republican party of iowa9161scanned

8/7/2019 Republican Party of Iowa__9161__scanned

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FOR I h 4STRUCT I ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TT EE NAME ( M u s t b e same a s o n S t a t e me n t o f OMant : a t i o n )REPUBLI CAN PARTYOF I OWA AND I TS EI SENHOWERCLUBI MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( a ) S up p o r t , S l a t e o f Ca n d i d a t e s - 1 _ _N_

RER f o r5 ( 1 5 ) 2 8 2 - 8 1 0 5

TEL EPHONEMay 1 7 , 2 0 0 2DATE SI GNED

I_71P e n a l t i e s Due F o r L a t e F i l e d Re po r t s Ra n g e f r o m $ 1 0 t o 4 0 , ~ v 'SEE I NSTRUCTI ONSONBACKA 0 CCOMPL ETETH_E FOI LOWI NG SENTENCE :

%on f i l i n g t h i s r e p o r t )

I AM F I L I NG A J a n ua r y 1 9 . 2 0 0 2 _REPORT FOR A N/ A ( 1 ) ELECTI ON l ( 2 ) NOWELECTI ON~" YEAR .( r e p o r t d a t e ) I n d i c a t e o n e,

CHECK I F AMENDMENT TO REPORT DATED J a n ua r y 1 9 , 2 0 0 2C h e c k i f t h i s i s f i n a l ( t e r m i 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 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 n o t i c e o f d i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f

a l l mo n i e s h e l d b y t h e c o mmi t t e e . T hi s amou n t MUST b e t h esame a s t h e c as h o n h a n d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d ,o r mus t b e z e r o i f t h i s i s t h e f i r s t r e p o r t f i l e d ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 53 , 6 93 . 1 1ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 9 , 5 1 6 . 8 0Sc h e d u l e C : F u n d - r a i s i n g Ev e n t s t o t a l ( A t t a c h Sc h e d ul e C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d ul e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _

( Sc h e du l e H ap p l i e s t o Ca n di d at e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . . . . . . . . . . . . $ 3 6 3 , 2 0 9 . 9 1

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : Ex p e nd i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 6 , 1 1 9 . 6 1Sc h e d u l e F : L o a n s Re p a yme n t s t o t a l ( A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e e n 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 nc emust b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DR - Z DI SCLOSURE( R e , _ 0 2 / 9 0 ) REPORTF o r O f f i c e Us e On i vComm. # q / ~ !I n d ex e d S~ JAu di t e dComp u t e r

S

L o c a l Commi t t e e s , e n t e r Da t e o f E l e c t i o nCo u n t y & L o c a l Commi t t e e s , e n t e r Co u n t y i nwh i c h E l e c t i o n i s h e l d

4 6 , 1 1 9 . 6 1$ 3 1 7 , 0 9 0 . 3 0

UNPAI D BI L L S ( F r o m Sc h ed ul e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 , 0 1 7 . 2 0I N KI NDCONTRI BUTI ONS ( F r o m Sc h e d u l e E - A t t a c h Sc h e d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0OUTSTANDI NG LOANS ( F r o m Sc h ed ul e F - A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h e du l e G At t a c h ed ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h ed ul e H - At t a c h Sc h e d ul e H)


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Fo r I n s t r u c t i o n s , Se e B a c k o f F o n n

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

CANDI DATE' S COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t emen t o f O r g a n i z a t i o n )R e p u b l i c a n P a r t y o f I o wa & E i s e n h o we r Cl u b

SCHEDULE MONETARY` RECE I PTS( R e v . OW)

CHECK THI S BOX I FAMENDI NG FORM

i

CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE ) , L I ST THE PACI DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I . D . NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD .

UTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a 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 so r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c ommi t t e es .

TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l eSUB- TOTAL I 8 6 0 0 . 0 0

' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . R e l a t i o n s h i p mustb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) . ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r no 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 f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l umn . Page o f - - - 5( f o r Sc h e d u l e A )

DATERECD

P A C I . D . NUMBER( i f a p p l i c a b l e )ANDAND P A C CHECKNUMBER

NAME ANDADDRESS OF CONTRI BUTOR REXeSHI PTO L W IS ATE'( i f .AMOUNTRECE I VED I F FORFUND-RAI SER

I NCOME0 / 1 5 / 2 0 0 1 I D # e l l P a c

3 6 Gr a nd Av e S t a t i o n 1 3 1 0 0 0 . 0 0CK # De s Mo i n e s , I A 5 0 3 0 9

0 / 1 6 1 2 0 0 1 1 D # a c o b s Commi t t e e8 0 8 5 8 t h S t r e e t 1 0 0 0 . 0 0CK # Wes t De s Mo i n e s , I A 5 0 2 6 6

0 / 1 6 / 2 0 0 1 I D # Re d w i n e Commi t t e eP . 0. Bo x 2 2 5 2 1 0 0 0 . 0 0

C K # Si o u x C i t y , I A 5 1 1 0 40 / 1 6 / 2 0 0 1 1 D# V e r i z o n I A S t a t e Good Gove r nmen t C l u b

1 1 1 1 t h Av e S u i t e 2 80 0 . 0 0 0CK # G r i n n e l l , I A 5 0 1 1 2

0 / 1 7 / 2 0 0 1 I D# B i l l D i x ( F o r F r i e n d s f o r D i x )3 2 5 C h e r r y , Bo x 2 3 5 1 0 0 0 . 0 0CK # S h e l l R o c k , I A 5 0 6 7 0

0 1 1 7 / 2 0 0 1 I D# I o wa Me d i c a l P o l i t i c a l A c t i o n Commi t t e e1 0 0 1 Gr a n d Aven ue 1 0 0 0 . 0 0 0CK # Wes t De s Mo i n e s , I A 5 0 2 6 5

0 / 1 8 / 2 0 0 1 I D# P r i n c i p a l L i f e I n s u r a n c e Co PAC7 1 1 Hi g h S t 1 0 0 0 . 0 0 0

CK # De s Mo i n e s , I A 5 0 3 9 20 / 1 8 / 2 0 0 1 I D# Wi n n e b a g o Co u n t y R e p u b l i c a n C e n t r a l Comm

1 2 4 Wo o d l a n d D r i v e 8 0 0 . 0 0CK # F o r e s t C i t y , I A 5 0 4 3 6

0 / 1 9 1 2 0 0 1 I D# Gan s ke f o r Se na t e1 2 0 0 Gr an d Av e . 1 0 0 0 . 0 0

CK # Wes t De s Mo i n e s , I A 5 0 2 6 5


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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 or 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 )CANDI DATE' S COMMI TTEENAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)R e p u b l i c a n P a r t y o f I o w a & E i s e n h o w e r C l u b

SCHEDULEA t * ET ARvRECEI P T S( R e v 0 8 1 9 7 )CHECK T H I S BOX I FAMENDI NG FORM

CANDI DATES NOTE I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , L I S T THE PACI DE NT I F I CA TI ON NUMBER I N THE DESI GNATED COL UMN A L I S T OF I . D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD .AUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r 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 so r a n y c o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s

TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l eSUB - TOTAL I 5 3 9 0 0 . 0 0

" D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h e c o m m i t t e e R e l a t i o n s h i p m u s tb e s h own t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y m a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f s u r no 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 f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u m n Pag e 2 o f - _ _ _ 5( f o r S c h e d u l e A )

DATERECD

P A C I . D N U M B E R( i f a p p l i c a b l e )A N D P AC C H E C KN U M B E RNAME AND ADDRESS OF CONTRI BUTOR T ORELATI ONSHI P*( i f a pp l i c a bl e ) AMOUNTRECEI VED I F F ORFUND-RAI SERI NCOME

0 / 1 9 1 2 0 0 1 I D I M o t o r C a r r i e r s P o l i t i c a l A c t i o n C o m m i t t eE DMS t a t i o n , P . O Bo x 6 1 2 1 1 0 0 0 . 0 0 0CK # De s Mo i n e s , I A 5 0 3 0 9

0 / 1 9 / 2 0 0 1 I D # Mr To m J K r u s e5 0 3 I n d i a n a Av e 4 0 0 0 . 0 0 0C K # I o w a F a l l s , I A 5 0 1 2 60 / 1 9 / 2 0 0 1 I D # Mr Wi l l i a m T . H e r r i n g , I I

1 Ma p l e L e a f L a n e Hwy . 7 0 1 S o u t h 1 0 0 0 0 . 0 0 0C K # Ne wt o n G r o v e , NC 2 8 3 6 60 / 1 9 / 2 0 0 1 I D # Mr Wi l l i a m T H e r r i n g , I I

1 Ma p l e L e a f L a n e , Hwy 7 0 1 S o u t h 1 0 0 0 0 . 0 0 0C K # N e w t o n G r o v e , NC 2 8 3 6 60 / 1 9 / 2 0 0 1 I D # Mr s D e b r a H a n s e n1 4 6 9 G l e n O a k s D r . 2 5 0 0 0 . 0 0 0CK # We s t De s Mo i n e s , I A 5 0 2 6 60 / 1 9 / 2 0 0 1 I D # S t o r y C o u n t y R e p u b l i c a n C e n t r a l C o m m i t t e

PO B o x 1 7 0 9 9 0 0 . 0 0 0CK # m e s , I A 5 0 0 1 0

0 / 1 9 / 2 0 0 1 I D # a n d e r P l a a t s F o r G o v e r n o r2 4 0 6 L i n c o l n Wa y 1 0 0 0 . 0 0 0C K # m e s , I A 5 0 0 1 4

0 / 2 2 1 2 0 0 1 I D # H y V e e , I n c E m p l o y e e ' s PAC5 8 2 0 Wes t own P a r k w a y 1 0 0 0 . 0 0 0C K # We s t De s Mo i n e s , I A 5 0 2 6 6 - 8 2 2 3

0 1 2 2 1 2 0 0 1 I D # I o w a P h a r ma c y PAC # 6 0 7 78 5 1 5 D o u g l a s , S u i t e 1 6 1 0 0 0 . 0 0 0C K # U r b a n d a l e , I A 5 0 3 2 2


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CANDI DATE' S COMMI TT EE NAME ( Mu s t b e same a s o n S t a t eme n t o f O r g a n i z a t i o n )Re p u b l i c a n P a r t y o f I o wa & E i s e n h o we r Cl u b

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


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

SCHEDULEA

( R e v . 0 8 1 9 7 )MONETARYRECEI PTS

EI CHECK T HI S BOX I FAMENDI NG FORM

CANDI DATE S NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE ) , L I S T THE PACI DENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN . A L I S T OF I . D . NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD .UTI ON: S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n so r an y c o mmer c i a l p u r p o se b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c ommi t t e es .

SUB- TOTAL 4 0 6 5 . 0 0

' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c ommi t t e e . R e l a t i o n s h i p mustb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) an d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) . ( S ee Pa ge 2 o f f o r ms p a c k e t . ) . I f s u r no f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn . Pa ge 3 o f - _ 5( f o r S ch ed u l e A )

DATEREC' D PAC I . D . NUMBER( i f a p p l i c a b l e )A ND P AC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR T O , fRELATI ONSHI PCANDI DATE'f r a p p l i c a b l e )AMOUNTRECE I V ED I F FORFUND-RAI S ERI NCOME

0 1 2 2 1 2 0 0 1 I D # I o wa Te l e c o m PAC # 6 4 8 61 1 5 S . 2 nd Av e . ,W 20 0 . 0 0 0

C K # Newt o n , I A 5 0 2 0 80 1 2 2 1 2 0 0 1 I D # Monona Co u n t y Re p . C e n t r a l Commi t t e eRu t h J o r d a n 2 9 8 7 L a r p e n Rd 1 0 0 0 . 0 0 0CK # T u r i n , I A 5 1 0 5 90 1 2 2 1 2 0 0 1 I D # Wa pe l l o Co . R e p u b l i c a n C e n t r a l Comm

PO Bo x 8 5 1 1 0 0 0 . 0 0 0CK # Ot t umwa, I A 5 2 5 0 1

0 1 2 2 1 2 0 0 1 I D # Wh i t a k e r f o r T r e a s u r e r Commi t t e e1 3 2 0 3 Ho l c o mb D r i v e 3 0 0 . 0 0 0

CK # U r b a n d a l e , I A 5 0 3 2 30 1 2 3 1 2 0 0 1 I N E f f i e ' s E l e c t i o n F u n d

R . R 3 , Bo x 25 1 6 5 . 0 0 0CK # V i l l i s c a , I A 5 0 8 6 41 1 1 9 1 2 0 0 1 I D # Ma d i s o n Co u n t y R e p u b l i c a n C e n t . Comm. /

Ro u t e 2 , Bo x 7 A1 1 0 0 . 0 0C K # i n t e r s e t , I A 5 0 2 7 3 - 0 0 0 0

1 1 2 1 1 2 0 0 1 I D # B i l l D i x ( F o r F r i e n d s f o r D i x )3 25 C h e r r y , Bo x 23 5 1 0 0 0 . 0 0 0

C K # S h e l l R o c k , I A 5 0 6 7 02 1 0 3 1 2 0 0 1 I D # Wi n n e b a g o Co u n t y R e p u b l i c a n Ce n t r a l Comm

1 2 4 Wo o d l a n d D r i v e 20 0 . 0 0 0CK # F o r e s t C i t y , I A 5 0 4 3 62 1 1 0 1 2 0 0 1 I D#0P Ww I o w a Nu r s e s A s s o c i a t i o n PAC

1 5 0 1 42 nd S t . S t e 4 7 1 1 0 0 . 0 0CK # West Des Mo i n e s , I A 5 0 2 6 6


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F o r , l 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 )

CANDI DA TE' S COMMI TTEE NAME ( M u s t b e s am e a s o n S t a t e me n t o f O r g a n i z a t i o n )R e p u b l i c a n P a r t y o f I o w a & E i s e n h o w e r C l u b

SCHEDUL E MONETARYRECOPTS( R e v . o" '0 CHECK T H I S BOX I FAMENDI NG FORMCANDI DATES NOTE I F A CONTRI BUTI ON I S RECEI VED FROMA PAC ( P O L I T I C A L ACTI ON COMMI TTEE) , L I S T THE PACI DE NT I F I CA TI ON NUMBER I N THE DESI GNATEDCOL UMN A L I S T OF I . D NUMBERS I S AVA I LAB LE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD

AUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r 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 so r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .

TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l eSUB- TOTAL I 3 6 6 0 0 . 0 0

" D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mm i t t e e R e l a t i o n s h i p m u s tb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f s u r no 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 f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u m n P a g e 4 o f - _ 5( f o r S c h e d u l e A )

DATERECD P A C . D N U M B E R( i f a p p l i c a b l e )A N D P A C C H E C KN U M B E RNAME AND ADDRESS OF CONTRI BUTOR TRH EP ,( i f a pp l i c a bl e ) AMOUNTRECEI VED I F F ORFUND-RAI SERI NCOME

2 1 1 4 1 2 0 0 1 I D # I o w a I n s u r a n c e I n s t i t u t e PAC7 2 9 I n s u r a n c e E x c h a n g e B l d g 1 0 0 . 0 0C K # De s Mo i n e s , I A 5 0 3 0 9

2 1 1 4 1 2 0 0 1 I D # Mr J o h n Ruan I I I6 5 F o s t e r D r i v e 3 0 0 0 . 0 0 0C K # De s Mo i n e s , I A 5 0 3 1 2 - 0 0 0 02 1 1 4 1 2 0 0 1 I D # R a n t s f o r S t a t e H o u s ePO Bo x 2 7 7 3 4 0 0 0 . 0 0 0

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C K # S h e l l R o c k , I A 5 0 6 7 02 1 2 8 1 2 0 0 1 I D # Mr B r u c e R a s t e t t e r1 5 4 9 1 Hwy 9 4 1 1 0 0 0 0 . 0 0 0C K # l d e n , I A 5 0 0 0 62 1 2 8 1 2 0 0 1 I D # Mr D a l e Ho wa r d1 1 3 B r i a r d a l e D r i v e 1 0 0 0 0 . 0 0 0

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TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l el a w r e q u i r e s c a n d i 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 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 e c o mm i t t e e R e l a t i o n s h i p m u s te s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) I f s u r n af c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h ec o l u m n P a g e 5 o f 5_

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

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P A C . D N U M B E R( i f a p p l i c a b l e )A N D P A C C H E C KN U M B E RNAME AND ADDRESS OF CONTRI BUTOR LTO AI I ONSHI P *( i f a pp l i c a b l e ) AMOUNTRECEI VED I F F ORFUND-RAI SERI NCOME

2 1 3 1 1 2 0 0 1 I D# I o w a F O R . E F r i e n d s o f R u r a l E l e c t r i8 5 2 5 D o u g l a s 4 8 1 0 0 0 . 0 0C K # De s Mo i n e s , I A 5 0 3 2 22 / 3 1 / 2 0 0 1 I D # R e p u b l i c a n P a r t y O f I o w a - F e d e r a l Ac cF e d e r a l A c c o u n t 5 2 1 E L o c u s t S t r e e t 3 0 0 0 . 0 0 0C K # De s Mo i n e s , I A 5 0 3 0 92 1 3 1 1 2 0 0 1 I D# R i t t me r F o r I o w a S e n a t e3 5 4 5 2 3 0 t h S t r e e t 5 0 0 . 0 0 0C K # De W i t t , I A 5 2 7 4 22 / 3 11 20 01 I D # S mi t h B a r n e y , I n c

T e r r a C e n t r e - S u i t e 1 0 0 0 6 0 0 4 t h S t r e e t 1 8 5 1 . 8 0 0C K # S i o u x C i t y , I A 5 1 1 0 1I D#

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GTAT! PAC NOMFORCONT RI e t f l i " MAD< TOST AT l * DE OR LEOMLATI VECANDI DATES. UST THE CANDI DATE I 0 E Nr t F I CAT ION K A 1 1 1 1 1 1 1 1 1 l t I N THE OESI GNATMOMUMAMTHEPAC CHECK NUMl ER FOREACH DI PENDRURE . A L I S TOF0N t A I I 1 1 M t 30AVALABI E FROM THE I OWAETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.

