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FOR I NSTRUCTI ONS, SEEBACK OF FORMDI SCLOSURESUMMARYPAGE

COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )May f o r I o wa H o u s eI MPORTANT I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r 1( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY :C a n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )Mi k e May , ~ r . t - ; L 0 0 5 Re p ub l i c a nE I iO f f i c e S o u g h t D i s t r i c t ( i f S e n a t e o r H o u s e )I o wa H o u s e o f R e p r e s e n t a t i v e s 6 t h D i s t r i c t - H o u s e

SI GNATURE OF PERSON F L I NG REPORT

AM F I L I N G A Oc t o b e r 2 9 , 2 0 0 4( r e p o r t d a t e )

CHECK I F AMENDMENT TO REPORT DATED Oc t o b e r 2 9 , 2 0 0 41 7 1 C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3( Y o u m u s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

TELEPHONE

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- ELECT I ON YEARI n d i c a t e b y #

STATEMENT OF CASH ON HAND

0

CASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d ( T o t a l o f a l l f u n d s h e l d b y t h ec o mm i t t e e T h i s a m o u n t MUST b e t h e same a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r m u s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

( S c h e d u l e H a p p l i e s t o C a n d i d a t e s ' Co mmi t t e e s O n l y )SUB- TOTAL . . . $ 1 7 , 8 0 3 . 5 7

* * UNP AI D B I L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N KI ND CONTRI BUTI ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTAND I NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEE S ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )VALUE OF CAMPA I GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $

FORMDR- 2 D I SC LOSURE( R e v 0 7 / 2 0 0 4 ) REPORT

F o r O f f i c e U s e O n l yComm #L o g g e d I nS c a n n e dC o mp u t e rA u d i t e d

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i m i n a lp e n a l t i e s .

DAT SI GNED

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

4 , 8 3 6 . 7 6 ' ' Q _ u .

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODS c h e d u l e B E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . . 1 6 , 9 9 9 . 4 1S c h e d u l e F L o a n R e p a y m e n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e m u s t i t + - C ~ - - t Y t 1 i i l k Ab e z e r o ) ( A t t a c h D R - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8 0 4 . 1 6 =~ C _ _ C" ,~

YE S F_ _ ] NO

ADD TOTAL MONEY TAKEN I N T HI S PERI OD Qt t c r S (S c h e d u l e A C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A ) ( * a l s o s e e i n - k i n d b e l o w ) . 1 2 1 9 6 6 . 8 1 1 0 - A- C - > ` }S c h e d u l e F L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0S c h e d u l e H T o t a l S a l e s o f Ca mp a i g n P r o p e r t y ( A t t a c h S c h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

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DRAND' 3 LAW! L I FEL I NK - : , I D : r 1 23 3 6 2408FOR I NSTRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t o mo n t o f O r g a n i z a t i o n )

M! t y f u r l u wo 1 1 o u s eI MPORTANT . I n d i c a t e b y t I t y p e o f c o m m i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e l L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e l o n t l o n C a n d i d a t e ( 2 ) S t a l e P AC ( 3 ) S t a l e P a r t y( a ) C o u n t y C e n t r a l Co mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l Bo a r d o r O t h e rP o l i t i c a l Su b di v i s i o n C a n d i d a t e ( t 3 ) C o u n t y PAC ( 9 ) C i t y P AC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lSu b di v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY :Ca n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )Mi keMay Republ i canO f f i c e S o u g h t D i s t r i c t ( i f Se n a t e o r H o u s e )

I owa I l o u s e Of R e i r e c e n t a l i v c s 6 t h Di s t r i c t - Ho us e

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DI SCLOSURE SUMMARY PAGE

I AM FI L I NG A Ou t o h c r 2 9 , 20U4

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{ , ' ' , c a l C o mm l t t o o s , e n t e r D a t a o f E l e c t i o nL] CHECK I F AMENDMENT TOREPORTDATED. - - - - - - , ~=- - - - f i f e - - b s- - I ` J O! l E

[ ] C h e c k I f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N d t t ~ e : g t D i s s o l u l i e a F o r m, - DR- : -( Yo u mu s t c o n t i n ue t o f i l e r e p o r t s u n t i l a DR- 3 I M f l l e 4 } ) ' f

