04/20/2006 07 :34 FAX 712 277 6698 SNB OPERATIONS Z002

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2005) REPORT

For Offlee Use Only

Concerned Citizens for Responsible SBL Growth Comm .
IMPORTANT. Indicate by it type of committee you are reporting for: I1 logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Scanned
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local B Ila of Issue__
CANDIDATE COMMITTEES ONLY : Audited

Candidate Name
RECEIVED FAx
Political Party (ifapplicable) File with :
Iowa Ethics and Campaign
Disclosure Board
Office Sought APR 19 2006 District (if Senate or House) 510 E. 12'", Ste. 1A
Des Moines, Iowa 50319
Fax: 515-281-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 688.32A(7)
the candid~e, for a ndidate's committee and the chairperson, for any other type of committee, is the
individual spors' e fit' Ii ty n ccurate reports.

L1,213
7
- ~d-';Z cvl,
SIG TURF OF PER'S& RUNG REPORT TELEPHONE DATE SIGNED

04/17/2006
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #

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

02/26/2006
Check if this is final (termination) report and attach Notice of Dissolution Forth DR-3 .
County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.)
which Election is held
Woodbury

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
0.00
of the last reporting period or must be zero if this is first report filed.) - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . $

ADD TOTAL MONEY TAKEN IN THIS PERIOD

1,539 .98
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 8) ("'also see debts and loans below) . . . . . . . . . . . . . . . . . . 1,372 .23

Schedule F: Loan Repayments total (Attach Schedule F) ., . . . . .  . . . . . . . . . . . . . . . . . ., . ., . . ., . . . . . . . . . . . . . . .  . . . . . .. . . . . . . .

CASH ON HAND at the end of this reporting period (if final report balance must
167 .75
be zero) (Attach DR-3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

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

-IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . __ . . . . . . . . . ., . . . . . . . . . . . . . . . . . .$

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . . . . . . . . . . . . . . . . . . . . . .$

CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

CANDIDATE COMMITTEES ONLY:

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
04/20/2006 07 :34 FAX 712 277 6698 SNB OPERATIONS 003

For Instructions, See Back of Form SCHEDULEI

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev, 07/03) 1 RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Concerned Citizens for Responsible SBL Growth

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 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 .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDfYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

Kevin and Deborah Fletcher217 Topaz Drive SGT 100 .00

01!31 /2006 Bluff
CK#

ID# a
Harold Widdison 413 Hrookshire CT SGT Bluff 100 .00
01/31/2006 C K#

ID#
Marvin or Robin Pottebaum 301 Bennington Court 100 .00
01/31/2006 CK# SGT Bluff

ID#
Jeffrey and Jeanne Zyzda 5668 Old LakePort Sioux 100 .00
01/31/2006 CK# City

ID#
Mary and Tony l .azarowiz 1405 Vandenberg Circle 25 .00
01/31/2006 SGT Bluff
CK#

Mark and Karlene Huntley 303 Crystal CT SGT 25 .00

01/31/2006 Bluff
CK# 0

ID#
Mike Massey SGT Bluff 40 .00
01/31/2006
CK#

ID#
Daniel or Irene Wurzer 144 Golden DR SGT Bluff 20 .00
01/31/2006
CK#

ID#
Bert and Glenda Ulirich 1334 Warrior RD SGT
01/31/2006 24 .99
CK# Bluff

Bert and Glenda Ullrich 1334 Warrior RD SGT

01 /31!2006 24 .99
CK# Bluff

SUB-TOTAL
no 1 - Ss4 . yif
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) 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)
04/20 /2006 07 :34 FAX 712 277 6698 SNB OPERATIONS 2004

I
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 07103) RECEIPTS
(Including candidate's personal funds)
CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Stallement of Organization) AMENDING FORM
Concerned Citizens for Responsible SBL Growth

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 613B .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 otherthan statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMlDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Douglas and Penny Savage 300 Bennington CT $100 .00
02/02/2006 SGT Bluff
CK#

ID#
Lessard Contracting INC PO Box 705 SGT Bluff
02/03/2006 CK#
200.00

ID#
Stephen Olson PO Box 1378 Sioux City IA 51102 200.00
02/09/2006 CK#

ID#
Anthony and Anita Spenner 113 Quail Ridge SGT
02/09/2006 50 .00
CK# BluffIA

ID#
Walt and Bev Wendall SGT Bluff
02/0912006 CK#
50 .00

ID#
Bradley and Christine Robinson 405 Embassy CT
02/09/2006 SGT Bluff IA
50 .00
CK#

ID#
Lori and Mark Nibaur 604 Topaz SGT Bluff IA 100.00
02/16/2006
CK#

ID#
Michael and Sharon DeVos 2710 Ivanhoe SGT 25 .00
02/21/2006 Bluff i(A
CK#

ID#
Ray Wink Sgt Bluff IA
20 .00
02/21/2006 CK#

ID#

CK#

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 (flood relatives) and affinity (relatives by
marriage) - 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)

Ir
04/20/2006 07 :35 FAX 712 277 6698 SNB OPERATIONS Z005

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Concerned Citizens for Responsible SBL Growth

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.

GATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDlYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
If?#
Harold and Mary Drotzmann 2206 hwy 75 SGT $50.00
02/28/2006 Bluff
CK#

ID#
Tom Massey SGT Bluff 40 .00
02/28/2006
CK#

ID*
Myron Olench SGT Bluff 20 .00
02/28/2006 CK#

ID#
Roger and Jennifer Scholz 412 Embassy Court SGT 75 .00
03/01/2006 CK# Bluff

ID#

CK#

ID#

CK#

ID#

CK#

ID#

a
CK#

ID#

CK#

ID# -

CK#

SUB-TOTAL
$ l O~-
TOTAL (if last page of this schedule) $ IS 3
!' ff)
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 consangwnity (blood relatives) and affinity (relatives by
marriage)
of . If surname of contributor is the same as candidate, but there is no Page ,
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
04/20/2006 07 :35 FAX 712 277 6698 SNB OPERATIONS 006

I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 07/03) EXPENDITURES

Q
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)

Concerned Citizens for Responsible SBL Growth

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
ID#
Signs by Tomorrow 4717 Southern Yard Signs
02/20/2006 Hills Drive Sioux City IA 51106 $ 692 .23
CK# 1001

ID#
Sergeant BluffAdvocate PO BOX 712 Newspaper Adds
03/15/2006 Sergeant Bluff IA 51054 361 .25
CK# 1002

ID#
Sergeant Bluff Advocate PO BOX 712 Newspaper Adds
03/15/2006 Sergeant Bluff IA 51054 318 .75
CK# 1003

ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ 7,
13 7a, 3
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

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

(for Schedule e)