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1/7

' FOR I NSTRUCTI ONS,SEE BACK L. , -FORM

COMMI TT EENAME ( M u s tb e same a s o nS t a t e m e n to fOr g a ni s a t i o n )Fr i e nd s o f Ri c k L a r k i n

I MPORTANT: I n d i c a t et y p eo fc o mmi t t e ey o ua r er e p o r t i n gf o r.

[: ] CHECKI FAMENDMENT TO REPORTDATED

- 7 L '10 / 0 1 0 XJ 0 1

SUMMARY PAG4J AN 1 1 9 2 0 0 2

( t ) S t a t e w i d e l L e g i s l a t i v eC a n d i d a t e( 2 ) S t a t e w i d ePAC(3 ) S t a t eP a r t y( 4) C o u n t y / L o c a lC a n d i d a t e( 5 ) C o u n t yPAC( 6 ) B a l l o tI s s u e / F r a n c h i s eC ommi t t e e( 7 ) C o u n t y / C i t yC e n t r a lC ommi t t e e( 8 ) S u p p o r tS l a t eo fC an d i d a t e s

i nW- 1 t 1_' r .SI G- NN" ( ' UREWTRt ASURER ( o r1 # r s o nf i l i n gt h i s r e p o r t ) TELEPHONE DATESI GNED

Pe na l t i e sDu e Fo r L a t eF i l e dRe po r t sR a n g e f r o m$ 1 0 t o $ 4 0 0

SEE I NSTRUCT I ONSON BACKAND COMPLETETHEFOLLOWI NGSENTENCE:

1AM FI L I NGA J a n ua r y 1 9 , 2 0 0 2 REPORT FOR AN/ A( 1 )ELECT I ON/ ( 2 ) NON- EL ECT I ONYEAR .( r e p o r td a t e ) I n d i c a t eo n e

p Ch e c k i f t h i si sf i n a l( t e r mi n a t i o n )r e p o r ta nd a t t a c h No t i c eo fD i s s o l u t i o nFo r mDR- 3.( Yo umust c o n t i n u et o f i l er e p o r t su n t i la N o t i c eo f Di s s o l u t i o ni s f i l e d. )

STATEMENT OF CASH ON HAND

CASH ON HAND a t t h e b e gi n ni n go f t h er e p o r t i n gp e r i o d. ( T h i si s t h et o t a lo f a l lmon i e s h e l db y t h ec o mmi t t e e. T h i samount MUST b e t h es ame a s t h ec a s h o n ha nd a t t h ee n d o f t h el a s tr e p o r t i n gp e r i o d ,

o rmus t b e z e r oi f t h i si s f i r s tr e p o r tf i l e d. ) . . . .. . . . . .. . . . .. . . . . . . . . .. . . . . . .. . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . .. . .$

S c he d ul e F : L o a n Re p a y me n t st o t a lA t t a c hS ch e du l e F 0. 00

CASH ON HAND a t t h ee n d o ft h i sr e p o r t i n gp e r i o d( i ff i n a lr e p o r t ,b a l a n ce mu s tb e z e r o ) ( A t t a c hDR- 3 ) . .. . . . .. . . . . . . . . . . .. . . . .. . . .. . . . . . . . . . . . . . . . .. . . .. . . . . .. . . . . . . . .. . . . . . . . . . .. . . . . .. . . . . . . . . . . . . .. .. . . . .. . . . $

FORM

DR- 2( Re v. 0 2 / 9 6 )

Fo rO f f i c eUs eOn l y

4 , 8 88 . 1 6

6 , 0 02. 3 4

DI SCLOSURREPORT

0 . 0 00 . 0 00 . 0 0

0 . 0 00 . 0 0

0 . 0 0

7 - 4r lComm. #I n d e x e d' ~ -

Au d i t e d

Compu t e rCL , -

L o c a lC o mmi t t e e s ,e n t e rD a t eo f E l e c t i

C o u n t y&L o c a lC o mmi t t e e s ,e n t e rC o u n twh i c hE l e c t i o ni s h e l d

ADD TOTAL MONEY TAKEN I NT HI SPER I OD

Sc h e du l e A : C a s h C o n t r i b u t i o n st o t a l( A t t a c hS ch e du l e A) . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . .. . . . . .

Sc h e du l e C : F u n d - r a i s i n gEv e n t st o t a l( A t t a c hS c he d ul e C) . . . . . . . . . . .. . .. . . . .. . . .. . . . .. . . . . . . . . . .. . . . . . .. .

S c he d ul e F : L o a n s Re c e i v e dt o t a l( A t t a c hS ch e du l e F ). . . . . . . . . . .. . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . .. .

S c he d ul e H : T o t a lSa l e s o fCamp a i g nP r o p e r t y( A t t a c hS c he d ul eH) . . . . . . . . . . . . . . . .. . . . . .. . . . . . .. . . .

( Sc he du l eH a pp l i e st o Ca n di d at e s ' Commi t t e e sOn l y )

SUB- TOTAL . . . . . $ 7 , 4 40. 1 5

SUBTRACT TOTAL MONEY SPENT T HI SPER I OD ~

S ch e du l e B: E x p e n d i t u r e st o t a l( A t t a c hS c he d ul e B ) . . . . . . .. . . . . . .. . . . . . . . .. . . . . . . . .. .. . . . . . . . . . .. . . . . . . . . .. . . .1 , 4 3 7 . 8 1 - '

2 , 5 5 1. 9 9

UNPAI D BI L L S( F r o mS ch e du l e D - A t t a c hS c he d ul eD) . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . .. . .. . . . $

I NKI NDCONTRI BUTI ONS ( F r o mS ch e du l e E - A t t a c hS c he d ul e E ). . . . . .. . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . .. . .. . . . . . $

OUTSTANDI NG L OANS ( F r o mS c he d ul e F - A t t a c hSc h e du l e F ) . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . .. . . . . . $

CANDI DATE COMMI TT EES ONLY :

CONSUL TANT BREAKDOWN ( Sc h ed ul eG A t t a c h e d ? ) YES X NO

VALUE OF CAMPAI GN PROPERTY ( F r o mS c he d ul eH - A t t a c hS c he d ul eH) $ 0 . 0 0

8/7/2019 Larkin Rick__827__scanned

2/7

' Fo r I n s t r u c t i o n s ,Se e Ba c k o f F o r m

CONTRI BUTI ONS- MONEY TAKEN I N( I n c l u d i n gc a nd i d a t e ' sp e r s o n a l f u n ds )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g an i z a t i o n )

Fr i e nds of Ri c k La r k i n

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI SRECEI VEDFROM A STATE PAC ( POL I T I CALACTI ONCOMMI TTEE) ,L I STTHEPAC I DENTI F I CATI ONNUMBER AND THEPAC CHECK NUMBER I NTHE DESI GNATEDCOLUMN . A L I STOF I DNUMBERS I SAVA I LABLEFROMTHE I OWA ETHI CSAND CAMPAI GNDI SCLOSUREBOARD .

CAUTI ON : Se ct i o n 68B . 3 2 A( 6 ) , I o wa Code, p r o h i b i t st h e u s e o f i n f o r ma t i o nc o p i e d f r o m r e p o r t s a nd s t a t e me n t s f o rs o l i c i t i n gc on t r i bu t i o nso

f o r a ny c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

D i s c l o s u r el aw r e q u i r e sc a n di d at ec o mmi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmu s t b e shown t o t h e t h i r dd e g r e e o f c on s an g ui n i t y( b l o o dr e l a t i v e s )a n d a f f i n i t y( r e l a t i v e sbyma r r i a g e)( S ee P a g e 2 o f f o r ms p a c k e t . ). I f s u mame o f c on t r i b u t o ri s t h e s ame a s c a n di d at e , bu t t h e r e i s n o P a g e

l o f_

4

f a mi l i a lr e l a t i o n s h i p ,e n t e r " n o ta pp l i c abl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d ul e A)

