Dec03 @ M:42p p.

. ij re,rri*,f
Fllst|ift:
lowa Elhics and Careobn
|ry{t.g
4rurr
sst/ftfl'55
Dbclqure Board ?naa
--
uUgDEl-h
slo E.t20.sts. tA
Desilolnogloua5Bl9
Farc515-2Bl{O/3
FOR IIVSIRUC'}OA'S, SEEEA OK OF FORM AHl:$t
DISGLOSURE
SUMMARYPAGE
NAMEO&rsfto

urcRliANn_lndiBerobyt type_of cormdteeyar arerepotffi ;H5 | ,"o*,o

(Rev.O72007) |
r )Sabluld€,L€gbl€fi'roAlrdga qandtdEta1i@e eaC 1a)S1e paily REPoRT
Qrdfig q Rqgnlbn
ggElcom-4qs
.4.)C..oyp ( 5 E.orrv Mrdal' 1o pnv caniuo 1z parirt aeo a (iher poriicar
suuluhlglcatdldate (elcountyPAc (g)CtyPAc ('lo)StchootEoardLrilherpotirbat SubdtvtsbnpAO
ll )LocalBalb{ls$s
Conm.!
Loggod ln
Scannsd
Cor|Flbr
Office Souqtil Dl€frlct(afSenatsor House) Ardned
B€Eton Cornty Supenrisor

potb ate Bubjecfb p€dble ddl and crlninal penaldas.Punuaril to lorm GodEsectons eEB.StAf,Z)
Lal6_r9 and ggA,ztolF), rb candidato,tor a
carddals's commhe. and lhs chalrperson,br any oftsr typ€ of commlle€,ls tJrshdMdual responsbb-6r mnrgdmetyili acuate reSds.

TELEPHONE

IAMFILINGA v$mn (r) El5CnON (2)NoI1LELECTTON

REPORTFOR YEAR.
(.oport ddo) Indicabbyd E]
E]CHECK IF AMENDITIENTTO REFORT OATED

E Ched( f tffi b nnal (tetmtl€ton) report and EGcfi Noficaot t]*solutton Form DR-3.
Oou musl condru€to fle reporb unlll a DR-g b f ted) $ttlch El€cf,on lsteld
Benton

STATEMENTOFCASH ON HAND
CASI{ ON HAND al the be€ilnnhg ot the r€pottng perlod. Ootd of all ftrnds held by the
emmitee. Thb amount ltn ST b€ lhe same as the csh on land at the end
of the last repoillngpeftd or mud b€ zerc llthio b filst reportftd.) .....-................................,...$ 220.@.
ADD TOTAL MOI{EYTAIGN tN THIS PERIOD
SoheddoA: Casfi GonUihrtonetotal(Atbch Sohduh Af (?lso see h-tfid below)..._....._..,...
SohdLdeF: LoaneReoelvedtotat (Athch Sohdule F)_....._._-_.
ScheduleH: T@l SalesotCampatgnp'oFeny(Atbch SotFduteH),..-....-..
lschertuJe H amlls b Canddat€d Commmees On|v|
suB-ToTAL_.-.--__0 220.62
SUEIRAGT IOTAL IiONEY SPENT TTIIS PERIOD
Schedut€B: EeendturestGl (Altach$he&ls B) (-atso seE debtsand loens betow).........._ 5.35
SoheduleF: Loan Repymentstotal (Ahdt Srtedule F).........-.... 2t5.27
cAsll Sl l#lND et he end otthls repordngpedod(trfhalrepoil babnce mud be ze]o) .,.,....,..-......,.-_S 000

'fN l(ND CONTRIBUT|ONS

{Fron Sdredule E - Atlach SchaduteE)........,-,....-... ........_._$ Wt4I3
-OUTSTANDNGLOAITIS(Fron Schedub F-Albch Sofrsdule 0.(X)
R..............-....... ..............$
coNsULTAtlT BREArDOUIN (Solrcdule G Atbohefll y' Ho
-YEs
CANDTDATECOMWTTEES ONLY:
0.00
YAU,E OF CAMPAION PROPERTYClom Schedut€ H - Atach Sdt€dute H) s_
STATEcoMMlTlEEs: submna recondbd camFlgn accountbank sbtBmentIn JaNaDr of eqch ycar.
Dec03 09 04:43p p.3

