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    FORI NSTRUCTI ONS, SEEBACK OF FORMDI SCLOSURE SUMMARY PAGE

    COMMI TTEENAME ( Mu s t b e same a s o n St a t e me n t o f Or g an i z a t i o n)I o wa n s f o r Bo b Dop fI MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r : VJ( 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 Co mmi t t e e ( 5 ) Co u n

    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 r

    ' ~ A ( . ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r Ot h e r P o l i t i c a lS u b d i v i s i o n PA

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    ~r suant t o I o wa Co d e s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r an y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i v i d u a f t p o n s i b l e f o r f i l i n g t i me l y a n d a c c u r a t e r e p o r t s .

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    FOR I NSTRUCTI ONS, SEEBACK OF FORM Re* Fo r m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 1 0 3 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T H I 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 TT EE 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 )I o w a n s f o r Bo b Dop f

    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MMI DDYR) AND PACCHECKNUMBERI D# P o l l s C o u n t y R e p u b l i c a n s L i s t r e n t a l0 9 ' 0 3 / 0 6 CK# $ 5 0 . 0 0

    I D# C o mp e t i t i v e E d g e C a mp a i g n P o s t e r s0 9 / 0 3 / 0 6 CK# 3 5 0 0 - 1 0 9 t h S t 3 0 0 . 0 0De s Mo i n e s , I A 5 0 3 2 2I D#CK#1 D #CK#

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    FORI NSTRUCTI ONS, SEEBACKOF FORM

    COMMI TTEENAME ( Mu s t b e same 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 )I o wa n s f o r Bo b Dop fNOTE : De b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n p a i d mu s t b e i n c l u d e d o n t h i s

    S c h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d

    DEBTS / OBL I GAT I ONS REMA I NI NG THI S REPORTI NG PERI OD( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F )

    SCHEDULED I NCURRED( R e v . 0 8 1 9 8 ) 1 I NDEBTEDNESSCHECK THI S BOXI F AMENDI NGFORM

    An " i n c u r r e d d e b t " i s a d e b t f o rg o o d s o r s e r v i c e s o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f wh e t h e r a n i n v o i c eh a s b e e n r e c e i v e dDATEI NCURRED( MM1DD/ YR) NAME ANDADDRESS OF PERSONTOWHOMDEBT OROBL I GAT I ON I S OWEDDESCRI PT I ON OFGOODS ORSERVI CES PROVI DED OR

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    FOR I NSTRUCTI ONS, SEEBACK OF FORMCOMMI TTEE NAME( Mus t b e same 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 )I o wa n s f o r Bob Dop f

    NOTE T h i s s c h e d u l e r e p o r t s money l o a n e d t o t h e c o mm i t t e e w h i c h i s d e p o s i t e d i n t h e c o mmi t t e e a c c o u n tTOTAL UNPAI D LOANS FROMLAST REPORTI NG PERI OD $ 8 + 0 0 0 . 0 0

    PART I - MONETARY LOANS RECEI VED T HI S REPORTI NG PERI OD( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b a n k , mus t b e s h o wn i f a t h i r d p a r t y i si n v o l v e d I n c l u d e l o a n s f r o m c a n d i d a t e ' s p e r s o n a l f u n d s . )

    TOTAL ( PART 1 )

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    * 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 m mi 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 ema k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e R e l a t i o n s h i p mu s t b e s hown t o t h e t h i r d d e g r e e o fc 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 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 st 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 er e l a t i o n s h i p c o l u mn wh e n i t a p p l i e s

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    AMENDI NG FORM

    DATE PAI D( MM/ DD/ YR) NAMEAND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e ) RELATI ONSHI PTO CANDI DATE*I f A I i c a b l e

    AMOUNTREPAI D$

    DATERECEI VEDMMI DD/ YRNAME ANDADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e ) RELATI ONSHI PTO CANDI DATEI f A p p l i c a b l e * )

    AMOUNTOF LOAN