FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 ~ DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 01/2003 REPORT
Allied Group and Farmland Political Action Committee For Office Use Only
IMPORTANT: Indicate type of committee you are reporting for: Comm . #
(1)Statewide/Legislative Candidate (2)Statewide PAC (3)State Party (4) County/Local Candidate Indexed
(5)County PAC (6)Ballot I ;sut e Committee (7)County/City Central Commiittee
(8)Suppport Slate of Can4da Audited
Computer
Candidate Name Political Party

Office Sought

RER'(or person filing this report) TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
05/15/2004 - 07/14/2004 REPORT FOR AN/A (1) ELECTION /(2) NON-ELECTION YEAR.
(report date) Indicate one

AMENDMENT TO REPORT DATED 07/16/2004 Local Committees, enter Date of Election

(Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committee, enter County in
(You 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.) $21,766.17
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attached Schedule A) ('also see in-kind below) $3,676 .23
Schedule F: Loans Received total (Attach Schedule F) $0 .00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) $0 .00
Schedule H applies to Candidates' Committe es Only)

SUB-TOTAL $ $25,442.40
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) $1,500 .00
Schedule F: Loans Repayments total (Attach Schedule F) $0 .00
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero)(Attach DR-3) $ $23,942.40

"*UNPAID BILLS (From Schedule D - Attach Schedule D) $0 .00

"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $0 .00
"*OUTSTANDING LOANS(From Schedule F-Attach Schedule F) $0 .00

n a
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN Schedule G Attached ? YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $0 .00
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
El CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
5/28/2004 ID# Allen, Laura $10.00

CK#
2944 328th Place
Adel, IA 50003-8022
6/11/2004 ID# Allen, Laura $10.00

CK#
2944 328th Place
Adel, IA 50003-8022
6/25/2004 ID# Allen, Laura $10 .00

CK#
2944 328th Place
Adel, IA 50003-8022
7/9/2004 ID# Allen, Laura $10.00

CK#
2944 328th Place
Adel, IA 50003-8022
5/28/2004 ID# Alvarez, Carol $10.00

CK#
20322 N 56th Lane
Glendale, AZ 85308-6297
6/11/2004 ID# Alvarez, Carol $10.00

CK#
20322 N 56th Lane
Glendale, AZ 85308-6297
6/25/2004 ID# Alvarez, Carol $10.00

CK#
20322 N 56th Lane
Glendale, AZ 85308-6297
7/9/2004 ID# Alvarez, Carol $10.00

CK#
20322 N 56th Lane
Glendale, AZ 85308-6297
5/28/2004 ID# Anderson, Christine $3 .75

CK#
3109 Canal Shore Dr . W
Le Claire, IA 52753-9306
6/11/2004 ID# Anderson, Christine $3 .75

CK#
3109 Canal Shore Dr . W
Le Claire, IA 52753-9306

SUB-TOTAL $ $ 87 .50
TOTAL (if 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 Page - of _- 45 -
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 06/97) ~ RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/24/2004 ID# Anderson, Christine $3 .75

CK#
3109 Canal Shore Dr . W
Le Claire, IA 52753-9306
6/25/2004 ID# Anderson, Christine $3 .75

CK#
3109 Canal Shore Dr . W
Le Claire, IA 52753-9306
7/9/2004 ID# Anderson, Christine $3 .75

CK#
3109 Canal Shore Dr . W
Le Claire, IA 52753-9306
5/28/2004 ID# Appleget, David $3 .00

CK#
5300 Clearwater Drive
Norwalk, IA 50211-1775
6/11/2004 ID# Appleget, David $3 .00

CK#
5300 Clearwater Drive
Norwalk, IA 50211-1775
6/25/2004 ID# Appleget, David $3 .00

CK#
5300 Clearwater Drive
Norwalk, IA 50211-1775
7/9/2004 ID# Appleget, David $3 .00

CK#
5300 Clearwater Drive
Norwalk, IA 50211-1775
5/2812004 ID# Austen, Wesley $50 .00

CK#
3302 Northeast Briarwood Drive
Ankeny, IA 50021-9693
6/11/2004 ID# Austen, Wesley $50 .00

CK#
3302 Northeast Briarwood Drive
Ankeny,IA 50021-9693
6/25/2004 ID# Austen, Wesley $50.00

CK#
3302 Northeast Briarwood Drive
Ankeny,A 50021-9693

SUB-TOTAL $ $173 .25

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, but there is no familial
Page - 2of_- 4 5-
relationship, enter "not applicable" in the relationship column. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT vo IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Austen, Wesley $50.00

CK#
3302 Northeast Briarwood Drive
Ankeny, IA 50021-9693
5/28/2004 ID# Bean, Jack $3 .75

CK#
200 N H Street
Indianola, IA 50125-2218
6/11/2004 ID# Bean, Jack $3 .75

CK#
200 N H Street
Indianola, IA 50125-2218
6/25/2004 ID# Bean, Jack $3 .75

CK#
200 N H Street
Indianola, IA 50125-2218
7/9/2004 ID# Bean, Jack $3 .75

CK#
200 N H Street
Indianola, IA 50125-2218
5/28/2004 ID# Becker, Douglas $3 .00

CK#
1860 Andrews Drive
Pleasant Hill, IA 50327-0910
6/11/2004 ID# Becker, Douglas $3 .00

CK#
1860 Andrews Drive
Pleasant Hill, IA 50327-0910
6/25/2004 ID# Becker, Douglas $3 .00

CK#
1860 Andrews Drive
Pleasant Hill, IA 50327-0910
7/9/2004 ID# Becker, Douglas $3 .00

CK#
1860 Andrews Drive
Pleasant Hill, IA 50327-0910
5/28/2004 ID# Behrens, Daniel $10.00

CK#
5954 Robin Road
Pleasant Hill, IA 50327-2193

SUB-TOTAL $ $87,00

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, but there is no familial
Page - 3of_-45 -
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Behrens, Daniel $10 .00

CK#
5954 Robin Road
Pleasant Hill, IA 50327-2193
6/25/2004 ID# Behrens, Daniel $10 .00

CK#
5954 Robin Road
Pleasant Hill, IA 50327-2193
7/9/2004 ID# Behrens, Daniel $10 .00

CK#
5954 Robin Road
Pleasant Hill, IA 50327-2193
5/28/2004 ID# Betten, Craig $7 .50

CK#
535 2nd Street Southwest
Britt, IA 50423-1202
6/11/2004 ID# Betten, Craig $7 .50

CK#
535 2nd Street Southwest
Britt, IA 50423-1202
6/25/2004 ID# Betten, Craig $7 .50

CK#
535 2nd Street Southwest
Britt, lA 50423-1202
7/9/2004 ID# Betten, Craig $7 .50

CK#
535 2nd Street Southwest
Britt, IA 50423-1202
5/28/2004 ID# Beyene, Nathnael $10 .00

CK#
4 Keswick Drive
New Albany, OH 43054-8076
6/11/2004 ID# Beyene, Nathnael $10 .00

CK#
4 Keswick Drive
New Albany, OH 43054-8076
6/25/2004 ID# Beyene, Nathnael $10 .00

CK#
4 Keswick Drive
New Albany, OH 43054-8076

SUB-TOTAL $ $90.00

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, but there is no familial
Page - 4 of_-45 -
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT vo IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/8/2004 ID# Beyene, Nathnael $10 .00

CK#
4 Keswick Drive
New Albany, OH 43054-8076
5/28/2004 ID# Biere, Douglas $10 .00

CK#
7514 Brookview Drive
Urbandale, IA 50322-8319
6/11/2004 ID# Biere, Douglas $10 .00

CK#
7514 Brookview Drive
Urbandale, IA 50322-8319
6/25/2004 ID# Biere, Douglas $10 .00

CK#
7514 Brookview Drive
Urbandale, IA 50322-8319
7/9/2004 ID# Biere, Douglas $10 .00

CK#
7514 Brookview Drive
Urbandale, IA 50322-8319
5/28/2004 ID# Bohan, Bill $5 .00

C K#
700 Southwest Maplewood Drive
Grimes, IA 50111-2141
6/11/2004 ID# Bohan, Bill $5 .00

CK#
700 Southwest Maplewood Drive
Grimes, IA 50111-2141
6/25/2004 ID# Bohan, Bill $5 .00

CK#
700 Southwest Maplewood Drive
Grimes, IA 50111-2141
7/9/2004 ID# Bohan, Bill $5 .00

