FOR INSTRUCTIONS, SEE BACK OF FORM

I
FORM
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAG (Rev . 01/98) REPORT
For Office Use Only
COMMITTEE NAME (Must be same as on Statement of Orgarnzaf0'n, Comm. #
WTF('K F(1R TnWA RPNATR
Indexed

a
Audited
IMPORTANT: Indicate type of committee you are reporting for: Computer
(1 )StatewldelLegl tive Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County P9,C 6 Ilc,f IsspelFrancpise Co~ e 7 /City Central Committee 1
( 13 )Support~I e of rjidos
712/276-2004 01/17/_44
TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

IAMFILINGA 01/01/04 - 12/31/04 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one

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

El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County 8 Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

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.) ............................................................... ....... ......$ 12,230 .95
ADD TOTAL MONEY TAKEN IN THIS PERIOD 14,250 .00
Schedule A: Cash Contributions total (Attach Schedule A) ...................................... ............
Schedule F: Loans Received total (Attach Schedule F) ............ ........................ ................... -0-
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .... ................. ..... ........ -n-
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL......$ 26,480 .95
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
5,040 .00
Schedule B: Expenditures total (Attach Schedule B) ..... ... ..... .......... ............... ............ ... ......
Schedule F: Loan Repayments total (Attach Schedule F) .................................... ......... ......

CASH ON HAND at the end of this reporting period (if final report, balance must 21,440 .95
be zero) (Attach DR-3) ..... .. ............... ..... .. ....... .................................................. ............. .. .....$,

UNPAID BILLS (From Schedule D - Attach Schedule D) ... ..... ..... ............. ................. ............... ..... .. ..$ -0-
IN KIND CONTRIBUTIONS (From Schedule E-Attach Schedule E) ... ... ..... ..... ....... ........ ..... .............$ -0-
OUTSTANDING LOANS (From Schedule F -Attach Schedule F) ........... ............... ............... .............$ -0-
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES _XX _ NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ -0-
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Stafement of Organization) AMENDING FORM

WIECK FOR IOWA SENATE

STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER IN THEDESIGNATED COLUMN. ALIST 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 PACID NUMBER NAME AND ADDRESSOF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (d applicable) TOCANDIDATE' RECEIVED FUND-
(MwN)DiYR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
1D#
9659 FEDERATION OF IOWA INSURER $ 250
01/05/04
/05/04 CK#
1246 P 0 BOX 1756
3 0111919
9663 CITIZENS FOR PRESERV*ION 0
01/08/04 CK# RACING 1 PRAIRE MEADOWS Dt 1,000
567
ALTOONA IA 50009
ID# CASEY' PAC
6475
P 0 BOX 3001 100
1/08/04 CK#
2723 ANKENY IA 50021-8045
ID#
6445 RIVERPAC
1/14/04 CK# 1193 400 E 3RD ST 150
DUBUQUE IA 52001-2395
ID# 6082 MIDAMERICAN ENERGY CO EFFEC IVE
1/14/04 CK# 900 GOV COMM 666 GRAND AV P 0 BOX 200
DES MOINES IA 50303-0657
ID#
JESUS M AVILES
7/01/04 CK# 5664 4817 OXFORD DR 500
SIOUX CITY IA 51106
ID# MICHAEL B HELLER
7/01/04 CK# 1092 1621 S 50TH PLACE 500
WEST DES MOINES IA 50265
ID# PAULA FELTNER
.7/n2/Oa CK# 1609 BUFFALO RD 500
2198 WEST DES MOINES IA 50625
ID# MICHAEL R MYERS
07/05/0 CK# 2530 73RD ST 1,000
1152 URBANDALE IA 50322
ID# MICHAEL P MEDVED
07/05/0 CK# 1078 1,000
URBANDALE D IA T 50322

" 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 conbibutor is the same as candidate, but there is no Page 1 of
familial relationship, enter "not applicable' in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidates personal funds)
X/ CHECK THIS BOX IF
COMMITTEE NAME (Most be same as on Statement of Organization) AMENDING FORM

WIECK FOR IOWA SENATE

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 d IF FOR
RECEIVED (d applicable) TO CANDIDATE' RECEIVED FUND-
(M11NDDfYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 6486 IOWA TELECOM PAC
08/31/04 CK# 115 S 2ND AV W $ 250
1432 NEWTON IA 50208
ID#
8140 PFIZER - STATE }
09/01/04 CK# 235 E 42ND ST 250
1497 NEW YORK NY 10017
ID# 6056 BANKERS UNITE IN LEGISLATIVE
09/03/04 CK# 3279 DECISIONS 8800 NW 62ND A 300
JOHNSTON IA 50131-6200
ID# 6056 BANKERS UNITE IN LEGISLATIVE
9/10/04 CK# 8800 NW 62ND AV 200
3293 JOHNSTON IA 5012106200
ID# 6411 MCI IOWA PAC
9/10/04 CK# 707 17TH ST SUITE 3600 500
1344 DENVER CO 80202-3436
ID# WAYNE R WOOLRIDGE
410 SAC 50
9/05/04 CK# 2027 CHEROKEE IA 51019
ID# 6067 IOWA HEALTH PAC
9/05/04 CK# 6750 WESTOWN PARKWAY #10k 150
3161 WEST DES MOINES IA 50266
ID# 8251 PRINPAC
9/13/04 CK# 711 HIGH ST 250
1331 DES MOINES IA 50392
ID# 6107 QWEST IPAC
9/17/04 CK# 925 HIGH ST 500
3418 DES MOINES IA 50309
ID# DICK PRUEHS
5517 STONE AV 500
09/17/04 CK#
5738 SIOUX CITY IA 51106
SUB-TOTAL

TOTAL (iflast page of this schedule)

' 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 2 of 4
familial relationship, enter 'not applicable' in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidate's personal funds)
/Q CHECK THIS BOX IF
COMMITTEE NAME (Aliust be same as on Statement of Organization) AMENDING FORM

WIECK FOR IOWA SENATE

STATE CANDIDATES NOTE- IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER 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 IF Fat
RECEIVED TO CANDIDATE' RECEIVED FUND-
(ifapplicable)
(MhMDDIYR) AND PAC CHECK (if ) RAISER
NUMBER INCOME

6478 ID# IANA-PAC

09'/1 8/04 CK# $ 100
1118 URBANDALEOR IA A50322
ID#
CRAIG H NEILSEN 1
09/20/04 CK# 8620 TITLEIST CR 250
9436 LAS VEGAS NEVADA 89117
ID# 6291 IHA PAC
09/26/04 CK# 100 E GRAND SUITE 100 250
2392 DES MOINES IA 50309
ID#
6087 IOWA TELECOMMUNICATIONS IN
10/03/04 CK# 2987 100TH ST 500
1363 URBANDALE IA 50322-5501
ID# 6159 AMERUS GROUP PAC
10/05/04 CK# 611 5TH AV 500
1098 DES MOINES IA 50309
ID# LES DOUMA
10/08/04 CK# 304 MARTIN DR NE 50
5767 ORANGE CITY IA 51041
ID#
6052 INDEPENDENT INS . AGENTS OF IA
10/12/04 CK# 4000 WESTOWN PKY STE 200 400
2822 WEST DES MOINES IA 50265
ID# BARBARA ULBRICH
10/12/04 CK# 29 CANDKE RIDGE RD 250
2399 TOWANDA IL 61776-7513
ID# 6082 MIDAMERICAN ENERGY CO EFF .
10/10/04 CK# 250
1064 DES MOINES IA 6 50303-0657
ID# 6058 IOWA CHIROPRACTIC SOCIETY
10/16/04 CK# 1605 N ANKENY BLVD SUITE 00 300
2535 ANKENY IA 50021-4159
SUB-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. 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, butthere is no Page 3 -of 4
familial relationship, enter 'not applicable' in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06M7) RECEIPTS
(Including candidate's personal funds)
Fol CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

WIECK FOR IOWA SENATE

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMNDDIYR) AND PAC CHECK (i applicable) RAISER
NUMBER INCOME
ID#
8429 PCIPAC
10/14/04 CK# 2600 SOUTH RIVER RD $ 150
2537 DES PLAINES IL 60018-3286
ID#
6125 IOWA REALTORS PAC j
10/24/0 CK# 1370 NW 114TH ST SUITE 100 1,000
2444 CLIVE IA 50325
ID# GRINNELL MUTUAL REINSURANCE PAC
9687
10/23/0 CK# 4215 HIGHWAY 146 250
1036 GRINNELL IA 50112
ID# 6056 BANKERS UNITE IN LEGISLATIVE
10/27/0 1,000
CK# 3390 JJOHNSTONS IA 80 50131-6200AV
ID# 6160 IOWA INDEPENDENT BANKERS
10/27/0 CEC# 1603 22ND ST SUITE 202 500
2114 WEST DES MOINES IA 50266
ID# 9675 OAAI PAC
10/28/0 CK# 3101 SW 61ST ST 100
1039 DES MOINES IA 50321
ID# 9701 IOWA MORTGAGE ASSOCIATION
10/31/0 CK# 6 250
2014 JOHNSTON IAND 50131-6200

CK#
ID#

CK#

ID#

CK#

SUB-TOTAL
$ 3,250
TOTAL (if last page of dtfs schedule)
$14,250
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 farms packet.) . If sumeme of contributor is the same as candidate, butthere is no Page 4 of 4
familial relationship, enter "not applicable' in the relationship column. (for Schedule
A)
 FOR INSTRUCTIONS SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Fol CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COU1QTTEE NAME (llofrst be same as on Statement of OrgenmaGiorr)

WIECK FOR IOWA SENATE

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Dbbursernenf) WAS MADE
(MINDDIYR) AND PAC
CHECK
NUMBER
ID#
LEGISLATIVE MAJORITY
10/08/0 CK# 1034 FUND DONATION $5,000 .00
DES MOINES IA
ID#
DOMAIN REGISTRY OF
10/08/0 AMERICA RENEW OF DOMAIN NAME
CK# 1036 ON THE WEB 40 .00
ID#
CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ 5,040 .0
TOTAL (if last page of Ilhis schedule) $
5 040 .00
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign pmperty costing 5500 or more ,rust also be inventoried on Schedule H. (Refer tc) Schedule H instructions
.)
iturim 10 PGrW1WftAbM PMdRh9 9. ng. find-raising. f0111111h9. managing. agonizing services must also be detail itemized on
Schedule G by the amount, Purpose. and data of each type of e> tlxe made by the persmVeribly on behalf of the candidete's committee. (Refer to
Schedule G ka uctions and lox" Code 56.6(3)(1).)

Page 1 of

(for Schedule B)