SCHEDULE

A MONETARY( Re v . 0 2 / 9 6 ) RECEI PTS

CHECK THI S BOX IAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTRECEI VED ( i fa pp l i c abl e ) TO CANDI DATE' RECEI VED

( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c abl e )NUMBER

1 / 1 8/ 0 1 I D# Le e Cou nt y Ba nk & Tr u s t N . A. None 6 . 0P . O. Box 2 80 - I nt e r e s t

$

CK#For t Ma d i s o n , I A 52627

2 / 2 0 / 0 1

I D#Le e Count y Bank & Tr u s t N . A. None 5 . 1

CK# P . O. Box 2 80 - I nt e r e s tFor t Ma d i s o n , I A 5 2 62 7

3 / 1 9 / 0 1I D#

Le e Cou nt y Ba nk & Tr u s t N . A. None 3 . 4

CK# P . O" Box 2 80 - I nt e r e s tFor t Madi s on, I A 5 2 62 7

4 / 1 9 / 0 1I D#

Le e Co u nt y Bank & Tr u s t N . A. None 3 . 9

CK# P . O . Box 2 80 - I nt e r e s tFor t Madi s on, I A 52627

5 / 2 4 / 0 1I D#

Le e Cou nt y Bank & Tr u s t N . A . None 4 . 4

P . O. Box 2 80 - I nt e t e s tCK#

F o r t Ma d i s o n , I A5 2 6 2 7

6/ 2 6/ 0 1I D#

Le e Cou nt y Ba nk & Tr u s t N . A . None 4 .

CK# P" 0 " Box 2 80 - I nt e r e s tFor t Madi s on, I A 52627

6/ 2 7/ 0 1I D# Dr . L . D . Peck None 3 0 .

1 4 0 9 Av e . ECK# 1 9 7 2

For t Madi s on, I A 5 2 62 7

6/ 2 7/ 0 1I D#

Ro s i e He l l i ng None 2 5 .

CK# 0 7 4 03 3 2 2 Av e . HFor t Madi s on, I A 5 2 6 2 7

7 / 1 3 / 0 1 I D# 6113 AFSCME/ I OWA Counc i l 61 PEOPLE None 5 0 0 .

4 3 2 0 N . W. 2 nd Av e .CK#

2467 Des Moi nes , I A 5 0 3 1 3

7 / 2 5/ 0 1I D# Le e Count y Bank & Tr u s t N . A. None 3 .

P . O. Box 2 80 - I nt e r e s tCK#

For t Madi son, I A 52627

SUB- TOTAL$ 5 85 .

TOTAL ( i fl a s tp a g e o f t h i ss c h e d u l e )

8/7/2019 Larkin Rick__827__scanned

3/7

0 Fo r I n s t r u c t i o n s ,Se e Ba c k o f Fo m .

CONTRI BUTI ONS- -MONEY TAKEN I N( I n c l u d i n gc an d i d a t e ' sp e r s o n a l f u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g an i z a t i o n )

Fr i e nds o f Ri c k La r k i n

Di s c l o s ur el aw r e q u i r e sc an d i d a t e c o mmi t t e es t od i s c l o s et h e r e l a t i o n s h i po f a n y r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmus t b e shown t o t h e t h i r dd e g r e e o f c on s an g ui n i t y( b l o odr e l a t i v e s )a n d a f f i n i t y( r e l a t i v e sbyma r r i a g e)( S ee Pa g e 2 o ff o r ms p a c k e t . ). I f s u r n a meo f c o n t r i b u t o ri s t h e s ame a s c an d i d at e , bu t t h er e i s n of a mi l i a lr e l a t i o n s h i p ,

e n t e r " n o ta pp l i c abl e "i n t h e r e l a t i o n s h i pc o l u mn.

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI SRECEI VEDFROM A STATE PAC ( POLI TI CALACTI ONCOMMI TTEE) ,L I S TTHE PAC I DENTI FI CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATEDCOLUMN . A L I STOF I DNUMBERS I SAVAI LABLEFROMTHEI OWAETHI CSAND CAMPAI GNDI SCLOSUREBOARD .

