NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P.

07

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)
DR2-2
(Rev.01/2003
I DISCLOSURE
REPORT
National Federation of Independent Business/ Iowa Save Americas Free Enterprise Trust
For OMice We Ordv
IMPORTANT : Indicate type of committee you are reporting for:
Comm . a
(1)Statewide/Legislative Candidate (2)Slalewlde PAC (3)State Party (4) County/Local Candidate Index
(5)County PAC (6)Ballot Issue/Franchlse Committee (7)County/City Central Committee
(6)Suppport Slate of Candidates Audited
CANDIDATE COMMITTEES ONLY: Computer
Candidate Name Political Party
r.. ,
Office Sought District (If Senate or House)

Late filed reports are subject to possible civil and criminal penalties.
_S ND COMPLETE THE FOLL
I AM FILING A 07/1512004 -10/14/2004 REPORT FOR AN/A ELECTION /(2) NOWELECTION YEAR .
(report date) Indicate one
CHECK IF AMENDMENT TO REPORT DATED 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 .) tt 55,270 .64

ADD TOTAL MONEY YAKEN IN THIS PERIOD

Schedule A: Cash Cont6butione total (Attached Schedule A) ('also see in-kind below) 52,120 .00

Schedule F: Loans Received total (Attach Schedule F)

Schedule H, Total Sales of Campaign Property (Attach Schedule H) $0 .00
Schedule H applies fg Can dates' C mwItbes Only)
SUB-TOTAL = 57,390 .64

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule B) ('"also see debts and loans below) 56,000 .00

Schedule F: Loans Repayments total (Attach Schedule F) $0.00

CASH ON HAND et the end of this reporting period (If final report, balance must S1,390 .64
be zero)(Attach DR-3) - - f

3 -00
S0
`*UNPAID BILLS (From Schedule D - Attach Schedule D)
So=
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E)
-OUTSTANDING LOANS(From Schedule F - Attach Schedule F) ; $0.00

CANDIDATE COMMITTEES ONLY :

CONSULTANT BREAKDOWN Schedule G Attached 7 YES
13 NO
$0.00
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
 NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P .08

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A
(Rev . 110/97)
I MONETARY
RECEIPTS

0
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
National Federalion of Independent Bueinesal Iowa Save Americas Free Enterprise Trust

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 : Sectlon 68B .32a(B), Iowa Code, prohibits the use of information copled from reports and statements for soliciting contributions or
for any commercial purpose by any person other than satutory political committees .

DATE Fj ID NUMBER NAME AND ADDRESS OF CO IBUTOR RELATIONSHIP AMOUNT o IF FO

RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
7/22/2004 IDS Brasher. David $10.00

CK* at9 East stn strt»1

Des Moines IA, 50309-1927
7/30/2004 IDS Brasher, David 510.00

CK# 319 East 6N Snot

Des Molrm 1A, 60309-1927
8/19/2004 IDS Carlson, Gene $100.00

CKS No . 36 Woodshirs Dr
Ottumwa IA, 62601
8/19/2004 IDS loam, Ron $300 .110

CI(ag ! 8397 New Liberty Rd

Waloott IA, 52773
8/30/2004 IDS KnIB, Barb $100 .00

CKIV 06 >
W

Palm IA. 50219:

8/1012004 IDS Brasher, Davld 1;10,00

CKA 319 East 5th Street

Des Moines IA, 50309-1927
9/10/2004 IDS Duncan, Mary Ann 8200 .00

CKIY I b (
Sit- (tv'6L
s}-

Altoona IA, 50009-0513

9/1412004 IDS Larson . Brian $25 .00

CKS 1490 Madison Ave.

Fort Dodge IA, 60501
IDS Beckwith. F . $1,000.00
9121/2004

CKN 2300 eth street

BooneIA,50036-0070
9/2112004 IDS Burk, Charles $60.00

CK# 1757 Lost Creek Road

Wever IA, 52858-9660

SUB-TOTAL ; $ 1,1805 .00

TOTAL (If last page of this schedule)

s

- Disclosure law requires candidow committees to disclose the retetbnship of any relative making a contribution m she o1- 2
committee . Rem9onchip must be shown to the third degree of consangulnlty (blood relatives) and aMnRY (relatives by Page 1
marriage) (See Page 2 of forms packet.) It surname of contributor is Ins same as candidate, but there Is no familial (for Schedule A)
relationship, enter "not applicable" to the relationship column .
 NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P .09

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A MONETARY

F
(Rev . 06197) 1 RECEIPTS
(Including candidates personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
National Federalion of Independent Business/ Iowa Save Americas Free Enterprise Trust

STATE CANDIDATES NOTE : IF A CONTRIBUTION IB 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(B), 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 NU R NAME AND ADDRESS O CONTRIBUTOR RELATIONSHIP AMOUNT w IF FOR

RECEIVED (if applicable TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
9!21/2004 IDl1 Jensen, Jeff $100.00

CK# 2754 260th Street

Charles City IA, 50616-0934
912112004 IDS Pedrlck, Robert $50 .00

owe `70 Broad Sf-,

IA, 52565
9/23/2004 ID# Jack A. O'Brien, C.P .A . 550 .00

CKp
623 Lori Lane
Council BNtfe W, 51503"7767
9/3W054 ID# Brastler, David $10 .00

CIA 319 East 6th Street

Des Moines K 50309-1927
10/14/2004 IDAI Unitemized Contributions $106 .00

Cwe

SUB-TOTAL . $ $315 .00

TOTAL (rlflast pope of this schedule)

12,120 .00

Disclosure law requires candidate cemmltees to disclose the relationship of any relative making a oonlrlbution to the
committee . Ralefionshlp must be shown to the third degree of consanguinity (blood relative@) end affinity (relatives by Page ---!-Of 2
marriage) (See Page 2 of forms packet.) If sumame of conlr1butor is the same as candidate, but there la no Familial (for Schedule A)
relationship, enter "not applkable' In the relationship column .
 NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :33 P,10

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT MONETARY

(Rev. 09197)1 EXPENDITURES
STATE PAC COMMnlTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
Q CHECK THIS BOX IF
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)

National Federation of Independen(Buaness/ Iowa Save Americas Free Enterprise Trust

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if appIlcable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
10!12/2004 I ID1 1522 Amie Bops for Iowa House 5500 .00
CKAI 2160 Amharst Place
11933
1

' Ionia IA, 50645

11/1212004 ID11 Behn for Senate- Comm . #984 $250.00

CK*
1313 quill Ave,
11932 ' Boons lA, 50036

10/12/2004 IDrk Brauns for State House 111517

/577 3250 .00
CKK 2864 Aunt Polly Lane
11934 Muscatne IA, 52761

10/1212004 IDO Committee to Elect Jim Hahn $400 .00

37
1 1C
' 1109 Wast 4th street
Muscfne IA . 52751

ID* /s-L'_U
10/1212004 Dowie for Senate 1!1550 $600.130
CKit 1534 Olympic Drive
11938 Waterloo IA, 50701

10/1212004 ID1 b/ Hosch for State Senate Committee 111438 $260.00

CIC/
221152 Butterrield Road
11936 Cascade IA,50233

10/12/2004 ID# Jeff Kaufmann for State Representative 5250 .00

CK* 2126 Old Musatine Road

11939 Wllton IA, 52776

1011212004 ID* 15-09 May for Iowa House (William Mike May) $500 .00

CKf 17024 255tH Avenue

11942 Spirit Lake IA, 61360

SUB-TOTAL $2,900 .00

TOTAL (lf last pale of this schedule) $

THIS BOX APPES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing 5600 or mole must also be inventoried on Schedule H . (Rotor to Schedule H Instructions .)

Expenditures to pemons/enti6es 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 pemon/entity on behalf of the candidates committee. (Refer to
Schedule G instructions and Iowa Code 58 .8(3)(0.)

(for Schedule B)
 NFIB POLITICAL AFFAIRS Fax :202-484-9267 Oct 18 2004 15 :34 P .11

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT MONETARY

a
(Rev. 09/97) EXPENDITURES

STATE PAC COMMITTEES : 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 some as on Statement of Organization)

National Federation of Independent Business/ Iowa Save Americas Free Enterprise Trust

CANDIDATE
DATE ID NUMBER NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDED (if applicable) EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
(MM/DD/YR) AND PAC (Disbursement) WAS MADE
CHECK
NUMBER
10/12/2004 , IDff M .Isterllng for State House (Mary) 5500 .00
CKO 321 Green Valley Terrace SE
11!143 ; Cedar Rapids IA, 52402

10/12/2004 ID+~ 120' People for Gene Mantemach - Committee s 5600.00

1208
Ciur 9608 Maple Road
11941 Cascade IA.62033
10/1212004 IDl1 Ran Longmuir for State Senate 01640 3250,00
CK# 2769 1101h St
11940 ArUnWn IA, 50906

10/1212004 IDS ti'g2 Schuerer for State Senate !1992 - $500,00

CKO
PO Box 290
11944 Antana 1A, 52203-0290

10/12/2004 ID# Severson for State House (Gale) $250,00

10323 Highway 3
11845 Strawberry Polnl IA, $2078
10/12/2004 ID# Sievers for Statehouse 3500 .00
CYW " 271351stAve
11946 New Liberty IA, 62765
10112/2004 ID# S'73 The Karen Butler for State Rep Commiftse $260,00
1!1673
CKO ' 2003 Danbur Drive
11935 Eslhervule IA, 51334
10/1212004 lop Zaun for Iowa Senate #1521 $360,00

C K* 7126 Douglas Ave

11947 Urbandale I/1, 50322

SUB-TOTAL $3,100 .00

TOTAL (if last page of this schedule) : 58,000 .00

THIS BOX APPLIES TO cANDIDATEW COMMITTEES ONLY :

Purchases of certain campaign prop" costing $500 or more must also be Inventoried on Schedule H, (Refer to Schedule H Instructions.)

Expenditures to personslentilies providing consulfing, advertising, fund-ralslng, polling, managing, organizing aerAces 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
I Schedule G Instructions and Iowa Code 56.6(3)(1) .)

2 2
Page Of

(for Schedule B)