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FORI NSTRUCTI ONS, SEE BACK OFFORMDISCLOSURESUMMARY PACECOMMI TTEE NAME ( Mu s t b e sa me a s o n S t a t e me n t o f O r g a n i z a t i o n )

I o wa n s Fo r Cl a g h o r nI MPORTANT : I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r I I( I ) S t a t e w i d e l L e g i s l a t i v e / J u d g e S t a n d i n g f a r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PA C ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( S ) C o u n t y C s r i d e a t e ( 8 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 6 ) C i t y PA C ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l S u b d i v i s i o n PA C( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY .Ca nd i d a t e Na me

Ka r e y Cl a g bo r nOf f i c e Sough t

S ec r e t a r y o f Ag r i c u l t u r e - "

I AMFI L I NG A J amu a r y 1 9 , 2 0 0 6( r e p o r t d a t e )

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L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i mi n a l p e n a l t i e s P u r s u a n t t o I o wa Code s e c t i o n 6 8 B . 3 2 A ( 7 ) t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e ,a n d t h e c h a i r p e r s o n , f o r a n y o u t e r t y p e o f c o mmi t t e e , i s t h e i n d i v i d u a l r e s p o n s i b l e f o r I ' l l l n g t i me l y a n d a c c u r a t e r e p o r t s .

0Check 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 a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m OR- 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 DR - 3 I s f i l e d . )

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STATEMENTOF CASHON HANDCASHON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec ommi t t e e . T h i s amou nt MUST b e t h e same a s t h e c a s h o n h a n d a t t h e en do f t h e l a s t r e p o r t i n g p e r i o d o r must be z e r o I f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADDTOTAL MONEY TAKEN I N T HI S PERI ODS c he d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h S c he d u l e A) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . . . . . . . .S c he d u l e F : L o a n s Re c ei v e d t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c he d u l e H ; T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c he d u l e H) . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .

1 $ a he d u l s H a n o l l e s t o Cl n d t #Mr Commi t t e e s On l y l

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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

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CANDI OAT5 COMMI TT EES ONLY :VAL UE OF CAMPAI GN PROPERTY ( F r o m S c he d ul e H- A t t a c h S c he d u l e H ) $ naSTATE COMMI TTEES , , S u b mi t a r e c o n c i l e d c ampa i g n a c c o u n t ba n k s t a t e m e n t i n J a n u a r y o f ea ch y e a r

CASHONHAND a t t h e en d o f t h i s r e p o r t i n g p e r i o d ( I f f i n a l r e p o r t b a l a n c e must 5 1 04 - 4 0b e z e r o ) ( A t t a c h DR - 3 ) . . , . . . . . . . . . . . . . . . , . . . . , . . . . . . . . . . , . . . . . . . , . , . , . , . . . . . . . . . . , . . , . , . . , . . . . , . . . . . . . . . . . . . , . , . . . 5' " UNPAI D B I L L S ( F r o m S c he d u l e D $- A t t a c h S c he d u l e D ) . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 7 8 8 . 4 n" : N K I ND CONTRI B U T I ON S ( F r o m S c he d u l e E - A t t a c h S c he d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 2 0 6 . 9 8- OUTSTANDI NG LOANS ( F r o mS c he d ul e F- At t a ch S c he d u l e F ) , . . . . . , . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . $ n aCONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) XYES NO_ -

SUB- TOTAL . . . . . . . . . . . 5 5 5 7 5- 1 7 1 1 0SUBTRACT TOTAL MONEY SPENT T HI S PERI ODS c he d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c he d u l e B ) ( " a l s o s e e d e bt s a n d l o a n s b el o w) - . , . . . . . , 4 7 0 . 6 0S c he d u l e F : L o a n Repaymen t s t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . na

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STATECANDI DATES NOTP, ; I F A CONTRI BUT I ON I S RECE I VED FROM A STATEPAC ( P OL I T I CAL ACT I ON COMMI TTEE ) , L I ST THE PAC I DE NT I F I CA TI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN, A L I S T OF I D NUMBERS I S AVA I LABLE 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 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 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 o n 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 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- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c he d u l e )