CK#
700 Southwest Maplewood Drive
Grimes, IA 50111-2141
5/28/2004 ID# Bosch, Paul $60 .00

CK#
1857 Glen Oaks Drive
West Des Moines, IA 50266-6608

SUB-TOTAL $ $130.00

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, but there is no familial
Page - 5 of_- 4
(for Schedule A)
5-
relationship, enter "not applicable" in the relationship column .
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Bosch, Paul $60.00

CK#
1857 Glen Oaks Drive
West Des Moines, IA 50266-6608
6/25/2004 ID# Bosch, Paul $60.00

CK#
1857 Glen Oaks Drive
West Des Moines, IA 50266-6608
7/9/2004 ID# Bosch, Paul $60.00

CK#
1857 Glen Oaks Drive
West Des Moines, IA 50266-6608
5/2812004 ID# Breeden, Robert $3 .00

CK#
1201 S G Street
Indianola, IA 50125-3117
6/11/2004 ID# Breeden, Robert $3 .00

CK#
1201 S G Street
Indianola, IA 50125-3117
6/25/2004 ID# Breeden, Robert $3 .00

CK#
1201 S G Street
Indianola, IA 50125-3117
7/9/2004 ID# Breeden, Robert $3 .00

CK#
1201 S G Street
Indianola, IA 50125-3117
5/28/2004 ID# Brincks, Dianna $5 .00

CK#
1329 2nd Avenue Southwest
Altoona, IA 50009-2465
6/11/2004 ID# Brincks, Dianna $5 .00

CK#
1329 2nd Avenue Southwest
Altoona, IA 50009-2465
6/25/2004 ID# Brincks, Dianna $5.00

CK#
1329 2nd Avenue Southwest
Altoona, IA 50009-2465

SUB-TOTAL $ $207.00
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 sumame of contributor is the same as candidate, but there is no familial
Page - 6 of _- 45
-

relationship, enter "not applicable" in the relationship column . (for Schedule A)

 For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
El CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT to IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Brincks, Dianna $5 .00

CK#
1329 2nd Avenue Southwest
Altoona, IA 50009-2465
5/28/2004 ID# Brodersen, Robert $7 .50

CK#
3208 Old Portland Road
Adel, IA 50003-8048
6/11/2004 ID# Brodersen, Robert $7 .50

CK#
3208 Old Portland Road
Adel, IA 50003-8048
6/2512004 ID# Brodersen, Robert $7 .50

CK#
3208 Old Portland Road
Adel,IA 50003-8048
7/9/2004 ID# Brodersen, Robert $7 .50

CK#
3208 Old Portland Road
Adel, IA 50003-8048
5/28/2004 ID# Burke, James $4 .00

CK#
4618 Sandwich Court
Dublin, OH 43016-8292
6/11/2004 ID# Burke, James $4 .00

CK#
4618 Sandwich Court
Dublin, OH 43016-8292
6/25/2004 ID# Burke,James $4 .00

CK#
4618 Sandwich Court
Dublin, OH 43016-8292
7/9/2004 ID# Burke, James $4,00

CK#
4618 Sandwich Court
Dublin, OH 43016-8292
5/28/2004 ID# Cerretti-Watson, Valerie $3 .75

CK#
1927 Northwest 80th Place
Clive, IA 50325-5605

SUB-TOTAL S $54.75

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 Page -7 of_- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Cerretti-Watson, Valerie $3 .75

CK#
1927 Northwest 80th Place
Clive, IA 50325-5605
6/25/2004 ID# Cerretti-Watson, Valerie $3 .75

CK#
1927 Northwest 80th Place
Clive, IA 50325-5605
7/9/2004 ID# Cerretti-Watson, Valerie $3 .75

CK#
1927 Northwest 80th Place
Clive, IA 50325-5605
5/28/2004 ID# Clemmensen, Paul $2 .00

CK#
4001 Patricia Drive
Urbandale, IA 50322-2141
6/11/2004 ID# Clemmensen, Paul $2 .00

CK#
4001 Patricia Drive
Urbandale, IA 50322-2141
6/25/2004 ID# Clemmensen, Paul $2 .00

CK#
4001 Patricia Drive
Urbandale, IA 50322-2141
7/9/2004 ID# Clemmensen, Paul $2 .00

CK#
4001 Patricia Drive
Urbandale, IA 50322-2141
5/28/2004 ID# Crosser, Wendell $25 .00

CK#
838 Burr Oaks Drive
West Des Moines, IA 50266-6637
6/11/2004 ID# Crosser, Wendell $25.00

CK#
838 Burr Oaks Drive
West Des Moines, IA 50266-6637
6/2512004 ID# Grosser, Wendell $25.00

CK#
838 Burr Oaks Drive
West Des Moines, IA 50266-6637

SUB-TOTAL $ $94.25

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 familial
Page - 8of _- 45
-

relationship, enter "not applicable" in the relationship column . (for Schedule A)

 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

7/9/2004 ID# Crosser, Wendell $25.00

CK#
838 Burr Oaks Drive
West Des Moines, IA 50266-6637
5/28/2004 ID# Dougherty, Guy $10.00

CK#
6451 Moors Place W
Dublin, OH 43017-9047
6/11/2004 ID# Dougherty, Guy $10.00

CK#
6451 Moors Place W
Dublin, OH 43017-9047
6/25/2004 ID# Dougherty, Guy $10.00

CK#
6451 Moors Place W
Dublin, OH 43017-9047
7/9/2004 ID# Dougherty, Guy $10.00

CK#
6451 Moors Place W
Dublin, OH 43017-9047
5/28/2004 ID# Duncan, Mary $2 .00

CK#
PO Box 513
Altoona, IA 50009-0513
6/11/2004 ID# Duncan, Mary $2 .00

CK#
PO Box 513
Altoona, IA 50009-0513
6/25/2004 ID# Duncan, Mary $2 .00

CK#
PO Box 513
Altoona, IA 50009-0513
7/9/2004 ID# Duncan, Mary $2 .00

CK#
PO Box 513
Altoona, IA 50009-0513
5/28/2004 ID# Eaves, Kurt $10.00

CK#
9208 Westfield Circle
Johnston, IA 50131-2271

SUB-TOTAL $ $83.00

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, but there is no familial
Page - 9of_-5-
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Eaves, Kurt $10.00

CK#
9208 Westfield Circle
Johnston, IA 50131-2271
6/25/2004 ID# Eaves, Kurt $10.00

CK#
9208 Westfield Circle
Johnston, IA 50131-2271
7/9/2004 ID# Eaves, Kurt $10 .00

CK#
9208 Westfield Circle
Johnston, IA 50131-2271
5/28/2004 ID# Ekiss, Michael $10 .00

CK#
15162 Beechwood Avenue
Clive, IA 50325-4531
6/11/2004 ID# Ekiss, Michael $10 .00

CK#
15162 Beechwood Avenue
Clive, IA 50325-4531
6/25/2004 ID# Ekiss, Michael $10 .00

CK#
15162 Beechwood Avenue
Clive, IA 50325-4531
7/9/2004 ID# Ekiss, Michael $10 .00

CK#
15162 Beechwood Avenue
Clive, IA 50325-4531
5/28/2004 ID# Ellett, Daniel $4 .00

CK#
2808 Northwest North Creek Circle
Ankeny,IA 50021-1073
6/11/2004 ID# Ellett, Daniel $4 .00

CK#
2808 Northwest North Creek Circle
Ankeny,IA 50021-1073
6/25/2004 ID# Ellett, Daniel $4 .00

CK#
2808 Northwest North Creek Circle
Ankeny, IA 50021-1073

SUB-TOTAL $ $82.00

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 Page _ 10 45 -
of
marriage) (See Page 2 of forms packet.) If surname of contributor is the same as candidate, butthere is no familial
relationship, enter "not applicable" in the relationship column. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Ellett, Daniel $4 .00

CK#
2808 Northwest North Creek Circle
Ankeny,A 50021-1073
5/28/2004 ID# Elming, Mark $10.00

CK#
6025 Blackstone
Johnston, IA 50131-8732
6/11/2004 ID# Elming, Mark $10.00

CK#
6025 Blackstone
Johnston, IA 50131-8732
6/25/2004 ID# Elming, Mark $10.00

CK#
6025 Blackstone
Johnston, IA 50131-8732
7/9/2004 ID# Elming, Mark $10.00

CK#
6025 Blackstone
Johnston, IA 50131-8732
5/28/2004 ID# Enyart, Scott $5 .00

CK#
12657 S Oak Creek Court
Parker, CO 80134-4832
6/11/2004 ID# Enyart, Scott $5 .00

CK#
12657 S Oak Creek Court
Parker, CO 80134-4832
6/25/2004 ID# Enyart, Scott $5 .00

CK#
12657 S Oak Creek Court
Parker, CO 80134-4832
7/9/2004 ID# Enyart, Scott $5 .00

CK#
12657 S Oak Creek Court
Parker, CO 80134-4832
5/28/2004 ID# Fajen, Brian $2 .00

CK#
1207 23rd Street
West Des Moines, IA 50266-2242

SUB-TOTAL $ $ 66.00
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 11 45 -
Page - of
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Fajen, Brian $2 .00

CK#
1207 23rd Street
West Des Moines, IA 50266-2242
6/25/2004 ID# Fajen, Brian $2 .00

CK#
1207 23rd Street
West Des Moines, IA 50266-2242
7/9/2004 ID# Fajen, Brian $2 .00

CK#
1207 23rd Street
West Des Moines, IA 50266-2242
5/28/2004 ID# Farrell, Anthony $3 .00

CK#
2013 Southwest Sage Circle
Ankeny,IA 50021-8210
6/11/2004 ID# Farrell, Anthony $3 .00

CK#
2013 Southwest Sage Circle
Ankeny,IA 50021-8210
6/25/2004 ID# Farrell, Anthony $3 .00

CK#
2013 Southwest Sage Circle
Ankeny, IA 50021-8210
7/9/2004 ID# Farrell, Anthony $3 .00

CK#
2013 Southwest Sage Circle
Ankeny,IA 50021-8210
5/28/2004 ID# Fenton, Tony $8 .00
CK#
1890 Andrews Drive
Pleasant Hill, IA 50327-0910
6/11/2004 ID# Fenton, Tony $8 .00

CK#
1890 Andrews Drive
Pleasant Hill, IA 50327-0910
6/25/2004 ID# Fenton, Tony $8 .00
CK#
1890 Andrews Drive
Pleasant Hill, IA 50327-0910

SUB-TOTAL S $42.00

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 12 45
Page- of
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Fenton, Tony $8 .00

CK#
1890 Andrews Drive
Pleasant Hill, IA 50327-0910
5/28/2004 ID# Fleming, Bruce $10 .00

CK#
521 Glenview Drive
Des Moines, IA 50312-2525
6/11/2004 ID# Fleming, Bruce $10 .00

CK#
521 Glenview Drive
Des Moines, IA 50312-2525
6/25/2004 ID# Fleming, Bruce $10 .00

CK#
521 Glenview Drive
Des Moines, IA 50312-2525
7/9/2004 ID# Fleming, Bruce $10.00

CK#
521 Glenview Drive
Des Moines, IA 50312-2525
5/28/2004 ID# Funke, Kerry $2 .00

CK#
4834 Lakewood Drive
Norwalk, IA 50211-1820
6/11/2004 ID# Funke, Kerry $2 .00

CK#
4834 Lakewood Drive
Norwalk, IA 50211-1820
6/25/2004 ID# Funke, Kerry $2,00

CK#
4834 Lakewood Drive
Norwalk, IA 50211-1820
7/9/2004 ID# Funke, Kerry $2,00

CK#
4834 Lakewood Drive
Norwalk, IA 50211-1820
5/2812004 ID# Gaitan, Craig $10 .00
CK#
4634 Timberline Drive
West Des Moines, IA 50265-5251

SUB-TOTAL $66.00

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 13 of-- 45 -
Page-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Gaitan, Craig $10.00

CK#
4634 Timberline Drive
West Des Moines, IA 50265-5251
6/25/2004 ID# Gaitan, Craig $10.00

CK#
4634 Timberline Drive
West Des Moines, IA 50265-5251
7/9/2004 ID# Gaitan, Craig $10.00

CK#
4634 Timberline Drive
West Des Moines, IA 50265-5251
5/28/2004 ID# Gannon, Thomas $2 .00

CK#
2707 67th Street
Des Moines, IA 50322-4912
6/11/2004 ID# Gannon, Thomas $2 .00

CK#
2707 67th Street
Des Moines, IA 50322-4912
6/25/2004 ID# Gannon, Thomas $2 .00

CK#
2707 67th Street
Des Moines, IA 50322-4912
7/9/2004 ID# Gannon, Thomas $2 .00

CK#
2707 67th Street
Des Moines, IA 50322-4912
5/28/2004 ID# Godfrey, Harold $5 .00

CK#
15058 Beechwood Avenue
Clive, IA 50325-4520
6/11/2004 ID# Godfrey, Harold $5 .00

CK#
15058 Beechwood Avenue
Clive, IA 50325-4520
6/25/2004 ID# Godfrey, Harold $5 .00

CK#
15058 Beechwood Avenue
Clive, IA 50325-4520

SUB-TOTAL $ $53 .00

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 Page- 14 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Godfrey, Harold $5 .00

CK#
15058 Beechwood Avenue
Clive, IA 50325-4520
5/28/2004 ID# Goodman, Kellaney $2 .00

CK#
2015 40th Place
Des Moines, IA 50310-3852
6/11/2004 ID# Goodman, Kellaney $2 .00

CK#
2015 40th Place
Des Moines, IA 50310-3852
6/25/2004 ID# Goodman, Kellaney $2 .00

CK#
2015 40th Place
Des Moines, IA 50310-3852
7/9/2004 ID# Goodman, Kellaney $2 .00
CK#
2015 40th Place
Des Moines, IA 50310-3852
5/28/2004 ID# Green, Craig $5 .00

CK#
1217 Northwest Boulder Brook Drive
Ankeny,A 50021-8787
6/11/2004 ID# Green, Craig $5 .00

CK#
1217 Northwest Boulder Brook Drive
Ankeny,lA 50021-8787
6/25/2004 ID# Green, Craig $5 .00

CK#
1217 Northwest Boulder Brook Drive
Ankeny, IA 50021-8787
7/9/2004 ID# Green, Craig $5 .00
CK#
1217 Northwest Boulder Brook Drive
Ankeny,lA 50021-8787
5/28/2004 ID# Gubser, Vicki $3 .75

CK#
5423 Chimra Road
Panora, IA 50216-8602

SUB-TOTAL $ $36.75

TOTAL (if last page of this schedule)

S
' 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 Page- 15 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
El CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Gubser, Vicki $3 .75

CK#
5423 Chimra Road
Panora, IA 50216-8602
6/25/2004 ID# Gubser, Vicki $3 .75

CK#
5423 Chimra Road
Panora, IA 50216-8602
7/9/2004 ID# Gubser, Vicki $3 .75

CK#
5423 Chimra Road
Panora,IA 50216-8602
5/28/2004 ID# Hagenbucher, James $20 .00

CK#
15215 Woodcrest Drive
Clive, IA 50325-7919
6/11/2004 ID# Hagenbucher, James $20 .00

CK#
15215 Woodcrest Drive
Clive, IA 50325-7919
6/25/2004 ID# Hagenbucher, James $20 .00

CK#
15215 Woodcrest Drive
Clive, IA 50325-7919
7/9/2004 ID# Hagenbucher, James $20.00

CK#
15215 Woodcrest Drive
Clive, IA 50325-7919
5/28/2004 ID# Handsaker, Billy $2 .00

CK#
9403 Hammontree Drive
Urbandale, IA 50322-1338
6/11/2004 ID# Handsaker, Billy $2 .00
CK#
9403 Hammontree Drive
Urbandale, IA 50322-1338
6/25/2004 ID# Handsaker, Billy $2 .00

CK#
9403 Hammontree Drive
Urbandale, IA 50322-1338

SUB-TOTAL $ $97_25

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 Page - 16 of _- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Handsaker, Billy $2 .00

CK#
9403 Hammontree Drive
Urbandale, IA 50322-1338
5/28/2004 ID# Harbeck, David $2 .00

CK#
14410 Briarwood Lane
Urbandale, IA 50323-2038
6/11/2004 ID# Harbeck, David $2 .00

CK#
14410 Briarwood Lane
Urbandale, IA 50323-2038
6/25/2004 ID# Harbeck, David $2 .00

CK#
14410 Briarwood Lane
Urbandale, IA 50323-2038
7/9/2004 ID# Harbeck, David $2 .00

CK#
14410 Briarwood Lane
Urbandale, IA 50323-2038
5/28/2004 ID# Harman, Brett $5 .00

CK#
3821 River Oaks Drive
Des Moines, IA 50312-4651
6/11/2004 ID# Harman, Brett $5 .00

CK#
3821 River Oaks Drive
Des Moines, IA 50312-4651
6/25/2004 ID# Harman, Brett $5 .00

CK#
3821 River Oaks Drive
Des Moines, IA 50312-4651
7/9/2004 ID# Harman, Brett $5 .00

CK#
3821 River Oaks Drive
Des Moines, IA 50312-4651
5/28/2004 ID# Heisler, Nancy $3.00
CK#
1807 Yuma Lane
Granger, IA 50109-8033

SUB-TOTAL $ $ 33.00

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 familial
Page - 17of-45-

relationship, enter "not applicable" in the relationship column . (for Schedule A)

 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
El CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT vo IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Heisler, Nancy $3 .00

CK#
1807 Yuma Lane
Granger, IA 50109-8033
6/25/2004 ID# Heisler, Nancy $3 .00

CK#
1807 Yuma Lane
Granger, A 50109-8033
7/9/2004 ID# Heisler, Nancy $3 .00

CK#
1807 Yuma Lane
Granger, IA 50109-8033
5/28/2004 ID# Heronimus, Heidi $2 .00

CK#
5510 S Quemoy Circle
Aurora, CO 80015-6019
6/11/2004 ID# Heronimus, Heidi $2 .00

CK#
5510 S Quemoy Circle
Aurora, CO 80015-6019
6/25/2004 ID# Heronimus, Heidi $2 .00

CK#
5510 S Quemoy Circle
Aurora, CO 80015-6019
7/9/2004 ID# Heronimus, Heidi $2 .00
CK#
5510 S Quemoy Circle
Aurora, CO 80015-6019
5/28/2004 ID# Holt, Heidi $5 .00

CK#
6832 Dakota Drive
West Des Moines, IA 50266-2429
6/11/2004 ID# Holt, Heidi $5 .00
CK#
6832 Dakota Drive
West Des Moines, IA 50266-2429
6/25/2004 ID# Holt, Heidi $5 .00

CK#
6832 Dakota Drive
West Des Moines, IA 50266-2429

SUB-TOTAL $ $32.00

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 Page- 18 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Holt, Heidi $5 .00

CK#
6832 Dakota Drive
West Des Moines, IA 50266-2429
5/28/2004 ID# Horstmann, Eric $3 .00

CK#
106 51 st Street
Des Moines, IA 50312-2104
6/11/2004 ID# Horstmann, Eric $3 .00

CK#
106 51st Street
Des Moines, IA 50312-2104
6/25/2004 ID# Horstmann, Eric $3 .00

CK#
106 51 st Street
Des Moines, IA 50312-2104
7/9/2004 ID# Horstmann, Eric $3 .00

CK#
106 51st Street
Des Moines, IA 50312-2104
5/28/2004 ID# Hoyng, Douglas $10 .00

CK#
10733 Elmcrest Drive
Clive, IA 50325-6657
6/11/2004 ID# Hoyng, Douglas $10 .00

CK#
10733 Elmcrest Drive
Clive, IA 50325-6657
6/25/2004 ID# Hoyng, Douglas $10.00

CK#
10733 Elmcrest Drive
Clive, IA 50325-6657
7/9/2004 ID# Hoyng, Douglas $10.00

CK#
10733 Elmcrest Drive
Clive, IA 50325-6657
5/28/2004 ID# Johnson, Eric $10 .00

CK#
3078 Cottonwood Drive
Waukee, IA 50263-8021

SUB-TOTAL $67.00

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 Page- 19 of_-45-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

6/11/2004 ID# Johnson, Eric $10.00

CK#
3078 Cottonwood Drive
Waukee, IA 50263-8021
6/25/2004 ID# Johnson, Eric $10.00

CK#
3078 Cottonwood Drive
Waukee,IA 50263-8021
7/9/2004 ID# Johnson, Eric $10.00

CK#
3078 Cottonwood Drive
Waukee, IA 50263-8021
5/28/2004 ID# Jorgensen, Mark $15.00

CK#
595 Dallas Point Drive
Waukee, IA 50263-9617
6/11/2004 ID# Jorgensen, Mark $15.00

CK#
595 Dallas Point Drive
Waukee, IA 50263-9617
6/25/2004 ID# Jorgensen, Mark $15.00

CK#
595 Dallas Point Drive
Waukee, IA 50263-9617
7/9/2004 ID# Jorgensen, Mark $15.00

CK#
595 Dallas Point Drive
Waukee, IA 50263-9617
5/28/2004 ID# Karney, Peter $2 .00

CK#
1235 43rd Street
Des Moines, IA 50311-2501
6/11/2004 ID# Karney, Peter $2 .00

CK#
1235 43rd Street
Des Moines, IA 50311-2501
6/25/2004 ID# Karney, Peter $2 .00

CK#
1235 43rd Street
Des Moines, IA 50311-2501

SUB-TOTAL $ $96 .00

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 Page- 20 of-- 45 -
marriage) (See Page 2 of forms packet.) If surname of contributor is the same as candidate, butthere is no familial
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Karney, Peter $2 .00

CK#
1235 43rd Street
Des Moines, IA 50311-2501
5/28/2004 ID# Kaura, Patricia $5 .00

CK#
216 1st Street Northwest PO Box 68
Bondurant, IA 50035-1139
6/11/2004 ID# Kaura, Patricia $5 .00

CK#
216 1st Street Northwest PO Box 68
Bondurant, IA 50035-1139
6/25/2004 ID# Kaura, Patricia $5 .00

CK#
216 1st Street Northwest PO Box 68
Bondurant, IA 50035-1139
7/9/2004 ID# Kaura, Patricia $5 .00

CK#
216 1st Street Northwest PO Box 68
Bondurant, IA 50035-1139
5/28/2004 ID# Kelly, Christopher $11 .25

CK#
7310 Pheasant Run
Gaylord, MI 49735-9086
6/11/2004 ID# Kelly, Christopher $11 .25

CK#
7310 Pheasant Run
Gaylord, MI 49735-9086
6/25/2004 ID# Kelly, Christopher $11 .25
CK#
7310 Pheasant Run
Gaylord, MI 49735-9086
7/9/2004 ID# Kelly, Christopher $11 .25

CK#
7310 Pheasant Run
Gaylord, MI 49735-9086
5/28/2004 ID# Keyser, Michael $3 .75
CK#
120 Clark Road # 19
Clear Lake, IA 50428-1051

SUB-TOTAL $70,75

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 21 of_-45-
Page-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) ~ RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Keyser, Michael $3 .75

CK#
120 Clark Road # 19
Clear Lake, IA 50428-1051
6/25/2004 ID# Keyser, Michael $3 .75

CK#
120 Clark Road # 19
Clear Lake, IA 50428-1051
7/9/2004 ID# Keyser, Michael $3 .75

CK#
120 Clark Road # 19
Clear Lake, lA 50428-1051
5/28/2004 ID# Kitundu, Peter $2 .00

CK#
1247 47th Street
Des Moines, IA 50311-2401
6/11/2004 ID# Kitundu, Peter $2 .00

CK#
1247 47th Street
Des Moines, IA 50311-2401
6/25/2004 ID# Kitundu, Peter $2 .00

CK#
1247 47th Street
Des Moines, IA 50311-2401
7/9/2004 ID# Kitundu, Peter $2 .00

CK#
1247 47th Street
Des Moines, IA 50311-2401
5/28/2004 ID# Kramer, Randall $3 .00

CK#
4925 Valley View Lane
West Des Moines, IA 50265-5225
6/11/2004 ID# Kramer, Randall $3 .00

CK#
4925 Valley View Lane
West Des Moines, IA 50265-5225
6/25/2004 ID# Kramer, Randall $3 .00

CK#
4925 Valley View Lane
West Des Moines, IA 50265-5225

SUB-TOTAL $28.25

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, but there is no familial
Page - 22 -of-
45

relationship, enter "not applicable" in the relationship column . (for Schedule A)

 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Kramer, Randall $3 .00

CK#
4925 Valley View Lane
West Des Moines, IA 50265-5225
5/28/2004 ID# Larsen, Steven $19 .24

CK#
61097 190th Street
Nevada, IA 50201-7759
6/11/2004 ID# Larsen,Steven $19 .24

CK#
61097 190th Street
Nevada, IA 50201-7759
6125/2004 ID# Larsen, Steven $19 .24

