Culver Chet - 5083 - Scanned

FOR INSTRUCTIONS .
SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DISCLOSURE
COMMITTHE NAME (jWust be same as on Statement or Organization) (Rev. 01/2001) I REPORT
For Offir3 Use Ort1Lr .
IMPORTANT: Indicate type of committee you are reporting for: Comm. #
I Indexed
( 1 )StatewidelLegislative Candidate ( 2 )Statewride PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( o )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee Audited
( 8 )Support Slate of Candidates Computer
CANDIDATE COMMITTEES ONLY:

Candidate Name Political Party
Office Sought District (if Senate or House)
SIGNATURE OF TREASURER (or person tiling this report) TELEPHONE DATE SIGNED
Routine Penalties Cue For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one
DCHECK IFAMENDMENT TO REPORT DATED 6'-t, Local Committees, enter Date of Election
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held
STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (This is the total of all monies 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.) ................................$ 1"1 / , / L-1 'J" Ca
ADD TOTAL MONEY TAKEN IN THIS PERIOD
;
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-ldnd below) .. ....... / 3 :, /'~,L,~ .(-
Schedule F: Loans Received total (Attach Schedule F). ... .... ...............................................
Schedule H: Total Sales of Campaign Property (Attach Schedule H)......... .. . ........ ..............
..
(Schedule H applies to Candidates' Committees Onlvl
SUB-TOTAL-_$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures 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) (Attach DR-3) . .... ... .... . . ... . ........... .. ........ ... ............................................................... .$ 137, ~ j
"UNPAID BILLS (From Schedule D - Attach Schedule D) ............. ...................................................$

"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ............... ...... ..........................$ ' . . i'
"OUTSTANDING LOANS From Schedule F - Attach Schedule
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 1(,- 7 7 , '_;( C
CONTRIBUTIONS - MONEY TAKEN IN SCHEDULE
(Including candidate's personal funds)
A Monetary
(Rev . 06/97) Receipts
COMMITTEE NAME (Must be same as on Statement of Organization)
Chet Culver Committee Check this box if
amending form J , / q _ (;
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any
person other than statutory political committees .
Date PAC ID number Name and Address of Contributor Relationship Amount V if for Fund-
Received if applicable) tb Candidate' Received raiser
(MM/DD/YR) and PAC Check (if applicable) Income
number
ID # William H. Applegate
11/30/01 1724 W. Abingdon Drive #101 $100 .00
CK # Alexandria, VA 22314
ID # Stephanie S. Ballard
11/30/01 2175 Cottage Grove Lane Place SE $50.00
CK # Cedar Rapids, IA 52403 ii
ID # Roger Bulger
11/30/01 P.O . Box 60680 $500 .00
CK # Potomac, MD 20859
ID # Charles M. Campion
11/30/01 284 Dean Road $250 .00
CK # Brookline, MA 02146
ID # Josephine A. Checchi
11/30/01 1303 Midwood Place t` f $500 .00
CK # Silver Spring, MD 20910
4L(. "I7r
ID # David T. Dekker
11/30/01 1050 Connecticut Ave . NW $100.00
CK # Washington, DC 20036
ID # Hon. Stanley L. Greigg

11/30/01 5300 Wriley Road $100 .00
CK # Bethesda, MD 20816
ID # R .S . Homet, Jr .
11/30/01 5460 Bradford Court #141 $100 .00
ID # Stephen D. Kahn
11/30/01 5636 Bent Branch Road $1,000 .00
ID # Gerald Kavanaugh
11/30/01 707 S. Lee Street $100 .00
SUB-TOTAL $ a, 800 . 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 . Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by
of
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ~~
relationship, enter "not applicable" in the relationship column. (for Schedule A)
FCR INSTF. UCTIONS. SE= BACK OFFORM SCHEDULE
INCURRED I
I COMMITTEE NAME ;Must be sameas on Statement of Crganization) (Rev. t98) INDEBTEDNESS
C4ir-+- Cl,L l ver Corri rm i f't°t__ C - EC K T H IS SO X
NOTE: Debts previously i F A M EIU D IN G
Schedule, as well reported thatobligations
as any new remain unpaid mustbe
incurred in thisincluded
period.
on this FORM
5, / ,q,0'_;)-
DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD An 'Incurred
goods or debt'ordered
is a debtorfor
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, services
but not paid for by the
end ofthe reporting period ..
regardless of whether an invoice
has been received
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(AAMMDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
`7-r6-9 Gi~ef- C.f~Jver'

~I
~$ 191 -7 - I i6 t1h ~f-f-ecfi 5 ~~ Il
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West- Des mor'0es, 09 5aa(o 5 I fen
. - SUB-TOTAL
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $ 14, '12 `~ . 3 G:
N
'1f actual figure is unknown, show "estimated' beside the figure. Page I Of- D)
(for Schedule
CANDIDATE COMMITTEES NOTE-each person/entity with whom the candidate's committee has entered into a
-incurred indebtedness
oror continuing also includes name of the who contract duringfund-raising,
the reportingpolling, for future
periodmanaging.
performance. Enter the consultant provides or procures services for items such as advertising,
organiang services. Report on Schedule C- the nature of performance and the estimated performance reasonably expected ofthe consultant
FOR INSTRUCTIONS, SEE BACK OF FORM
I COMMl3'TEE NAME ;Must be same as on Statement of Organization)
CHECK THIS BOX IF

AMENDING FORM
DATE
RECEIVED
RELATIONSHIP DESCRIPTION ESTIMATED ,i IF FOR
NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMDD/YR) OF CONTRIBUTOR (if applicable) CONTRIBUTION VALUE CONTRIBUTION
of -dg-. 01 / t, A
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D$-03 -01 aROA N N' 1404h sfrW?_ Col-Fa~~h aao,oo
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.
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of I
committee. Relationship must be shown to the third 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, butthere is no
familial relationship, enter 'not applicable" in the relationship column .
FOR ),AJST17,UCT)ONS. SEE BACK OF FORD/ FORM
DISCLOSURE SUMMARY PAGE DR-2
I
DISCLOSURE
COMMITT EH NAME (7Uust de same as on Statement or Organization) (Rev . 0112001) REPORT
~ vew C~.~ m ml -H-ee For Office Use Only
IMPORTANT: Indicate type of committee you are reporting for:

Comm . # 'K 3
Indexed
1 ( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
r 5 )County PAC (o )Ballot Issue/Franchise Committee (7 )CountyiCity Central Committee Audited
( 8 )Support Slate of Candidates Computer
CANDIDATE COMMITTEES ONLY :

Political Parry
L~rrrn
District (if Senate or House)
`51_-~-,_-) yL/,51G7 /- 17-6%~

SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED
Routine Penalties Due Far Late Filed Reports Range from $20 to $800
SEE INSTRUCTICNS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:
I AM FILING A i j - f~'~ 3l, , Util REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) I -I q 4 Indicate one
DCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

CASH ON HAND at the beginning of the reporting period . (This is the total of all monies held
of the last reporting period, or must be zero if this is first report filed.
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .. .. ..... .3 7
Schedule F: Loans Received total (Attach Schedule F) .. ..... .. .. .. .......... ...... ..... .. ... ................
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ........ ... . ........ .. . . ..........
..
(Schedule H applies to Candidates' Committees Oniv)
SUB-TOTAL ..... $
Schedule B: Expenditures 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) (Attach DR-3) ...... .. ............. .. . ... . .... .. ..... .. ......... ....... ............... .......................... ....... .$ /3 - 7, C9 &,
**UNPAID BILLS (From Schedule D - Attach Schedule D) ... .............................., ....... ... . _.. .,$ y, .3 4o s-
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . ........ .. .. .. .. .........., ............. $ /t 53 , co
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ......................... ...........,............$
CONSULTANT BREAKDOWN (Schedule G Attached?) V YES NO "
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ - G--7 -y, C1
FCR Ii"1STRUC'70W SEE BACK OF FORM
0~ %S CLCSURE SUPYINIARY PAGE
COMMI-
11 E_° NAME {iWust be same as on Stat~e,me-n~t of Organization)
C0mmI C,~ 01-i t ) V~r- I ( vc'

For Office Use Oni
IMPORTANT: Indicate type of committee you are reporting for: I Comm. #

i Indexed S i2
I(1 )StatewideiLegislative Candidate ( 2 )Statewide PAC (3 )State Party (4 )CountyiLacai Candidate
5 )County PAC (o )Ballot IssueiFranchise Committee (7 )CountviC3y Cantrai Committee Audited
(8 ;Support Slate of Candidates
Computer C
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party

Cyj e f Cu I VCY' bem OGi -cut-
Office Sought
5ecreff&r*of Sf-a fi'
515,_"~qy'-/, 5-1S-/
SIGN (~t rURE OF TREASURER (or person filing this report) TELEPHONE
Routine Penalties Cue For Late Filed Reports Range from $20 to $800
SEE IN STRUCTIONS ON SACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A Tdnacc. /- ICeGPa»brrr 31 -qOO1 REPORT
- FOR ANIA (1) ELECTION /(2)NCN-ELECTION YEAR .
11
_/-
(report date) ~"-'' I Indicate one
OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Section is held
CASH ON HAND at the beginning of the reporting period. (This is the total of all monies held
of the last reporting period, or must be zero if this is first report filed.) . .. . ......... ... ..... .. .. .. .....$
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-idnd below) . ........ l
Schedule F: Loans Received total (Attach Schedule F) . ..... .. . . ... ................. ..... .......... .... .... ..
Schedule H: Tii6al Sales of Campaign Property (Attach Schedule H) ... ... ... .. . . ........... ...... .. ..
..
(Schedule H applies to Candidates' Committees Only)
SUBTOTAL......$ -7 q, sa -3 . 5-;~
Schedule B: Expenditures 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 (it final report, balance must
be zero) (Attach DR-3) . .. .. .... .. .. . .. . . .... .. ..... .. .. ..... ..... . ... ..... .. .. ..... .. . ....... .. ..... .. ... .. ..... ... .... .. . . . .. ..$ /3 7, Q9 6, Zo 0
**UNPAID BILLS (From Schedule D - Attach Schedule D) . . .. .. .. ..... . ...... ........... .. ... .. .. .. . .. ..... ..... .. .. .....$ 5,~_o 7 . .3~
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... .. ........ . . . . . ..... .. .. . . .... .. ... .... .... .$ 1' 53("'00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. ...... . ..... .. ..... .. . .. ... .. .. ... . .. ........... .$
CONSULTANT BREAKDOWN (Schedule G Attached?) _V/YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ G:-7 7, -q Q

A Monetary
COMMITTEE NAME (Must be (Rev. 06/97) Receipts
same as on Statement of Organization)
Chet Culver Committee 0 Check this box if
amending form
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 66B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any
Received if applicable) to Candidate* Received raiser
number
ID # David M. Erickson
1/12/01 809 37th St. $135.00 ,/
CK # West Des Moines, IA 50265
ID # Robert E. Josten
1/12/01
CK #
801 Grand Ave ., Suite 3900
Des Moines, IA 50309
$135 .00
1
ID # Brian Laurenzo
1/12/01 5508 Garrison Street $135 .00
CK # Johnston, IA 50131
ID # Joyce Perkins
1/12/01 661 - 63rd Street $135.00
CK # Des Moines, IA 50312
ID # Tom Slockett
1/13/01 629 Brown St $135.00
CK # Iowa City, IA 52245
ID # Merlin Ackerson
1/17/01 1707 Parkview Heights $25 .00
CK # Keokuk, IA 52632
ID # Glenn Buhr
1/17/01 4127 30th St $35 .00
V
ID # Gary L Cameron
1/17/01 119 N. Court $35 .00
CK # Fairfield, IA 52556
ID # Simon Casady
1/17/01 1333 Loomis Ave . $50 .00
ID # Jeannene Cochran
1/17/01 4837 - 86th Street #7 $35 .00
CK # Urbandale, IA 50322
SUB-TOTAL $ 8'55, 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
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page f of
relationship, enter "not applicable" in the relationship column . (for Schedule A)
A Monetary
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) Receipts
Chet Culver Committee U Check this box if
amending form
BOARD .
person other than statutory political committees.
number
ID # James L. Coffey
1/17/01 3108 Sixth St . $135 .00
CK # Emmetsburg, IA 50536
ID # Eugene T. Cramer
1/17/01 2989 110th Street $10.00
CK # Thor, IA 50591
ID # Lloyd Dumenil
1/17/01 309 N. Franklin Ave. $35.00
CK # Ames, IA 50010
ID # Randolph Duncan
1/17/01 4924 Country Club Blvd . $135 .00
ID # David Garst
1/17/01 409 Main St . $70.00
CK # Coon Rapids, IA 50058
ID # Jayne Hansen-Lipps
1/17/01 P.O . Box 5 $70.00
CK # Algona, IA 50511
ID # Dale Juergens
1/17/01 PO Box 154 $10.00
CK # Cleafeld, IA 50840
ID # Julie W Kay-Lewis
1/17/01 1816 E . 22nd St . $135 .00
ID # J.P . Kellogg
1/17/01 402 W. Mission $25.00
CK # Strawberry Point, IA 52076
ID # Mike Kulisky
1/17/01 2730 260th St. $35.00 (/
CK # Washington, IA 52353
SUB-TOTAL

this schedule)
marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 0~ of
A Monetary
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97) Receipts
Chet Culver Committee O Check this box if
amending form
BOARD.
Date PAC ID number Name and Address of Contributor Relationship Amount J if for Fund-
Received if applicable) to Candidate' Received raiser
number
ID # Paulee Lipsman
1/17/01 2880 Grand AV #106 $135 .00
ID # Jackie McCarty
1/17/01 1178 Harding Avenue $10 .00
CK # Rock Rapids, IA 51246
ID # William J . Menner
1/17/01 1403 Summer Street $35 .00
CK # Grinnell, IA 50112
ID # Ramudu K. Murthy
1/17/01 3921 Spruce Hills Drive $35 .00
CK # Cedar Falls, IA 50613
ID # Doris Jean Newlin

1/17/01 3315 48th Place $35 .00
t,
ID # Kathleen Overman
1/17/01 2118 Morton $35 .00
CK # Des Moines, IA 50317-3540
ID # Wallace Parrish
1/17/01 PO Box 85 $35 .00
CK # Waterloo, IA 50704
ID # Emil Pavich
1/17/01 1706 - 15th Avenue $35 .00
CK # Council Bluffs, IA 51501
ID # Roxann Ryan
1/17/01 7105 Sunset Terrace $100.00
ID # Ruth Schaben
1/17/01 1104 Ucon Avenue $100.00
CK # Dunlap, IA 51529
SUB-TOTAL $ 555, vo
this schedule)
'Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 3 of
A Monetary
amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ./ if for Fund-
Received if applicable) to Candidate` Received raiser
number
ID # Tom Schoelerman
1/17/01 3305 EP True Pkwy. #1202 $35 .00
CK # West Des Moines, IA 50265-7609
ID # Tammie Schroeder
1/17/01 5865 East Oakwood Dr. $70 .00
CK # Pleasant Hill, IA 50317
ID # Charles Sheridan
1/17/01 P.O. Box 27 $135 .00
CK # De Witt, IA 52742
ID # Delores Sturgeon
1/17/01 2362 West 1 st Street $10 .00
CK # Sioux City, IA 51103
ID # Rodney Sullivan
1/17/01 2326 E Court Street $50 .00
ID # Sean Sweeney
1/17/01 320 Insurance Exchange Bldg. $135.00
ID # Joanne Thinnes
fY)Ofhe+'-
1/17/01 1835 25th Ave . I,Q~ $135.00
CK # Marion, IA 52302-1131 in
ID # Derith R. Vogt
1/17/01 12318 Madison Road $70 .00
CK # Center Junction, IA 52212
ID # Harry Weiss
1/17/01 2529 Northwood Dr $35 .00 (/
CK # Ames, IA 50010
ID # John P . Wheeler
1/17/01 53 Meadowbrook Circle $135.00 t/
CK # Cumming, IA 50061
SUB-TOTAL $ ~I O , OO

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page
CONTRIBUTIONS - MONEY TAKEN IN
SCHEDULE
A Monetary
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06197) Receipts
amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE),
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWALIST THE PAC IDENTIFICATION NUMBER
ETHICS AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose
person other than statutory political committees. by any
number
ID # J. Porter Williams
1/17/01 5380 NW 71st Place $25.00 ,/
ID # M .Corrine Williams
1/17/01 2873 102nd St. $25.00
CK # Villisca, IA 50864
ID # Dorothy Woods
1/17/01 1101 Prairie View Drive $135 .00
ID # Brent Appel
1/19/01 1087 - 180th Street $135 .00 ,/
CK # Ackworth, IA 50001
ID # Kim Bisignano
1/19/01 2618 East Leach $35 .00 ,/
ID # Hon. Mary P . Bukta

1/19/01 604 S. 32nd Street $35.00 ,/
CK # Clinton, IA 52732
ID # Jerry Dodds
1/19/01 2680 Renaissance $35.00
CK # Dubuque, IA 52001
ID # Marilyn Farr
1/19/01 3930 Grand Ave., Apt. 409 $135 .00
ID # Gloria Goll
1/19/01 2405 160th St . $25 .00
CK # Klemme, IA 50449
ID # Hon. Michael Gronstal

