FOR INSTRUCTIONS, SEE BACK OF FORM FORM ] DISCLOSURE SUMMARY PAGE DR-2__| oisc.osune [COMMITTEE NAME (tit bo samme as on Statement of Organization) (Rev. 0772005)] _ReFORT PETTENGILL FOR IOWANS oom SOT. 7 Logged ae IMPORTANT: Indicate type of committe you are reporting for Sitewide oiiatve Cancdalo (2 Statewide PAC (9 Stale Party (4 JCountyoca Canddate (5 JoountyPAC {6 Bar lsuerancise Commitoe (7 Jooumyreny Cena Commins [CANDIDATE COMMITTEES ONLY: [Candidate Name Political Party DAWNPETTENGILL DEMOCRATIC orice Sought District (i Senate or House) ‘STATE REPRESENTATIVE 39 BI4-415-2237 ‘OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED Late filed reports are subject to possible civil and criminal penalti ‘SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: Lam FiLing a MAY 19, 2004 REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR. (port date) Ineicate one [1 [CHECK IF AMENDMENT TO REPORT DATED cal Comitines, enter Date of Eedon 1D Check itis is final (termination) report and attach Notice of Dissolution Form OR-3, | Gbunly & Local Commies, ener Coury in (You must continue to fie reports uni a Notice of Dissolution is led.) ich lection shold —_——— STATEMENT OF CASH ON HAND ‘CASH ON HAND atthe beginning ofthe reporting period. (This is the total of all monies held by the committee. ‘This amount MUST be the same as the cash on hand atthe end: 0 ‘ofthe last reporting period, or must be zoro if this s fst report fled.) s 2 ‘ADO TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also see in-kind below) ‘Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H).. {Schedule H applies to Candidates’ Committees Only) ‘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 (final report, balance must 'be zero) (Attach DR-2). “UNPAID BILLS (From Schedule D - Atach Schedule D). “IN KIND CONTRIBUTIONS (From Schedule E- Attach Schedule E} “OUTSTANDING LOANS (From Schedule F- Altach Schedule F).. (CANDIDATE COMMITTEES ONLY: ‘CONSULTANT BREAKDOWN (Schedule G Atached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) QuFor Instructions, See Back of Form [SCHEDULE A MONETARY (Rev.0703) | RECEIPTS CONTRIBUTIONS ~ MONEY TAKEN IN (rte candidates personal onde) D0 coeck mas 80x iF ‘COMMITTEE NAME (lust be same as on Slatement of Organization) [AMENDING FORM PETTENGILL FOR IOWANS [STATE CANDIDATES NOTE: iF A CONTRIBUTION S RECEMED FROM A STATE PAC POLITICAL ACTION COMMITTEE) LST THE PAC IDENTIFICATION [NUMBER AND The PAC CHECK NUMBER INTHE DESIGNATED COLUMN, MLIGT OF ID NUMBERS Ie AVARABLE PROMI IOWA EVAGS AND COMEEON BiBcLOSURE BONS CAUTION: Section 688.324(6), towa Code, prohibits the use of information copied from reports and statements for soliciting contributions or {or any commercial purpose by any person other than statutory politcal commits. FACTO NUMBER "NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP] AMOUNT] TTFFOR i applicable) Tocanooare: | ReceWED | “FUND ‘AND PAC CHECK (Wt applicable) RAISER ‘NUMBER INCOME. JAMES BELL 0271372004 (607-1ST STREET NE. OELWEIN, 1A 50662 LEICOX 408 W. 8TH STREET VINTON, 14 52349 LOLA BOSSLER PO BOX 263 VAN HORNE, IA 52346 YVONNE SUTTLE 03/05/2004 3655 SOUTH 50 E LEBANON, IN 46052 ED TILFORD 4555 CRAMER ROAD MARTINSVILLLE, IN 46151 GLEN RAMMELSBERG PO BOX 13 BLAIRSTOWN, IA 52209 ‘CAROL ZANDER 02/22/2004 2060 - SOTH STREET DRIVE. MT. AUBURN, 1A 52313 GENE DAVIS. 