CK#
61097 190th Street
Nevada, IA 50201-7759
7/9/2004 ID# Larsen, Steven $19 .24

CK#
61097 190th Street
Nevada, IA 50201-7759
5/28/2004 ID# Lawrence, Gary $2 .00

CK#
15086 Arthur Trail
Carlisle, IA 50047-3198
6/11/2004 ID# Lawrence, Gary $2 .00

CK#
15086 Arthur Trail
Carlisle, IA 50047-3198
6/25/2004 ID# Lawrence, Gary $2 .00

CK#
15086 Arthur Trail
Carlisle, IA 50047-3198
7/9/2004 ID# Lawrence, Gary $2 .00

CK#
15086 Arthur Trail
Carlisle, IA 50047-3198
5/28/2004 ID# Leifker, Mark $2 .00

CK#
1403 Olive Street
Atlantic, IA 50022-2702

SUB-TOTAL $89.96

TOTAL (if last page of this schedule)

r$
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 Page- 23 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) ~ RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

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

6/11/2004 ID# Leifker, Mark $2 .00

CK#
1403 Olive Street
Atlantic, IA 50022-2702
6/25/2004 ID# Leifker, Mark $2 .00

CK#
1403 Olive Street
Atlantic, IA 50022-2702
7/9/2004 ID# Leifker, Mark $2 .00

CK#
1403 Olive Street
Atlantic, IA 50022-2702
5/28/2004 ID# Lex, Michael $10.00

CK#
6250 Bono Court
Dublin, OH 43016-8516
6/11/2004 ID# Lex, Michael $10.00

CK#
6250 Bono Court
Dublin, OH 43016-8516
6/25/2004 ID# Lex, Michael $10.00

CK#
6250 Bono Court
Dublin, OH 43016-8516
7/9/2004 ID# Lex, Michael $10.00

CK#
6250 Bono Court
Dublin, OH 43016-8516
5/28/2004 ID# Liggett, Brad $6 .00

CK#
1020 Pinecrest Circle
Waukee, 1A 50263-8216
6/11/2004 ID# Liggett, Brad $6 .00

CK#
1020 Pinecrest Circle
Waukee, IA 50263-8216
6/25/2004 ID# Liggett, Brad $6 .00

CK#
1020 Pinecrest Circle
Waukee, IA 50263-8216

SUB-TOTAL $ $ 64 .00
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 24 of-- 45 -
Page-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Liggett, Brad $6 .00

CK#
1020 Pinecrest Circle
Waukee, IA 50263-8216
5/28/2004 ID# Lundquist, Allan $2 .00

CK#
3151 N Cattail Creek
Cumming, IA 50061-9335
6/11/2004 ID# Lundquist, Allan $2 .00

CK#
3151 N Cattail Creek
Cumming, IA 50061-9335
6/25/2004 ID# Lundquist, Allan $2 .00

CK#
3151 N Cattail Creek
Cumming, IA 50061-9335
7/9/2004 ID# Lundquist, Allan $2 .00

CK#
3151 N Cattail Creek
Cumming, IA 50061-9335
5/28/2004 ID# McCrory, Michael $2 .00

CK#
4519 99th Street
Urbandale, IA 50322-1392
6/1112004 ID# McCrory, Michael $2 .00

CK#
4519 99th Street
Urbandale, IA 50322-1392
6/25/2004 ID# McCrory, Michael $2 .00

CK#
4519 99th Street
Urbandale, IA 50322-1392
7/9/2004 ID# McCrory, Michael $2 .00

CK#
4519 99th Street
Urbandale, IA 50322-1392
5/28/2004 ID# McGinness, Susan $25 .00

CK#
401 Napa Valley Drive
Waukee, IA 50263-8158

SUB-TOTAL $47.00

TOTAL (if last page of this schedule)

5
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 familial
Page - 25 of _- 45 -
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# McGinness, Susan $25 .00

CK#
401 Napa Valley Drive
Waukee, IA 50263-8158
6/25/2004 ID# McGinness, Susan $25 .00

CK#
401 Napa Valley Drive
Waukee, IA 50263-8158
7/9/2004 ID# McGinness, Susan $25 .00

CK#
401 Napa Valley Drive
Waukee, IA 50263-8158
5/28/2004 ID# Meyer, Duane $15 .00

CK#
725 Westbranch Drive
Waukee, IA 50263-9630
6/11/2004 ID# Meyer, Duane $15 .00

CK#
725 Westbranch Drive
Waukee, IA 50263-9630
6/25/2004 ID# Meyer, Duane $15 .00

CK#
725 Westbranch Drive
Waukee, IA 50263-9630
7/9/2004 ID# Meyer, Duane $15 .00

CK#
725 Westbranch Drive
Waukee, IA 50263-9630
5/28/2004 ID# Miller, Marts $5 .00

CK#
1705 Hillside Street
West Des Moines, IA 50265-4830
6/11/2004 ID# Miller, Mark $5.00

CK#
1705 Hillside Street
West Des Moines, IA 50265-4830
6/25/2004 ID# Miller, Mark $5.00

CK#
1705 Hillside Street
West Des Moines, IA 50265-4830

SUB-TOTAL [$ $150 .00

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 Page- 26 of-- 45 -
marriage) (See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is no familial
relationship, enter "not applicable" in the relationship column. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Miller, Mark $5 .00

CK#
1705 Hillside Street
West Des Moines, IA 50265-4830
5/28/2004 ID# Morse, John $2 .00

CK#
4915 Windsor Circle
Pleasant Hill, IA 50327-0961
6/11/2004 ID# Morse, John $2 .00

CK#
4915 Windsor Circle
Pleasant Hill, IA 50327-0961
6/25/2004 ID# Morse, John $2 .00

CK#
4915 Windsor Circle
Pleasant Hill, IA 50327-0961
7/9/2004 ID# Morse, John $2 .00

CK#
4915 Windsor Circle
Pleasant Hill, IA 50327-0961
5/28/2004 ID# Mortensen, Vaughn $5 .00

CK#
72053 280th Street
Collins, IA 50055-8067
6/11/2004 ID# Mortensen, Vaughn $5 .00

CK#
72053 280th Street
Collins, IA 50055-8067
6/25/2004 ID# Mortensen, Vaughn $5 .00

CK#
72053 280th Street
Collins, IA 50055-8067
7/9/2004 ID# Mortensen, Vaughn $5 .00

CK#
72053 280th Street
Collins, IA 50055-8067
5/28/2004 ID# Myers, Naomi $10 .00

CK#
316 Tumberry Drive
Norwalk, IA 50211-9614

SUB-TOTAL $ $43.00

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 -
Page _? 7 of _- 45
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Myers, Naomi $10 .00

CK#
316 Tumberry Drive
Norwalk, IA 50211-9614
6/25/2004 ID# Myers, Naomi $10 .00

CK#
316 Tumberry Drive
Norwalk, IA 50211-9614
7/9/2004 ID# Myers, Naomi $10 .00

CK#
316 Tumberry Drive
Norwalk, IA 50211-9614
5/28/2004 ID# Nania, Frank $2 .00

CK#
2518 Southwest Ridgeway Court
Ankeny,IA 50021-9573
6/11/2004 ID# Nania, Frank $2 .00

CK#
2518 Southwest Ridgeway Court
Ankeny,A 50021-9573
6/25/2004 ID# Nania, Frank $2 .00

CK#
2518 Southwest Ridgeway Court
Ankeny,IA 50021-9573
7/9/2004 ID# Nania, Frank $2 .00

CK#
2518 Southwest Ridgeway Court
Ankeny,A 50021-9573
5/28/2004 ID# Neumann, Todd $5 .00

CK#
8131 Durham Circle
Johnston, IA 50131-8751
6/11/2004 ID# Neumann, Todd $5 .00

CK#
8131 Durham Circle
Johnston, IA 50131-8751
6/25/2004 ID# Neumann, Todd $5 .00

CK#
8131 Durham Circle
Johnston, IA 50131-8751

SUB-TOTAL $ $53.00

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 Page- 28 of_-45-
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
El CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Neumann, Todd $5 .00

CK#
8131 Durham Circle
Johnston, IA 50131-8751
5/28/2004 ID# O'Hollearn, Robert $15 .00

CK#
1005 Hutley Way
Granite Bay, CA 95746-7160
6/11/2004 ID# O'Hollearn, Robert $15 .00

