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OCT-18-2006 11 :25 AM HOTH LAW OFFICE 3197541960 P .

02

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 1212005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Holh for House
Comm . # __
IMPORTANT : Indicate by # type of committee you are reporting for: UJ Logged In,,-______
( 1 )Statewide/Legielalive)Judge Standing far Retantlon Candidate ( 2 )State PAC ( 3 )State Party
( 4 )County Central Committee 1 5 )County Candidate ( e )City Candidate (7 )School Board or Other Scanned
Political Subdivision Candidate ( B )C raunty PAC ( 9 )City PAC ( 10 )School Board or Other Pollticsi Computer
Audited

olitical Party (if applicable) File with :


Democratic Iowa Ethics and Campaign
Disclosure Board
,910 E . 12"', Ste . 1A
Des Moines, Iowa 51)319
Fax : 515-261-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 686 .32A(7)
the candidate, for e candidate's committee, and the chairperson, for any other type of committee, is the
individual responsible for filing timely and accurate reports .
(319) 754-5000 10/18/06
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

October 19, 2006


I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #
[CHECK IF AMENDMENT TO REPORT DATED

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

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end 112 .37
of the last reporting period or must be zero if this is first report filed .) . . . . . . .  . . .  , .  . ., . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
750.011
Schedule A: Cash Contributions total (Attach Schedule A) (`also see In-kind below). . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . .  . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 0 .0()
(Scheoyle H appI~ieA to Candidates' Committees Only)
SUB-TOTAL . . . . . . . . . . . . .. . . . . . . . . .$ 862.37
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) ....., ...... . .... . 505.10

Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ., .  , 0 ,00

CASH ON HAND at the end of this reporting period (if final report balance must
357.27
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . ., .  . . . . . . ., . . . . . . . . ., . . . . . . . . . . ., . . .  . . . . . . .  . . . . . . . . . . . . . . . . . . . .$

"'UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . .  . . . .  , . ., ., . . . . . . . . . . . .$ 7 5 .00

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $ 1 .085,81

'"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .  . . . .  . . .  . . . ., . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .$ 0 .00

CONSULTANT BREAKDOWN (Schedule G Attached?) ____YES J NO


CANDIDATE COMMITTEES ONLY :
$ 0 .00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
TATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year,
OCT-18-2006 11 :26 AM HOTH LAW OFFICE 3197541960 P,03

For Instructions, Sao Back of Form SCHEDULE


A ~ MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(Including candidate's personal funds)
[~ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Huth for house

STATE CANDIDATES NOTE! IF A CONTRIBUTION IB RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMg6N IN I HE IJFSIVNA 1 ELI COLUMN A .1
,1$T OF In NI,IMRFRq IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.

CAUTION ; Section 68B .32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for any
commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND
(MM/UUryN) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID#
Gary Putnam $50,00
7/17/0fi
CK# 2501 Artt91iA Street
Burlington, lA 52601
ID#
6086, ISEA PAC 100.00
9/15/06 CK# 777 3rd Street
13533 D es Moines IA 50309
I D#
6070 Iowa LawPac
9/2h/06 51.1(1 .011
CK# 521 East Locust St ., Fl, 3rd
3390 Des Moines, 1A 5030_9-1939
ID#
8466 All America PAC
1011 U/U6 CK# 100.00
607 14th Street NW, Suite 800
2324
ID#

C Kit

( ;Kti

ID#

CK#

IL1#
CKI1
- ... . .. . . ... .., . _
ID#

U K#

SUB-TOTAL

TOTAL flf last page of this schedule)


$ 750.00
' Disclosure law requires candidate committees to disclose the relallonship of any relative making a contribution to the
commltlee Relatlonshlp must be shown to the third degree of consanguinity (blood relatives) and affirlity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page 1 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
OCT-18-2006 11 ; 26 AM HOTH LAW OFFICE 3197541960 P,04

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev, 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE ; FOR CONTRIBUTIONS MADE_ TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATInN NIIMPIFR IN THE DESIGNATED COLUMN AND THE L] CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE A I .IST nF In NI.IMRFRR IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE_ BOARD,

COMMITTEE NAME (Moot be serve as on Statement of Or'ganizotion)