CAUTI ON : Se ct i o n 6 8B . 3 2 A( 6 ) , I o wa Cod e , p r o h i b i t st h e u s e o f i n f o r ma t i o nc o p i e d f r o mr e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n gc on t r i bu t i o nsof o ra ny c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h er t h an s t a t u t o r yp o l i t i c a lc o mmi t t e es.

Page 2 o f( f o rSc h e d u l eA)

SCHEDULE

A MONETARY( Re v . 0 2 / 9 6 ) RECEI PTS

0 CHECK THI S BOX IAMENDI NG FORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c abl e )

NUMBER

8 / 2 0/ 0 1 I D# 6 11 8 I o wa Op t o me t r i c As s oc i a t i o n PAC None 2 0 0 .CK#

1 4 5 4 3 0 t h St r e et$

1 7 1 4 We s t Des Moi nes , I A 5 0 2 6 6

8 / 2 0/ 0 1I D#

6 1 4 6 Home b u i l de r s As s oc i a t i o n PAC None 1 0 0 .CK#

1310 Des Moi nes , I A 5 0 3 1 9

8 / 2 0 / 0 1 I D# 6 0 3 3 EMC CO . PAC None 2 5 . 0CK#

7 1 7 Mu l b e r r y St .1 6 9 2 Des Moi nes , I A 5 0 3 0 9

8 / 2 7/ 0 1I D#

Le e Co unt y Ba nk & Tr u s t N . A . None 4 . 6CK#

P . O . Box 2 8 0 - I nt e r e s tF o r t Ma d i s o n , I A 5 2 6 2 7

9 / 1 1/ 0 1I D#

Ki t t y Gar ner None 2 0 0 . 0CK# 19 2 4 t h St r e et

4 4 7 1 F o r tMa d i s o n ,

I A 5 2 6 2 7

9 / 2 5 / 0 1I D #

Le e Cou nt y B a n k & Tr u s t N . A . None 3 . 3CK# P . O. Box 2 80 - I nt e r e s t

F o r t Ma d i s o n , I A 5 2 6 2 7

1 0/ 2 5/ 0 1I D #

Le e Cou n t y Bank & Tr u s t N . A. None 3 .CK# P . O" Box 2 80 - I n t e r e s t

Fo r t Ma d i s o n , I A 5 2 6 2 7

" 1 1 / 2 / 0 1 I D# 6 0 7 1 I o wa Li f e I ns u r a nc e I ndu s t r y PAC None 1 0 0 . 0

CK#5 7 0 0 We s t own Pa r kwa y

3 0 8 4 We s t Des Moi nes , I A 5 0 2 6 6

1 1/ 9 / 0 1I D#

Doy l e Hoy e r No ne 1 0 0 . 0

CK# 3 3 4 7 Co u nt r y Cl u b L a n e1 4 4 0 Fo r t Ma d i s o n , I A 52 62 7

1 1/ 9 / 0 1I D# R . L . F e h s e k e , J r . None 1 0 0 . 0CK# 3 3 4 5 Co u nt r y Cl u b L a n e

2 0 3 1 F o r t Ma d i s o n , I A 5 2 6 2 7

SUB- TOTAL

$ 8 3 6 . 1TOTAL( i fl a s tp a g e o f t h i ss c h e d u l e )

8/7/2019 Larkin Rick__827__scanned

4/7

' F o r I n s t r u c t i o n s ,Se e Ba c k o f F or n r

CONTRI BUTI ONS - MONEY TAKEN I N( I n c l u d i n gc a nd i d a t e ' s p e r s o n alf u n d s )

COMMI TTEE NAME ( M u s tb es ame a s o nS t a t e m e n to fO r g a n i z a t i o n )

Fr i e nds o f Ri c k La r k i n

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI SRECEI VEDFROM A STATE PAC ( POL I T I CALACTI ONCOMMI TTEE) ,L I S TTHE PAC I DENT I F I CATI ONNUMBER

AND THEPAC

CHECKNUMBER

I NTHE

DESI GNATEDCOLUMN.