SCHEDULEA MONETARY( Re v 0 7 1 0 3 ) I RECEI PTSC I CHECK T HI S BOX I FAMENDI NGFORM

Di a el o au r e l a w r e q u i r e a c a nd i d a t e c o mmi t t e e s t o o l a c l o ae 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 i sc o mmi t t e e , Re l a t i o n sh i p mus t be shown t o t h e t h i r d d e g r e e Wc o n s a n g u i n i t y I b l o od 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 g e ) I f s u r n ame o f c o nt r i bu t o r i s t he 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 Page _ 1 . - _ o ff a m i l i a l r e l a t i o ns hi p , e n t e r ' n o t a pp l i c a bl e ' I n t he r e l a t i o ns hi p c o l u mn . ( f o r Sc h e d u l e A)

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Yo r k t o wn , I N 47396I D# Me l i n d a Ba l e s1 0/ 2 5/ 0 5 CK# 3 2 3 Mai n St , PO Bo x 48 $100 . 0 0Mi l o , I A 50166I D# Kat he r i n e H Gab r i e l1 0 / 2 5/ 0 5 CK# 1 2601 L o n g Gr e e n P i k e $ 1 0 0 . 00Gl e n Ar m, MD 2 1 0 5 7I D # Char l o t t e Cr e s t ma n1 1 / 0 1 / 0 5 CK# 2 8 3 2 Hwy 1 3 0 E $ 1 0 0 . 0 0

She l by v i l l e , TN 3 7' 1 60l o # Dr Amy Os e nb au gh - Ro os t e r f i e l d1 1 / 0 1 / 0 5 CK# 1 1 7 NE T r i l e i n Dr $ 50 . 00A n k e n y , I A 5002 1

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Fo r I n s t r u c t i o n s , Se e 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 d s )COMMI TTEE NAME ( Mu s t b e same a s o n St a t e me n t o f Or g a n i z a t i o n )

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MONETARYRECEI PTSCHECKT HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S R E CE I V E D FROM A STATE PAC ( P O L I T I C AL A C T I O N C O MMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T o f I D NUMBERS I S AVA I LABLE FROMTHE I OWA GTHI CS ANDCAMPAI GNDI $CLOSURE SOARDCAUTI ON: Se c t i o n 686 . 3 2 A ( 6 ) , I o wa Cod e , 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 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 b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y 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 .

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- D i z c l o s u r s l a w r e q u i r e s o a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l o t l o n s h l p o r a n y r e l a t i v e ma k i n g a c o n t n o U i l i p 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 ow n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d e f f l n l t y ( r e l a t i v e s b yma r r l a g c ) 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 o f - - _~- -f 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 , ( f o r Sc h e d u l e Al

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT , ! I F FORRECEr VED ( i t a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MMI DDl YR) ANDPACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME1 1/ 0 1/ 0 5 I D# 1 2 an d L ewi sCK# 1 3 6 9 8 40t h St $ 5 0- 0 0

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I D# Char l o t t e J Chan ce1 1/ 0 1/ 0 5 RR 2 Bo x 94 500 . 0 0CK# Nor man , I N 47264I b # Lowe l l Bence1 1/ 0 1/ 0 5 CK# 2728 St a t e Hwy 92 100 . 00Wi n t e r s e t , I A 50273

I D# Li s a Hu n t e r1 1/ 0 1/ 0 5 CK# 15646 1 73 r d Ave 50 . 0 0

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I D# Rona l d D Pea r s o n 500 . 0 0CK# 5 5 3 4 Gl e n O a k s PtWes t Des v i n es I A 5 0 2 6 6I b # Bi l l Dohr man n1 1/ 0 8/ 0 5 CK# PO Bo x 502 1 00 . 0 0Fa e t t e I A 52142l D # s an dr a . Kan dr i s11 / 0 8/ 0 5 811 . Bu r r Oak s Dr , Un i t 403 100 . 0 0CK#