CK#
1005 Hutley Way
Granite Bay, CA 95746-7160
6/25/2004 ID# O'Hollearn, Robert $15 .00

CK#
1005 Hutley Way
Granite Bay, CA 95746-7160
7/9/2004 ID# O'Hollearn, Robert $15 .00

CK#
1005 Hutley Way
Granite Bay, CA 95746-7160
5/28/2004 ID# Olsen, Richard $3 .00

CK#
4625 91st Street
Urbandale, IA 50322-6236
6/11/2004 ID# Olsen, Richard $3 .00

CK#
4625 91st Street
Urbandale, IA 50322-6236
6/25/2004 ID# Olsen, Richard $3 .00

CK#
4625 91st Street
Urbandale, IA 50322-6236
7/9/2004 ID# Olsen, Richard $3 .00

CK#
4625 91st Street
Urbandale, IA 50322-6236
5/28/2004 ID# Oosten, Melinda $5 .00

CK#
1795 Hawthorne Ridge Drive
Waukee, IA 50263-8188

SUB-TOTAL S $82.00

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 Page- 29 of-_ 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

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

6/11/2004 ID# Oosten, Melinda $5 .00

CK#
1795 Hawthorne Ridge Drive
Waukee, IA 50263-8188
6/25/2004 ID# Oosten, Melinda $5 .00

CK#
1795 Hawthome Ridge Drive
Waukee, IA 50263-8188
7/9/2004 ID# Oosten, Melinda $5 .00

CK#
1795 Hawthorne Ridge Drive
Waukee, IA 50263-8188
5/28/2004 ID# Ortmann, Mary $2 .00

CK#
1305 Northeast Lake View Court
Ankeny,IA 50021-4538
6/11/2004 ID# Ortmann, Mary $2 .00

CK#
1305 Northeast Lake View Court
Ankeny,IA 50021-4538
6/25/2004 ID# Ortmann, Mary $2 .00

CK#
1305 Northeast Lake View Court
Ankeny,lA 50021-4538
7/9/2004 ID# Ortmann, Mary $2 .00

CK#
1305 Northeast Lake View Court
Ankeny,lA 50021-4538
5/28/2004 ID# Owens, Janie $5 .00

CK#
307 Northwest Horizon Court
Ankeny,lA 50021-8737
6/11/2004 ID# Owens, Janie $5 .00

CK#
307 Northwest Horizon Court
Ankeny, IA 50021-8737
6/25/2004 ID# Owens, Janie $5 .00

CK#
307 Northwest Horizon Court
Ankeny,IA 50021-8737

SUB-TOTAL $ $ 38.00
TOTAL (iflast page of this schedule)
3
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 30 45 -
Page - of _-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) ~ RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Owens, Janie $5 .00

CK#
307 Northwest Horizon Court
Ankeny, IA 50021-8737
5/28/2004 ID# Parsons, Robert $20 .00

CK#
1956 W Chelsea Road
Columbus, OH 43212-1942
6/11/2004 ID# Parsons, Robert $20 .00

CK#
1956 W Chelsea Road
Columbus, OH 43212-1942
6/25/2004 ID# Parsons, Robert $20 .00

CK#
1956 W Chelsea Road
Columbus, OH 43212-1942
7/9/2004 ID# Parsons, Robert $20 .00

CK#
1956 W Chelsea Road
Columbus, OH 43212-1942
5/28/2004 ID# Paterson, Barry $5 .00

CK#
3297 335th Street
Waukee, IA 50263-8056
6/11/2004 ID# Paterson, Barry $5 .00

CK#
3297 335th Street
Waukee, IA 50263-8056
6/25/2004 ID# Paterson, Barry $5 .00

CK#
3297 335th Street
Waukee, IA 50263-8056
7/9/2004 ID# Paterson, Barry $5 .00

CK#
3297 335th Street
Waukee, IA 50263-8056
5/28/2004 ID# Patterson, Kelly $10 .00

CK#
4516 93rd Street
Urbandale, IA 50322-7464

SUB-TOTAL $ $115 .00

TOTAL (if last page of this schedule)

r$
* 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 Page- 31 of-- 45 -
marriage) (See Page 2 of forms packet.) H surname of contributor is the same as candidate, but there is no familial
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v, IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Patterson, Kelly $10 .00

CK#
4516 93rd Street
Urbandale, IA 50322-7464
6/25/2004 ID# Patterson, Kelly $10 .00

CK#
4516 93rd Street
Urbandale, IA 50322-7464
7/9/2004 ID# Patterson, Kelly $10 .00

CK#
4516 93rd Street
Urbandale, IA 50322-7464
5/28/2004 ID# Pearson, Douglas $2 .00

CK#
1105 Northwest Wagner Court
Ankeny,IA 50021-4216
6/11/2004 ID# Pearson, Douglas $2 .00

CK#
1105 Northwest Wagner Court
Ankeny, IA 50021-4216
6/25/2004 ID# Pearson, Douglas $2 .00

CK#
1105 Northwest Wagner Court
Ankeny, IA 50021-4216
7/9/2004 ID# Pearson, Douglas $2 .00

CK#
1105 Northwest Wagner Court
Ankeny,IA 50021-4216
5/28/2004 ID# Peltz, Leslie $3 .00

CK#
526 Northeast 8th Street
Ankeny, IA 50021-1908
6111/2004 ID# Peltz, Leslie $3 .00

CK#
526 Northeast 8th Street
Ankeny,IA 50021-1908
6125/2004 ID# Peltz, Leslie $3 .00

CK#
526 Northeast 8th Street
Ankeny,IA 50021-1908

SUB-TOTAL $47.00

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 Page- 32 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED COLUMN . A LIST OF to 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT vo IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Peltz, Leslie $3 .00

CK#
526 Northeast 8th Street
Ankeny,IA 50021-1908
5/28/2004 ID# Peters, John $4 .00

CK#
9109 Beechwood Drive
Urbandale, IA 50322-4021
6/11/2004 ID# Peters, John $4 .00

CK#
9109 Beechwood Drive
Urbandale, IA 50322-4021
6/25/2004 ID# Peters, John $4 .00

CK#
9109 Beechwood Drive
Urbandale, IA 50322-4021
7/9/2004 ID# Peters, John $4 .00

CK#
9109 Beechwood Drive
Urbandale, IA 50322-4021
5/28/2004 ID# Peterson, David $20 .00

CK#
15217 Oakwood Drive
Urbandale, IA 50323-1908
6/11/2004 ID# Peterson, David $20.00

CK#
15217 Oakwood Drive
Urbandale, IA 50323-1908
6/25/2004 ID# Peterson, David $20.00

CK#
15217 Oakwood Drive
Urbandale, IA 50323-1908
7/9/2004 ID# Peterson, David $20 .00

CK#
15217 Oakwood Drive
Urbandale, IA 50323-1908
5/28/2004 ID# Phillips, Larry $2 .00

CK#
858 Burr Oaks Drive
West D es Moines, IA 50266-6637

SUB-TOTAL $ $101 .00

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 45 -
Page - 33 cf --
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) ~ RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Phillips, Larry $2 .00

CK#
858 Burr Oaks Drive
West Des Moines, IA 50266-6637
6/25/2004 ID# Phillips, Larry $2 .00

CK#
858 Burr Oaks Drive
West Des Moines, IA 50266-6637
7/9/2004 ID# Phillips, Larry $2 .00

CK#
858 Burr Oaks Drive
West Des Moines, IA 50266-6637
5/28/2004 ID# Phillips, Richard $5 .00

CK#
8451 Harvest Wind Drive
Westerville, OH 43082-7207
6/11/2004 ID# Phillips, Richard $5 .00

CK#
8451 Harvest Wind Drive
Westerville, OH 43082-7207
6/25/2004 ID# Phillips, Richard $5 .00

CK#
8451 Harvest Wind Drive
Westerville, OH 43082-7207
7/9/2004 ID# Phillips, Richard $5 .00

CK#
8451 Harvest Wind Drive
Westerville, OH 43082-7207
5/28/2004 ID# Podraza, Thomas $5 .00

CK#
12440 Northwest 85th Avenue
Grimes, IA 50111-8832
6/11/2004 ID# Podraza, Thomas $5 .00

CK#
12440 Northwest 85th Avenue
Grimes, IA 50111-8832
6/25/2004 ID# Podraza, Thomas $5.00