A L I STOF I DNUMBERS I SAVA I LABLEFROM

THE I OWAETHI CSAND CAMPAI GN

DI SCLOSUREBOARD .

CAUTI ON : Se c t i o n6 8B . 3 2 A( 6 ) , I o wa Code, p r oh i b i t st h e u se o f i n f o r ma t i o nc op i e d f r o mr e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n gc on t r i b u t i o n so rf o ra ny c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e e s.

Di s c l o s u r el a wr e q u i r e sc a nd i d a t e c o mmi t t e e st o d i s c l o s et h e r e l a t i o n s h i po f a ny r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec o mmi t t e e. R e l a t i o n s h i pmu s t b e s h o w n t o t h e t h i r dd e g r e e o f c o ns a ng ui n i t y( b l o odr e l a t i v e s )a nd a f f i n i t y( r e l a t i v e sb yma r r i a g e)( S e e Pa ge 2 o f f o r ms p a c k e t . ). I f sur name o f c on t r i b u t o ri s t h e same a s c a n di d at e , b u t t h er e i s n o Page 3 o f

4

f a mi l i a lr e l a t i o n s h i p ,e n t e r " n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l eA)

SCHEDULE

A MONETARY

( Re v . 0 2 / 9 6 ) RECEI PTS

0 CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e )

NUMBER

1 1 / 9 / 0 1 I D# J oh n Sc h u l dt None 5 0 . 03360 2 1 3t h St r e e t

$

CK#6 9 0 6 F o r t Ma d i s o n , I A 5 2 6 2 7

1 1 / 9 / 0 1

I D# Ro se Gr e e nwa l d Mue r h o f f Gr andmo t h e r - 5 0 . 01 9 2 7 Av e . I I n- La w

CK#9 1 5 Fo r t Ma d i s o n , I A 5 2 6 2 7

1 1 / 9 / 0 1 I D# Mi c h ae l Br oc k ma n None 2 5 . 0

3 3 4 4 2 1 3t h St r e e tCK# 5 2 0 5 F o r t Ma d i s o n , I A 5 2 6 2 7

1 1 / 9 / 0 1 I D# Ph i l l i p I ng e b r i t son None 2 5 . 01 4 Me l o dy Te r r a c e

CK#2 3 1 3 F o r t Ma d i s o n , I A 5 2 6 2 7

1 1 / 9 / 0 1I D#

Sh er r i E n k e None 2 5 . 0

CK#1 0 0 2 De nma r k Hi l l t op

5410 F o r t Ma d i s o n , I A 5 2 6 2 71 1/ 9 / 0 1 I D# M . S . Na b u l s i None 5 0 . 0

1 3 Ri dgewood Rd .CK#

3 1 1 0 Fo r t Ma d i s o n , I A 5 2 6 2 7

1 1/ 2 7/ 0 1ID#

Le e Cou nt y Bank & Tr u s t N . A . None 2 . 8

CK# P . O. Box 2 80 - I nt e r e stF o r t Ma d i s o n , I A 5 2 6 2 7

1 1/ 2 9/ 0 1 I D# LeRoy Be nt l e r None 2 5 . 0

CK#9 2 5 6 Hou g h t o n, I A 5 2 631

1 1/ 2 9/ 0 1

I D#J o s e p h Si mme ns

None 2 5 . 0

CK# 7 0 5 1-2 Av e . G3 1 8 1 Fo r t Ma d i s o n , I A 5 2 6 2 7

1 2/ 1 4/ 0 1I D# Wm . F . Mer sc hman None 2 0 0 . 0

Box 6 7CK# 5 4 9 1 We s t Po i n t , I A 5 2 6 5 6

SUB- TOTAL47 7 . 8

TOTAL( i fl a s tp a g e o f t h i ss c h e d u l e )

8/7/2019 Larkin Rick__827__scanned

5/7

' Fo r I n s t r u c t i on s ,Se e Ba c k o f Fo n , ,

CONTRI BUTI ONS - MONEY TAKEN I N( I n c l u d i n gc a nd i d a t e ' sp e r s o n al f u n ds )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n)

Fr i e nd s o f Ri c k La r k i n

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI SRECEI VEDFROM A STATE PAC ( POL I T I CALACT I ONCOMMI TTEE) ,L I STTHE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATEDCOLUMN . A L I STOF I DNUMBERS I SAVA I LABLEFROM THE I OWA ETHI CSAND CAMPAI GNDI SCLOSUREBOARD .

CAUTI ON : Se c t i o n6 8B . 3 2 A( 6 ) , I o wa Code, p r oh i b i t st h e u s e o f i n f o r mat i onc op i e d f r o mr e p o r t s a nd s t a t e me n t s f o rs o l i c i t i n gc on t r i b u t i on sof o ra ny c o mme r c i a lp u r p o s eb y any p e r s o n o t h e r t h an s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

D i s c l o s u r el aw r e q u i r e sc an d i d at ec o mmi t t e e st o d i s c l o s e t h er e l a t i o n s h i po f a n y r e l a t i v ema k i n g a c o n t r i b u t i o nt o t h ec 6 mmi t t e e. Re l a t i o n s h i pmu s t b eshown t o t h e t h i r dd e g r e e o f c o ns an g u i n i t y( b l o odr e l a t i v e s )an d a f f i n i t y( r e l a t i v e sb ymar r i ag e ) ( Se e Pag e 2 o f f o r ms p ac k e t. ). I f su r name o f c on t r i b u t o ri s t h e s ame a s c a nd i d at e , b u t t h e r e i s n o F ;. g e 4 o f

f a m i l i a lr e l a t i o n s h i p ,e n t e r" n o ta pp l i c a bl e "i n t h e r e l a t i o n s h i pc o l u mn. ( f o rSc h e d u l eA)

SCHEDULE

A MONETARY( Re v . 0 2 / 9 6 ) RECEI PTS

CHECK THI S BOX IAMENDI NG FORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE' RECEI VED( MM/ DD/ YR) AND PAC CHECK ( i fa pp l i c a bl e )

NUMBER

1 2/ 1 4/ 0 1I D#

De r a l d Dr e s s l e r None 2 5 . 0

CK#4605 Bl u f f Rd .

$

663 7 For t Ma di s o n , I A 5 2 6 2 7

1 2/ 1 4/ 0 1 I D# Gar y Hoyer None 1 0 0 . 06 1 9 1 0 t h St r e e t

CK#7 9 2 8 Fo r t Ma di s o n , I A 5 2 6 2 7

1 2/ 2 6/ 0 1 I D# Le e Cou nt y Bank & Tr u s t N . A . None 2 . 1

CK#P . O . Box 2 80 - I nt e r e s tFo r t Ma di s o n , I A 5 2 6 2 7

1 2/ 2 9/ 0 1 I D# Dan Ke h l None 5 0 0 . 03 Bl a c k h awk He i gh t s

CK#3 85 2 For t Ma di s o n , I A 5 2 6 2 7

1 2/ 2 9/ 0 1I D# Wa r r e n Ho f f ma n None 2 5 . 0

5 7 64 Fl i nt c r e s t Dr i v eCK#

1 7 1 7 Bu r l i ng t on, I A 5 2 6 0 1

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FOR I NSTRUCTI ONS, SEE BACK OF FORM

EXPENDI TURES - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATE PAC COMMI TTEES : NOTE: FOR CONTRI BUTI ONSMADE TO STATEWI DEOR LEGI SLATI VECANDI DATES,L I S TTHE CANDI DATEI DENTI F I CATI ONNUMBER I NTHEDESI GNATEDCOLUMN AND THEPAC CHECK NUMBER FOR EACHEXPENDI TURE. A L I S TOF I DNUMBERSI SAVAI LABLEFROM THE I OWAETHI CS& CAMPAI GNDI SCL OSUREBOARD .

COMMI TTEE NAME ( Mu s tb e s ame a s o n St a t eme n t o fO r g a n i z a t i o n )

Fr i e nd s o f Ri c k L a r k i n

SUB- TOTAL

TOTAL ( i fl a s tp a g e o f t h i ss c h e d ul e )

THI S BOX APPL I ESTO CANDI DATES' COMMI TTEES ONLY :

Campa i gn f u n d smay b e u s e d o n l yf o r.( 1 )c amp a i g np u r p o s e s ,( 2 )c o n s t i t u e n c ye x p e n s e s ,an d( 3 )e d uc a t i o n a lan d o t h e re x p e n s e s a s s o c i a t e dwi t h d u t i e s o fo f f i c e.

P l e a s ei n s e r tt h ea p p l i c a b l enu mbe r i n t h ep u r p o s ec o l u mnf o re a c h e x p e n d i t u r e.

Pu r c h a s e s o f c e r t a i nc amp a i g n p r o p e r t yc o s t i n g$ 5 0 0 o rmo r emus t a l s ob e i n v e n t o r i e do n Sc h e d u l eH. ( R e f e rt o Sc h e d u l eH i n s t r u c t i o n s. )

Ex p e n d i t u r e st op e r s o n s / e n t i t i e sp r o v i d i n g c o ns u l t i n g ,a d v e r t i s i n g ,f u n d - r a i s i n g ,p o l l i n g ,ma n a g i n g ,o r g a ni z i n g s e r v i c e smus t a l s ob e d e t a i li t e m i z e doSc h e d u l eG b y t h eamoun t , p u r p o s e ,an d d a t eo f e a c h t y p eo f e x p e n d i t u r emad e b y t h ep e r s o n l e n t i t yo n b e h a l fo f t h e c a n di d a t e ' sc ommi t t e e. ( R e fSc h e d u l eG i n s t r u c t i o n san d I o waCode 5 6. 6 ( 3 ) ( 1 ). )

Page l o f 2- .S f o rSc h e d u l eB )

SCHEDULE

B MONETARY( Re v. 0 2 / 9 6 ) EXPENDI TURES

0 CHECK THI S BOX I FAMENDI NG FORM

CANDI DATE NAME AND ADDRESS TO WHOM EXPENDI TURE PURPOSE AMOUNTDATE I DNUMBER ( D i s b u r s e me n t )WAS MADE ( CANDI DATESSEE EXPENDED

EXPENDED ( i fa p p l i c a b l e ) BELOW & ENTER( MM/ DD/ YR) AND PAC 1 , 2 , 3 )

CHECK NUMBER

1 / 1 6 / 0 1 I D* I o wa De mo c r a t i c Pa r t y Hou s e Tr uman5 6 6 1 Fl e u r Dr i v e F u n d 3 0 0 . 0 0

CK#1 8 6 Des Moi n e s , I A 5 0 3 2 1 1

1 / 1 7 / 0 1 I D# Po s t ma s t e r Ce r t i f i e d1 0 1 9 Av e . H L e t t e r 3 . 7 4

CK# 1 8 7 Fo r t Ma d i s o n , I A 5 2 6 2 7 1

7 / 2 5 / 0 1 I D# Ca r t e r Pr i n t i n g Pr i n t i n g1 7 3 9 Ea s t Gr a n d Av e . En v e l o p e s 5 5 . 12

CI A# 1 8 8 De s Mo i n e s I A 5 0 3 1 6 ( 1 )

8 / 2 1/ 0 1 I D# I o wa Se c r e t a r y o f St a t e Vo t e r L i s tHoov er Bu i l d i n g 6 2 . 7 5

CK# 1 8 9 Des Mo i n e s , I A 5 0 3 1 9 ( 1 )

9 / 1 1/ 0 1I D# I o wa Demo c r a t i c Pa r t y Ho u s e Tr u ma n

5 6 6 1 Fl e u r Dr i v e F u n d 2 5 0 . 0 0

CK# 1 9 0 De s Mo i n es , I A 5 0 3 2 1 1

9 / 1 1/ 0 1I D# L e e Co u n t y Demo c r a t i c Ce n t r a l Co n t r i b u t i o n

