FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE

COMMITTEE NAME (Must be same as of? Statement of Organization)
For Office Use Only r
Iowa Fifth District Democratic St Central Committee
Comm . #
IMPORTANT Indicate by # type of Committee you are reporting for. Ionised In W
( 1 )SiateAdelLegislative/Judge Standing for Retention Candidate ( 2 )Stale PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Democrat

Office Sought District (if Senate or House)

Late reports are subject to possible civil and criminal penalties, Pursuant to Iowa Code seotion 150.32A(7) the candidate ;T6Mt .-
and the Otrperson . Pr any othr type of committee, is the individual responsible for filing timely and accurate reports.

TELEPHONE DATE SIGNED

December 31, 2005

I AM FILING A REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .
(report date) Indicate by #

MCHECK IF AMENDMENT TO REPORT DATED Loral Committees, ontcr Date of Election

!] Check it this is final (termination) report and attach Notice of Dissolution Form OR-3. County R 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 183 .07
of the last reporting period or must be zero if this Is first report riled .) . . .. . . . . . . . . . . . ., ., .  , ., ., . . . ., . . ., ., . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
1,700 .00
Schedule A: Cash Contributions total (Attach Schedule A) ( -also see in-kind below) .. . . . . . . . . . . . . . . . . .
0.00
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
Schedule H, Total Sales of Campaign Property (Attach Schedule H).. . . . . ., . . . . . . . . . ., . . . . . .. . . . 0.00

(Schedule H applies t0 Candidates' Committees Only)

SUB-TOTAL ... . . . . . . . . . . $ 1,883,07
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
0.00
Schedule B: Expenditures total (Attach Schedule B) ("'also see debts and loans below) . . . . ., . ., ., .
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
1,883 .07
be zero) (Attach OR-3) . . . . . . ..... . . . . . . . . . . . . . . . . ., . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. .. .$

v.WV
""UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
"IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . .$ 0.00

""OUTSTANDING LOANS (From Schedule F-Attach Schedule F) ..., . , .  . , . ., . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . .$ 0.00

CONSULTANT BREAKDOWN (Schedule G Attached?) YES r NO
CANDIDATE COMMITTEES ONLY:
0.00
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) a
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year,
For Instructions, see Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONCTARY
(Rev. 07103) RECEIPTS
(Including candidate's personal funds)

COMMITTEE NAME (Must

0 CHECK THIS BOX IF
be same aS on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RCCEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND'I HE PAC CHECK NUMBER IN THE DESIGNATI=O COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA E'rHIC5 AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 6BB .32A(6) . Iowa Code, prohibits the use of information copied from reports and statementS for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IFFOR
RECEIVED (if applicable) TO CANDIDATE RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Woodbury County Democrats $1000-00
091605
CK# P .O . Box 931, Sioux City, Towa 51102

IDA
Cherokee Counry Democrats $130 .00
091605 Ruby Wych, Box 59, Wasta, Ia 51061
CK# Treasurer,

ID#
Taylor County Democrats, Irene Tobin, Treas, $200 .00
011605 CK# 2056 Forest Ave., New Marker, la .

ID#
Crawford County Democrats, Joe Klein, Treas . $120 .00
0)1605 CK# 201 4th Street, Dow (;iry, Ia 51528-3421

I D#
Plymouth County Democrats, Dennis J . Wolf, $250,00
0919115 35861 200th Street, LeMars, la 51031
CK#

ID#

C K#

ID#

C K#

ID#

CK#

ID#

C K#

ID#

C K#

SUB-TOTAL

TOTAL (if last page of this schedule)

'Disclosure law requires candidate committees to d ;ScIOSe the relationship of any relative making a contribution to the
committee Relationship must be Shown to the Ihird degree of consanguinity (blood rolatives) and affinity (relalives by I 1
marriage) . If sumame of contributor is the same as candidate, but there is no Page of _
familial relationship, enter "not applicable' in the relationship column, (for Schedule A)