FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 12/2005) REPORT
Verizon Iowa State Good Government Club
For Office Use Only
IMPORTANT: Indicate by # type of committee you are reporting for: 2 Comm. #
(1)Statewide/Legislative/Judge Standing for Retention Candidate (2)State PAC (3)State Party
(4) CountyCentral Commiittee (5)County Candidate (6)City Candidate (7)School Board or Other Logged in
Political Subdivision Candidate (8)County PAC (9)City PAC (10) School Board or Other Political
Scanned
Subdivision PAC (11)Local Ballot Issue
CANDIDATE COMMITTEES ONLY: Computer
Candidate Name Political Party (if applicable)
Audited

Office Sought District (If Senate or House)

File With
Iowa Ethics and Campaign
Disclosure Board
Late reports are subject to possible civil and criminal penalities. Pursuant to Iowa Code section 68B.32A(7) 510 E. 12th, Ste. 1A
the candidate, for a candidate's committee and the chairperson, for any other type of committee, is the Des Moines, Iowa 50319
individual responsible for filing timely and accurate reports. fax: 515-281-3701

SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A 07/15/2008 - 10/14/2008 REPORT FOR (1) ELECTION /(2) NON-ELECTION YEAR.
(report date) Indicate by # 1
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

(Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committee, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held

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
of the last reporting period, or must be zero if this is first report filed.) $ 20,258.56

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attached Schedule A) (*also see in-kind below) 2,054.50

Schedule F: Loan Received total (Attach Schedule F) 0.00

Schedule H: Total Sales of Campaign Property (Attach Schedule H) 0.00

Schedule H applies to Candidates' Committees Only)

SUB-TOTAL $ 22,313.06

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total ( Attach Schedule B) (**also see debts and loans below) 17,300.00

Schedule F: Loans Repayments total (Attach Schedule F) 0.00

CASH ON HAND at the end of this reporting period (if final report, balance must
$ 5,013.06
be zero)(Attach DR-3)

**UNPAID BILLS (From Schedule D - Attach Schedule D) $ 0.00

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $ 0.00

**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) $ 0.00

CONSULTANT BREAKDOWN (Schedule G Attached ?)

CANDIDATE COMMITTEES ONLY: YES X NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 0.00

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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# Appleby, Anna $5.00
60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

08/01/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

08/15/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

08/29/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

09/12/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

09/26/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

10/10/2008 ID# Appleby, Anna $5.00

60 Clive Drive Northwest
CK#
Cedar Rapids, IA 52405-4537

07/18/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

08/01/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

08/15/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

SUB-TOTAL $ $50.00

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
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# Brady, Scott $5.00
6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

09/12/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

09/26/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

10/10/2008 ID# Brady, Scott $5.00

6616 Ashwood Court Northeast
CK#
Cedar Rapids, IA 52411-7757

07/18/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

08/01/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

08/15/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

08/29/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

09/12/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

09/26/2008 ID# Brown, Scot $5.00

1645 Charleston Drive
CK#
Marion, IA 52302-1781

SUB-TOTAL $ $50.00

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 2
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
10/10/2008 ID# Brown, Scot $5.00
1645 Charleston Drive
CK#
Marion, IA 52302-1781

07/18/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

08/01/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

08/15/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

08/29/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

09/12/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

09/26/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

10/10/2008 ID# Brubaker, John $2.00

4510 Sloan Ridge
CK#
Cumming, GA 30028-8103

07/18/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

08/01/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

SUB-TOTAL $ $49.00

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 3
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/15/2008 ID# Childs, Amanda $15.00
115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

08/29/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

09/12/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

09/26/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

10/10/2008 ID# Childs, Amanda $15.00

115 Elm Ridge Drive
CK#
North Liberty, IA 52317-9412

07/18/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

08/01/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

08/15/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

08/29/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

09/12/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

SUB-TOTAL $ $87.50

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 4
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/26/2008 ID# CHRISTINSON, CHERYL $2.50
1428 REED STREET
CK#
GRINNELL, IA 50112-1347

10/10/2008 ID# CHRISTINSON, CHERYL $2.50

1428 REED STREET
CK#
GRINNELL, IA 50112-1347

07/18/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

08/01/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

08/15/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

08/29/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

09/12/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

09/26/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

10/10/2008 ID# CLOYED, CYNTHIA $2.00

1221 PRINCE STREET
CK#
GRINNELL, IA 50112-1328

07/18/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

SUB-TOTAL $ $22.00

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 5
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/01/2008 ID# Combs, Beth $3.00
540 S 22nd Street
CK#
Marion, IA 52302-4992

08/15/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

08/29/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

09/12/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

09/26/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

10/10/2008 ID# Combs, Beth $3.00

540 S 22nd Street
CK#
Marion, IA 52302-4992

07/18/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

08/01/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

08/15/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

08/29/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

SUB-TOTAL $ $38.00

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 6
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/12/2008 ID# Cranny, Daniel $5.00
4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

09/26/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

10/10/2008 ID# Cranny, Daniel $5.00

4185 Willowbrook Drive
CK#
Marion, IA 52302-6166

07/18/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

08/01/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

08/15/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

08/29/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

09/12/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

09/26/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

10/10/2008 ID# CUMMINGS, JOY $2.75

1408 Old 6 Rd.
CK#
Malcom, IA 50157-8033

SUB-TOTAL $ $34.25

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 7
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# DAVIS, LINDA $1.50
1617 REED
CK#
GRINNELL, IA 50112-2639

08/01/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

08/15/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

08/29/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

09/12/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

09/26/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

10/10/2008 ID# DAVIS, LINDA $1.50

1617 REED
CK#
GRINNELL, IA 50112-2639

07/18/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

08/01/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

08/15/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

SUB-TOTAL $ $16.50

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 8
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# DUDLEY, CINDY $2.00
174 380 AVE.
CK#
GRINNELL, IA 50112-8220

09/12/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

09/26/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

10/10/2008 ID# DUDLEY, CINDY $2.00

174 380 AVE.
CK#
GRINNELL, IA 50112-8220

07/18/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

08/01/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

08/15/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

08/29/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

09/12/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

09/26/2008 ID# EDELEN, SUSAN $4.00

3630 90TH ST
CK#
GRINNELL, IA 50112-8348

SUB-TOTAL $ $32.00

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 9
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
10/10/2008 ID# EDELEN, SUSAN $4.00
3630 90TH ST
CK#
GRINNELL, IA 50112-8348

07/18/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

08/01/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

08/15/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

08/29/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

09/12/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

09/26/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

10/10/2008 ID# FLANNERY, JOHN $25.00

1024 21ST
CK#
W. DES MOINES, IA 50265-2213

07/18/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

08/01/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

SUB-TOTAL $ $183.00

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 10
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/15/2008 ID# Gerber, Tom $2.00
5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

08/29/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

09/12/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

09/26/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

10/10/2008 ID# Gerber, Tom $2.00

5673 22nd Avenue Trail
CK#
Vinton, IA 52349-9481

07/18/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

08/01/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

08/15/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

08/29/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

09/12/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

SUB-TOTAL $ $25.00

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 11
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/26/2008 ID# GOODIN, MICHELE $3.00
1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

10/10/2008 ID# GOODIN, MICHELE $3.00

1421 4TH AVE
CK#
GRINNELL, IA 50112-2021

07/18/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

08/01/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

08/15/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

08/29/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

09/12/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

09/26/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

10/10/2008 ID# GOODRICH, ANN $6.00

1003 Old 6 Rd
CK#
Grinnell, IA 50112-8007

07/18/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

SUB-TOTAL $ $52.00

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 12
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/01/2008 ID# GRAFF, ELLEN $4.00
700 GARFIELD ST
CK#
TAMA, IA 52339-2208

08/15/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

08/29/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

09/12/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

09/26/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

10/10/2008 ID# GRAFF, ELLEN $4.00

700 GARFIELD ST
CK#
TAMA, IA 52339-2208

07/18/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

08/01/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

08/15/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

08/29/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

SUB-TOTAL $ $32.00

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 13
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/12/2008 ID# Graham, Jean $2.00
4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

09/26/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

10/10/2008 ID# Graham, Jean $2.00

4824 Lorraine Avenue
CK#
Sioux City, IA 51106-4115

07/18/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

08/01/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

08/15/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

08/29/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

09/12/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

09/26/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

10/10/2008 ID# GUTHRIE, TRACI $8.00

121 ADAIR ST
CK#
KELLOGG, IA 50135-1116

SUB-TOTAL $ $62.00

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 14
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# Hall, Janan $5.00
1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

08/01/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

08/15/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

08/29/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

09/12/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

09/26/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

10/10/2008 ID# Hall, Janan $5.00

1905 Sugaridge Drive
CK#
Marion, IA 52302-6162

07/18/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

08/01/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

08/15/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

SUB-TOTAL $ $50.00

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 15
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# Halverson, Michelle $5.00
1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

09/12/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

09/26/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

10/10/2008 ID# Halverson, Michelle $5.00

1325 Phoenix Drive
CK#
Iowa City, IA 52246-8697

07/18/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

08/01/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

08/15/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

08/29/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

09/12/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

09/26/2008 ID# Handley, Lori $30.00

1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

SUB-TOTAL $ $200.00

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 16
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
10/10/2008 ID# Handley, Lori $30.00
1526 Matterhorn Drive Northeast
CK#
Cedar Rapids, IA 52402-3355

07/18/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

08/01/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

08/15/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

08/29/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

09/12/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

09/26/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

10/10/2008 ID# Hodges, Bruce $4.00

1705 W Le Moyne Street Apt. A
CK#
Chicago, IL 60622-2111

07/18/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

08/01/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

SUB-TOTAL $ $68.00

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 17
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/15/2008 ID# HODINA, ERIC $5.00
1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

08/29/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

09/12/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

09/26/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

10/10/2008 ID# HODINA, ERIC $5.00

1498 OLD 6 RD
CK#
BROOKLYN, IA 52211-8602

07/18/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

08/01/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

08/15/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

08/29/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

09/12/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

SUB-TOTAL $ $62.50

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 18
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/26/2008 ID# Howard, William $7.50
4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

10/10/2008 ID# Howard, William $7.50

4710 Coventry Lane Northeast
CK#
Cedar Rapids, IA 52402-7033

07/18/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

08/01/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

08/15/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

08/29/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

09/12/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

09/26/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

10/10/2008 ID# Jacque, Kara $10.00

7292 28th Avenue
CK#
Newhall, IA 52315-9643

07/18/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

SUB-TOTAL $ $90.00

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 19
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/01/2008 ID# Jakoubek, Paula $5.00
3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

08/15/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

08/29/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

09/12/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

09/26/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

10/10/2008 ID# Jakoubek, Paula $5.00

3405 Blue Pointe Court Southwest
CK#
Cedar Rapids, IA 52404-7709

07/18/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

08/01/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

08/15/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

08/29/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

SUB-TOTAL $ $40.00

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 20
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/12/2008 ID# KRIEGEL, KIMBERLY $2.50
616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

09/26/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

10/10/2008 ID# KRIEGEL, KIMBERLY $2.50

616 MAIN ST
CK#
BROOKLYN, IA 52211-9728

07/18/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

08/01/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

08/15/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

08/29/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

09/12/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

09/26/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

10/10/2008 ID# KRUMM, SHARON $2.50

15415 N 75TH AVE E
CK#
GRINNELL, IA 50112-7600

SUB-TOTAL $ $25.00

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 21
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# Larimer, Audra $10.00
PO Box L
CK#
Shellsburg, IA 52332-0829

08/01/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

08/15/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

08/29/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

09/12/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

09/26/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

10/10/2008 ID# Larimer, Audra $10.00

PO Box L
CK#
Shellsburg, IA 52332-0829

07/18/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

08/01/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

08/15/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

SUB-TOTAL $ $79.00

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 22
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# MANATT, PATRICIA $3.00
4098 90TH ST
CK#
MALCOM, IA 50157-8101

09/12/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

09/26/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

10/10/2008 ID# MANATT, PATRICIA $3.00

4098 90TH ST
CK#
MALCOM, IA 50157-8101

07/18/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

08/01/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

08/15/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

08/29/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

09/12/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

09/26/2008 ID# MC CAIN, SUSAN $2.50

4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

SUB-TOTAL $ $27.00

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 23
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
10/10/2008 ID# MC CAIN, SUSAN $2.50
4370 HIGHWAY 63, BOX 8
CK#
MALCOM, IA 50157-8014