CK#
12440 Northwest 85th Avenue
Grimes, IA 50111-8832

SUB-TOTAL $ $41.00

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 Page -34of_-45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v, IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Podraza, Thomas $5 .00

CK#
12440 Northwest 85th Avenue
Grimes, IA 50111-8832
5/28/2004 ID# Polka, William $2 .25

CK#
4414 Southeast 35th Street
Des Moines, IA 50320-2062
6/11/2004 ID# Polka, William $2 .25

CK#
4414 Southeast 35th Street
Des Moines, IA 50320-2062
6/2512004 ID# Polka, William $2 .25

CK# 4414 Southeast 35th Street

Des Moines, IA 50320-2062
7/9/2004 ID# Polka, William $2 .25

CK#
4414 Southeast 35th Street
Des Moines, IA 50320-2062
5/28/2004 ID# Rank, Maureen $10 .00

CK#
1422 Northwest 137th Court
Clive, IA 50325-8351
6/11/2004 ID# Rank, Maureen $10.00

CK#
1422 Northwest 137th Court
Clive, IA 50325-8351
6/25/2004 ID# Rank, Maureen $10.00

CK#
1422 Northwest 137th Court
Clive, IA 50325-8351
7/9/2004 ID# Rank, Maureen $10 .00

CK#
1422 Northwest 137th Court
Clive, IA 50325-8351
5/28/2004 ID# Rasmussen, Steve $37 .50

CK#
1 Miranova Place Apt. 810
Columbus, OH 43215-5081

SUB-TOTAL $ $91 .50

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 Page- 35 of 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Rasmussen, Steve $37 .50

CK#
1 Miranova Place Apt. 810
Columbus, OH 43215-5081
6/25/2004 ID# Rasmussen, Steve $37 .50

CK#
1 Miranova Place Apt. 810
Columbus, OH 43215-5081
7/9/2004 ID# Rasmussen, Steve $37 .50

CK#
1 Miranova Place Apt. 810
Columbus, OH 43215-5081
5/28/2004 ID# Rommel, Jeff $2 .50

CK#
3498 Craftsbury Drive
Highlands Ranch, CO 80126-7533
6/11/2004 ID# Rommel, Jeff $2 .50

CK#
3498 Craftsbury Drive
Highlands Ranch, CO 80126-7533
6/25/2004 ID# Rommel, Jeff $2 .50

CK#
3498 Craftsbury Drive
Highlands Ranch, CO 80126-7533
7/9/2004 ID# Rommel, Jeff $2 .50

CK#
3498 Craftsbury Drive
Highlands Ranch, CO 80126-7533
5/28/2004 ID# Rose, Jennifer $2 .00

CK#
3909 Northwest Windbrooke Court
Ankeny, IA 50021-8731
6/11/2004 ID# Rose, Jennifer $2 .00

CK#
3909 Northwest Windbrooke Court
Ankeny,IA 50021-8731
6/25/2004 ID# Rose, Jennifer $2.00

CK#
3909 Northwest Windbrooke Court
Ank eny,IA 5 00 21-8731

SUB-TOTAL $ $128 .50

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 36 45 -
Page- of
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Rose, Jennifer $2 .00

CK#
3909 Northwest Windbrooke Court
Ankeny, A 50021-8731
5/28/2004 ID# Rowe, Robert $15.00

CK#
2430 E Rose Avenue
Des Moines, IA 50320-2235
6/11/2004 ID# Rowe, Robert $15 .00

CK#
2430 E Rose Avenue
Des Moines, IA 50320-2235
6/25/2004 ID# Rowe, Robert $15 .00

CK#
2430 E Rose Avenue
Des Moines, IA 50320-2235
7/9/2004 ID# Rowe, Robert $15 .00

CK#
2430 E Rose Avenue
Des Moines, IA 50320-2235
5/28/2004 ID# Ruggless, Connie $4 .00

CK#
1214 Lake Shore Drive
Altoona, IA 50009-2707
6/11/2004 ID# Ruggless, Connie $4 .00

CK#
1214 Lake Shore Drive
Altoona, IA 50009-2707
6/25/2004 ID# Ruggless, Connie $4 .00

CK#
1214 Lake Shore Drive
Altoona, IA 50009-2707
7/9/2004 ID# Ruggless, Connie $4 .00

CK#
1214 Lake Shore Drive
Altoona, IA 50009-2707
5/28/2004 ID# Scarrow, Thad $5 .00

CK#
9659 Forest Avenue
Clive, IA 503 25-63 71

SUB-TOTAL $ $83 .00

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 Page- 37 of_-45-
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v, IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Scarrow, Thad $5 .00

CK#
9659 Forest Avenue
Clive, IA 50325-6371
6/25/2004 ID# Scarrow, Thad $5 .00

CK#
9659 Forest Avenue
Clive, IA 50325-6371
7/9/2004 ID# Scarrow, Thad $5 .00

CK#
9659 Forest Avenue
Clive, IA 50325-6371
5/28/2004 ID# Sheets, Deanna $2 .00

CK#
8035 S 35th Street
Lincoln, NE 68516-7704
6111/2004 ID# Sheets, Deanna $2 .00

CK#
8035 S 35th Street
Lincoln, NE 68516-7704
6/25/2004 ID# Sheets, Deanna $2 .00

CK#
8035 S 35th Street
Lincoln, NE 68516-7704
7/9/2004 ID# Sheets, Deanna $2 .00

CK#
8035 S 35th Street
Lincoln, NE 68516-7704
5/2812004 ID# Sherman, Alan $3 .00

CK#
6778 Northwest 56th Street
Johnston, IA 50131-1274
6/11/2004 ID# Sherman, Alan $3 .00

CK# 6778 Northwest 56th Street

Johnston, IA 50131-1274
6/25/2004 ID# Sherman, Alan $3 .00

CK#
6778 Northwest 56th Street
Johnston, IA 50131-1274

SUB-TOTAL $ $32 .00

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 Page- 38 of-- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

7/9/2004 ID# Sherman, Alan $3 .00

CK#
6778 Northwest 56th Street
Johnston, IA 50131-1274
5/28/2004 ID# Streck, Timothy $20.00

CK#
2192 Northwest 148th Street
Clive, IA 50325-7800
6/11/2004 ID# Streck, Timothy $20.00

CK#
2192 Northwest 148th Street
Clive, IA 50325-7800
6/25/2004 ID# Streck, Timothy $20.00

CK#
2192 Northwest 148th Street
Clive, IA 50325-7800
7/9/2004 ID# Streck, Timothy $20.00

CK#
2192 Northwest 148th Street
Clive, IA 50325-7800
5/28/2004 ID# Swain, Cheryl $3 .75

CK#
722 Southeast Kensington Road
Ankeny,IA 50021-3920
6/11/2004 ID# Swain, Cheryl $3 .75

CK#
722 Southeast Kensington Road
Ankeny,A 50021-3920
6/25/2004 ID# Swain, Cheryl $3 .75

CK#
722 Southeast Kensington Road
Ankeny, IA 50021-3920
7/9/2004 ID# Swain, Cheryl $3 .75

CK#
722 Southeast Kensington Road
Ankeny,A 50021-3920
5/28/2004 ID# Sychowski, Jerome $10.00

CK#
9165 Northwest 73rd Street
Johnston, IA 50131-1994

SUB-TOTAL $ $108 .00

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 39 of-- 45 -
Page-
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6111/2004 ID# Sychowski, Jerome $10 .00

CK#
9165 Northwest 73rd Street
Johnston, IA 50131-1994
6/25/2004 ID# Sychowski, Jerome $10 .00

CK#
9165 Northwest 73rd Street
Johnston, IA 50131-1994
7/9/2004 ID# Sychowski, Jerome $10 .00

CK#
9165 Northwest 73rd Street
Johnston, IA 50131-1994
5/28/2004 ID# Taylor, Jeffrey $3 .00

CK#
3103 Southwest Timberline Drive
Ankeny,IA 50021-5413
6/11/2004 ID# Taylor, Jeffrey $3 .00

CK#
3103 Southwest Timberline Drive
Ankeny,IA 50021-5413
6/25/2004 ID# Taylor, Jeffrey $3 .00

CK#
3103 Southwest Timberline Drive
Ankeny,IA 50021-5413
7/9/2004 ID# Taylor, Jeffrey $3 .00

CK#
3103 Southwest Timberline Drive
Ankeny, IA 50021-5413
5/28/2004 ID# Thomson, Craig $20 .00

