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FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI 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 )

Dot Ri c har ds f or St at e HouseI MPORTANT: I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r : CJ( 1 ) S t a t e w i d e / L e g i s l a t i v e C an d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( A ) C o u n t y / L o c a l C an d i d a t e( 5 ) C o u n t y PAC ( B ) & i l l o t I s s u e ! F r . n l r a l C o mm i t t e oCANDI DATE COMMI TTEES OCa n d i d a t e NameDorot hy Ri c har

O f f i c e Sou g h t

5 63 - 3 86 - 2 20 1TSI GNATURE OF TREASUL a t e f i l e d r e p o r t s a r e s u b j e c t t o p os s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s .

SEE I NSTRUCTI ONS ON BACK AND COMPLET E THE FOLLOWI NG SENTENCE :I AM FI L I N GA-1 2 - 3 1 - 0 5 _ REPORT FOR AN/ A ( 1 ) ELECT I ON / ( 2 ) NON- E LECT I ON YEAR .I n d i c a t e o n e( r e p o r t d a t e )[ CHECK I F AMENDMENT TO REPORT DATED

R ( o r p e r o o f i l i n g t h i s r e p o r t ) TEL EPHONE

Rk f ; 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 an d a t t a c h N o t i c e s o f D i s s o l u t i o n F o r m DR- 3 .( Y ou t r u s t c c m t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENTOFCASHONHAND

FORMDR- 2 DI SCLOSURE( Re v . 0 7 1 2 0 0 3 ) REPORTFor O f f i c e Use o n l yComa _ _L o g g e c

l t~y_ _ _ _S c a n n e dC o mp u t e rA u d i t e d

1 2- 1 4- 0 5DATE SI GNED

r 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 nC o u r t l y 4 I _ . u c a l C o l n mi t ( e e s , e n t e r C u u n l y i nw h i c h E = l e c t i o n i s h e l d

CASHON 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 h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mmi t t e e . T h i s amoun t MUST b e t h e same a s t h e c a s h o n h a n d 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 mu 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ - _$_1 _ 5 _ 4 - . - $ 5ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d ul e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d ul e A) ( ' a l s o s e e i n - k i n d b e l o w) . . . . . . . . .Sc h e d ul e F : L o a f i s Re c e i v e d t o t a l ( A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d ul e 1 - f : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e d ul e F t ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

S c h e d u l e H a p p l i e s t o Ca n d i d at e s ' Commi t t e e s On l y )SUB- TOTAL . . . . . $ $155 . 4 1

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d ul e B : E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d ul e B ) ( " a l s o s ee d e b t s an d l o a n s b e l o w ) . . . . $155 . 4 1_Sc h e d ul e F : L o an Pe p a y me n t s t o t a l ( A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASHONHAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b al a n c e mu s t

- - - - - - - - - - 5- A-

b ez e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ - _ _ - _ - - - - Q -" ' UNPAI P, , BI L LS, ( F r o r n Sc h e d ul e D - A t t a c h Sc h e d ul e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $` I N KI ND CONTRI BUTI ONS ( F r o m Sc h e d ul e E - A t t a c h Sc h e d ul e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... : . , . .. . . . . . . . : $" OUTSTANDI NGL 6d t l 1 S( Fr o m Sc h e d u l e ` I F - ~ At t a c f S c h e d ul e F ) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY:CONSULTANT BREAKDOWN ( S c h ed u l e G A t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( Fr o m Sc h e du l e H - A t t a c h Sc h e d ul e H) $ - - - - - - - A-

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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 TT EE NAME ( M u s t b e ' s ame as o n S t a t eme n t o f O r g a n i z a t i o n )

Do t Ri c h a r d s , f o r St a t e House

R e s e t F or m

Q CHECK THI S BOX I FAMENDI NG FORM

STATECANDI DATES NOTE: I F ACONTRI BUTI ON I S RECEI VED FROMASTATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBER AND THEPACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 68B . 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 pi 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 a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h er t h an 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 .

" Di s d o s u r e l a w r e g a r e s c a n d i d a t e c ommi 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 e mak 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 must 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 d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o Pag e o f _. _-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 he r e l a t i o n s h i p c o l umn ( f o r S c he d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAi S r "NUMBER I NC . :

I D# Ri v e r Ci t y Comm . C . U . $CK# 9 0 2 W . KI mb e r l y Rd . 0 61 - 1 - 0 5 I Da v e n p o r t , I A 5 2 8 0 6I D# Ri v e r Ci t y Co mm C . U .

1 - 3 1 - 0 5 # . 0 6I D # Ri v e r Ci t y Comm,C.U.2 - 2 8 - 0 5 CK# . 0 5

Ri v e r Ci t y Comm C . U .CK #3 - 3 1 - 0 5 . 0 6I D #CK# Ri v e r Ci t y Comm C . U .4 - 3 0 - 0 5 . 0 6I D # Ri v e r CI t y Co mm C . U .5 - 3 1 - 0 5 . 0 5 _I D# Ri v e r Ci t y Co mm C . U .CK#

_ r a OI

CK# Ri v e r Ci t y Co mm C . U .7 - 3 1 - 0 5 _ 0 6 - JI D# _Ri v e r Ci t y Comm C . U .CK #8 _ 3 1 _ 0 5 . 0 51D# Ri v e r Ci t y Co mm C . U .CK# ,