07/18/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

08/01/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

08/15/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

08/29/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

09/12/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

09/26/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

10/10/2008 ID# Mike, Donna $7.50

3007 Old Orchard Road Northeast
CK#
Cedar Rapids, IA 52402-6801

07/18/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

08/01/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

SUB-TOTAL $ $60.00

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 24
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/15/2008 ID# Nadar, Anand $2.50
5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

08/29/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

09/12/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

09/26/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

10/10/2008 ID# Nadar, Anand $2.50

5037 Bristol Court
CK#
Lyndhurst, OH 44124-2533

07/18/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

08/01/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

08/15/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

08/29/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

09/12/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

SUB-TOTAL $ $37.50

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 25
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/26/2008 ID# PEASE, LINDA $5.00
1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

10/10/2008 ID# PEASE, LINDA $5.00

1108 SUMMER ST
CK#
GRINNELL, IA 50112-1751

07/18/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

08/01/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

08/15/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

08/29/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

09/12/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

09/26/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

10/10/2008 ID# Ray, Jane $10.00

4225 Dalewood Avenue Southeast
CK#
Cedar Rapids, IA 52403-4355

07/18/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

SUB-TOTAL $ $82.00

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 26
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/01/2008 ID# Rotter, Karmela $2.00
824 31st Avenue
CK#
Amana, IA 52203-8202

08/15/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

08/29/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

09/12/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

09/26/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

10/10/2008 ID# Rotter, Karmela $2.00

824 31st Avenue
CK#
Amana, IA 52203-8202

07/18/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

08/01/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

08/15/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

08/29/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

SUB-TOTAL $ $24.00

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 27
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/12/2008 ID# Safley, Thomas $3.00
4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

09/26/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

10/10/2008 ID# Safley, Thomas $3.00

4552 Orchard Drive Northwest
CK#
Cedar Rapids, IA 52405-2838

07/18/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

08/01/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

08/15/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

08/29/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

09/12/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

09/26/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

10/10/2008 ID# Salven, Timothy $3.00

27 Dartmouth Street Southwest
CK#
Cedar Rapids, IA 52404-5201

SUB-TOTAL $ $30.00

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 28
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# SAUNDERS, MIRIAM $1.50
1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

08/01/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

08/15/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

08/29/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

09/12/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

09/26/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

10/10/2008 ID# SAUNDERS, MIRIAM $1.50

1820 PRINCE ST
CK#
GRINNELL, IA 50112-1026

07/18/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

08/01/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

08/15/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

SUB-TOTAL $ $40.50

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 29
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# Schramp, Kyle $10.00
4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

09/12/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

09/26/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

10/10/2008 ID# Schramp, Kyle $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

07/18/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

08/01/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

08/15/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

08/29/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

09/12/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

09/26/2008 ID# Schramp, Philip $10.00

4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

SUB-TOTAL $ $100.00

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 30
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
10/10/2008 ID# Schramp, Philip $10.00
4039 Cedar Grove Court Northeast
CK#
Cedar Rapids, IA 52411-7601

07/18/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

08/01/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

08/15/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

08/29/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

09/12/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

09/26/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

10/10/2008 ID# SCHULTZ, BARBARA $2.50

510 PEARL ST
CK#
GRINNELL, IA 50112-2343

07/18/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

08/01/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

SUB-TOTAL $ $32.50

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 31
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/15/2008 ID# SMITH, JUDITH $2.50
4266 20TH ST
CK#
GRINNELL, IA 50112-8138

08/29/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

09/12/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

09/26/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

10/10/2008 ID# SMITH, JUDITH $2.50

4266 20TH ST
CK#
GRINNELL, IA 50112-8138

07/18/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

08/01/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

08/15/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

08/29/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

09/12/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

SUB-TOTAL $ $37.50

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 32
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/26/2008 ID# STANEK, KATHY $5.00
PO BOX 926
CK#
GRINNELL, IA 50112-0926

