FOR INSTRUCTIONS, SEE BACK OF FORM FORM I

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DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Committee To Elect James A . Haigh
Comm. #
IMPORTANT: Indicate by # type of committee you are reporting for. I(! Logged In
1 )Statewide/LegislativetJudge Standing for Retention Candidate ( 2 )State
~( PAC ( 3 )State Party Scanned
( 4 )County Central Committee( 5 )County Candidate ( 6 )City Candidate (7 )School Board or Other Political
Subdivision Candidate (6 )County PAC (9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
James A, Haigh None
~.MA lL.
Office Sought District (if Senate or House) JAN 14 2006
Sioux City Council NA

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 th6$hairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports .

SIGNATURE OF PERSON LIN REPORT TELEPHONE DATE'SIGNED -

January 19, 2006 & DR3

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by #

OCHECK IF AMENDMENT TO REPORT DATED H/1/05 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 0 .00
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) . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . ... . . . . . .. . . . . . . . . 153 .68
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . 0 .00
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . .... . . . . ..$ 1,203 .68
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . . 2 ' 281 .22

Schedule F : Loan Repayments total Attach Schedule 153 .68

CASH ON HAND at the end of this reporting period (if final report balance must 0 .00
be zero) (Attach DR-3) . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . ... . . . . . . .. .- . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . .$

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

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. . . . . . . .. . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . .$ 931 .22

**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . .$ 0 .00

CONSULTANT BREAKDOWN (Schedule G Attached?) - YES f 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.
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FOR INSTRUCTIONS, SEE BACK OF FORM 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 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDYR) AND PAC
CHECK
NUMBER
ID# Political Advertisement
Sioux City Journal
09/19/05 CK# 515 Pavonia St . $ 165 .21
Sioux city, IA 51102

ID#
Sioux City Senior Center Advertisement
09/06/05 605 S . Main St. $8 .00
CK#
Sioux City, IA 51 101
ID#
Woodbury County Auditor CD of Voters in Previous City Council
09/21/05 620 Douglas St. Room 103 Election $5 .00
CK# Sioux City, IA 51 101

ID#
James A . Haigh Scrap Lumber for hand painted
10101105 220 Kings Highway political sign $5 .00
CK#
Sioux City, IA 51104
ID#
James A . Haigh Scrap Paint to White Out Sign
10/01/05 CK# 220 Kings Highway $5,00
Sioux City, IA 51104

ID#
Walmart Super Store Stencil for Hand Painted Sign
10/03/05 Floyd Blvd 56 .39
CK#
Sioux City, IA 51104

ID# 4 cans of Spray Paint on Sale

Walmart Super Store
10/03/05 Floyd Blvd For Stenciling $3 .94
CK# Sioux City, IA 51104

ID#
M&M Printers Printed Brochure
10/03/05 422 Pierce St . $142 .95
CK# Sioux City, IA 51101

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 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 of

(for Schedule B)
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FOR INSTRUCTIONS, SEE BACK OF FORM 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 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

Committee To Elect James A. Haigh

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# Certified Postage League of Women
USPS
10/03/05 CK# Downtown Voters Acceptance $ 4.42
Sioux City, IA 51101

1D#
USPS Postage to Mail Brochure
10/03/05 Downtown [End of Primary Spending $399 .00
CK#
Sioux City, IA 51101 < $750 Trigger]

1D# Plywood For [3 pcs] Hand Painted

Menards
10/24/05 Gordon Drive Political Signs $20 .97
CK# I I
Sioux City . IA 51106

M&M Printers Printed Brochure

10/25/05 422 Pierce St . $415 .97
CK#2
Sioux City, lA 51101
ID#
Shirley R. Haigh Mailing Labels, Staples
10/25/05 CK#9 220 Kings Highway $40 Gordon Drive $36 .66
Sioux City, TA 5110

ID#
USPS Postage to Mail Brochures
11/01/05 Downtown $300 .00
CK#3
Sioux City, 1A
ID# M&M Printers Printed Brochure
11/01/05 422 Pierce St. $234 .31
CK#4
Sioux City, 1A 51101

ID#
USPS Postage to Mail Brochures
11/02/05 Downtown $427 .00
CK# 6 Sioux City, IA
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SUB-TOTAL

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 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 of

(for Schedule B)
 Reset Form
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT

B MONETARY
(Rev . 07103) EXPENDITURES

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 EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER
ID#
LISPS Postage to Mail Brochure
11/02/05 Dowtown $ 50 .00
C K# 5
Sioux City, IA 51101

ID#
Shirley R. Haigh Reimbursement for Postage to Mail
11/02/05 220 Kings Highway Brochures $51 .80
CK#g
Sioux City, ]A 51104
I D#

CK#

ID#

CK#

[D#

CK#

ID#

C K#

ID#

CK#

I D#

CK#

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 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) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06J97)I CONTRIBUTIONS
Committee To Elect James A. Haigh
Q CHECK THIS BOX IF
AMENDING FORM
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DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMtDDIYR OF CONTRIBUTOR * (if applicable) CONTRIBUTION VALUE CONTRIBUTION

James A. Haigh Self Reimbursement for $ 186.31

10/24/05 220 Kings Highway primary expenses

E:1
Sioux City, Al 51104
James A. Haigh Self Reimbursement for 744.91
10111105 220 Kings Highway primary expenses
Sioux City, Al 51104

a
a
0

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