1/19/01 220 Bennett $35.00 ~/
SUB-TOTAL $ ba0, 00
TOTAL (if last page of $
this schedule)
SCHEDULE
A Monetary
amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ,/ if for Fu
Received if applicable) to Candidate' Received
(MMIDDIYR) raiser
and PAC Check (if applicable) Income
number
ID # Kathleen Halloran
1/19/01 210-1 NW Georgetown Blvd $135 .00
CK # Ankeny, IA 50021 ,~
ID # Lileah Harris
1/19/01 3626 Beaver AV SE $35.00
CK # Cedar Rapids, IA 52403
ID # Angeline Jacobson
1/19/01 740 Ridge Road $25 .00
CK # Decorah, IA 52101
ID # Steven Kranz
1/19/01 2732-67th Street $100 .00
CK # Newhall, IA 52315
ID # Richard Krueger
1/19/01 5997 Wapsi Avenue SE $135.00
CK # Lone Tree, IA 52755
ID # Eivend Lillehoj
1/19/01 PO Box 22 $135.00
CK # Kimbalton, IA 51543
ID # Gerard D. Neugent
1/19/01 5000 Westown Pkwy, Ste 100 $135.00
ID # Janet Oja
1/19/01 2053 B Avenue NE $50 .00
ID # O. H. Stalheim
1/19/01 1918 George Allen Drive $35 .00
CK # Ames, IA 50010
ID # Linda Steensland
1/19/01 19351 Monument Rd. $25 .00 ~/
SUB-TOTAL $ 9/0-00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial
Monetary

amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ,/ if for Fund-
number
ID # Diane Todd-Brown
1/19/01 5505 Robertson Drive $35 .00 ,
ID # John J . Wertzberger
1/19/01 3401 N Fairfax Dr $135.00
CK # Arlington, VA 22201-4498
ID # Jim Autry
1/22/01 5007 Woodland $135.00
ID # Marie Callas
1/22/01 4712 Tamara Lane $35 .00
ID # Arvind Dandekar
1/22/01 2731 28th Ave $75 .00
CK # Marion, IA 52302
ID # Gertrude Fogarty
1/22/01 R. R. Box A5 $20 .00
CK # Cylinder, IA 50528
ID # Michael Kersman
1/22/01 26 Whispering Woods $35 .00
CK # Holland, MI 49424
ID # Daniel J . McGuire
1/22/01 100 37th St. $35 .00
ID # Marilyn Monroe
1/22/01 4837 86th NW #9 Plumwood $100 .00
ID # Ron Stopak
1/22/01 416 - 1st Avenue NE $35 .00
CK # Le Mars, IA 51031
SUB-TOTAL $ &L10, 0 0

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page I of
A Monetary

amending form
BOARD .
(MM/DDNR) and PAC Check (if applicable) Income
number
ID # Tracy R. Vance
1/22/01 1123 - 48th St. #14 $135.00
CK # Fort Madison, IA 52627
ID # Oliva A. Wright
1/22/01 1414 Main Street $50 .00
CK # Grinnell, IA 50112
ID # Brent Wynja
1/22/01 1012 Hunziker Drive $135.00
CK # Ames, IA 50010
ID # Suzanne Blouin
1/23/01 300 Walnut #12 $135.00
ID # David Brown
1/23/01 803 Fleming Building $100.00
ID # Hon . Marcella Frevert

1/23/01 Box 324 $50 .00
ID # Michael Gartner
1/23/01 5315 Waterbury Rd. $500.00
ID # Stephanie Glenn Techau

1/23/01 5921 Waterbury Circle $135.00
ID # Jay H . Gold M .D .
1/23/01 5310 Shriver Avenue $50 .00
ID # Mary Pat Gregerson

1/23/01 69324 - 730th Street $20 .00 t/
CK # Massena, IA 50853
SUB-TOTAL $ /, 3 / o - o O
this schedule)
Monetary
amending form
BOARD.
number
ID # Bruce Hann
1/23/01 9005 Boston Ave . $25 .00
ID # Maxine Henry
1/23/01 2490 - 50th Avenue $35 .00
CK # New Virginia, IA 50210
ID # Margaret Johnson
1/23/01 608 Hodge Avenue $35 .00
CK # Ames, IA 50010
ID # Linda Junkins
1/23/01 1818 Des Moines St. $100.00
ID # David Kruidenier
1/23/01 3409 Southern Hills Dr. $500.00
ID # Orville K. Larson
1/23/01 1519 Grand Ave . #A106 $35 .00
ID # Kathryn W McCosh
1/23/01 701 W. Central Ave . $20 .00
CK # Winfield, IA 52659
ID # Michael C . Thielmann
1/23/01 502 E. Reno, Apt. 1C $50 .00
CK # Knoxville, IA 50138
ID # Kathryn Wagner Wallace

1/23/01 639 57th St. $35 .00
ID # Fred Weitz
1/23/01 1245 Brown's Woods Dr. $135 .00
SUB-TOTAL $- 9 70 , OO

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page q of
SCHEDULE
A Monetary

amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial
purpose by any
number
ID # Steven K Young
1/23/01 546 Carbono Point $35.00
CK # Waukee, IA 50263
ID # Dr . F. Dow Bates
1/24/01 3706 E. 28th St $50 .00
ID # Marc Beltrame
1/24/01 1115 Caulder Avenue $50.00
ID # Bill Boyd
1/24/01 234 - 57th Ct . $35.00
ID # Richard (Red) Brannan

1/24/01 510 SE 2nd $35.00
CK # Ankeny, IA 50021
ID # William L. Brauch
1/24/01 3313- 38th Street $135 .00
ID # Scott Brennan
1/24/01 804 - 38th Street $35.00
ID # Gregory A. Brown
1/24/01 2714 Ingersoll #305 $35.00
ID # CCC PASS THE HAT

1/24/01 , IA $50.00
CK#
ID # Frank Chiodo
1/24/01 417 Burnham $100 .00 =/
SUB-TOTAL $56,0 .00

this schedule)
SCHEDULE
A Monetary
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . tos/97) Receipts
Chet Culver Committee a Check this box if
amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE
PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS
AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any
commercial purpose by any
Date PAC ID number Name and Address of Contributor Relationship Amount / if for Fund-
number
ID # David Claypool
1/24/01 5754 Gallery Court $135 .00
ID # Brendan Comito
1/24/01 4516 Waveland Court $35 .00
ID # Sloan Cownie
1/24/01 1915 Grand Avenue $100 .00
ID # Pete D'Alessandro
1/24/01 3235 S. Ridgeland $135 .00
CK # Berwyn, IL 60402
ID # Hon. William A. Dotzler

1/24/01 2837 Cedar Terrace Drive $40 .00
ID # Bret A. Dublinske
1/24/01 452 - 52nd Court $50.00
ID # Stephen Eckley
1/24/01 529 Waterbury Circle $250 .00
ID # Hon. Steven L. Falck

1/24/01 10736 - 10th Street $35.00
J
CK # Stanley, IA 50671
ID # Gordon Fischer
1/24/01 1407 41 st $135 .00 ,j
ID # Timothy J . Gannon
1/24/01 Box 167 $36.00
CK # Mingo, IA 50168
SUB-TOTAL

this schedule)
Monetary
amending form
BOARD .
number
ID # Michael A. Giudicessi
1/24/01 9410 Greenbelt Drive $535 .00
ID # Brent B. Green
1/24/01 7 - 34th Street $250 .00
ID # Hon. Jane Greimann

1/24/01 1518 13th St $35.00
CK # Ames, IA 50010
ID # Howard O. Hagen
1/24/01 1150 - 28th Street $135 .00
ID # Andrew D. Hall
1/24/01 508 - 58th $70.00
ID # Aaron Hamrock
1/24/01 8350 Hickman Road #14 $135 .00
ID # Tom Henderson
1/24/01 6239 N . Winwood Drive $135 .00
ID # Ann Holden Kendell

1/24/01 300 Walnut #71 $35.00
ID # Dennis Johnson
1/24/01 5210 Welker $70.00
ID # Michael J . Kiernan
1/24/01 839 - 41 st Street $40.00 Lj
SUB-TOTAL $ E 1 ZI qO . OO

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ~~ of
(including candidate's personal funds)
A Monetary

amending form
BOARD .
number
ID # Todd Krueger
1/24/01 6800 Mill Pond Drive $70 .00
ID # Gerald Kuehn
1/24/01 4106 Phoenix St $135.00
CK # Ames, IA 50014
ID # Denise Kuhn
1/24/01 2667 - 240th Street $35 .00
CK # Charles City, IA 50616
ID # Sarah Leonard
1/24/01 5661 Fleur Drive $35 .00
ID # Jason Letcher
1/24/01 3333 Grand Avenue $35 .00
ID # Sharon Malheiro
1/24/01 3514 SW 33rd Street $35 .00
ID # Dr. Robert C Margeas

1/24/01 1056 Polk Blvd $35 .00
ID # Hon . Mary Mascher

1/24/01 40 Gryn Ct. $35 .00
ID # John McDonald
1/24/01 1143 Pinehurst Circle $35 .00
CK # Norwalk, IA 50211 U
ID # Brian J. Meyer
1/24/01 678 - 38th Street $35 .00
SUB-TOTAL $ 4915,00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page of 619,
A Monetary
amending form
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER
BOARD .
CAUTION: Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any
number
ID # James Miller
1/24/01 1350 NW 70th Avenue $35.00
ID # Jeani M. Murray
1/24/01 4400 Park Avenue #62 $135 .00
ID # Hon. Richard E. Myers

1/24/01 P .O . Box 5608 $500 .00
CK # Coralville, IA 52241
1D# Hon. David Nagle

1/24/01 P .O . Box 792 $70.00 ,
CK # Waterloo, IA 50704 c/
ID # Hon. Robert J . Osterhaus

1/24/01 216 Austin $70.00 ~/
CK # Maquoketa, IA 52060
ID # Matthew J . Paul
1/24/01 4010 University Avenue #14 $25.00
ID # Cyndi Pederson
1/24/01 1075 - 44th Street $35.00
ID # David Perret
1/24/01 5321 Shriver Ave. $35.00
ID # Hon . Janet Petersen

1/24/01 1346 47th Street $135 .00
ID # Rose Mary V. Pratt

1/24/01 4411 46th Street $100 .00 I/
SUB-TOTAL $ 1, 1 q0 , 00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page of
A Monetary
amending form
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURENUMBER
BOARD .
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose
person other than statutory political committees . by any
(MM/DDIYR) and PAC Check (if applicable) Income
number
ID # Hon . Brian Quirk
1/24/01 415 N. Chestnut Avenue $140 .00
CK # New Hampton, IA 50659
ID # Bruce Rastetter
1/24/01 15491 Hwy 941 $250.00
CK # Alden, IA 50006
ID # David Repp
1/24/01 621 - 41 st Street $50 .00
ID # Sheila M. Riggs
1/24/01 405 S. Wilmoth $35 .00
CK # Ames, IA 50014
ID # Donald P. Rowen
1/24/01 3407 Crocker $35 .00
ID # Hon . Paul J. Scherrman

1/24/01 104 Michigan Avenue $35 .00
CK # Farley, IA 52046
ID # Ed Skinner
1/24/01 Box 367 $1,000.00 ,
CK # Altoona, IA 50009
ID # Robert T. Soukup
1/24/01 4230 Ingersoll, #5 $35 .00
ID # Donald D . Stanley
1/24/01 9725 Aurora Avenue $50 .00
ID # Hon . Greg Stevens

1/24/01 23438 - 221 st Street $35 .00
CK # Milford, IA 50351
SUB-TOTAL $ I, (P & ,S, OO

this schedule)
(Including candidate's personal funds) A Monetary
amending form
BOARD .
(MMIDD/YR) and PAC Check (if applicable) Income
number
ID # Hon . Tom Vilsack
1/24/01 2300 Grand Avenue $35 .00
CK # Mount Pleasant, IA 52641
ID # Carl Voss
1/24/01 4811 Grand Avenue $35 .00
ID # Claudia Weaver
1/24/01 13092 Clark Street $20 .00
CK # Clive, IA 50325
ID # Margaret Weiss
1/24/01 4819 Waterbury Road $35 .00
1D# Alison Whall

1/24/01 5820 Kingman $35 .00
ID # Robert Anderson
1/25/01 1214 Iron Street $50 .00
CK # Kellogg, IA 50135
ID # Faye Fraise
1/25/01 1699 - 280th Avenue $35 .00
ID # G. David Hurd
1/25/01 3930 Grand Avenue, #406 $300.00
ID # Hon . Delores Mertz

1/25/01 1002 - 70th Avenue $35 .00 t/
CK # Ottosen, IA 50570
ID # Andra L. Atteberry
1/26/01 1034 Sherman Avenue $35 .00
i,
CK # Manchester, IA 52057
SUB-TOTAL $ b15, 00
this schedule)
Page !~ of
(for Schedule A)
relationship, enter "not applicable" in the relationship column .
amending form
BOARD .
number
ID # Gregory R. Brown
1/26/01 5213 Woodland Avenue $200 .00
ID # Russell W. Currier
1/26/01 1864 NW 151 st Ct . $25.00
ID # M. Ruth Schuller
1/26/01 621 Tiffany Drive $35.00
ID # Patrick M . Carpenter
1/29/01 300 Walnut, Suite 270 $35 .00
ID # Hon . Robert E. Dvorsky

1/29/01 412 6th Avenue $35.00
ID # Linn A. Hall
1/29/01 4415 Buckwalter $35.00
ID # Michael A. Jones
1/29/01 932 Virginia Avenue $35.00
CK # Virginia Beach, VA 23451
ID # William C . Knapp II
1/29/01 5000 Westown Pkwy, Ste 100 $250 .00
ID # Marjorie Knott
1/29/01 1503 Birch Avenue $35 .00
CK # Carroll, IA 51401
ID # Hon . Richard L. Larkin

1/29/01 1304 Avenue B $35.00
SUB-TOTAL $ l ,~O . 60

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page Of
A Monetary
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06197) Receipts

amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ( if for Fund-
number
ID # Diana J. Sickles
1/29/01 4328 Woodland $35 .00
ID # Theresa Kehoe
1/30/01 1314- 42nd St $35.00
ID # Joyce Ann Ferguson

1/31/01 368 - 20th Street S. E. $35.00
ID # Jeffrey Hunter
1/31/01 410 - 27th $250 .00 ~/
ID # Hon . Steve Richardson

1/31/01 806 South Howard $35.00
CK # Indianola, IA 50125
ID # Delmar Wilson
1/31/01 807 Hodgin Rd $50.00
CK # Springville, IA 52336-9709
ID # Peggy Casper
2/2/01 PO Box 329 $35.00
CK # Winterset, IA 50273
ID # Marilyn Dopheide
2/2/01 19018 245th St . $20.00
ID # Bernard Gerstein
2/2/01 1003 Jarrett Circle $35.00
CK # Ames, IA 50010
ID # Christine Louscher
2/2/01 308 Robinson Drive $135 .00 i/
SUB-TOTAL 6 ~s ' $ & 65 , 00

this schedule)
A Monetary

amending form
BOARD .
number
ID # Robert J. Mottet
2/2/01 506 E . Angus Ct . $25 .00
ID # Jim Nahas
2/2/01 3708 Walcott $25 .00
ID # Jonathan Neunaber
2/2/01 17279 180th St. $5.00
CK # Akron, IA 51001
ID # Thomas Walton
2/2/01 9514 Alpine Drive $135.00
ID # John P. Bickel
2/6/01 2115 - 1st Avenue SE #2227 $100.00
ID # Doug McReynolds
2/6/01 P. 0. Box 605 $35 .00
CK # Fayette, IA 52142
ID # Betty E. Bowers
2/12/01 402 - 3rd Avenue $25 .00
ID # Joanna Courteau
2/12/01 1120 Garfield Ave $35 .00
CK # Ames, IA 50014
ID # Thomas Scoville
2/12/01 3637 Veazey Street NW $500.00
ID # James G. Thomas
2/12/01 102 N . Ford Street, Box 77 $35 .00 I/
CK # Anamosa, IA 52205
SUB-TOTAL

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page '9 of 9
SCHEDULE
A Monetary

amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL
ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE
FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE
BOARD.
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements
for soliciting contributions for any commercial purpose by any
Date PAC ID number Name and Address of Contributor Relationship Amount ./ if for Fund-
number
ID # Roger L. White
2/12/01 2303 Greenwood Ave $35 .00
ID # Jayme Whitehead-Jacobi
2/12/01 3420 Saint Johns Road $70 .00
ID # Robert Whittenburg
2/12/01 205 E. 2nd Street $35 .00
CK # Spencer, IA 51301
ID # Thelma Bellville
2/27/01 2061 NE 58th Avenue $35 .00
ID # Paul Franzenburg
2/27/01 682 62nd St $15 .00 V'
ID # Dwayne McAninch
2/27/01 6800 Lake Dr., Ste . 125 $1,000.00
ID # James Cownie
3/19/01 141 -37th St. $500.00
ID # Noreen McMahon Barkema

3/19/01 1108 Manor Drive $10 .00
CK # Mason City, IA 50401
ID # Barbara Doolittle
4/17/01 10131 - 510th Avenue $25 .00 tj
CK # Story City, IA 50248
ID # James F. Foster
4/17/01 2800 Ridge $35 .00
SUB-TOTAL $ I, 7(aO . OO
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page of 8a
SCHEDULE
Monetary

amending form
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for
any commercial purpose by any
number
ID # Paul R. Knapp
4/17/01 3219 NW 142nd $500 .00
ID # Patty Link
4/17/01 4129 Forest Avenue $100 .00
1D# Susan F Pamperin

5/23/01 2718 College $35.00
CK # Davenport, IA 52803
ID # Jerry D. Karbeling
5/30/01 335 Juliana Court $35.00
CK # Polk City, IA 50226
ID # Robert W. Barrie
7/2/01 1666 K Street NW, Ste 500 $500 .00
ID # Jane Nagy
7/2/01 104 Sunland Court $25.00
CK # Forest City, IA 50436
ID # Brent Appel
7/11/01 1087 - 180th Street $1,000 .00
ID # Kenneth Brooks
7/11/01 10340 560th Ave . $60.00
ID # David M . Erickson
7/11/01 809 37th St . $1,000 .00 t/
ID # Roger Ries
7/11/01 408 - 18th Street $25.00 >./
SUB-TOTAL $ 3, 1;( 30 . 00

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ~ of
A Monetary
(Rev. 06197) Receipts
amending form
BOARD .
number
7/12/01 10131 - 510th Avenue $25.00
ID # Paulee Lipsman
7/12/01 2880 Grand AV #106 $100 .00 i/
ID # Timothy J . Walker
7/12/01 317 6th Ave., Suite 1200 $100 .00
ID # Jeffrey Farrell
7/13/01 6215 Robin Drive $25.00
ID # Harry Kunkle
7/13/01 1246 Bentwood Court $10.00
ID # Stephen Reno
7/13/01 1615 NW Northwood Drive $25 .00
ID # Glenn Buhr
7/17/01 4127 30th St $50.00
ID # Thomas D. Johnson
7/24/01 5404 Beechtree Drive $125 .00
ID # Gerard D. Neugent
7/24/01 5000 Westown Pkwy, Ste 100 $50.00
ID # Doris Jean Newlin

7/24/01 3315 48th Place $50.00
SUB-TOTAL $ 5000 . 00

this schedule)
a
A Monetary

amending form
LIST THE PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting
contributions for any commercial purpose by any
number
ID # Bruce Hann
7/26/01 9005 Boston Ave . $35 .00
ID # Matthew McCoy
7/26/01 2421 East Leach Avenue $25 .00 t/
ID # William J. Robinson
7/30/01 1506 - 30TH Street NW $1,000 .00
ID # John Cacciatore
8/2/01 1700 Casady Drive $50 .00
ID # Bonnie Campbell
8/2/01 800 - 25th Street NW, #303 $1,000 .00
lD # Randolph Duncan
8/2/01 4924 Country Club Blvd. $100 .00 ;/
ID # Joelyn Gast
8/2/01 417 Maxwell Street $25 .00
CK # Maxwell, IA 50161
ID # Dean Lerner
8/2/01 5220 Shriver $125.00
ID # Alfredo Parrish
8/2/01 2910 Grand $50 .00
ID # John Perkins
8/2/01 661 63rd Street $50 .00
SUB-TOTAL $ a, Ll (00 . 0 0

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 3
of $a
A Monetary
amending form
BOARD .
number
ID # Steven Person
8/2/01 300 Walnut, #50 $25.00 ,/
ID # Kevin Techau
8/2/01 5921 Waterbury Circle $25.00 ,/
ID # (p113 AFSCME Iowa Council 61

8/3/01 4320 NW 2nd Avenue $1,000 .00
CK # aY75 Des Moines, IA 50313
ID # Rob Berntsen
8/3/01 2805 High Street $50.00
ID # Peggy Casper
8/3/01 PO Box 329 $50.00 ,/

8/3/01 , IA $100 .00
CK # (COI f'O(J'h r-,,-j -POI !~ CO ,
ID # (pQa 1 Credit Union Political Action Comm

8/3/01 3737 Westown Parkway $500 .00 ,/
CK #) West Des Moines, IA 50265
ID # Kevin J . Crowley
8/3/01 3737 Westown Pkwy #2A $125 .00 ,/
ID # IpC. .( Engineers Poltical Action Comm .

8/3/01 1000 Walnut Street #102 $125 .00
CK # 11511 Des Moines, IA 50309
ID # Robert Galbraith
8/3/01 9321 Horton $125 .00
SUB-TOTAL $ a, l a 5, o0
this schedule)
committee . Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by f
A Monetary
(Rev . 06197) Receipts
amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ( if for Fund-
Received if applicable) to Candidate" Received raiser
number
ID # Aaron Hamrock
8/3/01 8350 Hickman Road #14 $50.00
ID # Iowa Telecommunications Assn PAC

bog -7
8/3/01 2098 - 100th Street $125 .00
CK # mo -7 Urbandale, IA 50322
ID # John Norris
8/3/01 1605 Roosevelt $125 .00
CK # Ames, IA 50010
ID # Todd Schulz
8/3/01 7931 Beechwood Court $125 .00
ID # Richard Seagrave
8/3/01 318 Westbrook Lane $125 .00
CK # Ames, IA 50014
ID # Russell Vonk
8/3/01 2525 E. Ovid Avenue $200 .00 t/
ID # MidAmerican Effective Govt Comm

8/10/01 P.O . Box 657 $500 .00
CK # (p g -7 Des Moines, IA 50303
ID # Lowell Junkins
8/10/01 818 Des Moines St. $500 .00
ID # Jeff J . Link
8/10/01 4129 Forest Avenue $250 .00 ;%
ID # Steven Wandro
8/10/01 2845 Ridge Road $1,000 .00
SUB-TOTAL $ 3,000 .06 --

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 0~ 5 of
A Monetary
amending form
BOARD .
number
ID # Gayle Collins
8/20/01 100 Market St. #418 $125.00
ID # baq la Hospitals & Health Systems PAC

8/20/01 100 E. Grand Avenue, Suite 100 $250 .00
CK # / -7(y Des Moines, IA 50309
ID # Cindy LaMotta
8/20/01 709 - 32nd Street $25 .00
ID # Renate Dellmann
8/31/01 1026 Gaskill $25 .00
CK # Ames, IA 50014
ID # Iowa Democratic Party

8/31/01 ~ ~ 5661 Fleur Drive $1,000.00
ID # Iowa State UAW-PAC Committee

/31/01 3330 E. 33rd St. #10 $500 .00
ID # George Bedell
9/13/01 903 Highwood Street $25 .00
ID # Robert Bell
9/13/01 2478 Bevington Park Rd. $20 .00
CK # St. Charles, IA 50240
ID # Lynne Bishop
9/13/01 2609 Eisenhower $100 .00
CK # Ames, IA 50010
ID # Harry Bookey
9/13/01 11 S.W. 51 st Street $250 .00
SUB-TOTAL $ a, 3oRO , CC

this schedule)
A Monetary

amending form
BOARD .
number
ID # Betty E. Bowers
9/13/01 402 - 3rd Avenue $25 .00
ID # Glenn Buhr
9/13/01 4127 30th St $25 .00
ID # Allan Carew
9/13/01 151 W 8th St, 200 Security Bldg $25 .00
ID # William B. Cole
9/13/01 5956 Greendale Circle, #101 $25 .00
ID # Wallace C. Cox
9/13/01 17887 - 450th Street $25 .00
CK # Leland, IA 50453
ID # Tom Dawson
9/13/01 3001 Branch Ave . 338 $100.00
CK # Temple Hills, MD 20748
ID # David M. Erickson
9/13/01 809 37th St. $200.00
ID # Guido Fenu
9/13/01 300 Walnut Street #7 $50 .00
ID # Dr. David C. Funk

9/13/01 327 Highland Dr $100.00
CK # Iowa City, IA 52246-1603
ID # Dennis R. Harbaugh
9/13/01 6145 Kimball Avenue $50 .00
SUB-TOTAL

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page c~ -7 of
A Monetary

amending form
BOARD .
number
ID # L.J. Hawley
9/13/01 311 Olive Street $10 .00
CK # Laurens, IA 50554
ID # Robert R Helmers
9/13/01 Box 77 $10 .00
CK # Dewar, IA 50623
ID # Larry Jesse
9/13/01 1449 Breckenridge Ct $5.00
CK # Ames, IA 50010
ID # Mildred J. Kimberley
9/13/01 P.O. Box 116 $50 .00
CK # Baxter, IA 50028
ID # Marguerite R. Kinkead
9/13/01 718 Gateway St, NE $10 .00
CK # Cedar Rapids, IA 52402-2134
ID # Michael Klaus
9/13/01 917 N East Apt. 108 $1 .00
ID # Gerald Klonglan
9/13/01 1622 Maxwell Ave . $25 .00
CK # Ames, IA 50010
ID # Lyle Lynn
9/13/01 333 49th St. $50 .00
9/13/01 701 W. Central Ave . $100.00
ID # Noreen McMahon Barkema

9/13/01 1108 Manor Drive $10 .00
SUB-TOTAL $ ~z 1 1 . Co
this schedule)
Monetary

amending form
BOARD .
number
ID # Robert F. McShane
9/13/01 382 Antler Court $25 .00
ID # Roger Leo Moore

9/13/01 1155 260th St. $5.00
CK # Lenox, IA 50851
ID # Tim Negro
9/13/01 107 Grove Street $20 .00
ID # Mary A. Nelson
9/13/01 1125 18th Street $200.00
ID # Hon . Robert J . Osterhaus

9/13/01 216 Austin $100.00
ID # Linda Robertson
9/13/01 5703 Walnut Hill Drive $25 .00
ID # M. Ruth Schuller
9/13/01 621 Tiffany Drive $100.00
ID # Patricia Shaw
9/13/01 RR 1 Box 143 C $10 .00
CK # Birmingham, IA 52535
ID # Leon Shearer
9/13/01 10585 Sunset Terrace $100.00
ID # Jeanette Watson
9/13/01 414 Dickens Street, Box 277 $50 .00
CK # Parkersburg, IA 50665
SUB-TOTAL $ ~' 3
this schedule)
A Monetary

amending form
BOARD .
number
ID # Hon . Berkley Bedell
9/18/01 R .R . Box 9502 $100 .00
CK # Spirit Lake, IA 51360
ID # Peggy Casper
9/18/01 PO Box 329 $50.00
ID # David Garst
9/18/01 409 Main St. $50.00
ID # Helen Gunderson
9/18/01 PO Box 179 $25.00
CK # Gilbert, IA 50105
ID # Eivend Lillehoj
9/18/01 PO Box 22 $100 .00
CK # Kimbalton, IA 51543
ID # Carl W. McDonald
9/18/01 Box 123 $25.00
CK # Charlotte, IA 52731
ID # Grace W. Moore
9/18/01 2119 Evelyn $100 .00
CK # Perry, IA 50220
ID # Daniel L. Nagle
9/18/01 126 S. First Street $10.00
CK # Long Grove, IA 52756
ID # Linda Nelson
9/18/01 231 Midland Drive $200 .00
ID # Timothy L. O'Brien
9/18/01 1723 Pineacre $25 .00
CK # Davenport, IA 52803-3554
SUB-TOTAL $ 5, OO

this schedule)
A Monetary

amending form
BOARD .
number
ID # Reece Stuart III
9/18/01 21 - 32nd Place $25.00
ID # Bob Sullivan
9/18/01 6172 Terrace Drive $10.00
1D# Michael C . Thielmann

9/18/01 502 E. Reno, Apt. 1 C $50.00
ID # Carl Tipton
9/18/01 415 Briarwood Place $25.00
CK # Ames, IA 50010
ID # Thomas Weber
9/18/01 430 Lynn Avenue $25.00
CK # Ames, IA 50014
ID # Cephus Wright
9/18/01 1409 Summerset Road $15.00
CK # Indianola, IA 50125
ID # JoAnn Zager
9/18/01 204 South Iowa $50 .00
ID # Richard Zak
9/18/01 317 4th Ave SE $50 .00
CK # Cresco, IA 52136
ID # Marian Ballard
9/20/01 614 Pine Street $5 .00
CK # Reinbeck, IA 50669
ID # Daniel Baty
9/20/01 4909 Lincoln Heights Drive SE $50.00
CK # Cedar Rapids, IA 52403 C~t_S!n
SUB-TOTAL s306,00

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page :3 1 of
A Monetary

amending form
BOARD.
number
ID # John Cleasby
9/20/01 4805 Dover Drive $20 .00
CK # Ames, IA 50014-4586
ID # Janet E.M . Fraser

9/20/01 5 Spring Farm Lane $10 .00
CK # Monticello, IA 52310
ID # Thomas L. Jones
9/20/01 3809 Raymond Street $50 .00
CK # Chevy Chase, MD 20815
ID # James Judge
9/20/01 3544 220th Street $50 .00
CK # De Witt, IA 52742
ID # Jane P. Merkin
9/20/01 7420 Westlake Terrace $100 .00
ID # Arthur M. Pappas M .D .
9/20/01 P.O. Box 386 $200.00
CK # Auburn, MA 01501
ID # Phyllis Rinard
9/20/01 6701 Beacon Lane $100.00
CK # Falls Church, VA 22043
ID # Tom Slockett
9/20/01 629 Brown St $25 .00
ID # C.J . May III

9/21/01 P.O. Box 1428 $125 .00
ID # Joanne Thinnes rno~het~-

9/21/01 1835 25th Ave . $125 .00
in haw
CK # Marion, IA 52302-1131
SUB-TOTAL $ Z05, 00

this schedule)
SCHEDULE
A Monetary
amending form
BOARD .
number
ID # Jackson Baty
9/24/01 P.O . Box 510 $25.00
ID # Patrick Bauer
9/24/01 338 Koser Ave. $100 .00
ID # Frances DeJong
9/24/01 1117 East 2nd Apt. 9 $20.00
CK # Pella, IA 50219
ID # Denise Dolan
9/24/01 2830 Oak Meadow Ct $25.00
ID # John W Douglas
9/24/01 5700 Kirkside Drive $50.00
ID # Jan Flora
9/24/01 1092 George Allen Ave $50.00
CK # Ames, IA 50010-5224
ID # Theressa L. Foster
9/24/01 202 West Glendale Rd . $25.00
CK # Oskaloosa, IA 52577
ID # Jolene Franken
9/24/01 777 - 3rd Street $100 .00
9/24/01 682 62nd St $15.00
ID # Robert Hoefer
9/24/01 7024 Rocklyn Circle $100 .00
SUB-TOTAL $ 51 O , OO

this schedule)
33
`Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the r'
A Monetary
(Rev. 06/97) Receipts
amending form
BOARD .
number
ID # J .P. Kellogg
9/24/01 402 W. Mission $25 .00
CK # Strawberry Point, IA 52076
ID # John M. Kuster
9/24/01 2418 Silverwood Lane $25 .00
CK # Fairfield, IA 52556
ID # Ruth T. Martin
9/24/01 706 - 13th Avenue NW $25 .00
ID # David Osnos
9/24/01 6606 Rivercrest Court $200.00
CK # Bethesda, MD 20816-2178
ID # Linda Paul
9/24/01 2565 Bluffwood Lane $100.00
ID # Don Paulson
9/24/01 2451 Jasper Avenue $25 .00
CK # Lefts, IA 52754
ID # Mary Peterson
9/24/01 2717 E. Ridge Dr. $25 .00
CK # Centerville, IA 52544
ID # Joan Phillips
9/24/01 303 West St, Box 275 $100 .00
CK # Manning, IA 51455
ID # Patricia Poage
9/24/01 1421 W. 18th Street $50 .00
ID # Stephen Reno
9/24/01 1615 NW Northwood Drive $25 .00
SUB-TOTAL
this schedule)
Monetary
amending form
BOARD .
number
ID # Elva Sheard
9/24/01 PO Box 175 $50.00
CK # Lakota, IA 50451
ID # Winifred Shuttleworth
9/24/01 2403 SE Indian Hill Rd $100 .00
ID # Richard Sturgeon
9/24/01 2362 W. 1st St . $10.00
ID # Byron Wille
9/24/01 Williams, IA 50271-0175 $10.00
CK #
ID# Kay Baty

9/27/01 225 Crescent St . SE $125 .00
CK # Cedar Rapids, IA 52403 Qu,n -t-
ID # Brad Brady
9/27/01 4154 Brookside Drive $500 .00
ID # Patricia Brown
9/27/01 PO Box 799 $50.00
CK # Okoboji, IA 51355
ID # Michael Cilek
9/27/01 5 Ashwood Dr $50.00
ID # Janice Coe
9/27/01 2200 North 24th Street $200 .00
CK # Arlington, VA 22207
ID # Betty E. Cooper
9/27/01 1826 River Street $50 .00
CK # Burlington, IA 52601
SUB-TOTAL

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 3 5 of 61
A Monetary
Chet Culver Committee Ll Check this box if
amending form
BOARD .
number
ID # Hamilton F. Forster
9/27/01 1158 Fifth Avenue $25 .00
CK # New York, NY 10029
ID # Jay Gold
9/27/01 5310 Shriver Avenue $50 .00
ID # J . P. Greene
9/27/01 2820 Woodland Ave $25 .00
ID # James A. Greene
9/27/01 4800 Chevy Chase Drive #500 $50 .00
ID # Sharon Haselhoff
9/27/01 4400 Park Avenue #62 $50 .00
ID # Clayton Hodgson
9/27/01 700 2nd St. SW $25 .00
ID # Kenneth Hubel
9/27/01 2562 Oak Circle NE $50 .00
CK # North Liberty, IA 52317
ID # Dale Juergens
9/27/01 PO Box 154 $25 .00 ,/
CK # Clearfield, IA 50840
ID # Hon . Mark Kuhn

9/27/01 2616 - 240th Street $25 .00
CK # Charles City, IA 50616
ID # Mike Kulisky
9/27/01 2730 260th St. $25 .00
SUB-TOTAL $ 350 .00

this schedule)
A Monetary
Chet Culver Committee I] Check this box if
amending form
BOARD .
number
ID # Peter Leehey
9/27/01 1737 Timber Hills Drive $125 .00
ID # Robert J . Lesko
9/27/01 1696 - 31 st Street NW $100 .00
9/27/01 701 W. Central Ave. $25.00
ID # Roger Ries
9/27/01 408 - 18th Street $25 .00
ID # Samuel Robinson
9/27/01 88 Kilburn Street $100 .00
CK # Belmont, MA 02178
ID # Earl L Rodine
9/27/01 1215 11th St . Apt. 101 $10 .00
ID # C. Abbott Saffold
9/27/01 4826 S. 28th Street $200 .00
ID # Jack Thein
9/27/01 P.O . Box 564 $10.00
9/27/01 5505 Robertson Drive $25.00
ID # Jean Wallace Douglas

9/27/01 4733 Woodway Lane NW $250 .00
SUB-TOTAL $ 370,00

this schedule)
of 91,
SCHEDULE
A Monetary
amending form
BOARD .
number
ID # Tammy Westhoff
9/27/01 5915 Franklin Avenue $50.00

9/28/01 , IA $40.00
`
CK# C~o(f 00 fln9 - n r, CO,
ID # °~ Heartland District Council of Carpenters

/28/01 ~0'! 1 218 First Avenue $1,000 .00
CK # a~ a$ Sterling, IL 61081
ID # William Happel
9/28/01 2385 Wolf Creek Trail $125 .00
CK # Hiawatha, IA 52233 COU Sin
ID # Robert G . Happel
9/28/01 7641 Huntsman Lane $250 .00
CK # West Chester, OH 45069 Cv to; n V
ID # John Hedgecoth
9/28/01 118 Third Avenue SE $125 .00
ID # Dale Morrison
9/28/01 9420 Darrell Drive $125 .00
ID # John F . Murdoch
9/28/01 2755 Silver Oak Trail $125 .00
ID # Karen Thinnes
9/28/01 286 Thunderbird Road SE $270 .00 ;/
CK # Cedar Rapids, IA 52403 in- /atj
ID # Russell Vonk
9/28/01 2525 E. Ovid Avenue $200 .00 t/
SUB-TOTAL $ a, 310 . 00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 33 Of
A Monetary

amending form
BOARD .
number
ID # Dan Way
9/28/01 1801 Woodcrest St. NE $125.00
CK # Cedar Rapids, IA 52402 in ~lQL+)
ID # Brent Appel
10/2/01 1087 - 180th Street $1,000.00
ID # Kay Baty
10/2/01 225 Crescent St. SE $50 .00
ID # Marc Beltrame
10/2/01 1115 Caulder Avenue $50 .00
ID # Jerome E. Bleicher
10/2/01 50227 US Hwy 275 $50 .00
ID # Freda Bleicher
10/2/01 50227 Hwy 275, Box 99 $50 .00 ,/
ID # Carol S. Brown
10/2/01 3928 Bel Aire Road $50 .00
ID # Bonny K. Callahan
10/2/01 1214 N 4th $100.00
CK # Ames, IA 50010
ID # Maurice J. Carron
10/2/01 1287 - 29th Street NE $10 .00
ID # Peggy Casper
10/2/01 PO Box 329 $250 .00
SUB-TOTAL

this schedule)
A Monetary
Chet Culver Committee LI Check this box if
amending form
BOARD.
number
ID # John Clem
10/2/01 2307 Timberland Rd $25.00
CK # Ames, IA 50014
10/2/01 3108 Sixth St . $50.00
f
ID # Gayle Collins
10/2/01 100 Market St . #418 $250 .00
ID # Janice Curtin
10/2/01 1303 Bishop Lane $200 .00
ID # Margaret Dluhos
10/2/01 825 Ashworth Drive $10.00
ID # Jim Edel
10/2/01 2266 Garwin Road $20.00
CK # Marshalltown, IA 50158
ID # Robert Engel
10/2/01 725 Bradley Street $25.00
ID # David M . Erickson
10/2/01 809 37th St . $1,000 .00
ID # Rita M. Figgins
10/2/01 502 4th Street, SE $25.00
CK # State Center, IA 50247
ID # Don C. Fowles
10/2/01 609 Granada Court $25.00
SUB-TOTAL $ / , b30,00

this schedule)
q
of 9
A Monetary
amending form
BOARD .
number
ID # Hon . Marcella Frevert
10/2/01 Box 324 $25 .00
CK # Emmetsburg, IA 50536 t/
ID # David Garst
10/2/01 409 Main St. $50 .00
ID # Howard O. Hagen
10/2/01 1150 - 28th Street $250.00
ID # Diane Hamilton
10/2/01 Box 188 $50 .00
CK # Storm Lake, IA 50588
ID # Charles A. Hanson
10/2/01 300 Walnut 45 $25 .00
ID # James P . Hayes
10/2/01 1142 East Court $250 .00
ID # Maxine Henry
10/2/01 2490 - 50th Avenue $25 .00
CK # New Virginia, IA 50210
ID # William Herrig
10/2/01 2855 Brunskill Rd $20 .00 I/
ID # Angeline Jacobson
10/2/01 740 Ridge Road $25 .00
CK # Decorah, IA 52101
ID # Hon . Edward M Kennedy

10/2/01 2416 Tracey Place NW $200 .00
SUB-TOTAL $ ;~ G .OO

this schedule)
A Monetary
amending form
BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any
number
ID # Karen Kral
10/2/01 2222 1st Ave . NE #102 $25 .00
ID # Charles J. Krogmeier
10/2/01 905 NE 34th Street $250 .00
ID # Todd Krueger
10/2/01 6800 Mill Pond Drive $50 .00 tj
ID # Patricia Lawford
10/2/01 One Sutton Place South Apt. 7B $200 .00
ID # Jerry Lynch
10/2/01 2474 Lynch Lane $25 .00
CK # Bernard, IA 52032
ID # Robert D . Nelson
10/2/01 1772 Littlefield Dr., Box 367 $25 .00
CK # Exira, IA 50076
ID # & 099 Operating Engineers Local #234 Political

0/2/01 Fund $500 .00
CK # f e5 (p 4880 Hubbell
ID # Richard Oshlo, Jr.
10/2/01 8074 Frances Street $250.00
CK # Omaha, NE 68124
ID # Patricia Outzen
10/2/01 1212 S. 10th Street $15 .00 ,/
ID # Emil Pavich
10/2/01 1706 - 15th Avenue $25 .00
SUB-TOTAL $ i, 3&5, ao
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, butthere is no familial Page of
Monetary
Chet Culver Committee Li Check this box if

amending form
BOARD .
number
ID # Verna F. Ritchie
10/2/01 1939 College #235 $25 .00
ID # Roxann Ryan
10/2/01 7105 Sunset Terrace $500.00 /j
ID # Jasmine Seagrave
10/2/01 318 Westbrook Lane $100.00
CK # Ames, IA 50014
ID # Dianne Seelman Gibson

10/2/01 2222 Simpson St. $25 .00
ID # Chris M. Shay
10/2/01 3704 Franklin Avenue $50 .00
ID # Kevin Techau
10/2/01 5921 Waterbury Circle $50 .00
ID # Timothy J. Walker
10/2/01 317 6th Ave ., Suite 1200 $1,000.00
ID # Leta Wall
10/2/01 156 Cherry Hill Road, NW $10 .00
ID # Robert J. Walton
10/2/01 3316 Johnathon Avenue $50 .00
CK # Bettendorf, IA 52722
ID # John Whitesell
10/2/01 519 College Ave . $100 .00
CK # Iowa Falls, IA 50126
SUB-TOTAL $ I, q10,00
this schedule)
A Monetary
amending form
BOARD .
number
ID # M.J . Whiting
10/2/01 230b Shannon Drive $10.00
CK # Whiting, IA 51063
ID # Connie Wimer
10/2/01 100 - 4th Street $100 .00
1D# Steven K Young

10/2/01 546 Carbono Point $50.00
ID # Hon. Leonard Boswell

10/3/01 RR 1, Box 130 $100 .00
CK # Davis City, IA 50065
ID # Hon . Mary P. Bukta

10/3/01 604 S. 32nd Street $50 .00
ID # Lileah Harris
10/3/01 3626 Beaver AV SE $50.00
1D# David E. Myers

10/3/01 P.O . Box 74330 $100 .00
ID # Darla Pokela
10/3/01 PO Box 37 $25 .00
CK # Akron, IA 51001
10/3/01 5505 Robertson Drive $25.00
ID # Jayme Whitehead-Jacobi
10/3/01 3420 Saint Johns Road $100 .00
SUB-TOTAL $61(),00
this schedule)
41, of 91
l4 Monetary

amending form
BOARD .
CAUTION : Section 668 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any
number
ID # MCI Iowa PAC
10/4/01 536 - 29th Street, Suite 17 $250.00
CK # i (o Des Moines, IA 50312
ID # Dennis Skinner
10/4/01 29239 600th Ave . $25 .00
CK # Cambridge, IA 50046
ID # Hon . Neal E. Smith

10/4/01 300 Walnut, Box 90 $250.00
ID # Thomas Walton
10/4/01 9514 Alpine Drive $50 .00
>/
ID # George D Welch
10/4/01 4000 Cottage Grove $50 .00
ID # Marilyn Wells
10/4/01 520 E Walnut St. $25 .00
CK # Sigourney, IA 52591
ID # Elmer Buhler
10/5/01 2639 S Mulberry $25 .00
ID # Brendan Comito
10/5/01 4516 Waveland Court $50 .00
ID# Tricia Thinnes 5i5

10/5/01 185 Parkview Drive $50 .00
In- haw
ID # Ann Clary
10/8/01 495 S. 51st St. #21 $25 .00
SUB-TOTAL $ 300.00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 7J of
Monetary
amending form
BOARD .
(MMIDDIYR) and PAC Check (if applicable) Income
number
ID # Gus Weill
10/8/01 19848 Creekround $1,000.00
CK # Baton Rouge, LA 70817
ID # W. Kenneth Albrecht
10/9/01 993 Belleville Tpke. $50 .00
CK # Kearny, NJ 07032-4411
ID # Marlyn C. Augustine
10/9/01 4139 E. Beryl Drive $50 .00
CK # Phoenix, AZ 85028
ID # Faye Fraise
10/9/01 1699 - 280th Avenue $50 .00
ID # Laura L. Frissell
10/9/01 10140 Hobby Horse Lane $150 .00
CK # Concord Twp, OH 44060
ID # Julie Hall
10/9/01 508 - 58th Street $50 .00
ID # Bernice K. Leber
10/9/01 1675 Broadway, 25th Floor $1,000 .00
ID # Ellen T. Linck
10/9/01 789 West End Avenue #3A $50 .00
ID # Mary Ann Lundy

10/9/01 4315 Phoenix $25 .00
CK # Ames, IA 50014
ID # Elaine B. Baxter
10/10/01 1016 North 4th Street $25 .00
CK # Burlington, IA 52601
SUB-TOTAL 6G, bO
$ Z 14 6
this schedule)
marriage) (See Page 2 of forms packet) . If sumame of contributor is the same as candidate, but there is no familial Page 0b of
A Monetary
amending form
BOARD .
number
ID # William R . Bernau
10/10/01 10 Oak Ridge Avenue $250.00
ID # Mike Bock
10/10/01 4342 Oakwood Lane $250 .00
ID # Don Brown
10/10/01 3612 SW 9th Street $30 .00
ID # Marie Callas
10/10/01 4712 Tamara Lane $50 .00
ID # Michelle Casper
10/10/01 2880 Grand Ave #203 $50 .00

10/10/01 , IA $70 .00
CK # alF 00-h n0j FR
ID # Dale Cochran
10/10/01 4837 86th St #D7 $50 .00
ID # Cecilia Ehrecke
10/10/01 13350 Cedarwood Avenue $50 .00
ID # Lois Fingerman
10/10/01 2909 Cayuga Point $50.00 V
ID # Monica S. Fischer
10/10/01 1407 41st Street $50 .00 I/
SUB-TOTAL
this schedule)
A Monetary

amending form
BOARD.
number
ID # Hon . Jane Greimann

10/10/01 1518 13th St $25 .00
CK # Ames, IA 50010
ID # Ardella Hodgson
10/10/01 700 - 2nd Avenue SW $50 .00
CK # LeMars, IA 51031
ID # Molly Ketchum
10/10/01 101 Plum $25 .00 ,
CK # Boone, IA 50036
ID # Mary Klotzbach
10/10/01 401 3rd Avenue SW $25 .00
CK # Independence, IA 50644
ID # Elizabeth Kruidenier
10/10/01 3409 Southern Hills Dr. $200.00
ID # Brian Laurenzo
10/10/01 5508 Garrison Street $250.00 :/
ID # Judy M. McCoy Davis

10/10/01 2880 Grand Avenue #304 $50 .00
ID # Donna Moran
10/10/01 513 1st St NE $25 .00
ID # James Murphy
10/10/01 1925 SE 82nd $50 .00
CK # Runnells, IA 50237
ID # Nancy R. Nichols
10/10/01 6200 E.P. True Pkwy. #505 $25 .00 ;/
SUB-TOTAL $ -7 A 5, 00
this schedule)
marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page
Monetary

amending form
BOARD .
number
ID # Paula Roby
10/10/01 460 Liberty Drive SE $500.00
ID # Todd Schulz
10/10/01 7931 Beechwood Court $50 .00
ID # Ed Skinner
10/10/01 Box 367 $1,000 .00
ID # Russ Sporer
10/10/01 9671 109th Ave . $25 .00
CK # Ottumwa, IA 52501
ID # DeEtta Joan Vonk

10/10/01 400 NE 55th Ave . $25 .00
ID # William C. Knapp II
10/11/01 5000 Westown Pkwy, Ste 100 $250 .00
ID # Patty Link
10/11/01 4129 Forest Avenue $50 .00
ID # Charlotte Parmer
10/11/01 302 Plaza Heights Road, #3 $25 .00
ID # Clark Rasmussen
10/11/01 524- 32nd St $50 .00
ID # Harry Bookey
10/12/01 11 S.W. 51st Street $250.00
SUB-TOTAL $ a, a a5, co
this schedule)
A Monetary

amending form
BOARD.
number
ID # Loretta Chenoweth
10/12/01 916 Ashworth Road #209 $10 .00
ID # Robert B. Hanson
10/12/01 3105 Orchard Circle $50 .00
ID # Mary Lou Marvin

10/12/01 115 North Vale, Box 355 $25 .00
CK # Osceola, IA 50213
ID # Harold S. McNabb
10/12/01 1232 Wisconsin Ave $250 .00
CK # Ames, IA 50014
ID # Richard D. Treman
10/12/01 944 - 42nd $25 .00 ,/
ID # Cheryl Bakker
10/14/01 4507 - 98th Street $50 .00
ID # Jan Bauer
10/14/01 2800 Pinehurst Cir $15 .00
CK # Ames, IA 50014
ID # Elizabeth Brennan
10/14/01 804 - 38th Street $250.00 t/
ID # Elisabeth Buck
10/14/01 5125 Harwood Drive $50 .00

10/14/01 , IA $50 .00
CK # Fo-(( Ff,5+, vL-A_l FUY)AroU 5e i-
SUB-TOTAL $ _775, oo

this schedule)
A Monetary

amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS
AND CAMPAIGN DISCLOSURE
BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any
commercial purpose by any
number
ID # Marilyn Chiodo
10/14/01 2913 Southern Hills Circle $100.00
ID # Joanna Courteau
10/14/01 1120 Garfield Ave $25 .00
CK # Ames, IA 50014
ID # Hon . Patrick Deluhery

10/14/01 11839 100th Avenue $25 .00 ~/
ID # Hon . William Fink

10/14/01 379 S-23 Highway $25 .00
CK # Carlisle, IA 50047
ID # Monica S. Fischer
10/14/01 1407 41st Street $250 .00
ID # Edward Friedmann, Jr.

