.25
3736
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ID#
CK#
08/29/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
ID#
CK#
09/12/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
ID#
CK#
09/26/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
ID#
CK#
10/10/2008 $5.00
GRINNELL, IA 50112-8306
256 NEWBURG ROADWELLS, JOANN
63.00Unitemized Contributions10/14/08 ID#
CK#
$
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
SCHEDULE
A(Rev. 07/03)
MONETARYRECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNTAED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
CAUTION: Secti
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