SEIU (Service Employees International Union) Local 199 COPE Fund - 6492 - Scanned

JAN-19-2005 09 :13 P .
02
FOR INSTRUCTIONS, SEE BACK OF FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/2002) REPORT
SEIU(Service Employees Int'1 Onion)Local 199 COPE Funl
IMPORTANT: Indicate type of committee you are reporting for!

(1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( s')6allot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates
CANDIDATE COMMITTEES ONLY :

Political Party
OF TREASURER (or person filing this report)
Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A 10/15/04-12/31/04 REPORT FOR AN/A (t) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one E1
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
(Ytiu 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 F 630 .48
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) ., ...... . 2,093 .69
Schedule F: Loans Received total (Attach Schedule F) ...... ........ .. .... ... ........ .. .. ...... .. ...... .. .. ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . ......... ............ .., ... ......
Schedule H applies to Candid Committees Only)
SUB-TOTAL ......S 3,724 .17
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) ... ? 0 82] -94
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) .. .. .... .. .. .. ... .. .. .... .. .. .. . . ...... ...._ ... ...... ...... .. .. .. .. .. .. .. .... .. .............. ... . . ..... .. .$ ~ 902 .23
"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?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
JAN-19-2005 09 : 1 4 P .03
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . X9197) EXPE=NDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE '
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)
SEIU(Service Employees Int'1 Union) Local 199 .COPE and

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
10/15/04' D# SEIU (Int'l Office) Monthly contribution 864 .25

CK# 1067 Washington DC 20005
10/29/0 AID* SEIU (Intll Office) Monthly contribution 272,44

11/19/0 ID#
SEIU (In'tl Office) Monthly' contribution
760-50
12/29/0 ID# SEIU (InV l Office) Monthly contribution 924 .75

ID#
CK#
ID#
. CK#
ID#
C K#
ID#
CK#
SUB-TOTAL
1,821,94
1
TOTAL (if last page of this schedule)
1 .14501 _q4 1
THIS BOX APPUES 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
(for Schedule B)
JAN-19-2005 09 : 1 4 P .04
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
SEIU(Service Employees Int"l Union) Local 199 C PE Fund

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(li), Iowa Code, prohibits the use of information copied from reports and statements far soliciting contributions or
for any commercial purpose by any person other than statutory political committees,
DATE PAC lD NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND- ;
(MM/DD/Yk) AND "AC CHECK (if applicable) RAISER
NUMBER
10/15/2004 Deb Benfer (UIHC) 3.00
Direct Deposit 1683 Hemin wa Lane IC IA 52240
10/15/2004 Julie Bryant 10.00
Direct Deposit 1 Belle Vista Place IC IA 52245
10/15/2004 Brian Flaherty 3 .00
Direct Deposit 1122 So Seventh Ave IC IA 52=45
10/15/2004 Anne Gentil-Archer 5 .00
Direct Deposit 1744 - 115th St West Liberty IA 52776
10/15/2004 Cathy Singer Glasson 15.00
Direct Deposit 1920 - 2nd Ave SE CR IA 52403
10115/2004 Linda L Hagen 10 .00
Direct Deposit 375 Mormon Trek Blvd #7 IC IA 52246
10/15/2004 David C Meggers 5.00
Direct Deposit 3371 Ozzie Drive NE Solon IA 52333
10115/2004 Devin P Mehaffey 2.50
Direct Deposit 865 Camburn Ct SE CR IA 524Q3
10/15/2004 Kim R Miller 10 .00
Direct Deposit 805 Spencer Dr IC IA 52246
10/15/2004 Michel Murphy (IC Sch) 2.50
Direct Deposit 315 Ellis Ave #1 Iowa City IA 52246

SUB-TOTAL
TOTAL (if last page of this achedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relallonship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page: 2 of forms packet .) . If surname of contributor is the same as candidate, but th.gre is no Page _-E of
(for Schedule A)
familial relationship, enler "not applicable" in the relationship column .
JAN-19-2005 09 " 1 5 P . 05
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev, 08197) I RECEIPTS
© CHECK THIS BOX IF
SEIU(Service Employees Int'l Union) Local 199 C PE Fund

STATE CANDIDATES NOTE; IF A CONTRIBUT10N IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION . Section 688,32A(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 .
0AT1= PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-'
(MMIDDIYR) AND "AC CHECK (if applicable) RAISER
NUMBER INCQM
1011512004 Douglas L Peters 2.50
Direct Deposit 70 E Chestnut NL IA 52317
10/1512004 Kirsten A Running 2 .50
Direct Deposit 1210 Highland Ave IC IA 52240
10/15/2004 Sarah D Simpson 10 .00
Direct Deposit 3025 Hidden Meadow Dr Riverside IA 52327
10115/2004 Gary D Smith 2.50
Direct Deposit 917 Bowe St IC IA 52240
10/15/2004 Rita Sterler 5.00
Direct Deposit 2131 Plaen View Dr IC IA 52246
10/15/2004 Sarah C Swisher 40 .00
10/15/2004 Tawny L Wilson 7_50
Direct Deposit 1110 Conklin St IC IA 52245
10/28/2004 Donald J Binegar Jr (IC Sch) 1 .50
229058 P 0 Box 373 N English IA 52316
1,0/28/2004 Kurth T Boyce (IC Sch) 1 .50
229058 4876-120 St NE Solon IA 52333
1012812004 Richard Hannon (IC Sch) 1 .50
229058 P O Box 3281 Iowa City IA 52244

e-IUIA
TOTAL (lf last page of this schedule)
I 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
marriage) (See Page 2 of forms packet.) . If surname 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)
JAN-19-2005 09 :15 P . 06
CONTRIBUTIONS -- MONEY TAKEN IN

A I MONETARY
(Rev . 05/97) RECEIPTS
SEIU(Service Employees Int'1 Union) Local 199 PE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LISTTHE 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(8), 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 4IF FOR
RECEIVED (if applicable) TO CANDIDATE , RECEIVED FUND- :
(MMIDDIYR) ANO''ACCHECK (if applicable) RAISER':
NUMBER
10/28/2004 John Hoard (IC Sch) 1 .25
229058 Box 466 Hills IA 52235
10/2812004 Ron Jensen (IC Sch) 1 .00
229058 425-320th St W Liberty IA 52776
10/28/2004 Brad KUester (IC Sch) 1 .50
229058 2821 S Riverside Dr Iowa Ci IA 52246
10/28/2004 Jon Lalla (IC Sch) 2 .50
229058 601 Oakland Ave Iowa City IA 52240
10/28/2004 Brian J Meyer (IC Sch) 1 .50
229058 16 Metric Road Iowa City IA 52240
10/28/2004 Randy Nguyen (IC Sch) 1 .50
229058 48 Amber Lane Iowa City IA 52240
10/28/2004 Michael O'Connor (IC Sch) 1 .50

i
229058 290 Elm Ride Drive North Libe IA 52317
10/28/2004 Rodney Perdue (IC Sch) 2.50
229058 503 W Paris St W Liberty IA 52776
10/28/2004 Wrn Salasberry (IC Sch) 1 .50
229058 1119 Pine St Iowa City IA 52240
1012812004 Kimberly Schlabach (IC Sch) 1 .50
229058 5272 Oakcrest Hilt Rd Riverside IA 52246

SUB-TOTAL
Ofsclosure 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
marriage) (See Page 2 of forms packel .) . If surname of contributor is the same as candidate, but there is no Page ~,o of ~'
familial relationship, enter "not applicable' in the relationship column . (for Schedule A)
JAN-19-2005 09:16 P .07
For Instructions, See Back of Form S(_;Ht0ULh
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) RECEIPTS
CHECK THIS BOX IF
SEIU(Service Employees Int'1 Union) Local 199 C PE Fund

DISCLOSURE BOARD.
CAUTION: Section 688 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
GATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
I
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND
(MMIQOIYR) AND "AC CHECK (if applicable) RAISER
NUMBER
10/28/2004 Gerald Vonstein (IC Sch) 2.50
229058 5048-210th St NE Solon IA 52333
10/28/2004 Dale Weir (IC Sch) 1,50
229058 2145 Palmer Circle Iowa Ci IA 52240
10/28/2004 Jerome Wiedemeir (IC Sch) 1 .50
229058 2506 Friendship St IC IA 52245
10128/2004 Daryl Lewis (IC Sch) 5.00
229058 216 Dartmouth Iowa Cit IA 52245
10/29/2004 Walter Knapper 105 .19
3498 3497 - 292nd St Camanche IA 52730
10/29/2004 Deb Benfer (UIHC) 3.00
10129/2004 Julie Bryant 10.00
Direct Deposit 1 Bella Vista Place IC IA 52245
10/29/2004 Brian Flaherty 3.00
Direct Deposit 1122 So Seventh Ave IC IA 52245
10/29/2004 Anne Gentil-Archer 5.00

i
10129!2004 Cathy Singer Glasson 15.00
Direct Deposit 1920 - 2nd Ave SE CR IA 52403 '

'U - AL
committee . Rolatiofiship must be shown to the third degree of consanguinity (plood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the sarne as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column,
Page - 4 of
(for Schedule A)
JAN-19-2005 09 :17 P. 08
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev, 06/97) I RECEIPTS
0 CHECK THIS BOX IF
SEZU(Service Employees Intrl Union) Local 199 C PE Fund
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
THE
NUMBER AND PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE 60AA0 .
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DO/YR1 AND ''AC CHECK (if applicable) RAISER
NUM E
10/29/2004 Linda L Hagen 10. .00
i Direct Deposit 375 Mormon Trek Blvd #7 IC IA 52246
10/29/2004 David C Meggers 5.00
10/29/2004 Devin P Mehaffey 2 .50
Direct De osit 865 Camburn Ct SE CR IA 52403
10/29/2004 Kim R Miller 10.00
Direct Deposit 315 El lis Ave #1 Iowa Cit IA 52246
10/29/2004 Douglas L Peters 2.50
10/29/2004 Kirsten A Running 2.50
Direct De osit 121 0 Highland Ave IC IA 52240
10/2912004 Sarah D Simpson 10.00
10129/2004 Gary D Smith 2.50
10/29/2004 Rita Sterler 5 .00
Direct Deposit 2131 Plaen View Dr IC IA 62246

SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the _
marriage) (Si°.e Page 2 of forms packet.) . If surnarne of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable" in the relationship column .
Page of
(far Schedule A)
_YL
JAN-19-2005 09 " 17 P . 09
For Instructions, See Back of Form SCHEUULt
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 05197) ! RECEIPTS
C7 CHECK THIS BOX IF

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 Or 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE sOARD.
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reporm and statements for soliciting contributions or
DATE PAC ID NUMBER I NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND .
(MMIOD/YR) AND "AC CHECK I (if applicable) RAISER ;
NUMBER INMAPFf
1012912004 Sarah C Swisher 40,00
1012912004 Tawny L Wilson 7 .50
1111212004 Deb Benfer (UIHC) 3.00
11/12/2004 Julie Bryant 10 .00
Direct Deposit 1 Bella Vista Place IC IA 52245 I

11/12/2004 Brian Flaherty 3.00
Direct Deposit 1122 So Seventh Ave IC IA 52245 _

fI . ,.
11/1212004 Anne Gentll-Archer 5 .00
11/1212004 Cathy Singer Glasson 15.00
11112/2004 Linda L Hagen 10.00
Direct Deposit 375 Mormon Trek Blvd #7 IC IA 52246
11/1212004 David C Meggers 5 .00
11/1212004 Devin P Mehaffey 2.50
Direct Deposit 1865 Camburn Ct SE CR IA 52403 I 1 I",~J

UB-TOTAL.
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 . Relatlonship must be shown to the third dogreo of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 or forms packet,) . If surnarne of contributor is the sarne as Candidate, but there is no Page (~3 - of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
JAN-19-2005 09" 18 P .10
For Instructions, see IsaCK OT i-orm J~rnC.VULC
CONTRIBUTIONS - MONEY TAKEN IN

A I MONETARY
(Rev . 06197) RECEIPTS
CHECK THIS BOX IF
SESU(Service Employees Tnt'l Union) Local 199 C PE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION I$ RECEIVED FROM A STATE PAC (POI.ITCAI, 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 688 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT

I J IF FOR
(MM1DDrYR) AND "AC, CHECK (if applicable) RAISER
NUMBER INCWMIt
1111212004 Kim R Miller 10.00
Direct Deposit 315 Ellis Ave #1 Iowa Ci IA 52246
11/12/2004 Douglas L Peters 2 .50
11/1212004 Kirsten A Running 2.50
Direct Deposit 1210 Hi bland Ave IC IA 52240
11112/2004 Sarah D Simpson 10.00
11/1212004 Gary D Smith 2 .50
11/12/2004 Rita Sterler 5 .00
L Direct Deposit 2131 Plaen View Dr IC IA 52246
11/12/2004 Sarah C Swisher 40.00
Direct Deposit 917 Bower St IC IA 52240
11/12/2004 Tawny L Wilson 7 .50
11/16/2004 Russell A Clark (CR Sch) 5.00
107042 14045 Chickadee Ln Hiawatha IA 52233 1
Disclosure law requires candidate Committees to disclose the relationship of any relative making e contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by Lf
marriage) (See Page 2 of Eorrns packet.) . If surname of contributor is the same as candidate, but there is no Page ~ of A), ..,.
familial relationship, enter `not applicable" in the relationship column, (for Schedule
JAN-19-2005 09:18 P. 11
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) 1 RECEIPTS
C] CHECK THIS BOX IF


NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 686 .32A(S), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) I TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND "AC CHECK (if applicable) RAISER'
NUMBER
11/1612004 Hairless S Clemons (CR Sch) 10 .00
107042 505 Sixth St SE CR IA 52401
11/16/2004 Marshall R Clemons (CR Sch) 5.00
107042 505 Sixth St SE CR IA 52401
11/16/2004 Wm A Fiacco (CR Sch) 3 .00
107042 4133 - 22nd Ave SW CR IA 52404
11/16/2004 Jeff L Foster (CR Sch) 5.00
107042 3209 Tamara Or SW CR IA 52404
11/16/2004 Ken D Grout (CR Sch) 2_00
107042 1037 Clifton St NE CR IA 52402
11/16/2004 . Gordon Kaltenbach (CR Sch) 6.00
107042 227 - 11 th St NW CR 1A 52405
11/16/2004 Dave L Mart (CR Sch) 5.00
107042 926 -15th Ave SW CR IA 52404
11/16/2004 Chris McLees (CR Sch) 5.00
107042 411 - 27th St NE CR IA 52402
11/16/2004 Tim J Newcomb (CR Sch) 5.00
107042 726 E Ave NW CR IA 52405
11/16/2004 Chas A Perry (CR Sch) 10 .00
107042 1479 Miami Or NE CR IA 52402

SUB-TOTAL
'Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be snown to the third degree of Consanguinity (blood relatives) 2nd affinity (relatives by
marriage) (See Page 2 of forms packet,) . If surname of contributor is the same as candidate, but there is no Page 2____ of Al
familial relationship . enter 'not applicable' In the relationship column . (for Schedule A)
JAN-19-2005 09 :19 P. 12
For Instructions, See Back of I-orm 5UHLUULC
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 06197) RECEIPTS
Q CHECK THIS BOX IF

STATE CANDIDATES NOTE : IF A CONTRIBUTION 15 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION . Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP I AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE- RECEIVED FUND- :
(MMIODIYR) AND "AC CHECK (if applicable) RAISEk
NUMBER
11/16/2004 AL J Pospisil (CR Sch) 1..00
107042 1619 Arizona Ave NE CR IA 52402
11/16/2004 Terry A Slickty (CR Sch) 2.50
107042 1128 Brown Ave NE CR IA 52402
11/16/2004 Lois J Bassett (CR Sch) 3 .00
107043 1002 Eastern Dr SE CR IA 52403
11/16/2004 Stephanie J Lewis (CR Sch) 5_00 I
107043 1601 - 30th St NW #12 CR IA 52405
11/16/2004 Judy Shirnek (CR Sch) 4.00
107043 1006 Dover St NE CR IA 52402
229131 P 0 Box 373 N English 1A 52316
11/16/2004 Kurth T Boyce (IC Sch) 1 .50
I 229131 487 6-120 St NE Solon 1A 52333
11/16/2004 Richard Hannan (IC Sch) 1 .50
229131 P 0 Box 3281 Iowa City 1 A 52244
11/16/2004 John Hoard (IC Sch) 1 .25
229131 Box 466 Hills IA 52235
1111612004 Ron Jensen (IC Sch) 1 .00
229131 425-320th St W Liberty IA 52776

d-
" 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
marriage) (See Page 2 of forma packet .) . If surname of contributor is the same as candidate, but there is no Page of _1L
(for Schedule A)
familial relationship . . enter "not applicable' hi the relationship column,
JAN-19-2005 09 :19 P .13
i-or Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN 'A MONETARY

(Rev, 06/97) RECEIPTS
CHECK THIS BOX IF
SEIU(Service Employees Intrl Union) Local 199 C PE Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION : Section 688 .32A(6), Iowa Code, prohibits the use of information copied from. reports and statements for soliciting contributions or
RECEIVED
(MM/DDIYR)
(if applicable)
AND''AC CHECK
TO CANDIDATE' I RECEIVED I FUND}
(if applicable) RAISER
NUMBER INCOME
i
11/16/2004 Brad Kuester (IC Sch) 1 .50
229131 2821 S Riverside Dr Iowa City IA 52246
11/16/2004 Jon Lalla (IC Sch) 2 .50

11/15/2004 - Randy Nguyen (IC Sch) 1 .50

11116/2004 Michael O'Connor (IC Sch) 1-50
229131 290 Elm Ride Drive North Liberty IA 52317
11/16/2004 Rodney Perdue (IC Sch) 2 .50
11/16/2004 Wm Salasberry (IC Sch) 1_50
11/16/2004 Kimberly Schlabach (IC Sch) 1 .50
229131 5272 Oakcrest Hill Rd Riverside IA 52246
11/16/2004 Gerald Vonstein (IC Sch) 2_50

229131 5048-21 oth St NE Solon IA 52333
11/16/2004 Dale Weir (IC Sch) 1 .50

229131 2145 Palmer Circle Iowa City IA 52240
JUti-I UI AL

S
' Disclosure law requires candidate committees to disclose the relationship of any relative making e contribution to the
commitlEe . Relationship must be shown to the third degree or cans3ngUinlty (blood reIAIlves) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname or contributor is the same as candidate, but there is no Page __LD- of
familial relationship, enter "not applicable" in the relationship colurrln . (for Schedule A)
JAN-19-2005 09:20 P .14
AA MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev, 06197) I RECEIPTS
CHECK THIS BOX IF

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION: Section 688_32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC IO NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DO/YR) AND "AC CHECK (if applicable) RAISER
NUMBER r~~ MF
11/16/2004 Jerome Wiedemeir (lC Sch) 1-60
229131 2506 Friendship St IC IA 52245
11/16/2004 Daryl Lewis (IC Sch) 5.00
229131 216 Dartmouth Iowa City IA 52245
11/1612004 Donald J Binegar Jr (IC Sch) 1 .50
229612 P 0 Box 373 N English IA 52316
11/16/2004 Kurth T Boyce (IC Sch) 1,50
229612 4876-120 St NE Solon IA 52333
229612 P 0 Box 3281 Iowa City IA 52244

11/16/2004 John Hoard (IC Sch) 1 .25
229612 Box 466 Hills IA 52235
11116/2004 Ron Jensen (IC Sch) 1 .00
229612 425-320th St W Liberty IA 52776
11116/2004 Brad Kuester (IC Sch) 1,50

City IA 52246
229612 2821 S Riverside Dr Iowa
11/16/2004 Jon Lalla (IC Sch) 2.50
229612 601 Oakland Ave Iowa Ci IA 52240
11/1612004 Brian J Meyer (IC Sch) 1 .50
229612 16 Metric Road Iowa Ci IA 52240

.-TOTAL
SUB
Disclosure taw 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 / /
marriage) (See Page 2 of forms packet,) . IF surname of contributor is the same as candidate, but there is no Page of _
JAN-19-2005 09 :21 P. 15
ror instructions, see Back of Form
SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) I RECEIPTS
CHECK THIS BOX IF

AMENDING FORM
SEIU(Service Employees Int'l Union) Local 199 C AE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL
ACTION COMMITTEE). LIST THE PAC 10ENTIFICATION
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 686.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for
soliciting contributions or
GATE PAC IO NUMBER I NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND=
(MM10DryR) AND - AC CHECK (if applicable)
NUMBER I RAISER
INCOMP
229612 315 Ellis Ave #1 Iowa City IA 52246

11/16/2004 Michael O'Connor (1C Sch) 1 .50

229612 603 W Paris 9t W Liberty 1A 52776
11/16/2004 Wm Salasberry (IC Sch) 1 .50

11/16/2004 Kimberly Schlebach (IC Sch) 1 .50

11/16/2004 Gerald Vonstein (IC Sch) 2 .50

229612 5048-210th St NE Solon IA 52333
11/16/2004 Dale Weir (IC Sch) 1-50


11/16/2004 Marsha Anderson (UIHC) 5.00
1336842 1975 So Ridge Dr Corelville IA 52241
SUB-TOTAL-
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of fontls packet .) . If surname of contributor is the same as candidate, but there is no Page of
JAN-19-2005 09 :21 P. 16
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 46/97) RECEIPTS
CHECK THIS BOX IF
S EIU(Service Employees Int'1 Union) Local 1 99 C

STATE CANDIDATES NOTE : IF A CONTRIBUTION 15 RECEIVE0 FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION . Section 688 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP I AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE - RECEIVED FUNO-
(MM/DD/YR) AND '-'AC CHECK (if applicable) RAISER
NUMBER ,
11115/2004 Sandra Anfinson (UIHC) 2.00
1336842 302 North Fourth St W Branch IA 52358
11/16/2004 Matt Bahl (UIHC) 5.00
1336842 245 Hicko St N Liberty IA 52358
11/16/2004 Michelle Bargren (UIHC) 5.00
1336842 702 Hod e St North Liberty IA 52317
11/16/2004 Janice Barnes (UIHC) 5 .00
1336842 1021 - 20th Ave CV 1 A 52241
11/16/2004 Rachael Barrow (UIHC) 10.00
1336842 3513 Dunham Or SW CR IA 52404
11/16/2004 Deb Benner-Hahn (UIHC) 5.00
1336842 1232 E College St IC IA 52245
11/1612004 Martha Bradbury (UIHC) 2.00
1336842 1116 W ide Green Rd IC IA 52246
11/16/2004 Jana Burkholder (UIHC) 1 .00
1336842 604 Kimberlite St Tiffin IA 52340
11/16/2004 Heide Bursch (UIHC) 5.00
Ll
1336842 97 Oberlin IC IA 52245
11/16/2004 Barry Buschelman (UIHC) 5.00
1336842 780 Fairview Ln North Liberty IA 52317

SUB-TOTAL
committee . Relatiotlship must be shown to the third del)ree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Pagd 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page 113 - of _
JAN-19-2005 09 :22 P .17
MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) I RECEIPTS
O CHECK THIS BOX IF
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN, A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND- :
(MM/DD/YR) AND ''AC. CHECK I (if applicable) RAISER
NUMBER iaK:r,~l
11/16/2004 Ann Byrne (UIHC) 5.00
1336842 302 Oak St Buffalo IA 52728
11/16/2004 Marjie Caruth (UIHC) 5_00
1336842 801 Alpine Dr IC IA 52245
11/16/2004 Bev Clearman (UIHC) 5.00
1336842 1007 Eighth St Coralville IA 52241
11/16/2004 Lynette Cooper (UIHC) 2 .50
1336842 2401 H 6 E #1210 1C IA 52240
11/1612004 Julie Davis (UIHC) 5.00
1336842 337 Normandy Dr IC IA 52246
11/16/2004 Cathy Dostal (UIHC) 2.00
1336842 1985 South Ride Dr CV IA 52241
11/1612004 Angela Duwa (UIHC) 5.00
1336842 2519 J Ave Williamsbur IA 52361
11/16/2004 Carolyn Elliott (UIHC) 10 .00
1336842 110 Florida Ave SW CR IA 52404
11/16/2004 Shelley Engman (UIHC) 5.00
1336842 717 Rundell St IC IA 52240
1111612004 Elizabeth Fisher (UIHC) 2.50
1336842 1307 Carroll St IC IA 52240

rAL
committee . Relationship must be shown to the third degree of consanguinity (blood reIntives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page -I L4 of L4 I
(far Schedule A)
familial relationship, enter "not applicable" In the relationship column .
JAN-19-2005 09 :22 P .18
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev, 06197) RECEIPTS
[~ CHECK THIS BOX IF
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION :. Section 68B .32A(6), IowaCode, prohibits the use of information copied from reports and statements for soliciting contributions or
RECEIVED (if applicable) TO CANDIDATE- RECEIVED FUND;
(MM/DD/Y9) AND "AC CHECK (if applicable) RAISER
INr'
NUMBER
11/16/2004 Anita Fite (UIHC) 5-00
1336842 133 Hills ide Dr Eld rid e IA 52748
11116/2004 Kartene Fuller (UIHC) 3 .00
1336842 1611 - 13th Street CV IA 52241
11/16/2004 Cindy Funk (UIHC) 3.00
1336842 1231 Sandusk Ave IC IA 52240
11/16/2004 Joe Galbraith (UIHC) 10 .00
1336842 3021 Raven St IC IA 52245
11/16/2004 Nancy Genoar (UIHC) 5 .00
1336842 1252 Coll Dr IC IA 52246
11/16/2004 Trisha Godard Shepherd (UIHC) 2 .50
1336842 930-23rd Ave Apt C Coralville IA 52241
11116/2004 Lynda Green (UIHC) 10 .00
1336842 2075 Melrose Ave IC IA 52246
11/16/2004 Melissia Greiner (UIHC) 5 .00
1336842 26436 - 305th Avenue Keota IA 52248
Dan Grinstead (UIHC) 7.50

11116/2004
1336842 1218 Ash St IC IA 52240
11/1612004 Marcia Hahn (UIHC) 5.00
1336842 2281 Sugar Bottom Rd Solon IA 52333

MR- ro rAL
committee Relationship must be shown to the third degree of consanguinity (blood ralatives) and affinity (relatives by Page of
marriage) (See Page 2 of forms packet .) . If surnarnu of contributor is the sarne as candidate, but there is no (for Schedule A)
familial relationship, enter 'not applicable- in the relationship column,
JAN-19-2005 09" 23 P .19
-, For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) RECEIPTS
0 CHECK THIS BOX IF
SEIU(Service Employees Int;'l Union) Local 199 C PE Fund

STATE CANDIDATES NOTE ; IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FO'R.
RECEIVED (if applicable) TO CANOIOATE' RECEIVED FUND-
(MMIDD/YR) AND ''AC CHECK (if applicable) RAISER
NUMBER IN O
11/16/2004 Terry Hamilton (UIHC) 3.00
1336842 716 N Van Buren St IC IA 52245
11/16/2004 Lynn Henke (UIHC) 5.00
1336842 1001 Memorial Dr SE CR IA 52403
11/16/2004 Sarah Helle (UIHC) 5.00
1336842 1330 Upper Old H 6 Oxford IA 52322
11/16/2004 Sharon Hicks (UIHC) 2.00
1336842 2639 - 140th Street NW Swisher IA 52338
11/1612004 Melody Hobert-Mellecker (UIHC) 5 .00
1336842 300 Main St Hills IA 52235
1111612004 Claire Hockley (UIHC) 7 .50
1336842 2647 Newport Rd NE IC IA 52240
11116/2004 Deb Reynolds Hubbard (UIHC) 3.00
1336842 1468 Valley View Orive CV IA 52241
11/1612004 Shelley Jacobus (UIHC) 1 .00
1336842 6507 Boxwood Ln NE CR IA 52402
11116/2004 Jennifer Jungen (UIHC) 5_00
1336842 P 0 Box 588 North Liberty IA 62317
1111612004 Norman Kalvig (UIHC) 20.00
1336842 1945 Park Ave SE CR IA 52403

SUIT- I U I Al .

committee Relationship must be shown to the third degree of consanguinity (blood relatives) 2nd affinity (relatives by
marriage) (Soo 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 .
Page of L4
(for Schedule A)
L_
JAN-19-2005 09 :23 P .20
For Instructions, See Back of Form FS(;HEDULE
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 06/97) RECEIPTS
CHECK THIS BOX IF
SEIU(Service Employees Int'1 Union) Local 199 CoPE Fund
STATE CANDIDATES NOTE : IF A CONTRIBUTION 13 RECEIVED FROM A STATE PAC (POLITICAL, ACTION COMMITTEE), UST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION: Section 886 .32A(6), Iowa Code, prohibits the use of information copied From reports and statements'0'soliciting contributions or
DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ,I IF FOR
RECEIVED (if applicable) ( TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND ''AC CHECK (if applicable) RAISER
NI IhARFR `Yll~
11/1612004 Valerie Keffala (UIHC) 5.00
1336842 1109 Prairie DuChien Rd IC IA 52245
11/16/2004 Teresa A Kingdon (UIHC) 2.50
1336842 2113 Norcor Ave Apt 4 CV IA 62241
11/1612004 Katherine Kleinow (UIHC) 5.00
1336842 3333 Pheasant Ct NE North Liberty IA 52317
11/16/2004 Arlene Klesner (UIHC) 1 .00
_. 1336842 1901 Earl Road IC IA 52246
11116/2004 Amy Kruse (UIHC) 5.00
1336842 203 Fifth St #1 Coralville IA 52241
11/1612004 Linda Krutsinger (UIHC) 10 .00
1336842 2147 Plaen View Dr IC 1A 52246
11/16/2004 Cynthia Larew (UIHC)

I
1336842 P 0 Box 441 Lone Tree IA 52755
11/16/2004 Paula Laube (UIHC) 7.50
1336842 712 Walnut St IC IA 52240
11/16/2004 Raelene Lenoch (UIHC) 1 .00
1336842 213 Broadway St W Branch IA 52358
11/1612004 Luanne Link (UIHC) 5.00
1336842 2215 Hickory Court IC IA 52240

SUB-TOTAL
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page 1 -7 or~
JAN-19-2005 09 :24 P .21
For Instructions, See Back of Form SCHEDULE~-
A MONETARY
Q CHECK THIS BOX IF

DISCLOSURE BOARD.
CAUTION : Section 686.32A(6), Iowa Code, prohibits the use of information copied from, reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR REI-ATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-,
(MM/DD/YR) AND ' AC: CHECK (if applicable) RAISER
NUMBER "'
11/16/2004 Michael Loucks (UIHC) 5.00
1336842 1495 Falcon Ave Swisher IA 52338

I
11/16/2004 Wilma Macalalag (UIHC) 5.00
. 4336842 828 Augusta Circle North Liberty IA 52317
11/16/2004 June Masbruch (UIHC) 5-00
1336842 2387 - 340th St SW Tiffin IA 52340
11/16/2004 Ann Mason (UIHC) 3-00
1336842 1032 Oakcrest St IC IA 62246
11/16/2004 Ruth McKeever (UIHC) 5.00
1336842 302 Walnut St Ti ton IA 52772
11/16/2004 Mary McKinney (UIHC) 3,00
1336842 506 West Seventh St Ti ton IA 52772
11116/2004 Mary Jo Meggers (UIHC) 5.00
1336842 3371 Ozzie Dr Solon IA 52333
11/16/2004 Tern Mengler (UIHC) 7 .60
1336842 2215 Second St SW CR IA 52404
11/1612004 Jean Miller (UIHC) 5.00
1336842 3755 Cotta e Reserve Rd NE Solon IA 52333
1 .1/1612004 Tara Miller (UIHC) 2.50
1336842 333 Carter St NW CR IA 52405

SUB-TOTAL.
TOTAL. (if last page of this schedule)
marriage) (See Page 2 of forms packet .) . If Surname of contributor is the saine as candidate, but there is no Page of
JAN-19-2005 09 :25 P .22
For Instructions, See Back of Form (SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) l RECEIPTS
~~ ~CHECK THIS BOX IF_
COMMITTEE NAME fgrfust be same as on Statement of Organization) AMENDING FORM

NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN, A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if applicable) I TO CANDIDATE' RECEIVED I FUND- ;
(MM/oolyk) AND "AC. CHECK (if applicable) RAISERR
NUMBER INCOME
11/16/2004 Robert Milne (UIHC) 3.00
1336842 417 Carter St NW CR IA 52405
11/16/2004 Melinda Myers (UIHC) 20.00
1336842 1116 A Ave NW CR IA 52405
11/16/2004 Jan Niebes (UIHC) 5.00
1336842 7274 - 15th Ave Keystone IA 52249
11/16/2004 Linda Petersen (UIHC) 2.50
1336842 907 N Gilbert St IC IA 52245
11/16/2004 Margaret Mary Ping (UIHC) 3.00
1336842 110 Sar ert Dr West Branch IA 52358
11/16/2004 Becky Pottorff-Leaven (UIHC) 5 .00
1336842 1149 Hunter's Run IC IA 52246
11116/2004 Carolyn Poulakos (UIHC) 5.00
1336842 404 Sixth St #D6 Coralville IA 52241
11/16/2004 Jeffrey Rupe (UIHC) 3.00
1336842 P O Box 218 North Liberty IA 52317
11/16/2004 Nancy Sandstrom (UIHC) 7 .50
1336842 60 David Lee Court North Liberty IA 52317
11/16/2004 Dorothy Satariano (UIHC) 3 .00
1336842 3222 Shasta Ct NE CR IA 52402

SUIT-1 U I AL
3L
Disclosure law requires candidate commlitbes 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
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as Candidate, but there is no Page of
(for Schedule A)
familial relationship, enter "not applicable - in the relationship column .
JAN-19-2005 09 :25 P .23
For Instructions, See Back of Form S(;HEUULt
A I MONETARY
sEIU(Service Employees Int'l Union) Local 199 C PE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE; PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from, reports and statements for soliciting contributions or
RECEIVED (if applicable) I TO CANDIDATE' RECEIVED FUND- :
(MMUDD1YR) AND "AC= CHECK (if applicable) RAISER'
NI IMRFR
11/16/2004 Steven Schaefer (UIHC) 20.00
1336842 3946 Mehaffe Ln NE Solon IA 52333
11/16/2004 Cheryl Schild (UIHC) 3 .00
1336842 914 - 12th Ave CV IA 52241
11115/2004 Mary Schlichte (UIHC) 10.00
1336842 4490 Westover Rd SE CR IA 52403
11/1612004 Joyce Schultz (UIHC) 3 .00
'(336842 3023 Radcliffe Avenue IC IA 52245
11,/16/2004 Shanna Seigel (UIHC) 5 .00
1 33684 2 2820 U Avenue Parnell IA 52325
11116/2004 Jeanne Sheetz (UIHC) 5.00
1336842 120 Tartan Dr North Liberty IA 52317
11/1612004 Karen Shickell (UIHC) 10.00
1336842 827 Dover Street IC IA 52245
11/16/2004 Anthony Shrader (UIHC) 5.00
1336842 1560 - 7th Ave SE CR 1A 52403
11116/2004 Vicki Siefers (UIHC) 3 .00
1336842 15 Brown Deer Knoll CV IA 52241
1111612004 Pam Simons (UIHC) 5_00
1336842 1310 Franklin St IC IA 52240

SUB-TOTAL
marriage) (See Page 2 of forms parket .). If surname of contributor is the same as candidate, but there is no Page of 141
Familiar relationship, enter "not applicable - in the relationship column . (for Schedulnl A)
JAN-19-2005 09 :26 P . 24
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) I RECEIPTS
t,1 CHECK THIS BOX IF
SEIU(Service Employees Int'l Union) Local 199 C OPE Fund

DISCLOSURE BOARD.
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR 4 IF FOR

I
RELATIONSHIP AMOUNT
(MMIOD/YR) AND "AC. CHECK (if applicable) RAISER!
NUMBER r
11/16/2004 Terry Simons (UIHC) 5.00
1336842 510 Kimberfite St Tiffin IA 52340

I
11/1612004 Chris Slater (UIHC) 5.00
1336842 2760 Turkey Creek Ln NE IC IA 52240
11/16/2004 Mary Stessman (UIHC) 1 .00
1336842 3788 Sunaura Drive NE IC IA 52240
1111612004 Sue Swearingen (UIHC) 5_00
1336842 422 Melrose Ct IC IA 52246
11/1512004 Wanda Thackery (UIHC) 1 .00

I
1336842 604 First Ave So Mount Vernon IA 52314 .
11/16/2004 Angela Wernke Trenkamp (UIHC) 10.00
1336842 361 Camden Rd IC IA 52245
11/16/2004 Trisha Turnis (UIHC) 5.00
1336842 4519 Walker St NE CR IA 52402
11115/2004 Diane Van Ersvelde (UIHC) 1 .00
1336842 3051 Meadow Rd NE North Liberty_ IA 52317
11/16/2004 Jo Vonderhaar (UIHC) 3 .00
1336842 1023 Marc Street IC IA 52240
11116/2004 Patsy Wheeler (UIHC) 7_50
1336842 2761 Rhine Creek Way NW Oxford IA 52322
committee. Relationship must be shown to the third degree of consanguitilty (blood relatives) and afflnily (relatives by
marriage) (See Page Z of forms packet .) . If surname of contributor is the same as candidate, but there is no page of
familial relationship, enter "not applicable" in the relationship column, (fur Schedule A)
JAN-19-2005 09 :26 P . 25
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) I RECEIPTS
_ CHECK THIS BOX IF

DISCLOSURE BOARD.
CAUTION : Section 68B .32AO), Iowa Code, prohibits the use of information copied from . reports and statements far soliciting contributions or
DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR ;
RECEIVED (if applicable) I TO CAN010ATE' RECEIVED FUND-
(MM/DD/YR) ANO "AC CHECK (if applicable) RAISER
NUMBER I I MFr
11/16/2004 Sherry Whetstone (UIHC) 5.00
1336842 110 Swisher View Dr SW Swisher IA 52338
11/16/2004 Pat Wolf (UIHC) 1 .00
1336842 1409 Western College CR IA 52404
11115/2004 Joan Comer Wright (UIHC) 3.00
1336842 1659 Polk Avenue NE Solon IA 52333
11/16/2004 Marietta Yoder (UIHC) 7,50
1336842 P 0 Box 130 Kelona IA 52247
11/2612004 Brian FlahertY 3 .00
11126/2004 Anne Gentil-Archer 5.00
Direct Deposit 1744 -115th St West Liberty IA 52776
1112612004 Cathy Singer Glasson 15.00
11/26/2004 Devin P Mehaffey 2.50
Direct Deposit 865 Camburn Ct SE CR IA 52403
' 11/26/2004 Kim R Miller 10,00

SUB-TOTA
committee, Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forma packet .), If surname 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)
JAN-19-2005 09 :27 P .26
lA I MONETARY
CHECK THIS BOX IF

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE - RECEIVED FUND-'.
(MmiDD(YR)AND "AG CHECK (if applicable) RAISER ;
NUMBER
11/26/2004 Kirsten A Running 2-.50
Direct De osit 1210 Highland Ave IC IA 52240
1112612004 Sarah C Swisher 40 .00
11/26/2004 Tawny L Wilson 7.50
Direct De osit 1110 Conklin St IC lA 52245
Direct Deposit 1744 -115th St West Liberty IA 52776
12110/2004 Cathy Singer Glasson 15 .00
12/10/2004 Davin P Mahaffey 2.50
Direct Deposit 865 Camburn Ct SE CR IA 52403
12/1012004 Kim R Miller 10.00I
Direct De osit 70 E Chestnut NL IA 52317
12110/2004 Kirsten A Running 2_50 1
Direct Deposit 1210 Highland Ave IC IA 52240
Disdosuza law saqu%Tes candidate committees to disclose the relationship of any relative making a contribution to the
marriage) (See Page Z or forins packet .), If surname of contributor is the same as candidate, but there is no Page: 3 of
familial relationship, anler "not applicable" in [he relationship column, (for Schedule A)
JAN-19-2005 89 : 27 P .27
I-or instructions, gee tsaCK oT rorm SUhtUULt
A MONETARY
CHECK THIS BOX IF
SETU(Service Employees Int'l Union) Local 199 C~PE Fund

DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from. reports and statements for soliciting contributions or
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND- :.
(MMIDD/YR) AND "AC CHECK (if applicable) RAISERi
NUMBER .LK7~
12/10/2004 Sarah C Swisher , 40_00
12/10/2004 Tawny L Wilson 7 .50
12/24/2004 Cathy Singer Glasson 15.00
12/24/2004 Devin P Mehaffey 2.50
Direct Deposit 865 Carnburn Ct SE CR IA 52403
12/24/2004 Kim R Miller 10 .00
12/2412004 Douglas L Peters 2.50
12/24/2004 Kirsten A Running 2.50
Direct De osit 1210 Highland Ave IC IA 52240
12/24/2004 Sarah C Swisher 40.00
marriage) (See Page 2 of forms packet .) . If surname 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)
JAN-19-2005 09 :28 P .28
t- or instructions, z)ee nacK ut rural JL+11 Vim"
A
I
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev, 06197) RECEIPTS
CHECK THIS BOX IF
SEIU(Service Employees Int'1 Union) Local,-199 C PE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION : Section 68B,32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
(MMIDDIYR) AND ''AC. CHECK (if applicable) RAISER
NUMBER wrnM .
12/24/2004 Tawny L Wilson 7 :50

12127/2004 Donald J Binegar Jr (IC Sch) 1 .50
229691 P 0 Box 373 N English IA 52316
12/2712004 Kurth T BoYce (IC Sch) 1 .50
229691 4876-120 St NE Solon IA 52333
229691 P 0 Box 3281 Iowa City IA 52244
12/27/2004 John Hoard (IC Sch) 1 .25
229691 Box 466 Hills IA 52235

12/27/2004 Ron Jensen (IC Sch) 1 .00
229691 425-320th St W Liberty IA 52776

12/27/2004 Brad Kuester (IC Sch) 1-50
229691 2821 S Riverside Dr Iowa Ci IA 52246
12/2712004 Jon Lalla (IC Sch) 2.50
p 12/27/2004 Brian J Meyer (IC Sch) 1 .50
12127/2004 Michel Murphy (IC Sch) 2.50
229691 315 Ellis Ave #1 Iowa City IA 52246
committoo . Relationship must be shown to the third derlree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .), If surname of contributor is the same as candidate, but niece is no Poge q- of
familial relationship, enter "not applicable" in the relationship column, (for Schedule A)
JAN-19-2005 09 : 29 P .29
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev, 06/97) I RECEIPTS
0 CHECK THIS BOX IF

DISCLOSURE 90ARD.
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-,
(MMIDD/YR) AND "AC CHECK (if appiicable) RAISER
NUMBER
12/27/2004 Randy Nguyen (IC Sch) 1,50
229691 290 Elm Ride Drive North Libe IA 52317
229691 603 W Paris St W Libe IA 52775

12/27/2004 Wm Salasberry (IC Sch) " 1 .50
229591 5048-210th St NE Solon IA 52333
12/27/2004 Dale Weir (IC Sch) 1,50
229691 216 Dartmouth Iowa. City IA 52245
12/29/2004 Russell A Clark (CR Sch) 5.00
107700 4045 Chickadee Ln Hiawatha IA 52233
12/29/2004 Harless S Clemons (CR Sch) 10.00
107700 505 Sixth St SE CR IA 52401

SUB-TOTAL
- 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 8ffinity (relatives by
marriage) (5,* Page 7 of forms packet .) . If surname of contributor is the same as candidate, but [here is no Page c2G of
familial relationship, enter not applicable" in the relationship column . (for Schedule A)
JAN-19-2005 09 :29 P . 30
MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06/97) I RECEIPTS
CHECK THIS BOX IF
SEIU(Service Employees Int:'l Union) Local 199 C PE Fund
STATE CANDIDATES NOTE : IF A CONTRIBUT10N IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION : Section 68B,32A(6), Iowa Code, prohibits the use of information copied from. reports and statements far soliciting contributions or
RECEIVED (if applicable) TO CANDIDATE' I RECEIVED FUND
(MM/DD/YR) AND "AG CHECK (if applicable) RAISEf~
IN UM/[--W;-
12/29/2004 Marshall R Clemons (CR Sch) 5..00
107700 505 Sixth St BE CR IA 52401
Wm A Fiacco (CR Sch) 3_00

12/29/2004
107700 4133 - 22nd Ave SW CR IA 52404
12/29/2004 Jeff L Foster (CR Sch) 5.00
107700 3209 Tamara Dr SW CR IA 52404
12/29/2004 Ken D Grout (CR Sch) 2.00
107700 1037 Clifton St NE CR IA 52402
12/2912004 Cordon Kaltenbach (CR Sch) 6 .00
107700 227 - 11th St NW CR IA 52405
Dave L Mart (CR Sch) 5.00

12/29/2004
107700 926 - 15th Ave SW CR IA 52404
12129/2004 Chris McLees (CR Sch) 5.00
107700 411 - 27th St NE CR IA 52402
12/29/2004 Tim J Newcomb (CR Sch) 5_00
107700 726 E Ave NW CR [A 52405
12/29/2004 Chas A Perry (CR Sch) 10.00
107700 1479 Miami Dr NE CR IA 52402
12129/2004 AL J Pospisil (CR Sch) 1 .00 '
107700 1519 Arizona Ave NE CR IA 52402

SUB-TOTAL
'Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship mull be shown to the third decree of consanguinity (blood relatives) And affinity (relatives by
Page
marriage) (See Page 2 of lorrns packet .) . If surname of contributor is the same as candidate, but there is no
(for Schedule A)
familial relationship, enter "not applicable' in the relationship column .
JAN-19-2005 09 " 30 P .31
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . a6/97) RECEIPTS
(Including candidate's parsonal funds)
CHECK THIS 90X IF
--'COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC 10ENTIFICATION
NUMBER ANO THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOAAO .
CAUTION : Section 66B .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 IO NUMBER NAME: AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUNO-
(MM/DDIYR) AND "AC CHECK (if applicable) RAISER;
NUMBER
12/29/2004 Terry A Slickly (CR Sch) 2,50
107700 1128 Brown Ave NE C R IA 52402
12129/2004 Lois J Bassett (CR Sch) 3.00
107701 1002 Eastem Or SE CR IA 52403
12129/2004 Stephanie J Lewis (CR Sch) 5.00
107701 1601 - 30th St NW #12 CR IA 52405
12129/2004 Judy Shimek (CR Sch) 4,00
107701 1006 Dover St NE CR IA 52402
230163 P 0 Box 373 N English 1A 52316
Kurth T Boyce (IC Sch) 1 .50

12/29/2004
230163 4876-120 St NE Solon IA 52333
230163 P 0 Box 3281 Iowa CI IA 52244
12129/2004 John Hoard (IC Sch) 1,25
230163 Box 466 Hills IA 52235
12/29/2004 Ron Jensen (IC Sch) 1 .00
230163 425-320th St W Liberty IA 52776
12/29/2004 Brad Kuester (IC Sch) 1 .50 ,
230163 2821 S _Riverside Dr Iowa City IA 52246

SUB-TOTAL
TOTAL (ff last page of this schedule)
~a
committee . Relationship must be shown to the third degree of consanguinity (blaod relatives) and affinity (relatives by
marriage) (See Page 2 of forms packel .) . If surname of contributor i5 the same as candidate, but there is no Page of 41
JAN-19-2005 09 :30 P .32
For Instructions, See Back of Form SCHEDULE?
A MONETARY
(Rev 06/97) RECEIPTS
CHECK THIS BOX IF

SEIU(Sezvice Employees Int'1 Union) Local 199 C PE Fund

STATE CANDIDATES NOTE: IF A CONTR18UTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD,
CAUTION : Section GaB .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
FOR
DATE PAC IO NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND=
(MM/DD/YR) AND "AC CHECK (if applicable) RAISER
N1 IMAPP
12/29/2004 Jon Lalle (IC Sch) 2 .50
230163 315 Ellis Ave #1 Iowa Ci IA 52246
12/2912004 Randy Nguyen (IC Sch) 1 .50
230163 48 Amber Lane Iowa Ci IA 52240

230163 290 Elm Ride Drive North Ubert IA 52317
12/2912004 Wm Salasberry (IC Sch) 1 .50
12/29/2004 Gerald Vonstein (IC Sch) 2_50
230163 5048-210th St NE Solon IA 52333
12/29/2004 Dale Weir (IC Sch) 1 .50

SUB-TOTAL
committee, Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname cF contributor is the same as candidate, but there is no Page Q 9 of _ _-
JAN-19-2085 09 :31 P .33
I-or instructions, See baCK OT horm SCHEDULEI
A MONETARY

0 CHECK THIS BOX IF
AMENDING FORM

-" 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
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND1w
(MM/DD/YR) AND .''AC CHECK (if applicable) RAISE~i
NUMBER rK"1
i
12!29/2004 Donald J Binegar Jr (IC Sch) 1 .50
230239 P 0 Box 373 N English IA 52316
12/29/2004 Kurth T Boyce (IC Sch)
230239 4876-120 St NE Solon IA 52333
230239 P 0 Box 3281 Iowa City IA 52244
12/29/2004 John Hoard (IC Sch) 1 .25
230239 Box 466 Hills IA 52235
12/29/2004 Ron Jensen (IC Sch) 1-00
230239 425-320th St W Liberty IA 52776
12/29/2004 Brad Kuester (IC Sch) 1 .50
230239 2821 S Riverside Dr Iowa City IA 52246
12/29/2004 Jon Lalla (IC Sch) 2 .50
12/29/2004 Michel Murphy (IC Sch) 2 .50
230239 31-5 Ellis Ave #1 Iowa City IA 52246

SUB-TOTAL
/97S
marriage) (See Page 2 of forms packet,), If surname of contributor is the same as candidate, but there is no Page 36 of L4 I
JAN-19-2005 09 " 31 P .34
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 46/97) I RECEIPTS
CHECK THIS BOX IF
STATE CANDIDATES NOTE. IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDSNTIFICA71ON
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATE=D COLUMN, A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 688 .32A(6) . Iowa Code, prohibits the use of information copied from. reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRI13UTOR RELATIONSHIP I AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND",
(MM/ODIYR) AND!-'A(' CHECK (if applicable) RAISER
NUMBER turn
12/29/2004 Wm Salasberry (IC Sch) 1 .50
230239 5048-210th St NE Solon IA 52333
12/2912004 Dare Weir (IC Sch) 1 .50
230239 2145 Palmer Circle Iowa Ci IA 52240
1212912004 Daryl Lewis (IC Sch) 5_00
Marsha Anderson (UIHC) 5.00 ;

12/29/2004
1354570 1975 So Ride Dr Coralville IA 52241
Sandra Anfinson (UIHC) 2 .00

12/29/2004
1354570 1302 North Fourth St W Branch IA 52358 _ I

su - TA'L
1
marr(age) (See Page 2 of forms packet .), If surname of contr1hutor is the same as candidate, but there is no Page of
familial relationship, anter "not applicable" in the relationship column . (for Schedule A)
JAN-19-2005 09 " 32 P .35
CONTRIBUTIONS - MONEY TAKEN IN A MONETARY

(Rev . 06197) I RECEIPTS
Q CHECK THIS BOX IF

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEEI, LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from. reports and statements for soliciting contributions or
DATE PAC ID NUMEIER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (IF applicable) TO CANDIDATE' RECEIVED FUND
(MM100fYR) AND ''AG CHECK (If applicable) RAISER
NUMBER gee
12/29/2004 Matt Bahl (UIHC) 5,00
1354570 245 Hickory St N Liberty IA 52358
12/29/2004 Michelle Bargren (UIHC) 5,00
1354570 702 Hod e St North Libe IA 523'17
12/29/2004 Janice Bames (UIHC) 5.00
1354570 1021 - 20th Ave CV IA 52241
12129/2004 Rachael Barrow (UIHC) 10 .00
1354570 3513 Dunham Dr SW CR IA 52404
12/29/2004 Deb Benfer (UIHC) 3.00
1354570 1683 Hemin wa Lane IC IA 52240
12/29/2004 Deb Banner-Hahn (UIHC) 5.00
1354570 1232 E College St IC IA 52245
12/29/2004 Martha Bradbury (UIHC) 2.00
1354570 1116 W Ide Green Rd IC IA 52246
12/29/2004 Jane Burkholder (UIHC) 1,00
12/29/2004 Heide Bursch (UIHC) 5.00
1354570 97 Oberlin IC IA 52245
12/29/2004 Barry Buschelman (UIHC) 5.00
1354570 780 Fairview Ln North Liberty IA 52317

SUB-TOTAL .--
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of _
familiar relationship, enter "not applicable" in [lie relationship column . (For Schedule A)
JAN-19-2005 09 :33 P .36
MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev, 06/97) I RECEIPTS
CHECK THIS BOX IF

NUMBER ANO THE PAC CHECK NUMBER IN THE OESIGNATEO CO4UMN, A LIST OF ID NUMBERS I$ AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from repons and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND""
(MM/DD/YR) AND "AC CHECK (if applicable) RAISER
N M= R
I
12/29/2004 Ann Byrne (UIHC) 5 .00
1354570 302 Oak St Buffalo IA 52728
12/29/2004 Marjie Caruth (UIHC) 5.00
1354570 801 Alpine Dr IC IA 52245
12/29/2004 Bev Clearman (UIHC) 5 .00
1354570 1007 Eighth St Coralville IA 52241
12/29/2004 Lynette Cooper (UIHC) 2.50
1354570 2401 Hw 6 E #1210 1 C IA 52240

12/29/2004 Julie Davis (UIHC) 5.00
1354570 337 Normandy Or IC IA 52246
12/29/2004 Cathy Dostal (UIHC) 2.00

1354570 1985 South Rid e Or CV IA 52241
12/29/2004 Angela Duwa (UIHC) 5.00
1354570 2519 J Ave Williamsbur IA 52361
1212912004 Carolyn Elliott (UIHC) 10.00
1354570 110 Florida Ave SW CR IA 52404
12/29/2004 Shelley Engman (UIHC) 5.00
1354570 717 Rundell St IC IA 52240
12129/2004 Elizabeth Fisher (UIHC) 2.50
1354570 1307 Carroll St IC IA 52240
TOTAL (ff last page of this schedule)
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Pa g e 33 of ~Il
familial relationship, enter 'not applicable" in the relationship column . (for Schedule A)
JAN-19-2005 09 : 33 P .37
A MONETARY
(Rev . O6/97) I RECEIPTS
CHECK THIS BOX IF

STATE CANDIDATES NOTE ; IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION: Section 688.32A(d), Iowa Code, prohibits the use of information copied from. reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONS HIP AMOUNT J IF F01k
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-',
(MMIOONR) AND "AC CHECK (if applicable) RAISER
Ni ]PARPR
i
12/29/2004 Anita Fite (UIHC) 5.00
1354570 133 Hillside Dr Eldrid e IA 52748
12/2912004 Karlene Fuller (UIHC) _ 3 .00
1354570 1611 - 13th Street CV IA 52241
. 1212912004 Cindy Funk (UIHC) 3.00
1354570 1231 Sandusk Ave IC IA 52240
12129/2004 Joe Galbraith (UIHC) 10.00
1354570 3021 Raven St IC IA 52245
12/29/2004 Nancy Genoar (UIHC) 5.00
1354570 1252 Coll Dr IC IA 52246
12/29/2004 Trisha Godard Shepherd (UIHC) 2 .50
1354570 930-23rd Ave Apt C Coralville IA 52241
12/29/2004 Lynda Green (UIHC) 10.00
1354570 2075 Melrose Ave IC IA 52246
12/29/2004 Melissia Greiner (UIHC) 5 .00
1354570 26436 - 305th Avenue Keota IA 52248
12/2912004 Dan Grinstead (UIHC) 7 .50
1354570 1218 Ash St IC IA 52240
12/2912004 Marcia Hahn (UIHC) 5.00
1354570 2281 Sugar Bottom Rd Solon IA 52333

SUB-TOTAL
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) arid affinity (relatives by
marriage) (See Page 2 of forms packet,), If surname of contributor is the same as candidate, but there is no Pa . q of
JAN-19-2005 09 : 3 4 P .38
For Instructions, See Back Ot Form SCHEDULE
A
(Rev . 06/97) I MONETARY
RECEIPTS

Q CHECK THIS BOX IF
AMENDING FORM
SEIU( Service Emp l oy ees Int'l Union) L oca l 19 9 C PE Fund

STATE CANDIDATES NOTE. IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION : Section 688 .32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
RECEIVED (if applicable) TO CANDIDATE I RECEIVED ( FUND-'
(MM/DD/YR) AND'-'AC. CHECK (if applicable) RAISER
NUMBER INCOM
I
12/29/2004 Terry Hamilton (UIHC) 3.00
1354570 715 N Van Buren St IC IA 52245
12/29/2004 Lynn Hanke (UIHC) 5.00

1354570 1001 Memorial Dr SE CR IA 52403
12/29/2004 Sarah Helle (UIHC ) 5.00

1354570 1330 U er Old H 6 Oxford IA 52322
12/2912004 Sharon Hicks (UIHC) 2 .00
1354570 2639 - 140th Street NW Swisher IA 52338
12/2912004 Melody Robert-Meilecker (UIHC) 5.00
1354570 300 Main St Hills IA 52235
12/29/2004 Claire Hockley (UIHC) 7,50
1354570 2647 Newport Rd NE IC IA 52240
12/29/2004 Deb Reynolds Hubbard (UIHC) 3 .00
1354570 1468 Valley View Drive CV 1A 52241
12/29/2004 Shelley Jacobus (UIHC) 1 .00
1354570 6507 Boxwood Ln NE CR IA 52402
12/29/2004 Jennifer Jungen (UIHC) 5 .00

1212912004 Norman Kalvig (UIHC) 20.00

1354570 1945 Park Ave SE CR IA 52403
ZZaUe-IVlAl
$56 .5
marriage) (See Page 2 of forms packet .), If surname of contributor is the soma as candidate, but there is no Page ,L of
familial relationship, enter "not applicable' in the relationship Column . (for Schedule A)
JAN-19-2005 09 : 34 P .39
A
I
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06/97) RECEIPTS
CHECK THIS 60X IF
SEITJ(Service Employees Int'1 Union) Local 199 C PE Fund

STATE CANDIDATES NOTE : IF A CONTRIBUTION 15 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND=
(MM/DOryk) AN0 "AC: CHECK (if applicable) RAISER
NUMBER ;,
12/29/2004 Valerie Keffela (UIHC) 5Q00
1354570 1109 Prairie DuChien Rd IC IA 52245

I
1212912004 Teresa A Kingdon (UIHC) 2 .50
1354570 2113 Norcor Ave Apt 4 CV IA 52241
12129/2004 Katherine Kleinow (UIHC) 5 .00
1354570 3333 Pheasant Ct NE North Libe IA 52317

, ._
12/29/2004 Arlene Klesner (UIHC) 1 .00
1354570 1901 Earl Road IC IA 52246
12/29/2004 Amy Kruse (UIHC) 5.00
1354570 203 Fifth St #1 Coralville IA 52241
12/29/2004 Linda Krutsinger (UIHC) 10 .00
1354570 2147 Platen View Dr IC IA 52246
12/2912004 Cynthia Larew (UIHC) 1-00
1354570 P 0 Box 441 Lone Tree IA 52755
12J29/2004 Paula Laube (UIHC) 7 .50
1354570 712 Walnut St IC IA 52240
12/29/2004 Raelene Lenoch (UIHC) 1 .00
1354570 213 Broadway St W Branch IA 52358
1212912004 Luanne Link (UIHC) 5 .00
1354570 2215 Hickory Court IC IA 52240

SUB-TOTAL
TOTAL (if fast page of this schedule)
Disclosure law requires candidate Committees to disclose the relationship of any relative making a contribution to the
Commillec . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of loanG paCkal,) . If surname 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,
JRN-19-2005 09 " 35 P .40
A MONETARY
D CHECK THIS BOX IF

SEIU(Service Employees Inttl Union) Local 199 CltlPE Fund

STATE CANDIDATES NOTE., IF A CONTRIBUTION 15 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION: Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR ^ RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND ;
(MMIDD/YR) AND "AC CHECK (f applicable) RAISER
NUMBER
12J29/2004 Michael Loucks (UIHC) 5.00
1354570 1495 Falcon Ave Swisher IA 52338
12/29/2004 Wllma Macalalag (UIHC) 5.00
1354570 828 Augusta Circle North Liberty IA 52317
12/29/2004 June Masbruch (UIHC) 5.00
1354570 2387 - 340th St SW Tiffin IA 52340
12/29/2004 Ann Mason (UIHC) 3 .00
1354570 1032 Oakcrest St IC IA 52245
12/29/2004 Ruth McKeever (UIHC) 5_00
1354570 302 Walnut St Ti ton IA 52772
12/29/2004 Mary McKinney (UIHC) 3,00
1354570 506 West Seventh St Ti ton IA 52772
12/29/2004 Mary Jo Meggers (UIHC) 5.00
1354570 3371 Ozzie Dr Solon IA 52333
12129/2004 Terri Mengler (UIHC) 7.50
1354570 2215 Second St SW CR IA 52404
12/29/2004 Jean Miller (UIHC) 5.00
1354570 3755 Cottage Reserve Rd NE Solon IA 52333
12129/2004 Tara Miller (UIHC) 2.50
1354570 333 Carter St NW CR IA 52405 ' ..

SUB-TOTAL
marriage) (See Page 2 of forms packet .) . If surname or contributor is the same as candidate, but there is no Page :1 of 141
3
familial relationship, enter'not applicable" in the relationship column . (for Schedule A)
JAN-19-2005 09 : 35 P .41
CONTRIBUTIONS - MONEY TAKEN IN A MONETARY
(Rev . 06197) RECEIPTS
(including candidate's personal funds)
CHECK THIS BOX IF

AMENDING FORM
SEIU(Service Employees Int'1 Union) Local PE Fund

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 DESIGNA'TEO COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 688,32A(8), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J If FOR
RECEIVED (if applicable) I TO CANDIDATE' RECEIVED FUND-:,
(MMIDDIYR) AND "AC Ct4QCK (if applicable) RAISER
NUMBER INCOME
I
12/29/2004 Robert Milne (UIHC) 3,00
1354570 417 Carter St NW CR IA 52405
12/29/2004 Melinda Myers (UIHC) 20.00

1354570 1116 A Ave NW CR IA 52405
12/29/2004 Jan Niebes (UIHC) 5 .00
1354570 7274 - 15th Ave Keystone IA 52249
12/29/2004 Linda Peterson (UIHC) 2.50