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b eg i n n i n g c f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u nd s h e l d b y t h e

c o mmi t t e e , T hi s amo u n t MUST b e t h e s am e a s t h e c a s h o n h a n d a t t h e e n do f ( l i e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) ( ' a l s o s e e i n - k i n d b e l o w) . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Ca mp a i g n P r o pe r t y ( A t t a c h Sc h e d u l e 1 1 ) . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h e du l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t o o s On l y )

0 4 1 7 : 3 3 N 1 o 0 0 6 P 0 2FORM

Comm . f lL o g g e d I nS c a n n e dComp u t e rA u d i t e d

u n i t y & L o c a l Commi t t e e s , e n t e r Co u n t y I ni c h E l e c t i o n i s h e l d

DR- 2( R e v , 0 7 / 2 0 0 4 )

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i m i n a lp e n a l t i e s .

5 , 1 1 1 6 . 0 4

1 2 , 9 6 6 . 8 100

SUB- TOTAL . . . . . $ 1 7 , 9 8 2 . 8 . 5SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B , Ex p en d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( - ' a l s o s e e d e b t s a n d l o a ns b e l o w) . 1 6 . 9 99 . 4 1Sc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( I f f i n a l r e p o r t b a l a n c e mus t 9 8 3 . 4 4b e z e r o ) ( A t t a c h DR- 3 ) . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . , . . . . . , . . , . , . , $

1 0 i ! " i U 1 4DATE I GN D

NO

- UNPAI D BI L L S ( F r o n t Sch ed ul e D - A t t a c h Sc h e d u l e D) . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . $ 0' I N K I ND CONTRI BUTI ONS ( Fr o m Sc h e d u l e E - At t a c h Sc h e d u l e E). , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . $ 9 , 7 8 4 . 9 0" OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0CAND, J _ QATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h e du l e G At t a c h ed ? ) YESVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e 1 i - A t t a c h Sc h e d u l e H )

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BRAh I DSD LAW/ LI FELI NKB I D : 7123362408 O I : T 2 ' 9 ' 0 4 1 7 : 34 No . 006 F . ( )May f o r I o wa HouseSupp l ement a r y Co nt r i but i o ns Repo r t - - Sc h ed ul e A

Oc t o b e r 1 5 t h r o ug h Oc t o b er 2 6 , 2 0 0 4

Pa g e 1 o f 2

DATE PAC I D NAME AND ADDRESS RELATI ONSHI P AMOUNT X I F FORRECEI VED NUMBER OF CONTRI BUTOR TO CANDI DATE' RECEI VED FUNDRA I SER( MM/ DD/ YR) ( I f a p p l i c a b l e ) ( i f a p p l i c a b l e ) I NCOMEAND PACCHECKNUMBER

1 0/ 1 5 / 2 0 04 2 1 9 2 C h r i s t e n s e n , D e l i l a h $ 2 5 . 0 02 10 1 De nv e r Ave .S i r i t L a k e , I A 5 1 3 6 01 0 11 5 / 2 0 0 4 2 6 8 I o wa H o s p i t a l i t y As s n PAC $ 1 0 0 . 0 0

PAC # 6 4 0 0 3 8 0 0 Me r l e Ha y Road , S t e . 6 0 6De s Mo i ne s , I A 5 0 3 1 0

1 0/ 1 5 / 2 0 0 4 1160 I o wa P r i o r i t i e s A c t i o n Commi t t e e $ 5 0 0 . 0 0PAC # 8 4 2 7 P . O . Bo x 3 5

Man c h e s t e r , I A 5 2 0 5 71 0/ 1 5 / 2 0 0 4 2 9 0 4 Mas t e r B u i l d e r s o f I o wa , PAC $ 5 0 0 . 0 0

PAC # 6 3 2 3 P . O . B ox 6 9 5De s Mo i ne s , I A 5 0 3 0 31 0 11 5 / 2 0 0 4 1096 Amy Pa s $ 5 0 . 0 0

6 4 Wes t B r o a d wa y S t ,Amo l d s Pa r k I A 5 1 3 3 11 0 / 1 5 1 20 0 4 1464 T oml i n s on , J a n i c e S20001 0 0 E . 2 n d S t

S p en c e r , I A 5 1 3 0 1- 5 2 3 01 0/ 1 9/ 2 0 04 3 3 72 Ba n k e r s Un i t e i n L e g i s l a t i v e $ 1, 0 0 0 . 0 0