216 RIVERVIEW DRIVE, VINTON, IA $2349 SCOTT WANDSCHNEIDER 801 LINCOLN DRIVE LAPORTE CITY, 1A $0651 JIM DAILY 1508 - 4TH AVENUE, BELLE PLAINE, IA 52208 + Disciosure aw requires candle commits to icone th relationship of ny rlave making» contrition he ‘commie. Felatoneip must be shown to be tes degre of consanguiny (be relatives) and ae ates Oy 1 ‘mariage)._If surname of contbtr i the same ae candidate, bu thee fe no fami reiatonship, enter “ot applesbe" in te relationship coumFor Instructions, See Back of Form [SCHEDULE — A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN (rev. 0700) | “RECEITS (cling candidates personal unde) [COMMITTEE NAME (ttust be same as on Sialoment of Orgs PETTENGILL FOR IOWANS CO creck THis Box iF AMENDING FORM [STATE CANDIDATES NOTE: (FA CONTRIBUTION |S RECENVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTEEICATION [NUMBER AND THE PAC CHECK HUMBER INTHE DESIGNATED COLUM. RUST OF 1D NUMBERS Is AVALABLE POM THE IOWA ENC AND COMUOSGN DigcLOsURE BOAR CAUTION: Section 658.326), lowa Code, prohibits the use of information copied from reperts and statements for solictng contbutions or for any commercial purpose by any person other than statutory pliteal commits, FACTO NOWEER "NAME AND ADDRESS OF CONTRISUTOR FETATONSHIP | AMOUNT ( appleabi) TOCANOIDATE” | RECEIVED ‘AND PAC CHECK (i appicable) NUMBER DUANE ELDRED 02/11/2008 BOX 126 511 CENTER AVE, URBANA, TA 52345 ‘CARLTON MCCORD 298 W. PINE STREET MARENGO, 1A 52301 RON DONALD 02/26/2004 104 ELM STREET VAN HORNE, 1A 52346 JOYCE KRANZ 2732 67TH STREET ‘NEWHALL, IA 52315 GARY EDWARDS 02/26/2004 1689 108TH STREET MARENGO, 1A 52301 JUDITH PURDIN 2403 160TH STREET MARENGO, IA 52301 MARY OBRIEN 02/26/2004 506 6TH STREET VAN HORNE, IA. 2346 MIKKI MESSERSCHMIDT PO BOX 115 NEW HARTFORD, IA 50660 JERRY MICHAEL 2645 DEER RUN DRIVE URBANA, TA 5265 BERNIECE SCHWARTZ, 603 W. 8TH STREET VINTON, 1A 52349 aoe ‘TOTAL (if last page of this schedule) [| + Dlaoaur lew requices candidat commitass odalose the relationship of any eave making a cont buon tthe commie. Relationship must be shown fo fe tired degre of coraanguaty (bod ratves) and aly (atves by 2 ‘marrage)._feureame of cotrbutr is he same ae candidate, ut there WO familial relationship, enter net applicable inte retatonship coker.For instructions, See Back of Form CONTRIBUTIONS ~- MONEY TAKEN IN (inluing candidate's personal unde) Commamed [>< PETTENGILL FOR IOWANS [COMMITTEE NAME (Must be same as on Statoment of Organization) [SCHEDULE MONETARY (Rev. 0703) | RECEIPTS O check ths 80x iF [AMENDING FORM [STATE CANDIDATES NOTE: i A CONTRIBUTION 8 RECENVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION [NUMBER AND THE PAC CHECK NUMBER INTHE DESIGHATED COLUMN. RLIST OF ID NUMBERS is AVATABLE PROM THE OWA ETM AND CMON DBiseLosuRe BOARD, CAUTION: Section 658.326), lowa Code, prohibits the use of information copied rom reperts and statements for solicting contributions or for any commercial purpose by any person ther than statutory polital commites, DATE RECEIVED anwoorvR) PACTONOWEER (t appicable [AND PAC CHECK NUMBER (OF KERRI POWELL 022672004 323 - 3RD STREET WASHBURN, IA 30706 FECATONSHIP | AMOUNT TOCANDIDATE: | RECEIVED | “UNO” ‘i appcable) RASSER $10.00 v 02/26/2004 EMILY KNEPPER. 