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CONTRI BUTI ONS- MONEYTAKENI N( t h c k 4 i n g c a n d i d a t e ' s p e r s o n a l f u n

COMMI TTEE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )HARPER FOR SENATESTATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) . L I ST THE PAC I DENTI F I CANUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN. A USTOF 1 0 NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CSAND CAMPDI SCLOSURE BOARD.CAUTI ON: Se c t i o n 688 . 3 2 A( 6 ) , I o wa Code . 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 on t r if 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 d cWc o mmi t o e e s .

Oi s d o s ur e l a w r e q u i r e s c a n d i d a t e c o n ml l u e as t o d h d o s e t h e r o l a t i o r g h h l p o f an y r o y dv e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mu st b e s h o w n t o t h e t h i r d d e g r e e o f c 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 ) an d a f f i n i t y ( r e l a t i v e s b yr . . - : m. g e ) ( baj ? a g e 2 o f f o r n n s p a- c e L ) . I f s u r n ame o f c o n t r i b u t o r i s t o aSme as c an d i d at e . b u t t h e r e i s n of 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 e r e l a t i o n s h i p c o l u mn .

SUB- TOTAL

TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e )

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DATE PAC 1 0 NUMBER NAMEANDADDRESSOF CONTRI BUTOR RELATI ONSHI P ARECEI VED ( 8 a p p l i a b l e ) TOCANDI DATE' R( MMI DDI YR) AND PACCHECK ( i f a ppl e )NUMBER .I DS6 / 6 / 01 Pa t r i c i a Ha r p e r Ca nd i d at e $ 1CK# 3 3 3 6 San t a Ma r i a Dr .Wa t e r l o o TA - , Q7Q9 .I D S7 / 1 / 0 1 J o h n Dee r e Co r ^ mu n i t y Cr e d i t Un i o n I n t e r e s tC" 1 8 2 7 Ansbo r ou g h Av e .Wa t e r l o o I A 5 0 7 0 4I DS10/ 1/ O1 Same I n t e r e s tCKN

1 0 / 2 6 / 0 - 1 1 ) # 6 0 6 7 I o wa He a l t h PAC 2' 6 7 5 0 Wes t own Pa r k wa yC A C # We s t Des Mo i n e s I A 5 0 2 6 6

1 1 / 2 7 / 0 1 I D# , Da v i d Pa l me r 12 1 3 SW Fl y n n Dr i v eCK# A n k e n y I A 5 0 0 2 1 -1 1 / 3 0 / 0 1 I D # Ge r a l d S c h n e p f- - 4 0 1 2 Cr es t moo r Pl a c eCK# 1 KKKNKKK Des Mo i nes I A 50310i 2 / 4 / 0 1 I D# Amy Camp b e l l Fl e mi n g2 1 2 5 - 4 8 t h Et .. DesMo i nes I A 50310

I DS ' IBr i c e Oak l eyCK# 418 - ~- 3 8 t h Pl a c eDe s Moi nes I A 5 0 3 1 2I D# Ca r l o s J a y n eCK# 3 5 2 3 SW 3 7t h St .Des Mo i n e s I A 5 0 3 2 1 - 1 8 3 9I D# J o d i Toml o n ov i cC A L # 1 2 4 5 - 4 0 t h St .DesMo i nes I A 50311

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CONTRI BUTI ONS- MONEYTAKENI 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 t u n

COMMI TT EE NAME ( M u s t b e same a s o n S t a t e m e n t o ! O r g a n i z a t i o n )' A RPER FOR SENATESTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT1 0 N COMMI TTEE) . USTTHE PAC I D E NT I F I CNUMBER ANDTHE PACCHECKNUMBER I N THE DESI GNATED COLUMN. A UST OF 1 0 NUMBERS I S A VA I L A B L E FROM THE I OWA E T HI C S AND CAMDI SCLOSUREBOARD.CAUTI ON : Se c t i o n 6 aB. 3 2 A ( S ) . I o wa Cod e . p r o h i b i t s t h e u s e o f i n f o ml a 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 nt s f o r s o l i c i t i n g c o n t r if o r a n y c o n l r r e r c l a i 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 d a ! c o n v e i t t s e s .

