FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
i Office Use only
IOWA FARMERS UNION PAC Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for. togged In VIW
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )S , (,3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate (
Computer
1

Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board.or~o}iermi

Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties.

-7 - 14 _6
S1
E -47 18
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

7-19-2005
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by # R

Local Committees, enter Date of Election

FICHECK IF AMENDMENT TO REPORT DATED

F1 Check if this is final (tennination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed.) .. ..... ... ..... ..... ..... ..... .... $ 250.00

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . ..... .... 115.00
Schedule F: Loans Received total (Attach Schedule F) . ... .. ..... ..... ..... ..... ..... ..... ..... ..... ..... ... .
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ... .. ... .. ... ..... ..... ..... ..... .
ISchedule H applies to Candidates' Committees Only)
SUB-TOTAL ..... $ 365 .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .... 245 .00
Schedule F: Loan Repayments total (Attach Schedule F) .. ..... .... . .. ... .. ... .. ... .. ... ..... .... . ..... .....
CASH ON HAND at the end of this reporting period (if final report balance must
120.00
be zero) (Attach DR-3) ..... ... .. . .. .. . .. .. . .. ... .. ... .. ... .. .. . .... . . .. . ... .. . . . .. .. . .. ... . . ... ... . . .. ..... ..... . .... ..... ...... $

**UNPAID BILLS (From Schedule D - Attach Schedule D) ..... ..... .... . .. ... .. ... .... . .... . .. .. . ..... .. ... ..... ..... ..:.. $
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. ... ..... ..... ..... .. ... .......... .. ... ..... .. $
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .... .. ... ..... .. ... ..... .. ... .. ... .. ... ..... ..... .. $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPE#f (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Forrn SCHEDULE

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

IOWA FARMERS UNION PAC

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

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

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 9718
Chris Peterson
03/01/05 7645 180th St. $20'00
CK#
Clear Lake, IA 50428

E~]
ID#
9718 M/M Clarence E. Lohff
03/01/05 528 So. Kiel St. 50 .00
CK#
Holstein, IA 51025

El
ID#
9718 Wallace & Irene Kreimeyer
03/01/05 CK# 2360 Vine Ave . 25 .00
Dou he ,IA 50433-7512

El
ID#
9718 James L. or Marilyn Murphy
03/O1/OS 1925 SE 82nd St . 20 .00
CK#
Runnells, IA 50237

Ej
ID#

CK#

E]
ID#

CK#

El
ID#

CK#

CK#

ID# - . El-
CK#

ID#

CK#

SUB-TOTAL

TOTAL (ff last~ of this schedule) 1 $ 115.00

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

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 07/03)
MONETARY
EXPENDITURES

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

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

IOWA FARMERS UNION PAC
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
IOWA FARMERS UNION reimburse for cost of postage for
01/03/05 O BOX 8988 membership mailing $ 245.00
CK#0101 MES,IA 50014-8988

I D#

CK#

1D#

CK#

I D#

CK#

1D#

CK#

1D#

CK#

ID#

CK#

I D#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ 245 .00

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i) .)

(for Schedule B)