9 - 3 0 - 0 5 . 0 5SUB- TOTALTOTAL ( i f l a st page o f t h i s s c h e d u l e )

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp 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 S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s l e n f f 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 er t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e mi z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t 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 mm i t t e e . ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a Code 6 8 A . 4 0 2 ( 3 ) ( i ) . ) - -

Page -1-_ o f 1( f o r S c h e d u l e B )

FOR I NSTRUCT I ONS , SEE BACK OF FORM R e s e t F o r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 7 1 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMNAND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )Do t Ri c h a r d s f o r S t a t e House

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 ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

I D# c e r t ' Vi c t o r y S t o r e . c o m s i g n s $ 1 5 5 . 4 11 0 - 8 - 0 5 CK# 73 1 0 3 5 2 0 0 S . W . 3 0 t h StDa v e n p o r t , I A 5 2 8 0 21 D #CK#I D#CK#I D#CK#I D#CK#I D#CK#1D#CK#I D#CK#

SUB- TOTAL $ 1 5 5 . 4 1TOTAL ( i f l a s t p a g e o f t h i s s c he d u l e ) $

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FOR I NSTRUCTI ONS, SEE BACK OF FORMCOMMI TT EE NAME ( Mu s t b e s ame as o n St a t eme n t o f Or g a n i z a t i o n )

Do t Ri c h ar d s f o r St a t e H o u s e

SUB- TOTAL

TOTAL ( i f l a s tp a g e o f t h i s

s c h ed u l e )

SCHEDUL EE I N K I ND

( Re v . 0 6 / 9 7 1 CONTRI BUTI ONS

[ ] CHECK THI S BOX I FAMENDI NG FORM

' D i s c l o s u r e l aw r e q u i r e s c an di d at 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 an y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Page 1 o f 1c ommi 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 gr e e o f c o n s an 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 ( f o r Sc h e du l e E)b y ma r r i a g e ) . ( Se e Page 2 o f f o r ms packe t . ) I f s u r n ame o f c o n t r i b u t o r i s t h e s ame as 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 .

DATERECEI VED( MMI DDI YR)

NAME AND ADDRESSOF CONTRI BUTOR

RELATI ONSHI PTO CANDI DATE' ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ON

ESTI MATEDF AI R MARKETVALUE

4 I F FORFUND- RAI SER

CONTRI BUTI ON

1 - 2 5 - 0 5Re p . Pa r t y o f I o wa6 21 E , 9 t hDEs Mo i n e s I A 5 0 3 0 9

me d i ap r o du c t s $ 3 9 2 . 50 F - 1

F - 17 1F - 1F - 1F - 1F - 1F - 1

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1 . A l l d e b t s , l o a n s a n d o b l i g a t i o n s h a v e b e e n p a i d o r t r a n s f e r r e d ;2 . A l l c a mp a i g n f u n d s h a v e b e e n s p e n t ;3 . A l l c a mp a i g n p r o p e r t y s o l d o r t r a n s f e r r e d ( c a n d i d a t e s o n l y ) ; a n d4 . A f i n a l r e p o r t d i s c l o s i n g a l l t r a n s a c t i o n s c l o s i n g t h e c o mmi t t e e .

COMMI TTEE NAME

Da t e S i g ne d

FOR I NSTRUCTI ONS, SEE BACK OF FORMTh i s f o r m i s n o t a p p l i c ab l e t o 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 .

( R e v . 0 7 / 0 3 )

WHEN TO F I L E :T h e N o t i c e o f D i s s o l u t i o n mu s t b e f i l e d w i t h i n t h i r t y ( 3 0 ) d a y s o f c o mp l e t i o n o f a l l t h e f o l l o w i n g :

F o r s t a t e c a n d i d a t e s a n d s t a t e PACs , a f i n a l b a n k s t a t e me n t mu s t b e f i l e d w i t h t h e N o t i c e o f D i s s o l u t i o n o r a s s o o n a sp o s s i b l e i f t h e b a n k s t a t e me n t i s n o t a v a i l a b l e a t t h e t i me t h e N o t i c e o f D i s s o l u t i o n i s f i l e d .

, 0~M. , '~C. * 6' -K-S i g n a t u r e o f Ca n di d a t e o r T r e a s u r e r ( i f c a n d i d a t e ' s c o mmi t t e e ) / S i g n a t u r e o f Ch a i r o r T r e a s u r e r ( i f PAC)

Do t R i c h a r d s f o r S t a t e H o u s eO f f i c i a l Name o f Co mmi t t e e

2 8 0 5W. 4 7 t h S tS t r e e t

D a v e n p o r t , I o wa 5 2 8 0 6C i t y , S t a t e , Z i p C o d e

5 6 3 3 8 6 - 4 8 5 6Ar e a T e l e p h o neC o d e

N o t i c e o f D i s s o l u t i o n FORM DR- 3R e s e t F o r m NOTI CE OFMa i l t o : A A I D I S S OLU TI ONI E CD B DI SCLOSURE BOARD5 1 0 E a s t 1 2 L y ' , S u i t e I A I For ml i l oeOn l yDe s Mo i n e s , I o wa 5 0 3 1 9 JAN - 6 2 0 0 6 Comm. #

F I L ED m I n d e x e d k - q = t - -A u d i t e dCompu t e rC e r t i f i e d D a t e o f D i s s o l u t i o n