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II)I " -_I~1' ~ ii Ij- IT lill) I I L

FOR INSTRUCTIONS, SEE BACK OF FORM

DI SC LOSURE SUMMARY PAGE


COMMITTEE NAME(Must be same as on Statement of Organiza l

Golden Grain Energy Slate PAC

ItIPORTANT . Iro1c5le by 0 typ(" of comn)Ittee you are reporting log, ',J


( )SL3towlonrLep~slalivolJudge Standrnq for Retention Csnd~dale ( 2 )State PAC ( 3 iState Party
( "I )County Central Cemmltleo ( 5 )County Candidato t 6 )City Candidate ( 7 )School Board or Other
Political Subdrvie,on Candidate ( 6 )County PAC ( 9 )City PAC ( 10 )School Board or Other Polltical
Subd,v,slon PAC t 11 ) Loral Ballot IS3w?--

File with :
Iowa Ethfcs and Cami
Disclosure Board

510 E. 12'", Ste, to


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
IndLv,~dun,I,responslble for filing timely and accurate reports.

~ /-,)~ f~ - r,~
GNATURE OF PERSON RUNG REPORT TELEPHONE DATE SIGNED

Octobcr 19, 2006


I AM FIUfdG A REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .

(report dale) Indicate by n

F1 CHECK I " AMEIIDMENT TO REPORT GATED Local Committees . enter Dote rf Elector

Chock if 0-Is I : final (termination) report and attach Notioe of Dissolution Form DR-3 .
County & Local Committee .°. . crier County in
(-You mu :t continue to file reports until a DR-3 i^ filed .) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds he d by the
committee. This amount MUST be the same as the cash on hand at the end
65 .9 1
of [Me last reporting period or must be zero if this is Pest report filed .) . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S

ADD TOTAL MONEY TAKEN IN THIS PERIOD


1,471 .00
Schedule A: Cash Contributions total (Attach Schedule A) ('also sec, 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 On vl

SUB-TOTAL . . . . . . .. . . . . . . . .. . . . . . . S 1,736 .91

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B Expenadures total (Attach Schedule 8) ("also sea debts and loans below). . . . . . . . . . . . . . . . .

Schedule F: Loan Ropaymonts total (Attach Scredule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND at the end of this reporting period (d foal report bounce must 1,736,91
no zero) (Attach DR-3) . . . . . . . . . . . " . . . . " . . . . . . . . . . . .. . . . . . . . . . . . " . . . . . . . "" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . .. . . . . .. . . . . . . . .. . . . . . . . . . . .5

"UNPAID BILLS ('ram Schedule D - Attach Scredule D) . . . . . . . . . . . . . . . . . . . . . " . . . " . . . . . . " . . . . . . . . . . . . . .. . . . . .... . . . . . . . . . . . . . .. . . . . . . . . . . . .5

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

"OUTSTANDING LOANS (From Schedule F - Attach Scheduie r=) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . .~

CONSULTANT BREAKDOWN (Schedue G Attached)) -YES ;`( NO

CANDIDATE COMMITTEES ONLY :

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) 5

STATE COMMITTEES : Submit a reconciled campaign acrounl rank statement In January of each year .
_,~~_=PI11 " ~ . TN's! 1 c

For Instructions, See Back of Form

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 07103) RECEIFTS
(I%~uding candidate's personel (unite)
0 AMENDING
CHECK THIS BOX !F
COMMITTEE NAME (Mu: t bo same as on Statement of Organization) FORM

Golden Grain Energy SLitc PAC

STATE CANDIDATES NOTE : IF A CO1ITP15U71ON IS RECE VED ROM A STATE PAC (POUTCfkL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATIOrl
rAJMBER ArID THE PAC CHECK NUMBER IN THE DESIGNATEC COLJfsN A LIST OF ID NUPABEI" S IS AVAILABLC FROM THE CV.,,A ETHICS AND CAMP,dGri
DISCLOSURE ?CARD

NOTE : Af..Y 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 698 .32A(6), prohibits the use of Information copied from report^ and statements for soliciting contributions or for any
commercial purpose by any person other than statutory political committees.

DATE PAC IU NUMt3ER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT " IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUrID-
(MMIDDIYR) AND PAC CHECK (if app )cable) RAISER
NUMBER iP1C^,^.1c
I D#
Dean Bacckrnann 5325 .00 ,/
5122.'116 1861 160th Street
CK#
Wavcrly, IA 50677
ID#
Jon Coda: 20 .00
8)22;-06 CK# ! 121 Cedar St
N c i06tiS
iD#
David Eastman 0 .00
8, . . ..,06 CKht 3339 Hwy 9
Riceville, LA 50366 _
I U#
Keith Eaetman
5,22!06 20 .00
CK# j(11 W 3ru St
Rirrvilic- TA '; 0466
ID !
Tom EdSin~ ;on
68 .50
S , 22 .!06 CK9 .;476 Dogwood A% c FT/
St . :knse:+r. LL5002

El
IDJi
Shannon Gornes 20 .00
S;`22/06 CK# 205 Rainbow Dr
Waverl , IA 50677
I DF~

"fom hloogestrnvtt =
"10 .00
SJ22106 CK# 805 Florence
Parkersbure. IA 50665
ID#
Christy Marchand 350.00
3'22/06 CKtt 1815 1-add Avc
_ Britt, U 50-123
ID#
Frank Moors
Ei22`0G 20 .00
CK# 15726 115th Slrcct
Crcsco . IA 5 1-136
ID#
Stcvc NCclcy 20 .00
4)22!06 4451 Echo
CK#
St . AnSear, IA 50472
SUB-TOTAL
S 913.50

TOTAL (if last pago of this schedule)

- DLncfosuro Inv, roquirns cenci data clJmmlneas l0 dlacloge The relationship of any relative making a contribution To the
c+ommlttre . RcIaGonship must be shown to the lnim degrae of conganqulniry (blood relatives) and affinity (relatives by l
mamage) . If surname of contributor is the same as candidate, but II Is no Pago of _""
familial relationship, enter 'not aopllcable' In the relationship column . (for Schedule A)
(iii 11 -09--101~r 1, THII ) ' 7 1 2 F -

For Instructions, See Back of Form SCHEDULE


f"RescfFoCti ';
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(lr_ludirg c.3rdidato'b poc3onoi funde)

J
CHECK THIS BOX I . i
COMMITTEE NAME (Must bo same as on Statement of Organization) AMENDING FOR,',n

Goldcn Grain Energy Sui(c PAC

STATE CANDIDATES NOTE : IF A CONTRIPUTION IS RECEIVED FPOM A STATE PAC IPOuTICAL ACTION COMMITTED, LIST THE PAC IDENTIFICATION
NUMBER Avr THE PAC CHECK NUMBER IN THE DESIGNATED CCLUrdN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE ~OvvA ETHICS AND CAMPAIGri
DI ;CLOSUPE BOARD .

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN 5750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.

CAUTION : Section 63B.32A(6), oronibits the use of information copied from report and statements for sollcltlng contrlbutlons or for any
commercial purpose by any person other than statutory political committees .

DA I E PAC ID NUMBER NAME AND ADDRESS U1= CONTRIBUTOR RELATIONSHIP AMOUNT S IF FOP
RECEIVED (if applicable) TO CANDIDATE* RECEIVED
(MM1DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
Charlev 1'errv :61 .00
8'22.'06 CK# 2712 155th St
Charles CiR, lA "0616
ID#
Lavern Riekenberg 20 .00
512 .2106 CKA 1686 NN'hitculil Avc
Sumner TA 1(1(,7 :. _^ .
I I Dst
John Schwarck 100 .00
CK .1 3317 390th
RiccvilIc, L,% 60466
10 .4
Tina Shin{- 32_50
S ;ZZ:Oo CK# -1317 Panamar Dr

ID#
oug 2-}-}.()0
8i22/0G CK ;t PDO Box 116CrJ
Readlvn, 1A 5066b
t Dlit
U nknown

C
110 .00
8!22106 CK#
i
I

1D

8/22106 I CK#
I
ID#

8!22!06 C K#
I

I D#
I
CK#

3, 22,!06 CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

DL^.;IOSUre I,iw requiros candidate commiltonS to disdCse the relalronship of .any rnla :ive marina a contribution to the
committee Reaucnship must be shown to the third degree of con;angulnlty (blood rolaloes) and affinity (reletives by :r
rnarriag))
of II surname of contrlbulor In the same as candld3lo, but there Is no Page - _
familial relationship, enter "not applicable' In the relationship column . (for Schedule A)

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