Hoth for Huusc

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if appliuaLlc) (DiAmsviveol) WA9 MADE
(MM/DD/'r'R) AND PAC
CHECK
NVMUtK
ID#
Postmaster Fee fi)r post office box
8/16/06 Burlington, IA 52601 $ 36 .0(1
CK# 1030

I D#
Craftsman Press Envelopes
16/13/06 203 N. 3rd Street 267.50
CK# 1021
Burlington, IA 52601

IDIf
Des Moines County News News paper ads
10113/06 F ,Q, box I /'/ 201 .60
CK# 1(122 West Burlington, IA 52655

I D#

CK#

I D#

CK#

ID#

CK#

Intl

CK#

ID#

CK#

SUB-TOTAL $

TOTAL (If last page of this schedule) $ 50 .10

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule 1-1 . (Refer to Schedule H instructions .)

Expenditures to persona/entities providing consulting, advertising, fund-raising . polling, managing, organizing services must also be detail itemized opt
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
5chedule G instructions and Iowa Code 68A.402(3)(i) .)

(for Schedule B)
OCT-18-2006 11 :27 AM HOTH LAW OFFICE 3197541960 P . 05

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 0e/9e)I INDEBTEDNESS
Hoth for Housc
Q CHECK THIS BOX
IF AMENDING
NOTE : Debts oreviouslv reported that remain unpaid must be Included on this
FORM
Schedule, as well as any new obligations Incurred in this period .

An "incurred debt" Is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period . .
regardless of whether an Invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

Coltlrnbus .lunction Gazette Ncws paper Luis


10/3/0G P .O . Bus 267 75 .0(1
Columbus Junction, IA 52738

SUB-TOTAL $

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


75 .00

'If actual figure is unknown . show "estimated" beside the figure . Page _ __of _ I
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred indebtedness also includes each person/entity with whom the candidata's Wrnmillm has ontcicd into a conuactduring the reporting period for future
or CoNinurng performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing sarvicas . Report on 5CPmdule G the nature of performance and the estimated performance reasonably expected of the consultant .
OCT-18-2006 11 :28 AM HOTH LAW OFFICE 3197541960 P,06

FOR INSTRUCTIONS, SEE SACK OF FORM


SCHEDULE

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


E IN-KIND
(Rev . OB/67) CONTRIBUTIONS
Hoth for House

Q CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET
(MM/DD/YR) FUND-RAISER
OF CONTRIBUTOR ' (If applicable) CONTIRIDUTION VALUE CONTRIBUTION
Andrew Hoth Sclf Pay bill to Bankers 503 .97
13/9/06 4994 Ferres Lane
Advertising for
SUrlinglon, IA 52601 yard signs
Andrew Hull' Solf Pay bill to Baukcrs 215 .()()
H/16/06 4994 ~carcs Lane Advertising for
Burlington, IA 526,()1 stickers
Anifv`v liul .l i Sulf Pay bill to 258 .94
8/28/06 4994 Ferres Lane Craftsman Press
Burlington, IA 52601 for post cards
Andrew Huth Sclf Pay bill to Des 13 .00
8/30/0fi 4994 Ferres Cane Muincs County
5ndirtgl.un, 1A, 52601 Auditor for
voting record

Sl.cvcn Huth Father 9,38


Tape & saw for
9/29/06 6048 Nikonha Place yard ;signs
f3urlingtun, 1A 52601

Steven Hol.h Fa(hor Tape for yard 9 .87


10/13/06 004£9 Nikonha Place
Signs
Rurlingtwi, TA 52601

F I
'Steven I loth Father 75 .65
III ilagc, 1')0 tni,
10/13/06 6048 Nikunha Place Ci, .445 per mile
,- [Burlington, IA 52601

F7
F7
SUB-TOTAL 1 $

TOTAL (if last 1 $


P~fle o1 thic
1,0119 .131
schedule)

*Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page T of I
can1nllttee . Rolatlanshlp Must b3 ah,own to the lllird degree or oorrearrguirAy (blvud ielalivGS) acrd affioily (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If surnamo of contributor is the same as candidate, but there is no
rarrulial rvlaburrship . vnter "rrut applicable" In the relationship column .

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