l k WOn V f l C . _ A T " $TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) 3

' 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 mmi t t e e s t o d i s c l o s e t h e r o b t i o n p h i p o f a n y Ma t i m ma k i n g a c o n t r i b u t i o n t o t h ec o mmi 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 f c 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 da" ( r e l a t i v e s b yr . . - . m . g e ) ( b a j Page 2 o f f o r m s p a - * e L ) . I f s u r n a me o f c o n t r i b u t o r t o t i p s ame a s c a n d i d a t e . b u t t h e r e i s n of a m i l i t i 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 e r e l a t i o n s h i p c o l u mn .

A MON( Re v . ~ 2 I 9 8 ) REQCHECK TH

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DATE PAC I D NUMBER NAME ANDADDRESSOFCONTRI BUTOR RELATI ONSHI P ARECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' R

1 1 2 / 4 / 0 1( MMI DDJ YR) AND PACCHECK ( i f a p p l i c a b l e )NUMBER .

1 1 ] # Li n d a Goe l d n e r $CKO 40 3 8 Ki n g ma n Bl v d .DesMo i n e s I A 5 0 3 1 11 0 0 Mona B o n aCK0 2 8 1 8 We s t 1 s t St .A n k e n y I A 5 0 0 2 1

6 3 5 6 Fr e e d om F u n d PACCK# 8 5 1 - 19 t h St .

~ DesMo i n e s I A 5 0 3 1 4I D# 6 0 5 8 I CSPo l i t i c a l A c t i o n Commi t t e eCK# 1 6 0 5 N . An k e n y B l v d . , Su i t e 1 0 0A n k e n y I A 5 0 02 1 - 4 1 5 9I D# 6 0 7 0, I o wa L a w p a c5 2 1 E a s t L o c u s t St . , 3 r d Fl o o rCK# DesMo i n e s I A 5. 0 30 9- 1 93 9I D # 6 1 1 8 I o wa Op t ome t r i c As s o c i a t i o n PACCK# 145 4 - 3 0 t h St . , Su i t e 2 0 4We s t DesMo i n e s I A 5 0 266I D # Pa t r i c i a Ha r p e r Ca nd i d a t e3 3 3 6 Sa n t a Ma r i a Dr i v e ". Wa t e r l o o I A 5 0 70 2

1 2 / 7 / 0 1 I D# Cr a i g Ne i l s enCK# Ame r i s t a r Ca s i n o Co u n c i l B l u f f s ~ n c .2 2 0 0 Ri v e r R o a d , Co u n c i l B l u f f s A 5 1 5 0 1I D# . 6 07 3 I o wa Med i c a l PACCK# 10 0 1 Gr an d Av e . ~ n r r ~ ' rWe s t DesMo i n e s I A * 0 26 5 - 3 50 2I D# J u d i Ho f f ma nCK# 3 8 2 0 Quebec St .Amt s I A 5 0 0 1 4

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CONTRI BUTI ONS - MONEYTAKENI 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 t u n

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )HARPER FOR SENATE

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STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I 1 1 C A L ACTI ON COMMI TTEE) . USTTHE PAC I D E N T I F I CNUMBERANDTHEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C SANDCAMPDI SCLOSURE BOARD.CAUTI ON: S e c t i o n 8 8 8 . 3 2 A ( 8 ) , I o wa Code , p r o t u b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a nd s t a t e me nt s f o r s o l i c i t i n g c o n t r if o r a n y c o nr n s r d s l p u r p os e by 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 ) a l commMms .

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 i a d o r q h l p o f a n y r e l a t i v e m a i u r q a c o n t r i b u t i o n t o t h eC o mm i t t e e . R e i a t i o n a h i p m u s t b e s hown t o t h e t h i r d d e g r e e o f c 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 da" ( r e l a t i v e s b yr . . : r t i r ge) ( l o o . ) ?age 2 of f o r ms p a - c e L ) . I f s u r n a me o f c o n t r i b u t o r i t s t h s ame a s c a n d i d a t e . b u t t h e r e i s n of 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 e r e l a t i o n s h i p c o l u mn .

Page 3 : '( f o r Sc h ed u l e

DATE PAC I D NUMBER NAMEANDADDRESSOF CONTRI BUTOR RELAT I ONSHI P ARECENED ( i f a p p a p bl e ) TOCANDI DATE' R( MMI DDJYR) AND PACCHECK ( i f a p p l i c a b l e )NUMBER1 11 2 / 8 / 0 1 6 125 I o wa Real t or s PAC SCM 1 3 7 0 NW 1 1 4t h St . , # 1 0 0Cl i v e I A 5 0 3 2 5I D : * (1 2 / 3 1/ 0 1 Pa t r i c i a Ha r p e r Ca nd i d at eC" 3 3 3 6 San t a Ma r i a Dr .Wa t er l oo I A 5 0 7 0 2I DSCKMI D SCKSI D#CK#

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FOR I NSTRUCTI ONS, SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PA C COMMI T T EES: NOT E: FORCONTRI BUTI ONS MADE TOSTATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS I S AVA I LABLE FROMTHE I OWAETHI CS & CAMPAI GNDI SCLOSURE BOARD .

SCHEDUL EB MONET A( Re v . 0 8 1 9 6 ) EXPENDI0 CHECK T HI S BOX

AMENDI NG FORCOMMI T T EE NAME ( M u s t b e same 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 )

T HI S BOX APPLI ES TOCANDI DATES' COMMI T T EES ONLY' Ca mp a i g n f u n ds may b e u s e d o n l y f o r( 1 ) c amp a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i t h d u t i e s o f o f f i c e .Pl e a s e i n s e r t t h e a p p l i c a b l e n umb e r i n t h e c a t e g o r y c o l u mn f o r e a c h e x p e n d i t u r e .Pu r c h a s e s o f c e r t a i n c amp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )Ex p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , manag i n g , o r g a n i z i n g s e r v i c e s must a l s o b e d e t a i l i t e m i z e dSc h e d ul e G b y t h e amo u n t , p u r p o s e , a n d d at e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f eSc h e d ul e Gi n s t r u c t i o n s a n d I o wa Co d e 5 6 . 6 ( 3 ) ( i ) . )

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1 2 / 1 9 / 0 6 ' D# Un i o n Pl a n t e r s B a n k Ma i n t e n a n c e F e d 1 28 .t h r u Na t i o n a l Dr i v e a n d3 / 1 9 / 0 1 CK# Ri d g e wa y , Wa t e r l o o I A 5 0 7 0 11 1 / 2 3 / 0 I D# Ki n ' i o ' s En v e l o p es 1 .2 8 0 0 Op r y l a n d Dr .CK# Na s hv i l l e TN 3 7 2 14 - 1 2 9 7 1

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1 2 / 4 / 0 I D # Ho t e l F o r t De s Mo i n e s F o o d . f o r 1 2 0 8 .1 0 0 0 Wa l n u t St . Fu n d r a i s e rCK# De s Mo i n e s I A 5 0 3 0 91 2 / 5 / 0 1 I D# Be n Fr a n k l i n Th a n k y ou 6 .Ri d g e wa y Pl a z a Ca r d sCK# Wa t e r l o o I A 5 0 7 0 11 2 / A/ 0 I D # P o s t Of f i c e St a mp s 1 5 .300 , Sy c a mo r e St .CK# Wa t e r l o o I A 5 0 7 0 3

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