10/14/01 3274 Delta Circle $250.00
CK # Redfield, IA 50233
ID # Robert Galbraith
10/14/01 9321 Horton $50 .00 V
ID # Scott Hartsook
10/14/01 1134 - 38th Street $25 .00 ;/
ID # Leo Hensley
10/14/01 1704 Mueller Lane $50 .00
ID # Ben Hildebrandt
10/14/01 2607 Emma $25 .00
SUB-TOTAL $ 00
TOTAL (iflast page of $
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, butthere is no familial Page 51 of
SCHEDULE
Monetary

amending form
BOARD .
number
ID # Eldon J. Klaassen
10/14/01 1205 - 12th Street $100 .00
CK # Grundy Center, IA 50638
ID # Dean Lerner
10/14/01 5220 Shriver $50.00
1D# Marilyn Monroe

10/14/01 4837 86th NW #9 Plumwood $50.00
ID # Phyllis Mumford
10/14/01 1534 Germania Drive $50.00 (/
ID # Brice Oakley
10/14/01 418 38th Place $50.00
ID # Leslie Osam Pensack

10/14/01 317 S. Wilmoth Avenue $25 .00
CK # Ames, IA 50014
ID # Cyndi Pederson
10/14/01 1075 - 44th Street $50.00
1D# Robert Tully

10/14/01 4315 Greenwood Drive $250 .00
I/
ID # Dr. Ursula VonGodany

10/14/01 1530 Roosevelt Avenue $25.00 (/
CK # Ames, IA 50010
ID # Steven Wandro
10/14/01 2845 Ridge Road $100 .00
SUB-TOTAL $ 750 . 00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ~ 0_~ of
SCHEDULE
A Monetary

amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL
ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE
FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 668 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for
soliciting contributions for any commercial purpose by any
number
ID # Donna Whitney
10/14/01 10557 Forest Avenue $250 .00
CK # Des Moines, IA 50325-6666 t/
ID # Marjorie Foster
10/16/01 13621 Bay Hill Drive $500.00
ID # Therese H . Goodmann
10/16/01 1306 Tomahawk Drive $100 .00
ID # Tom Henderson
10/16/01 6239 N . Winwood Drive $100 .00
ID # Thomas Lipps
10/16/01 P. 0. Box 5 $50 .00
ID # Paulee Lipsman
10/16/01 2880 Grand AV #106 $250 .00
ID # Dr. Robert C Margeas

10/17/01 1056 Polk Blvd $150.00
ID # Joanne Thinnes f~~_

10/17/01 1835 25th Ave . mo $125.00 j/
CK # Marion, IA 52302-1131
lD # Thaddeus Cosgrove
10/18/01 203 Davenport St. $25 .00
CK # Holstein, IA 51025
10/18/01 10131 - 510th Avenue $25 .00
SUB-TOTAL

this schedule)
A Monetary

amending form
BOARD .
number
ID # Sarah K. Hart
10/18/01 502 N. 7th St. $25.00
CK # Oskaloosa, IA 52577-2356
ID # Marvin Haugebak
10/18/01 2516 Ashland Ave . $20 .00
ID # Merrill Neary
10/18/01 232 Park Ave $25 .00
ID # Julie Smith
10/18/01 3917 Hillcrest Drive $100.00
ID # Marcia Sontag
10/18/01 903 Grand Avenue $10 .00
CK # Ames, IA 50010
ID # Scherry Tichy
10/18/01 1906 Blossom Lane $15 .00
ID # Susan Ekstrom
10/23/01 4710 Lakeview Drive $100 .00
ID # Frances Fleck
10/23/01 2304 Ridgewood Drive $25 .00
ID # William Goodwin
10/23/01 223 - 49th Street $1,000.00
ID # Robert E. Mulqueen
10/23/01 2305 Glenwood Drive $25 .00
SUB-TOTAL $ oc
this schedule)
(for
5q Schedule
of
A)
(Including candidate's personal funds) Monetary
amending form
BOARD .
number
ID # M.S . Berman
10/24/01 2801 New Mexico Avenue NW #817 $1,000.00
ID # Tom Dawson
10/24/01 3001 Branch Ave . 338 $500.00 I./
CK # Temple Hills, MD 20748
ID # Kenneth Feinberg
10/24/01 1120 -20th St. NW, Ste . 740-S $1,000.00
ID # Eugene R. Fidell
10/24/01 5410 Spangler Avenue $250 .00
ID # Joseph P. Grant
10/24/01 24 Coventry Lane $100 .00
CK # Fairfield, CT 06430
ID # Robert B Hirsch
10/24/01 1824 Phelps Place NW #1816 $500.00 t/
ID # Andrew Jacobs, Jr.

10/24/01 1201 W. 64th Street $100.00
CK# Indianapolis, IN 46260
ID # Hon . Jean Kennedy Smith

10/24/01 Four Sutton Place $1,000 .00
ID # Paul Kirk, Jr.

10/24/01 P.O. Box 1433 $500 .00
CK # Marstons Mills, MA 02648
ID # Mary Beth Lawler

10/24/01 6531 Yadkin Court $100.00 ,/
SUB-TOTAL $ 5 O 5-0, 00
this schedule)
*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the _
(for Schedule A)
Chet Culver Committee d Check this box if
amending form
BOARD .
number
ID # William H. Mauk, Jr.
10/24/01 2 Grove Isle Drive #802 $1,000.00
CK # Miami, FL 33133
ID # Hon . Walter F. Mondale

10/24/01 2116 Irving Avenue S. $100.00
CK # Minneapolis, MN 55405
ID # Joan D. Murray
10/24/01 5018 Warren Street NW $250.00 (%
ID # Patrick O'Connor
10/24/01 10900 Baron Cameron Avenue $250 .00
CK # Reston, VA 20190
ID # Elliott I . Portnoy
10/24/01 11417 Broad Green Dr. $250.00
CK # Potomac, MD 20854-2076
ID # Paul J . Rice
10/24/01 7835 Vervain Court $100.00
CK # Springfield, VA 22152
ID # Phyllis Rinard
10/24/01 6701 Beacon Lane $250.00
ID # Peter F . Smith
10/24/01 2601 Ridge Road Dr . $100.00
ID # Jean Wallace Douglas

10/24/01 4733 Woodway Lane NW $1,000.00
ID # Robert J. Waters
10/24/01 1604 Crestwood Lane $1,000 .00
CK # McLean, VA 22101
SUB-TOTAL $ L1, 3oo> 00

this schedule)
(for Schedule A)
relationship, enter "not applicable" in the relationship column.
Chet Culver Committee Ll Check this box if
amending form
BOARD .
(MM/DD/YR)
number
ID # Renie Yoshida Grohl

10/24/01 6129 Overlea Road $500.00
ID # Beverly Hannon
10/25/01 6049 180th Avenue $15 .00
CK # Anamosa, IA 52205
ID # Michael Smith
10/25/01 2015 Nash Drive $100 .00
ID # John L. Riccolo
10/28/01 533 Knollwood Dr SE $500 .00
ID # Valentina Fominykh
10/31/01 118 Northwood Rd $100.00
ID # Judy M . McCoy Davis

10/31/01 2880 Grand Avenue #304 $250 .00 t/
ID # Shirley Utesch
10/31/01 27374 190 St. $25 .00
ID # Dorothy Kelso
11/1/01 287 Clark Dr $25 .00
ID # Michael C. Thielmann
11/1/01 502 E. Reno, Apt. 1 C $50 .00
ID # Sharon Alperovitz
11/2/01 2317 Ashmead Place NW $100.00
SUB-TOTAL $ I X0(05 " Od

this schedule)
the
*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to
Page _57 of
(for Schedule A)
D(PInNaAoCeMRtpuhVridfF
11/2/01
11/2/01
11/2/01
11/2/01
11/2/01
11/2/01
11/2/01
11/2/01
11/2/01
Chet Culver Committee
BOARD.
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
4966 Allan Road
Bethesda, MD 20816
Norman Cohn
200 Pine Tree Road
Radnor, PA 19087
Dina A. Davis
2654 Legends Way
Ellicott City, MD 21042
Richard J . Dennis
250 S. Wacker Drive, Suite 650
Chicago, IL 60606
John W Douglas
5700 Kirkside Drive
Chevy Chase, MD 20815
Roger Fisher
Harvard Law School, Pound 525
Cambridge, MA 02138
J.K. Galbraith
30 Francis Avenue
Cambridge, MA 02138
James A. Johnson
3900 Wisconsin Avenue NW
Washington, DC 20016
Anastasia D . Kelly
9 Kensington Drive
Barrington, IL 60010
SUB-TOTAL
`Disclosure law requires candidate committees to disclose the relationship of any relative making a
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is
this schedule)
contribution to the
committee . Relationships must be shown to the third degree of consanguinity (blood relative) and affinity
(relatives by
no familial
SCHEDULE
Page
$
A
(Rev. 06197)
0 Check this box if

amending form
$250 .00
$250 .00
$1,000 .00
$100 .00
$100 .00
$100 .00
$2,000 .00
$250 .00
$ 4,3 50,
~~ of
(for Schedule A)
00
Monetary
Receipts
11/2/01
ID #
CK #
ID #
Hon . John D. Brademas
53 Washington Square S ., Rm . 330
New York, NY 10021
Peter P. Caulkins
$250 .00
$50.00
,/
;/
,/
,j
,/
,/
A Monetary
amending form
BOARD.
number
ID # Ted Kennedy, Jr.
11/2/01 P.O. Box 8124 $100 .00
CK # New Haven, CT 06530
ID # John Law
11/2/01 514 Palisades Beach Rd. $1,000 .00
CK # Santa Monica, CA 90402
ID # Nick Littlefield
11/2/01 16 Longfellow Park $250.00
CK # Cambridge, MA 02138
ID # Jorge E. Perez Diaz

11/2/01 209 Menoz Rivera Ave, Ste 1901 $250.00
CK # San Juan, Puerto Rico, 00918
ID # John Porter Jr.

11/2/01 4000 Cathedral Avenue, NW #813B $500.00
ID # David Pryor
11/2/01 323 Center Street, Ste 1260 $500.00
CK # Little Rock, AR 72201
ID # Bernard Rapoport
11/2/01 P .O. Box 2608 $1,000.00
CK # Waco, TX 76797
ID # Thomas Scoville
11/2/01 3637 Veazey Street NW $500.00
ID # Samuel E. Shaw II
11/2/01 131 Sewell Avenue $50 .00
ID # Sargent Shriver
11/2/01 9109 Harrington Drive $250.00
SUB-TOTAL $ L/, 400, 00

this schedule)
committee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by 45-
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ` q of
A Monetary
Chet Culver Committee D Check this box if
amending form
BOARD .
number
ID* Georgia A. Tyler
11/2/01 7435 Northridge Avenue NE $25 .00
CK # Albuquerque, NM 87109
ID # Conrad G. Valanos
11/2/01 17134 Ericarose Court $250.00
CK # Boca Raton, FL 33496
ID # Jeffrey VanGrack
11/2/01 14937 Dufief Drive $100.00 t/
CK # North Potomac, MD 20878
ID # Hon . Jerome R. Waldie

11/2/01 4521 Kruk Trail $100.00
CK # Placerville, CA 95667
ID # H .B. Wallace
11/2/01 30600 N. Pima Road #56 $500.00
CK # Scottsdale, AZ 85262
ID # Arnold H. Weiss
11/2/01 3811 Woodbine Street $500.00
ID # James Abourezk
11/8/01 P.O. Box 1164 $100.00
CK # Sioux Falls, SD 57101
ID # Jerome P. Akman
11/8/01 3209 Macomb Street NW $250.00
ID # Judy Assmus Riggs

11/8/01 5230 Watson St. NW $100.00
ID # Marlyn C. Augustine
11/8/01 4139 E. Beryl Drive $100.00
CK # Phoenix, AZ 85028
SUB-TOTAL
this schedule)
SCHEDULE
Monetary
amending form
NUMBER
DISCLOSURE
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose
by any
number
ID # Charles E. Bangert
11/8/01 662 Mallard Court $100 .00
CK # Arnold, MD 21012
ID # Hon. Michael D. Barnes

11/8/01 1225 Eye Street NW, Ste. 1100 $250 .00
ID # William R. Bernau
11/8/01 10 Oak Ridge Avenue $1,000 .00
ID # Joseph S. Bracewell
11/8/01 4554 Klingle St . NW $500 .00
ID # John J . Byrne
11/8/01 1400 N . 14th Street $250 .00
ID # Bonnie Campbell
11/8/01 800 - 25th Street NW, #303 $1,000 .00
ID # Ed Chandler
11/8/01 9038 Brae Ridge Drive $100 .00 1~
CK # San Antonio, TX 78249
ID # Mary Checchi step _

11/8/01 9206 Watson Road $500 .00
CK # ~rent
Silver Spring, MD 20910 9r
ID # Hon . Dick & Julie Clark

11/8/01 4424 Edmunds Street NW $250 .00
ID # Marshall S . Cogan
11/8/01 767 - 3rd Ave, 15th FI $500 .00
SUB-TOTAL $ q, y 50. 00 ./
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page (0) of
A Monetary
amending form
BOARD .
Date PAC ID number Name and Address of Contributor Relationship Amount ,/ if forFund-
number
ID # Leslie C. Connaughton
11/8/01 5900 Benfield drive $100 .00
ID # T. J. Coolidge, Jr.
11/8/01 18 Orne Street $500 .00
CK # Marblehead, MA 01945-2657
ID # Frank H . Craighill, III

11/8/01 1350 Ballantrae Lane $100 .00
ID # Flavio Cumpiano
11/8/01 2800 Quebec St NW Apt 811 $50.00
ID # Janice Curtin
11/8/01 1303 Bishop Lane $500.00
ID # Daniel David
11/8/01 1111 Hermann Drive 12B $250 .00
CK # Houston, TX 77004
ID # James R. Dickenson
11/8/01 4101 Glenrose Street $100 .00
CK # Kensington, MD 20895
ID # William R. Eckhardt
11/8/01 1921 N . Hudson $2,000 .00
CK # Chicago, IL 60614
ID # A. Lee Fentress
11/8/01 4611 Hawthorne Lane NW $500 .00
ID # Gerald B. Greenwald
11/8/01 1050 Connecticut Ave NW $50.00
SUB-TOTAL $ L), /so- OD

this schedule)
SCHEDULE
A Monetary
amending form
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose
person other than statutory political committees. by any
number
ID # Milton S. Gwirtzman
11/8/01 6010 Ondaga Road $250.00
CK # t/
Bethesda, MD 20816
ID # Joan D. Kleinman
11/8/01 8021 Ellingson Drive $50 .00
CK # Chevy Chase, MD 20815-3029
ID # Gilbert H. Lamphere
11/8/01 One Sutton Place South #1A $250.00
CK # New York, NY 10022 l/
ID # Gordon P. MacDougall
11/8/01 2000 N Street NW $250.00
ID # Michael T. McNamara
11/8/01 2753 Woodley Pl., NW $250 .00 I/
1D# Nicholas T. Mitropoulos

11/8/01 9 Coolidge Hill Road $500 .00
CK # Cambridge, MA 02138
ID # Gloria Newell
11/8/01 P.O. Box 188 $100.00
CK # Columbus Junction, IA 52738
ID # John D. Nichols
11/8/01 900 Mt. Pleasant $250 .00
CK # Winnetka, IL 60093
ID # Dennis J. Picard
11/8/01 P .O. Box 589 $250.00
CK # Concord, MA 01742-0589
ID # Roger B . Pool
11/8/01 305 Second Avenue, Apt 304 $1,000.00
SUB-TOTAL $ 3;150 . o0
this schedule)
03
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page of_
A Monetary

amending form
BOARD .
number
ID # David C. Robinson
11/8/01 15 Stratford Road $100 .00
CK # West Hartford, CT 06117
ID # William K. Smith
11/8/01 503 W. Oakdale $500.00
ID # Hon . Joseph D. Tydings

11/8/01 2101 L Street NW, Suite 800 $500.00 ,
ID # Mary Jill Wiley

11/8/01 321 Boylston Street $100.00
(/
CK # Brockton, MA 02301
ID # G . Colburn Aker
11/10/01 2555 Pennsylvania Ave NW #508 $250.00
1D# John M . Atkisson

11/10/01 820 A Street SE $100.00
ID # Richard J. Bartnik
11/10/01 9901 Shady Slope Court $100 .00
CK # Fairfax Station, VA 22039 1~
1D# Robin Beard, Jr.

11/10/01 307 Queen Street $125 .00
ID # Evan R. Berlack
11/10/01 67 Observatory Circle NW $100 .00
ID # Hon . Leonard Boswell

11/10/01 RR 1, Box 130 $200.00
CK # Davis City, IA 50065
SUB-TOTAL $ a, O75, 00
this schedule)
amending form
BOARD .
number
ID # William B. Cohn
11/10/01 13806 Goosefoot Terrace $250.00
CK # Rockville, MD 20850
ID # Charles W. Coss
11/10/01 116 New Castle Court $100.00
CK # Frederick, MD 21702
ID # Larry F. Darby
11/10/01 5335 Nebraska Avenue NW $100.00 /
CK # Washington, DC 20016 I/
ID # Alan S. Dubin
11/10/01 11027 Fawsett Road $100.00
ID # Sean P. Flattery
11/10/01 1163 Millwood Pond Drive $250.00
CK # Herndon, VA 20170
ID # Richard N. Gale
11/10/01 5833 Laurel Leaf Drive $100 .00
1D# Matt Gannon

11/10/01 2801 Quebec St. NW #118 $100 .00
ID # Frederick L. Holborn
11/10/01 2201 N. St. NW #613 $100 .00
ID # Kim A. Holmes
11/10/01 6214 Western Avenue $500.00
ID # Michael Kurman
11/10/01 1050 Connecticut Avenue NW $250.00
SUB-TOTAL $ i, $ 50. 00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page b~ of
SCHEDULE
A Monetary
amending form
BOARD .
number
ID # Alison L. Kutler
11/10/01 3281-B Sutton Place NW $100.00
ID # Barbara Leach
11/10/01 610 Constitution Ave ., N. E . $100.00
ID # Michael Naylor
11/10/01 6369 - 31st Place NW $250.00
ID # Robert A. Neuman
11/10/01 1513 - 28th Street NW $250 .00
ID # William J . Nichols
11/10/01 8204 Roseland Drive $125 .00
CK # Fairfax Station, VA 22039
ID # Michael Reinemer
11/10/01 5833 North Washington Blvd #29 $50 .00
ID # Peter D. Rosenberg
11/10/01 540 - 5th Street SE $100.00
CK # Washington, DC 20003-4207
ID # Daniel C. Smith
11/10/01 1815 H Street NW, Ste 1001 $100.00
ID # Larry K. Smith
11/10/01 322 - 2nd Street SE $100 .00 1/
ID # Brian Waldman
11/10/01 1643 N . Harrison $100 .00
SUB-TOTAL $ ~, 00
this schedule)
A Monetary
amending form
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND IDENTIFICATION NUMBER
CAMPAIGN DISCLOSURE
BOARD.
number
ID # Todd Weiss
11/10/01 2412 Cameron Mills Road $100.00
ID # John J. Wertzberger
11/10/01 3401 N Fairfax Dr $350 .00
ID # Jason Wiley
11/10/01 4227 Taylor Street $100.00
ID # JoDee Winterhof
11/10/01 1410 Cameron Street $50 .00
ID # Michael E. Zolandz
11/10/01 200 Luna Park Drive #20 $100.00
ID # Christina Culver
11/11/01 36 Cornell Street $200.00
CK # S; sfer
Ithaca, NY 14850
ID # Catherine Culver White

11/11/01 50 Whistling Wind Lane S $100.00
CK # Wimberley, TX 78676
ID # Hon . Thomas F. Eagleton

11/11/01 6435 Cecil Avenue $500.00
CK # St. Louis, MO 63105
ID # Marc Fleischaker
11/11/01 6308 Broad Branch Rd . $500 .00
ID # Sherry L. Kolbe
11/11/01 317 Constitution Ave NE $100.00
SUB-TOTAL $ ~, / OO , 00

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page b'7 of 1313
A Monetary
Chet Culver Committee L) Check this box if
amending form
BOARD.
number
ID # Louis Marx, Jr .
11/11/01 645 Madison Avenue, Suite 500 $5,000 .00
ID # Rebecca C Scoggin
11/11/01 4900 Calhoun Canyon Loop SJS~ef' $100 .00
CK # Austin, TX 78735
ID # John Tyson
11/11/01 P.O . Box 2020 $500 .00
CK # Springdale, AR 72765
ID # Don Tyson
11/11/01 P.O . Box 2020 $500 .00
CK # Springdale, AR 72765
ID # Ann Culver
11/14/01 6910 Hart Lane #901 $200 .00
CK # Austin, TX 78731
ID # James H. Davidson
11/14/01 1101 Pennsylvania Avenue NW $250 .00
ID # Craig M. Engle
11/14/01 4236 - 47th Street NW $100 .00 (/
ID # Robert Landes
11/14/01 45 Rockefeller Plaza $150 .00
ID # James Larew
11/14/01 228 Woolf Ave $100 .00 V
ID # Abner Mikva
11/14/01 5020 S Lake Shore Drive #3608 $50.00
SUB-TOTAL Lo, q50, 0c)

this schedule)
A Monetary
amending form
BOARD .
number
ID # Donald L. Morgan
11/14/01 2000 Pennsylvania Ave NW $250 .00
ID # Alan E. Reider
11/14/01 112 Summerfield Road $250 .00
ID # Emil G . Riedel
11/14/01 9485 Springs Road $100 .00
CK # Warrenton, VA 20186
ID # Elizabeth Filipos Smith i ..

11/14/01 4400 Chalfont Place $350 .00
ID # Franklin Weeks
11/14/01 38435 US Hwy 18 .. $300 .00
CK # Prairie Du Chien, WI 53821
ID # William T. Coleman, Jr.

11/15/01 555 - 13th Street NW $500 .00
ID # q9,77 Committee for a Democratic Majority

11/15/01 426 C St NE, Rear Bldg $1,000 .00
CK # q35 Washington, DC 20002
ID # Gregory B. Craig
11/15/01 3155 Highland Place NW $300 .00
ID # (yp~$ District Union 431 UFCW

1/15/01 1401 W. 3rd Street $1,000 .00
CK # 151 Davenport, IA 52802
(P
ID # Steven L. Engelberg
11/15/01 3415 Fulton St . NW $500 .00
SUB-TOTAL $ q, 5 50, OO

this schedule)
(for Schedule A)
A Monetary
X Check this box if
mending form
BOARD .
(MM/DD/YR) and PAC Check ` . (if applicable) Income
number rrn .
ID # Donald L. Morgan
11/14/01 2000 Pennsylvania Ave NW $250 .00
OCT 2 3 2003
ID # Alan E. Reider
11/14/01 112 Summerfield Road ,~ . $250 .00
CK# Chevy Chase, MD 20815
ID # Emil G. Riedel
11/14/01 9485 Springs Road $100 .00
CK # Warrenton, VA 20186
ID # Elizabeth Filipos Smith

11/14/01 4400 Chalfont Place $350 .00
ID # Franklin Weeks
11/14/01 38435 US Hwy 18 $300 .00
CK # Prairie Du Chien, WI 53821
ID # William T. Coleman, Jr .
11/15/01 555 - 13th Street NW $500 .00
ID # Committee for a Democratic Majority

11/15/01 426 C St NE, Rear Bldg $1,000 .00
ID # Gregory B. Craig
11/15/01 3155 Highland Place NW $300 .00
ID # District Union 431 UFCW

11/15/01 1401 W. 3rd Street $1,000 .00
ID # ~- : Steven' . IiRgelbe^ Monsanto Citizenshiip Fund

1 115/01 34 15 Fulton St. NW 800 N. Lindbergh Blvd . $500 .00
CK # WashingtGR, 9C X007 St . Louis, MO 63167
SUB-TOTAL $

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page VW L of
relationship, enter "not applicable" in the relationship column . (for Schedule
DPInNaAoCRudf
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01
11/15/01

BOARD .
number
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
ID #
CK #
R. Jefferson Langston
1003 Allendale Drive
Charlottesville, VA 22901
George A. Lehner, Jr .
508 Woodland Terrace
Alexandria, VA 22302
Charles S. Levy
4805 New Port Avenue
Bethesda, MD 20816
Eugene A. Massey
1050 Connecticut Ave. NW
Douglas P . McCormack
3280 Juiper Lane
Falls Church, VA 22044
Anthony J . Moffett
1644 Avon Place NW
Rodney F. Page
6318 Stoneham Lane
McLean, VA 22101
Bill Paschall
2913 Lee Avenue
Little Rock, AR 72205
John R. Reilly, Sr .
4875 Loughboro Road NW
Lance Rentzell
6111 Bandena Avenue
Dallas, TX 75225
SUB-TOTAL

this schedule)
SCHEDULE
$ 3,
$
Page ~~
A
(Rev. 06/97)
0 Check this box if

amending form
$500 .00
$250 .00
$500 .00
$250 .00
$250 .00
$250 .00
$250 .00
$500 .00
$250 .00
$200 .00
aw . 0o
of
(for Schedule A)
Monetary
Receipts
Received
(MM/DD/YR)
if applicable)
and PAC Check
to Candidate'
(if applicable)
Received
,/ if for Fund-
raiser
Income
A Monetary

amending form
BOARD .
number
ID # Joseph E. Sandler
11/15/01 5617 Wood Way $250.00
ID # Morton W. Schomer
11/15/01 4505 Tournay Road $250.00
1D# Kathleen Stedham

11/15/01 13129 Englishwood Lane $150.00
CK # Fairfax, VA 22033
ID # Stephanie Streett
11/15/01 1220 Kavanaugh $250 .00
CK # Little Rock, AR 72205
ID # Tyler Sutherland
11/15/01 6563 Palisades Drive $150 .00
CK # Centreville, VA 20121
ID # Burton V. Wides
11/15/01 3069 Porter Street NW $250 .00
ID # James Kirkland
11/19/01 4114 Greenview Drive $50 .00
ID # Carol S Copeland
11/29/01 11218 Mediapolis Road $50 .00
CK # Mediapolis, IA 52637
ID # Ronald Myrom
11/29/01 110 Jefferson Street $100 .00
CK # West Union, IA 52175
ID # Michael C. Thielmann
11/29/01 502 E. Reno, Apt. 1C $100 .00
SUB-TOTAL $ 1, &()D,OO
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page _ -7) of
Monetary

amending form
BOARD .
number
ID # William H. Applegate
11/30/01 1724 W. Abingdon Drive #101 $100.00
ID # Stephanie S. Ballard
11/30/01 2175 Cottage Grove Lane Place SE $50 .00
CK # Cedar Rapids, IA 52403 (f
ID # Roger Bulger
11/30/01 P.O. Box 60680 $500 .00
ID # Charles M. Campion
11/30/01 284 Dean Road $250 .00
ID # Josephine A. Checchi
11/30/01 1303 Midwood Place $500.00
ID # David T. Dekker
11/30/01 1050 Connecticut Ave . NW $100.00
ID # Hon . Stanley L. Greigg

11/30/01 5300 Wriley Road $100.00
ID # R.S. Homet, Jr.

11/30/01 5460 Bradford Court #141 $100.00
ID # Stephen D. Kahn
11/30/01 5636 Bent Branch Road $1,000.00
ID # Gerald Kavanaugh
11/30/01 707 S. Lee Street $100.00
SUB-TOTAL $ a , 800 . OO

this schedule)
-7d, of
Monetary
amending form
BOARD.
number
ID # Christopher G. Kennedy
11/30/01 158 Melrose Avenue $500.00
CK # Kenilworth, IL 60043
ID # Doris S . Lee
11/30/01 611 Washington St., Ste. 2204 $500.00
CK # San Francisco, CA 94111
ID # Aram H . Mardirosian
11/30/01 1217 Crest Lane $250 .00
ID # Marguerite E. Martin
11/30/01 Box 886 $50 .00
CK # Dinnesport, MA 02639
ID # George McGovern
11/30/01 605 Groff Lane $250.00
CK # Stevensville, MT 59870
ID # Donald P. McKeag
11/30/01 5 Chilmark Drive $100.00
CK # East Falmouth, MA 02536
ID # Douglas J. Patton
11/30/01 3237 Ellicott St. NW $150.00
ID # Thomas M. Quinn
11/30/01 1822 Ingleside Terrace $50 .00
ID # Carol A. Riley
11/30/01 815 Connecticut Ave NW Ste 1100 $500.00
ID # John R. Sasso
11/30/01 38 Wallace Road $500.00
CK # Wayland, MA 01778
SUB-TOTAL $ R, 850, Oo
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ~7 3 of
Monetary
Chet Culver Committee O Check thisbox if
amending form
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWALIST THE PAC IDENTIFICATION NUMBER
BOARD .
number
ID # Michael P. Scott
11/30/01 250 N. Marine Drive $25 .00
ID # John F. Tulenko, M.D.

11/30/01 975 Park Avenue $100.00
CK # New York, NY 10028 1/
ID # Henry Scott Wallace
11/30/01 6901 Mountain Gate Drive $500.00
ID # Vincent A. Wolfington
11/30/01 4949 Lowell Street $2,000 .00
ID # Denise Hocraffer
12/6/01 118 14th Ave SW $10 .00
CK # Clarion, IA 50525
ID # Iowa Democratic Party

/12/6/01 5661 Fleur Drive $1,000.00
ID # Arthur M . Kagin
12/6/01 1253 16th Street $25 .00
ID # Robert Soldofsky
12/6/01 229 Lowell St $25 .00
ID # Donald E. Wiederanders
12/6/01 1123 W. Tenth Street $20 .00
ID # Janice B. Griffin
12/10/01 15106 Callohan Court $500.00
SUB-TOTAL $ 1, ao5, o d
this schedule)
SCHEDULE
l4 Monetary
Chet Culver Committee 0 Check thisbox if

amending form
NUMBER
DISCLOSURE
BOARD .
purpose by any
number
ID # Marilyn E. Brubaker
12/13/01 4987 Oriole Avenue $10 .00
CK # Paullina, IA 51046
ID # Frances DeJong
12/13/01 1117 East 2nd Apt. 9 $20 .00
CK # Pella, IA 50219
ID # Robert L. Falcon
12/13/01 3490 Sunburst Avenue $25 .00
ID # Guido Fenu
12/13/01 300 Walnut Street #7 $50 .00
ID # Tom Flack
12/13/01 3128 Northwood $35 .00
CK # Ames, IA 50010
ID # Don C. Fowles
12/13/01 609 Granada Court $35 .00
ID # David Garst
12/13/01 409 Main St. $50 .00
ID # Helen Goldstein
12/13/01 312 Windsor Drive $10 .00
ID # Robert Hoefer
12/13/01 7024 Rocklyn Circle $100.00
ID # Michael Klaus
12/13/01 917 N East Apt. 108 $1 .00
SUB-TOTAL $ 3 Co, 06

this schedule)
marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page of
A Monetary
amending form
BOARD .
number
ID # Eugene Koett
12/13/01 306 S 4th Street $10 .00
ID # Harry Kunkle
12/13/01 1246 Bentwood Court $10 .00
ID # Gertrude MacQueen
12/13/01 454 Lexington Ave $50 .00
I D # (01 C) f Motor Carriers PAC

12/13/01 P .O. Box 6121 $100 .00
CK # a~ Des Moines, IA 50309
ID # Don Murphy
12/13/01 1920 Vine Street $35 .00
ID # David L. Palmer
12/13/01 213 SW Flynn Dr. $100.00
ID # Dr. Robert M. Powell

12/13/01 68 Kentucky Court $35 .00
ID # Ronald R. Ricker
12/13/01 437 49th Street $50 .00
ID # Linda Robertson
12/13/01 5703 Walnut Hill Drive $25 .00
ID # Laura I . Shanks
12/13/01 1429 Clark $35 .00
CK # Ames, IA 50010
SUB-TOTAL $ y 50,00

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 7 4 of
(for Schedule A)
A Monetary
amending form
BOARD.
number
ID # John Stratton
12/13/01 815 Wylde Green Road $20 .00
ID # Reece Stuart III

12/13/01 21 - 32nd Place $25 .00
ID # Sean Sweeney
12/13/01 320 Insurance Exchange Bldg. $35 .00
ID # Isabelle Toot
12/13/01 23443 667th Ave . $35 .00
CK # Nevada, IA 50201
ID # J.R. Walsh
12/13/01 1720 Skyline Dr $30 .00
CK # Bettendorf, IA 52722-3078
ID # Dorothy Woods
12/13/01 1101 Prairie View Drive $100.00
ID # Hon . Michael S. Dukakis

12/14/01 85 Perry Street $100.00
ID # Thomas Graham, Jr.

12/14/01 7609 Glenbrook Road $100.00 t/
ID # Anthony T. Podesta
12/14/01 6106 Beachway Drive $100.00
ID # Robert A. Skelly
12/14/01 9 Yorkshire Road $250.00 I/
CK # Dover, MA 02030
SUB-TOTAL $ -795, 00

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page ,~ of
(Including candidate's personal funds) SCHEDULE
A Monetary

amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION
COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM
THE IOWA ETHICS AND CAMPAIGN DISCLOSURE
BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting
contributions for any commercial purpose by any
number
ID # Cheryl K. Swanson
12/14/01 11735 Wetherby Lane $250 .00
CK # Bel Air, CA 90077
ID # John D. Brown
12/17/01 207 Lawler Street $100 .00
12/17/01 3108 Sixth St . $50.00
ID # Renate Dellmann
12/17/01 1026 Gaskill $25.00
CK # Ames, IA 50014
ID # Lawrence W. Eide
12/17/01 1221 N Fremont St . #2 $35.00
CK # Iowa Falls, IA 50126
ID # Thomas Gibbons
12/17/01 707 8th Ave S $30.00
ID # Richard Krueger
12/17/01 5997 Wapsi Avenue SE $100 .00
CK # Lone Tree, IA 52755
ID # Anna J . McAlexander
12/17/01 613 Benson $20.00
ID # Julie Pottorff
12/17/01 1090 45th St $100 .00
ID # Ruth Schaben
12/17/01 1104 Ucon Avenue $100 .00
CK # Dunlap, IA 51529
SUB-TOTAL

this schedule)
73
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page - of 19 (-A
(including candidate's personal funds) SCHEDULE
Monetary
COMMITTEE NAME (Must be same as on Statement ofOrganization) (Rev . 06/97) Receipts
amending form
BOARD. DISCLOSURE
person other than statutory political committees . purpose by any
number
ID # Carolyn Woods
12/17/01 108 E . Hillside Drive $35 .00
CK # Oelwein, IA 50662
ID # Richard Zak
12/17/01 317 4th Ave SE $25 .00
CK # Cresco, IA 52136
ID # Robert Anderson
12/18/01 1214 Iron Street $50 .00
CK # Kellogg, IA 50135
ID # Clayton Carmody
12/19/01 101 Maple St $125 .00
CK # Colo, IA 50056
ID # Tom Flack
12/19/01 3128 Northwood $125.00
CK # Ames, IA 50010
ID # Gerald Kuehn
12/19/01 4106 Phoenix St $1,000 .00
CK # Ames, IA 50014
ID # Jill L. Alper
12/20/01 1437 Rhode Island Ave NW 411 $100.00 ,/
ID # (y5(p Effective Government Committee

12/20/01 607 - 14th St., N .W., Suite 800 $1,000.00 t/
CK # (0,~ R9I Washington, DC 20005-2011
ID # Michael J . Whouley
12/20/01 208 Centre Street $100.00 ,/
CK # Danuers, MA 01923
ID # Jerome E. Bleicher
12/24/01 50227 US Hwy 275 $50 .00
SUB-TOTAL $ a, (P/o . CC)

this schedule)
committee. Relationships must-be shown to the third degree of consanguinity (blood relative) and affinity (relatives by
A Monetary
amending form
BOARD .
number
1D# M .J . Brandes
12/24/01 735 E. Post Rd . SE #1 $50.00
ID # Kathryne A. Cutler
12/24/01 17655 Page Lane $100 .00
CK # Honey Creek, IA 51542
ID # ~(0~7 DASH-PAC
12/24/01 424 C Street NE $1,000 .00
CK # /()01 Washington, DC 20002
ID # Gerard F. Doherty
12/24/01 50 Franklin Street $500 .00
CK # Boston, MA 02110
ID # James Drees
12/24/01 15485 280th Street $35.00
CK # Manning, IA 51455
ID # Joyce Ann Ferguson