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THI S BOX A PP L I E S T O CANDI DATES' COMMI TTEES ONLY :Camp a i g n f u n ds ma y b e u s ed o nl y f o r :( 1 ) c a mp a i g n p u r p o s es ,( 2 ) c o ns t i t u e nc y e x p e n se s , a n d( 3 ) e du c a t i o n al a n d o t h e r e x p e n s e s a s s oc i a t e d wi h t d ut i es o f o f f i c e .Pl e a s e i n s e r t t h e a pp l i c a bl e n um be r i n t h e p u r p o s e c o l u mn f o r e a c h e xp ed i t u r e .Pu r c h a s e s o f c er t a i n c a mp a i g n p r o p e r t y c o st i n g $ 5 0 0 o r mo r e mu s t a l s o b e I n v en t o r i ed o n Sc h e d u l e H. ( Re 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 en d i t u r e s t o p er s o n s/ en t i t i es p r o v i d i n g c o us u l t i n g , a dv e r t i s i n g , f u n d- r a i s i n g , p o l l i n g , ma n a g i n g , o r g an i z i i n g s er v i c es mus t a l s o b e d e t a i l i t e mi z e d o nSc h e d ul eGb y t h e amo u n t , p u r p o s e, a n d d at e o f e a c h t y p e o f ex p en di t u r e mad e b y t h e p er s on / e nt i t y o n b eh a l f o f t h e c a nd i d a t e ' s c o mmi t t e e . ( Re f e r t oSc h e d ul eGI n s t r u c t i o n s a n d I o wa Co de 5 6 . 6 ( 3 ) ( 1 ) . )

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EXPENDI TURES - MONEY SPENT FROMCOMMI TT EE ACCOUNTSTATE PAC COI a 1R r 1 1 * NOTE : FORCOKTROVTI ONS MADE TO STATEWI DEOR LEGSLAT I VECANDI DATES . L I S T THE CANDI DATE I DENT I F I CAT I ON NUAI ER I N THEOESI GNATEOOOL1 J l f 1 AND THEPAC CHECK NUYI ER FOREACH EXPENDI TURE. AUST OFDN R1 1 l 1 1 1 1 8 AVABJ I BLE Fi t OMTHE I OWAETHI CS ANDCAMPAI GN DI SCLOSURE BOARD.

T HI S BOXAPPLI ESTO CANDI DATES' COMMI TTEES ONL Y :Campa i g n f u nd s may b e u s ed o n l y f o r :( 1 ) c amp a i g n p u r p o s e s ,( 2 ) c o ns t i t u e nc y e x p e n s e s , and( 3 ) e d uc at i o n al an d o t h e r e x p e n s e s a ss o c i a t e d wi h t d ut i e s o f o f f i c e .Pl e as e I n s e r t t h e ap pl i c ab l e nu mbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe di t u r e .P ur c h a s e s o f c er t ai n c amp a i g n pr o pe r t y c os t i ng $ 5 0 0 o r mo r e mu s t al s o b e I nv e nt o r i e d o n Sc h e d ul e H. ( Re f e r t o Sc h e d ul e H I n s t r u c t i o n s . )Ex p en di t u r e s t o pe r s ons l e nt i t i e s pr o v i d i n g c ou s ul t i n g, a d v e r t i s i n g , f u nd - r a i s i ng , p o l l i n g , manag i n g , o r g a nWi n g s e r v i c es mus t al s o b e d e t a i l i t e mi z e d o nSc h e d ul e Gb y t h e amoun t , p u r p o s e , an d d at e o f e a c h t y pe o f e x pe nd i t u r e mad e b y t h e pe r s o n/ e nt i t y o n b e ha l f o f t h e c and i d at e ' s c o mmi t t e e . ( Re f e r t oSc h e d ul e G I n s t r u c t i o n s an d I o wa Code 5 6 . 6 ( 3 ) ( 1 ) . )

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EXPENDI TURES - MONEY SPENT FROM CONM n nWACCOUNTS T A T E PAC O O M I r r t ! ! a : 1 1 0 1 ! : FORCOwRwn0NS MA DE ' f OWAT EWDE OR LEOI KATMC A ND I D A T E S . L I S T 1 1 E C A ND I D A T E I O E NT I F I C AT M NU1 l ODT HE OE SI ON I I T W COL I I MI N AI DT HEPACCMCI ( NUh l ER FOR EACHF. D+ENORURE A L I S T OFDMGRSE AVALAKEFROMTHE I OWAE T H I C S ANDC A MP A I G N D I S C L O S U RE BOARD.

T H I S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :Ca mp a i g n f u n d s may b e u s e d o n l y f o r :( 1 ) c a mp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w 1 h t d u t i e s o f o f f i c e .P l e a s e I n s e r t t h e a pp l i c a b l e n u m b e r I n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r e .P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H I n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s i e n t i t i e s p r o v i d i n g c o u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n t e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oS c h e d u l e G I n s t r u c t i o n s a n d I o w a C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

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EXPENDI TURES - MONEY SPENT FR=COMTTEE ACCOUNTWATE PAC C OMMI T T E E i : NM* F OR C OK T R I O U1 1 0 N 3 MAD! T O WTATVNDE OR L l G I R A T I V EC A P OI D A T E & L I S T THE C A N DI D A T E I DE NT I F I CA T I O N N L A i I E R MTHE DUMI NATED C OL U M I I ANDT HEPAC CHECK NUMOER FOR E A C H EXPEPDMJRE A L I S T OF DNUAl 6 l 8MA V A L A & L E FROM THE I OWAE T H I C S AND C A MP A I G N D I S C L O S U RE BOARD .

T H I S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONL Y :Ca mp a i g n f u n d s may b e u s e d o n l y f o r .( 1 ) c a mp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i h t d u t i e s o f o f f i c e .P l e a s e i n s e r t t h e a p p l i c a b l e n u m b e r i n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r e .P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e m u s t a l s o b e I n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H I n s t r u c t i o n s . )E x p e n d i t u r e s t o p e m o n s l e n t i t i e s p r o v i d i n g c o u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i l n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n l e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c h e d u l e G I n s t r u c t i o n s a n d I o w a C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

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- EXPEND I TURES - MONEY SPENT FROM CONE / T TEE ACCOUNTS T A T E P A C C OMM I T T ER S : NOTE : FOR C ON T R I G UT I O NS MADE T O S T A T E I N DE OR L E G I S L A T WECAI DMTES, L I S T T H E C AN D C AT E C EK T T F I C AT I O N NUMBER 9 1 T HE DESI ONATMCOL UMNAM T HEP A C C HE C K NUMBER F O R E A C H DI PEPOTURE . A L I S T OF DNUBE A V A I L A B L E PROMT HE I OME T HI C S AND C A MP A I G N D I S C L OS U R E BOARD.COMMRT EE NAME ( P e s t b e a c m e a s o n S l s w e a r a o f O r g a n l d O n l

REPUBL I CAN PARTY OF I OWA AND I T S EI SE NHOWER CLUB

P a g e 5 o f 7( f o r S c f i e 3 u T e B j

T H I S BOX APPL I E S TO CANDI DATES' COMMI TT EES ONL Y :C a mp a i g n f u n d s may b e u s e d o n l y f o r :( 1 ) c a mp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i h t d u t i e s o f o f f i c e .P l e a s e i n s e r t t h e a p p l i c a b l e n umb e r i n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r s .P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e I n v e n t o r i e d o n S c h e d u l e H. ( R e f e r t o S c h e d u l e H I n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s l e n t i t i e s p r o v i d i n g c o u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z l i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e Gb y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n l e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oS c h e d u l e GI n s t r u c t i o n s a n d I o w a C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

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1 2 1 0 5 1 0 1 , 5 2 1 E a s t L o c u s t S t r e e t 2 5 , 0 0 0! C K # i D e s Mo i n e s , I A 5 0 3 0 9 1 ) ii I D S A me r i c a n Ma r k i n g , I n c . B a d g e s1 2 1 1 4 1 0 1 4 4 0 E . G r a n d A v e n u e 9 6CK# De s Mo i n e s , I A 5 0 3 0 9 l1 1 3 9 C h r i s t i a n P r i n t e r s , I n c . B u s i n e s s Ca r d s1 2 1 1 4 1 0 1 1 1 4 1 1 2 1 s t S t r e e t 6 5CK# De s Mo i n e s , I A 5 0 3 1 1 ) SI D # C h r i s t i a n P r i n t e r s , I n c . B u s i n e s s Ca r d s

1 2 1 1 4 1 0 1 ' , 1 4 1 1 2 1 s t S t r e e t 3 2CK# De s Mo i n e s , I A 5 0 3 1 1 1 ) 1 $S uB - TOTAL S 2 5 , 8 7 1TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) i


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EXPENDI TURES - MONEY SPENT FROM CONI I BTTEE ACCOUNTSTATE PAC OOI I I r T T M~NMFOR CONTMOUT I ( N3 MADE TO S T A T R I I I I I D E Ol t LEO11p1ATNECI MDDATM USTTI E CANDI DATE I DENT I F I CAT I ONNUMMMTI EDE I I KI NAT WCOLUMNAM11EPACCHECKNUMMR FOREACH EXPEND I TURE. A L I S T OFDNAA i l E RSEAVAKADE FROMTHE I DWAETHI CS AND CAMPAI GN DI SCLOSURE BOARD.CO1 1 1 1 I T ' T MNAME l o w b e wa r s a s o n S t awe r e n t a t O l y s n t r s r o e )

REPUBL I CAN PARTY OF I OWA AND I T S EI SENHOWER CL UB

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Page 6 o f 7( f o r c e u e j

T HI S BOXAPPLI ESTO CANDI DATES' COMMI TTEES ONLY :C amp a i g n f u n ds may b e u s e d o nl y f o r .( 1 ) c amp a i g n p u r p o s e s ,( 2 ) c on st i t u en cy e x p e n s e s , and( 3 ) e d uc a t i o n al and o t h e r e x p e n s e s a ss o c i a t e d w1 ht d u t i e s o f o f f i c e .Pl e a se i n s e r t t h e a pp l i c ab l e n um b e r I n t h e p u r p o s e c o l u mn f o r e a c h e xp ed i t u r s .P ur c h a s e s o f c er t a i n c amp a i g n p r o p e r t y c o s t i n g $ 6 0 0 o r mo r e mu s t a l s o b e I n v en t o r i e d o n S c h ed u l e H. ( R ef e r t o Sc h e d ul 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 er s o ns / e n t i t l e s p r o v i d i n g c ou su l t i n g, a d v e r t i s i n g , f u nd - 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 nWi n g s e r v i c es must a l s o b e d e t a i l I t e mi z e d o nSc h e d ul eGb y t h e amo u n t , p u r p o s e , and d at 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 er s oNe nt i t y o n b e ha l f o f t h e c an di d at e ' s c o mmi t t e e . ( R ef e r t oSc h e d ul eGI n s t r u c t i o n s an d I o wa C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

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EXPENDI TURES - MONEY SPENT FROMCOMMI TTEE ACCOUNTSTATE PACCOI I MI TTU9 : NOTE: FORCONTROUTI ONBMADE TO Sr ATEYYDE OR LMOATAI ECANDI DATES. USTTHECANDI DATE I D EN TI F I C AT I ON NUMBER I N THEDE810NATEDCOLLR91 ANDTHEPAC CHECK NUMBER FOREACH EXPENDI TURE . A UST OFDNUMEI ERBEAVI MAKEFROMTHE K I I MAETHI CSANDCAMPAI GN DI SCLOSURE BOAFI D .COMMI r TU NAYS ( Mumb e ~ e . o n s , I w~mo f )

REPUBLI CAN PARTY OF I OWAANDI TS E13ENNOWER CLUB

Page 7 o f 7( o r e ue

THI S BOXAPPLI ESTO CANDI DATES' COMMI TTEES ONLY :Campa i g n f u nd s may b e u se d o n l y f o r :( 1 ) c amp a i g n p u r p o s e s ,( 2 ) c o ns t i t u e n c y e x pe ns e s , a nd( 3 ) e d uc a t i o n al a n d o t h e r e x p e n s e s a s s o c i a t e d w i h t d u t i e s o f o f f i c e .Pl e a s e i n s e r t t h e a p p l i c a b l e numbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe d i t u r e .Pu r c h a s e s o f c e r t a i n c amp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e must a l s o b e i n v e n t o r i e d o n Sc h e d ul e H. ( R e f e r t o Sc h e d ul e H i n s t r u c t i o n s . )Ex p en di t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , manag i n g , o r g a n i z i 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 mi z e d o nSc h e d ul e Gb y t h e amoun t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e 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 ha l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t o

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,o bf r r mf i t +wt a ~b ewe a r~f b ~" REPUBLI CAN PARTY OI t WWAAND I TS EI SENHOWER CLUB

NOTE : D eb t s p r eAcuWy ~ p o r b d t o nomi an u n p a i d mu s t b e i n o Ud e da n t f t i sS c h e d u l e , awed as a n ynwo b i i g a l l o n e i t r a me d d t d t p bi e p e r i o d .DESTS I OBLKi AT I ONS REYAI NSWT HI S REPORTI NGPERI OD

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CANDI DATE COMMI TTEE NOTE :' I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e each p e r s o n / e n t i t y w h i c h howm t h e c a n d i d a t e ' s c ommi t t e e h a s e n t e r e d i n t 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 rma n c 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 wo 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 , manmag i n g , o ro r g a n i z i n g s e r v i c e s R e p o r t on Sc h e du l e G t h e n a t u r e o f p e r f o rma n c e an d t h e e s t i ma t e d p e r f o rma n c e r e a s o n ab l e e x p e c t e d o f t h e c o n s u l t a n t .

Page 1 o f 2( f o r S c he du l e D )

DATE BALANCEOWEDATI NCI RREO NI WE ANDADDRESSOF PERSONI

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0 1 1 0 7 1 0 2 L i s a Smi t h ( ) 3 1 1 2 . 4 62 2 4 Ot t umwa S t r e e tOt t umwa, I A 5 2 5 0 1

0 1 / 0 7 / 0 2 B i l l V er n o n ( ) S 4 9 0 . 5 93 2 6 2 3 r d S t r e e t Dr i v e S . E.Cedar Ra p i d s , I A 5 2 4 0 3

0 1 1 1 0 / 0 2 J o h n Hu l s i z e r ( ) $ 14 8 . 3 52 8 2 4 I n d i a n a jDu bu q u e , I A 5 2 0 0 1 I

0 1 1 1 0 1 0 2 K a t i e Kobe r g ( ) S 3 4 7 . 1 31 81 3 Bu c k i n g h a m D r i v e , NW1 0 ! 5Cedar Ra p i d s , I A $ 2 4 0 5

0 1 / 1 7 1 0 2 A l l i e d Commu n i c a t i o n s Gr o up , I n c . ( ) S 3 . 6 4P. 0 . Bo x 6 5 8 5 8St P a u l , MN 5 5 1 65 - 0 8 5 8

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C O I I NNAMp wt bwa sna s Ol r r a t s t o g a ar a wy7EPUsu. NPAR. OF I OWA AND I T S EI SENHOWER Cu r e

EVENDI TU _ I SPENT FROI S COMMI TTEE ACCOUNTNOTE: Dea l p r e v i o u s l y r e p a l w u m t r w r r i a r t u n p a i d m u s t b e I n c l u d e d o n f tS c h e d u l e , a s we d a s OVn e wob" a r i n c u r r e d * AMf p e r b d .

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' t r s aw wI s u N m o w n , s h o w - e s t i m a t e d - b es i d e t h e f p u r e . $ 2 , 0 1 7 . 2 0CANDI DATECOMMI TTES NOTE:` I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e e a c h p e r s o n / e n t i t y w h i t h h o w m t h e c a n d i d a t e ' s c o m m i t t e e h a s e n t e r e d i n t 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 m a n c e . E n t e r t h e n a m e o f t h e c o n s u l t a n t wo 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 m s 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 , m a n m a g i n g , o ro r g a n i z i n g s e r v i c e s . R e p o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r m a n c e a n d t h e e s t i m a t e d p e r f o r m a n c e r e a s o n a b l e e x p e c t e d o f t h e c o n s u l t a n t .


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FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )REPUBLI CAN PARTY OF I OWA AND I TS EI SENHOWER CLUBI MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e Co mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e

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CHECK I F AMENDMENT TO REPORT DATED

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( 1 ) ELECTI ON I ( 2 ) NON- ELECTI ON YEAR .I n d i c a t e o n e

1 1 Che 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 F o r m DR- 3 . V

STATEMENT OF CASH ON HAND

ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e C : F u n d - r a i s i n g Ev e n t s t o t a l ( A t t a c h Sc h e d u l e C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e d u l e H a pp l i e s t o Ca n d i d a t e s ' Commi f t e e s On l y )

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B Ex p en d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e F : L o a n s Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

mus t b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L o c a l Co mmi t t e e s , e n t e r Da t e o f E l e c t i o n

Co u n t y & L o c a l Co mmi t t e e s , e n t e r Co u n t y i nwh i c h E l e c t i o n i s h e l d

CASH ON HAND a t t h e b e gi n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o fa l l mo v i e s h e l d b y t h e c o mmi t t e e . T h i s am o u n t MUST b e t h es ame a s t h e c a s h o n h an d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d ,o r mu s t b e z e r o i f t h i s i s t h e f i r s t r e p o r t f i l e d ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SUB- TOTAL . . . . . . . . . . . . . . . . .

UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . ,I N K I ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 . 0 0OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _ _0 . _ 0 _ 0CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h e du l e G At t a c h ed ? ) YESVAL UE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H) $

$ 2 53 , 6 9 3 . 1 17 5 , 0 16 . 8 0

$ 3 28 , 7 0 9 . 9 146 , 1 1 9 . 6 14 6 , 1 1 9 . 6 1

$ 2 82 , 5 9 0 . 3 0

a 2 , 0 1 7 . 2 0


17/29


18/29

Fo r I n s t r u c t i o n s , Se e B a c k o f Fo r m

CONTR I 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 )

CANDI DATE' S COMMI TTEE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )Re p u b l i c a n P a r t y o f I o w a & Ei s e n h o we r Cl u b

SCHEDULEA( Re v . 0 6 / 9 7 )

MONETARYRECEI PTS

FI CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI B UT I ON I S RECEI VED FROMA PAC ( POL I T I CAL A CT I ON COMMI TT EE) , L I ST THE PACI DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN . A L I ST OF I . D . NUMBERS I S AVA I L A BLE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD .CAUTI ON: S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r 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 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 nf o r a n y c ommer c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e es .

TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . R e l a t i o n s h i p mustb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y m a r r i a g e ) . ( S e e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r no f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn . P a g e 2 o f 4( f o r Sc h e d u l e A )

DATERECD PAC . D . NUMBER( i f a p p l i c a b l e )ANDPAC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR REL A T I ONSHI PTO CANDI DATE*( i f a p p l i c a b l e ) AMOUNTRECEI VED I F FOFUND-RAI SEI NCOM

0 / 1 9 1 2 0 0 1 I D#OMQY Mo t o r C a r r i e r s P o l i t i c a l A c t i o n Commi t t eE . DM S t a t i o n , P . O . Bo x 6 1 2 1 1 0 0 0 . 0 0CK # Des Mo i n e s , I A 5 0 3 0 9

0 / 1 9 / 2 0 0 1 I D # Mr . Wi l l i a m T . H e r r i n g , I I1 Ma p l e L e a f L a n e , Hwy . 7 0 1 So u t h 1 0 0 0 0 . 0 0CK # Newt o n G r o v e , NC 2 8 3 6 6

0 / 1 9 / 2 0 0 1 I D # Mr . Wi l l i a m T . H e r r i n g , I I1 Ma p l e L e a f L a n e , Hwy . 7 0 1 So u t h 1 0 0 0 0 . 0 0CK # Newt o n G r o v e , NC 2 8 3 6 6

0 / 1 9 / 2 0 0 1 I D # Mr s . De b r a Han s e n1 4 6 9 Gl e n Oaks Dr . 2 5 0 0 0 . 0 0CK # West Des Mo i n e s , I A 5 0 2 6 6

0 / 1 9 / 2 0 0 1 I D # S t o r y Co u n t y Re p u b l i c a n C e n t r a l Commi t t ePO Bo x 1 7 0 9 9 0 0 . 0 0CK # m e s , I A 5 0 0 1 0

0 / 1 9 / 2 0 0 1 I D # Vande r P l a a t s F o r Go v e r n o r2 4 0 6 L i n c o l n Way 1 0 0 0 . 0 0CK # Ames, I A 5 0 0 1 4

1 0 / 2 2 / 2 0 0 1 I D # , , HyVee, I n c . Emp l o y ee ' s PAC5 82 0 We s t o w n P ar k w a y 1 0 0 0 . 0 0CK # West Des Mo i n e s , I A 5 0 2 6 6 - 8 2 23

0 1 2 2 / 2 0 0 1 I D # C 1 1 . , ~ I o wa P h a r ma c y PAC # 6 0 7 78 5 1 5 D o u g l a s , S u i t e 1 6 1 0 0 0 . 0 0 0CK # U r b a n d a l e , I A 5 0 3 2 2

0 / 2 2 / 2 0 0 1 I D # y ~ I o wa T el e c om PAC # 64 861 1 5 S . 2n d Av e . ,W 2 0 0 . 0 0 0C K # Ne wt o n , I A 5 0 2 0 8


19/29

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 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 )

CANDI DATE' S COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )R e p u b l i c a n P a r t y o f I o wa & E i s e n h o we r Cl u b

SCHEDULEA

( R e v 0 6 / 9 7 )MONETARYRECEI PTS

FI CHECK T HI S BOX I FAMENDI NG F ORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA PAC ( POL I TI CAL ACT I ON COMMI TTEE ) , L I ST THEPACI DENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN . A L I ST OF I . D . NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CSAND CAMPAI GN DI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a 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 nf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . R e l a t i o n s h i p mus tb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y m a r r i a g e ) . ( Se e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r no 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 f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn . P a g e 3 o f 4( f o r Sc h e d u l e A )

DATERECD

P A C I . D NUMBERi f a p p l i c a b l eAND P A C CHECKNUMBERNAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSHI PTO CANDI DATE*( i f a p p l i c a b l e )

AMOUNTRECE I VED I F FOF UND-RAI S EI NCOM

0 1 2 2 1 2 0 0 1 I D # M o n o n a Co u n t y Re p . C e n t r a l Commi t t e eRu t h J o r d a n 2 9 8 7 L a r p e n Rd 1 0 0 0 . 0 0CK # T u r i n , I A 5 1 0 5 9

0 1 2 2 1 2 0 0 1 I D # Wa p el l o Co . Re p u b l i c a n C e n t r a l CommPO Bo x 8 5 1 1 0 0 0 . 0 0 0CK # Ot t umw a, I A 5 2 5 0 1

0 1 2 2 1 2 0 0 1 I D # Wh i t a k er f o r T r e a s u r e r Commi t t e e1 3 2 0 3 Ho l c o mb D r i v e 3 0 0 . 0 0 0CK # U r b a n d a l e , I A 5 0 3 2 3

0 1 2 3 1 2 0 0 1 I D # 0 M I C E f f i e ' s E l e c t i o n F u n dR. R . 3 , Bo x 2 5 1 65 . 0 0 0CK # V i l l i s c a , I A 5 0 8 6 4

1 1 1 9 1 2 0 0 1 I D # Ma d i s o n Co u n t y R e p u b l i c a n Cent . Comm. /Ro u t e 2 , Bo x 7 A1 1 0 0 . 0 0CK # Wi n t e r s e t , I A 5 0 2 7 3 - 0 0 0 0

1 1 2 1 1 2 0 0 1 I D # B i l l D i x ( F o r F r i e n d s f o r D i x )3 2 5 C h e r r y , Bo x 2 3 5 1 0 0 0 . 0 0 0CK # S h e l l R o c k , I A 5 0 6 7 0

2 1 0 3 / 2 0 0 1 I D # i n ne ba go Co u n t y R e p u b l i c a n C e n t r a l Comm1 2 4 Wo o d l a n d D r i v e 2 0 0 . 0 0 0CK # F o r e s t C i t y , I A 5 0 4 3 6

2 / 1 0 / 2 0 0 1 I D#OPWW I o wa N u r s e s A s s o c i a t i o n PACC; ' ~ 1 5 0 1 4 2 n d S t

. S t e 4 7 1 1 0 0 . 0 0 0CK # Wes t De s Mo i n e s , I A 5 0 2 6 62 / 1 4 / 2 0 0 1 I D # I o wa I n s u r a n c e I n s t i t u t e PAC

U 7 2 9 I n s u r a n c e E x c h a n g e B l d g . 1 0 0 . 0 0 0CK # De s Mo i n e s , I A 5 0 3 0 9


20/29

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


CANDI DATE' S COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )R e p u b l i c a n P a r t y o f I o wa & E i s e n h o we r Cl u b

SCHEDULEA

( R e v . 0 6 / 9 7 )MONETARYRECE I PTS

D CHECK T HI S BOX I FAMENDI NG F ORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PACI DENTI F I CATI ON NUMBER I N THE DES I GNATED COLUMN . A L I S T OF I . D . NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CSAND CAMPA I GN DI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co de , 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 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 so r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e )SUB- TOTAL 1 2 3 5 1 . 8 0r

7 5 0 1 6 . 8 0* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . R e l a t i o n s h i p mustb e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) . ( Se e Pa g e 2 o f f o r ms p a c k e t . ) . I f s u r no f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn . Pa g e 4 o f 4( f o r Sc h ed u l e A )

DATERECD

P A C I . D . NUMBERi f a p p l i c a b l e )A ND P AC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI PTO CANDI DATE*( i f a p p l i c a b l e ) AMOUNTRECE I VEDI F FOFUND-RAI SE

I NCOME2 / 1 4 / 2 0 0 1 I D # Mr . J o h n Ruan I I I6 5 F o s t e r D r i v e 3 0 0 0 . 0 0

CK # De s Mo i n e s , I A 5 0 3 1 2 - 0 00 02 / 1 4 / 2 0 0 1 I D # Ra n t s f o r S t a t e H o u s e

PO Bo x 2 7 7 3 40 00 . 0 0C K # S i o u x C i t y , I A 5 1 1 0 6

2 / 2 0 / 2 0 0 1 I D # B i l l D i x ( F o r F r i e n d s f o r D i x )3 2 5 C h e r r y , Bo x 2 3 5 1 000 . 0 0 0

CK # S h e l l R o c k , I A 5 0 6 7 02 / 2 8 / 2 0 0 1 I D # P h i l l i p T y r r e l l C amp a i g n C ommi t t e e

2 1 1 N . M i l l 5 0 0 . 0 0CK # N o r t h E n g l i s h , I A 5 2 3 1 6

2 / 3 1 / 2 0 0 1 I D #An g e l o F o r Se n a t e7 0 8 Wes t De v o e 5 0 0 . 0 0

CK # C r e s t o n , [ A 50 8 0 12 / 3 1 / 2 0 0 1 I D# DMp 8 I o wa F . O. R. E . F r i e n d s o f R u r a l E l e c t r i

5 2 5 Do u g l a s 48 1 000 . 0 0C K # De s Mo i n e s , I A 5 0 3 2 2

2 1 3 1 1 2 0 0 1 I D # R i t t m e r F o r I o wa Se n a t e3 5 4 5 2 3 0t h S t r e e t 5 00 . 0 0

C K # De W i t t , I A 5 2 7 4 22 / 3 1 1 2 0 0 1 I D # S mi t h B a r n e y , I n c .

T e r r a Ce n t r e - S u i t e 1 0 0 0 6 0 0 4 t h S t r e e t 1 8 5 1 . 8 0 0CK # S i o u x C i t y , I A 5 1 1 0 1I D #CK #


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EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTSTATE PACCOMMI TTEE S : NOTE : FORCONTRI BUTI ONSMADE TO STATEWI DE OR LEGI S LAT I VECANDI DATES, L I ST THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COL UMNANDTHEPACCHECK NUMBER FOREACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI LABLE F ROM THE I OWAETHI CS ANDCAMPAI GN DI SCLOSURE BOARD .

T HI S BOXAPPLI ES TO CANDI DATES' COMMI TTEES ONLY :Campa i gn f u nd s may b e u s e d o nl y f o r :( 1 ) c ampa i g n p ur p o s e s ,( 2 ) c o ns t i t u en cy e x p e n s e s , an d( 3 ) e d u ca t i o n al an d o t h e r e x p e n s e s as s oc i a t e d wi h t d ut i e s o f o f f i c e .Pl e as e i n s e r t t h e appl i c ab l e numbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe di t u r e .Pu r c h a s e s o f c er t a i n c ampa i g n pr o pe r t y c os t i ng $ 5 0 0 o r mo r e mus t a l s o b e i nv e nt o r i e d o n Sc h e d ul e H . ( Re f e r t o Sc h e d ul e H i ns t r u ct i o ns . )Ex p en di t u r e s t o pe r s o ns / e n t i t i e s pr o v i d i n g c o us u l t i ng, a dv 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 r g ani z i i ng s e r v i c es mus t a l s o b e d e t a i l i t e mi z e d oSc h e d u l e G b y t h e amoun t , p u r p o s e , and d at e o f e a c h t y pe o f e x pe nd i t u r e made b y t h e pe r s o n/ e nt i t y o n b e ha l f o f t h e c an di d at e ' s c o mmi t t e e . ( Re f e r t oSc h e d u l e G i n s t r u c t i o n s and I o wa C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

Page 1 o f 7( f o r Sc e u e )

SCHEDULEB MONETARY( Re v . 0 2 / 9 6 ) EXPENDI TURES

a CHECK THI S BOX I FAMENDI NGFORMCOMMI 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 )

REPUBL I CAN PARTYOF I OWA AND I TS EI SENHOWER CLUBCANDI DATE NAME ANDADDRESSTOWHOMEXPENDI TURE PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me nt ) WASMADE ( CANDI DATES SEE EXPENDEDEXPENDED ( i f a pp l i c ab l e ) BEL OW& ENTER( MM/ DD/ YR) ANDPAC 1 , 2 , 3 )CHECK NUMBER

I D# Ame r i c a n Ma r k i n g, I nc . Ba d g e s1 0/ 19 / 0 1 4 4 0 E. Gr and A v e n u e 4

CK# Des Mo i n e s , I A 5 0 3 0 9 ( ) i $

I D# Ray Ho f f ma n n L o d gi n g1 0/ 19 / 0 1 1 9 0 2 J a c k s o n St r e e t 6

CK# Si o u x C i t y , I A 5 7 1 0 4 ( ) $

I D# St e v e Sc he f f l e r Mi l e ag e/ Ph o n e1 0 / 1 9 / 0 1 5112 Tama r a L a n e 26

CK# Wes t Des Mo i n e s , I A 5 0 2 6 5 ( ) $

I D# Dav i d K ar wo s k i Mi l e a ge1 0 / 3 1 / 0 1 L , 3 0 2 0 Gr a n d Ave . 2

CK# Da v e n po r t , I A 5 2 8 0 3 ( ) $

I D# Co n t e mp o r a r y Ca t e r i n g Ca t e r i n g1 0 / 3 1 / 0 1 3615 S .W. 9 t h S t r e e t 2

CK# Des Mo i n e s , I A 5 0 3 1 5 ( ) $

I D# Do r o t h y S c h l i t t e r Mi l e a ge / Me a l s1 0 / 3 11 0 1 1 6 0 9 1 5t h St r e e t 1, CK# ' Onawa , I A 5 1 0 4 0 ( ) $

I D# Pe t e r G. Ro g e r s Mi l e ag e/ L o d gi n g10 / 31/ 01 ' 215 6 Hi g h and Dr y Road 1 , 5

CK# Cr e s t o n , I A 5 0 8 0 1 ( ) $I

SUB- TOTAL$ 2 , 5TOTAL ( i f l a s t page o f t h i s s c h e du l e )$


22/29

EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTSTATE PACCOMMI TTEE S : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI S LAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DES I GNATEDCOLUMN ANDTHEPACCHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAETHI CS ANDCAMPAI GN DI SCLOSURE BOARD .

T HI S BOXAPPLI ES TOCANDI DATES' COMMI TTEES ONLY :Campa i gn f u nd s may b e u s e d o nl y f o r :( 1 ) c ampa i g n p ur p o s e s ,( 2 ) c o ns t i t u en cy e x p e n s e s , an d( 3 ) e d u ca t i o n al an d o t h e r e x p e n s e s a ss o c i a t e d wi h t d ut i e s o f o f f i c e .Pl e as e i n s e r t t h e appl i c ab l e nu mbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe di t u r e .P ur c h a s e s o f c er t a i n c ampa i g n pr o pe r t y c os t i ng $ 50 0 o r mor e mus t a l s o b e i n v ent o r i e d o n Sc h e du l e H . ( Re f e r t o Sc h e du l e H i ns t r u ct i o ns . )Ex p en di t u r e s t o pe r s o ns l e nt i t i e s pr o v i d i n g c o us u l t i ng, a dv e r t i s i n g , f u nd - r ai s i ng, p o l l i n g , manag i n g , o r g ani z i i ng s e r v i c es mus t a l s o b e d e t a i l i t e mi z e d oSc h e d u l e G b y t h e amoun t , p ur p o s e , and d at e o f e a c h t y pe o f e x pe nd i t u r e mad e b y t h e pe r s o n/ e nt i t y o n b e ha l f o f t h e c an di d at e ' s c o mmi t t e e . ( Re f e r t oSc h e d u l e G i n s t r u c t i o n s and I owa Code 5 6 . 6 ( 3 ) ( 1 ) . )

Pag e 2 o f 7( f o r Sc Te d uT eB) _


a CHECK T HI S BOX I FAMENDI NG FORM

COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )REPUBL I CAN PARTYOF I OWA AND I TS EI SENHOWER CLUB

CANDI DATE NAMEANDADDRESS TOWHOMEXPENDI TURE PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me nt ) WASMADE ( CANDI DATES SEE EXPENDEDEXPENDED ( i f a pp l i c ab l e ) BEL OW& ENTER( MM/ DDNR) AND PAC 1 , 2 , 3 )

CHECK NUMBERI D# Da l e B l a i r Mi l e a ge / Ba nq u e t .

1 0 / 3 1 / 0 1 P. O. Bo x 8 1 5 26CK# Des Mo i n e s , I A 5 0 3 0 4 ( ) $

I D# L i s a Smi t h Mi l e a ge / Me a l s1 0/ 3 1/ 0 1 224 Ot t umwa St r e e t 17

CK# Ot t umwa , I A 5 2 5 0 1 ( ) $

I D# ' , H o l i d a y I n n - Si x t h Avenue L o d gi n g10 / 3 1101 1 0 5 0 6 t h A v e n u e 1 , 0 4

~ , C K# Des Mo i n e s , I A 5 0 3 1 4 ( ) ' , $

I D# Ca r o l E ar n h a r d t ! Ph o n e1 0 1 3 1 1 0 1 1 11738 E . 4 3r d St r e e t 11

I CK # Da v e n po r t , I A 5 2 8 0 7 ( ) $_. . ~ t - _ . - _ _ . _ _ _ . _ . _ -I I D # I Ca r o l Ea r n h ar d t Phone

1 0 / 3 1 / 0 1 1738 E . 4 3r d St r e e t 5CK# Da v e n po r t , I A 5 2 8 0 7 ( ) $

I D# Ka t i e Ko b e r g Mi l e a ge18131 0 / 3 1 / 0 1 B u ck i n gh a m D r i v e , NW# 5 5CK# ! Ceda r Ra pi d s , I A 5 2 4 0 5 ( ) $

1 I D # Ka t i e Ko b e r g Mi l e a ge1 0 1 3 1/ 0 1 II 1 8 13 B uc k i n g h am D r i v e , NW# 5 2

CK# :, Ce d a r Ra pi d s , I A 5 2 4 0 5 ( ) $SUE- TOTAL

$ 1 , 7 3_ _TOTAL ( I f l a s t page o f t h i s s c h e du l e )


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EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTS TA T E P AC COMMI TTEES : NOTE : FOR CONTRI BU T I ONS MADE T O STATEWI DE OR L E G I S L A T I V EC A N DI D A T E S , L I S T T HE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DES I GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWAE T H I C S AN D CAMPAI GN D I SCLOSURE BOARD .