For Instrucfione, See Back of Form SCHEDULE

GONTRIBUTIONS- MONEY TAKEN IN A MONETAMT
(Rev,OTrUl) RECEIPIE
on&dhg candidats's peEonal fflrds)

COMM|TTEEft|Alf E(Mud ba aar??e es on &atannnt of OrganEatioril ! cuecrnrxEoxrF

AMENDI}IGFORM
VernednhlFu' SrrporvisorCcnnnri@e

SIATE CANOIDATESI NOTE:lFA 6NTRIBUT|CNlS RECE!VED_FRO--!||

A 3TATEPAC(POLmCAL LFT rHE pAc TDENf|RCAT|ON
ACIONCOMMTITEE),
iRJItl3EnANDTHEPAccHEcKNutBERlNTHEoEgtctvateooluuritlr-lsi-orroiirrlg-mstsAVAtLAgLEFRolrrHEto/r/AETf{csANDcAMpAoN
Drscr-osuRE80ARD-

IglF-ryY qEilON, OTHERTHANAN INOMDUAI. THATCoNTRIBI'TESMORETHAN6?P TO rcUR CAiFAIGN T''AYHA\E, FILING

RESPONSIBLMESANOSI{T}I'I.-T'IMMEDNATETY
COr{TACTTHE MARD.

CAUTlot{: Secdon6B.czA(E, prohlblteft€ ues ot lntormatloncopled lrom reporG and etalEmenb lor eolcltlng codribulions or for any
cornmorcialpurpose by any person oth6 than shfutory polfical conmrKeee.

TOTALftrss? page ot 2hlsscledule)

r Dbd(t3ute larr,a€qulrG candHale otnnrnb€s lo dMc6 lhe ohfonoldp ot any rdallvo
maldng a carfiihuilon lo lbe
com'rfie€, RehdsfoHPmuctbs.ehowrE_thorhhtdogrood@nsangulnfty(tbd@blb6)atrdsnn[y0ddiv€sqf
rnarlage), lf suname of conblbr&r b Ge cama as endldale, buttiar€ la no p.gr I I
of
fardhl rchfion€hip, erder unot applhabb' br the rela0onshlp column. (tsr ScheduleA)
Dec S 09 M:zBp p.4

FOR,,VSTRUCT'C)VS,
#,E BACROF FORM
SGHEDULE
I
- IiIONEYSPENTFROMCOMMITTEE
EXPENDTTURES ACCOUNT B I Moilere*t
(Rov-orrqD I E)(PENOTTURES
STATEPAC OOUHITTEE* I!oIE: FRcoNrREunoNs I{ADEIoSITAIETMDEoR LEoI$An'E
CAIIIDIDATES.LTSTTHE
CAI\DIDATEIDEf{flFIeATFNNUII,tsERtN
I}IE oesrcnnreocoIUMNAI\D THE E c"ecrrHrsBoxrF
PACCHECKNI'I'EERFOREACHEXPENTruRE. AUSTtrENUT'BENSTSAVETIEEIErNq,rNrErCrHA
EIHI€ & CAMPAIGN
DISCLCISUREBO,ARD.
AMENDING
FORM

COIIMIfTEE ltfAME (ll.fzdbe senre as on Sdtelrrrint A OrgaAzaOoal

VeunedehlFq' SrrycrrisorCornmifee

EXFENDITURE (DESCRIBE
TRAI|SACT|oM
(Dbbarsaaezf)WASIIADE

SavingsBank Bark servloecharges

inton,Iowa 52349

TOTAL (tths! pag€ or0ilascft?€',nte)

BOI APPIIES TO CANDIDATE9 GOMMITTEESONLY:

cf cailaln carnpaign proporty ooethrg S0 or rpre musl algo b€ hvenlorbd on Schsdule t|. (Rstar tD Sch€dub H hshrctbns)

reatoFnonsranfres prcvldbrgonsuttng. adrreilbbg, furd.ralslng.pollng, ranaglng orgardzkrgsolYlcarnnrstdao b dotall&ernbedol