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TOTAL ( i f l a s t page o f t h i s s c h e d u l e )' 2 i f s c i o s u r e l a w r e c 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 se t h e r e l a t i o n a n l a o f a n y r e l a t i v e ma k i n g a c on t r i b u t i o n t o t h eo ommi r t e , Re i a t o n l h i p , u s t be s h o v + n t o t h e t n i r o o s g r s s o f c on s a r gu l n l t y ( o t o od r c i a t i v c s i a r i a a f f i n i t y ( r e l a t i v e s b y' n a ma g e l I f Sur name Cf c on 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 , bu t t h e r e i s n of a m i l i a l r e l a t i o ns 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

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PAGE 0 4

MONETARYRECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

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I D# Pea r ce RMcKi nne y11 / 16 / 0 CK# 3 3 6 1 St a t e Rd 55E 5 0 . 0 0Wi n a t e , I N 47994

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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

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CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE ; I F A CONTRI BUTI ON I s RECEI VED FROMA STATE PAC ( POUT I CAL ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBER ANO THE 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 AND CAMPAI GNDI SCLOSURE BOAR4 .CAUTI ON ; Se c t i o n 68B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e us e o f i n f o r ma t i 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 o on t r i b ut o n s o rf o r any c omme 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 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 .

Di wo 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 a l a t ) o ns n i o o f a n 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 * h i o mus t De a n ow n t o t h e ! n l r ( j a e gr e e o r c o n s a n g u i n i t y 0 7 l o o d r a i a t i v e s l a n a a Mn i t y , r e l a n v c s ' a ym a r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , Ou t t h e r e i s n o Page , . . . . , _ 4 . . . - _ o f _ ~f a r n l 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 o p l i c a b l e " i n t h e r e l a t l a n s h l p c o l u mn . ( f o r Sc h e d u l e < < i

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DDf YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME' I D # Thomas ' Te r r e l lX2 / 1 4/ 0 5 2 7 1 0 W CR 2 0 0 N 5 0 0 . 0 0CK# Ne w Cas t l e , I N 47362! Q # Peggy Sh at t u c k

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0 1 / 1 8/ 2 00 6 12 : 2 7 6 4 1 9 4 2 6 5 0 2 AHSA PAGE 0 6

T HI S BOXAPPLI ESTO 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 Co s t i n g $ 5 0 0 o r mo r e must 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 . )Ex p e nd 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 n l s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d o ns c h ed 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 pe nd i t u r e mad e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o r n t r l 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 C o d e 68A . 4 0 2 ( 3 ) ( i ) . )

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

FOR I NSTRUCTI ONS, SEESACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEYSPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 7 1 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE . FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI S LAT I V ECANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOX I FPACCHECK NUMBER FOR EACH EXPENDI TURE. A L I STOF I D NUMBERS I S AVA I LABLE FROMTHE I OWA AMENDI NGFORMETHI 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 )I o wa n s Fo r Cl a gh or n

CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( I f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MMI DD/ YR) AND PACCHECKNUM6ER

I D# 5126 L i be r t y Hank1 0/ 1 8/ 0 5 6139 As h wo r t h Rd Or d e r c h e c k sCK# WDes Moi nes , I A 50266 $ 20 . 6 0

I D# 5126 Chr i s t i a n Co a l i t i o n1 0/ 2 7 / 0 5 PO Bo x 65066 Tabl e r e nt f o r e v e n tCK# 1001 WDes Mo i nes , 1 A 50265

o f 10- 2 9- 0 5 25 0 . 0 0I D# 5126 Ca r r i e Ta yl o r Se t t a p we bs i t e1 2/ 0 7 / 0 5 1 5 6 0 3 173r d Avenue v o t e c l a gh o r n . com 200 . 0 0CK# 1002 Mi l o , I A 5 0 1 6 6I D#CK#I D#CK#1D#CK#I D#CK#I D#CK#

