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FOR I NSTRUCTI ONS, SEE BACKOF FORM

DI SCLOSURE SUMMARY PAGECOMMI 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 aPOLK CCLNTY DENCCRATI C CENTRAL COMNI TTI MPORTANT : I n d i c a U t y p e o f c o r n r r i f e e y o u a r e s p o r t i n g f o r( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y l L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) b a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o t r h t y / C k y C e n t r a l C o n w n f t e e( 8 ) , S u p p o r t S l a t e o f C a n d i d a t e si 4 ~ 5 1 5- 2 5 5- 7 6 96SI GNATURE OF TREASURER ( o l f p e r s o n f i l i n g t h i s r e p o r t ) TELEPHONE

Rou t i n e Pe n a l t i e s Du e Fo r L a t e F i l e d Re p o r t s R a n g e f r o m $ 20 t o $ 8 0 0SEE I NSTRUCT I ONS ON BACK AND COMPLETE THE FOLLOWI NG SENTENCE ;i AM F I L I N G A

( r e p o r t d a t e )( CHECK I F AMENDMENT TOREPORT DATED 1 0 / 1 4 / 0 6p Che 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 Fo r mDR- 3 .( Y o u mu 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 f i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HAND

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 m r r d 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 Po l k

CASH ON HANDa 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 h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mm i t t e e . T h i s a m o u n t MUST b e t h es ame a s t h e c a s h o n h a n d a t t h e e n d o 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 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 fm. ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 4 8 10 , 9 8

REPORT FOR ANI A ( 1 ) ELECTI ON 1( 2) NON- ELECTI ON YEARI n d i c a t e o n e

ADDTOTAL MONEY TAKEN I N T HI S PERI ODS c 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 S c h e d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 6 8 . 0 CS 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Campa 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 ) . . . . . . . . . . . . . . . . . . . . . .

( S c h e d u l e H a t o ne s t o C a n d i d a t e s ' Commi t t e e s On l y )SUBTRACT TOTAL MONEY SPENT THI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c 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 S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SUB- TOTAL . . . . . $ 5 6 0 7 8 . 98

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 tb e z e r o ) ( A t t a c h D R - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3 4 42 0 - 5 4UNPAI D BI 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI 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 TT EES ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e G At t a c h e dVALUE OF CAMPAI 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 ) $

J a n u a r y 5 , 20C7DATE SI GNED

2 1 6 5 8 . 44

YES - NO

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Fo r I n s t r u c t i o n s , See Back o f Fo r t h

CONTRI BUTI ONS - MONEYTAKENI 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 TTEE NAME ( Mu s t b e s ame a s o n St a t emen t o f Or g an i z a t i o n)Po l k Co u n t y Demo c r a t i c Ce n t r a l C o r r r r , i t t e e

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMASTATE PAC( PO L I T I C AL ACT I ON COMMI TTEE) , UST THE PACI DENT I F I CATI O NNUMBERAND THEPACCHECKNUMBER I N THEDESI GNATED COLUMN. A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.

CAUTI ON: Se c t i o n 68 B . 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 m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e me nt 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 an y c o mmer c i a l p u r p o s e b y an y p er 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 es .

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 c o mmi t t 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 mm i t t e e . R e l a t i o n s h i p mu s t b e s h ow 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 b yma r r i a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) . I f s u r n a me o f co nb Wor 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 Page 1 6 o f 2 3f a m i l i a l r e l a t i o n s h i p , e nt e r " n o t a pp l i c ab l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h ed u l e A)

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS

g ] CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT 4 I F FRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE ' RECEI VED FUN( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RA I SNUMBER I NCO

7 / 2 8 / 0 6 I D# Ma r g a r e t Bo r g enCK# 9 5 7 0 2 5 04 Fo r e s t Dr . 2 50 . OC XDes Mo i n e s , I A 5 0 3 1 2I D#7 / 2 8 / 0 6 Mo n i c a F i s c h e rco 5 1 3 4 1407 4 1 s t St . 25 C . 00 XDes Mo i n e s I A 5 0 3 1 1

7 / 2 8 / 0 6 I D# Ca t h e r i n e Di e t z - K i l e nCK# 8088 64 5 Fo l k Bl v d . 2 5 0- OC XDes Mo i n e s , I A 5 0 3 1 2

7 / 2 8 / 0 6 I D# E u c k e t p a s h - c a s h 4 4 7 - 0C XCK#

7 / 2 8 / 0 6 I D# A n i t a J e s s e nCK# 1 2 0 9 3 2 7 5 0 Fo r e s t Er . 10C . 00 XDes Mo i n e s , I A 5 0 3 1 2I D#7 / 2 8 / 0 6 Me l i s s a Wa t s o nCK# 3 5 5 4 4 3 1 2 K i n g ma n El v d . 10C . 0C XDes Mo i n e s I A 0~ 1

7 / 2 8 / 0 6 I D # Sal l y Pe d e r s o nCK# 9 105 5 007 Wo c d l a n d A v e . 10C . OC XDes Mo i n e s , I A 5 0 3 1 2

7 / 2 8 / 0 6 I D# Ph y l l i s H a n s o n23 56 2 5 2 5 Ma d i s o n A v e . 25 . OC XCK# Des Mo i n e s , I A 5 0 3 1 07 / 2 8 / 0 6 I D# c ha r r i e Mc K i n n e y

CK# 4 730 6 51 5 Me r l e Ha y Rd . 35 . 0C XDes Mo i n e s , I A 5 0 1 3 17 / 2 8 / 0 6 I D# Twi l a Gl e n n4373 4 2 5 0 hW 11 t h CT . 10C . OC XCK# Des Mo i n e s , I A 5 0 3 1 3

SUB- TOTAL

TOTAL ( i f l a s t page o f t h i ss c h e du l e ) $

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Fo g i n s t r u c t i o n s , Se e Ba c k o f Fo r mCONT RI B UT I 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 T T EE NAME ( Mu s t b e same a s on St a t emen t o f O r g a n i z a t i o n )

Po l k Co un t y Democ r a t i c Ce n t r a l Commi t t e e

( r e l a t i v e s b y ma r r i a g e ) . I f s u r n ame o f c o n t r i b u t o r I s t h e s ame a s c a n d i d a t e ,b u t t h e r e i s n o f 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 pc o l umn .

SCHEDUL E MONET ARYA R ECEI P T S( Re v . 0 7 / 0 3 )

CHECK T HI S SOX I FAMENDI NG FORM

STA TE C AN DI DATE S NOTE : I F A C ON T RI B UT I ON I S RECEI VED FROMA STA TE PAC ( P OL I T I CA L A CT I ON COMMI TTEE) , L I ST T HE P ACI D ENT I F I CA TI ON NUMBER AN D T HE PAC CHECK NUMBER I N T HE DESI GNATED COL UMN . A L I ST OF I D NUMBER S I S AVA I L A B LE FROT HE I OWA ETHI CS AND CAMPAI GN DI SCLOSURE BOARD.CAUT I ON : S e c t i o n 6 8 B . 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 m a t i o n d i e d f r o m r e p o r t s a n 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 ra n y commer c i a l p u r p o s e b y n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

P a ge ZQ o f 2 a( f o r Sc h e d ul e A )

DATE PAC I D NUMB ER NAME AND A DDRESS OF CONT RI BUT OR REL A T I ONSHI P AMOUNT - 4 I FRECEI VED ( i f a p p l i c a b l e ) T O CAND I DATE" RECEI VED FU( MWDD/ YY) A ND P AC CHECK ( I f a p p l i c a b l e ) R A INUMBER I NC

I D# Co n k i n g Se r v i c e s0 9 1 2 6 1 0 6 PO Bo x 3 0 8 5 1 0 0 . 0 0

ECK# 1 6 6 2 A l t o o n a , L A 5 0 0 0 9I D# 1 3 0 4 Ne i g h b or s f o r Ha t c h0 9 / 2 6 1 0 6 1 6 2 3 Woo d l a n d $ 1 , 0 0 0 . 0 0 ECK# 6 3 7 De s Mo i n es , I A 5 0 3 0 9I D# 5 1 1 4 Commi t t e e t o E l e c t Mi c h a e l Maur o0 9 1 26 ! 0 6 4 3 2 5 SW3 1 s t St $ 20 0 . 0 0CK# 8 0 3 De s Mo i n es , I A 5 0 32 1I D# 1 7 3 4 3 Sa r c o n e f a r Co u n t y A t t o r n e y0 9 / 2 PO Bo x 2 1 1 17 $ 20 0 . 0 0CK# 1 4 1 0 De s Mo i n e s , L A 5 0 3 2 1I D# 6 0 1 9 CWA L o c a l # 7 1 0 20 9 / 2 6 1 0 6 3 6 1 2 SW9 t h St $ 20 0 . 0 0CK# 6 0 9 De s Mo i n es , I A 5 0 3 1 5I D# 6 1 3 3 So ut h C e n t r a l I o wa F e d e r a t i o n o f L abo r0 9 / 2 6 / 0 6 3 0 0 E . L o c u s t S u i t e 1 20 - $ 20 0 . 0 0 ECK# 9 9 3 De s Mo i n e s , I A 5 0 3 0 9I D# V i n c e n t Van de r a l - c a s h0 9 / 2 6 1 0 6 1 0 2 0 NE 7 0 t h Av e . $ 20 . 0 0 XCK# An k en y , [ A 5 0 0 2 31 D# F r a n c i s Boggus - c a s h0 9 1 26 / 0 6 3 0 0 9 4 5 t h St 4 0 . 0 nCK# De s Mo i n es , I A 5 0 3 1 0I D#0 9 / 2 6 1 0 6 . .CK#I D# S h i r l e y P r a l l - c a s h

0 9 / 2 6 / 0 6 3 1 3 0 Ki n s e y Av e . $ 20 . 0 0 XCK# De s Mo i n e s , I A 5 0 3 1 7' D i s c l o s u r e l aw r e q u i r e s c a n d i d a t e c ommi t t 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 fa 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 e c ommi t t e e . R e l a t i o n s h i p mu st b e $ 1 , 9 8 0 . 0 0s h o w n t o t h e t h i r d d e c r e e o f c o n s a n o u l n i t y ( b l o o d r e l a t t v e e l a n d a f f i n i t y

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F o r I n s t r u c t i o n s , Sa o B a c k o f F o r t hCONTRI 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 al h an ds )COMMI TTEE NAME ( Mu s t b e c a r n e a s o n S t a t a r n a n t o f Or g a n h a d o n )POLK COUNTY DEPCCRATI C CENTRAL COMNI TT' EE

SCHEDULEMONETARY

( Re v . 06N7) RECEI PTS

QCHECK THI S BOX IAMENDI NG F ORM

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POLI TI CAL ACTI ON COMMI TTEE) . L I S T THE PAC I DENTI F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A UST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CSAND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : Se c t i o n 6 8B. 3 2 A( 6 ) , I o wa Code, p r o h i b i t s t h e us e o f i n f o r ma t i o n c 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 r s o l i c i t i n g c o n t r i b ut i o ns of o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an 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 .

Di s c l o s u r e l a w r e g wr e s c an d i d at e c o mmi t t 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 Ui b u t t o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mu s t b e shown 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 l i r w t y ( r e l a t i v e s b yma 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 umame o f e o nt d b ut o r i s t h e s ame a s c a nd i d a t e , b u t t h e r e i s n o p a g e 2 3 o ff 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 pp l i c ab l e ' i n t h e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT - 4RECEI VED ( i f a pp l i c a bl e ) TO CANDI DATE' RECEI VED F( MM/ DDNR) ANDPACCHECK ( i f a pp l i c a bl e ) RANUMBER I N

1 0 / 1 2 / 0 I D # Mi c h e l e Wi l s o n $CK# 4 2 8 7 1 1 7 2 c . 5 2 n d S t . 2 0 . OC XDe s Mo i n e s , I A 5 0 2 6 5I D # 1 5 6 01 0/ 1 2 / 0 6 Co mp . t o El e c t Ri c k Ol s o n 5 0C . OC XCK# 1 2 5 3 3 0 1 1 Do n L e e Ct .

De s l Vo i n e s , I A 5 0 3 1 71 0 / 1 2 / 0 6 I D# 6 1 3 9 Un i t e d S t e e l wc r k e r s L . o c a 13 1 0CK# 2 2 7 0 12 5 NW Er o a d wa y 10C . OC XDe s Mo i n e s , I A 5 0 3 1 3I D #CK#I D #CK#I D SCK# -I D SCK#I D SCK#I D #CK#I D SCK#

SUB- TOTAL $ 6 2 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 ) a