FOR INSTRUCTIONS, SEE BACK OF FORM

I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 072o03) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)

Sidney Baker for State Representative Committee

IMPORTM T: kdicate type of commrnee you are reporting for ® ID 1404

(1 )SWevrideA.e9W0Aive CaWidate (2)Statewide PAC (3)State Party (4)CormtylLocal Candidate
(5 )County PAC (6 )Baftot IssuWFranddse Comrrrittee (7 )CountyfCMy CeMreI Committee

CANDIDATE COMMITTEES ONLY:

Candidate Name Political Party
Sidney Baker
Democrat

Office Sought District (if Senate or House)

State Representative 9

515 532 3689 10/17/04

SIGNATURE OF TREASURE* (or person filing this report) TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ON BACK AND COWIvTttwv OOLLOWMIC~ ENTENCE:
4
I AM FILING A October 19 . 2004 REPORT FOR A~/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) 0~,' j . ? O"icate bne Q
CCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Cormnittees, enter County in

n Check if this is final (termination) report and attachW_ot ce iof Disso)i6W*onii'DR-3
vA*:h Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (This is the total of all monies held
by the committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period, or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . $ 3344 .82
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (`also see in-kind below) . . . . . . . . . . 2001 .00

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)
SUB-TOTAL . . . . . $
5345 .82
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . 3348-31
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . $ 1997 .51

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . .. . . . . . . . . . .. . . . . . .. . . .. . . . .. . . . . . . .. . . . . . .. .. . . . . . . . . . $

"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. . . . .. . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . .. .. $ 962 .00

"*OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . .. . . $

CANDIDATE COMMITTEES ONLY :

CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Sidney Baker for State Representative Committee

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

CAUTION: Section 68B.32A(6), Iowa Code, 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 1D NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
ID#

CK# X
7/14/04 unitemized contributions 41,00
ID# Janet Adams
1102 Division
CK#
7/16/04 Webster City, Ia 50595 25 .00
ID# Virgil Umthun
521 SE 10th St
CK#
7/16/04 Eagle Grove, Ia 50533 25 .00
ID# ~3 neIIa TurrIerI
9 S . Nyden Farm Rd
7/16/04 CK# Lake Stevens, Wa 98258 cousin 35 .00

ID#

CK#
7/16/04 unitemized contributions 101 .00
ID#

CK#
7/22/04 unitemized contributions 30 .00
ID#
Maxine Jensen
1200 2nd St SW
7/2204
/ CK# Clarion Ia 50525 35 .00
ID# Charles Heckathorne
CK#
7/22/04 Webster City, Ia 50595 25 .00
ID#

7/22/04 CK# unitemized contributions 265 .00

ID#
Bea Burt
CK# 2224 Taylor Ave .
7/28/04 Rowan, Ia 50470 50 .00
SUB-TOTAL

TOTAL (iflast page ofthis schedule)

" 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 surname of contributor is the same as candidate, but there is no Page~_ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For ,Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds)
D CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Sidney Baker for State- Representative - Committee

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

CAUTION: Section 68B.32A(6), Iowa Code, 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 PACID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if appica~) TO CANDIDATE' RECEIVED FUND-
(MM/)DIYR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME

Cynthia Traynor
7/28/0 CK# 2148 SW 115th St
Seattle Wa 8146 to _
ID# Betsy Humphrey
CK# 1748 Millcreek Cir sister-in
7/28/04 Salt Lake City, Ut 84106 law 100 .00
ID#
Louise Ammons
CK# 2237 Charsley Rd
7/28/04
Kin s ort Tn 7660 100 .00
ID#
Gary Keller
CK# 2986 Page Ave
8/12/04 Clarion, is 50525 0 .00
ID#
Naomi Maxheimer
CK# 403 2nd Ave NE
8/12/04 Clarion Ia 50525
I(#
Richard Griffin
CK# 34 Alpine Way
8/12/04 Asheville N .C . 2880 .O0
%
ID#
Don Cramer
CK# 2204 Quincy Ave
8/12/04 Clarion Ia 50525
ID# Robert Hudson

a
CK# St
8/30/04 B fore
Stratrd, Ia 0249 25 .00

CK#
8/30/04 unitemized contribution .00
ID#
Robert Hudson
CK# Moore
9/ 17/04 St r
ratford r S Ia 50249 0 .00
SUB-TOTAL

TOTAL (if last page of this schedule)

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 surname of contributor is the same as candidate, but there is no _
familial relationship, enter "not applicable' in the relationship column. (for eduleA)
 For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - NIONEY TAKEN IN (Rev 07103) RECEIPTS
(Including candidates personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Sidney Baker for State Representative Committee

STATE CANDIDATES NOTE . IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, 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 ANDADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR

RECEIVED (f applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD1YR) AND PAC CHECK (f applicable) RAISER
NUMBER INCOME
ID#
Steve Simonin
i
ID # 820 2nd Ave NE
9/17/04 Clarion, Ia 50525 0 .00

E:1
!D#

CK#
9/30/04- unitemized contributions 177 .00

n
ID# IBEW Educ Committee
8026
CK# 1125 15th St NW
10/02/04 Washington, D .C . 2005 100 .00
ID#

CK#
10/4/04 unitemized contributions 127 .00
ID# Wright County Democrats
South Main
CK#
10/4-/04- Clarion, Ia 50525 150 .00
!D* 6086 ISEA - PAC
CK# 777 3rd St
10/12/04 Des Moines, Ia 50309 250 .00
ID#

CK#

ID#

CK#

ID#

CK#

iD#

CK#

SUB-TOTAL

TOTAL (if lastpage of this schedule)

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 7> '
71
marriage) . If surname of contributor is the same as candidate. but there is no Page of
familial relationship, enter `not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset orni SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev. 07/03) EXPENDITURES

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX IF
AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD.