PAC # 6 0 5 6 Dec i s i on s8 8 0 0 N . W. 6 2 n d A v e .J o h n st o n . I A 5 0 1 3 1- 6 2 0 0

1 0/ 1 9/ 2 00 4 1 0 6 E n g i n e e r ' s PAC $ 3 0 0 . 0 0PAC # 6 0 3 4 1 0 00 Wa l n u t S t . , S t e 1 0 2

De s Mo i n e s , I A 5 0 3 0 91 0/ 1 9/ 2 00 4 2 9 0 8 I o wa S o f t Dr i n k PAC $ 1, 0 0 0 . 0 0PAC # 6163 8 0 1 Gr a n d , S u i t e . 3 1 0 0Des Mo i ne s , I A 5 0 3 0 91 0 / 1 9 / 2 0 04 3113 Mo t o r C a r r i e r s PAC $ 1, 0 00 , 0 0

PAC # 6101 P . O . Bo x 6121East De s Mo i n e s S t a t i o nDes Mo i ne s , I A 5 0 3 0 9

1 0 / 1 9 / 2 0 04 1 1 9 4 2 NFI S - I o wa Sa f e T r u s t $ 5 0 0 . 0 0PAC # 6 2 1 8 1201 F S t . , NWS t e . 2 0 0

Wa s h i n g t o n , DC 2 0 0 0 41 0/ 1 9/ 2 0 04 2 2 1 0 3 Rep u bl i c a n P a r t y o f I o wa S 7, 1 5 8 . 0 0

621 E 9 t h S t .Des Mo i n e s , I A 5 0 3 0 9

1 0/ 2 3 / 2 0 0 4 D e w i t t , L i s a Da u gh t e r $ 1 2 0 0 0601W. 1 1 t h S t r e e tS p en c e r , I A 5 1 3 0 1

10/ 23/ 2 004 Mi s c el l a n eo us u n i t e mi z e d $ 31 8 , 8 1c o n t r i b u t i o n s XSUBTOTAL $ 12 , 5 9 1 . 8 1

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HRWJ D ' 3 L AI J / L I FEL I NKS I D : 7 1 23 3 62 4 08 OCT 2 9' 0 4 1 7 : 3 4 No . 0 0 6 F . 0May f o r I o wa H o u s eSu pp l e me n t a r y Co nt r i b ut i o ns Rep o r t - - Sc h ed ul e A

Oc t o b e r 1 5 t h r o ug h Oc t o b e r 2 6 , 2 0 0 4DATE PAC I D NAME AND ADDRESS RELATI ONSHI P AMOUNT X I F FOR

RECEI VED NUMBER OF CONTRI BUTOR TO CANDI DATE' RECEI VED FUNDRAI SER( MMI DD/ YR) ( i f a p p l i c a b l e )AND PAC ( I f a ppl i c ab l e) I NCOMECHECKNUMBER

1 0/ 2 3 / 2 0 04 2 2 0 0 C h r i s t e n s e n , D e l i l a h $ 1 0 . 0 02 1 0 1 Denve r Av e .S p i r i t L a k e , I A 5 1 3 6 0

1 0 / 2 3 1 2 0 0 4 2 1 6 9 S mi t h , Su s a n $ 2 5 0 03 0 8 2 8 1 1 ) S t .M i l f o r d , I A 5 1 3 5 1 - 7 0 7 7

1 0/ 2 3 / 2 0 0 4 2 4 0 1 Maa s , W. Wi l l i a m $ 2 5 . 0 08 4 0 2 5 2 n d Av e .S p i r i t L a k e , I A 5 1 3 6 0

1 0 / 2 3 / 2 0 04 1 1 0 8 Ca l s b eek , J o h n $ 2 0, 0 01 6 9 5 4 2 55 t h Av e . XS p i r i t L a k e , I A 5 1 3 6 0

1 0 / 2 3 / 2 0 04 9 7 3 7 Chambe r s , Ma r y $ 2 0 . 0 01 0 81 2 8 t h S t . XS p i r i t L a k e , I A 5 1 3 6 0 - 1 1 4 31 0/ 2 3 / 2 0 0 4 1 1 5 3 A h a r t , L i n d a $ 2 5, 0 01 5 4 2 0 2 1 5t h Av e

S p i r i t L a k e , I A 5 1 3 60 - 7 2 3 31 0/ 2 6 / 2 0 0 4 5 1 6 5 Fa r ewa y S t o r e s , I n c . - - P A C 5 2 5 0 . 0 02 6 0 0 E . 8 t h S t .