Commi t t e e 2 0 0 . 0 0C K#

1 9 1 Fo r t Mad i s o n I A 5 2 6 2 7 1

9 / 1 1/ 0 1 I D# Ca r t e r Pr i n t i n g Pr i n t i n g1 7 3 9 Eas t Gr a n d Av e . En v e l o p e s 5 1 . 3 0

CK# 1 9 2 De s Moi n e s , I A 5 0 3 1 6 ( 1

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7/7

FOR I NSTRUCTI ONS,SEE BACKOF FORM

EXPENDI TURES - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATEPAC COMMI TTEES: NOTE: FOR CONTRI BUTI ONSMADETO STATEWI DEOR L E GI S L AT I V ECANDI DATES,L I S TTHECANDI DATEI DE NT I F I C AT I O NNUMBERI NTHEDESI GNATEDCOLUMN AND THEPACCHECKNUMBERFOREACHEXPENDI TURE. A L I S TOF I DNUMBERSI SAVAI LABLEFROMTHEI OWAETHI CS&CAMPAI GNDI SCLOSUREBOARD.

COMMI TTEE NAME ( M u s tb e same a s o nS t a t e me n to fOr g an i z a t i o n)

Fr i e nd s o f Ri c k L a r k i n

SUB- TOTAL

TOTAL ( i fl a s tp a g e o f t h i ss c h e d u l e )

THI SBOX APPL I ESTO CANDI DATES'COMMI T TEESONLY:

Camp a i g nf u n d smay b eu s e do n l yf o r.( 1 )c a mp a i g np u r p o s e s ,( 2 )c o ns t i t u e n c ye x p e n s e s ,a n d( 3 )e d uc a t i o n a la n do t h e re x p e n s e sa s s oc i a t e dw i t h d u t i e s o fo f f i c e.

P l e a s ei n s e r tt h ea pp l i c ab l enumbe ri n t h ep u r p o s ec o l u mnf o re a c he x p e n d i t u r e.

P u r c h a s e so f c e r t a i nc a mp a i g np r o pe r t y c os t i n g$ 5 0 0o rmo r em u s ta l s ob e i n v e n t o r i e do nS c h e d ul eH. ( R e f e rt oS c h e du l eH i n s t r u c t i o n s. )

Ex p e nd i t u r e st op er s o ns / e n t i t i e s p r o v i d i n gc o n s u l t i n g ,a d v e r t i s i n g ,f u n d - r a i s i n g ,p o l l i n g ,ma n a g i n g ,o r g a n i z i n gs e r v i c e smu s ta l s ob e d e t a i li t e m i z eoS c h e du l eG b yt h ea mo u n t ,p u r p o s e ,a n dd a t eo fe a c ht y p eo fe x p e n d i t u r emade b yt h ep e r s o n / e n t i t yo nb e h a l fo ft h ec an d i d at e ' sc o mmi t t e e. ( R e fS c h e du l eG i n s t r u c t i o n sa n dI o w aCode5 6. 6 ( 3 ) ( i ). )

Page 2 o f 2

SCHEDUL E

B MONETARY( R e v. 0 2 / 9 6 ) EXPENDI TUR

CHECK T HI SBOX I FAMENDI NG FORM

CANDI DATE NAMEAND ADDRESS TOWHOM EXPENDI TURE PURPOSE AMOUNTDATE I DNUMBER ( D i s b u r s e m e n t )WASMADE ( CANDI DATESSEE EXPENDED

EXPENDED ( i fa pp l i c a bl e ) BELOW &ENTER( MM/ DD/ YR) AND PAC 1 , 2 , 3 )

CHECKNUMBER

9 / 21 / 0 1 I D# I o wa Se c r e t a r y o f St a t e Bi w Up d a t eHoove r Bu i l d i n g 22 . 0 0

CK# 1 9 3 De s Mo i n e s I A 5 0 3 1 9 1

11 / 9 / 0 1 I D# Ca r t e r Pr i n t i n g Pr i n t i n g

1 7 3 9 Ea s t Gr a n d Avenu eSt a t i o n a r y 4 9 2 . 9 0

CK# 1 9 4 Des Mo i n e s , I A 50316

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