12/24/01 368 - 20th Street S .E. $35.00
12/24/01 682 62nd St $10 .00
ID # W.H . Goodrich
12/24/01 202 S Maple Ave $10 .00
CK # Woodward, IA 50276-1020
ID # Lileah Harris
12/24/01 3626 Beaver Av SE $25 .00
ID # Richard Holstad
12/24/01 4588 Whellerwood Road $35 .00
CK # Northwood, IA 50459
SUB-TOTAL $ 1,300,(DO

this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page u " of {~
(Including candidate's personal funds) SCHEDULE
A Monetary
Chet Culv er Committee 0 Check this box if
amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA THE PAC IDENTIFICATION NUMBER
BOARD . ETHICS AND CAMPAIGN DISCLOSURE
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting
person other than statutory political committees. contributions for any commercial purpose by any
(MM/DD/YR) and PAC Check (if applicable)
number Income
ID # Steven Kranz
12/24/01 2732 - 67th Street $35.00
CK # Newhall, IA 52315
ID # Paul Kraus
12/24/01 908 Benton Drive $10.00
ID # Hon. Jim R. Sasser

12/24/01 4810 - 32nd Street $1,000 .00
ID # Mark E. Schantz
12/24/01 526 Larch Lane $35.00
ID # Stephen Sonnabend
12/24/01 200 Clarendon Street $100 .00
CK # Boston, MA 02116
ID # Clayton Swenson
12/24/01 2102 Kildee Street $25.00
CK # Ames, IA 50010
ID # Sean Donnelly
12/27/01 4403 Jensen Place $200 .00
CK # Fairfax, VA 22032
ID # John F. Fitzhugh
12/27/01 3000 Sharon Road $250 .00
CK # Charlotte, NC 28211
ID # Stanley Sheinbaum
12/27/01 345 N . Rockingham Avenue $250 .00
CK # Los Angeles, CA 90049
ID # Gerald J. Eskin
12/28/01 1047 Woodlawn $100 .00
SUB-TOTAL $ R,oa5,oo

this schedule)
Page 21 of
(for Schedule A)
SCHEDULE
A Monetary
amending form
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND IDENTIFICATION NUMBER
BOARD . CAMPAIGN DISCLOSURE
Received if applicable) to Candidate* Received
(MM/DD/YR) raiser
number
ID # Fred Weitz
12/28/01 1245 Brown's Woods Dr. $200.00
ID # Bert Carp
12/31/01 1155 21st St. NW, 3rd Fl . $250.00
ID # Eileen C. Cuskaden
12/31/01 9262 Broad Street $100 .00
CK # Boca Raton, FL 33434
ID # Herbert A. David
12/31/01 460 Westwood Drive $50 .00
CK # Ames, IA 50014
ID # Peter B. Edelman
12/31/01 3208 Newark Street NW $100.00
ID # Daniel R. Glickman
12/31/01 4442 Hawthorne Street NW $250 .00
ID # Roger Ries
12/31/01 408 - 18th Street $35 .00
ID # Dianne Seelman Gibson

12/31/01 2222 Simpson St. $35 .00
ID # Lionel L. VanDeerlin
12/31/01 3788 Elliott Street #17 $10 .00 (j
CK # San Diego, CA 92106
ID #
CK #
SUB-TOTAL $ 1,030,00
TOTAL (if last page of $ 13 S, 3 79, 00
this schedule)
marriage) (See Page 2 of forms packet) . If surname of contributor is the same as candidate, but there is no familial Page 9 4__~ of
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT SCHEDULE
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, Monetary
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev. 09197) Expenditures
FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD . D Check thisbox if
amending form
CANDIDATE
DATE EXPENDED ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE (DESCRIBE TRANSACTION) AMOUNT
(MM/DD/YR) (if applicable) EXPENDITURE (Disbursement) WAS MADE EXPENDED
& PAC CHECK
NUMBER
ID#
01 .02 .01 Carter Printing Printing - holiday cards $1,263 .52
cK#
1739 East Grand
ID#
01 .02 .01 Arent Fox Fund-raiser expenses - food, beverage, 1,386 .00
cK#
1050 Connecticut Avenue NW and tickets (event held at Washington
Washin ton, DC 50036 Wizards game in Washington D .C .
ID#
01 .02 .01 Joni Klaassen 41 .33 - Postage 98 .57
CK#
2454 Glenwood Drive 47 .24 - Office supplies (labels)
ID#
01 .08 .01 Joni Klaassen 1,700 .00-Postage 1,950 .11
CK# 2454 Glenwood Drive 48 .71 - Office supplies (paper, labels)
Des Moines, IA 50321 201 .40 - Printing fund-raiser invites
ID#
01 .10 .01 Domino's Pizza Food & Beverage for Volunteers 43 .00
CK# 1326 Grand Avenue
ID#
01 .13 .01 Econtributor .com Fee for on-line contributions through 9 .75
CK#
655 -15th Street NW website
ID#
CK#
ID#
CK#
SUB-TOTAL
TOTAL (if last page of this schedule)
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer
to Schedule G instructions and Iowa Code 56 .6(3)(1) .)
Page ' of
(for Schedule B)
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, Monetary
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev . 09/97) Expenditures
FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
U Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
01 .23 .01 Econtributor.com Fee for on-line contributions through $4 .00
CK#
ID#
01 .26.01 Iowa Cub Club Fund-raiser-food & beverage 1,587.78
cK#
350 SW 1St Street
ID#
02 .01 .01 Tom Tully Office supplies (toner, paper)
64 .20 - 314.93
cK#
318 - 51StStreet 250.75 - Fund-raiser (sound system ;
Des Moines, IA 50312 beverages)
ID#
02 .05 .01 Firstar Bank Bank service charge 18 .00
cK#
520 Walnut
ID#
02 .19.01 Starlite Village Hotel Reception 90 .00
CK#
929 - 3rd Street
ID#
02 .23.01 Carter Printing Fund-raiser: Invites 424 .00
CK#
1739 East Grand
ID#
02 .23.01 U.S. Cellular Cellular phone 49 .90
CK#
P.O. Box 0203
Palatine, IL 60055
ID#
02 .23.01 Qwest Communications Office phone 64 .38
CK#
Box 737
SUB-TOTAL
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
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 56 .6(3)(i) .)
Page
(for Schedule B)
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
SCHEDULE
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev. 09/97) Expenditures
DISCLOSURE BOARD.
0 Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
02.23 .01 Working Assets Office phone - long distance $5.49
CK#
P .O. Box 2024
Mechanicsbur , PA 17055
ID#
03.02.01 Joni Klaassen 58.99 - Postage 64.28
CK#
2454 Glenwood Drive 5.29 - Office supplies (tax forms)
ID#
03 .19.01 Qwest Communications Office phone 60.75
cK#
Box 737
ID#
03.19.01 Working Assets Office phone - long distance 14.07
cK#
P .O. Box 2024
ID#
03.23.01 Joni Klaassen 74.00 - Postage 379 .52
cK#
2454 Glenwood Drive 28.37 Office supplies
Des Moines, IA 50321 277.15 Reception
ID#
03.30.01 U.S. Cellular Cellular phone 46.44
CK#
P .O. Box 0203
Palatine, IL 60055
ID#
03 .30.01 System Dynamics Website services (Apr/May/Jun) 74.85
CK#
3340 Southdale Drive
Ames, IA 50010
ID#
04 .17.01 Jeff Mathias Office rent $200 .00
CK#
1300 Locust
SUB-TOTAL
Page
(for Schedule B)
SCHEDULE
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE Monetary
CANDIDATES,
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK
NUMBER (Rev . 09/97) Expenditures
DISCLOSURE BOARD.
O Check this box if
amending form
CANDIDATE
(MM/DDIYR) (if applicable) EXPENDITURE (Disbursement) WAS MADE EXPENDED
& PAC CHECK
NUMBER
ID#
04.20 .01 Working Assets Office phone - long distance $5.49
CK#
P.O . Box 2024
ID#
04 .20.01 U .S. Cellular Cellular phone 47.14
CK#
P .O. Box 0203
Palatine, IL 60055
ID#
04.20.01 Nest Communications Office phone 60 .00
CK#
Box 737
41h District Congressional Campaign
ID#
05.03.01 Committee 2 tickets for candidate & staff to attend 40.00
CK#
1274 - 651h Street event
West Des Moines, IA 50266
ID#
05.11 .01 Jeff Mathias Office rent $200 .00
cK#
1300 Locust
ID#
05 .22.01 U.S. Postmaster Postage 89.50
cK#
East DSM Station
ID#
05.29.01 U .S. Postmaster Postage 170 .00
CK#
East DSM Station
ID#
05.31 .01 U .S. Cellular Cellular phone 93.01
CK#
P.O. Box 0203
Palatine, IL 60055
SUB-TOTAL
Page of
(for Schedule B)
SCHEDULE
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE Monetary
CANDIDATES,
DISCLOSURE BOARD.
Q Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
05 .31 .01 Qwest Communications Office phone $60.65
CK#
Box 737
ID#
05.31 .01 Working Assets Office phone - long distance 5.49
CK#
P .O. Box 2024
ID#
06.05 .01 Joni Klaassen Food & beverage for volunteers 47.28
cK#
2454 Glenwood Drive
ID#
06 .11 .01 Jeff Mathias Office rent $200.00
cK#
1300 Locust
ID#
06.29.01 System Dynamics Website services (Jul/Aug/Sep) 74.85
cK#
Ames, IA 50010
ID#
06.29 .01 U .S. Postmaster Rent - p.o. box (6 months) 75 .00
cK#
East DSM Station
ID#
06.29 .01 Qwest Communications Office phone 61 .12
CK#
Box 737
ID#
06.29.01 U.S. Postmaster Postage 40.40
CK#
East DSM Station
SUB-TOTAL
Page 5 of
(for Schedule B)
SCHEDULE
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev. 09197) Expenditures
DISCLOSURE BOARD.
a Check thisbox if
amending form
CANDIDATE
(MM/DD/YR) (if applicable) EXPENDITURE (Disbursement) WAS MADE
EXPENDED
& PAC CHECK
NUMBER
ID#
07.03.01 U .S. Postmaster Postage 340.00
CK#
East DSM Station
ID#
07.19 .01 U .S. Postmaster Postage 168 .00
CK#
East DSM Station
ID#
07 .26 .01 Working Assets Office phone - long distance 17.03
cK#
P.O. Box 2024
ID#
07 .26 .01 Qwest Communications Office phone 33.78
cK#
Box 737
ID#
07.26.01 U .S. Cellular Cellular phone 45.35
cK#
P .O. Box 0203
Palatine, IL 60055
ID#
07.26 .01 Carter Printing Printing - business cards 50.88
cK#
1739 East Grand
ID#
07.26 .01 Darwin Designs T-shirts - "Team Culver' 272 .60
CK#
1105 Maple Street
ID#
07.26 .01 Tom Tully Volunteers - food & beverage 32.86
CK#
318 - 51 st Street
SUB-TOTAL s q60. so
Page of _I
(for Schedule B)
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, B Monetary
DISCLOSURE BOARD. 0 Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
07.26 .01 Polk County Democrats Contribution to county party $250 .00
CK#
P.O. Box 5102
ID#
07.27.01 Carter Printing Fund-raiser invites; envelopes 256 .52
CK#
1739 East Grand
ID#
70 .40 - Mileage (320 @ 22c)
07.27.01 Joni Klaassen 12.02 - Fund-raiser (photo processing) 341 .31
CK#
2454 Glenwood Drive 108.10 - Copying
Des Moines, IA 50321 150.79 - Office supplies labels
ID#
07 .27.01 Sprint PCS Cellular phone 453.15
CK#
P.O. Box 219718
Kansas City, MO 64121
ID#
07 .30.01 Econtributor .com Fee for on-line contributions through 52.50
CK#
655 -151h Street NW website
ID#
08 .06.01 Blank Golf Course Fund-raiser: green fees, food & beverage 1,217.20
CK#
County Line Road
ID#
08 .06.01 Kinko's Printing : campaign flyers 23.32
CK#
400 Locust
ID#
08.10.01 Chet Culver See ( on Sch B Attachment 5,195 .67
CK#
1217 -16th Street
SUB-TOTAL
Page -
7 of
(for Schedule B)
SCHEDULE
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, B Monetary
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK
NUMBER (Rev . 09/97) Expenditures
DISCLOSURE BOARD.
0 Check this box if
amending form
CANDIDATE
DATE EXPENDED ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE (DESCRIBE TRANSACTION)
(MM/DD/YR) AMOUNT
(if applicable) EXPENDITURE (Disbursement) WAS MADE
EXPENDED
& PAC CHECK
NUMBER
ID#
08.28.01 U .S. Postmaster Postage 238.00
CK#
East DSM Station
ID#
08.30 .01 U .S. Postmaster Permit for bulk mail 250.00
CK#
East DSM Station
ID#
08.30.01 Primary Source Fund-raiser- golf trinkets 428.62
CK#
8170 Hickman Road, Suite 5
ID#
09.05.01 Happy Joe's Pizza Volunteers - food & beverage 92.90
CK#
1402 E McKinley
ID#
09.06 .01 U .S. Postmaster Postage 1,031 .75
cK#
Main DSM Station
ID#
09.06 .01 U .S. Postmaster Postage 50.00
cK#
Main DSM Station
ID#
09.08.01 U.S. Cellular Cellular phone 150.12
cK#
P.O . Box 0203
Palatine, IL 60055
ID#
09.08.01 Nest Communications Office phone 117.15
CK#
Box 737
SUB-TOTAL
to Schedule G instructions and Iowa Code 56.6(3)(i) .)
Page
(for Schedule B)
DISCLOSURE BOARD. O Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
cK#
P.O. Box 2024
ID#
09.08.01 Roll Call Political magazine (6 month subscription) $132 .50
cK#
50 F Street NW, Suite 700
ID#
09.08 .01 Iowa Democratic Party Reimburse for payroll expenses 1,729.50
CK#
5661 Fleur Drive
ID#
CK#
East DSM Station
ID#
09 .20 .01 Tom Tully 158.18 - Fund-raiser (golf outing prizes) 213.87
CK#
318 - 51 It Street 12.25 - Volunteers - food & beverage
Des Moines, IA 50312 43.44 - Office su "M ~ "Y#er
ID#
09.20 .01 Communications Strategies & Services Consultant 2,500.00
CK#
2001 Rookwood Road
Silver Spring, MD 20910
ID#
09 .21 .01 Molly Clause Fund-raiser-printing 181 .26
CK#
1684 Mueller Lane
Winterset, IA 50273
ID#
CK#
East DSM Station
SUB-TOTAL
Page ~ of I If
(for Schedule B)
SCHEDULE
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR Monetary
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANDLEGISLATIVE CANDIDATES,
THE PAC CHECK NUMBER (Rev . 09/97) Expenditures
FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND
CAMPAIGN
DISCLOSURE BOARD.
O Check this box if
amending form
CANDIDATE
DATE EXPENDED ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE (DESCRIBE TRANSACTION)
(MM/DD/YR) (if applicable) AMOUNT
EXPENDITURE (Disbursement) WAS MADE
& PAC CHECK EXPENDED
NUMBER
ID#
09.22 .01 Dahls Postage 68.00
CK#
4121 Fleur Drive
ID# 81 .87 - Office supplies
09.24.01 Joni Klaassen 13 .63 - Photo processing $345 .96
cK#
2454 Glenwood Drive 46 .46 - Volunteers (food & beverage)
Des Moines, IA 50321 204 .00 - Postage
ID#
09.24 .01 Carter Printing Printing -direct mail letter ; envelopes; 1,383 .30
CK#
1739 East Grand campaign flyers
ID#
09 .24.01 System Dynamics Website services (Oct/Nov/Dec) 74 .85
CK#
Ames, IA 50010
ID#
09.24.01 Hunters Ridge Golf Course Fund-raiser: green fees, food & beverage 807.02
CK#
2901 Hunters Ridge Road
Marion, IA 52302
ID#
CK#
East DSM Station
ID#
10.12.01 Pratt Audio-Visual Fund-raiser - sound system 185.50
CK#
333 SW 91 h Street
ID#
10.12.01 Ann Clary Fund-raiser-food & beverage; 139 .86
CK#
495 South 5151 Street #21 decorations
SUB-TOTAL
to Schedule G instructions and Iowa Code 56.6(3)(i) .)
Page
(for Schedule B)
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, B Monetary
DISCLOSURE BOARD. U Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
10.15.01 Joni Klaassen Fund-raiser-food & beverage, 465.78
CK#
2454 Glenwood Drive decorations, paper for event program
ID#
10.17 .01 Big Daddy's Barbeque Fund-raiser-food & beverage $1,400 .00
CK#
1000 East 14th Street
ID#
10.17.01 Carter Printing Printing - fund-raiser invites 568.16
CK#
1739 East Grand
ID#
10.17.01 U .S. Cellular Cellular phone 44.17
CK#
P .O. Box 0203
Palatine, IL 60055
ID#
10.17.01 Qwest Communications Office phone 57.80
CK#
Box 737
ID#
CK# P .O. Box 2024
ID#
10 .17 .01 Iowa Democratic Party Food & beverage at reception following the $144 .00
cK#
5661 Fleur Drive annual democratic dinner
ID#
10.26.01 Eric Bakker 19.93 - Printing 78.21
CK#
300 Walnut Street, Box 114 50.00 -Volunteers (food & beverage)
Des Moines, IA 50309 8.28 - Fund-raiser camera
SUB-TOTAL
Page
(for Schedule B)
DISCLOSURE BOARD. 0 Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
11 .02.01 Drake Diner Luncheon - campaign planning meeting 26 .02
CK#
1111 - 25th Street
ID#
11 .07.01 Madison Enterprises Fund-raiser - rental for tables, chairs & tent $278 .25
CK#
915 East Hwy. 92
Winterset, IA 50273
10#
11 .14.01 Working Assets Office phone - long distance 33.36
CK#
P.O. Box 2024
ID#
11 .14.01 Qwest Communications Office phone 66 .35
CK#
Box 737
ID#
11 .14.01 U.S. Cellular Cellular phone 52.70
CK#
P.O . Box 0203
Palatine, IL 60055
ID#
11 .14.01 Terrace Hill Foundation Food & Beverage - breakfast for 38.64
CK#
2300 Grand Avenue candidate, Senator Dale Bumpers, and two
Des Moines, IA 50312 others
ID#
11 .15.01 U .S. Postmaster Postage 106.92
CK#
East DSM Station
ID#
11 .19.01 American Express Fund-raiser- Reception with special guest 515.51
CK#
Suite 0001 Senator Dale Bumpers
Chicago, IL 60679
SUB-TOTAL
.)
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions
(Refer
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.
Page of
(for Schedule B)
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev. 09/97) Expenditures
DISCLOSURE BOARD. U Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
11 .19 .01 Xpedite Systems Fund-raiser- paid phoning 159.06
CK#
135 S LaSalle, Dept 1268
Chicago, IL 60674
ID#
11 .21 .01 Brad Knott Consultant - reimbursement of travel $653.27
CK#
2001 Rookwood Road expenses (airline tickets in May &
Silver Spring, MD 20910 November; airport parking)
ID#
11 .28.01 Elif Catering Fund-raiser-food & beverage 3,189.20
CK#
9109 Seven Locks Road
Bethesda, MD 20817
ID#
12 .04.01 Breadeaux Pizza Volunteers - food & beverage 93 .23
CK#
2705 SW 9th Street
ID#
12 .04.01 Joni Klaassen Office supplies 71 .85
cK#
2454 Glenwood Drive Volunteers - food & beverage
ID#
12.04.01 Working Assets Office phone - long distance 23 .84
cK#
P.O. Box 2024
ID#
12 .04.01 Qwest Communications Office phone 59.34
CK#
Box 737
ID#
12 .04.01 U .S. Cellular Cellular phone 49.25
CK#
P .O. Box 0203
Palatine, IL 60055
SUB-TOTAL
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
Page
(for Schedule B)
SCHEDULE
LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER (Rev . 09197) Expenditures
DISCLOSURE BOARD. O Check this box if
amending form
CANDIDATE
& PAC CHECK
NUMBER
ID#
12 .04 .01 Senator Dale Bumpers Fund-raiser- airline ticket & taxi expense 1,013 .50
CK#
1050 Connecticut Avenue NW (special guest at event)
ID#
12 .05 .01 U .S. Postmaster Postage $800.00
CK#
Main DSM Station
ID#
12.14.01 U .S. Postmaster Postage 1,360.00
CK#
Main DSM Station
ID#
12 .17 .01 American Express Fund-raiser in Washington, DC - car rental 115 .17
CK#
Suite 0001
Chicago, IL 60679
ID#
12.17 .01 American Express Fund-raiser in Washington, DC - airline 388 .00
CK#
Suite 0001 tickets for candidate & spouse of candidate
Chicago, IL 60679
ID#
12.17 .01 Federal Express Overnight Mail 32.90
CK# S.W. 9th Street
ID#
CK#
East DSM Station
ID#
12 .31 .01 U.S. Postmaster Rent - p .o. box (6 months) 75 .00
CK#
East DSM Station
SUB-TOTAL
$3,9g3,671 -'
$41,530a
Page ~~ of Q
(for Schedule B)
2001 Reporting Period
Schedule B - Attachment for "DESCRIPTION"
08 .10 .01 Chet Culver $5,195.67
91 .78 Food - statewide travel for campaign