T HI S B OX A PP L I E S T O CANDI DATES ' C OMMI T T E E S ONLY :C a mp a i g n f u n d s ma y b e u s e d o n l y f o r :( 1 ) c a mp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i h t d u t i e s o f o f f i c e .P l e a s e i n s e r t t h e a p p l i c a b l e numbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r e .P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 50 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e du l e H . ( R e f e r t o S c h e du l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i 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 oS c h e du l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n l e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c h e du l e G i n s t r u c t i o n s a n d I o wa Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

Pa g e 3 o f 7-- ( f o r 5 ~ e d u T e B ) _ -

SCHEDULEB MONETARY

( R e v . 0 2 / 9 6 ) E X P E NDI T U R ESCHECK T HI S B OX I FAME NDI N G FORM

COMMI TTEE NAME ( M u s t b e s am e a s o n S t a t e me n t o f Or g a n i z a t i o n )REPUBLI CAN PARTY OF I OWA AND I T S EI SENHOWER CLUB

CAND I DATE NAME ANDADDRESS T O WHOME X P E NDI T U RE PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me n t ) WAS MADE ( C ANDI DA T E S S E E EXPENDEDEXPENDED ( i f a p p l i c a b l e ) BELOW& E N T E R( MM/ DD/ YR) AND PAC 1 , 2 , 3 )CHECK NUMBER

~ I I D # L e o n Mo s l e y M i l e a g e / M e a l s / M o t e l s / M i s c .1 1 / 0 1 1 0 1 X 9 9 Mo s l e y S t r e e t 2 , 0 8~CK# Wa t e r l o o , I A 5 0 7 0 3 ( )

I D # ' , C o l o r f x Ma r k e t i n g S e r v i c e s P r i n t i n g / P o s t a g e1 1 1 0 1 1 0 1 1 5 0 8 5 N . E . 1 7 t h S t r e e t 3 , 5 3

CK# ; De s M o i n e s , I A 5 0 3 1 3 ( ) ' , $I D # C h r i s t i a n P r i n t e r s , I n c . P r i n t i n g - E nv e l o p e s

1 1 1 0 8 1 0 1 1 1 4 1 1 2 1 s t S t r e e t 1 6CK# De s M o i n e s , I A 5 0 3 1 1 ( ) $I D # I V i c t o r y S t o r e . c om Ab s e n t e e b a l l o t t e l e p h o n e c a l l s1 1 1 0 8 1 0 1 1 1 6 1 2 Ro c k i n g ha m Rd 1 5CK# D a v e n p o r t , I A 5 2 8 0 2 $( )'II D # A n d y Wa r r e n Mi l e a ge / Ph o ne / Me a l s

1 1 1 0 8 / 0 1 1 9 4 7 3 8 t h S t r e e t 5 6~CK# ; De s Mo i n e s , I A 5 0 3 1 2 ( ) $I D # A n d y Wa r r e n Mi l e a g e / P ho n e / Me a l s1 1 1 0 8 1 0 1 9 4 7 3 8 t h S t r e e t 2 8CK# De s Mo i n e s , I A 5 0 3 1 2 ( ) $I D # I S t e v e S c h e f f l e r Mi l e a g e / P ho n e l Me a l s / Po s t a g e

1 1 / 0 8 1 0 1 5 1 1 2 T a ma r a L a n e 1 7CK# We s t De s M o i n e s , I A 5 0 2 6 5 ( ) $

U B- T AL____ 6 _ , _ 9T O T A L ( I f l a s t p a g e o f t h i s s c h e d u l e )


24/29

EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTSTATE PACCOMMI TTEE S : NOTE : FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI S LAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAETHI CS AND CAMPAI GN DI SCLOSURE BOARD .

T HI S BOX APPLI ESTOCANDI DATES' COMMI TTEES ONLY :Campa i gn f u nd s may b e u s e d o nl y f o r :( 1 ) c ampa i g n p ur p os e s ,( 2 ) c o ns t i t u en cy e x p e n s e s , an d( 3 ) e d u c at i o n al an d o t h e r e x p e n s e s as s oc i a t e d wi h t d u t i e s o f o f f i c e .Pl e as e i n s e r t t h e appl i c ab l e nu mbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe di t u r e .Pu r c h a s e s o f c e r t a i n c ampa i g n pr o pe r t y c os t i ng $ 5 0 0 o r mo r e mus t a l s o b e i nv e nt o r i e d o n Sc h e d u l e H . ( Re 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 en di t u r e s t o pe r s o ns / e n t i t i e s pr o v i d i n g c o us u l t i ng, 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 r g ani z i i ng s e r v i c es mus t a l s o b e d e t a i l i t e mi z e d oSc h e d u l e Gb y t h e amo u n t , p ur p o s e , an d d at e o f e a c h t y pe o f e x pe nd i t u r e mad e b y t h e pe r s o nl e nt i t y o n b e h al f o f t h e c and i d a t e ' s c o mmi t t e e . ( R e f e r t oSc h e d u l e G i ns t r u ct i o ns and I owa Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

Page 4 o f 7( f o r S c h e d u l e B) - - -


O CHECK THI S BOX I FAMENDI NGFORM

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 )REPUBL I CAN PARTYOF I OWA AND I TS EI SENHOWER CLUB

CANDI DATE NAME ANDADDRESS TOWHOMEXPENDI TURE PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me nt ) WASMADE ( CANDI DATES SEE EXPENDEDEXPENDED ( i f a pp l i c ab l e ) BELOW& ENTER( MM/ DDNR) AND PAC 1 , 2 , 3 )CHECK NUMBER

I D# ( J o h n Hu l s i z e r Mi l e a ge1 1 1 0 8/ 0 1 2 8 2 4 I nd i ana 27

CK# Du bu qu e , I A 5 2 0 0 1 ( ) $

I D# Ray Ho f f ma n n Mi l e ag e/ Me a l s1 1 / 0 8 / 0 1 ' , 1 9 0 2 J a c k s o n St r e e t 43

CK# Si o u x C i t y , I A 5 7 1 0 4 ( ) $

I D# ; C a p i t a l C i t y F l o r i s t , I n c . F l o we r s1 1 1 0 8 1 0 1 1 , 5 1 9 Des Mo i n e s S t r e e t

CK# Des Mo i n es , I A 5 0 3 0 9 ( ) $

I D# Ru s s K no l l Mi l e a ge1 1 / 1 5 / 0 1 ' 727 J u an i t a Dr i v e 7

CK# Cedar F a l l s , I A 5 0 6 1 3 ( ) $

I D# De By e r l y Mi l e a ge / Me a l s1 1 / 1 5 / 0 1 1 7 2 5 So u t h De l a wa r e 1

CK# Mas o w C i t y , I A 5 0 4 0 1 ( ) $

I D# Ad v a n t a g e , I n c . P r i n t i n g1 1 1 1 5 1 0 1 1 1 6 1 1 N . K e n t St . , Su i t e 9 05 4CK# A r l i n g t o n , V i r g i n i a 2 2 2 0 9 ( ) $

I D# L i s a Smi t h Mi l e ag e / Me al s1 1 / 2 1 1 0 1 2 2 4 Ot t umwa St r e e t

CK# Ot t u mw a, I A 5 2 5 0 1 i ( ) $SUB- TOTAL

$ _ 2 , 2TOTAL ( I f l a s t page o f t h i s s c h e du l e )


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EXPENDI TURES - - MONEYSPENT FROMCOMMI TTEE ACCOUNTSTATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONSMADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPACCHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWAETHI CS ANDCAMPAI GN DI SCLOSURE BOARD.

THI S BOX APPLI ESTO CANDI DATES' COMMI TTEES ONLY :Campa i gn f u nd s may b e us ed o nl y f o r :( 1 ) c ampa i g n p ur p o s e s ,( 2 ) c o ns t i t u en cy e x p e n s e s , a nd( 3 ) e d uc a t i o n al an d o t h e r e x p e n s e s a ss o c i a t e d w1h t d ut i e s o f o f f i c e .Pl e a s e i n s e r t t h e a pp l i c ab l e numbe r i n t h e p u r p o s e c o l u mn f o r e a c h e x pe di t u r e .Pu r c h a s e s o f c e r t a i n c ampa i g n pr o pe r t y c os t i n g $ 5 0 0 o r mo r e must a l s o b e i nv e nt 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 en di t u r e s t o pe r s ons / e nt i t i e s p r o v i d i ng c o us u l t i n g, a d v e r t i s i n g , f u nd - r a i s i n g, p o l l i n g , manag i n g , o r g ani z i i ng s er v i c es must al s o b e d e t a i l i t e mi z e d oSc h e d ul e Gb y t h e amoun t , p u r p o s e , an d d at e o f e a c h t y pe o f e x pe nd i t u r e mad e b y t h e pe r s o nf e n t i t y o n b e ha l f o f t h e c an di d at e ' s c o mmi t t e e . ( Re f e r t oSc h e d ul e G i n s t r u c t i o n s an d I o wa Cod e 5 6 . 6 ( 3 ) ( 1 ) . )

Page 5 o f 7( f o r S c l i e e r u l e B y - -


a CHECK T HI S BOX I FAMENDI NGFORM

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 )REPUBLI CAN PARTYOF I OWA AND I TS EI SENHOWER CLUBCANDI DATE NAME ANDADDRESS TOWHOMEXPENDI TURE I PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me nt ) WASMADE ( CANDI DATES SEE EXPENDEDEXPENDED ( i f a pp l i c ab l e ) BEL OW&ENTER( MM/ DD/ YR) AND PAC 1 , 2 , 3 )CHECK NUMBER

I D# Th e T r a v e l Ce n t e r Ai r F ar e1 2 1 0 5/ 0 1 5 8 0 5 F l e ur Dr i v e J 2 1CK# Des Mo i n e s , I A 5 0 32 1 ( ) $

I D# Kat i e K o b e r g Mi l e ag e/ Of f i c e Re pa i r1 2/ 0 5/ 0 1 1 8 1 3 Bu c k i n gh a m D r i v e , NW# 5

Su pp l i e s / Co ~ pu t e r3 0

CK# Ceda r Rap i d s , I A 5 2 4 0 5 ( ) ' , , $

I D# Kat i e K o b er g ' Mi l e age / Of f i c e Su p pl i e s / Co mp u t e r Re pa i r1 2 1 0 5/ 0 1 1 8 1 3 Bu c k i n gh a m D r i v e , NW# 5 1 5

I CK # Ced a r Rap i d s , I A 5 240 5 lAd mi n i s t r a t i v e

( ) ' $

I D# Re pub l i c an Par t y o f I o wa - F e d e r a l Tr a ns f e r1 2 1 0 5 1 0 1 5 21 Ea st L o c u s t St r e e t 2 5 , 0 0

CK# Des Mo i n e s , I A 5 0 3 0 9 ( ) $

I I D # ' Ame r i c a n Ma r k i n g , I n c . ( B ad g e s1 2 / 1 4 1 0 1 4 4 0 E . Gr a n d A v e n u e I 9

CK# Des Mo i n e s , I A 5 0 3 0 9

I I D # ' C h r i s t i a n P r i n t e r s , I n c . ' ' Bu s i n e s s Ca r d s1 2 1 1 4 1 0 1 ' , 1 4 1 1 2 1 s t S t r e e t 6CK# Des Mo i n e s , I A 5 0 3 1 1 j ( )I D# Ch r i s t i an P r i n t e r s , I n c . Bu s i n e s s Ca r d s

1 2 / 1 4 1 0 1 1 4 1 1 2 1 s t S t r e e t 3CK# ' , D e s Mo i n e s , I A 5 0 3 1 1 ( ) $

SUB- TOTAL$ 2 5, 8 7_TOTAL ( I f l a s t page o f t h i s s c h e du l e )$


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EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTS T AT E P AC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L E GI S L A T I V EC A N DI D A T E S , L I S T T HE CANDI DATE I D E NT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWAE T H I C S AND CAMPAI GN D I SCLOSURE BOARD

T HI S BOX A PP L I E S T O CAND I DATES ' C OMMI T T E E S ONL Y :C amp a i g n f u n d s ma y b e u s e d o n l y f o r :( 1 ) c a mp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i h t d u t i e s o f o f f i c e .P l e a s e i n s e r t t h e a p p l i c a b l e n um b e r i n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r e .Pu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e du l e H . ( R e f e r t o Sc h e d ul e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s l e n t i t i e s p r o v i d i n g c o u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , man a g i n g , o r g a n i z i 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 oS c h e du l e G b y t h e amo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c h e du 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 5 6 . 6 ( 3 ) ( i ) . )

P a g e 6 o f 7( f o r S c h e d _ u T e _ B) _ _

SCHEDULEB MONETARY

( R e v . 0 2 / 9 6 ) E X P E ND I T U R E S

OCHECK T HI S BOX I FAMEND I NG FORMCOMMI TTEE NAME ( M u s t b e s am e a s o n S t a t e me n t o f Or g a n i z a t i o n )

REPUBLI CAN PARTYOF I OWA AND I T S EI SENHOWER CLUBCAND I DAT E NAME AND ADDRESS T O WHOM EXPEND I T URE PURPOSE AMOUNTDATE I D NUMBER ( D i s b u r s e me n t ) WAS MADE ( C ANDI D AT E S S EE EXPENDEDEXPENDED ( i f a p p l i c a b l e ) BELOW& E NT E R( MMI DDNR) AND PAC 1 , 2 , 3 )CHECK NUMBER

I D# Ma r k A Wa r r e n M i l e a g e / M e a l s1 2 1 1 4 1 0 1 3 9 6 3 Wo o d l a n d Av e . , # 3 2 8

CK# Wes t De s Mo i n e s , I A 5 0 2 6 6 ( ) 1 $S I D # Ma r k A Wa r r e n M i l e a g e / M e a l s

1 2 / 1 4 / 0 1 3 9 6 3 Wo o d l a n d Av e . , # 3 1 4CK# Wes t De s Mo i n e s , I A 5 0 2 6 6 ( ) $I D# S t e p h e nW. Ro b e r t s P h o n e

1 2 / 1 7 1 0 1 6 6 6 Wa l n u t St . - S u i t e 2 5 0 0CK# De s M o i n e s , I A 5 0 3 0 9 - 3 9 9 3 ( ) $I I D # ~ I S t e v e S c h e f f l e r Mi l e a g e / P ho n e / Me a l s / Po s t a g e

1 2 / 1 7 / 0 1 5 1 1 2 T ama r a L a n e 3 7CK# Wes t De s M o i n e s , I A 5 0 2 6 5 ( ) $I D # K a t i e Ko b e r g M i l e a g e / P h o n e / I n t e r n e t A c c e s s

1 2 1 1 7 / 0 1 1 8 1 3 B uc k i n g h am D r i v e , NW#5 1 7CK # ' C e d a r R a p i d s , I A 5 2 4 0 5 ( ) $

I D # K a t i e Ko b e r g M i l e a g e / P h o n e / I n t e r n e t A c c e s s1 2 / 1 7 1 0 1 1 8 1 3 B u c k i n g h am D r i v e , NW#5 8CK # ! Ce da r Ra p i d s , I A 5 24 05 ( ) $~ I D # Co n t e mp o r a r y C a t e r i n g C a t e r i n g

1 2 1 3 1 / 0 1 3 6 1 5 S .W. 9 t h S t r e e t 3CK # 1 De s M o i n e s , I A 5 0 3 1 5 ( ) $

S U B- T OT A L_ _ 1 _ _ , _ 4 _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 ) $


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EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTSTATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPACCHECK NUMBER FOREACH EXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI L AB LE FROM THE I OWAETHI CS AND CAMPAI GN DI SCLOSURE BOARD.

T HI S BOX APPLI ES TOCANDI DATES' COMMI TTEES ONLY :Campa i g n f u nd s may b e u s e d o n l y f o r :( 1 ) c amp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , an d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s oc i a t e d w i h t d u t i e s o f o f f i c e .Pl e a s e i n s e r t t h e a p p l i c a b l e n umb e r i n t h e p u r p o s e c o l u mn f o r e a c h e x p e d i t u r e .Pu r c h a s e s o f c e r t a i n c amp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mus t a l s o be i n v e n t o r i e d o n Sc h e du 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 u s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , manag i n g , o r g a n i z i i n g s e r v i c e s mus t a l s o be d e t a i l i t e m i z e d o nSc h e d ul e G b y t h e amo u n t , p u r p o s e , a n d d at e o f e a c h t y p e o f e x pe nd i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n di d a t e ' s c o mmi t t e e . ( R e f e r t oSc h e d ul e G i n s t r u c t i o n s a n d I o wa C o d e 5 6 , 6 ( 3 ) ( i ) . )

Page 7 o f 7( f o r Sc h e d u l e B )


0 CHECK T HI S BOX I FAMENDI NGFORMCOMMI TTEE 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 )

REPUBL I CAN PARTYOF I OWA AND I TS EI SENHOWER CLUBCANDI DATE NAME AND ADDRESS TOWHOMEXPENDI TURE PURPOSE AMOUNTDATE I D NUMBER ( Di s b u r s e me n t ) WASMADE ( CANDI DATES SEE EXPENDEDEXPENDED ( i f a pp l i c ab l e ) BEL OW& ENTER( MM/ DDI YR) AND PAC 1 , 2 , 3 )CHECK NUMBERI I D# Cu s t om P r i n t i n g an d M a i l i n g , Co . Mai l i n g - Ne ws l e t t e r

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I D# Ray Ho f f ma n n Mi l e a ge1 2 / 3 1 / 0 1 1 9 0 2 J a c k s o n St r e e t 1 3

CK# Si o u x C i t y , I A 5 7 1 0 4 ( ) $

I D# Co l o r f x Ma r k e t i n g Se r v i c e s P r i n t i n g - C a u c u s1 2 / 3 1 / 0 1 1 5 0 8 5 N . E . 1 7t h S t r e e t 1 , 9 0

CK# Des Mo i n e s , I A 5 0 3 1 3 ( ) $i ~ -I D# Ch r i s t i an P r i n t e r s , I n c . Pr i n t i ng Ne ws l e t t e r

1 2 / 3 1 1 0 1 1 41 1 2 1 s t St r e e t 1 , 8 9CK# Des Mo i n e s , I A 5 0 3 1 1 ( ) $

I D# ! Ho l i d ay I n n - Si x t h A v e n u e Room r e n t a l1 2 / 3 1 1 0 1 1 0 5 0 6 t h Avenue 5 4

! CK # Des Mo i n e s , I A 5 0 3 1 4

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I D# Co n f e r e n c e Ca l l s1 2 / 3 1 / 0 1 P . 0 . Bo x 8 4 5 5 2 0 1 8CK# Bo s t o n , MA 0 2 2 8 4- 5 5 2 0 ( ) $

SUB- TOTAL5 , 3TOTAL ( I f l a s t p a g e o f t h i s s c h ed u l e ) _

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COMMI TTEE 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 )' REPUBLI CAN PARTY OF I OWA AND I TS EI SENHOWER CLUB

EXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNTNOTE : D eb 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 m i a n u n p a i d mus t b e i n c l u d e d o n t h i sS c h e d u l e , a s w e l l a s a n

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