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0 1/ 1 5/ 2 00 5 0 9 : 0 4 8 5 6 3 5 8 2 6 9 7 0FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mus t b e s ame as on St a t emen t o f Or g a n i z a t i o n )Dubuque Fed er a t i o n o f Labor C . O . P . E . - Co mm i t t e e # 6 99 t -I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y ou a r e r e po r t i ng f o r : 2lt 1 ) S t e t e wi d WL e g i s l a t i v e Ca n di d at e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a l e P a r t y ( 4 ) C o u nt y / L o c al Ca n di d at e( 5 ) C ou n t y PAC ( t i ) B a l l o t I a su el Fr a n ch i s e Commi t t e e ( 7 ) C o un t y / C i t y Ce n t r a l Commi t t e e( 8 ) S up p o r t S l a t e o f Ca n di d a t e s

SI GNATURE OF T EASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )5 6 3 - 5 8 2- 6 9 7 0

TEL EPHONE

Rou t i ne Pena l t i e s Du e Fo r L at e Fi l ed Rep or t s Range f r om $20 t o $ 8 0 0K AND COMPLETE THE FOLSEE I NSTRUCTI ONS ON BA

I AM F I L I N G A J anu ar y 19( r e p o r t d a t e )

[ : ] CHECK I F AMENDMENT TO REPORT DATED

0Chec 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 an 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 m DR- 3 .( Y o u mu st 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 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 . )

REPORT FOR ANI A ( 1 ) ELECT I ON I ( 2 ) NON- ELECT I ON YEAR .I n d i c a t e o n e

STATEMENT OF CASH ON HANDCASH ON 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 h i s i s t h e t o t a lo f a l l mon i es h e l d b y t h e c ommi t t e e . T h i s amou nt MUST b e t h esame a s t h e c as h o n hand a t t h e end 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 st 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 f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . $

ADD TOTAL MONEY TAKEN I N THI S PER I ODSc h e du l e A: Cash 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 du l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 1 . 4 4Sc h e du l e F : L o a n s Recei v e d t o t a l ( A t t a c h Sc h e du l e F ) . , . , . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . , . . . , . . . . , . , 0Sc h e du 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 du l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h edu l e H a p p l i e s t o Candi d at e s ' Commi t t e e s On i V )

SUBTRACT TOTAL MONEY SPENT THI S PER I ODSc h e du 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 du l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1, 19Sc h e du l e F : L o a n Repa y men t s t o t a l Ar c h Sc h e du l e F 0

CASH ON HAND a t t h e end 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 al a nc e mu st 1 4 3 . 0 7b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - S

UNPAI D BI L L S ( F r o mSc h e du l e D - A t t a c h Sc h e du l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N KI ND CONTRI BUT I ONS ( F r o m Sc h e du l e E - A t t a c h Sc h e du l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( Fr o m S ch edu l e F - A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATECOMMI TTEES ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( Fr o m S ch edu l e H - A t t a c h Sc h e du l e H)

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- 1 - 6 - - e _ 1 7 -DATE S I GNED

L o c a l C o mm i t t e e s , e n t e r O a t e o f E l e c t i o nC o u n t y 8 L o c a l C o mm i 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

SUB- TOTAL . . . . . . $ 326 . 2 6

4 . 8 2

0

YES NO

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0 1 / 1 5/ 2 ' 0 05 0 9 : 0 4 05635826970 I J S I ~ . J A LOCAL 1861Fo r I n s t r u c t i o ns , See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN 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 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 )Du bu qu e Fe de r a t i o n o f L a b o r C . O . P . E . Co mmi t t e e # 6 8 6 6

SCHEDULEA( R e v . 0 6 1 9 7 )PAGI E 0 3

MONETARYRECE I P T SCHECK T HI S BOX

I FAMENDI NG FORM

STATE CAND I DATES NOTE . I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CA L ACT I ON COMMI TTEE) . L I S T THE PA C I D E N T I F I C A T I O NNUMBERAND THE PAC CHECKNUMBER I N THEDES I GNA T ED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON: S e c t i o n 6 8B. 32 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 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 of o r a n 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 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 .

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 m i 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 e b 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 own 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 v e s b -ma r r i a g e ) ( S e e p a g e 2 o r f o r m s p a c k s t . ) . I r y u r n eme o f c o n t n 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 o n o Pa g e 1 o f _1f 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 . ( f o r S c h ed u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L A T I ON SHI P AMOUNT vRECE I VED ( I f a p p l i c a b l e ) TO CAND I DATE ' RECEI V E D F( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RANUMBER I NI D# Pe r c a p i t a f r o m a f f i l i a t e d l o c a l $ 6 2 . 6 81 0 - 2 2 - 0 4 CK# u n i o n sI D# Pe r c a p i t a f r o m a f f i l i a t e d l o c a l1 1 - 3 0 - 0 4 u n i o n s $ 4 4 . 6 4cK#I D# Pe r c ap i t a f r o m a f f i l i a t e d l o c a l1 2 - 30 - 0 4 CK# u n i o n s $ 2 1 4 . 1 2D#CK#I D#CK#1 0 #CK#I D#CK#I D#CK#I D#CK#

I D# [CK1f

SUB- TOTALTOTAL ( I f l a s t p a g e o f t h i s s c h e du l e ) $ 3 2 1 . 4 4

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FOR 1 NSTRUCT1 ONS, S EE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PAC COMMI T TEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES . L I S T THE CANDI DATE I DENTI FI CATI ON NU MBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAETHI CS 8 CAMPAI GN DI SCLOSURE BOARD .

THI S BOX APPL I ES T O CANDI DATES' COMMI T T EES ONL Y :

SCHEDULE

( R e v . 0 9 1 9 7 ) MONET ARYEXPENDI TUREQCHECK THI S BOX I FAMENDI NG FORM

Pu r c h a s e s o f t e r r a i n c a mp a i g n p r o p e r t y c o s t i n g $ 500 o r mo 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 H . ( R e f e r t o Sc h e d u l e 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 n s l e r + t i t l 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 mu s t a l s o b e d e t a i l i t e m i 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 m a d e 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 tS 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 Co d e 5 6 . 6 ( 3 ) ( 1 ) . )

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

COMMI T T EE NAME ( Mu s t b e s a me a s o n St a t e me n t o f Or g an i z a t i o n)Du b u q u e Fe d e r a t i o n o f L a b o r C . O . P . E . Co mmi t t e e # 6 8 6 6

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NU MBER 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 m e n t ) WAS MADE( MMi DO/ YR) AND PACCHECKNU MBERI D # L i b e r t y B a n k

1 0- 2 9- 0 2 2 0 1 J a c k s o n St r e e t Oc t o b e r 200 4 ma i n t e n a n c e $ 7 . 4 9CK# D u b u q u e , I o wa 52001 f e e sI D # L i b e r t y Ba n k No v e mb e r 2004 ma i n t e n a n c e $ 7 ' 4 91 1- 3 0- 0 4 2201 J a c k s o n St r e e t f e e sCK# D u b u q u e , I o wa 52001I D # L i b e r t y B a n k2201 J a c k s o n St r e e t D e c e m b e r 2004 ma i n t e n a n c e $ 7 . 4 91 2- 3 0- 0 4 f e e sCK# D u b u q u e , I o wa 52001I D # 1 s t Di s t r i c t C . O . P . E . 4 t h q u a r t e r 2004 p e r c a p i t a $ 1 60 . 7 21 2- 3 0- 0 4 1 0 4 5 797 Al t a V i s t aCK# D u b u q u e , I o wa 52001D#CK#I D #CK#D#CK#D#CK#

SUB- TOTAL $ 183 . 1 9T OT AL ( I f l a s t p a g e o f t h i s s c h e du l e ) $ 1 8 3 . 1 9