418 .00 Two airline tickets to Washington D.C . for fund-raiser (candidate & spouse)
97.67 Luncheon in D.C.
558 .00 Airline ticket for consultant to assist in production of commercials
312 .69 Mileage : 1489 @ 21 c - statewide travel
1,089 .29Lodging - statewide travel
99.48 food - statewide travel
14.50Postage
172 .04 Mileage : 782 @ 22c - statewide travel
355.0 Airline ticket to Washington D.C. for fund-raiser
479 .00 Airline ticket to Los Angeles, CA for Democratic National Convention
1,508 .22 Lodging in Los Angeles, CA for Democratic National Convention
FOR INSTRUCTIONS SE=BACK OF FORM SCHEDULE
INCURRED
COMMITTE= NAME ;Must be same as an Statement of Crganization) (Rev . 08/98) INDEBTEDNESS,
- i
j Che-4 Cam. I vt r Com miff CC_ f Cl CHECK THIS BO-
iF AMENDING
NOTE: Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obligations incurred in this period. FORM ,
An `incurred debt' is a debt br

DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE I7 ~y V received, but not paid for by the
end of the reporting period..
regardless ofwhether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDD/YR) TO WHOM DEBT OR OBLIGATION 1S OWED PURCHASED REPORTING
PERIOD"
7-16-9 Cl -)Cf C-t1 vlw

191 -1 - I (P f-h 5frect-
tiD 11
s ee 63
I `f $ ytIeS~ [X5 t"noinc5 ;
P- 17-1 Lo f`h Srtrta wash DG -for card ICICC~'~ r aa5.~'3

'~'~-raiser Cspe se,
~`~eS+ De5 f~'1o " /-1e5, Ifs ~oa~5 a-F carnd fda+G
_ ~ .-
P I-I'"-H'
Car - fcr Prl'h-hi
ID) reef mat' I letkr
t a - DI 173q EAsf- &r" l envelope-5 '751, 5y
5 rrtoineS (~ 5b31
carfec-
t -0i 1~3°! East Grar\d lda.h~, Card 1,706,(o0
S hro irle S I ~ 5U 31 LP uive7ope5 .
' J-Uhn Cu I vE,v' Food E. ouei-gz

~a_pl 5~oq 5 f~~ler 750, 00
a -fund-r'a,iS~' ~°6-1-ima-Fecf .
~Sdci , i~ D ;o8 l Cv
Chet Ct.) Vc i-
a.- ched
a10oi ga d 7 - / b~ 5Mec t
hdeSf- De s IM incS, /)9 5oa~ 5 1-em
SUB-TOTAL
wa yoAA1 4e-d) ~oe \ Y) 11 }1,0~ VJT
nun \okev, C~ ~ I Cr
TOTAL DEBTS OWED BY COMMITTEE AT THE END OFTHIS REPORTING PERIOD
5,&~$, 3
"If actual figure is unknown, show 'estimated' beside the figure. Page ---L- of / -
(for Schedule D)
CANDIDATE COMMITTEES NOTE:

'Incurred indebtedness also includes each person/entity with whom the canddaWs committee has entered into a contact during the reporting period forfuture
or continuing performance . Enterthe name of the consultant who provides or procures services for itemssuch as advertising, fund-raising, polling, rnanagkng,
or organizing services. Report on Schedule C- the nature of performance and the estimated performance reasonably expected of the consultant
2001 Reporting Period
Schedule D - Attachment for "DESCRIPTION"
O $1,025 .63
141 .35 Food - statewide travel for campaign
392.54 Lodging - statewide travel for campaign
225 .43 Airline ticket to Washington DC for fund-raiser
32.90 Luncheon in DC
210.30 Home office phone line for FAX & long distance (separate phone
line for campaign use only)
23 .11 Postage
$1,219 .16
309.93 Food - campaign meetings in Washington DC for campaign
54.00 Travel - taxi fee for meetings in Washington DC for campaign
572.75 Home office phone line for FAX & long distance (separate phone
line for campaign use only)
282.48 Mileage (1,284 x 22c) - statewide travel for campaign
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE 1
I= IN KIND
COMMITTEE NAME ,Mustbe same as on Statementof Organization) (Rev . 06/97) CONTRIBUTIONS
Cbmmi
[] CHECK THIS BOX IF
AMENDING FORM
DATE RELATIONSHIP DESCRIPTION ESTIMATED ,i IF FOR F

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDD/YR) OF CONTRIBUTOR (if applicable) CONTRIBUTION
- VALUE CONTRIBUTION
_ag_ai ciaast p~cora~'tsn,
~'tsn,~
of 1(,g t~ ynu,ell ~- 14i-)r- ._ &r f t)nd- r~+se 30,00
w+nter5 t-, //q 56-- ?73
Ol-a5-DI 1 ~">cr,n -Street _. aril f-60 fa-r Z/5, oa

ma kWe// I
I A .~'OICvt {ti+nd-ra?W
k561 Carn6ro rN
., Pri Ze6 far
D~-03 01 01~aa N ho I40~ Sfreefi _ aoa, oo
C-il'~ EH 6D3,;2 5 % -ra
i3rwce 12a5fc+fcr Food f0r

to-Iy.-oi l6Ltq i hWy q91 - tvr~d-r~u'se-~' L111' oo ~
p(i~l~ , 1'q 'S0000
5an --Atlas -TbKr, Hcarri r Of1rGG ,
SUIV-Dnc. 1300 (Ooust 177Q. ~fo0~ 00
9-Do I D&5 mo i t,-'S, 1,9 ~ 3 09 9 men5~' o
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of
committee. Relationship must be shown to the third 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.
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
G BREAKDOWN
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY OF MONETARY
(Rev . 02/96) EXPENDITURES
BY CONSULTANT
COMMITTEE NAME(Must be same as on Statement of Organization) [71 CHECK THIS BOX IF

AMENDING FORM
cl \e~/_ Clc! w C0M m +tC___

PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT
TO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART I - NAME AND ADDRESS OF CONSULTANT reported on Schedule B, as they are direct payment from the consultant.)
ara6( le-tI&lt-
Name of Consultant DATE
EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
C6MYr>Urnl'Cafr'e-n_5 Sfra y_b
"f',
F 5fr vic,-_5 MM/DD/YR (Disbursement) WAS MADE PURPOSE EXPENDED
Mailing Address
v?OCI P-6044,100-4 2oa4

City State Zip Code
sjl ver 5pk l'r).9 A7 0?o9/b
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MM/DD/YR) PERFORMANCE
From di - ol "' 0/ 'p )u5i-aLCl

$ , 500~Ob fo53, 7,~
To
ESTIMATES OF PERFORMANCE
de'IOP ~' t,rn!1 PIG -n

Gori`fG -two SUB-TOTAL
GUrcct /r)&''/ pfCGe5 ; a55iSf wi 'h

TOTAL (If last page of this schedule)
Ca tei fxr4Y4-n m~ehn'f 5 " cor)5"Jf b v A hors
(for Schedule G)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H

I
CAMPAIGN
(Rev. 02/96) PROPERTY
COMMITTEE NAME (Must be same as on Statement of Organization) ATTACH SCHEDULE H TO
Cj-1c~F
EACH REPORT, MAKING
C'u-/ vtr Commt`I
TT-
Ce. CHANGES AS REQUIRED.
CHECK THIS BOX IF

PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY ** AMENDING FORM
Date Purchased
(Schedule B) Purchase Current
or Date Received Description of Property Price or Est. Value at Fair Date Name and Address of Purchaser/Donee Description of Property Sold? Sale Value of
(Schedule E) Value When Market This (MM/DD/YR) YIN Price Donation
MM/DD/YR Acquired* Report
zoo
POTHumcmPuti"
Le77, o
af ,U'q -r
ID
(v.; ,
TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT~,~'/ 77 `* PROPERTY SALES & TRANSFERS TOTAL TOTALS $ $
(TRANSFER TO SUMMARY PAGE) $ JCO (TRANSFER TO SUMMARY PAGE) $
* If estimated, show BSL beside figure .

Pages (Attach Additional Schedules if Needed) Page -_L of _.-_ ~
(For Schedule H)
GQAfwm r m.v ~"""""""" pear ~ awm ~a twr amorrmnf OI t,Mgl/rglDCXi/
(Rev. OZIAh INDEBTEDNESS
CHEOK THIS BOX

NOTE: Debts previously reported that remain unpaid must be inducted on this IF AMENDING
Schedule, as well as any new obligations incurred in this period . FORM
DEBTS/OBLIGATIONS REMAI N THIS REPORTING PERIOD An 'incurred debt" is a debt for

goods or services ordered or
(DO NOT INCLUDE LOANS;='.SFj LOANS ON SCHEDULE F) received . but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has l'- n received .
DATE b BALANCE OWE D AT
INCURRED Tie E AND ADDRESS OF PERSON
(MM/DD/YR) CLOSE OF --^
OM DEBT OR 08LIGATION IS OWED
REPORTING
PERIOD'
t
i flirlire ~~kzr
(v(~`6 1a17 - ICn~h Si-
o~oZ~Jr ~l3
4\c5- 1A 50 a~
DSm SU-~ .p ~: Imo.
-7-15-q8 Cht° t- mileage-)
CC- .-I Travel l (ho
-to JA i-= 1 Utrl pl,ehes ; M), Sic . /`7, 91SJ~
1`' -I
q
q5
-' Vj :St- D5/-V\ 1Pr 50aCo5 ; $ l, o .25, L3 6
73 %~P0
CV-If -rCic(VCY' (i0Gm

;xR1A 3i y)
-Lava
1A1 -7- 10.5 -1- `-
l~-31_cB
1AJe5f- D5M 1A 5oa(a 5 - --
CCt.Vf~i' PYI'nf1y ( rtLid~c(.( PLI~ '~~ Il1Vi'f-t°_S ~ 00o .00

i ~- acco 7 -39 C- Gvah( A-VIC,
"C l
- 1- CFI,~h~t,rcJstr) -
PSfi'"'~t f ~_L
DS hi l 1 A 5031 eo 1 a p ~ ~i
It Jbnr' kiaC~ss2r-~ orh'0e

IA- AU00 9L15q G 1enVLVVC( g, 5 7 `
I' 0 stz~c
h5,m l in 5D3a1
i/a PLC
Sohh C(Al vtr

lr2:r-It- fox -
yc.1~. nscs l a-~o0
is- a~ac (oJo ct~nt1~r .>ti%c~7- > '~ N vJ
Fu K)cLVc.Li5er~
WaShin ' DG- aoo36 P,5ma+e4 \~
/ Pa
Slyly -tc Cir~f- ad v r' ICc9e, (~ $ °?x aa) ~i 7,~ry a, 5-AW (P

CYIi lR1 -7-
It'.of-1-. St- 6Z~r1ink i1 che/S - '
dzw ak'5+ DStyl I A 50D(o5 trcttr/ =t--_1-
to P A
UB-TOTAL S ,
g, 5q 5,'3o
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S
'If actual figure is unknown, show'estimated' beside the figure . Page / of

JAN 1 4 2002 (for Schedule D)
CANDIDATE COMMITTEES NOTE:

Incurred indebtedness also includes each persoNenfty with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising. fund-raising. polling. managing .
or organizing services . Report on Schedule G the nature of performance and t estimated performance ressonsbty expected of the consultant .

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FOR INSTRUCTIONS .

SEE BACK OF FORM FORM

For Offir3 Use Ort1Lr .

IMPORTANT: Indicate type of committee you are reporting for: Comm. #

CANDIDATE COMMITTEES ONLY:

Office Sought District (if Senate or House)

STATEMENT OF CASH ON HAND

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

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

ID # Hon. Stanley L. Greigg

`7-r6-9 Gi~ef- C.f~Jver'

'4 yes+ ve5 M01nc5 t 6~t soat~ r+e~ O

1~1 reel- rrcu' 1 letl -er'

CC~r~N P('IY~ J PYiYrJ'T J~ '"

Ghef Ca l VC r `rbi, tztfat:hed

I COMMl3'TEE NAME ;Must be same as on Statement of Organization)

CHECK THIS BOX IF

9-OD I f.-5 Mo s tv_

r74i(.d Barroa45 nrl Yom. .- f&-Sworxrfn; ~o,o~o .oo

IMPORTANT: Indicate type of committee you are reporting for:

CANDIDATE COMMITTEES ONLY :

`51_-~-,_-) yL/,51G7 /- 17-6%~

STATEMENT OF CASH ON HAND

C0mmI C,~ 01-i t ) V~r- I ( vc'

IMPORTANT: Indicate type of committee you are reporting for: I Comm. #

CANDIDATE COMMITTEES ONLY :

Candidate Name Political Party

5ecreff&r*of Sf-a fi'

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

STATEMENT OF CASH ON HAND

ADD TOTAL MONEY TAKEN IN THIS PERIOD

CANDIDATE COMMITTEES ONLY:

CONSULTANT BREAKDOWN (Schedule G Attached?) _V/YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ G:-7 7, -q Q

TOTAL (if last page of

ID # Doris Jean Newlin

TOTAL (if last page of

ID # Hon. Mary P . Bukta

ID # Hon. Michael Gronstal

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) Receipts

Chet Culver Committee 0 Check this box if

TOTAL (if last page of

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) Receipts

Chet Culver Committee 0 Check this box if

ID # Hon . Marcella Frevert

ID # Stephanie Glenn Techau

ID # Mary Pat Gregerson

ID # Kathryn Wagner Wallace

TOTAL (if last page of $,

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97) Receipts

Chet Culver Committee 0 Check this box if

ID # Richard (Red) Brannan

ID # CCC PASS THE HAT

SUB-TOTAL $56,0 .00

TOTAL (if last page of $

ID # Hon. William A. Dotzler

ID # Hon. Steven L. Falck

TOTAL (if last page of

ID # Hon. Jane Greimann

ID # Ann Holden Kendell

TOTAL (if last page of $,

Chet Culver Committee 0 Check this box if

ID # Dr. Robert C Margeas