FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form

FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

(Rev . 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Iowa Lumbermen's Political Action Committee Comm . # _
Logged In
IMPORTANT: Indicate by # type of committee you are reporting for:
( 1 )Statewide/Legislative/Judge 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
hool Board or Other Political Computer
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 1:0 :
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES M6
Candidate Name Ptlitical Party (if applicable)
i Late reports are subject to
possible civil and criminal
Office Sought penalties .

- D D2-1
SIGNATgRE OF PEROO TELEPHONE DAT SIG ED

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

(report date) Indicate by #

Local Committees, enter Date of Election

FICHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in

0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a DR-3 is filed .)

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 5,827.80
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . 100.66
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 . . . . . $ 5,928 .46
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 4,509 .54

Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND at the end of this reporting period (if final report balance must 1'418.92
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 .00
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 0 .00
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ N/A

For Instructions, See Back of Form SCHEDULE

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

Iowa Lumberman's Political Action Committee

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

soliciting contributions or
CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for
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 (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Tom Neel
$ 100 .00
07/21/04 1217 E . South St., P .O. Box 71
CK#
Panora, IA 50216
I D#
Wells Fargo Bank, N .A .
.23
07/30/04 CK# 666 Walnut Street
Des Moines, Iowa 50309
ID#
Wells Fargo Bank, N .A .
.22
08/31/04 CK# 666 Walnut Street
Des Moines, Iowa 50309

E]
I D#
Wells Fargo Bank, N .A . .21
09/30/04 CK# 666 Walnut Street
Des Moines, Iowa 50309
ID#

CK#

ID#

CK# E:I_
I D#

CK#

CK#

ID#

CK#

ID#

CK#

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 Page ___L__ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT

B I MONETARY
(Rev . 07/03) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
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 AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

Iowa Lumbermen's Political Action 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# checking account fee
Wells Fargo Bank, N.A .
07/30/04 1666 Walnut Street $ 3.18
CK# Des Moines, IA 50309

ID# checking account fee

Wells Fargo Bank, N.A .
08/31/04 666 Walnut Street 3 .18
CK#
Des Moines, IA 50309

ID#1521 Brad Zaun for Senate Fundraiser

09/21/04 7125 Douglas Avenue 500.00
CK# 1113 rbandale, IA 50322

ID #1231
George Eichhorn for Iowa House Fundraiser
09/21/04 3533 Fenton Avenue 250.00
CK# 1114
Stratford, IA 50249
ID# 464
Jack Kibbie for Senate Fundraiser
09/21/04 P.O. Box 190 250.00
CK# 1115
Emmetsburg, IA 50536

ID ~224 Fundraiser
Bryan Sievers for Senate
09/21/04 271351stAvenue 250 .00
CK#1117 New Liberty, IA 52765
1D# 656 Fundraiser
Jim Hahn for House Campaign
09/21/04 900 West 4th St . 250 .00
CK# 1118 Muscatine, IA 52761

ID#964
Jeff Angelo for Senate Campaign Fundraiser
09/21/04 808 W. Jefferson 250.00
CK# 1119
Creston, IA 50801
SUB-TOTAL $ 1,756 .36

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) .)
1 3
Page __________ of ----------

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form I
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 F1 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)

Iowa Lumbermen's Political Action Committee
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# 293
Gene Fraise for Senate Campaign Fundraiser
09/21/04 Rt . 1 I $ 250 .00
CK# 1120
Ft . Madison, IA 52627

ID#765
Paul Bell for House Fundraiser
09/21/04 611 E . 17th Street N 250 .00
CK# 1121
Newton, IA 50208

ID#142
Mike Gronstal for Senate Campaign Fundraiser
09/21/04 220 Bennett Ave . 250 .00
CK# 1122
ouncil Bluffs, IA 51503

ID# 5 6 4
Pat Murphy for House Campaign Fundraiser
09/21/04 155 North Grandview Ave . 250 .00
CK# 1123
Dubuque, IA 52001-6325

ID# 1169
Jeff Lamberti for Senate Campaign Fundraiser
09/21/04 2621 NW 17th Street 250 .00
CK# 1124
Ankeny, Iowa 50021

1D#
662 Chris Rants for House Campaign Fundraiser
09/21/04 2740 South Glass St . 250 .00
CK# 1125
Sioux City, IA 51106

ID# 586
Chuck Gipp for House Campaign Fundraiser
09/21/04 212 High 250 .00
CK# 1126 Decorah, IA 52101

ID# 1318
Kraig Paulsen for House Campaign Fundraiser
09/21/04 P .O . Box 250 250 .00
CK# 1127
Hiawatha, IA 52233

SUB-TOTAL $ 2,000 .00

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) .)
2
Page __________ of __ 3 ------

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
MONETARY
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)

Iowa Lumbermen's Political Action 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# 1097
David Miller for Senate Fundraiser
09/21/04
CK# 1128
119 N . Court I $ 250 .00
Fairfield, IA 52556-2812

ID#1357
Kurt Swaim for House Campaign Fundraiser
09/21/04 CK# 1129 504 North Davis 250 .00
Bloomfield, IA 52537

ID#965 Larry McKibben for Senate Campaign Fundraiser

09/21/04 P.O . Box 308 250 .00
CK# 1130
Marshalltown, IA 50158

ID#
Wells Fargo, N.A . checking account fee
09/30/04 CK# 666 Walnut Street 3 .18
Des Moines, Iowa 50309
ID#

C K#

I D#

CK#

ID#

C K#

CK#

SUB-TOTAL $ 753 .18

TOTAL (if last page of this schedule) $ 4,509 .54

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) .)
3 3
Page _,______ of ----------

(for Schedule B)