.

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

Reset Form
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Committee to Elect Ramsbottom Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for: " Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Computer
Subdivision Candidate ( S )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC
11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Nile Ramsbottom
Office Sought District (if Senate or House)
Ward 3 City Councilman

Late reports are subje ct to possible civil and criminal penalties .

S(S - 386 ",auSS (/ - Z -0s

SIGNATUR ON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A November 2, 2005 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by # 0
Local Committees, enter Date of Election
"CHECK IF AMENDMENT TO REPORT DATED
November 8, 2005
U Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)
Greene County, IA

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end 0.00
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . 735 .00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . 0.00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
(Schedule H app lies to Candidates' Committees Only)
SUB-TOTAL ..... ........... $ 735 .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total ( Attach Schedule B ) (**also see debts and loans below) . . . . . . . . . . . . 496 .00
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00

CASH ON HAND at the end of this reporting period (if final report balance must
239 .00
be zero) (Attach DR-3) . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

"UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

*IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 0 .00

CONSULTANT BREAKDOWN (Schedule G Attached?)

CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Committee to Elect Ramsbottom

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 LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT I IF FOR
RECEIVED (ifapplicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Don Orris Jefferson, IA
10/12/05 None
$50.00
CK#

ID#
Bill Raney Jefferson, IA
10/12/05 None
50 .00
CK#

ID#
Leo Brooker Jefferson, IA
10/12/05 50 .00
CK# None

ID#
Dean McAtee Jefferson, IA
10/12/05 None
100.00
CK#

1D#
Bill Monroe Jefferson, IA
10/20/05 140.00
CK# None

ID#
James Copeland Jefferson, IA
10/31/05 None
100.00
CK#

ID#
Richard Bonander Jefferson, IA
10/31/05 75 .00
CK# None

ID#
Elmer Eggimann Jefferson, 1A
10/31/05 None
20 .00
CK#

I D#
Jacque Andrew Jefferson, IA
10/31/05 None
50 .00
CK#

ID#
Al Roeder Jefferson, IA
10/31/05 None
100.00
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 1 1
marriage) . If surname of contributor is the same as candidate, but there is no Page of _
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07103)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

Committee to Elect Ramsbottom

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
Postmaster Stamps
11/01/05 CK# $ 222.00

ID# Ogren Graphics Yard Signs

11/02/05 CK# 274.00

ID#

CK#

1D#

CK#

ID#

CK#

ID#

CK#

1D#

CK#

I D#

CK#

SUB-TOTAL $ 496.00
TOTAL (if last page of this schedule) $ 496.00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

Expenditures to persons/entities 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 person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i).)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 08/98)1 INDEBTEDNESS
Committee to Elect Ramsbottom
CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this Reset Form FORM
Schedule, as well as any new obligations incurred in this period .

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
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

Printer's Box Jefferson, IA Stationery

10/12/05 110.77

Ben Franklin Jefferson, IA Card Stock, Printer Cartridges,

10/12/05 146 .23
Supplies

Bee & Herald Publishing Jefferson, IA Advertising

10/12/05 329.80

SUB-TOTAL $
586.80

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

586.80

*If actual figure is unknown, show "estimated" beside the figure. Page I of _
1
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

*Incurred indebtedness also includes each persondentity with whom the candidate's committee has entered into a contract during the reporting period forfuture
or continuing performance. Enterthe name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .