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DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT
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SIGNATU E OF PERSON FILING REPORT TELEPHONE DATE SIGNED
I AM FILING A _T n - IlG't 31, 2 00' REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by #
1/9/2004 Pac 6082 Mid American Energy Co . 666 Grand Ave ., P O Box 657 $ 100 .00
Effective Government Comm . Des Moines, IA 50303-0657
Deposited 1/09/04 $ 100 .00
4/1/2004 Stewart, Eloise 3934 317th Ave, Preston, IA 52069 Mother $ 250 .00 x
4/1/2004 Stewart, Michael 4888 Woodhurst Ln, Minnetonka, MN 55345 Son $ 250 .00 x
Deposited 4/2/04 $ 500 .00
4/1/2004 Wolf Jr, Richard C 508 W Angus Court, Maquoketa, IA 52060 $ 20 .00 X
4/1/2004 Garrison, Ronald 3122 Eclipse St, Clinton, IA 52732 $ 20 .00 X
4/1/2004 Farrell, Gerald 1278 260th Ave, Delmar, IA 52037 $ 20 .00 X
4/1/2004 Davis, Richard 32 Yale Ave, Maquoketa, IA 52060 $ 50 .00 X
4/1/2004 Manning, Karen M 6789 116th Ave, Maquoketa, IA 52060 $ 50 .00 X
4/1/2004 Flory, Donald G 900 N 4th St, Clinton, IA 52732 $ 100 .00 X
4/1/2004 Rosenberg, Pamela 1000 N Angus Ct, Maquoketa, IA 52060 $ 100 .00 X
Deposited 4/2/04 $ 360 .00
4/1/2004 Mallicoat, Mark D 1019 8th Ave N, Clinton, IA 52732 $ 100 .00 X
4/1/2004 Fleischer, David J 520 Breezy Point Dr, Clinton, IA 52732 $ 20 .00 X
4/1/2004 Heneke, Rita Delmar, IA 52037 $ 20 .00 X
4/1/2004 Bennis, Richard 2479 155th St, Delmar, IA 52037 $ 20 .00 X
4/1/2004 McGuire, Carol S 766 12th Ave N, Clinton, IA 52732 $ 25 .00 X
4/1/2004 Mann, Meatta L 916 Cardinal Drive, Maquoketa, IA 52060 $ 25 .00 X
Deposited 4/2/04 $ 210 .00
Sub Total $ 1,840 .00
Page 1 of 5
Contributions - Schedule A X = Fund Raiser
Citizens for Stewart Committee ID 1363 A = Auction
5/1/2004 Dickinson, Rae Ann 816 River St, Box 177, Sabula, IA 52070 $ 25 .00 X
5/3/2004 Rotman, Linda L 1605 Blair Ct, No 204, Maquoketa, IA 52060 $ 150 .00 X
5/4/2004 Pac 6056 Bankers Unite in Legislative 8800 NW 62nd Avenue, Johnston, IA 50131 $ 250 .00
Decisions
5/7/2004 Blatz, Lawrence E 9237 Olde Davenport Rd, Dubuque, IA 52003 $ 50 .00 X
5/8/2004 Moore, Nancy Jo 803 Grant Court, Maquoketa, IA 52060 Sister $ 20 .00 X
5/8/2004 Sturtz, Linda 1605 Swagosa Drive, Maquoketa, IA 52060 $ 50 .00 X
Deposited 5/12/04 $ 545 .00
6/22/2004 Pac 6429 Heavy Highway PAC 2415 Ingersoll Ave, Des Moines, IA 50312 $ 250 .00
Deposited 6/29/2004 $ 250 .00
7/1/2004 Pac 6052 Independent Insurance Agents 4000 Westown Pky, Ste 200 $ 250 .00
7/13/2004 Pac 6356 Freedom Fund Pac 851 19th St, Eds Moines, IA 50314 $ 100 .00
Deposited 7/14/04 $ 100 .00
7/22/2004 Pac 6067 Iowa Health Pac 6750 Westown Parkway #100 $ 150 .00
West Des Moines, IA 50266
7/22/2004 Feltner, Paula 1609 Buffalo Road $ 250 .00
West Des Moines, IA 50265
Deposited 7/26/2004 $ 400 .00
8/17/2004 Pac 9655 ILTA Pac P O Box 206, Eldora, IA, 50627 $ 100.00
Deposited 8/19/2004 $ 100 .00
8/27/2004 Pac 6411 MCI Iowa Pac 707 17th Street, Suite 3600 $ 100 .00
Denver, CO, 80202-3436
8/27/2004 Pac 6087 Iowa Telecommunications 2987 100th St, Urbandale, IA, 50322-5501 $ 200 .00
9/3/2004 Pac 6432 Plumbers and Pipefitters Local 4600 - 46th Ave $ 1,000 .00
25, Iowa State Pac Rock Island, IL 61201
9/3/2004 Pac 8036 Electrical Workers Local 1700 - 52nd Ave, 071, A $ 300 .00
Union 145 PAC Moline, IL 61265
9/4/2004 Unitemized Contributions $ 10 .00
Deposited 9/07/2004 $ 1,310 .00
9/14/2004 Pac 6291 IHA PAC 100 E Grand, Suite 100 $ 250 .00
Des Moines, IA 50309
Deposited 9/15/2004 $ 250 .00
9/20/2004 Pac 6113 AFSCME / Iowa Council 61 4320 N W 2nd Ave, Des Moines, IA 50313 $ 250 .00
Deposited 9/20/2004 $ 250 .00
10/1/2004 Neilsen, Craig H 8620 Titleist Circle, Las Vegas, NV 89117 $ 150 .00
Deposited 10/06/2004 $ 150 .00
10/7/2004 Pac 6056 Bankers Unite in Legislative 8800 NW 62nd Avenue $ 1,000 .00
Decisions Johnston, IA 50131
Deposited 10/09/2004 $ 1,000 .00
10/20/2004 Pac 6125 Iowa Realtors PAC 1370 NW 114th St, Suite 100 $ 1,000 .00
Clive, IA 50325
Deposited 10/25/2004 $ 1,000 .00
10/25/2004 Pac 6160 Iowa Independent Bankers 1603 22nd St, STE 102 $ 500 .00
West Des Moines, IA 50266
10/25/2004 Pac 6323 Master Builders of Iowa 221 Park St, Des Moines, IA 50303 $ 750 .00
Deposited 10/29/2004 $ 1,250 .00
12/10/2004 Pac 6056 Bankers Unite in Legislative 8800 N W 62nd Avenue $ 1,000 .00
Decisions Johnston, IA 50131
Deposited 12/13/2004 $ 1,000 .00
Subtotal $ 7,130 .00
Total $ 15,020 .00
Page 5 of 5
Monetary Expenditures - Schedule B
Citizens for Stewart Committee ID 1363
PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID
MM/DD/YR If A licable* If Applicable)
*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 sumame of contributor is
the same as candidate, but there is no familial relationship, enter "not applicable" in the
relationship column when it applies . Page of
(for Schedule F)