Jul 19 2007 12 :22PM TAI 515-280-7701

File with: !A ETHICS

AND
Iowa Ethics and Campaign CAP'DISCLOSURE
Disclosure Board RC .
510 E . 12'° , Sts . 1A
Des Moines, Iowa 50319 FOR iNSTRUCTIONS, SEE BACK OF FORM 2007 JUL 19
Fax: 515-281-4073 PM
DISCLOSURE SUMMARY PAGE
COMMITTEE NAM (Must be same as on tatement of Oganization)
FORM
0, 1
S1T p DR-2 DISCLOSURE
IMPORTANT: Indcata by * typo of committee you are reporting for (Rev . 07=07) REPORT
( I )Statewide/Legialative(Judge Standing for Retention Candidate (2 )State PAC (3 )State Party
(4 )County Central Committee ( 5 )County Candidate (6 )City Candidate (7 )School Board or Other PolNicol
Subdivision Candidate (8 )County PAC (9 )City PAC ( 10 )School Board or Other Political Subdivision PAC
11 ) Local Ballot Issue Comm . 0
CANDIDATE COMMITTEES ONLY: Logged k&
Candidate Name Political Party (if applicable) Scanned_,
Computer
Office Sought District (if Senate or House) Audited _

to possible civil and crtninal penalties. Pursuant to Iowa Code sections 88B.32A(7) and 66A.401(3), the candidate, for a

a - 3-7o a -, ~ _ o 77
TELEPHONE DATE SIGNED

I AM FILING A l-74- ~4 r9 REPORT FOR (1) ELECTION 12)NON-ELECTION YEAR .

(report date) Indicate by ay ~

OCHECK 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 & Loral Committees, 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 tire 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.) . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see In-kind below) . . . . . . . . . . . .. . . .. .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .
1Sahedule H aoolia® to Cauldidstes' Commltteee Only)
SU13-TOTAL ... . . .. . . . . . .. .. $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expendilures total (Attach Schedule B) (- also see debts and loans below) . . . . . . . . . . . .
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .

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

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

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . $ l6~. CD
"OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES - NO
CANDIDATE COMMITTEES ONLY:
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
Jul 19 2007 12 :22PM TAI 515-280-7701 p .2

For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev, 07103) RECEIPTS
(Inducing eanddale's personal funds)
O CHECK THIS BOX IF
COMMITTEE NAME(Mustbe same as on Statement of Organization) AMENDING FORM

.s/ T/ ^9e
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

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

CAUTION : Section SSB .32A(6), prohibits the use of Information oopied from reports and statements for soliciting contributions or for any
commercial purpose by any person other then statutory political committees.

_ __ ID N_ ~; _ "r~" 1 #11202, . . - . ~. z :11 :11, a - ~ I1 IF FOR

RECEIVED (if applicable) ` TO CANDIDATE' RECEIVED " FLING
(MMID01YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
o
"A"A CK# OG Ei9SE L3`c~E r977 G'HEd !°~. $
_
ID#

CK#

CK#

I0#

CK#

CK#

ID#

CK#

ID#

CK#

10#

CK#

CK#

IDS a

CK#

SUBTOTAL

TOTAL (lf Met paye of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
cornmife. Relationship must be shown to the third degree otoonsanguinily (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there Is no Page A- of -
famiial relationship, enter "not applicable" in the relationship column . (for Schedule A)
Jul 19 2007 12 :22PM TAI 515-280-7701 p .5

Bret Dublinske $100

12223 Oak Brook Dr.
Urbandale, IA 50323

Sheldon Ohringer $100

1439 S 25" St.
West Des Moines, IA 50265

Steve Smith $100

7101 Forest Dr.
Johnston, IA 50131

Charles Fritz $100

1405 NW 90' St.
Clive, IA 50325

Traci McParttand $100

2002 Abbott Trl
Curgming, IA 50061

J"
J~

Michael Lang $125

552 Champagne Rd.
Waukee, IA 50263

Wayne Hansen $100

3637 Deerfield Dr.
Cumming, IA 50061

Dean R. Grewell $100

3134 312nd PI
Waukee,IA 50263

Ed Jensen $100
3127 Thompson Ave
Des Moines, 1A 50317

Donald Flugrad $100

1939 Stevenson Dr.
Ames, IA 50010

Lori Arriola $25

1773 NW 122' Ct
 TRI 515-280-7701 P .6

/T~/~C
Jul 19 2007 12 :23PM

Clive, IA 50326

Scot Talcott $50

3519 University Ave. 4303
Des Moines, IA 50311

Kevin Lentz $50

801 59`h St.
West Des Moines, IA 50266

Savan Thongvanh $25

428.5 E. Locust St. Apt 2
Des Moines, IA 50309

Michael Sadler $25

9927 Hammontree Dr.
Urbandale, IA 50322

Abir Qamhiyah $25

3102 Sycamore Rd.
Ames, IA 50014

Tiffany Brewer $25

4905 Grand Ave
Des Moines, IA 50312

Ryan Surber (Omnia Group)

Jason Patochka

Jim Goodman
 515-280-7701 p .3
Jul 19 2007 12 :22PM TAI

FOR IfJSTRUCTfONS, SEE BACK OF FORM '- -' SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT

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

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

Pte+ C
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Diabwwmenf) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID#
/4 I G,
. ,
1e2 .
r,z-~ s fo r
ID#
l~eu.S, 'Tr'u~rt~z~
l-v6-a? CK#1S1S-
1-
--ec w/
ID#
l3.)G OL0.3'div rw
-orZa CK#/S/ ;-
LS7?7 7-6
ID#~d,d 6 Pe . TE,C5'eiV A-e.e'
-O -O~ CK#1..3-/,? c--T7y~
ID#
1-~ a~ H ~ T!Y C CC'S
o~ CK# . d 8-

I D#
C~O ~on2 nC TTE~' io
C lSl t"zEe 7 Sap 5"0- a d
a
ID#

~- 6A,0? CK#

ID#

CK#

SUB TOTAL $
/
TOTAL (if lest page of t1Ns schedule) $
147d 4 .

THIS BOX APPLIES TO CANDIDATES' COMMITTEES OILY:

Purchases of certain campaign property costing S500 or more moat also be inventoried on Schedule H. (Referto Schedule H Instructions .)

ExperMures to persons/entities providing consulting. advertising, fund-raising . polling, managing, organizing services must also be detail itemized on
Schedule G by the amount. purpose, and date of each type of expenditure made by the personfenttty on behaff of the candidate's committee . (Refer to
Schedule G instivdions and Iowa Code t38AA02(3)(i)-)

of Page 14

(for Schedule 8)
Jul 19 2007 12 :22PM TAI 515-280-7701 p .4

FOR WSTRUCTION8, SEEBACK OF FORM SCHEDULE

E IN-KIND
COMMITTEE NAME (Must be same as on Stefment of Orga*afion) Rev
. Dal9 _CONTRIBUTIONS

cS / r/ - Al~ C
In CHECK THIS BOX IF
77-777 AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
MMIDDIYR OF CONTRIBUTOR ' If applicable) CONTRIBUTION VALUE CONTRIBUTION

cZ9a ev n

a
f1 rOlo X So1~
~ooty
!o dd
d OZ~ i a~ ' s

a
0
0
a
0
Q
a
a
'Disclosure lawrequires candidates to disclose the reistlonsHp of any relative making an in kind contribution to the page -/ of l
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable' In the relationship column.