G by lhe amunt, purpoeo.an!!$_oJ99at rypo sf oxpendh,rronradoby tha peno-nremfy-onbetLtr d rhe candldatebcomrltoo. (R€t€rto
Schsdub G lnstsucdoruand lom Oode

Page I or i

(orScMulE B)
Deo 08 09 M:4ip p.5

FOR''USTRUCIJOI'S,SE BACKAF FORM

NIIME(Mrdrosarp€son
Vqoedahl Fc Supavisor Conmittee

El cnecntHsBoxtF
AMENDINGFORM

Ilavid Vermedabl
l4l2 A Avenue
Viils!, Iowa 2349

roTAL(trbt
pags 6ttfilB
ecftedule)

rE[€clo€ur€lawlequt'tesendEqbs b disclosetlc reldonstfp ol any

rdefio raldng an In tdtd corbfrutlon b the eags I d' I
ctmmllbo. R€l&r|stilp mud Deehsle'ttothe.-lldrdd€r€s ot cd|sqntt&t[y Olood
'eamerelat\'e3] and aftify (daBves (hrschgduls E)
blt ma||Iage). Fr€ l%ge 2 ol bms pac!e{.) ll e,trarne sf cqt{br.bi b tft as oardiaate,but ttii |s no
fiamllhlra&adonshlp.
efl€r "nd appEcabl€'brthE rBtaEorBldp cotumn.
Dec 03 09 04:4|p p.6

FORttl,s7nuo7?ofirqSEEBACKOF rcRu
SCHEDULE T
NAMEi,?Aret
6e 6r ne a on Sbltetnetnot Argn@ F I loer,rs
(ferr. ozloQ I RECEnTED
VermedahlFor Supwisor Cornnlttee AREPAID

'tlolE: Thb scftsduls rrPorS$ltEtcy l@nsd b ths canrfifrtee utrlch b depc[erl ln tho @nmueo accounl.
CHECKTHIS
BOXIF
AMENDINGFORM
$ 2000.00
rorAL unpaD LoANsFRomt4S nEnonuuc FERToD

PART I . IIONEfARY LOANSRTCETVED THIS REPORIINGPERIOD

lottglmtsDu/csofloaasdtase h,nlc,mud.bdtrc,l9nilathbdpatt'lslnwfic/., tn&t&loerr l'|,mrJ'}ndttdu?plnatffi.)

(nclude Endorser'sNsmo,It Apthbb)

TOTALTPARTO
PART[ . HOIIIETARYLOAIiI RFAY'HENTS II,ADE!ilS REPORNNGPERTOD
Loe,F foqtwi m.Et be rcpoilod on Sdledub E - lnkw Gonbtbtfrorc,)

DATE PAID NAMEANDAEiM RELATIONSHIPTO

(MU'DDATR} ABrcX,lNTREPAID
(lncludoEndoEor'sNanlg.ltAFpficebt€] CA'{DIDATE" fll Arptlcatile)
t
0?fr24lgs DavidVennedahl
1412A Avenue
Vinhn,lol||a52349 Candidate 215.27

TOTATCASHREPAYI|4ENTS
(PARTT" 821527
FromSch€duleE -IOTALLOAJTISFORG]VEN $ 17ry.73
TOTALOUTSTANDING
LOAiISENDOF REPORTPERIOD $!49
'Dbdosrr€ bw r€qubo6
candda!6 Gonrrdfio€Gto dsdose the rehd-netrlp of any r€htlv€
rra0ng a 60rrtDrlt|on !o tta @mnil4ee.
-Retauansftlp |filst be shorm r0 tho ttdrd aegc,e ot
consangulrfiy(bloodlslatves) and afrrny (relatves by rfianhgg). ll ernamE oloits&r.rtor b 4.1
'
the aarneae canddats.butOrelele no tbndnd r€ldonihts, enta;.notappllcabb. h dro Page-d
aolunn$rhsh $oradtedub Q