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Wells Fargo Financial Services PAC__6106__scanned

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  • 8/7/2019 Wells Fargo Financial Services PAC__6106__scanned

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    J UL - 1 4 - 2 0 0 5 THU 0 4 : 1 1 P I 9 WF FI NANCI AL- CONTROLL ERS FAX NO . 5 1 5 5 5 7 7 6 9 1 P . 03

    FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s amo as on St a t eme n t o f O r g a n i z a t i o n )We l l s F a r g o F i n a n c i a l Se Tv i c u s , I n c . P o l i t i c a l Ac t i on Commi t t e 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 ) S t a l e w i d e f L e g i s l a t i v e i 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 mm i 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 ( B ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l D o a r d o r O t h e r P o l i t i c a lS u b d l v l e l 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 )

    O f f i c e Sou gh t D i s t r i c t ( i f Se n a t e o r Hou s e )

    tSI GNATURE OF PERSON F I L I NG REPOR

    I AM F I L I NG Al u l y 1 9 , 2 0 0 5

    ( r e p o r t d a l e )

    OCHECK I F AMENDMENT TO REPORT DATEDC h e c k i f t h i s i s f i n a l ( t e r mi 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 mus 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 , )

    R c s e , , l F ot m

    TELEPHONE DAT SI GNED

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

    FORMDR- 2 DI SCLOSURE( R e v , 0 7 / 2 0 0 4 ) REPORTF o r O f t i o s Us On i vComm. aL 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 at 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 an d c r i m i n a lp e n a l t i e s .

    5 i 5~ s y - 2I / OS

    L o c a l C o mm i 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

    STATEMENT OF CASH ON HANDCASHON 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 e

    c o mmi t t e e . T h i s amoun t MUST b e t h e s ame a s t h e c a s h on h a n d a t t h e e n d 6 5 , 9 7 9 . 9 2o 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 mus t b e z er 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 THI S PERI ODSc h e d u l e A : Cas 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) . . . . . . . . 3 . 6 5 0 . 0 0Sc h e d u l e F : Loan 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 Campa i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . .

    ( Sc h e du l e H ap pl i e s t o Ca n di d a t e s ' Commi t t e e s On l y )SUB- TOTAL . . . . . $ 6 9 , 2 9 . 9 2

    SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc 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 Sc h e d u l e B ) ( " a l s o s e e d e b t s an d l o a n s b e l o w) . . . 6 , 1 2 5 , 0 0Sc h e d u l e F Loan Re pa y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) , . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    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 6 3 , 4 0 4 9 2b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S" UNPAI D B I L L S ( F r o m Sc h e du l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . $' I N KI ND CONTRI BUTI ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . $ 2 5 . 0 0" OUTSTANDI NG LOANS ( F r o m Sc h ed u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . , . . . . . . . . . . . . , . . . . $CANDI DATE COMMI TTEES ONLY :

    FI 171CONSULTANT BREAKDOWN ( S c h ed u l e G A t t a c h e d ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e du l e H - A t t a c h Sc h e d u l e H) S

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    J UL - 1 4 - 2 0 0 5 THU 04 : 1 1 PM WF F I NANCI AL- CONTROLL ERS F AX NO . 5 1 5 5 57 7 6 9 1 P . 04

    F o r I n s t r u c t i o n s , Se e B a c k o f F or mCONTRI BUTI ONS - - MONEY TAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( M u s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )We l l s Fa r g o F i n a n c i a l SL" r v i c c s , I n c . P o l i t i c a l Ac t i o n Commi t t e e

    Rese t F or m . j

    STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATIONNUMDCR AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 66B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c op i ed f r om r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

    SUB- TOTAL

    - Dl s d o s ur e l a w r e q u i r e s c a n d i d a t e c omml n e 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 t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmI t t e e . R e l a i l o n s n l p must 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 l n l i y ( b l o o d r e l e t " s ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e I s n o P a g ef a m l l l a l r e l a t i o n s h i p . e nt 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 mn .

    $ 3 , 6 5 0 , 0 0TOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) I S 3 , 6 5 0 , 0 0

    I 1o f( f o r Sc h e d ul eA)

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECE I PTSQCHECK T HI S BOX I F

    AMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

    I D# Da r r y l Mont gomer y$0 1 1 04 / 0 5 CK# 552 Ev c r g r c c n Dr i v e 6 50 . 0 0Ma n d e v i I I e , LA 7 0 4 4 8

    D# Be n A c i l t sO1 / l I I 0 5 C0 550 S o u t l i f o r l c Dr i v e 1 , 0 0 0 . 0 0Wauk cc , I A 5 0 2 6 3 - 9 5 5 9I D# J a y s o n Gr e e n0 3 1 3 0 1 0 5 CK# 5 8 6 4W. 1 4 5 t h St r e e t 3 00 . 0 0Ov e r l a n d P a r k . KS 6 6 2 2 3I D# J o n at h a n A h n e n0 4 / 0 4 1 0 5 CK# 1 4 8 9 5 Wo o d c r e s t Dr i v e 1 , 0 0 0 . 0 0

    C l i v c , I A 5 0 3 2 5I D# Ke n t o n Mu r p h y0 4 ! 2 7 1 0 5 CK# 1 2 0 1 W. Mu l b er r y L a n e 7 0 0 . 0 0H i g h l a n d s R a n c h , CO 8 0 1 2 9 - 6 2 6 5I D #CK#I D #C K#[ D o tCK#I D f kCK#I D#CK4

  • 8/7/2019 Wells Fargo Financial Services PAC__6106__scanned

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    J UL - 1 4 - 2 0 0 5 THU 0 4 : 1 1 PH WF F I NANCI AL - CONTROLL ERS FAX N O , 5 1 5 5 5 7 7 6 9 1 P , 0 5

    THI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a l p n p r o p er t y c a s t i n g $ 5 0 0 o r m o r e mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e F I ( R e f e r t o S c h o c i u l o H i n s t r u c t i o n s )E x p e n d i t u r e s t o p e r s o ns / e n t i t i e s p r o v i d i n g c 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 g s e r v i c e s m u s t a l s o b e d e r a i l i t e mi z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c h e d u l e G I n s t r u c t i o n s a n d I o wa Coda 6BA . 4 0 2 ( 3 ) ( i ) . )

    ( f o r S c h e d u l e B )

    T t e s e tF o t T r r ~FOR I NSTRUCTI ONS, SEE BACK OF FORM . SCt - I EDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 1 0 3 ) EXPENDI TURES

    STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DEOR L E GI S L AT I V ECANDI DATES, LI STTHE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD,COMMI TTEE NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )We l l s F a r g o F i n a n c i a l S e r v i c e s , I n c . P o l i t i c a l Ac t i o n Co mmi t t e e

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MMI DD/ YR) AND PACCHECKNUMBER

    I D# o r t h C a r o l i n a F i n a n c i a l S e r v i c e s C o n t r i b u t i o nO l / 2 1 / O S CK# A s s o c i a t i o n PAC, 5 Wc st H a r g c t t St . , $ 3 , 5 0 0 . 0 01 2 8 1 S t e . 5 0 7 , R a l e i g h , NC 276 01

    I D# k l a l i o ma I . L h i c s Commi s s i o n 2 00 5 An n u a l R e g i s t r a t i o n F e e0 1 / 2 7 / 0 5 CK# 3 00 N . L i n c ol n Bo u l e v a r d , Room 1 3 - 5 5 0 . 0 01 ~ 3 ~1 2 8 2 C i t y , OK 7 3 1 0 5- 4 8 1 2I D# t o r t e o f T e n n e s s e e - - R e g i s t r y o f 2 0 0 5 A n n u a l R e g i s t r a t i o n f e e

    0 1 1 27 / 0 5 - D e c t i o n F i n a n c e , 4 0 4 . l a me s Ro b e r t s o n 7 5 . 0 0CK# 1 2 8 3 k w y , S t c , 1 6 1 4 , N a s h v i l l e , TN 37243I D# T e n n e s s e e Consume r F i n a n c e P o l i t i c a l C o n t r i b u t i o n0 2 1 15 / 0 5 CK# 2 Camp a i g n Co mmi t t e e , P . O, Bo x 2 , 5 0 0 , 0 01 ` 8 4 4 8 8 , Ch a t t a n oo g a, TN 37401I D#CK#

    I D#CK#

    I D#CK#

    I D#CK#

    SUB- TOTAL $ 6 , 1 2 5 . 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $ 6 J 2 5 . 0 0

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    4/4

    J UL - 1 4 - 2 0 0 5 THU 0 4 ; 1 1 PH WF F I NANCI AL- CONTROLL ERS F AX N O , 5 1 5 5 5 7 7 6 9 1 P . 0 6

    FORI NSTRUCTI ONS, SEE BACK OF FORM

    COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )We l l s F a r g o r i n a n c i a l S e r v i c c s , I n c , P o l i t i c a l A c t i o n Co r n mi t t c c

    R e s e t , F or m

    SUB- TOTAL 1 5

    TOTAL ( I f l a s t Sp a g e o f t h i ss c h e du l o )

    SCHEDULEE I N- K I N D( Re v . 0 6 1 9 7 ) CONTRI BUTI ONS

    E ] CHECK THI S BOX I FAMENDI NG FORM

    2 5 . 0 0

    2 5 0 0

    - D i s c l o s u r e l a w r e q u i r e s = an d l d a t o 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 an y r e l a t i v e mak i 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 Page I o f Ic ommi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e gr e e o f c o ns a ng u i n i t y ( b l o o d r 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 s ( f o r Sc h e d u l e E )b y m a r r i a g e ) , ( Se e Pag e 2 o f f o r ms p a c k e t . ) I f s umame o f c o n t r i b u t o r i s t h e c ame 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 mn .

    DATERECEI VED( MMI DOt YR) NAME

    AND ADDRESSOF CONTRI BUT OR

    RELAT I ONSHI PTO CANDI DATE' ( i f e l i c a b l e )

    DESCRI PTI ONOF I N K I ND

    CONTRI BUTI ON

    ESTI MATEDF AI R MARKET

    VALUE

    J I F FORFUND - RAI SERCONTRI BUTI ON

    Va r i o u sWe l l s F a r g o F i n a n c i al , I n c .b 0 0 Wa l n u t S t r e e tDc s Mo i n e s , I A 5 0 30 9 - 3 6 3 6

    Ad mi n i s t , Cos tP os t a ge . 4 c Sa l a r y

    S 2 5 . 0 0 F7aF77 100F - 1E]F7Ej


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