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    FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

    COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )B e a r d f o r S t a t e S e n a t e

    I AM F I L I NG A Oc t . 1 5 t h r o u g h Oc t . 2 6 , 2 0 0 4

    FI CHECK I F AMENDMENT TO REPORT DATED

    u p s1 ' t : ) b ( P - 7 C - 5 ( ) 3l o b Y - - 7 q U-3( r e p o r t d a t e )

    F - 1 C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h No t i c e o f D i s s o l u t i o n F or m DR- 3 .( Yo u mu s t c o nt i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

    TEL EPHONE

    R e s e t ' F or m

    I MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r F 1

    I( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l Commi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) Co u n t PAC L g ) C i t y PAC (10S S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B

    REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .I n d i c a t e b y #

    STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u nd s h e l d b y t h ec o mmi t t e e . T h i s am o u n t MUST b e t h e s a m e a s t h e c a s h o n h a nd a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r m u s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    FORMDR- 2DI SCLOSURE

    ( Re v . 0 7 / 2 0 0 4)

    REPORT

    Comm . #L o g g e d I nS c a n n e dCompu t e rA u d i t e d

    L a t e r e po r t s a r e s u b j e c t t opo s s i b l e c i v i l and c r i mi n alp e na l t i e s .

    L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o nCo u n t y & L o c a l C o mm i t t e e s , e n t e r Co u n t y i nw h i c h E l e c t i o n i s h e l d

    22 7 6 . 3 3

    O 7DA E SI GNED

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    Fo r I n s t r u c t i on s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEENAME ( Mu s t b e s ame a s on St a t e me n t o f Or g a n i z a t i o n)Be a r d f o r S t a t e S en a t e

    R e s e t Fo r m

    STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECE I VED FROM A STATE PAC ( P O L I T I C AL A CT I ON C OMMI T T E E) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND T HE P AC CHECK NUMBER I N T HE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) REC E I P T SQ CHECK T HI S BOX I FAMEND I NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT ~ I I F FORREC E I V E D ( i f a p p l i c a b l e ) T O CANDI DAT E * RECE I V E D FUND-( MM/ D D/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ERNUMBER I NCOME

    I D# Da l e o r S o n y a Ni mr o d1 0 / 1 8/ 0 4 2449 R a n c h Road $ 25 . 0 0CK# D ec o r a h , I A 52 1 0 1

    I D# Ga r y o r Ma r s h a L a n d s g a r d1 0 / 1 8 / 0 4 CK# 615 L i v i n g ood Sp r i n gs Road 30 . 0 0P o s t v i l l e , I A 52162

    I D# Ti mH a y e s o r K r i s t i n Al b er t s on1 0 / 1 8 / 0 4 CK# 1 3 8 3 Coon Cr e e k Roa d 2 0 . 0 0D e c o r a h , I o wa 5 2 1 0 1

    I D# Ga r y L . Ba l l a r d1 0 / 1 8 / 0 4 CK# 714 P i n e S t r e e t 25 . 0 0D ec o r a h , I A 52 1 0 1

    I D# Or d e l l o r Ma r j o r i e Kj os a1 0 / 1 8 / 0 4 CK# 1 1 6 1 U. S Hi g h wa y 52 2 5 . 0 0

    C a s t a l i a , I A 52133I D# J am e s B o v e e o r D e b or a h No r l a n d1 0 / 1 8 / 0 4 CK# 72 7 Ri d g e Roa d 25 . 0 0D ec o r a h , I A 5 2

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    Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r mCONTRI BUTI ONS - - MONEY TAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )Be a r d f o r S t a t e Se n a t e

    STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER ANDTHE PACCHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS ANDCAMPA I GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c ommi t t e es .

    SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI PTSQCHECK THI S BOX I F

    AMENDI NG FORM

    DATE P AC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT ~ ! I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND P AC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

    I D# L a r r y A . o r Ma r g a r e t J . S t o n e1 0 / 2 0 / 0 4 2 3 31 2 - 2 9 5 t h S t r e e t $ 2 5 . 0 0CK# El k a de r , TA 5 2 0 4 3

    I D# Ro b e r t G. o r L y ne t t eM. Wi l s o n1 0 / 2 1 / 0 4 CK# 6 09 - 5 t h A v e n u e 25 . 0 0De c o r a h , l A 5 2 1 0 1

    I D# Do u g l a s o r Sh a r o n Ro s s man1 0 / 2 1 / 0 4 CK# 1 3 1 6 Bl u e Gr a s s Dr i v e 25 . 0 0De c o r a h , 1 A 5 2 1 0 1

    I D# Ru t h L e wi s1 0 / 2 2 / 0 4 CK# 5 1 1 L o c u s t Road 2 5 0 . 0 0De c o r a h , I A 5 2 1 0 1

    I D# D . J . o r L o r a F r i e s t1 0 / 2 2 / 0 4 CK# 3 0 4 5 No r t h Ol d Mi l l Road 5 0 . 0 0De c o r a h , TA 5 2 1 0 1

    I D# L i n n o r Co n n i e Hv i t v ed1 0 / 2 2 / 0 4 CK# 24 5 89 - 7 0 t h S t r e e t 1 0 0 . 0 0Cr e s c o , l A 5 2 1 3 6

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    FOR I NSTRUCTI ONS, SEEBACKOF FORM L Re s e t I - I mn I SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONSMADETO STATEWI DEOR LEGI S LAT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHE CHECKTHI S BOXI FPAC CHECK NUMBER FOR EACH EXPENDI TURE. A L I ST OF I D NUMBERS I S AVAI L ABL E FROMTHE I OWA AMENDI NGFORMETHI CS &CAMPAI GN DI SCLOSUREBOARD .COMMI TTEENAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )Bea r d f o r St a t e Se n a t e

    CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ YR ) AND PACCHECKNUMBER

    I D# B e a r Cr eek Pr i n t i n g and Gr a p h i c s p r i n t i n g1 0/ 2 1 / 0 4 PO Box 347 1 0 3 4 . 4 1CK# Cr e s c o , I A 52136

    I D# h e Decor ah Newspa per a dv er t i s i n g1 0 / 2 1 / 0 4 0 7 E . Wat e r St r e e t 1 7 1 . 0 0CK# e c or a h, 1 A 5 2 1 01

    I D# e r e k Lee we b s i t e1 0 / 2 2 / 0 4 6 5 Fr emont S t r e e t 110 . 0 0CK# e wi s t o n , MN 55952

    I D# News Pu b l i s h i n g Company a dv er t i s i n g1 0 / 2 5/ 0 4 5 1 s t St r e e t NW 54 5 . 79CK# a uk on, I A 5217 2

    I D#CK#I D#

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    FOR I NSTRUCT I ONS , SEEBACK OF FORMCOMMI TT EE NAME( Mus t b e s am e a s o n S t a t e m e n t o f O r g a n i z a t i o n )Be a r d f o r S t a t e S e n a t e

    NOTE : T h i s s c h e d u l e r e p o r t s m o n e y l o a n e d t o t h e c o mm i t t e e w h i c h i s d e p o s i t e d i n t h e c o mm i t t e e a c c o u n t .TOTAL UNPA I D LOANS FROM LAST REPORTI NG PERI OD $ 2 0 0 0 . 0 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -PART I - MONET ARY LOANS RECE I VED T H I S REPORTI NG PERI OD( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b a n k , m u s t b e s h o w n i f a t h i r d p a r t y i si n v o l v e d . I n c l u d e l o a n s f r o m c a n d i d a t e ' s p e r s o n a l f u n d s . )

    TOTAL ( PART I )

    $

    * D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v em a k i n g a c o n t r i b u t i o n t o t h e c o mm i t t e e . R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e g r e e o fc o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y m a r r i a g e ) . I f s u r n a m e o f c o n t r i b u t o r i st h e s am e a s c a n d i d a t e , b u t t h e r e i s n o f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h er e l a t i o n s h i p c o l u mn w h e n i t a p p l i e s .

    PART I I - MONET ARY LOAN REPAYMENTS MADE T H I S REPORTI NG PERI OD( L o a n s f o r g i v e n m u s t b e r e p o r t e d o n S c h e d u l e E - - I n - k i n d C o n t r i b u t i o n s . )

    TOTAL CASH REPAYMENTS ( P A RT I I )

    $

    F r o m S c h e d u l e E - - TOTAL LOANS FORGI VEN

    $$ 2 0 0 0 . 0 0TOTAL OUTSTAND I NG LOANS EN D OF REPORT PERI OD

    P a g e 1

    o f 1( f o r S c h e d u l e F )

    SCHEDULEF LOANS( R e v . 0 7 / 0 3 ) RECEI VED& REPAI DCHECK T HI S BOX I FAMENDI NG FORM

    DATERECE I VEDMM/ DD/ YRNAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s N a m e , I f A p p l i c a b l e ) RELAT I ONSHI PT O CAND I DATEI f A l i c a b l e *

    AMOUNTOF LOAN DATE P A I D( MM/ D D/ Y R ) NAME AN D ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s N a m e , I f A p p l i c a b l e ) R EL A T I ON S HI PTO CAND I DA TE *I f A p p l i c a b l e )AMOUNTR EP A I D