RECEIVED

File with :
Iowa Ethics and Campaign Reset Form . JUL 1Wli07
Disclosure Board
510 E . 12°1 , Ste . 1A
Des Moines, Iowa 50319 FOR INSTRUCTIONS, SEE BACK OF FORM
Fax . 515-281-4073
DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)

Vote Yes for IC'C(' FORM

IMPORTANT. Indicate by # type of committee you are reporting for : IiI

DR-2 DISCLOSURE
(Rev . 07/2007) REPORT
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate (2 )State PAC ( 3 )State Party
(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 ForOffice Use Only
11) Local Ballot Issue Comm . #
CANDIDATE COMMITTEES ONLY : Logged In
Candidate Name Political Party (if applicable) Scanned
Computer
Office Sought District (if Senate or House) Audited

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code sections 688 .32A(7) and 68A .401(3), the candidate, for a

~ ~~l~h~.--
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

July 19, 2007

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # 1-1
LICHECK 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 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
10,480 .73
of the last reporting period or must be zero if this is first report filed .) $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
140 .00
Schedule A Cash Contributions total (Attach Schedule A) ('also see in-kind below)
Schedule F . Loans Received total (Attach Schedule F)
Schedule H : Total Sales of Campaign Property (Attach Schedule H)

(Schedule H applies to Candidates' Committees Only)

10,620.73
SUB-TOTAL $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
9,893 .24
Schedule B : Expenditures total (Attach Schedule B) (*also see debts and loans below)
Schedule F Loan Repayments total (Attach Schedule F)
727 .49
CASH ON HAND at the end of this reporting period (if final report balance must be zero) $

**UNPAID BILLS (From Schedule D - Attach Schedule D) $ 2,058 .75

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) $ 750 .00

"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) $

CONSULTANT BREAKDOWN (Schedule G Attached?) ^ YES I/ NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

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 MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement of Organization)

0 CHECK THIS BOX IF
AMENDING FORM
Vote Yes Ih r I( ( (

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLIT)CAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN riiF DFSIC',NATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL . THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION : Section 68B .32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND,
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# I

contributions under $25 $40 .00

1016,21i-
12007
1 007 N/A
CK#

I D#
I homa'. .I . Bcnekc
0(1/28/2007 N/A 100.00
P .O . Box 683 . Manson, IA 50563
CK# 2688
I D#

G K#

ID#

CK#

ID#

C K#

ID#

C K#

_- ID#

C K#

ID#

CK#
-
ID#

C K# I

I D#

CK#

SUB-TOTAL
$ 140.00

TOTAL (if last page of this schedule)

$ 140
.00
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If sumarne of contributor is the same as candidate, but there is no Page I of I
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)


FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT

B MONETARY
(Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBU IIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDI IURF A I IST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD

COMMITTEE NAME (Must be sane as on Statement of Organization)

Vote Yes, for I('C'C'

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
I D#
State of Iowa Civil penalty for late filing of report
06/21,'2007 20 .00
CK# 107

I D#
ViCtoly I •. nterprlses Consultant expenses
06/27;2007 520( S .W .30th St . Davenport, 7,861 .36
CK# 108
1 A_ 528 0'7' . .
ID# Double M Signs Yard signs
07/I1/2007 519 1st /\ venue S, Fort Dodge, 2,011 .88
CK# 109
_ IA 50501

CK#

ID#

C K#

I D#

CK#

ID#

CK#

ID# _~

C K#

SUB-TOTAL $ 9,893 .24

TOTAL (if last page of this schedule) $ 9,893 .24

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entities providing consulting . advertising, fund-raising, polling, managing, organizing services must also be detail 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
Schedule G instructions and Iowa Code 68A .402(3)(i) .)

Page I o1 I

(for Schedule B)
 FOR INSTRUCTIONS SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as err Statement of Organization) (Rev. 08/98) INDEBTEDNESS
Vote Yes Ibr I('('('
0 CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this
FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBI_ IGATION IS OWED PURCHASED REPORTING
PERIOD'
$
Victory Enterprise, Brochure design services
05/30/2007 300 .00
5200 S .W . 30th St . . Ste .
Davenport, IA 52802

Messenger Pringinl Printing for bond issue flyers

05/2912007 1,472 .00
712 First Avenue South
Fort Dodge, lA 50501

('rcalivc Signs &, Graphic-, Plasiticore sheets

06!08 ;20{)7 66 .25
21 Of I st Avenue North
Fort Dodge . IA 50501

Iowa Central ('onununity ('<dlege Copies and postage

Of+ 08120(17 220 .50
330 Avenue M .
Fort Dodge, IA 5051)1

SUB-TOTAL $
2,058 .75

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

2,058 .75

'If actual figure is unknown, show "estimated" beside the figure . Page I of I
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .


FOR INSTRUCTIONS . SEE BACK OF FORM SCHEDULE

E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97) CONTRIBUTIONS
Vote Yes for I(:('('

[] CHECK THIS BOX IF

AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED -' IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

Decker Truck Line, Inc N/A Phons bank $ 750 .00

06/28/2007 3584 5th Avenue S . . F01-1 Dodge . IA 50501 services

SUB-TOTAL $
750 .00

TOTAL (if last $

page of this 750 .00
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page _ I ofI
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) (See Page 2 of forms packet) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .