03/21/2005 23 :04 7124 752555 k:EtJTi HARMS

FOR INSTRUCTIONS. SEE BACK OF FORM

FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organizah (Rev . 071200-4) REPORT
1-11 For Offloo Use Only
V
01
17f
`'look I Comm . e % l.
IMPORTANT: Indicate by i type of committee you are reporting for Logged In
( 1 )StstewidsA_vgIsIetivsdJudge Standing for Retention Candidate (2 )State PAC (3 )State Party
(4 )County Central Committee ( 5 )County Candidate (e )City Candidate ( 7 )School Board or Other Scanned
Polltical Subdlvialon Candidate (9)County PAC (9 )Chy PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Rallot losue
Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
 possible civil and criminal
Office Sought District (if Senate or House) penalties .

71~1~ 7 3 _aa _
8 NATURE OF PERSON FILING REPORT) \ TELPINONE DATE SIGNED

I AM FILING A 15 t~GL~ REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report Gate) Indicate by #

(21- E& IF ND~E~T tb'_REOPRT SAT

0 Check if this Is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a DR-3 is tiled.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (rotal df all funds held by the
committee. This amount MUST be the same as the cash ~ hand at the end
of the last reporting period or must be zero if this is first re rt flied.) .. .. .. .. .. .. .. ... ... .. . .. ...... .. $
ADO TOTAL MONEY TAKEN IN THIS PERIOD C~ l cr~- °~

Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) .. . . . .. . .
Schedule F : Loans Received total (Attach Schedule F) .. ..... . . .. ...... ........ .. .... .. .. .... .... ...... .. ... .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) .. .. .. .. .. .. .. . . . . .. .. . .. . . .. . . .. . -CD-
(fhtrduta H plies to Candldnllos' Ctxnmi Only)
SUB-TOTAL . . . . . . : (-a gDo, o(0
SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . .. stai .00

Schedule F : Loan Repayments total (Attach Schedule F) .... .. .. .. . . ... . .. .. .. .... .. .. .. ...... . ..... .. . .. ..

CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . .... . .. . . . .. .. . . .. ........ .. .... . . . . .... . . . . .. .. .. .. .... .. .. .. .. .... . . .. ... . .. . . . ........ .. .. ... . .. .. .. .. $

"UNPAID BILLS (Prom Schedule D - Attach Schedule D) . .... .. .. ... ... .. ... ...... . ... .... .. .. .. .... .. .. .. .. ... . . . .. .... $
'1N KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. ... . .. . . . .. ... .. ...... .. .. .. .. ..... ..... . .. . $
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F). . .. .. . . . .. .. . . .. ...... .. .. .. . ... .. .... . ... . . ...... s
CDIDATE C011111MITT ES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S

0g121l2005 23 :04 7124752558 KErJT HARP1S PAGE 05

For Instructlons, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN

(Including rmndideWs personal funds)
A
(Rev. 07/03) I MONETARY
RECEIPTS

0 CHECK THIS Box IF

COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

School Facilities Committee

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 66B .32A(6), Iowa Code, prohibits the use of information copied from reports and statoments for soliciting contributions or
for any commercial purpose by any person other then statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF Fr

RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUN[
(MM/DD/YR) AND PAC CHECK (if applicable) RAISE
NUMBER INCOIk
ID#
02-28-05 CK# $180.00
Unitemized $

ID#

02-28-05 CK# Kary Conaway

520 .00
E
ID#

02-28-05 CK# Gordon Siebring $200 .00

C
ID#

02-28-05 CK# Randy Reicks

$15 .00
E:
ID#

02-28-05 CK# Henry Timmermans $100 .00

E:
[DO

Beatrice Monkemeier $20 .00

02-28-05 CK#

ID#
$25 .00
02-28-05 CK# Steve Weier

ID#
$150 .00
03-21-05 CK# TKC Farms, Inc .

ID#

200 .00
03-22-05 CK# Kary Conaway

ID#

CK#

SUB-TOTAL $ 910.00

TOTAL (if lost page of this schedule)

$ 910 .00

Disclosure law requires candidate committees to disclose the relationship of any relative making a oonbibuflon to the
commifae . Retudonship must or frown to the third degree of consanguinity (blood relatives) end affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of _ 0
familial relationship, enter'not applicablo in the relationship column . (for Schedule A)
0?!'21,i2005 23 :04 7124752559 KENT HARMS PAGE 05

FOR INS7RUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07103)
MONETARY
EXPENDITURES
STATE PAC COMMr TI'_CS : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be serve as on Statement of Ofganization)

School Facilities Committee

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Oisbursomont) WAS MADE
(MMIDDfYR) AND PAC
CHECK
NUMBER
ID#
02-28-05 KIWA Radio Radio Advertising $ 312 .00
CK#

ID#
03-08-05 ostmaster-US Postal Service Postage stamps for flyers $407,00
CK#

ID#
03-17-05 ittlc Rock Freelance Newspaper Advertising $100.00
CK#

ID#

CK#

1D#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

SUB-TOTAL $ 819 .00

TOTAL (if hat peps A! this schedule) $ g19 .00
1 l

THIS BOX APPLIES TO CANDIDATES' COIYI11111TTEES ONLY :

Purchases of certain campaign property ooatlng $500 or more must also be inventoried on Schedule H (Refer to Schedule H instructions .)

Enpenditures to pemonslentties providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentlty on behalf of the candidate's committee . (Refer to
Sohedule G instructions and lows Code 88A .402(3)(1).)

Page _-L-- of J-_-

03 ;'21/2005 23 :34 7124752558 KENT HAP(,15 PAGE 07

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08198) INDEBTEDNESS
School Facilities Committee
QCHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obilgafone incurred In this period . FORM

An 'Incurred debt- Is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
S
Scott Heibult
03-20-05 100 N. Main St. Vote "Yes" yard signs 347 .75
George, Iowa 51237 .

03-17-05 Lyon County Newspaper Advertising 257 .25

113 E. Michigan Ave.
C,eorpe_ lnwa 51237

KIWA Radio
03-05-05 Business Office Radio Advertising 90.00
107 Central Ave . SE
Orrinr+eCitv . lawn 51(141

L SUB-TOTAL $
695 .00

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

695 .00
1 I
Page 1 1
'If actual figure is unknown, show 'estimated" beside the figure .
(for Sdtadub 0)

CANDIDATE COMMITTEES NOTE :

'Incurred Indebtedness also Includes each person/entity with whom the candidate's committee has entered Into a contract during the reporting period for future
or mminuino oerformanrA . Enter the name of the consultant who orovldes or nrocures Services for items such as advertlsino. fund-ralsine . nollino . maneolnn or
03/21/2005 23 :04 7124752558 KENT HAPP,1S PAGE 108

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . W87) CONTRIBUTIONS
School Facilities Conunittee
CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
MMIDD/YR OF CONTRIBUTOR '(if applicable) CONTRIBUTION VALUE CONTRIBUTION
S
Siebring Manufacturing/Warren Tiedeman 400,00
03-05-05 printing and
103 S. Main St. folding of flyers
Gcorge, Iowa 51237

SUB-TOTAL S
400 .00

TOTAL (If last $

pps of this 400 .00
schedule)

'Disclosure law requires candidates to discloce the relationship of any relative making an In kind contribution to the Pays l
_.. .,~ of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (Soo Page 2 of forms pocket.) If surname of contributor Is the same as candidate. but them is no
familial relationship . enter 'not applicable` in the relationship column.