1126 TIFFANY PLACE WATERLOO, 14 50701 25.00 v 022672004 NEWHAl MARTHA GRAF 273267TH STREET IA 52315 25.00 v oF 02262004 | oxy BOX 106 SHIRLEY ARTHUR MOUNT AUBURN, IA $2313 25.00 v iF 02262004 | cKy ROSEMARY SCHWARTZ 603 W. 8TH STREET VINTON, TA 52349 DF PASS THE HAT AT FUNDRAISER 02262008 | cx NO ONE PERSON OVER 10.00 86.00 e CJ LYNN ARTHUR 5 03/03/2004 BOX 106 200 on MOUNT AUBURN, 1A 52313 Ld DONALD PERDIEW osvowa 2883 W. BEELINE ROAD 50.00 eae Ae SALEM, IN 47167 a JIM KIRK 03/01/2004 | cx (224TH AVENUE 100.00 DF DICK SCHOONOVER oxoan006 | cxe 107 EAST 21ST STREET anol + Disclosure aw rules caniae commits lo close th elatonehipof any teave making a contrbuton tothe ‘commies. Relatontup must be shown he this ogres of consangumty (ood relies) and sity (elas by 3 surname of contours the same as candidat, bu ore eno mrariogs). VINTON, TA $2349 TOTAL (iflast page of this schedule) {amillreiasonshp, err “hot aplicabe” nthe relationship cok, ‘SUB-TOTALFor Instructions, See Back of Form [Here Pereree A__| wonerary CONTRIBUTIONS ~ MONEY TAKEN IN cae ||aneneere (tnctaing candidates personal unde) CO check THis 80x iF [COMMITTEE NAME (Must bo samo as on Statement of Organization) [AMENDING FORM PETTENGILL FOR IOWANS [STATE CANDIDATES NOTE: If A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LST THE PAC IDENTIICATION [NUMBER ANO THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. ALIST OF IONUMBERG Is AVALABLE PROM HE IOWA ETOCS AND COUMOON DISCLOSURE BOARS. CAUTION: Section 688.324(6), Iowa Code, profibits 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 PAGO NOMGER THANE AND ADDRESS OF CONTREUTOR RELATIONSHIP] AMOUNT RECEIVED |" (happlicabe) TOCANODATE: | RECEIVED (umporn) | ano PAC CHECK (W applicable) ‘NUMBER ‘SANDY HAMILTON 1107 A AVENUE VINTON, TA 52349 ‘STEVE LUCAS 1401 B AVENUE VINTON, 14 52349 PAT MILNE 03/03/2004 211 RIVERVIEW DRIVE VINTON, 1A 52349. STEVE KRANZ 2732 67TH STREET ‘NEWHALL, IA $2315 GALEN PETTENGILL. 1107 JACKSON STREET BROTHER IN1| LAPORTE CITY, IA 50651 LAWRENCE SCHMIDT 3241 SIST STREET 09132008 WALKER, IA. $2352 RICHARD GROVERT 2719-68TH STREET NEWHALL, TA 52315 CAROL ZANDER 2060 SOTH STREET DRIVE MOUNT AUBURN, IA 52313 SHIRLEY PERDIEW 8010 NAVIOS DRIVE SE HUNTSVILLE, AL 35802 MARY P. BUKTA 604 S, 32ND STREET CLINTON, IA 52732 + Dacosure iw roquies candidate commie to daclose the eionship of any eave making & contribution tothe emmie. Relationship must be shown to fe the depres of corsanguniy (bod atves) and aint (relates By 4 mariage). tfeurame of contour i he same ae candle, bt tere fs nO {ail relationship, enter “no appcable” in the rlatonshipFor instructions, See Back of Form ‘CONTRIBUTIONS ~ MONEY TAKEN IN (incting cnet’ persona fans) A ‘COMMITTEE NAME (Must be same a6-on Slatoment of Organization) PETTI L FOR IOWANS MONETARY (Rov. 0703) | _ RECEWTS CO