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BB,_J LAW OFFICE Pi=,t-E :

51553'22853 rJI-
05 .r- :-i'2F373 10 :49

FJR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME(Must be some as on Statement of Organtzetion) (Rev I22005) REPORT

For OfficeUse oaf


'Ccs 4 Kids Comm a
IMPORTANT , Indicate by It type of committee you era reporting for- 1 1 Logged In
( 1 )SWewldeiLegislslive/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scenned
( 4 iCounty Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Po'dilcal Subdlvmlon Candidate ( 3 )County PAC ( 9 )City PAC,, 1,10 )School Board or Other Political Computer
Subdlvi ; C ( 11 ) Local-Ballot Issue-_
Aud(ted
CA E COM 5 ON
Candidate Na-ne Political Party (If applicable) File with :
Iowa Ethics and Campaign
Disclosure Board
Off"Ce Scught 1d' ' - -,Pistnct (if Senate or House) SIC E . 12`", Ste 1 A
Des Moines, Iowa 5 .^,319
Fax 515-281-3771
Late reports are subject to possible civil and itnina"1 penalties . Pursuant to Iowa Code section 688 .32A(7)
the candidate, for a -andldate's commlttd'e','-and the chairperson, for any other type of committee, is the
Lo ividual responsible for filing timely and accurate report, .

S (s53a,a8s i 5 0
SIGNATURE OF PERSON FILING REPORT TELEPHONE DA 31GN D

I AM FILING A _ S - IX - o",ji REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by # a


~] CHECK IF AMENDMENT TO RFPOR'T DATED Local Committees, enter Date of Eloctlo,
Mey 9, 2006
m Chec1: if this is final (tsrminaticn) report and attach Notice of Dissolution Form DR-3 . County & Local COMMItteeS, enter County n
(You must continue to file reports until a DR-3 is filec .) which Election Is held
Wright / Humboldt / Hancock

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
2,225 .00
cf the last reporting period or must be zero if this i, first report filed ) . . . . . . ., . . . .

ADD TOTAL MONEY TAKEN IN THIS PERIOD


250 .00
Schedule A Cash Contributions total (Attach Schedule A) ('also see ~n-kind below)
Schedule P Loans Receivmd total (Attach Schedule F) . . .  , .. . . .   0 .00

Schedule H Total Sales of Campaign Property (Attach Schedule H) . .. 0 .00

(Sch~,ple H anolies to Candidates' Co_mmltteeo Onhr)

SUB-TOTAL . . . . .. . . . . . . . .. . . . . .. . . S 2,475 .00


SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule E . Expenditures total (Attach Schedule B) ( - 'also see debts and loans below)  . ?,475 .00

Schedule F : Loan Repeyments total (Attach Schedule F) . . . . . . . . . . . , .  .  . . . . . . .,  , .  .  0 .00

CASH ON HAND at the end of this reporting period (if final report balance must
0 .00
be zero) (Attach DR-3) . . . . . . . . . . .... . . . .. . ... . . . . . . ... ... . . .. . .. . . . . . . .... .

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., ., .  . . . . . . . . ,... ,$ () .00


'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ., . . . . . . . . .  ., . . . . . . . 0_00
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . .  . , . . . . . . . . . . .5 0 .00

CONSULTANT BREAKDOVVN (Schedule G Attachad7i YES NO


CANDIDATE COMMl ONLY :
VALUE OF CAMPAIGN PROPERTY(From Schedule H -Attach Schedule HI 0 .00
$
STATE COMNII1TEES : Submit a reconciled campaign account bank statement in January of each year .
B&3~J LA10 OFFICE PAGE -~ - .
IJ=,i ;C ;' ~3F?5 111 :48 51553C'< S53

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A I MONETARY
(Rev 07103) I RECEIPTS
(Inciudlng candidate's personal funds)
0 CHECK THIS BOX IF I
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
i Yes 4 Kids

STATE CANDIDATES NOTE : IF i, CONTRIBUTION IS RECENED FROM A STATE PAC (POLITICAL ACTION COMMITTEE1, L-ST THE PAC IDENTIFICA710ri
14
AMBER AND THE PAC CHECK NUYBEP IN THE DESIGNATED COLUMN, A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA. ETHICS AND CANAPAIC-i
7ISCLOSURE BCARD

NOTE ANY PERSON OTHER THAN AN INDIVIDUAL . THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.

CAUTION : Section 588 32A(6), prohibits the use of information copied from reports and statements 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 RELATIONSHIPAMOUNT ; IF FOR


RECEIVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(M1VhDD(YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOr~!E
ID#
Stcven ,1 . Simonin $100 .00
05 08,00 820 2nd Avenuc NE N/A
C K#
Clarion, IA 50525
IU#
Dennis and Nary March $100 .00
05!05 ;'06 CK# 821 2nd Avenue NE N/A

- Clarion . 1A 5052 S
lu
Dennis Bowman 550 .00
0509 06 CK# 1507 SW 1 N/A
Clarion, IA 5055
ID

C K#

tD9

C K#

ID#

CK#
_
ID#

CK#

ID#

C K#

!DO

CK#

C K#

SUB-TOTAL

TOTAL (if last page of this schedule)

C1sclesure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relallcnship must be shown to the third degree of conrangulnlry (blood relatives) and aRnlty (relatives by
marrlago) If aurname of contributor is the same as candidate, but there is no
of pegs 1
familial relationship, enter "not applicable" in the relationship column . (for Schedule
A)
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BB&.J LAW OFFICE PAc:E
FJ5 ' _ ~ ;' ;~17~J~, 1 3 : 48 51553 :: ; S53

W
3t !s `fI C'~.
1

FOR INSTRUCTIONS, SEE BACK OF FORM '' 1


SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev. 07/03)
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 F1 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD

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


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I CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/OD/YR) AND PAC
CHECK
NUMBER
I D#
Brinton, Bordwell 3c Johnson Reimbursement for yard signs
05/09!06 PO Box 73 1,217,06
C K#
Clarion, TA 50525 $

I DO
Dows Advocate Newspaper advertising
05/,09/00 ; CK# PO Box 29 .A)
$6'
Hampton, IA 50441

I G#
Dewayne A . Knoshaug Voter lists
05/(19/,06 1790 O'Brien Avenue S 2R 0 0
CK#
Clarion, IA 50525

10#
The Wright County Monitor Newspaper advertising
05/09106 PO Box 153
CK# $452 .0b
Clarion, to 50525

11D#
Eaglc Grove Eagle Newspaper advertising
05'09 :06 314 NVcst Broadwav
CK# $400 ,00
Eagle Grove, TA 5053=

ID#
«'rieht County Auditor Post-cicctlon voter lists
05 , 11/06 115 North Main
CK# nl0 W
Clarion, TA 50525

ID#
Clarion-Goldfield Comm, Schools Donation
051l 1/06 CK# 319 3rd Avenue NE
$503 .54
Clarion, TA 50525

ID#

C K#

SUB-TOTAL $ 2,475 .00

TOTAL (if last page of this schedule) S 2,47 ; .00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of ce -taln cgmpaign property costing $500 or more must also be inventoried on Schedule H.
(Refer to Schedule H Instructions .j
ExpendllurPs to oersons/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 lype of expenditure made by the
person/entity on behalf of the candidate's committee. (Refer tc
Schedule G Instructions and Iowa Code 68A.402(3)(1),)

I for 5cheeule e)

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