B oone , I A 5 0 0 3 6SUBTOTAL $ 3 7 5 . 0 0

GRAND $ 1 2 , 9 66 . 8 1TOTAL

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BRANDS L PP l , J / L I F EL I NK ' S I D_ 7 1 2 33 6 2 4 08 OhT 29 ' 0 4 1 7 : 3 6 No . 0 0 6 P . 0 7

May f o r I o wa HouseEx pen di t ur es Rep o r t - - S c h ed u l e BOc t o b e r 1 5 t h r o u g h Oc t o b e r 2 6 , 2004

CANDI DATEI D NUMBERDATE ( i f NAME AND ADDRESS TO

EXPENDED a p p l i c a b l e ) WHOMEXPENDI TURE PURPOSE AMOUN( MMI DD/ YR) AND PAC ( Di s b ur s e me nt ) WASMADE ( DESCRI BE TRANSACTI ON) EXPENDCHECKNUMBERB r y a n E n g l i s h1 0 / 1 5 / 0 4 1 0 8 4 410 E . 1 0 ' " S t r e e t Campa i g n s t a f f s a l a r y $ 1 , 0 0 0Spen c e r , I A 5 1 3 0 1K000 FM

1 0 / 1 5 1 0 4 1 0 8 5 P . O . Bo x 5 2 8 Rad i o a d v e r t i s i n g $ 6 8 8S p i r i t L a k e , I A 5 1 3 6 0

1 0 / 1 5 / 0 4 1 0 8 6 K I CDS pe n c er , I A 5 1 3 0 1 Ra d i o a d v e r t i s i n g $ 8 58Cu s t o m Newspape r A d v e r t i s i n gc / o Ma t t E l l i o t t1 0 / 1 8 / 0 4 1 059 Repub l i c an P a r t y o f I o wa Newspape r a d v e r t i s i n g $ 8 9 66 2 1 E . 9 " ' S t r e e tDe s Mo i n e s , I A 5 0 3 0 9V i c t o r y S t o r e . c om1 0 / 2 0 / 0 4 1 0 8 7 5 2 0 0 SW3 0 " S t r e e t Med i a $ 1 3 , 2 8 1Da v e n po r t , I A 5 2 8 0 2Spence r S i g ns1 0 / 2 6 / 0 4 1 0 8 8 1402 4 ' h A v e n u eW E l e c t i o n s i g n s $ 2 7 5Spe n c er , I A 5 1 3 0 1

SUBTOTAL $ 1 6, 9 9 9

GRAND VT 1 G 2 u 0 4TOTAL $ 1 6 , 9 9 9

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ERANDS LAU/ ' L I FEL I NKS I D : ? 1" 2 33 6) 4 08 0 ( - - T 2 9' 0 4 17 : 3 6 N0 . 0 06 P . c .r e p I NSTRUCTI ONS . SEE BACK OF FORM

COMMI TT EE NAME ( Mu s t b o s ome a s o n S l a t eme n t o f Oi g a ni z a t i o n)May f o r l o ~ v a 1 1 o u s e

SCHEDULEE I N K I ND( R e v 0 6 1 9 7 ) CONTRI BUTI ONSOCHECK T HI S BOX I F

AMENDI NG FORM

' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a l i v o ma k l n g a n I n k i n d c o n t r i b u t i o n t o t h e P a g e 1 o f 1c o mm l l l o o R e l a t l o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r 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 s ( f o r S c h e d u l e E )b y ma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t ) I f s u r n a m e o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u m n

DATERECEI VEDMMI DDr YR) NAME AND ADDRESSOF CONTRI BUTORRELATI ONSHI PTO CANDI DATE` ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ONESTI MATEDF A I R MARKETVALUE

J I F FORFUND- RAI SERCONTRI BUTI ON1 0 1 1 9 1 0 1 1 R e p u b l i c a n P a r t y o f l o g + - : t6 2 1 L a s t 9 1 h

Dc s Mo i n e s , 1 A 5 0 3 0 9P r i n t i n g , e x p e n s e s 3 , 7 5 1 1 . ( ) 0 M

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