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

Sidney Baker for State Representative Committee

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
ID# Carter Printing remittance envelopes
1739 East Grand Ave stickers
CK# 1040
6/26/04 Des Moines, Ia 50316 campaign cards $ 736 .34
ID# campaign cards
Carter Printing
1739 East Grand Ave letterhead
7/3/04 CK#
1041 Des Moines, Ia 50316 #10 reg envelopes 567-33
ID#
Postmaster
CK# 1042 115 1st ' St NE
8/27/04 Clarion Ia 50525 stamps/postcards 80 .25
ID#
Pamida
1003 Central Ave W
CK#
9/6/04 1081 Clarion, Ia 50525 parade candy 12 .81
ID#
Postmaster
CK# 10 82 115 1st St NE
9/23/04 Clarion, Ia 50525 postcards 100 .00
ID# Pamida
1003 Central Ave W paint 13 .82
CK# 1083
9/24/04 Clarion Ia 50525
ID#
Carter Printing
CK# 1739 East Grand Ave
9/29/04 1084 Des Moines, Ia 50316 campaign cards 273-59
ID# Spokesman
b. BoX 7e--
CK#
9/29/04 1085 !_ L (/s T . .5 -0 i..z (o magazine ads 328 .96
SUB-TOTAL
$ 2113-10
TOTAL (if last page of this schedule) $

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 personslentities 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i).)

Page
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07103)
MONETARY
EXPENDITURES
STATE TO STATEWIDE Oft LE(ASLATIVE
CANDIDATES. LIST THE CANDIDATE IENTIFICATION
DQ NUMBER THE DESIGNATED COLUMN AND THE CHECKTHIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOYYA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (MLW be same as on Statement ofOrganization)

rSidney Baker for State Representative Committee

CANDIDATE NAME AND ADDRESS TO NIHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBETRANSACTION) EXPENDED
EXPENDED Of applic") (Dfsbursemerlll WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# Des Moines Register
715 Locust St
CK#
9/29/04 1086 Des Moines, Ia 50309 subscription 52 .00
ID#
KQWC
CK# Hwy 20 East
9/30/04 108 Webster City, Ia 50595 radio ads 993 .75
ID# Office Max
2950 5th Ave S
CK#
10/4/04 1088 Fort Dodge, Ia 50501 inkjets 117 .63
ID# Postmaster
CK# 115 1st St NE
10/8/04 104-3 Clarion, Ia 50525 postcards 62 .50
ID#
First Citizens Bank
CK# 120 1st Ave NW
7/1/04 Clarion, Ia 50525 service charges 3 .01
(D#
8/31/04 First Citizens Bank
9/30/04 CK# 120 1st Ave NW
Clarion, Ia 50525 service charges (Q? 3 .16 6 .32
ID#

CK#

ID#

CK#

SUB-TOTAL $ 1235 . 21
TOTAL (if lastpage of this scho kdo) ,8
rF33Z -31

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property Costing 5500 or more east also be blventoried on Schedule H. (Refer to Scfiedufe H Instructions .)

ms's
Expenditures to personWentifies providing consulting, advertising. fixml-raising, poirxl. managing. organizing services must also be detail Itemized on
Schedule G by the amount, purpose, and date of each type of expendl4ue made by the person on behalf of the carrrittee . (Refer to
Schedule G instructions and two Code 68A.402(3)M .)

Page
 FOR INSTRUCTIONS . SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Mustbe same as on Statement of Organ/zation) (Rev. 061971 CONTRIBUTIONS

Sidney - Baker- for- State Representa tive Committee

[] CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED d IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDVYR OF CONTRIBUTOR (ifapplicable CONTRIBUTION - VALUE CONTRIBUTION

ISEA - PAC #6086

777 3rd St labels -, 50 .00' ,
6/16/04 Des Moines, Ia 50309
Alice Espe
printed
710 Birch Lane
napkins 27 .00 X
7/21/04- Clarion, Ia 50525

Annie Avery guitar .

Rowan, Ia 504-70 enterta,inmen 200'.00. X
9~27~0~
Arnold Cook- _
601 7th Ave NE newspaper
10/7/04 -- la
r6ri j :, Ia 5052 5 00
Blaine Nickles
'2270 Quincy Ave
7/15/04 Clarion, Ia 50525 meat', bans- 200 .00 : .. X

Blaine Nickles ti e_'~dr .v ng

2270 Quincy Ave - "t a:etor' .in : _
10/13/0 Clarion, Ia 50525 parade's . ..350-.-OC1 , .~ ._
.Blaine Nickles '- .
2270 Quincy Ave
10/13/04 Clarion Ia 50525 'Parade cam 20 .00
Blaine Nickles mil-dag6- 'td -
2270 Quincy Ave meetings,
10/13/0 Clarion Ia 50525 par"'ades
- . ` 100 .00

'Disclosure law requires candidates to disclose the relationship of any reiattve making an to kind contribution to the
mmmittee. Relationshia must be shown to the third degree- of consangukity (blood relatives) and atflrdty (relatives
- . . . . .. - - -- - -- ~4 .L...w is -