1354570 907 N Gilbert St IC IA 52245
12/29/2004 Margaret Mary Ping (UIHC) 3.00

1354570 110 Sargert Dr West Branch IA 52358
12/29/2004 Becky Pottorff-Leaven (UIHC) 5.00
1354570 1149 Hunter's Run IC IA 52246
12/29/2004 Carolyn Poulakos (UIHC) 5.00
1354570 404 Sixth St #D6 Coralville IA 52241
12/29/2004 Jeffrey Rupe (UIHC) 3.00
12/29/2004 Nancy Sandstrom (UIHC) 7 .50
1354570 60 David Lee Court North Liberty IA 52317
12/29/2004 Dorothy Satariano (UIHC) 3.00

1354570 3222 Shasta Ct NE CR IA 52402
TOTAL (iflast page of this schedule)

a
Jl
marriage) (See Page 2 of forms packet,) . If surname of contributor is the same as candidate, but there is no Page cf _4L
familial relationship, enter "not applicable" in the relationship column, (for Schedule A)
JAN-19-2005 09 : 36 P .42
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) I RECEIPTS
C] CHECK THIS BOX IF

NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN, A UST of 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section aa8.32A(6), Iowa Code, prohibits the use of information copied From reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FCR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND
(MMIDD(YR) AND "AC CHECK (if applicable) RAISER
NUMBER I
12129/2004 Steven Schaefer (UIHC) 20_00
1354570 3946 Mahaffe Ln NE Solon 1A 52333
12/29/2004 Cheryl Schild (UIHC) 3_00
1354570 914 -12th Ave CV 1 A 52241
12129/2004 Mary Schlichte (UIHC) 10.00
1354570 4490 Westover Rd SE CR IA 52403
12/29/2004 Joyce Schultz (UIHC) 3_00
1354570 3023 Radcliffe Avenue IC IA 52245
12129/2004 Shanna Seigel (UIHC) 5.00
1354570 2820 U Avenue Parnell IA 52325
12/29/2004 Jeanne Sheetz (UIHC) 5 .00
1354570 120 Tartan Dr North Liberty IA 52317
Karen Shickell (UIHC) 10.00

12/29/2004
1354570 827 Dover Street IC IA 52245
Anthony Shrader (UIHC) 5_00

12/29/2004
1354570 1560 - 7th Ave SE CR 1A 52403
Vicki Siefers (UIHC) 3.00

12/29/2004
1354570 15 Brown Deer Knoll CV IA 52241
12129/2004 Pam Simons (UIHC) 5 .00
1354570 1310 Franklin St IC IA 52240

SU13- AL
TOTAL (lf last page of this schedule)
>I
committee. Rel ;itionship must be shown to the thlrd decree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no page . of
JAN-19-2005 09 : 37, P .43
A
I
MONETARY
CHECK THIS BOX IF
SEIU(Service Employees Int:'l Union) Local 199 C~PE Fund
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 OESIGNATEO 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
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR AMOUNT

I
RELATIONSHIP 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE RECEIVED FUND-I
AND "AC: CHECK (if applicable) RAISER
NUMBER ei
12/2912004 Terry Simons (UIHC) 5 .00
12129/2004 Chris Slater (UIHC) 5.00
1354570 2760 Turkey Creek Ln NE IC IA 52240
12/29/2004 Mary Stessman (UIHC) 1 .00 i
1354570 3788 Sunaura Drive NE IC IA 52240
12/29/2004 Sue Swearingen (UIHC) 5 .00
1354570 422 Melrose Ct IC 1A 52246 I
12/29/2004 Wanda Thackery (UIHC) 1 .00
1354570 604 First Ave So Mount Vernon IA 52314
12/29/2004 Angela Wernke Trenkamp (UIHC) 10,00
1354570 361 Camden Rd IC IA 52245
12/29/2004 Trisha Turnis (UIHC) 5.00
1354570 4519 Walker St NE CR IA 52402
12/29/2004 Diane Van Ersvelde (UIHC) 1-00
1354570 3051 Meadow Rd NE North Liberty IA 52317
12/29/2004 Jo Vonderhaar (UIHC) 3.00
1354570 1023 Marc Street IC 1 A 52240
12/29/2004 Patsy Wheeler (UIHC) 7.50
1354570 2761 Rhine Creek Way NW Oxford IA 52322

5u - 'AE
Committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by /
marri,ipe) (Sae Page 2 of forms packet .), IF surname or contributor is the same as candidate, but there is no Page C) o
familial relationship, enter 'not applicable' in the relationship column . (for Schedule A)
JAN-19-2005 09" 37 P .44
For Instructions, See Back of Form ISCHEDULE
A
I
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
CHECK THIS BOX IF
SETU(Service Employees Int'l Union) Local 199 C )PE Fund

0iSCLOSURE BOARD .
CAUTION : Section 68B .32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-1
(MM)DDIYR) AND :'At'. CHECK (if applicable) RAISER
NUMBER
1212912004 Sherry Whetstone (UIHC) 5.00
1354570 110 Swisher View Dr SW Swisher IA 52338
12/2912004 Pat Wolf (UIHC) 1 .00
1354570 1409 Western College CR IA 52404
12129/2004 Joan Comer Wright (UIHC) 3 .00
1354570 1659 Polk Avenue NE Solon IA 52333
12/29/2004 Marietta Yoder (UIHC) 7.50
1354570 P 0 Box 130 Kalona IA 52247
SU .
6 so
TOTAL (if last page of this schedule) 6
HS-3 0~ .
marriagg) (See Page 2 of fonrrs packet .) . IP surname of contributor is the same as candidate, but there is no Page , of

SEIU (Service Employees International Union) Local 199 COPE Fund - 6492 - Scanned

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SEIU (Service Employees International Union) Local 199 COPE Fund - 6492 - Scanned

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JAN-19-2005 09 :13 P .

IMPORTANT: Indicate type of committee you are reporting for!

CANDIDATE COMMITTEES ONLY :

OF TREASURER (or person filing this report)

STATEMENT OF CASH ON HAND

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

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

SEIU(Service Employees Int'1 Union) Local 199 .COPE and

10/15/04' D# SEIU (Int'l Office) Monthly contribution 864 .25

10/29/0 AID* SEIU (Intll Office) Monthly contribution 272,44

12/29/0 ID# SEIU (InV l Office) Monthly contribution 924 .75

THIS BOX APPUES TO CANDIDATES' COMMITTEES ONLY :

SEIU(Service Employees Int"l Union) Local 199 C PE Fund

10/15/2004 Deb Benfer (UIHC) 3.00

Direct Deposit 1683 Hemin wa Lane IC IA 52240

10/15/2004 Julie Bryant 10.00

Direct Deposit 1 Belle Vista Place IC IA 52245

10/15/2004 Brian Flaherty 3 .00

Direct Deposit 1122 So Seventh Ave IC IA 52=45

10/15/2004 Anne Gentil-Archer 5 .00

Direct Deposit 1744 - 115th St West Liberty IA 52776

10/15/2004 Cathy Singer Glasson 15.00

Direct Deposit 1920 - 2nd Ave SE CR IA 52403

10115/2004 Linda L Hagen 10 .00

Direct Deposit 375 Mormon Trek Blvd #7 IC IA 52246

10/15/2004 David C Meggers 5.00

Direct Deposit 3371 Ozzie Drive NE Solon IA 52333

10115/2004 Devin P Mehaffey 2.50

Direct Deposit 865 Camburn Ct SE CR IA 524Q3

10/15/2004 Kim R Miller 10 .00

Direct Deposit 805 Spencer Dr IC IA 52246

10/15/2004 Michel Murphy (IC Sch) 2.50

Direct Deposit 315 Ellis Ave #1 Iowa City IA 52246

TOTAL (if last page of this achedule)

SEIU(Service Employees Int'l Union) Local 199 C PE Fund

1011512004 Douglas L Peters 2.50

Direct Deposit 70 E Chestnut NL IA 52317

10/1512004 Kirsten A Running 2 .50

Direct Deposit 1210 Highland Ave IC IA 52240

10/15/2004 Sarah D Simpson 10 .00

Direct Deposit 3025 Hidden Meadow Dr Riverside IA 52327

10115/2004 Gary D Smith 2.50

Direct Deposit 917 Bowe St IC IA 52240

10/15/2004 Rita Sterler 5.00

Direct Deposit 2131 Plaen View Dr IC IA 52246

10/15/2004 Sarah C Swisher 40 .00

Direct Deposit 917 Bowe St IC IA 52240

10/15/2004 Tawny L Wilson 7_50

Direct Deposit 1110 Conklin St IC IA 52245

10/28/2004 Donald J Binegar Jr (IC Sch) 1 .50

229058 P 0 Box 373 N English IA 52316

1,0/28/2004 Kurth T Boyce (IC Sch) 1 .50

229058 4876-120 St NE Solon IA 52333

1012812004 Richard Hannon (IC Sch) 1 .50

229058 P O Box 3281 Iowa City IA 52244

TOTAL (lf last page of this schedule)

CONTRIBUTIONS -- MONEY TAKEN IN

SEIU(Service Employees Int'1 Union) Local 199 PE Fund

10/28/2004 John Hoard (IC Sch) 1 .25

229058 Box 466 Hills IA 52235

10/2812004 Ron Jensen (IC Sch) 1 .00

229058 425-320th St W Liberty IA 52776

10/28/2004 Brad KUester (IC Sch) 1 .50