creck THis 80x iF [AMENDING FORM STATE CANDIDATES. NOTE: IF CONTRIBUTION 'S RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) LIST THE PAC IDENTEICATION NOWBER ANG ME FAC CMEC HUMEER IN THE DESKNATED COLUMN. ALIGT OF 10 MIMDERS is AVALABLE PROM THE IIA ESPNS AND CRMPAGN CAUTION: Section 688.324(0), 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 polical committees, 05/03/2004 DATE FACTO NUMGER receiveo | "Wt applcabe) qomupore) | AND PAC CHECK NUMBER. RANDY BRADEN| 102 SCENIC DRIVE VINTON, 1A $2349, RELATIONSHIP] AMOUNT TOCaNoDATE: | RECENED (i appicable) RAISER $25.00 04/3002004 LINDA LANGSTON, 4257 SUNLAND CT SE CEDAR RAPIDS, TA 52403, 25.00 04292004 ce MARY OBRIEN 506 6TH STREET VAN HORNE, IA. 52346 25.00 a DAN SCHULTE. ovs02004 | cxe To3Rb STREET 2500 WATKINS, TA. 52354 r BURTWIN DAY owre004 | ox BOX 293 soo NORWAY, TA 52318 (or CARLTON MCCORD 298 W. PINE STREET 100.00 oe Co MARENGO, IA 52301 bad JEFF HOFFMAN 51062004 | cxe 1401 WICKFORD PLACE 100.00 HURON, Off #4829 L_J 108 MARY SCHOONOVER lemme te MINTO, TA 39 and ee CHARLOTTA TOTH-FISHER osiox2004 | cxe 2240 SIST STREET 10.00 MOUNT AUBURN, IA 52313, 05/10/2004 CHAD TURNER I815 IOWA STREET CEDAR FALLS, IA 50613, + Discos lw requires canst commie to cslose the relsonshipof any reatve making a contribution tothe commie. Relaonship must be shewn fof hrs depres of corsangunty (ood relabves) and aint (eaves By traroge). fsurame of contour fs he sare ae candidate, bu tere leno {amit reitonstip, enter “pet applcable”n the relationship calm, PogeFor Instructions, See Back of Form (eee PEE A__| monetary CONTRIBUTIONS ~ MONEY TAKEN IN (Rev. 073) | _ RECEIPTS (tnctaing caredate's personal urs) O ctteck Tis 80x .F (COMMITTEE NAME (Must be same as on Satoment of Organization) AMENDING FORM PETTENGILL FOR IOWANS STATE CANDIDATES NOTE: IF A CONTRBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMITTES) LIST THE PAC IDENTIFICATION NUMBER AND THE PAC ChEGk NUMER IV THE DCSIGNATED COLUMN. AIST OF 10 NUMBERS Ig AVAILABLE FROM THE IOWA ETVACS AND CAMPAIGN Disease Boned CAUTION: Section 688.324(6), Iowa Code, prohibits the use of information copied from reports and statements for soltng contbutons or for any commercial purpose by any person other than statutory politcal commities. DATE PRCTONUNGER THAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP] AMOUNT | VIF FOR receiveo | ” (Vappleabe) Tocanowware’ | Receveo | “FUND. (MOOR) | AND PAC CHECK (appliable) RAISER NUMBER INCOME (Oo ELAINE HARRINGTON 057102008 | ey 2735- 77TH STREET DRIVE $3000 Loe WATKINS, IA 52354 oe) DOROTHY ANTHONY s/1072004 | cx 1203 - 2ND AVENUE 5000 VINTON, TA 52349 Ts DICK SCHOONOVER o2oa2004 | cxe 107, 21ST STREET 100.00 VINTON, TA. 52349 i ‘SHIRLEY PERDIEW 192004 | cx 8010 NAVIOS DRIVE SE Moracr — | 100.00 HUNTSVILLE, AL 35802 Lt oF Wo IOWA COMMITTEE ON POLITICAL asno200s | cx Jay) | EDUCATION 200.0 2000 WALKER, SUITE A LJ ‘SUB-TOTAL ‘TOTAL (ifiast page of this schedule) + Disclosure aw rogues cance commits to close the rettonshp of any relatve making a conus ote ‘ommitee. Relatoneip mute shown l tbe thea ogres of consanguinity (ood relates) and ay (elatves Oy 6 6 ‘mariage)_ If surame of contrbuter isthe same as candidate, bu there is no Boge teeee gf eae {mia reiatonship,entr "ot applicable" nthe eltonahip ook, (er Schoaue®)FOR INSTRUCTIONS, SEE BAGK OF FORM (ete) scrcoue B MONETARY EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT cosas ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES. LIST THE CANDIDATE IDENTIFICATION NUMER IN THE DESIGNATED COLUMN ANO THE OF cueck THs 80x iF AC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROMTHE IOWA ‘AMENDING FORM [ETHICS & CAMPAIGN DISCLOSURE BOARD, [COMMITTEE NAME (Must be same as on Statement of Organization) PETTENGILL FOR IOWANS "SANDONTE” NAME AND ADORESS TO WHOM PURPOSE TOON pate 'ONUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED EXPENDED | Gf ppicable) (Disbursemeni) WAS MADE "AND PAC ‘CHECK NUMBER DAWN PETTENGILL FOOD FOR FUNDRAISER BOX 76 (OUNT AUBURN, IA 52313 |ENTON CO, HISTORICAL, HALL RENTAL FOR FUNDRAISER IETY 1B MOEN JOWA DEMOCRATIC PARTY VOTER ACTIVATION NETWORK 408 LOCUST ACCESS DES MOINES, IA 50309 SER TOTAL (iflast page of this schedule) | § 379.64 [THIS BOX APPLIES TO CANDIDATES" COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be entered on Schedule H, (Refer o Schedule H instructions ) Expendtures to personsientiies providing consulting, advertising, undaising, poling, managing, orgarizng srvcws must also be deta temized on Schedule by the amount purpose, and date of each type ofexpendtura made by te personvonty on bohal ofthe candidate's commit. (Refer to [Schodule G nstrutons and ova Code €8A 402(34)) Page)FOR INSTRUCTIONS, SEE BACK OF FORM [COMMITTEE NAME (ust bo samo as on Staleman! of Organiaion) PETTENGILL FOR IOWANS DATE RECEIVED (MMIDDER) 271072004 FETATIONSHP | DESCRIPTION NAME AND ADDRESS TOCANDIDATE | “OF INKIND. (OF CONTRIBUTOR. “ti appicable) | CONTRIBUTION. DAWN PETTENGILL BOX 76 MT AUBURN, IA 52313 POSTAGE FOR FUNDRAISER INVITES [SCHEDULE E KIND, (Rev. 06/97 CONTRIBUTIONS I) CHECK THIS BOX IF AMENDING FORM ESTIMATED FOR FAIR MARKET | FUND-RAISER VALUE | CONTRIBUTION, 022672004 "ANDY LUKE 1201 BISHOP AVENUE LAPORTE CITY, 1A 50651 (CHEESE FOR FUNDRAISER 45.00 ov272004 DAWN PETTENGILL BOX 76 MT AUBURN, IA 52313 CAMPAIGN PHOTOS 21.39 02/26/2004 DEBBIE WILSON 3427 7TH AVENUE LAPORTE CITY, 1A 50651 FOOD FOR FUNDRAISER 51.00 03/12/2004 DAWN PETTENGILL BOX 76 MT AUBURN, IA 52313 ‘STAMPS FOR FUND RAISING LETTER 37.00 04/08/2004 JENNIFER LOVE ‘THIRD STREET LAPORTE CITY, 1A. 50681 MAILING LABELS 26.99 4/16/2004 DAWN PETTENGILL BOX 76 ‘MT AUBURN, 1A 52313 NAMETAG, STAMP, ENVELOPES: 4128 04/21/2004 DAWN PETTENGILL BOX 75 MT AUBURN, IA 50651 ‘ADVERTISEMEN T, HAWKEYE LABOR 30.00 0473002004 DAWN PETTENGILL, BOX 76 MT. AUBURN, IA $0651 ‘STAMPS FUNDRAISING LETTER 37.00 “Disclosure law requies candidates to disciose the relationship of any relative making an in kind contribution tothe ‘commitee. Relationship must be shown tothe Hird degree of consanguinity flood rlalives) and any (eatves by mariage). (Soe Page 2 of forms packet) I sumame of conto’ sth same as carla, but {ama relatonship, enter not applicable i Be relatonship column, SUBTOTAL TOTAL (last ge of th schedule)