gentry lynne__1636__scanned

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FOR I NSTRUCTI ONS, S E E B A CK OF F O RM DI SCLOSURE SUMMARY PAGE COMMI TT EE NAME (Must be same ason Statement o f Organization) Lynne Ge nt r y f or I owa House I MP O RT A N T : Indicate b y # type o f c o mmi t t e e y o u a r e reporting f o r : ( 1 )Statewide/Legislative/Judge Standing f o r Retention Candidate ( 2 )State PA C ( 3 )State Party ( 4 )County Central C o mmi t t e e ( 5 )Count)rgAf0i¢atft . , ( 6 )City Candidate ( 7 )School Board o r Other 4°*A±ty,,P ( 1 0 )School Board or Other Political Political Subdivision Candidate ( 8 )Cou Subdivision PA C ( 1 1 )Local Ballot I s e CANDI DATE COMMI TTEES ONLY : Candidate Name Lynne Ge nt r y Office Sought State Legislator (House) P~tical Party ( i f applicable) ' emocratic Late reports aresubject t o possible civil a n d criminal penalties . Pursuant t o Iowa Code section 6 8 B .32A(7) th e candidate, f o r a candidate'scommittee, a n d t h e chairperson, f o r any other type o f c o mmi t t e e , i s t h e individual responsible f o r filing t i me l y a n d accurate reports . SI GNATURE OF PERSON FILING REPORT TELEPHONE I AM FILING A Oc t o b e r 1 5 - Oct ober 3 1 , 2006 (report date) Indicate b y # M CHECK I F AMENDMENT T O REPORT DATED 0 Check i f this isfinal ( t e r mi n a t i o n ) report a n d attach Noticeof Dissolution Fo r m DR - 3 . ( Y o u mu s t continue t o file reports until a DR - 3 i s filed . ) REPORT F OR ( 1 ) ELECTI ON /(2) NON- ELECTI ON YEAR . STATEMENT OF CASH ON HAND CASH ON HAND a t the beginning o f t h e reporting period . (Total o f a l l funds held by t h e c o mmi t t e e . This amount MUST b e t he same a s t h e cash on hand a t t h e e nd o f t h e last reportingperiod or must b e zero i f this i s first report filed . ) . . . . ...... . ...... . ..... ...... ..... . . $ ADD TOTAL MONEY TAKEN I N THI S PERI OD Schedule A: Cash Contributions total (Attach Schedule A ) (also s e e in-kind below) . . . ....... ...... . . . . Schedule F : Loans Received total (Attach Schedule F ) ...... ........ ...... . ....... ........ ...... . ..... ... ...... . Schedule H : Total Sales o f Ca mp a i g n Property (Attach Schedule H ) .... . ...... ...... ...... ...... . . ....... . . (Schedule H aml i es t o Candidates' Commi t t ees On l y ) SUB- TOTAL ..... . . . . . ...... . ...... $ SUBTRACT TOTAL MONEY SPENT T HI S PERI OD Schedule B : Expenditures total (Attach Schedule B ) ("also s e e debts a n d l oansbelow) . . . ...... .... Schedule F Loan Repayment s total (Attach Schedule F ) ...... ....... ....... ..... ... ....... ...... ..... ..... CASH ON HAND a t t h e en ofthis reporting period ( i f final report balance must bezero) (Attach D R- 3 ) ........ ...... ........ ...... ........ ....... . ..... .. . . ...... ...... . .... . . ......... ...... ...... ....... . $ ' " ' UNP AI D BI LLS (FromSchedule D - Attach Schedule D ) .... ...... . ...... . . ....... ........ ...... . ....... ...... ...... ...... . $ * I KI ND CONTRI BUTI ONS (From Schedule E - Attach Schedule E ) ....... ...... . .... . . ..... ...... ...... . ..... .. ...... . $ " OUTSTANDI NG LOANS (From Schedule F CONSULTANT BREAKDOW N(Schedule G Attached?) CANDI DATE COM MI TT EES ONL Y: VAL UE OF CAMPAI GN PROPERTY (From Schedule H - Attach Schedule H ) STATE COM MI TT EES: S u b mi t a reconciled campai gn account bank statement i n January o f each year . FORM DR- 2 I DI SCLOSURE (Rev . 1212005) F o r Office Use Only Co mm # Logged I n Scanned Computer Audited REPORT File with : Iowa Ethics a n d Ca mp a i g n Disclosure Board 510 E . 12'", S t e . 1 A De s Moines, Iowa 50319 F a x : 515-281-3701 Nmm, ' zn ,~ a , 1 1 UO DATE SI GNED Local C o mmi t t e e s , enter Date o f Election County 8 Local C o mmi t t e e s , enter County i n which Election i s held 2,758 . 4 1 4 , 2 00 . 0 0 0 . 0 0 0 . 0 0 6,958 .4 1 5 , 8 20 . 6 0 0 . 0 0 1,137 . 8 1 0.00 1 6,751 . 08 Attach Schedule F ) ....... .... . . . ......... ................ . . ..... ....... ........ . $ 0 . 0 0 r YE S NO $ 0 . 0 0

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8/7/2019 Gentry Lynne__1636__scanned

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FOR I NSTRUCT I ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGE

COMMI TT EE 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 )

L y n n e Ge nt r y f o r I o wa Ho us e

I MPORTANT:

I n d i c a t eb y

#t y p e o f

c o mmi t t e ey o u a r e r e p o r t i n g f o r :

( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y

( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t ) r g A f 0 i ¢ a t f t . , ( 6 ) 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 r4 ° * A ± t y , , P

( 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 lP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u

S u b d i v i s i o n PAC

( 1 1 ) L o c a l B a l l o t I s e

CANDI DATE COMMI TT EES ONLY :

C a n d i d a t e Name

L y n n e Ge nt r y

O f f i c e S o u g h tS t a t e L e g i s l a t o r ( Ho u s e )

P ~ t i c a l P a r t y ( i f a p p l i c a b l e )' e mo c r a t i c

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 w a 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 t h 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 f i l i 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 .

SI GNATURE OF PERSON F I L I N G REPORT

TELEPHONE

I AM F I L I N G AOc t o b e r 1 5 - Oc t o b e r 3 1 , 2 0 0 6

( r e p o r t d a t e )

I n d i c a t e b y #

MCHECK I F AMENDMENT TO REPORT DATED

0C h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t 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 Fo r m DR - 3 .

( Y o u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- ELECTI ON YEAR .

STATEMENT OF CASH ON HAND

CASH ONHAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s am o u n t MUST b e t h e same a s t h e c as h o n h a nd a t t h e e n 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 b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN I N T HI S PERI OD

FORM

DR- 2DI SCLOSURE

( R e v . 1 2 1 2 0 0 5 )

F o r O f f i c e Us e On l y

Comm #

L o g g e d I n

S c a n n e d

C o mp u t e r

A u d i t e d

REPORT

F i l e w i t h :

I o w a E t h i c s a n d Campa i g n

D i s c l o s u r e Bo a r d

5 1 0 E . 1 2 ' " , S t e . 1 A

Des Mo i n e s , I o w a 5 0 3 1 9

F a x : 5 1 5 - 2 8 1 - 3 7 0 1

Nmm,'zn ,~ a 1 1 UO

DATE SI GNED

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n

C o u n t y 8 L o c a l C o mmi t t e e s , e n t e r C o u n t y i n

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

2 , 7 5 8 . 4 1

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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 m

CONTRI BUT I 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 s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

L y n n e G e n t r y f o r I o w a H o u s e

STATE CAND I DATES NOTE : I F ACONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER ANDTHE PACCHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S AVA I L ABL E FROM THE I OWA ETHI CS ANDCAMPAI GND I SCLOSURE BOARD.

NOTE ANY PERSON, OTHER T H AN AN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TOYOUR CAMPAI GN MAY HAVE F I L I N GRESPONS I B I L I T I ES AND SHOULD I MMEDI ATEL Y CONTACT THE BOARD.

CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n yc o mme r c i a l p u r p o s e b y a ny p er s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SCHEDULE

A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS

CHECK T HI S BOX I F

AMENDI NG FORM

DAE PAC I D NUMBER"

RELAT I ONSH I P AMOUNT J I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-

( MM/ DD/ YR) AND P AC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

I D#L a r r y E M e y e r $ 5 0 . 0 0

1 0 / 1 7 / 0 6CK# 4 2 6 A u s t i n S t r e e t

R o c k w e l l C i t y , I A 5 0 5 7 9I D#

L i n d a Mi n n e h a n 3 5 . 0 01 0 / 1 7 / 0 6 CK# 2 4 8 E a t o n A v e n u e

n I A 5 0 0 5 0I D#

G a r y L Ma y s 1 0 . 0 01 0 / 1 7 / 0 6 CK# 9 1 7 E 8 t h A v e n u e PO Bo x 1 7 6

M a n s o n , I A 5 0 5 6 3I D#

I o w a D e mo c r a t i c P a r t y - T r u ma n F u n d 7 5 0 . 0 01 0 / 1 7 / 0 6 CK# 5 6 6 1 F l e u r D r i v eD e s Mo i n e s - T A 5 0 3 2 1

I D#

D H F i s c h e r 1 5 . 0 01 0 / 2 0 / 0 6 CK#

4 6 0 5 NE S u n n y b r o o k L a n eK a n s a s C i t y , MO 6 4 1 1 7I D#

R i c h a r d B l a c k 3 5 . 0 01 0 / 2 0 / 0 6 CK# 3 2 2 8 X e n i a A v e n u e

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F o r I n s t r u c t i o n s , Se e Ba c k o f F o r m

CONTRI 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 S t a t e me n t o f O r g a n i z a t i o n )

L y n n e G e n t r y f o r I o wa H o u s e

SCHEDULE

MONETARY( R e v . 0 7 / 0 3 )

RECEI PTS

0 CHECK T H I S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ON

NUMBER ANDTHE PACCHECK NUMBER I N THE DESI GNATEDCOL UMN A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GN

DI SCLOSURE BOARD.NOTE : ANY PERSON, OTHER THAN AN I N D I V I D UA L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GR E SP ON S I B I L I T I E S AND SHOULD I MMEDI ATEL Y CONTACT THE BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n yc o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .

AC I NUMBER NA : n T 7 ~ a T a T 7 3 ~ ~ 7 ~ ` ~ : 7 T : I ~ ~ e 7 R EL A T I ON SH I 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 / D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOME

I D# Ma K a i l $ 5 0 ' 0 0 ~ /1 0 / 2 0 / 0 6 CK# PO Bo x 2 7 3 s i s t e r - i n - l a w

Gi l mo r e C i t y , I A 5 0 5 4 1

I D #E l e a n o r F A n d e r s o n 1 0 0 . 0 0

1 0 ! 2 0 / 0 6 CK# 1 4 0 8 Un i o n S t r e e ta u n t

4I D #Ed I r w i n 1 0 0 . 0 0

1 0 / 2 0 / 0 6 CK# 2 5 3 2 3 3 0 t h S t r e e t

R o c k w e l l C i t y , I A 5 0 5 7 9

I D#

u n i t e m i z e d c o n t r i b u t i o n s 1 0 . 0 01 0 / 2 2 / 0 6 CK#

I D#Mr s . B e t t y J o n e s 2 0 . 0 0 r

1 0 / 2 2 / 0 6 CK# 1 3 3 S t e w a r tR o c k w e l l C i t y , l A 5 0 5 7 9

I D#R i c h a r d E . Gr a n n a n 2 5 , 0 0

1 0 / 2 2 / 0 6 CK# 8 4 1 Ma i n S t r e e t

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F o r I n s t r u c t i o n s , Se e Ba c k o f F or m

CONTRI 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( Mus t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

L y n n e Ge n t r y f o r I o wa H o u s e

STATE CANDI DATES NOTE : I F A CONTRI B U T I ON I S RECE I V ED FROM A STATE PA C ( P OL I T I C A L AC T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

NOTE : ANY PERSON, OTHER THAN AN I N DI V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I NGRESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD

CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r f o r a n y

c omme r c i a l p ur p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SCHEDULE

A MONETARY( Re v 0 7 / 0 3 ) RECEI PTS

QCHECK T HI S BOX I F

AMENDI NG FORM

AA _ _ P A C I D NUMBER NAME AND A - 9 1 - 9 1 Z E S S OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#E a r lWT r a c h s e l $ 2 5 . 0 0

1 0 / 2 2 / 0 6CK# 5 2 0 NL i n c o l n

L a k e C i t y , I A 5 1 4 4 9

D#Ma r t y Mi n n i c k 5 0 . 0 0 r

1 0 / 2 2 / 0 6 CK# 4 1 3 Au s t i n

Ro c k w e l l C i t y.

1 A 5 0 5 7 ~I D #De n i s e R We n c k - B r o b s t 5 0 . 0 0

1 0 / 2 2 / 0 6 CK# 3 0 0 6 t h S t r e e t

L o h r v i l l e , I A 5 1 4 5 3

I D #P a u l F i e l d s 5 0 . 0 0

1 0 / 2 2 / 0 6 CK# 3 5 3 6 3 8 0 t h S t r e e t

F a r n h a mv i l l e - TA 5 05 18I D#

S t a n l e y L ou i s Ro s e n t h a l 5 0 . 0 01 0 / 2 5 / 0 6 CK#

1 0 8 6 4 Ki n gs t o nHu nt i n o n Woo ds MI 4 8 0 7 0

I D#8 0 3 8 Un i t e d F o o d &Co mme r c i a l Wo r k e r s I n t e r n a t i o n a l 5 0 0 . 0 0

1 0 / 2 5 / 0 6 CK# Un i o n , CLC3 7 5 2 4 2

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FOR I NSTRUCT I ONS , SEE BACK OF FORM Re s e tFormSCHEDULE

EXPENDI TURES B MONETARY

- - MONEY SPENT FROMCOMMI T T EE ACCOUNT( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VE

CANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COL UMN AND T HECHECK

T HI SBOX

I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORM

E THI CS & CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mu s t b e s a me a s o n St a t e me n t o f O r g a n i z a t i o n )

L y n n e G e n t r y f o r I o w a H o u s e

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE

( MM/ DDNR) AND PACCHECK

NUMBER

I D#L a n d m a r k S t r a t e g i e s , I n c t e l e p h o n e v o t e r c o n t a c t p r o g r a m

1 0 / 1 8 / 0 6 6 2 2 5 B r a n d o n A v e n u e S u i t e 3 0 5 $ 7 1 9 . 4 0CK# S p r i n g f i e l d , VA 2 2 1 5 0

R o c k we l l C i t y P u b l i c L i b r a r y r o o m u s e f e e - 5 t h f u n d r a i s e r

1 0 / 1 9 / 0 6CK#

4 2 6 5 t h S t r e e t 1 0 . 0 0R o c k we l l C i t y , I A 5 0 5 7 9

I D #

L a k e C i t y G r a p h i cn e w s p a p e r a d s

1 0 / 2 6 / 0 6 1 0 3 N Ce n t e r S t r e e t 6 0 . 0 0CK# L a k e C i t y , I A 5 1 4 4 9

I D #Ca l h o u n C o u n t y J o u r n a l / H e r a l d n e w s p a p e r a d s

1 0 / 2 6 / 0 6CK#

PO B o x 4 0 4 2 . 5 0M a n s o n , I A 5 0 5 6 3

I D #D a y t o n R e v i e w n e w s p a p e r a d s

1 0 / 2 6 / 0 6CK#

B o x 6 8 6 . 0 0

Da y t o n ,I A 5 0 5 3 0

I D #KI AQ/ KT L B r a d i o a d s

1 0 / 2 6 / 0 6 2 0 0 N. 1 0 t h S t r e e t 7 6 6 . 0 0CK#

F o r t D o d g e , I A 5 0 5 0 1

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FOR I NSTRUCT I ONS , SEEBACK OF FORM SCHEDULE

EXPENDI TURES B MONETAR Y- - MONEY SPENT FROM COMMI T T EE ACCOUNT

( R e v . 0 7 / 0 3 ) EXPENDI TURES

S T A T E PAC COMMI T T EES : NOTE : FOR CONTRI BUTI ONS MADE TO S TATEWI DE OR LEG I SLAT I VE

CANDI DATES, L I S T T HE CANDI DATE I D E NT I F I C A T I O N NUMBER I N T HE DESI GNATED COL UMN AND T HECHECK T HI S BOX I F

PAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMT HE I OWA AMENDI NGFORM

ETHI CS & CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

L y n n e G e n t r y f o r I o w a H o u s e

CANDI DATE NAME AND ADDRESS T OWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DDNR) AND PAC

CHECK

NUMBER

S c r a n t o n J o u r n a l n e w s p a p e r a d s1 0 / 2 8 / 0 6

CK# PO Bo x 1 8 7 $ 3 0 . 0 0S c r a n t o n , I A 5 1 4 6 2

I D # T h e M e s s e n g e r N e w s p a p e r n e w s p a p e r a d s

1 0 / 3 1 / 0 6CK#

7 2 3 C e n t r a l A v e n u e 5 2 3 . 2 0F o r t D o d g e , I A 5 0 5 0 1

I D # C l e a r Ch a n n e l R a d i o KWMT r a d i o a d s1 0 / 3 1 / 0 6 5 4 0 A S t r e e t 1 4 4 5 . 0 0

CK# F o r t D o d g e , I A 5 0 5 0 1

I D #A g e n t s , I n c . p h o n e u s e

1 0 / 3 1 / 0 6CK# 3 3 1 C o u r t S t r e e t 2 5 . 0 0

R o c k we l l C i t y , I A 5 0 5 7 9

I D #T h r e e E a g l e s KTLB r a d i o a d s

1 0 / 3 1 / 0 6CK#

2 0 0 N . I O t h S t r e e t 4 0 6 . 0 0F o r t D o d g e , 1 A 5 0 5 0 1

I D #

CK#

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FOR I NSTRUCT I ONS , SEE BACK OF FORM

COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

L y n n e Ge nt r y f o r I o wa Hou s e

SCHEDULE

E I N - K I ND( R e v . 0 6 / 9 7 1 CONTRI BU T I ONS

d CHECK THI S BOX I F

AMENDI NG FORM

DATE RELAT I ONSHI P DESCR I PT I ON EST I MATED 4 I F FOR

RECE I VED NAME AND ADDRESS T O CANDI DATE OF I N KI ND FAI R MARKET FUND- RAI SER

( MM/ DDNR OF CONTR I BUTOR ' i f a p p l i c a b l e ) CONTRI BUT I ON VALUE CONTRI BUT I ON

Na t h a n Ge n t r y s o n p a p e r s u p p l i e s f o r 2 2 . 7 4

F1 0 / 2 6 / 0 6 3 1 8 Wa s h i n g t o n f u nd r a i s e rRo c k we l l C i t y , I A 5 0 5 7 9

Da l e Ge n t r y h u s b a n d f o od f o r f u nd r a i s e r 5 2 . 0 9

F1 0 / 2 6 / 0 6 3 1 2 0 Ki n gs l e y A v e n u e

Ro c k we l l C i t y , I A 5 0 5 7 9

C h r i s Br i n k ma n p o s t a g e 5 1 . 9 0 F1 0 / 2 7 / 0 6 4 0 2 4 Hu b b el l Av e .

De s Mo i n e s , I A 5 0 3 1 8

C h r i s Br i n k ma n p o s t a g e 2 4 . 0 01 0 / 3 0 / 0 6 4 0 2 4 Hu b b e l l Av e .

De s Mo i n e s , I A 5 0 3 1 8

T r u ma n Fu n d c o n t r i b u t i o n 5 , 5 3 3 . 4 5

F1 0 / 3 1 / 0 6 5 6 6 1 F l e u r Dr i v e

De s Mo i n e s , I A 5 0 3 2 2

T r u ma n Fu n d c o n t r i b u t i o n 5 , 5 3 3 . 4 5

F1 0 / 3 1 / 0 6 5 6 6 1 F l e u r Dr i v eDe s Mo i n e s , I A 5 0 3 2 2

T r u ma n Fu n d c o n t r i b u t i o n 5 , 5 3 3 . 4 5

F1 0 / 3 1 / 0 6 5 6 6 1 F l e u r Dr i v e

De s Mo i n e s , I A 5 0 3 2 2

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FOR I NSTRUCT I ONS , SEE BACKOF FORM

COMMI TTEE NAME (Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

L y n n e Ge n t r y f o r I o wa H o u s e

PART I I - I T EMI ZED BREAKDOWN OF UNREI MBURSED EXPENSES PA I D BY CONSULTANTTO OTHERS I N PERFORMI NG SERV I CES OF CONTRACT ( T h e s e e x p e n s e s s h ou l d NOT b e

PART I - NAME AND ADDRESS OF CONSULTANT

r e p o r t e d o n S c h e d ul e B , a s t h e y a r e d i r e c t p a ym e n t f r o m t h e c o n s u l t a n t . )

Name o f C o n s u l t a n t

M a i l i n g Ad d r e s s

C i t y

-

S t a t e

Z i p Co d e

TOTAL ANT I C I PATEDCOMPENSAT I ON FOR

CONTRACT PERI OD ( MMI DDI YR)

PERFORMANCE

F r o m

T o

EST I MATES OF PERFORMANCE

Page I o f I( f o r S c he d u l e G)

SCHEDULE

G BREAKDOWN

OF MONETARY( R e v . 0 2 / 9 6 ) EXPENDI TURES

BY CONSULTANT

L ! CHECK T HI S BOX I F

AMENDI NG FORM

DATEEXPENDEDMMI DD I YR

NAME AND ADDRESS TO WHOM EXPEND I TUREDi s b u r s e me n WAS MADE PURPOSE

AMOUNT

EXPENDED

S

SUB- TOTAL $ 0 . 0 0

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 ) $ 0 . 0 0