CK#
2690 Northwest 163rd Street
Clive, IA 50325-4658
6/11/2004 ID# Thomson, Craig $20 .00

CK#
2690 Northwest 163rd Street
Clive, IA 50325-4658
6/25/2004 ID# Thomson, Craig $20 .00

CK#
2690 Northwest 163rd Street
Cli ve, IA 503 2 5-4658

SUB-TOTAL $ $ 102.00

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 40 of-- 45 -
Page-
marriage) (See Page 2 of forms packet .) If sumame of contributor is the same as candidate, but there is no familial
relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Thomson, Craig $20 .00

CK#
2690 Northwest 163rd Street
Clive, IA 50325-4658
5/28/2004 ID# Tucker, Mark $2 .00

CK#
804 Linden Street
Norwalk, IA 50211-1407
6/11/2004 ID# Tucker, Mark $2 .00

CK#
804 Linden Street
Norwalk, IA 50211-1407
6/25/2004 ID# Tucker, Mark $2 .00

CK#
804 Linden Street
Norwalk, IA 50211-1407
7/9/2004 ID# Tucker, Mark $2 .00

CK#
804 Linden Street
Norwalk, IA 50211-1407
5/28/2004 ID# Ury, Dick $4 .00

CK#
4132 E 24th Court
Des Moines, IA 50317-4115
6/11/2004 ID# Ury, Dick $4 .00

CK#
4132 E 24th Court
Des Moines, IA 50317-4115
6/25/2004 ID# Ury, Dick $4 .00

CK#
4132 E 24th Court
Des Moines, IA 50317-4115
7/9/2004 ID# Ury, Dick $4 .00

CK#
4132 E 24th Court
Des Moines, IA 50317-4115
5/28/2004 ID# Van Pelt, Kristie $7 .50

CK#
7163 Oak Crest Boulevard
Johnston, IA 50131-1946

SUB-TOTAL $ $51,50

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 Page _ 41 of _- 45
marriage) (See 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. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Van Pelt, Kristie $7 .50

CK#
7163 Oak Crest Boulevard
Johnston, IA 50131-1946
6/25/2004 ID# Van Pelt, Kristie $7 .50

CK#
7163 Oak Crest Boulevard
Johnston, IA 50131-1946
7/9/2004 ID# Van Pelt, Kristie $7 .50

CK#
7163 Oak Crest Boulevard
Johnston, IA 50131-1946
5/2812004 ID# Walstrom, Lyle $5 .00

CK#
PO Box 1142
Newton, IA 50208-1142
6/11/2004 ID# Walstrom, Lyle $5 .00

CK#
PO Box 1142
Newton, IA 50208-1142
6/25/2004 ID# Walstrom, Lyle $5 .00

CK#
PO Box 1142
Newton, IA 50208-1142
7/9/2004 ID# Walstrom, Lyle $5 .00

CK#
PO Box 1142
Newton, IA 50208-1142
5/28/2004 ID# Weibrecht, Janet $4 .00

CK#
6980 Cody Drive Unit 27
West Des Moines, IA 50266-2450
6/11/2004 ID# Weibrecht, Janet $4 .00

CK#
6980 Cody Drive Unit 27
West Des Moines, IA 50266-2450
6/25/2004 ID# Weibrecht, Janet $4 .00

CK#
6980 Cody Drive Unit 27
West Des Moines, IA 50266-2450

SUB-TOTAL $ $54 .50

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, but there is no familial
Page -42 of _ 45
(for Schedule A)
relationship, enter "not applicable" in the relationship column .
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT vo IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Weibrecht, Janet $4 .00

CK#
6980 Cody Drive Unit 27
West Des Moines, IA 50266-2450
5/28/2004 ID# Wheeler, Todd $2 .00

CK#
1636 92nd Place
West Des Moines, IA 50266-1513
6/11/2004 ID# Wheeler, Todd $2 .00

CK#
1636 92nd Place
West Des Moines, IA 50266-1513
6/25/2004 ID# Wheeler, Todd $2 .00

CK#
1636 92nd Place
West Des Moines, IA 50266-1513
7/9/2004 ID# Wheeler, Todd $2 .00

CK#
1636 92nd Place
West Des Moines, IA 50266-1513
5/28/2004 ID# Williams, Charles $5 .00

CK#
7043 Carey Court
Johnston, IA 50131-2407
6/11/2004 ID# Williams, Charles $5 .00

CK#
7043 Carey Court
Johnston, IA 50131-2407
6/25/2004 ID# Williams, Charles $5 .00

CK#
7043 Carey Court
Johnston, IA 50131-2407
7/9/2004 ID# Williams, Charles $5 .00

CK#
7043 Carey Court
Johnston, IA 50131-2407
5/28/2004 ID# Williams, Diane $5 .00

CK#
7043 Carey Court
Johnston, IA 50131-2407

SUB-TOTAL $ $ 37 .00

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 Page - 43 of _- 45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY

(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT %o IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
6/11/2004 ID# Williams, Diane $5 .00

CK#
7043 Corey Court
Johnston, IA 50131-2407
6/25/2004 ID# Williams, Diane $5 .00

CK#
7043 Corey Court
Johnston, IA 50131-2407
7/9/2004 ID# Williams, Diane $5 .00

CK#
7043 Corey Court
Johnston, IA 50131-2407
5/28/2004 ID# Williams, Thomas $5 .00

CK#
6223 Pleasant Street
West Des Moines, IA 50266-2331
6/11/2004 ID# Williams, Thomas $5 .00

CK#
6223 Pleasant Street
West Des Moines, IA 50266-2331
6/25/2004 ID# Williams, Thomas $5 .00

CK#
6223 Pleasant Street
West Des Moines, IA 50266-2331
7/9/2004 ID# Williams, Thomas $5 .00

CK#
6223 Pleasant Street
West Des Moines, IA 50266-2331
5/28/2004 ID# Zierke, Chad $10 .00

CK#
1009 57th Street
West Des Moines, IA 50266-7276
6/11/2004 ID# Zierke, Chad $10 .00

CK#
1009 57th Street
West Des Moines, IA 50266-7276
6/25/2004 ID# Zierke, Chad $10 .00

CK#
1009 57th Street
West Des Moines, IA 50266-7276

SUB-TOTAL $65.00

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 Page_44 of_-45 -
marriage) (See 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 . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A ~ MONETARY

(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Allied Group and Farmland Political Action Committee

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 DESIGNTAED 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 satutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/9/2004 ID# Zierke, Chad $10 .00

CK#
1009 57th Street
West Des Moines, IA 50266-7276
07/14/2004 ID# Unitemized Contributions $265 .52

CK#

SUB-TOTAL $ $275 .52

TOTAL (if last page of this schedule)

$3,676 .23

' 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 45 45
Page- of
marriage) (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no familial (for Schedule A)
relationship, enter "not applicable" in the relationship column .
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 09/97) EXPENDITURES

STATE CANDIDATES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE AMENDING FORM
PAC CHECK NUMBER FOR EACH EXPENDITURE . LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

Allied Group and Farmland Political Action Committee

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(if applicable)
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
05/19/2004 Hoffman for Iowa House 2004 General $500.00

869 South 5th Street

Charter Oak IA 51439
06/02/2004 Rants for State House 2004 General $1,000 .00

2739 South Glass Street

Sioux City IA 51106

$1,500 .00
SUB-TOTAL
TOTAL (if last page of this schedule) $ $1,500 .00

THIS APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchase of certain campaignproperty costing $500 or more also be inventoried onSchedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing, services must also be 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 56 .6(3)(1) .)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE ~
E IN KIND
(Rev . 06/97) CONTRIBUTIONS
COMMITTEE NAME (Must be same as on Statement of Organization)
Allied Group and Farmland Political Action Committee
CHECK THIS BOX IF
AMENDING FORM

DAIE KLLAIIUNbHIP DESCRIP11C)NUF ~ ESTIMATED I OR

RECEIVED NAME AND ADDRESS TO CANDIDATE IN KIND FAIR MARKET FUND-RAISER
MM/DD/YR OF CONTRIBUTOR ~ *(if applicable) CONTRIBUTION VALUE CONTRIRtJTION

SUB-TOTAL I $ $0 .00

TOTAL(if last I $ $0 .00

page of this
schedule)

*Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of
committee . Relationship should be shown to the thirs degree of consanguinity (blood relative) and affinity (relatives (for Schedule D)
by marriage) . (See Page 2 of form packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .