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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use Only


Alliant Energy for Wellman Committee Comm . # __2
4

IMPORTANT : Indicate by # type of committee you are reporting for : Logged In


( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
(4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue r
Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

October 28, 2004 (1) Election


I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #E1
Local Committees, enter Date of Election
CHECK IF AMENDMENT TO REPORT DATED
November 2, 2004

Fj Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .) Washington

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ -0

ADD TOTAL MONEY TAKEN IN THIS PERIOD


Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)

SUB-TOTAL . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

**UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 877.07


*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,452.58
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08/98) INDEBTEDNESS
Alliant Energy for Wellman Committee
O CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period.,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD"

Wellman Advance Newspaper Ad


10/7/04 146.73
PO Box 1
Wellman, IA 52356

WellmanAdvance Newspaper Ad
10/14/07 146.73
PO Box 1
Wellman, IA 52356

Wellman Advance Newspaper Ad


10/21/04 146.73
PO Box I
Wellman, IA 52356

WellmanAdvance NewspaperAd
10/28/04 146.73
PO Box 1
Wellman, IA 52356

Kalona Bakery - will be paid by Bonnie Donnolly Refreshments


10/28/04 70 .00
821 S . 15th Avenue
Washington, IA 52353

US Postmaster Postage for mailing


10/11/04
Cedar Rapids, IA 220.15

SUB-TOTAL $
877.07

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $


877.07

"If actual figure is unknown, show "estimated" beside the figure. Page of _
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred indebtedness also includes each personlentity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06197)1 CONTRIBUTIONS
Alliant Energy for Wellman Committee
CHECK THIS BOX IF
AMENDING FORM
Reset I orrn

DATE RELATIONSHIP DESCRIPTION ESTIMATED ~ IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

Alliant Energy, Parent Entity Marketlink, Inc. 77 .90


9/23/2004 Polling Services

Alliant Energy, Parent Entity Letterhead and 200 .00


10/01/2004 Envelopes for
mnilino

Alliant Energy, Parent Entity Invitations 120 .00


10/01/2004

Alliant Energy, Parent Entity Polling Services 333 .34


10/26/2004

10/26/2004
Alliant Energy, Parent Entity Polling Services 721 .34
F~
F-1
F-1
F-1
F-1
F-1
TOTAL (if last
page of this
schedule)

I
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of I
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .

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