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MAHAFFEY LAW OFFICE PAGE ~j "2

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FOR INSTRUCTIONS, SEE BACK OF FORM FORM
Reset Form
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Muct be same as on Statement of Organization) (Rev. 1212005) REPORT

r fl We o
Johnaton for Supervisor Comm . $

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i'rfF~ Audited

Candidate Nam Political Party (If applicable) File with :


publican
.
Dennis Johrimn Iowa Ethics and Campaign
Disclosure Board
Office Sought District (IfSenate or House) 510 E. 12'^, Sla. 1A
Supervisor F,t.E~
Des Moines . Iowa 50319
Fax: 515-261-3701
Low reports are subject to possible civil and criminal penalties. Puruuard to Iowa Code section B8B.32A(7)
the candidate. for a candidate's committee, and the chairperson . for any other type of committee, is the
Indvidual responsible for filing timely and accurate reports .

_~ J
S48NAPSISON RUNG REPORT TELEPHONE DATE SIGNED

I AM FILING A June 1.2, 2006 REPORT FOR (1) ELECTION I(2)NiDN.ET.ECTTON YEAR .

(report date) Indicate by

7CHEt;K IF AMENDMENT TO REPORT DATED Local Committsea, enter Date or Election

[] Chock A this Is final (Lrmlnatlon) report and attach Notice of Dlcsoluution Form OR-3 .
County B. Local Committees, enter County to
(You must continue to Ale reports until a DR-3 is filed.)
whlctt Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
commkt,ee . This amount MUST be the same as the cash on hand of 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


.~
Schedule A: Cash Contrlbutlons total (Attach Schedule A) ('also see in-kind below) . . .. . . . . . .., . . . ... . . . . v 9(1~0
.

Schedule F-. Loans Received total (Attach Schedule F) . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . ..

Schedule H: Total Sales of Campalgn Property (Attach Schedule H) . . . . . . . . .. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .

Lchadufe H applies t Candlq s' C

SUB-TOTAL . . .... . . . . . . ..... . . . . ..$

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule BI ('"also see debts and loans below) . . .. . .. , . . . . .. . . ,s f K 3
Schedule F : Loan Repayments total (Attach Schedule F) .. ., . . . .. . . . . ... . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . .. . . . . ., . .. .. . . . . . . .

CASH ON HAND at the end of this reporting period (f final report balance must
be zero) (Attach oR-3) . . . . . . . . . . . . . . . . . . . ... . . . . ... ... . ... . . . . . .. . . . . . . .. . . . . ._ . . . . . .. ... . . . .... . . . . . . . . . . . . . .. ... . . . . . . . . . . . . . . . . . . ... . . . . . . .. . .S

'"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . ... . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. ., . . . . . . . . .. . .  , . . . . . .. . . . . . . .. ... . . ...5

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . S

-OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ......... . ..... . .., .., . . ......... . . ... ....... . ......... . ...... . ... .3
CONSULTANT BREAKDOWN (Schedule G Attached?) _, YES - NO
D

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

'ATE CQMMITTFES: Submit a reconciled campaign account bank statement In January of each year .
, M1AHAFFEY LAI.J OFFICE PAGE ~=+3 ;',]+=
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109-01 - 2005 14 :15 SLRUEN PLUf9EING 641 236 7602 PRGES


For Insttvctions, See Back of Form
Recct Fonn SCHEDULE 1
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 07103) RECEIPTS
(Including candidate's personal funds)
E] CHECK THIS BOX IF
COMMITTEE NAINE(MUSt bo same as on Statement of Organization)
AMENDING FORM
C, G t 111 ~'uti~ ~~ J =~~ ~' vr c^,r

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED rROM 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 .

NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $75070 YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION : Section 66B .32A(6), 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 T''---
ACIDNUMBER 00I=' nGLATIONS11Ir AMOUNT 4 IF FOR
RECEIVED Of applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
IDO
P0
CK*
A) G'Y~.fC 2 -))A" ..L ..

I D#
P- L .
CK# PLC gcy-
n-1~n4t fb n i,
l[xt ~cv~1 d L_

[~ Sl 1 ! ;!ir J c x .41_9
CK# / (p0 .
.T) owi fir. ~, . rn1% "L r1 ) r,, 17 i

C, -Y (;, v
i..
)f1.rP1-l_ 1,_ r r~.;l 2-D 7/ i ,.
I0#

CK#

ID#

CK#
_-
fD#

CK#

I DtY

CKS

ID#

CK#

S-UR-TOTAL

TOTAL (iflast page of thIs schedule)


$8 (o-
' Dlaclogure law requlrev candidate committees to disclose the rvldtbnshlp of any relative making a contribution to the
comm(ttee. ReletlonOlp twist be shown to the third degree of cotlmnguInIty (blood relatives) and affinity frtetstivee by
menriage) . If surname of mnirfbutor Is the snore as candidato, but there is no Page of
famliial reiedonoh(p, enter 'not applicable' In the relmlomtep column, (for ScheduIe A)
I1AHAFFEY LHh0 OFFICE PAGE P4i0"
5 ;,.13 :''2x3155 13^ :11 541-623-5421
0?-0j,-2005 14 :15 SLAVEN PLUMBING 641 R-Z6 7602 PAGES

FOR INSTRUCTIONS. SEE BACK OF FORM Reset Form

MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS SOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 6 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Sfatgrnenf of Orgenizabon)


Jr:;h I ,, -A:v\ ~~Y F r v .I uv

CANDIDATE NAME ANDADDRESS TO NIHOM


ID NUMBER EXPENDITURE
()f applicable) (Oiabuncem6M) WAS MADE
AND PAC
CHECK
NUMBER

D,J rI ox I z ~,

Lc I ?
a-1't d/

SUS-TOTAL
TOTAL. (HrIes1 page ofthis schodule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be Invenioried on Schedule H. (Refer b Schedule H Instructions.)

Expenditures to pemonslenblies providing consulting, advertising, fund-raising, polling, managing, organizing sarvlces must also be detnll itemized on
Schedule G by the amount, pufpose, and date of each type of expenditure made by the person/enbty on behalf ofthe candidate's committee, (Refer to
Schedule G inatnictlons and Iowa Code SaA.402(3)(I) .)

((or Schedule B)
MAHAFFEY LA(ki OF=ICE P~+t=E 1~ 5 ; 1>>
05 '13 ,,,2005 0, : 11 541-52 3-5421

FOR INSTRUCTIONS. SEE BACK OF FORM, SCHEDULE


D INCURRED
COMMITTEE NAME (Must be same as on Slalernenl of Orgonirafion) (Rev, 08198) INDEBTEDNESS

I CHECK THIS BOX


IF AMENDING
NOTE : DebIR previously reported that remain . unpaid must be included on this FORM
Schedule, as well as any now obligations Incurred in this period,

An "Incurred debt" is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received . but not paid for by the
end ofthe reporting period 
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMID01YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
S
J r~ a."r~ I ~
z. S .
1 7
Ul'1~P Zr :m.rl . .~-
r

SUB-TOTAL S

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S

- If actual flallre Is unknown. chow "eoflmatod - beside the ilgure . Page / of /


(for S.^,hedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred Indebtedness also Includoe each personrentity with whom the candidate's committee has entered Into a contract during the
reporting period for future
or con IInuing performance. Enter the name of the consultant who provides or procures services for Items such as advertising, fund-raising, polling, managing, or
o rpi ntzng s erv lcet . Report on Schedule G the nature or performance and the estimated performance reasonably expected of the consultant,

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