Nov 01 06 11 :43a

FOR INS 1RUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE r DR-2 I DISCLOSURE
1
t
[(Rev . 1212005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Committee to Elect Greg Forristall Comm . #
IMPORTANT. Indicate by # type of committee you are reporting for: Logged in
( i )Statewide/Legislative/Judge Standing for Retention Candidate (2 )Sta ( State-Party Scanned
(4 )County Central Committee ( 5 )County Candidate (6 )City Candidate (7 )School Boar'0_Or"6MsW ; 7
Political Subdivision Candidate ( B )County PAC ( 9 )City PAC ( t0 )School Board or Other Political Computer
Subdivis ion PAC ( . 17 Loca( Ba llot Issue
Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable) File with :
Greg Forristall Repubican Iowa Ethics and Campaign
Disclosure Board
Office Sought District (if Senate or House) 510 E . 12° ', Ste . 1 A
Representative 98 Des Moines, Iowa 50319
Fax : 515-281-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7)
the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is the
individual responsible for filing timely and accurate reports

z -71a YA(o -aa7(

SIGNATU & PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A Oct. 3 1 .3.06 REPORT FOR (1) ELECTION l(2)NON-ELECTION YEAR .

(report date) Indicate by #

[]CHECK 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 8 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 4,037 .42
of the last reporting period or must be zero if this is first report filed-) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- . .- .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
1,050 .00
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below). . . . . . . . . . . . . . . . . . . . . . .
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00

Schedule H . Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . .-- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00

(Schedule H aoaiies toCandidates' Committees One

SUB-TOTAL . . . . . ... . . . . . . . . . . . ....$ 5,087 .42
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . . . . . . . . . . . . . . . 4,355 .64

Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . .- . .- . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00

CASH ON HAND at the end of this reporting period (if final report balance must
731 .78
tic: zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .$ 0 .00

'IN IUND CONTRlBUT10NS (From Schedule E - Attach Schedule E $ 7 ,961 .45
'"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . .S 0 . 00
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES J NO
CANDIDATE COMMITTEES ONLY :
0 .00
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
Nov 01 06 11 :43a p. 3

For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07tO3) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Committee to Elect Greg Forristall

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 BOARC.

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 (ifapplicable) TO CANDIDATE' RECEIVED FUND}
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
21 st Century Freedom PAC, Inc $1000
10/17/06 None
CK# P.O . Box 41664
Des Moines, IA 50311

Judith A. Guttau 50
10/24/06 CK# 31107 Dogwood Rd
None

Tre nor IA 1575

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

I D#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Disclcrure 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 amity (relatives by 1 1
marriage) It sumame 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)
Nov 01 06 11 :43a p. 4

FOR INSTRUCTIONS, SEE BACK OF FORM Resd Form SCHEDULE

. M ENDITUR
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev 07/03) EXP ES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDfTURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD.

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

Committee to Elect Greg Forristall

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
ID#
Southwest SuperShopper Advertising
10/19/06 CK# 1027 535 West Broadway $ 350 .00
Council Bluffs, IA 51503

Republican Party of Iowa Legislative Majority Fund

10/19/06 621 E 9th St. Contribution 1000 .00
CK# 1028
Des Moines, IA 50309

ID#
Creative Leap, Inc . Brochure design, printing, shipping
10/24/06 1001 Office Park Road. Suite 121 1860 .84
CK# 1029
West Des Moines, IA 50265

1D#
Republican Party of Iowa Legislative Majority Fund
10/27/06 321 E 9th St . Contribution 500 .00
CK# )030
Des Moines, IA 50309
1D#
Greg Forristall Wage through 10/13/06 967 miles
10/31/06 11917 370th St. @ .445 430 .31
CK# 1031 Macedonia, IA 51549

I D#
Greg Forristall Milage 10/14/06 to 10/31/06
10/31/06 11917 370th St 482 miles @ .445 214 .49
CK# 1032
Macedonia, IA 51549

ID#

CK#

I D#

C K#

SUB-TOTAL $ 4355 .64

TOTAL (Mast page of this schedule) $ 4355 .64

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/entifies 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) .)

(for Schedule B)
Nov 01 06 11 :43a P .5

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) Rev . 06197)1 CONTRIBUTIONS
Committee to Elect Greg Forristall
CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J 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

Republican Party of Iowa None Direct Mail Design 3,769.67

10/16/06 621 E 9th St and Postage
Dcs Moines, IA 50309

Republican Party of Iowa None Direct Mail Design 2,509.69

10/18/06 621 E 9th St and Postage
Des Moines, IA 50309

10/20/06
Republican Party of Iowa
621 E 9th St
Des Moines, IA 50309
None Newspaper Ads 300_00
EJ
10/26/06
IFBF PAC
5400 University Ave .
West Des Moines, IA 50266-5997
None Direct Mail Design
and Postage
1,388.09
El

a
a
0
SUB-TOTAL

TOTAL (if last

page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of 1
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 .