11/08/2604 00 :12 3195241001 Et'KLAhD mOT0PS PA(3E 61

FORINSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 0712003) REPORT
C011WTTEE NAME (MW be Same as on SYedaMON dOVen&atim)
Far 01111111111111 use Onillf
Fellows for State Rcprescntesive Comm
Logged In
WPORTASR: Indlcsls type d coaanittss you sn ro"Ikre fen
.
Scanned
( t )9lwterd0artsglalatiwl CandIdals (2)SISIeahds PAC (3 )SLrb Party ( " )Cainty&oad GrMldVW Canpuier
( 6 )Cou^I PAC t e~.ra L.u.rFrancNrs Commtise (y )Col+reyAUlr C.na.l cemmstss
Audhtod
CANDIDATE CO~ITTEES ONLY:
Candidate Name Poll" Party
Brent Fellow s R blican

Office sought District (it Senate or House)

Town House of Representatives 92

'I.1 rame i ~nion filing this Is"t)

~-31 95ad-1r'11l2
TELEPHONE
)1-(-Q-64
DATE SIGNED

Late filed sports era subject to poeslblo doll and criminal penaftJes .
SEE INSTRUCTIONS ON SACK AN COMPLETE THE FOLlOWING SENTENCE :
Oetobtr 26th' 2000 REPORT FOR ANIA 1 ELECTION 1(2)NOM-ELECT10N YEAR.
I AM FILING A
(repart ditto)
Intricate one El
CHECK IF AMENDMENT TO REPORT DATED November 2nd, 2004 Local Cornmlness . enterDate of Election
November 2nd, 2004
[~ Check it this is final (termination) report and attach Notice of Daaolulion Farm DR-3 . Ccsshty 3 Local Comnrrosos . snwCowry to

(You must continue b file reports until a Notice of Dissohlbon is Illed.) whldl Eladihn is held

ar r.mmm"

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total of all monlos held
by the committee. This amount MUST be the same ®s the cash on hand et His end 1145 .71
of the feat reporting Period, or must be zero it INS is first r filed .
ADD TOTAL MONEY TAKEN IN THIS PERIOD
8736 .00
Schedule A: Cash Contributions total (Attach Schedule A) ("also see in4und below)
1600 .00
Schedule F: Loans Received total (Attach Schedule F) . . . . .. . .. . . . . . . . . . . . . . ... . . . . . . ... . . . . . . ...... . . . ... . . .
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . . .... . . . . . . .. . . . . . . . .. . . . . . . . .. . .
1fhsdula H aogllas b CandideIM' CQMWrss SkIt3d
SUB-TOTAL .._-S 11481 .71

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

7385 .53
Schedule B: Expenditures total (Attach Schedule 8) (-also See debts and bans below) .. . .
Schedule F: Loan Repayrnanb total (Attach Schedule F) . ... .. . . . . . .... . . . . . . .... . . . . . ... . . . . . .... . . . . . . . . . . __
CASH ON HAND at the and of this renorLng period (if final sport balance must 4096 .18
be zero) (Attach DR-3) . .. ._ . . . ... . . . . . . .... . . . . . . .... . . . . ...... . . . . . . . . . . . . . ..... . . . . . .. . . . . . . . .... . . . .... .. . . . . .... . . . . . . ... . .5

"UNPAID BILLS (From Schedule D - Attach Schedule D) ... . . . . ... .. . . ... ... . . .~,y
..~..,. . . . .~ . . . . ...( . . . . . . . . . ..5
0500.00_
MN KlNO CONTRIBUTIONS (From Schedule E-Attach Schedule E) . .~3.1:~ :~. ...U. .t .d~~..!.`Sl. . .., . . .5
4992 .78
-OUTSTANDING LOINS (From Schedule F - Attach Schedule F) .... . . . . . . .... . . . . . .. . . . . . . . . . . . . . . ... .. . . . . . . ... . .5
W9MATF COMMITTEES ONLY:
r]
CONSULTANT BREAKDOWN (Schedule G Attached?) -YES L--~ No
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Sc halk" H) S

DhrJwun Low requires candldnle commlnsm mdincbsa the rabeeneigp dany retaevo makiy a coarbxslon to t
~mllos. &Jabond6p mill let ~ar1 UN RAW Ell LUaleIlNIMY (dual limurslrl alai seidil (lIlaflyto by I
. If sumarns of mdributer is se tare ere mndidato . but there is no
marriage) Papa of ^,
familial retsttonsNp, wdw 'not sppcabld in 1M rerledoneMp cokAnn . (far Schedule A)
 3195241001 ECKLAh=1D PICTOPS PAGE 03
1113812304 00 :12

For Inefo'trctlOna/ -~~~

SCHEDULE

CONTRIBUTIONS - MONEY TAIMN IN A MONETARY

(Row . e7.W) RECEIPT3
(InckdkV rbndldrla's personal Funds)
CHECK TWIS BOX IF
COIIWITTEE NAME (Must be same as on Sfaternerrt of Organas6on) AMENDING FORM
Fellows for State Representative

STATE CANDIDATES NOTE: WA CCNMWTION IS RECER+FD FROM A STATE PAC (P(LMCAL ACTION COkWITTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC C1fOI NUMSM e+ THE DE9I(:MATED OOLULOL A U6T OF 10 NILAMERS 18 AVAILAIKE FROM THE IOWA ETHICH AND CAMPAIGN
D19MOQil1AIP BOARD.

CAUTION : Section 6W.32A(8). IoYaa Code. proNbils the Los of irrbrnwtion oopled from report and wwnnents for soldunp aonWbudona or
for any oommarcial purpose by any parson other Ulan statutory potfal cornmelsus .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if appaoablu) TO CANDIDATE' RECEIVED FUND-
(MMIDD1YR) AND PAC CHECK (If applkabls) RAISER
NUMBER INCOME
IBM
Republican Party of lows
10/20/2004 Des Momes, Iowa $7500.00
CK# direct deposit

Ip#
Galen and Jams Eckland
10123/2004 #3 Carriage Grams family 100 .00
CK#
2410 Keokuk. Iowa 52632
IN
John and Carla Dwlap
10/26/04 50.00
CK# 3675 Iowa Road
6674 Keok Iowa 52632
ID1t

LLJ
Flint & Judith Peyton
10/2&2004 50-00
CK# 3307 Middle Road
4974 Keok Iowa 52632
IDM
Dogma Coffteld
50 .00
l0 /26/2004 CK# 1031 Grand Ave
2876 Kookuk, lows 52632
IDM
beve~
25 .00
l0/2t(2004 CK# 3799 3490 ATgyk Road
Keokuk. Iowa 52632
IDII
Larye J . $shavers
50 .00
10/2612004 CKII 58 Bel Air
1574 Kookuk . Iowa 52632
IBM
San and Ruth Carrell
50 .00
10/2612004 CKO 3024 1702 Plantation Drive
Itichmood Texas 77469
IDM
Catty Richardson 100.00
1((26/2004 CKS IIOtemhrierCt
2236 Keok Iowa 52632
IDM
I.wry and Betty Fellows
family 100 .00
10/2612004 CK# 2210 Grand Ave
smash Keokuk, Iowa 52632
SUB-TOTAL

TOTAL (K laaf Papa of Min A~ule)

' Dhriow" taw requires eandkWW oomnimase b dbdona the raWdondUp of any relative mekkg a contrbution b tlrw
COMR*Me. Ralsllons* rrnurt be hdrOwn b f thkd degree d omraarprdnay (wood roWtivm) and aghty (TWO-s by 1 2
ewrkge) . tf Mrmrtb of oontrtbutor Is ms same as candldaW . but two Is no PaW of -
(Yon Schedule A)
farrdYsl relatiosip, enter "not appicabW In Uw relationship colunn.
11/08/2004 0 0 :12 3195241001 ECKLAND P10TOR5 PAGE 04

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN

(IneludkV cardidalo's pereonalkinds)

COMMITTEE NAME (Must be same as on SfafemaM Of fanlzaWn)

Fellows for Reprcsentative

IDENTIFICATION
STATE CMIDIDATES NOTE: IF ACONTRIBUTION 18 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC CAMPA)GN
NUMBER ANDTHE PAC CrECK NUMBER 1N THE DE81GNATm COLUMN. A UST OF ID NUMB IS AVAILABLE FROM THE IOWA ETHICS ARID
DISCLOSURE BOARD,

or
CAUTION- Section 686.32A(6), lows Code, pratiN(s the use of hfama6on oopled from repom and statemenhl for soNcOng conitAbubona
for any oommsrdal purpose by any penwn ober than statutory polhlcal commthmm.

NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR

DATE PAC 10 NUMBER
RECEIVED (if appimbla) TO CANDIDATE' RECEIVED FUND-
(MMIDDYR) AND PAC CHECK (if appllcabb) RAISER
NUMBER INCOME

ID#
Clyde Mitcbell s100 .00
101262004 CK# 6275 3753 Main Stroet
Kcokuk . Iowa 52632

EE
ID#
Stacy and Sclissa Weber 25 .00
10126/2004 CK# 27 Cedar
5800 Mcotrose, Iowa 52639 ...
ID#
David and Fraoccs Spruoger
_ 25 .00
10/202004 CK# 2038 Park Lane
7196 Keok Iowa 52632
ID#
Mike Hickcy 40.00
1026(2004 CK# 1121 Grand Ave
ct~h Kcokuk. Iowa 52632
IDS
Wick Bryant
100.00
10/262004 CK# 629 Main Street
cash Kcokuk. Iowa 52632

El
I D#
Jerry Cramer
50.00
10126/2004 CK# casb 2153 River Road
KeA*u)c, Iowa 52632

10/2E>r2004
109

CK#
cash
Unitimizsd
121 .00
E]
-3a-me--,
EZ
ID# maehwl
io/ac~ l oq CK# 0 6N, I 11400110 ny
"
~=7~'a ~
C-t
~ `JaCo ?
M0
ID#

CK#

ID#

C"
r r
SUB-TOTAL .

TOTAL (Hiss( page of this scheduh)

Disciasure law requires candldeft commfllees to disdom Uis re4lltonship of my rswUm rnsking a oonbibudon to f
commMes. Reielionship must be shown to die IhWd degree of aonsenquinity (blood mtedv-) and affniW (rsWives by 2 2
Page of -
martisgo) . ff surname of oontrlburor io the same as candidate, but /hers is no
(for Sd'eduls A)
famiiiel rslatbnshlp, enter'not applicable' In tlw relationship aoklmn .
11/08/2004 0 0 :1'2 3195241001 ECKLAND ~10TI3R5
PAGE 05

FOR INSTRUCTIONS, SEE BACK OF FORM ® SCHEDULE

IIAONET TU
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev .07)03) EXPENDITURES

STATE PAC COAALIrTTEES- NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEOISLATnrE

CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE HECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPEND1TURE . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOAJW.

C011"IITTEE NAME (Must be some as on Statement of Organization)

FcIIowz for State Reprcaemalive

CANDIDATE NAME ANDADDRESSTO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED of apalcacls) (D4tnv*W1xVt) WAS MADE
(MM1DpIYR) AND PAC
CHECK
NUMBER
ID#
QKQ radio ads
10/15/2004 2850 Mt . Pleasant St 892.50
CK# 1013
Darlington. Iowa 52601
ID#
Gear Cbarmcl Radio radio ads - .
10/20/2004 Buritngtota, Iowa 52601 300.00
CK#1014

DO
Daily Gate City ads
10/20/2004 1016 Main Street c 885.55
CK#1015 Keokuk, Iowa 52632 - ` °
ID#
1'ritchard Broadcasting KQ92 radio ads
10125/2004 Burlington, Iowa 52601 2362 .60
CK#1016

ID# Daily Gate City ads

10/25/2004 1016 Main Stud 865.30
CKit 1017
Keokuk. Iowa 52632
ID#
KBKB radio ads
10/26/2004 1411 Nortb Roosevelt Ave 862.30
CK#lplg
BurlingtoD, lows 52601
ID#
KOKX radio ads
10126/2004 108 Washington Stmt 917.28
CK# 1020 Keokuk, Iowa 52632

ID#
Caimr
'ba~, F~~11 ranf~l c~wm
1~80J0~ CK# &2h bac.aa~r
.~J

- SUB-TOTAL $
r73 ?
TOTAL (Illast ppe of 01s sofedule) $
7,385,53

THIS Box APPUER TO CANDIDATES' COIINITTEES ONLY .

Purchases of curtain campaign property costing $600 or mole must also be avenblied on Schedule H. (Refer io Schedule H inueiatlona)

Ehcpendlturss to personWontities providing conapjWng, advertising, fund-raising . polling, mansglng, orgsntzlrlg arrrvtwu must also be detail Nwntted on
Schedule G by the amount, purpose. and doto of each type dexpenditure made by tAe pweordsndty on behalf of the candldatex eontrnittee . ROW to
9choduba G Instrucdons and loves Codes MAA02(3)(I) .) -

(for Schedule B)
11/09/2004 00 :12 3195241901 ECKLAPID t,-10TOP5 PAGE 06

FOR INSTRUCTK)trcs, SEEBACK OiF FORM SCHEDULE

E IN VIND
COIIMTITEL- NAME (Must be same as on SFemnfsm d Oupwtirabon) (Rev. OBWB COIYTRI9tJTIONB
Fellows for State Representative

CHECK THIS BOX IF

AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
R OF CONTRIBUTOR ' a icAble CONTRIBUTION VALUE CONTRIBUTION

' Rcpublican Party of Iowa

printing 2.250.00
I0113!2004 621 East 9th St
Des Moines, Iowa 50309

Republican Party of Iowa postaw 2.250 .00

1011312 621 East 9th St
Drs Moms, Iowa 50309
Fv

Par
0"
-.:r0c-xD
I
1 4CLpul~
~ I, cart C
I RO
..lams, 7:514
0309

~~ b~ ec~,~ Pa . o~ ~oc.xt~
I
aa5o `~ F L-71

E:J

E]

TOTAL (If Art I S

Pave -0 664- 1 -/,,^ bLd

achadi")
.6

I)tsciostre taw reWvm candidates to disclose the refeliorshp of any raft&.* mWng an In kind conrtbAAlon to ft Pays I a 1
aommItfie. Rabtlonstip rmat be s1am to Itv third dogrus of consangainky (blood retsmees) am aHkvty (relattt.ee (tar ScArrdrfs E)
by manfage). (See Page 2 of tams peolmt.) ff surname of conbibutor is the same as candidate, but rtterw Is no
familial mlxflonship, eraw'not appOcable' in aw nAotiordtip cokam.
FORM TRUCTONS, SEE BA CX OF FORV
SCHEDULE

COMMITTEE LNYE(M* be earns as on Stekanxnt d Cr9wdmWn) F LOAM

.OTlt)3)
Rev RSCEVE0
Fellows for SUbe R vt l R!!AD

NOTI . Ttits adreduts rsMls money Loaned b rie ownn%ftise *Nd ie In ; asRed in Vm commxbe aa0ount . CHECK THIS BOX IF
AMENDING FORM
92,78
TOTAL UNPAID L.OAk8 FROM LM RSPORTV$O PERIOD $ 33

PART t - MONETARY LOAN$ R ECIPAW IM REPORTINO PERIOD PART I - YDWTARY LOAN REPAYLENTE MADE I= REPORTING PERIOD
(DZWnet sowm of ken, sudr se a beak, rtruet be show X a Ehvd party !r (L,&, lbrgivan muaf be reported on SdwdiA E - tnarkw OonhtrrEkni)
1nwhvd kvkAda kmrss km wxGdats s prwwnar kmda)
DATE NAME AND ADDRESS OF LENDER RELATIONSW AMOUNT DATE PAID NAME AND ADORESS OF LENDER RELATXX49HP AMOUNT
RECEIVED (Include Endorssta Name, tf AWkabie) TO CANOMTE OF LOAN (MMMD1YR) (Include Endorser's Nine, If Appfkmbk) TO CANDIDATE' REPAID
ArJJ1'R (If Appilcable)
S S
Brent Fellows
2300 Gmd Ave
Ifar16l2004 Ke"Iowa 52632 Candidate 1600 .00

TOTAL (PART t) $ 1600 .0 TOTAL CASH REPAYMENTS (PART d)

From Schedule E - TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOO 499278

'Dfsdowre law regWm canddAe cww#fes to diadose the raWionship of any rs4aM
mekrng a to the aarttnit'xs . Reiatiaiahp must be shown b the Cwd degree oS
conserVAifty (blood retativm) end atiky (reletfvvs by menlags) . !i surname of aonbrlbAnr fs
the same se wdidats, but there is no tam reMionship, anti -not spplirabie- in ttie I-
reiatbnsttlp column when k epp4w . pKe I at
(for Sdeduie F)
10/28/2004 23 :41 3195241001 ECKLAND MOTORS PAGE 01

FOR INSTRUCTIONS, SEE a4CK OF FORM FORM

DR-2
I
DISCLOSURE SUMMARY PAGE DISCLOSURE
(Rev . 0712003) REPORT

Late flied roporttt are subject to possible civil and criminal psnakla.
SEE INSTRUTION$ ON BACK AND COMPLUE THE FQLLOIMNG SENTEINC '
I AM FILING A October 26th. 2004 REPORT FOR AMA (1) ELECTION I(2)NOWELECTION YEAR .
(mW dsr) Indk=M one
[CHECK IF AMENDMENT TO REPORT DATED Lori! Commitbas, enter Deb of Elecdon
November 2nd, 2004

[7 Check If this is final (termination) report and attach Notice of Dissolution Form DR,3. County 3 Local Carwnittsss, ants County In
(You must continue 1D Tale reports until a Notkae of Dissolution is filed .) Which Ekwtlon Is how
Lee

STATEMENT OF CASH Q" HAND

CASH ON HIND at the beginning of the reporting petiod. (This Is the total of all monles held
by the committee . This amount MUST be the same n ft cash an hand at the end
1145.71
of the last reporting period . or must be zero if this is first report flied .) . . . .. . . . . . . . . . .. . . . . . . .. . . . ... . . .1<

App TOTAL MONEY TAKEN IN THIS PERVO,

Schedule A: Cash Contributions total (Attach t3chedufe A) (*also see In-kind below) .. . . . .. . . . 8536.00
Schedule F : Loans Rsoelvsd total (Attach Schedule F) .. . . ... ... . . .. . . . . . . . . . . .. .. . . . .. . . . . . . . . . .. . .. .. . . . . .. 1 .000
Schedule H, Total Sales of Campaign Property (Attach Schedule H) .. . . . .. . . . . . . . . . . . . . . . . . .. . . . .. . ..
(Schedule H "lea ft Candldshs' Conwnlltsas ONO
:
.
sue-TOTAL 11281_71

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule B) ("also see debts and bans below) . . . . 7085 .53

Schedule F : Loan Repayments halal (Attach Schedule F) . . .. ... . . . .. .. . . . . . . . . . . . . .. . . . ... . . . .. . . . .. . . . . .

CASH ON HAND at the end of tttis reporting period (If final report balance must 4196.18
be zero) (Attach DR-3) . . . . . .. . .. .. . .. .. . . . . .. . . . .. . . . .. . . . . . . ... .. . .... . .. . .. . . . .. . .. . . . . . . .. . .. .. . .. . . . . . . . .. .. .. . .. ... . .. .. . .. . . $

"UNPAID BILLS (From Schedule D - Attach Schedule D) . .. . ... . . . . . .. . . . . . . . .. . . . . . . . .__ . . . . .. . . . . . . ... .. . . . .. . . . . . . . . . . ; --_
'IN KIND COWRIBUTIOW (From Schedule E - Attach Scheduts E) $ 4500.00
$ 4992 .78
--OUTSTANDING LOANS (From Schedule F - Attach Schedule F
COMMITTEES ONL
CONSULTANT BREAKDOWN (Schedule G Attached?) NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
10/28/2004 23 :41 3195241001 ECKLAND MOTORS PAGE 02

For Instructions, Sae Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rov.07M3) RECEIPTS
(Inckrf concildob's Personal funds)

COMMITTEE NAME (Must bo same as on Staternew of Ayenizetbn)

Q AMENDING
CHECK THIS BOX IF
FORM
Fellows for Stan Reprosentativa

STATE CANMDATRS NOTE

: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION CCMMPREE), LIST THE PAC IDEIiTIRCATm
NUIuBER AND THE PAC CHECK NUMBQt IN THE OESKINATED COLUMN. A LIST OF ID IS AVAILABLE FROM THE IOWA ETHICS ANDCAMPAION
DISCLOSURE BOARD-

CAUTION: Section W9.32A(6). lows ()ode, prohibits the use d Infoenatbn oopled from reports and ststernenfs for solldMtp con41bu11ons or
forany pornmertWI purpose by any person otherthan statutory polideM ocmmitwee.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if ApW0m) TO CANDIDATE' RECEIVED FUND-
PAM/DDfYR) AND PAC CHECK (M ap01cable) RAISER
NUMBER INCOME
ID#
Republican Party of Iowa
l(V20/2004 Ass bloioos, Iowa $7500.00
CK# direct t

ID#

Efl
Galen and Janis Eckland
1023/2004 fancily 100.00
CK# #3 Carriage Onmns
241 o
Iowa 52632
In*
John and Catis Dunlap
50 .00
10/Z6J04 CK0 3675 Iowa Road
6674 Iowa 52632
ID#
Flint A Judith Payton
1Q>16(2004 50.00
CK# 3307 Middle Road
4974
Keok Iowa 52632
IDt

a
Donna Coffeld
lOI26(2004 50.00
CK# 1031 Grand Ave
2876 Keokuk,lawa 52632
IDAI
Joyce 3cbevers
25 .00
10/26(2004 CK# 3490 Argyle Road
3799 Keokuk, Iowa 52632
ID#

10/2612004 ID # 1574 58 et A
sc~~ 50 .00
Iowa 52632
10#
San and Ruth Carroll
50 .00
10126(2004 CK# 3024 1702 Plantaticm Drive
Rid, Texas 77469
IDO
Cathy Richerdson 100.00
10/26(2004 CK# 11 Greenbrier Ct
2236 Kq Iowa 52632
I Dell
harry and Batty Fellows
fta 100.00
lO/26J2004 CK# 2210GrandAve y
ash Keakulc, Iowa 52632
SUB-TOTAL
8075.00

TOTAL. (W htt pp" of thla scbelnh)

" Dloabsum low requires candidate comnlflsei b dYidnee the reMlorrohip of e rskseivs makkq " oorerdabn b Me
commktse. Relationship must be shown to the third degree dmieenguiryq (bbod relatives) and shh+ih (mtetivas by page
1
d-
2
msrtinge) . Vets, me or oontdbutor is Ins eems ss CaodNaoe, but ibme Is no
(for SchwAft A)
familial rel0"ISMp, enter' WappfalbW in the mlatiorship ootutnn .
10/28/2004 23 :41 3195241001 ECKLAND MOTORS PAGE 03

For Instructions, Sae Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN

A MONETARY
(Rev_ 07/03) RECEIPTS

0
(Inauding Candkfale's personelfuds)
CHECK THIS BOX IF
CONIMITTEE NAME (Mud be same as on Statementof Orpanizeticn) AMENDING FORM
Fellows for Represeniaave

RECENED FROM A STATE PAC (POLITTGIL ACT10N 006WtTTEE), UST THE PAC IDENTIFICATION
STATE CANDIDATES NOTE. IF A CONTWBUTION IS
MMER AMOTHE PAC CHECK NUMBER IN THE DESKMaATED COLlMN. A USTOF ID MJMtiiER19 IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSLIfE BOARD.

CAUTION: Sedbn 8B8.92A(S), Iotw Code, prohibits the use of Iniormation oopled from reports and statsarents for soNdpnp conMbutlons or
for any commercial purpose by any person other than stattieory pollMcal ca,lmitew.

DA'rF PAC ID NUMBER NAMEAND ADDRESS OF CONTRIBUTOR REL ATMSMIP AMOUNT -J IF FOR
RECEIVED (ifappicable) TO CANDIDATE' RECEIVED FUND-
(MNIIDLWR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Clyde Mitchell
10/26/2004 $100 .00
CKtk 6278 3753 Main Street
Keokuk, Iowa 52632

CK#
ID#
Starry and ScJissa Weber
10126/2004 27 Cedar 25 .00
5800 Montrose, Iowa 52639
IDS

owa
David and Frances Sprtm®er
l ORfiJ2004 25'00
CKO 2038 Pads Lane
7196 auk, I 52632
ID#
Mike, Ffickey
IOi26J2004 40.00
CKO 1121 Or=dAve
cash Kookuk, Iowa 52632

caab
ID#

EEI
Rick BryaDt
10/26/2004 629 Main Sheet 100.00
CK#
Keokuk, Iowa 52632
IDN
Jcrry Cramer
10/26(2004 2153 River Road 50.00
CK#
cep KeoiaLk, Iowa 52632
IQ#
Unitimiaed
121 .00
10/2N2004 CK# cash

ADO

CK#

ID#

CK#

ID#

CK#

SUBTOTAL
461 .00

TOTAL (Ifliar ppe of this schaduife) I $ 8536.00

' Disclosure law requires csndtdem cornmlems to disclose the reladonshlpof my relative makkrp a Cordr9sulW o the
comrrrillse. Relationship must be shown Io the third degree of consanguinity (hood removes) and oLhhy (reletNsa by 2 2
. H summate of oontribtfr o Ms sams as candidate. but ttrere Is no
marriage) P"M of
fatniltal relationship . enter'nol appaeablr in the relatimtship cokimn. (V S~0e A)
10/28/2004 23 :41 3195241001 ECKLAND MOTORS PAGE 04

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B XP N DITUR

(Raw- OT/00) EENES
STATE PAC COMAIETTIIE6 : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NLA4ER IN THE DESIGNATED COLUMN AND THE El CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBtR8 IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS A CAMPAIGN DISCLOSURE BOARD.

COIIBYIITTEE NAME (MrjM be same as on Statmnont of OrganizaWn)

Fcllows for State Rapttiwntsdve

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (E applicable) (Dbbuntarnanr) WAS MADE
(MMMDrYR) AND PAC
CHECK
NUMBER
ID# QKQ
radio ads
10115/2004 2850 Mt. Pleasant St 892.30
CK# 1013 S
Burlingoo, Iowa 52601
IDIt
Cloy Cheottd Radio radio ads
10/20/2004 Burlington, Iowa 52601 300.00
CK#1014

ADO
Daily Gate City ads
10/20/2004 1016 Main Street 885.55
CK#1015 Keokuk, Iowa 52632
ID#
PAwbard Broadcasting KQ92 radio ads
10/25/2004 Burlington, Iowa $2601 2362 .60
CK#1016

ID#
Daily Gate City ads
10/25/2004 1016 MaiA Street 865.30
CK# 1017 Keokuk, Iowa 52632
ID# KBKB radio ads
10I26f2004 1411 North Roosevelt Ave 862.30
CK#1018 Burlington, Iowa 52601
ID# KOKX radio ads
10/26/2004 108 was&ingtm Street 917.28
CAC# 1020 KcAuk, Iowa 52632

IDS

CK#

SUB-TOTAL $ 7085 .53

TOTAL (N last ppe of Ws acAsduh) i 7085 .53

THIS BOX APPLIES TO CANDIDATES' CON11111iTTEBS ONLY :

Purchases of certain campaign property aosfng :500 or more must also be inventoded on Schedule H. (Refor b Schedule H inatnrctions.)
also be dmall hamtr0d on
Expenditures to persorWsnddes providing consulting . advertising, fund-raising . pd", managing, organizing services must
8chaduls 6 by the amount, purpose, and data of such" of expenditure made try the persoNantity on behalf of thecandidate's committee. (Refer b
Schedule G In.auctbm and Iowa Coda 68A.402(3Xt1.) ____

(for Sat We B)
10/28/2004 23 :41 3195241001 ECKLAND MOTORS PAGE 05

FOR INSTRUCTIONS, SEE BACK OF FPM SCHEDULE

E IN KIND
COMMITRE NWE (Afuat be some es on StmtemeW d zaNon) (Rev. OBIB7 CONTRIBUTIONS
Follows for State Rapresentetive

Q CHECK THIS BOX IF

AMENDING FORM

DATE RMATIONSHID DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
OF CONTRIBUTOR CONTRIBUTION VALUE CONTRIBUTION

Republican Party of Iowa $ 2,250.00

10/13/2004 minting
621 East 91h St
Des Moom, Iowa 50309

10/13/2004 621 PAN 9th

Party of Iowa postage 2,250.00
r
Des Moines, lows 50309

a
E:l
SUB-TOTAL

TOTAL M bmA
prpa of tfrb
tohedob)

'Dbdoms taw retwim candidates to disclose the mbdone* of any rob" maldng an In Idnd cantribdlon to ft paw l of I
oommttme . fWoneW must be alnwn to the Wed dog" of c msenW* ky (blood mleMv") end erllNCy (oalatlvf (tbr Schv&ds E)
by maresge)- (Sea Papa 2 or fame per .) K surname of coftWor Is the slams as cowl deos, but llw is no
familbl rebdonaMp. wtar 'net appilcsbis' In the rsisdonsldp a*xm-
FOR MTRUCT110APA SEEBACK OF FORM
SCHEDULE

Cairn= KAMPimr 6s mm as c" SAWeewrrt a cmerAMWON F Loms

(Ra.07m) ntixEnt®
Fellows far State RAparammsive a RI?AD

The CHECK THIS BOX IF

NUM: sdrdrie mpof moneylusasd bto conrrdpee whioh Is deposiled In to aumerlbe sooounL
AMENDING FORM
392,78
TWAL UI PAD LDAW FROM LW NBVRTEf0 PlRiM S 3

PART 1- t110WTARY LOAlts RWEM = REPORTM Ptl9lIOD PART I - NOWTARY LOAN REPAYMl9M MADE IM REPORTM PEIMOD
(0t*W wev~e of loon. auah sa a baoA mW bo ai+vsn wa fd party k (Loans fbr*en mLWbe npmted an Sdwdtda E- rnadnd Oontrtafm)
IrwoMd, inct:afe bona fiom oaaditi b's psrao"W wide)
DATE N1W -ANDAODRESSOFLENDER RELATIONSW AMOUNT DATE PAD NAME AND ADDRESSOF LENDER tiELAT10NSiHP AMOUNT
RF-CEIVED (Indade Endonwis Nams,11 Apptlcsbh) TO CANDIDATE OF LOAN (MMIDDYM (Include Endorser's Nems, If Appksbrs)~O CANDtgATE' REPAID
(ItAPpfOabtrJ T
s S
Smt Ftllows
2300 Grand Ave
101161-1..0114
Keokuk,Iowa 52632 ft 1600.00

TOTAL (PART 0 $ 1600 .0 TOTAL CASH REPAYMENTS {PART 11) E

FTom SohedWs E - TOTAL LOANS FORGIVEN E

4992'78
TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $

'Dlsdaeum law naquilas candidate oorrnfsse to dhdose the relm6mrehip of any rsbdve
maldnp a oo on b the oammfe_ Rdsdonshlp neat be shown bo no thid degree of
omrswgulnity Ibiosd rststlnts) and a" (mblhea by rrusyWge). If summnro of cvMAbutor is
the same as asrdkiste, but Ihsm Is no fam W misdonahlp, enter `not appiaebrs' in the 1
oalurnn when t apples_ d
(far Safisdule F)