10/10/2008 ID# STANEK, KATHY $5.00

PO BOX 926
CK#
GRINNELL, IA 50112-0926

07/18/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

08/01/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

08/15/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

08/29/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

09/12/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

09/26/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

10/10/2008 ID# STORY, NICOLE $3.00

1131 Reed St
CK#
Grinnell, IA 50112-1336

07/18/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

SUB-TOTAL $ $33.50

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 33
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/01/2008 ID# VAN SOELEN, KAREN $2.50
12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

08/15/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

08/29/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

09/12/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

09/26/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

10/10/2008 ID# VAN SOELEN, KAREN $2.50

12695 S 92ND AVE E
CK#
SULLY, IA 50251-8658

07/18/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

08/01/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

08/15/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

08/29/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

SUB-TOTAL $ $35.00

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 34
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
09/12/2008 ID# WALKER, DEBORAH $5.00
238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

09/26/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

10/10/2008 ID# WALKER, DEBORAH $5.00

238 Horseshoe Dr
CK#
MONTEZUMA, IA 50171-8412

07/18/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

08/01/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

08/15/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

08/29/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

09/12/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

09/26/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

10/10/2008 ID# WEAVER, DAVID $5.00

179 WALNUT ROAD
CK#
GRINNELL, IA 50112-8139

SUB-TOTAL $ $50.00

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 35
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
07/18/2008 ID# WEBSTER, DIANA $2.75
317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

08/01/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

08/15/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

08/29/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

09/12/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

09/26/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

10/10/2008 ID# WEBSTER, DIANA $2.75

317 E 9TH ST N
CK#
NEWTON, IA 50208-2215

07/18/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

08/01/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

08/15/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

SUB-TOTAL $ $34.25

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 36
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 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
Verizon Iowa State Good Government Club

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

CAUTION: Section 68B.32a(6), 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 (if NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT a IF FOR
RECEIVED applicable) AND TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) PAC CHECK (if applicable) RAISER
NUMBER INCOME
08/29/2008 ID# WELLS, JOANN $5.00
256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

09/12/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

09/26/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

10/10/2008 ID# WELLS, JOANN $5.00

256 NEWBURG ROAD
CK#
GRINNELL, IA 50112-8306

ID#
10/14/08 Unitemized Contributions $ 63.00
CK#

SUB-TOTAL $ $83.00

TOTAL (if last page of this schedule)

$ $2,054.50
* 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 37
Page ________of 37
________
marriage). If surname of contributor is the same as candidate, but there is no familial relationship, enter "not
applicable" in the relationship column.
(for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
09/30/2008 ID# 1104 Alons for Representative Committee 2008 General $100.00
1314 7th St.
CK# 560
Hull, IA 51239

09/30/2008 ID# Arnold For House 2008 General $200.00

Route # 2 Box 56
CK# 553
Russell, IA 50238

09/23/2008 ID# 1665 Bailey for State House 2008 General $200.00
PO Box 64
CK# 503 Webster City, IA
50595

09/30/2008 ID# 1105 Baudler for State Representative 2008 General $200.00
2260 Hwy 25
CK# 557 Greenfield, IA
50849

09/23/2008 ID# 984 Behn for Senate 2008 General $350.00

1313 Quill Ave.
CK# 504
Boone, IA 50036

09/23/2008 ID# 1393 Berry for Iowa House of Representatives 2008 General $200.00
241 Madison Street
CK# 526 Waterloo, IA
50703

09/23/2008 ID# 1255 Brian Quirk for State Reprsentative 2008 General $200.00
1011 Sunset St.
CK# 518 New Hampton, IA
50659

09/30/2008 ID# 318 Citizens for Good Government 2008 General $200.00
2081 410th St
CK# 563
Grafton, IA 50440
$ $1,650.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

1
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
09/23/2008 ID# 1612 Citizens for Gronstal 2008 General $1,500.00
220 Bennett Ave
CK# 513 Council Bluffs, IA
51503

09/30/2008 ID# 930 Citizens for Heaton 2008 General $200.00

510 E. Washington
CK# 554 Mount Pleasant, IA
52641

09/26/2008 ID# 1605 Citizens for Pat Grassley 2008 Primary $200.00
30331 Vail Ave
CK# 549 New Hartford, IA
50660

09/23/2008 ID# 1534 Citizens for Schoenjahn 2008 General $350.00

221 Park Avenue
CK# 520 Arlington, IA
50606

09/23/2008 ID# 1416 Citizens for Struyk 2008 General $200.00

219 Carson Ave
CK# 543 Council Bluffs, IA
51503

09/23/2008 ID# 656 Committee to Elect Jim Hahn 2008 General $200.00
900 West 4th Street
CK# 514 Muscatine, IA
52761

09/23/2008 ID# 1553 Committee to Elect Nathan Reichert 2008 General $200.00
1155 Iowa Avenue
CK# 540 Muscatine, IA
52761

09/23/2008 ID# 1428 Committee to Elect Steve Lukan 2008 General $200.00
1888 Smith St.
CK# 532 New Vienna, IA
52065
$ $3,050.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

2
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
09/23/2008 ID# 1602 Committee to Elect Tyler Olson 2008 General $200.00
PO Box 2389
CK# 536 Cedar Rapids, IA
52406

09/23/2008 ID# 1344 Courtney for State Senate Committee 2008 General $350.00
2200 Summer St.
CK# 507 Burlington, IA
52601

09/23/2008 ID# 1338 Danielson for Senate 2008 General $250.00

3906 Monterrey Dr.
CK# 509 Waterloo, IA
50701

09/23/2008 ID# 840 Dearden for State Senate Committee 2008 General $200.00
3113 Kinsey Avenue
CK# 510 Des Moines, IA
50309

09/23/2008 ID# 1217 Dick Taylor for State Representative 2008 General $200.00
2721 31st Street SW
CK# 539 Cedar Rapids, IA
52404

09/23/2008 ID# 990 Dolecheck for Representative 2008 General $100.00

703 N. Fillmore
CK# 527 Mount Ayr, IA
50854

09/23/2008 ID# 293 Fraise for Senate 2008 General $250.00

Rt. 1
CK# 511 Ft. Madison, IA
52627

09/30/2008 ID# 1563 Frank Wood for Senate 2008 General $250.00
PO Box 402
CK# 562 Eldridge, IA
52748
$ $1,800.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

3
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
09/23/2008 ID# 1017 Frevert for the House 2008 General $200.00
P.O. Box 324
CK# 512 Emmetsburg, IA
50536

09/30/2008 ID# 1502 Hancock for Senate 2008 General $200.00

310 E Main St
CK# 558 Epworth, IA
52045

09/30/2008 ID# 1779 Heil for Senate 2008 General $100.00

1708 Robertson Dr
CK# 559 Marshalltown, IA
50158

09/30/2008 ID# 1088 Horbach for House of Representatives 2008 General $200.00
1014 Oakland Dr.
CK# 555
Tama, IA 52339

09/23/2008 ID# 987 Huser for State Representative 2008 General $100.00
213 7th Street NW
CK# 529
Altoona, IA 50009

09/23/2008 ID# 851 Iowans For Van Fossen 2008 General $250.00
2802 Middle Road
CK# 546 Davenport, IA
52803

09/23/2008 ID# 727 Jack Drake for State Representative 2008 General $100.00
52462 Juniper Rd.
CK# 528
Lewis, IA 51544

09/23/2008 ID# 1491 Jacoby for House 2008 General $200.00

2308 Northridge Dr.
CK# 525 Coralville, IA
52241
$ $1,350.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

4
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
09/23/2008 ID# 1120 Joe Bolkcom for Iowa Senate 2010 Primary $200.00
728 2nd Ave
CK# 506 Iowa City, IA
52245

09/23/2008 ID# 699 Kettering Campaign 2008 General $250.00

275 Crescent Park Dr.
CK# 515 Lake View, IA
51450

09/23/2008 ID# 464 Kibbie for Senate 2008 General $250.00

PO Box 190
CK# 516 Emmetsburg, IA
50536

09/23/2008 ID# 1504 Kressig for Iowa House District 19 2008 General $250.00
3523 Veralta Drive
CK# 531 Cedar Falls, IA
50613

09/23/2008 ID# 1385 McCarthy for State Representative 2008 General $500.00
5220 SE 31st Ct.
CK# 533 Des Moines, IA
50320

09/30/2008 ID# 1269 Mckinley For State Senate 2008 General $200.00
P.O. Box 609
CK# 561 Chariton, IA
50049

09/23/2008 ID# 527 Mertz for Representative 2008 General $200.00

607 110th Street
CK# 517 Ottosen, IA
50570

09/23/2008 ID# 564 Murphy for State Representative 2008 General $1,000.00
155 North Grandview Ave.
CK# 530 Dubuque, IA
52001
$ $2,850.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

5
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER

09/23/2008 ID# 890 Nancy Boettger for State Senate Committee 2010 Primary $200.00
926 Ironwood Rd.
CK# 505
Harlan, IA 51537

09/23/2008 ID# 1326 Oldson for State Representative 2008 General $200.00
1418 38th Pl
CK# 535 Des Moines, IA
50312

09/23/2008 ID# Palmer For State Representative 2008 General $250.00

114 First Ave. E
CK# 548 Osksloosa, IA
50635

09/30/2008 ID# 765 Paul Bell For State Representative 2008 General $200.00
611 E. 17th St. N.
CK# 556
Newton, IA 50208

09/23/2008 ID# 1206 Petersen for State Representative 2008 General $500.00
4300 Beaver Hills Dr.
CK# 537 Des Moines, IA
50310

09/23/2008 ID# 1507 Pettengill for Iowans 2008 General $200.00

P.O. Box 76
CK# 538 Mt. Auburn, IA
52313

09/30/2008 ID# 1123 Raecker for State Representative Committee 2008 General $200.00
9011 Lltis Drive
CK# 552 Urbandale, IA
50322

09/23/2008 ID# 662 Rants for State House 2008 General $1,000.00
2740 South Glass Street
CK# 534 Sioux City, IA
51106
$ $2,750.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

6
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER

09/23/2008 ID# 1516 Rielly for Senate 2008 General $350.00

113 North Market Street
CK# 519 Oskaloosa, IA
52577

09/23/2008 ID# 1467 Sands for State House 2008 General $200.00
134 Orchard Ln
CK# 541 Columbus Junction, IA
52738

09/23/2008 ID# 1490 Shomshor for Iowa House 2008 General $100.00
3018 Avenue M
CK# 542 Council Bluffs, IA
51501

09/23/2008 ID# 1492 Soderberg for House 2008 General $200.00

800 2nd St. SE
CK# 521 Le Mars, IA
51031

09/23/2008 ID# 1324 Swati Dandekar Campaign Committee 2008 General $200.00
2731 28th Avenue
CK# 508
Marion, IA 52302

09/23/2008 ID# 957 Taylor for Representative 2008 General $200.00

1416 A. Ave. W
CK# 545 Cedar Rapids, IA
52405

09/23/2008 ID# The Carroll Committee 2008 General $250.00

244 400 Th Avenue
CK# 547 Grinnell, IA
50112

09/30/2008 ID# 881 The Daniel A. Huseman Election Committee 2008 General $200.00
6144 Y Ave
CK# 550
Aurelia, IA 51005
$ $1,700.00
SUB-TOTAL
TOTAL (if last page of this schedule) $

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

7
Page ____________of 8
____________

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES
STATE CANDIDATES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Verizon Iowa State Good Government Club

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE 2008 General
CHECK
NUMBER
CK# 550

09/23/2008 ID# 1400 Upmeyer for House 2008 General $200.00

2175 Pine Ave
CK# 522
Garner, IA 50438

09/23/2008 ID# 1500 Ward for Senate 2008 General $250.00

1545 Glen Oaks Drive
CK# 523 West Des Moines, IA
50266

09/30/2008 ID# 870 Warnstadt For Senate Committee 2010 Primary $500.00
3301 Chambers St.
CK# 551 Sioux City, IA
51104

09/23/2008 ID# 1334 Watts for House 2008 General $200.00

2824 Prospect Avenue
CK# 544
Adel, IA 50003

09/23/2008 ID# 1439 Wieck for Iowa Senate 2010 Primary $1,000.00
4362 Old Lakeport Road
CK# 524 Sioux City, IA
51106

$ $2,150.00
SUB-TOTAL
TOTAL (if last page of this schedule) $ $17,300.00

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaign property costing $500 or more 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 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).)

8
Page ____________of 8
____________

(for Schedule B)