_ - SUB- TOTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ 47 0 . 6 0

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7/9

0 1/ 1 8/ 2 00 6 1 2 : 2 7 6419426502 AHSA

FOR 1NSTRUC7f ONS, SEE BACK OFFORMCOMMI TTEE NAME ( Mu s t b e s ame as o n S t a t e me n t o f O r g a n i z a t i o n )

I owan s Fo r Cl a gh or nNOTE : De b t s p r e v i o u s l y r e p o r t e d t h a t r e mai n u np ai d mus t b e i n c l u d ed o n t h i sSc h e d u l e , a s w e l l a s a n y n ew o b l i g a t i o n s I n c u r r e d i n t h i s p e r i o d .

DEBTS I OBL I GAT I ONS REMAI NI NG T HI S REPORTI NG PERI OD( DO NOT I NCLUDE L OANS - - SHOWLOANS ON SCHEDULE F )

' I f a c t u a l f i g u r e i s u n k n o w n , s h o w " e s t i ma t e d " b es i d e t h e f i g u r e .

PAGE 07

SCHEDUL ED( Re v , 0 8 / 9 8 ) I NCURREDI NDEBTEDNE=SS

CHECK T HI S BOXI F AMENDI NGFORM

An - i n c u r r e d d e bt ' I s a d e b t f o rg o o d s o r s e r v i c es o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d r e g ar d l e s s o f wh e t h e r a n i n v o i c eh a s b e e n r e c e i v e d ,

Page I -o f I( f o r Sc h e d u l e 0 )

CANDI DATE COMMI TTEES NOTE :' I n c u r r e d i n d e bt e d n e s s a l s o i n c l u d e s e a c h p e r s o n / e n t i t y w i t h whom t h e c a n d i d a t e ' s c ommi t t e e h as e n t e r e d I n t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u i n g p e r f o r ma nc e . E n t e r t h e n ame o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e ms s u c h a s 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 , manag i n g , o ro r g s n l z J n g S e r v i c e s . Re po r t o n S c h e du l e G t h e n a t u r e o f p e r f o r ma nc e an d t h e e s t i ma t e d p e r f o r m a n c e r e a s o n ab l y e x p e c t e d o f t h e c o n s u l t a n t .

DATEI NCURRED( MMI OWYR)

NAME AND ADDRESS OF PERSONTOWHOMDEBT OR OBL I GAT I ON I S OWED

DESCRI PTI ON OFGOODSORSERVI CES PROVI DED ORPURCHASEDBAL ANCEOWEDATCLOSE OFREPORTI NG

PERI OD'07/ 0 1/ 0 5

-1 0 / 3 1 / 0 5Th e c on c ep t wo r k s1 0 0 1 Of f i c e Pa r k R o a d , Su i t e 119Wes t De s Mo i ne s , I A 5 0 2 6 5 ,

c ommun i c a t i o ns er v i c es

$ 2 7 5 0 . 0 0

09 / 09 / 05Th e Concep t Wor k s1 0 0 1 Of f i c e Pa r k Road, Su i t e 119Wes t De s Mo i ne s , I A 50265

p o s t o f f i c eBo x r en t a l 3 3 . 4 0

SUB- TOTAL $

TOTAL DEBTSOWEDBY COMMI TTEE AT THE ENDOF T HI S REPORTI NG PERI OD $ 2783 . 40

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PART I I - I T E MI Z E D BREAKDOWN OF UNRE I MBURSED EXPENSES PAI D BY CONSULTANTTO OTHERS 1 N PERFORMI NG SERV I CES OF CONTRACT ( T h e s e e x pe n se s s h ou l d NOT b er e p o r t e d o n S c h a d u b e B , a s t h e y a r e d i r e c t p a yme n t f r o m f t c o r m u l t a n t . )

SCHEDULEG

( R e v . 0 2 1 9 6 )BREAKDOWNOF MONET ARYEXPENDI TURESBY CONSULT ANT

CHECK THI S BOX I F1 AMENDI mG FORM

( F o r Sc h e du l e G)Page _ - I _o f - A

DATEEXPENDEDMMI DOI YR NAME AND ADDRESS T O WHOMEXPENDI TURED i s h u r s a r r a n WASMADE PURPOSE AMOUNTEXPENDED

SUB- TOTAL

TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) S

FOR ( NS7RUCTI ONS. SE E BACA OF FORM

COMMI TTE E NAME ( M u s t b e same a s o r ? S t e ( e m e o t o f O r g a n i z a t i o " )

I o wa n s Fo r Cl a g h o r n

PART 1 - NAME AND ADDRESSOF CONSUL T ANTName o f C o n s u l t a n t

Th e C o n c e p t Wor ksM a i l i n g A d d r * s s

1 0 0 1 Of f i c e Pa r k Roa d , Su i t e 1 3 9C i t y S t a t e Z i p Code

Wes t De s Mo i nes I A 5 0 2 6 5

TOTAL ANT I C I PATEDCOMPENSATI ON FORCONT RACT PERI OD I MW1 3WRI PERFORMANCEF r o m 7 - 1 - 0 5

$ 2 7 8 3 . 4 0

ESTNAATES OF PERFORMANCE

Co n su l t a n t wi l l p r o vi d e p r o f e s s i o n a lme d i a s e r v i c e s .

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0 1 11 8 / 2 0 06 1 2 : 2 7 6 4 1 9 4 2 6 5 0 2 AHSA

FOR I N STRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ome a s o n S t a t e me n t o f O r g a n i z a t i o n )

I owa n s Fo r Cl a gh or n

SCHEDULEE I N- KI ND( R e v , 0 6 97 ) 1 CONTRI BUTI ONS

ED CHECK THI S SOX I FAMENDI NG FORM

PAGE 09

SUB- TOTAL

TOTAL ( i f f a s tp a g e o f t h i s

s c h e d u l e )` ; . ' : s o l c s ur e l a w r e q u i r e s c a n di d a t 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 of a n y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Pag e I o f , ___1_z ^ n r r i t t e & , 4 e l a t i o n s h i p mu s t b e shown t o t h e t h i r d d e g r e e o f c o n s a ng u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f a r Sc h e d u l e = i; ) y : n a r r i a g e i ( Se e P a g e 2 o f f o r ms p a c k e t ) I f s u r n a me o f c o n t r i b u t o r I s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o` a r r ; I t a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l umn .

PATE RELATI ONSHI P DESCRI PTI ON ESTI MATED - i I F FORRECEI VEQ NAME AND ADDRESS TO CANDI DATE OF I N K I ND F AI R MARKET FUND- RAI SER( MMI DDI YR) OF CONTRI BUTOR ' i f a p p l i c a b l e ) CONTRI BUTI ON VALUE CONTRI BUTI ON

0 9/ 12 / 0 5 Ka r e y Cl a gh or n15603 1 73 r d Av e s e l f Pos t a ge 38 2 . 0 0 F7Mi l o 1A 5016610 / 0 7/ 0 5 Ka r e y Cl a gh or n15603 1 73 r d Av e s e t Pho t o s 9 9 . 6 4

Mi l o , TA 5 0 1 6 6Ka r e y Cl a gh or n0 9/ 1 4/ 0 51 1 5 6 0 3 17 3 r d Av e s e l f T- s h i r t s 2 69 . 2 4Mi l o , I A 50166

9/ 15 / 05t h r o u gh10 / 15 / 0 5

Ka r e y Cl a gh or n1 5 6 0 3 17 3 r d Av eMi l o , 1A 50166

Sel fMer chand i s e /s up p l i es

12 0 . 5 0

7 / 1/ 05t h r o u gh

Ka r e y Cl a g h or n15603 17 3 r d Ave s e l f

11, 678 mi l e s_ 2 0/ mi l e 2 3 3 5 . 6 012 / 3 1/ 0 5 Mi l o , I A 50166

14

I

a7

3